Moody v. Oregon Community Credit UnionMoody v. Oregon Community Credit Union
On review from the Court of Appeals.*
Argued
Daniel R. Bentson, Bullivant Houser Bailey PC, Seattle, Washington, argued the
R. Daniel Lindahl, Bullivant Houser Bailey PC, Portland, filed the brief on the merits for petitioner on review, and Daniel R. Bentson filed the reply brief. Also on the briefs was Stuart D. Jones.
Travis Eiva, Eiva Law, Eugene, argued the cause and filed the brief for respondent on review.
Ralph C. Spooner, Spooner & Much, PC, Salem, filed the brief for amici curiae American Property Casualty Insurance Association and National Association of Mutual Insurance Companies. Also on the brief was David E. Smith.
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* Appeal from Lane County Circuit Court, Bradley A. Cascagnette, Judge. 317 Or App 233, 505 P3d 1047 (2022).
Sage R. Vanden Heuvel, Quinn Emanuel Urquhart & Sullivan, LLP, Los Angeles, California, filed the brief for amici curiae Chamber of Commerce of the United States of America and Oregon Business & Industry. Also on the brief was Paloma Sparks, Oregon Business & Industry, Salem.
James S. Coon, Thomas, Coon, Newton & Frost, Portland, filed the brief for amicus curiae Oregon Trial Lawyers Association. Also on the brief were John A. McHugh, MCH LAW LLC, Wilsonville, and Kristen William, Williams Weyand Law LLC, Salem.
Ivan Resendiz Gutierrez, Miller Nash LLP, Portland, filed the brief for amicus curiae United Policyholders. Also on the brief were Seth Row and Jodi S. Green, Long Beach, California.
Before Flynn, Chief Justice, and Duncan, Garrett, DeHoog, and Bushong, Justices, and Balmer and Walters, Senior Judges, Justices pro tempore.**
WALTERS, S.J.
The decision of the Court of Appeals is affirmed. The judgment of the circuit court is reversed, and the case is remanded to the circuit court for further proceedings.
Garrett, J., dissented and filed an opinion, in which Duncan, J., and Balmer, S.J., joined.
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** Nelson, J., resigned February 25, 2023, and did not participate in the decision of this case. James and Masih, JJ., did not participate in the consideration or decision of this case.
WALTERS, S.J.
Plaintiff, whose husband was accidentally shot and killed during a camping trip, brought this action against defendant, a first-party life insurer, claiming, among other things, that defendant had negligently failed to investigate and pay her claim for policy benefits, causing her to have fewer financial resources to navigate the loss of a bread-winning spouse and, consequently, to suffer economic harm and emotional distress. The trial court granted defendant‘s motions to dismiss plaintiff‘s negligence claim and to strike her claim for emotional distress damages. The Court of Appeals reversed. Moody v. Oregon Community Credit Union, 317 Or App 233, 248, 505 P3d 1047 (2022). Although our reasoning differs, we concur in the decision of the Court of Appeals, and we hold that plaintiff has pleaded facts sufficient to give rise to a legally cognizable common-law negligence claim for emotional distress damages.
I. FACTS AND PROCEDURAL HISTORY
Because the trial court granted defendant‘s motion to dismiss, we take the following facts from plaintiff‘s complaint. Paul v. Providence Health System-Oregon, 351 Or 587, 589, 273 P3d 106 (2012) (“When reviewing a trial court order granting a motion to dismiss, we accept as true all well-pleaded facts in the complaint.“). Plaintiff‘s husband, decedent, was accidentally shot and killed by a friend during a camping trip. Plaintiff filed a claim for life insurance policy benefits, and defendant initially denied plaintiff‘s claim on the ground that decedent‘s death fell within a policy exclusion for deaths “caused by or resulting from [decedent] being under the influence of any narcotic or other controlled substance“—apparently based on the fact that decedent had had marijuana in his system at the time of his death.
Plaintiff filed this action against defendant,1 alleging claims for breach of contract, breach of an implied contractual covenant of good faith and fair dealing, and negligence. Plaintiff sought both economic damages—the benefits payable under the policy—and emotional distress damages.
In her negligence claim, plaintiff alleged that defendant had contracted with her husband and her to provide life insurance coverage and benefits, that an Oregon statute requires “[d]efendant to follow a standard of care in the performance
“Defendant Insurance Company negligently performed its obligations under [
ORS] 746.230 in its review, investigation, and eventual decision to deny insurance benefits following the death of [plaintiff‘s husband] in one or more of the following ways:“(a) By refusing to pay the insurance benefits without conducting a reasonable investigation based on all available information, in violation of
[ORS] 746.230(1)(d) ; and“(b) Not attempting, in good faith, to promptly and equitably settle a claim in which the insurer‘s liability has become reasonably clear, in violation of
[ORS] 746.230(1)(f) .”
Plaintiff further alleged that defendant “knew, or in the exercise of reasonable care as a corporation engaged in the business of marketing and selling insurance, should have known, that one or more of its foregoing acts or omissions would create an unreasonable risk of harm to the beneficiaries of its insured, including [plaintiff].” Finally, plaintiff alleged that, as a result of defendant‘s negligence, she had suffered “the noneconomic loss of increased emotional distress and anxiety caused by having fewer financial resources to navigate the loss of a bread-winning spouse.”
Defendant filed motions to dismiss plaintiff‘s claims for negligence and breach of the implied covenant of good faith and fair dealing and to strike the allegations seeking damages for emotional distress, arguing that plaintiff‘s only remedy under Oregon law was contractual. The trial court granted those motions and entered a limited judgment dismissing all but the breach of contract claim. Plaintiff appealed the limited judgment but, while the appeal was pending, she filed an amended complaint that alleged only breach of contract and sought only the amount of benefits payable under the insurance policy—$3,000. Thereafter, defendant paid the $3,000 to plaintiff, the parties stipulated to the entry of a judgment in favor of plaintiff and against defendant, and the trial court entered a conforming general judgment.
II. THE COURT OF APPEALS DECISION
Meanwhile, plaintiff‘s appeal from the limited judgment, which challenged the dismissal of her negligence claim and the striking of her allegations of emotional distress damages, proceeded in the Court of Appeals. That court ultimately reversed the trial court‘s ruling, holding that plaintiff could bring a claim for “negligence per se” and seek emotional distress damages based on defendant‘s violations of
“‘When the relationship involved is between contracting parties, and the gravamen of the complaint is that one party caused damage to the other by negligently performing its obligations under the contract, then, and even though the relationship between the parties arises out of the contract, the injured party may bring a claim for negligence if the other party is subject to a standard of care independent of the terms of the contract.‘”
Moody, 317 Or App at 237 (emphasis added). The Court of Appeals then observed that an independent standard of care may arise out of a special relationship between the contracting parties,2 but it also
However, the court acknowledged, the violation of an independent standard of care is not all that is required to state a negligence claim against another party to a contract. According to the Court of Appeals, a negligence claim based on a statutory violation requires a plaintiff also to plead and ultimately prove that
“‘(1) defendants violated a statute; (2) that plaintiff was injured as a result of that violation; (3) that plaintiff was a member of the class of persons meant to be protected by the statute; and (4) that the injury plaintiff suffered is of a type that the statute was enacted to prevent.‘”
Moody, 317 Or App at 238 (quoting McAlpine v. Multnomah County, 131 Or App 136, 144, 883 P2d 869 (1994), rev den, 320 Or 507 (1995)).
After briefly outlining how that test appeared to be satisfied by plaintiff‘s allegations that she had been injured as a result of defendant‘s violation of an Oregon statute, particularly
(1) rejected defendant‘s contention that this court‘s decision in Farris v. U.S. Fid. and Guar. Co., 284 Or 453, 587 P2d 1015 (1978) (Farris II), forecloses any negligence per se claim based on a violation of
III. ARGUMENTS AND ANALYSIS
We begin our analysis with the premise, acknowledged by both parties, that, in addition to contract claims, parties to a contract may assert viable tort claims. Contract and tort claims are conceptually different and provide remedies for breach of conceptually different obligations: “Contract
In this case, plaintiff takes the position that her claim for common-law negligence is analogous to the plaintiffs’ common-law negligence claim in Abraham II against the builder of their home for water damage from a leak. Plaintiff argues that she is entitled to bring a common-law negligence claim against defendant for its failure to act reasonably in performing the obligations of a life insurer and that she is entitled to recover the emotional distress damages that she alleges. To support those arguments, plaintiff invokes a statute—
For its part, defendant accepts our holding in Abraham II and does not contend that the fact that defendant and plaintiff have an insurance contract forecloses plaintiff‘s negligence claim. Rather, defendant counters that, to rely on Abraham II, plaintiff must establish that she is entitled to bring a common-law negligence claim. The crux of defendant‘s argument is that plaintiff does not have a legally cognizable common-law negligence claim for the emotional distress damages that she alleges. According to defendant, that is so for three independent reasons: (1) in Farris II, this court decided that the legislature did not intend to permit a common-law negligence claim against a first-party insurer; (2) even if Farris II does not resolve the question, this court should conclude that, in enacting
A. Negligence per se claim depends on a viable common-law negligence claim.
As set out above, the Court of Appeals viewed plaintiff‘s negligence claim as a claim “based on a statutory violation” and opined that, to make out that claim—a claim that the court described as “negligence per se“—plaintiff was required to plead, and ultimately prove, the following elements:
“‘(1) defendants violated a statute; (2) that plaintiff was injured as a result of that violation; (3) that plaintiff was a member of the class of persons meant to be protected by the statute; and (4) that the injury plaintiff suffered is of a type that the statute was enacted to prevent.‘”
Moody, 317 Or App at 238 (quoting McAlpine, 131 Or App at 144).
Defendant contests that conclusion, maintaining that a negligence per se claim can be proved in that way only when, as this court stated in Deckard v. Bunch, 358 Or 754, 761 n 6, 370 P3d 478 (2016), “a negligence claim otherwise exists” (emphasis added).5 And in
Defendant is correct that a negligence per se claim is not a separate type of negligence claim with its own elements; rather, negligence per se is “simply shorthand for a negligence claim in which the standard of care is expressed by a statute or rule.” Abraham II, 350 Or at 35 n 5. See also Bob Godfrey Pontiac v. Roloff, 291 Or 318, 325, 630 P2d 840 (1981) (describing an action for negligence per se as an example of a kind of case “in which liability would be based upon violation of a statutory duty when there is also an underlying common law cause of action“) (emphasis added); Caroline Forell, Statutory Torts, Statutory Duty Actions, and Negligence Per Se: What‘s the Difference?, 77 Or L Rev 497, 529 (1998) (stating that “[n]egligence per se is
traditionally only available where a plaintiff would also have a common-law negligence action against the defendant“).In Deckard, we again referred to negligence per se as a “shorthand descriptor” of a negligence claim that otherwise exists, where the standard of care is expressed by statute or rule and a violation of the statute or rule establishes a presumption of negligence:
“Negligence per se * * * is a shorthand descriptor for a negligence claim in which the standard of care is expressed by a statute or rule. *** When a negligence claim otherwise exists, and a statute or rule defines the standard of care expected of a reasonably prudent person under the circumstances, a violation of that statute or rule establishes a presumption of negligence.”
358 Or at 761 n 6 (internal quotation marks omitted). And in Shahtout v. Emco Garbage Co., 298 Or 598, 601, 695 P2d 897 (1985), we made the same point:
“In a negligence case, the plaintiff must show that defendant did not meet an applicable standard of due care under the circumstances. When a plaintiff (or a defendant seeking to prove negligence on plaintiff‘s part) invokes a governmental rule in support of that theory, the question is whether the rule, though it was not itself meant to create a civil claim, nevertheless so fixes the legal standard of conduct that there is no question of due care left for a factfinder to determine; in other words, that noncompliance with the rule is negligence as a matter of law.”
Thus, defendant is correct that, to make out a claim of negligence per se and take advantage of a presumption of negligence arising from a statutory violation, a plaintiff must show not only that the statute sets out an applicable standard of care, but also that the plaintiff has an existing negligence claim.
Our agreement with defendant on that issue does not, however, resolve this case. Although the Court of Appeals rested its decision on the idea that a plaintiff can bring a claim for negligence per se even if the plaintiff does not have an existing negligence claim, and the parties’ arguments are primarily directed to that point, plaintiff‘s complaint and the ruling of the trial court require that we decide whether plaintiff pleaded a cognizable common-law negligence claim. As noted, plaintiff brought a claim for negligence and alleged that an Oregon statute requires defendant to follow a standard of care “independent of, in addition to, and outside of the terms of the insurance contract“; that defendant negligently failed to perform its obligations; that defendant knew, or in the exercise of reasonable care should have known, that one or more of its acts or omissions would create an unreasonable risk of harm to plaintiff; and that plaintiff suffered emotional distress damages as a result. Defendant filed a motion to dismiss that claim, arguing that plaintiff‘s only remedy was for breach of contract, and the trial court granted that motion. To decide whether the trial court erred in doing so, we must decide whether plaintiff‘s negligence claim “otherwise exists,” or, in other words, is legally cognizable.
B. To have a viable common-law negligence claim, plaintiff must establish that she has a “legally protected interest” sufficient to subject defendant to liability for purely emotional damages.
With respect to that key question, plaintiff contends that she has alleged the requisite elements of a negligence claim—in other words, that defendant engaged in conduct that “unreasonably created a foreseeable risk to a protected interest of the kind of harm that befell the plaintiff,” Fazzolari v. Portland School Dist. No. 1J, 303 Or 1, 17, 734 P2d 1326 (1987)—and that that conduct in fact caused her economic harm and emotional distress. Plaintiff contends that she is entitled to seek emotional distress damages because defendant‘s conduct infringed on her statutorily protected interest in avoiding the wrongful denial, delay, and evaluation of her insurance claim.
In Fazzolari, this court stepped away from traditional concepts of “duty,” “breach of duty,” and “proximate cause” as aids to determine whether a plaintiff could maintain a claim for negligence and, instead, the court reformulated the relevant question as whether the defendant‘s “conduct unreasonably created a foreseeable risk to a protected interest of the kind of harm that befell the plaintiff.” 303 Or at 17; see also Scott v. Kesselring, 370 Or 1, 10, 513 P3d 581, 589 (2022) (discussing reformulation of the traditional tort principles of duty, breach, and proximate cause in Fazzolari). It is now settled that
“[a] negligence complaint, to survive a motion to dismiss, must allege facts from which a factfinder could determine (1) that defendant‘s conduct caused a foreseeable risk of harm, (2) that the risk is to an interest of a kind that the law protects against negligent invasion, (3) that defendant‘s conduct was unreasonable in light of the risk, (4) that the conduct was a cause of plaintiff‘s harm, and (5) that plaintiff was within the class of persons and plaintiff‘s injury was within the general type of potential incidents and injuries that made defendant‘s conduct negligent.”
Solberg v. Johnson, 306 Or 484, 490-91, 760 P2d 867 (1988). The dispute here centers on whether plaintiff has alleged a foreseeable risk to “a protected interest” sufficient to subject defendant to liability for emotional distress damages.
1. Legally protected interests previously recognized by this court
Perhaps the simplest legally protected interest is in being “free from physical harm at the hands of another.” Philibert v. Kluser, 360 Or 698, 703, 385 P3d 1038 (2016). Physical harm includes both bodily injury and property damage.6 Generally, however, people do not have a legally protected interest in being free from emotional distress, and, to date, this court has permitted common-law tort claims for emotional distress damages only in the following three circumstances: (1) when the defendant also physically injures the plaintiff; (2) when the defendant intentionally causes the emotional distress; or (3) when the defendant “negligently causes foreseeable, serious emotional distress and also infringes some other legally protected interest.” Id. at 702; see also Hammond v. Central Lane Communications Center, 312 Or 17, 22, 816 P2d 593 (1991) (stating that the court had recognized negligence claims for “psychic injury” in those three circumstances). In that third category of cases, this court has looked for a legal source of liability other than
foreseeability: “[T]he injury‘s foreseeability, standing alone, is insufficient to establish the defendant‘s liability[;] there must also be another ‘legal source’ of liability for the plaintiff to recover emotional distress damages.” Philibert, 360 Or at 703.In Philibert, this court was asked to consider whether two brothers who had watched their third brother die in a collision had stated a negligence claim for the emotional distress damages that they had alleged. We began our analysis by explaining the reason that the court is generally reluctant to recognize common-law negligence claims for emotional distress damages:
“In contrast to physical harms, emotional harms occur frequently. *** Any number of people may suffer emotional distress as the foreseeable result of a single negligent act. The Restatement provides an example: ‘a negligent airline that causes the death of a beloved celebrity can foresee genuine emotional harm to the celebrity‘s fans, but no court would permit recovery for emotional harm under these circumstances.’ For that reason, foreseeability, standing alone, is not a useful limit on the scope of liability for emotional injuries. In Harris v. Suniga, 344 Or 301, 180 P3d 12 (2008), this court explained that allowing recovery for economic loss on the basis of foreseeability, without requiring more, would invite, in the words of Judge Cardozo, ‘liability in an indeterminate amount for an indeterminate time to an indeterminate class.’ Emotional distress, like economic loss, ripples throughout society as a foreseeable result of negligent conduct. Without some limiting principle in addition to foreseeability, permitting recovery for emotional injuries would create indeterminate and potentially unlimited liability.”
Philibert, 360 Or at 703-04 (some citations omitted; emphasis in original). Nevertheless, we explained, recovery for foreseeable emotional damage is permitted “when the defendant‘s conduct ‘infringed some legally protected interest apart from causing the claimed distress.‘” Id. at 704. And, in the context of emotional distress, we defined a legally protected interest as “an independent basis of liability separate from the general duty to avoid foreseeable risk of harm.” Id. We then reviewed the circumstances in which we had recognized the existence of such an interest. Those circumstances included those in which a plaintiff had alleged (1) a right against certain wrongful invasions of privacy, such as the invasion discussed in Hinish v. Meier & Frank Co., 166 Or 482, 506, 113 P2d 438 (1941) (allowing claim for emotional distress when plaintiff‘s name was signed without his consent on a telegram to the governor); (2) a right to have a party comply with an obligation found in a court order or statute designed to protect the plaintiff from the type of emotional harm that occurred, such as the statute at issue in Nearing v. Weaver, 295 Or 702, 708, 670 P2d 137 (1983) (right to have officers comply with statute requiring arrest to protect victims of domestic violence) and the order at issue in McEvoy v. Helikson, 277 Or 781, 787-89, 562 P2d 540 (1977) (right to have lawyer comply with order requiring retention of child‘s passport to protect father‘s interest in child‘s custody); and (3) certain other common-law rights such those recognized in Macca v. Gen. Telephone Co. of N.W., 262 Or 414, 418, 495 P2d 1193 (1972) (right to be free from private nuisance) and Hovis v. City of Burns, 243 Or 607, 613, 415 P2d 29 (1966) (right to have the remains of a deceased spouse remain undisturbed). Philibert, 360 Or at 705-06.
Turning to the claim before the court in Philibert, we described the harm that the plaintiffs had alleged as a “palpable and distinct harm, different in kind even from the emotional distress that comes with the inevitable loss of our loved ones,” and we held that the defendant‘s failure to protect against that harm was “a violation of [the plaintiffs‘] interest in not witnessing such a shocking and tragic event.” Id. at 707. Finally, we analogized the plaintiffs’ common-law interest in being free from that kind of injury to the interests at issue in two decisions in which “the court [had] determined that an asserted common law interest [was] sufficiently important to support the imposition of liability” for emotional injury—the negligent handling of a spouse‘s remains in Hovis and the unauthorized political use of the plaintiff‘s signature in Hinish—and concluded that “the interest in avoiding being a witness to the negligently caused traumatic injury or death of a close family member is similarly important.” Id. at 707.
That was not the end of our analysis, however. We proceeded to carefully “frame the contours of that interest and identify the elements that will allow a bystander to recover for the negligent infliction of emotional distress, while also providing a limiting principle that will avoid potentially unlimited claims or damages.” Id. at 708. We decided to limit bystander emotional
“Juries are charged with discerning truth from self-serving fiction when plaintiffs testify about their own injuries and are as competent to do this in claims for emotional injuries as they are in other cases. *** Laws also may be structured to deter false claims by sympathetic plaintiffs whose charisma may evoke inconsistent and unpredictable jury verdicts.”
Id. at 714-15 (citations omitted). We imposed the requirements of personal observation of the injury and injury to a close relative because, “on the basis of human experience,” we considered them to be “objective indicators of possibly serious emotional injury,” and therefore more likely to be genuine. Id. at 715. Further, and in response to the concern that aspects of our rule could seem arbitrary, we noted “the need to provide ex ante understanding of liability and assistance in the orderly administration of justice.” Id. at 715-16. So articulated, we were convinced that our rule would not create a risk of “indeterminate and potentially unlimited liability.” Id. at 704.
Two years after deciding Philibert, this court again took up a question of whether the plaintiffs had pleaded facts sufficient to state common-law negligence claims for emotional distress damages. In Tomlinson v. Metropolitan Pediatrics, LLC, 362 Or 431, 434, 412 P3d 133 (2018), one set of plaintiffs were parents who had alleged that the defendant physicians had failed to timely diagnose their older son, M‘s, genetic disorder and failed to inform the parents of that disorder. The parents had alleged that, had the defendants not failed to act, the parents would not have produced another child with the same disorder. We described the legal question there as “whether the complaint alleged sufficient facts to establish that defendants’ conduct was negligent with respect to the legally protected interests of the parents.” 362 Or at 440.
In engaging that issue, we began by noting that the parents and the defendants did not have a patient-physician relationship. At the same time, we also noted that lack of privity has not always been a bar to claims against professional service providers and that “we decide on a case-by-case basis whether a professional‘s relationship with a third party is capable of supporting a negligence claim.” Id. at 446. We reasoned that the parents had alleged facts that, if proved, would establish that (1) the defendants and the parents had a mutual expectation that the defendants would provide the parents with information that implicated the parents’ right and ability to make informed reproductive choices; (2) meeting that expectation would not impose an undue burden on the defendants beyond the obligation that they already owed to their patient, M; and (3) protecting the parents’ interest would not be detrimental to the interests of M. We concluded that those factual allegations were sufficient, if proved, to establish that, in addition to their obligation to protect M‘s interest, defendants also had a limited obligation to protect the parents’ interests. Id. at 450.
We then addressed the defendants’ argument that, even if the parents were permitted to pursue a common-law negligence claim in the alleged circumstances, they were not entitled to recover emotional distress damages. We responded by stating the general rule that, when a plaintiff establishes a cognizable negligence claim, damages are recoverable to the extent necessary to make the plaintiff whole. See id. at 452 (citing United Engine Parts v. Ried, 283 Or 421, 432, 584 P2d 275 (1978) (“The purpose of awarding compensatory damages is to make the party entitled thereto whole.“) (Internal citation and quotation marks omitted.)). We also cited Philibert, 360 Or at 702, for the proposition that, when a plaintiff alleges negligence and claims either physical injury or the invasion of some legally protected interest, then, generally
2. Whether plaintiff here has alleged a legally protected interest sufficient to subject defendant to liability for purely emotional damages
In the case now before us, we must consider, as we did in Philibert and Tomlinson and the cases that preceded them, whether plaintiff has alleged a legally protected interest sufficient to subject defendant to liability for emotional distress damages. We therefore repeat the material allegations of her complaint.
Plaintiff alleges that defendant contracted with her husband and her to provide life insurance coverage and benefits and agreed to pay $3,000 in the event that plaintiff‘s husband died as the result of an accident. Plaintiff alleges that her husband died as a result of an accident, but that defendant negligently failed to pay the promised benefits by failing to conduct “a reasonable investigation based on all available information” and by “[n]ot attempting, in good faith, to promptly and equitably settle a claim in which the insurer‘s liability has become reasonably clear.” Plaintiff alleges that defendant “knew, or *** should have known, that one or more of its foregoing acts or omissions would create an unreasonable risk of harm to the beneficiaries of its insured, including [plaintiff].” And finally, plaintiff alleges that, as a result of defendant‘s negligence, she had fewer financial resources to navigate the loss of a bread-winning spouse and that she suffered increased emotional distress and anxiety as a result. Thus, the interest that plaintiff seeks to have us recognize as legally protected and sufficient to subject defendant to liability for emotional distress damages is her interest, as the surviving spouse of a deceased breadwinner, in having the insurance company with which she and her husband had contracted for life insurance benefits conduct a reasonable investigation of, and promptly pay, her claim for the promised benefits.
To decide whether that alleged interest is a legally protected interest sufficient to subject defendant to liability for emotional distress damages, we begin, as we did in Philibert, by acknowledging that this court is hesitant to permit recovery for solely emotional injury but has nevertheless done so in limited circumstances. We have not devised a “test” for determining when an interest is so protected; rather we have looked for factors that demonstrate, to our satisfaction, that we will not be creating “indeterminate and potentially unlimited liability,” and that the interest in question is “sufficiently important” and sufficiently circumscribed to support the imposition of liability for emotional distress damages. Philibert, 360 Or at 704, 707. We acknowledge that such an analysis requires an application of judgment, but that is the nature of the common law. It requires that we proceed incrementally, looking at our past decisions and applying similar reasoning to new circumstances. See, e.g., Deep Photonics Corp. v. LaChapelle, 368 Or 274, 288-89, 491 P3d 60 (2021) (stability and consistency are critical aspects of common-law decision-making; court‘s decision comported with that standard because the changes it made to the common law were “marginal, incremental, and clearly foreshadowed by our prior decisions“). We therefore proceed to consider the factors that have been important to us in our past decisions.
a. Whether an Oregon statute indicates the existence of the alleged legally protected interest.
In this case, plaintiff invokes a statute in support of her argument that she has a sufficient legally protected interest, and she cites Philibert and its discussion of the second category of circumstances in which this
In considering plaintiff‘s argument, we are met with defendant‘s argument that in Farris II, this court decided that the legislature did not intend to permit a common-law negligence claim against a first-party insurer, as well as the dissent‘s view that, in deciding as it did in Farris II, this court foreclosed plaintiff‘s common-law negligence claim. See 371 Or at 824 (Garrett, J., dissenting). In response to defendant, we first observe, as noted, that plaintiff does not ask us to hold that, in enacting
Here, the claim that plaintiff alleges is not a statutory tort; rather, it is a common-law negligence claim.
Relatedly, plaintiff does not ask this court to create or recognize a type of tort liability different from the tort of common-law negligence. As explained in Burnette v. Wahl, 284 Or 705, 711-12, 588 P2d 1105 (1978), creating a tort based on a statutory violation is an approach that is open to us when we deem it necessary or desirable:
“When neither the statute nor the common law authorizes an action and the statute does not expressly deny it, the court should recognize that it is being asked to bring into existence a new type of tort liability on the basis of its own appraisal of the policy considerations involved. * * * If a civil cause of action based upon a statute is established by a court, it is because the court, not the legislature, believes it is necessary and desirable to further vindicate the right or to further enforce the duty created by statute.”
See also Bob Godfrey Pontiac, 291 Or at 332; Miller v. City of Portland, 288 Or 271, 277-78, 604 P2d 1261 (1980) (both discussing availability of such an approach). But that is not the approach that we consider today. Here, our task is to decide whether plaintiff has alleged a legally protected interest sufficient to state a common-law claim for negligence and to subject defendant, a first-party insurer, to liability for emotional distress damages.
“There is no doubt that defendant was guilty of a clear breach of its contract. Plaintiffs contend that defendant is guilty of a tort as well as a breach of contract because it exercised ‘bad faith’ in its decision to deny coverage and to refuse a defense. The generally accepted rule is that emotional distress caused by pecuniary loss resulting from breach of contract is not recoverable.”
Farris II, 284 Or at 455-56. Thus, the court said, it “becomes important (according to the usual doctrine) whether plaintiffs’ action for damages is one of contract or one of tort.” Id. at 456.
The next step in the court‘s analysis was to set out the text of
“It is possible to contend that defendant‘s violation of the statute is a tort, and, therefore, plaintiffs are entitled to recovery for emotional distress as well as for their other damages. It is not our understanding that plaintiffs make this contention. It is evident from the statutes that it was the intention of the legislature to prohibit insurance companies from intentionally breaching their contract to settle their insureds’ claims as defendant did here and to inflict certain consequences for so doing. However, such conclusion does not dispose of the question whether damages for emotional suffering were intended to be recoverable by an insured for such a breach. Because the statutes did provide for the payment of damages not usually recoverable in such a situation, it would appear that had the legislature intended to enlarge the damages further, it would have so provided. It was certainly not intended by the legislature that additional pressure to perform the contract be exerted by allowing the recovery of damages for emotional distress, since the statute provides for civil damages recoverable by the state for that purpose. There is nothing to indicate that the legislature intended, when it prohibited certain claims settlement practices in
ORS 746.230 , that actions for breach of insurance contracts would be transformed, in all of the covered instances, into tort actions with a resulting change in the measure ofdamages. The statutes express no public policy which would promote damages for emotional distress. Concern about the insured‘s peace of mind does not appear to be the gravamen of the statutory policy.”
Farris II, 284 Or at 457-58.9 We understand that paragraph to explain that the plaintiff‘s claim was a claim for breach of contract and that, in enacting
The court then went on to consider whether, as a matter of common law, a claim based on a “bad faith” breach of a contractual obligation should be considered a claim sounding in tort. After discussing various California court decisions, the court rejected that view, specifically holding that the plaintiffs’ claim was one for breach of contract:
“Contrary to the California holdings, * * * we believe defendant‘s failure to undertake representation of plaintiffs which required them to represent themselves could only have been a breach of contract, and, in cases of breach, the law is clear that no recovery for mental distress because of threat of pecuniary loss is recoverable.”
Finally, the court considered the plaintiffs’ arguments that, even if their claim was for breach of contract, they should be permitted to recover emotional distress damages because “one who enters into a contract of insurance does so to guarantee himself peace of mind in case an action or claim is made against him and, therefore, he should receive reimbursement for that for which he has bargained and not received,” and “the insurance business is tinged with a public interest similar to that of a public utility, and public policy dictates that full responsibility for the results of failure to perform should be imposed without respect to the rules applicable to other contracting parties.” Id. at 465-66. The court disagreed, adhering to “the universal rule” that recovery for breach of contract does not include recovery for emotional distress damages. Id.
In Farris II, this court understood its task as deciding whether the plaintiffs’ claim was “one of contract or one of tort,” holding, as indicated, that the plaintiffs’ claim was for breach of contract.10 Farris II, 284 Or at 456, 463. In arguing otherwise,
(Garrett, J., dissenting). That stretch cannot hold. As noted, both counts expressly alleged a breach of contract and both sought the same economic and emotional distress damages. And, most importantly, the difference between contract and tort claims is that they provide remedies for breach of conceptually different obligations. Again, as noted, “[c]ontract obligations are based on the manifested intention of the parties to a bargaining transaction, whereas tort obligations are imposed by law—apart from and independent of promises made and therefore apart from the manifested intention of the parties—to avoid injury to others.” Abraham II, 350 Or at 36 (emphasis in original; internal quotation marks omitted). In Farris II, the plaintiffs’ complaint did not allege, in either count, that the defendant owed them an obligation other than that specified in the contract between them. In particular, the plaintiffs’ complaint did not allege that the defendant‘s actions were negligent.11
We conclude that Farris II does not bar our consideration of the viability of plaintiff‘s alleged common-law negligence claim. We therefore return to our consideration of the following factor in that analysis: whether
We therefore begin, as we did in Doyle, by examining the statute‘s provisions and the policies it is intended to promote. Defendant argues that, in enacting
As a reminder,
“[W]e note that an elementary principle of insurance law is that insurance policies do not merely provide for the payment of funds in case of loss; they also provide the policyholder peace of mind. See, e.g., 14 Couch on Ins. § 198:4 n 1 (3d ed 2021) (‘security and peace of mind are principal benefits of insurance[.]‘) * * * The Oregon Supreme Court recognized that principle in Farris [II], noting that ‘insurance contracts * * * are made for economic and financial peace of mind.’ * * * A corollary to that principle is that statutes regulating the business of insurance—notice of cancellation requirements, for instance—are likewise intended to ensure peace of mind for policyholders. See, e.g., 43 Am Jur 2d Insurance § 385 (2021) (‘The primary purpose of such statutes is to ensure peace of mind for a policyholder.‘). Thus, when the Oregon legislature enacted the Insurance Code ‘for the protection of the insurance-buying public,’
ORS 731.008 , we take that to mean that the legislature enacted the code to ensure that the insurance-buying public gets what it pays for, including the peace of mind that is a principal benefit of an insurance policy.“That certainly appears to be the point of a number of the provisions of
ORS 746.230 , which are directed at unfair claim settlement practices that implicate not only adverse economic consequences to the policyholder but also the stresses of dealing with insurance company bad faith and delaying tactics. * * * Violations of those provisions certainly have economic consequences. But it cannot be denied that such violations commonly have significant emotional consequences for policyholders as well. The legislature may well have declined to provide a private right of action for damages when it enactedORS 746.230 . Especially given that the very nature of insurance is that it is purchased to ensure peace of mind, it is hard to imagine that the legislature did not intend the law, at least in part, to prevent policyholders from being forced to experience the stress of dealing with unfair insurance claim settlement practices.”
Moody, 317 Or App at 246-48 (some citations omitted).
As the Court of Appeals also observed, the conduct that
Next, as the court did in Doyle, we consider how specific the statute is—that is, whether it provides advance warning of the specific conduct that is prohibited. Id. at 353; see also Philibert, 360 Or at 715-16 (emphasizing the importance of providing “ex ante understanding of liability“). We find that the statute provides explicit notice to insurers of the conduct that is required and, in requiring
Under Doyle, we also consider the adequacy of existing remedies and the extent to which a common-law negligence action “will aid, supplement, or interfere with existing claims and remedies and other means of enforcement.” Doyle, 356 Or at 363-64. One existing common-law remedy is a breach of contract action, but, in such an action, emotional distress damages are not recoverable. Permitting a common-law negligence claim for emotional distress damages would supplement, but would not interfere with, the availability of a contract claim.
The same is true with respect to the remedies provided by the statute. As discussed, in
Nevertheless, we acknowledge, as defendant argues, that the legislature‘s decision not to create a statutory private right of action may reflect a concern that allowing plaintiff to recover emotional distress damages in this context would expose defendants to new and unfairly burdensome liability. It is important that our analysis account for such concerns, and we proceed to that undertaking.
b. Whether permitting recovery of emotional distress damages is consistent with recovery of emotional distress damages in other common-law actions and would not place an undue burden on defendants.
In this case, plaintiff alleges a claim against a party with whom she had a relationship, like that in Tomlinson, 362 Or at 446, that entailed a “mutual expectation of service and reliance.” Plaintiff alleges that she and defendant were in a contractual relationship in which defendant undertook to provide her, as the named beneficiary of that contract, with certain insurance benefits. That is important because, in such a relationship, the service provider knows the identity of the person who contracts for or is the named beneficiary of those services and can be expected to act reasonably with respect to that person.14 As a result, any concern that providing a
That is particularly true when the defendant undertakes to provide services that, absent the exercise of reasonable care, may foreseeably create a risk of emotional harm. For instance, in Curtis v. MRI Imaging Services II, 327 Or 9, 14-16, 956 P2d 960 (1998), a patient alleged that his physicians had negligently failed to guard against the predictable psychological consequences of an MRI procedure, causing him severe emotional distress but not bodily injury. In upholding the patient‘s claim, this court observed that medical professionals may be required to protect against medical risks that “happen to be psychological in nature,” when they violate a standard of care that contemplates adverse psychological reactions. Id. at 15. We said that,
“where the standard of care in a particular medical profession recognizes the possibility of adverse psychological reactions or consequences as a medical concern and dictates that certain precautions be taken to avoid or minimize it, the law will not insulate persons in that profession from liability if they fail in those duties, thereby causing the contemplated harm.”
Similarly, in Rathgeber v. James Hemenway, Inc., 335 Or 404, 418, 69 P3d 710 (2003), the court again accepted the premise that a defendant in a professional relationship with a client, there a real estate professional, could be liable for emotional damages, but it emphasized that, in such cases, the relevant standard of care must include protecting the client from such harms. Id. at 417-18. See also Paul, 351 Or at 599 (assuming without deciding that physicians have a duty, based on common law and health care information statutes, to protect patients against disclosure of health care information and emotional harm).
In Tomlinson, the parties were not in a direct physician-patient relationship, but one step removed, in a relationship of “mutual expectation of service and reliance.” 362 Or at 450. Accordingly, we did not employ an analysis that considered whether the plaintiff had alleged a “standard of care that includes the duty to protect a client from emotional harm.” Curtis, 327 Or at 14. Rather, we determined, as a matter of common law, that the parents had alleged facts that, if proved, could establish a legally protected interest in receiving information from the defendants that implicated the parents’ reproductive choices and their interest in avoiding emotional harm. Tomlinson, 362 Or at 447.
We used a similar approach in Hovis, a case decided before Tomlinson and which was discussed in Philibert. In Hovis, the plaintiff had purchased a burial plot from the defendant city. The city had mistakenly buried the body of the plaintiff‘s husband in the wrong plot, and, without permission from or notification to the plaintiff, the city had disinterred the remains and moved them to the proper plot. At that time, Oregon statutes required private cemeteries to obtain consent before moving a deceased‘s body, but those statutes did not apply to municipal cemeteries. Therefore, the city argued, it had no obligation to obtain the plaintiff‘s consent and she had no common-law negligence claim for her emotional distress damages. 243 Or at 608-11. This court disagreed, recognizing the common-law right of a surviving spouse to have a cemetery act reasonably in dealing with her deceased husband‘s remains. Id. at 612-613. In Philibert, this court explained Hovis as a decision that recognized the common law as an extracontractual “legal source” of liability for emotional distress damages. Philibert, 360 Or at 706.
Here, as in Tomlinson and Hovis, the parties are in a relationship of “mutual expectation of service and reliance.” And, as in Curtis, the services that defendant undertook to provide are services that, absent
“Because tort liability is imposed by common law negligence principles, that responsibility exists unless altered or eliminated by a contract or some other source of law.”
Abraham II, 350 Or at 36-37. As the court further stated in Abraham II,
“Parties may limit tort remedies by defining their obligations in such a way that the common law standard of care has been supplanted, * * * or, in some circumstances, by contractually limiting or specifying available remedies.”
Id. at 40 (citations omitted).15
The relationship between the parties is not, of course, determinative. In deciding whether a plaintiff has a legally protected interest sufficient to subject a defendant to liability for emotional distress damages, this court also has looked for other indicators that permitting such recovery will not impose an unfair burden on defendants. Thus, in Philibert, we looked to the nature of the injury and, in recognizing the plaintiffs’ claim, called out the “objective indicators of possibly serious emotional injury.” 360 Or at 715. Those indicators are present here as well. Life insurance is intended to provide peace of mind and necessary resources for a beneficiary, and a life insurer‘s unreasonable denial of promised benefits can certainly cause the beneficiary serious emotional injury. There are objective indicators of such injury in that the death of a spouse is a significant loss, and that loss is compounded when the death is sudden and the person who loses the spouse is dependent on the spouse for their financial well-being. The spousal relationship and the need for insurance benefits can be objectively established, as can the unreasonable conduct of the insurer.
c. Whether plaintiff‘s interest is “of significant importance.”
Furthermore, this court will not permit recovery of purely emotional injury unless we determine that the claimed harm is “of sufficient importance as a matter of public policy.” Philibert, 360 Or at 705. In this case, plaintiff alleges that she is the surviving spouse of the decedent and was financially dependent on him. Plaintiff alleges that defendant failed to reasonably investigate and pay life insurance proceeds to which she was contractually entitled. Requiring reasonable investigation and prompt payment of such proceeds benefits not only those in plaintiff‘s shoes, but also society at large. When life insurance proceeds enable survivors to obtain basic needs such as food and shelter, the survivors are not dependent on society for those needs. Importantly, Oregon statutes governing the insurance industry indicate that the legislature has made a public policy choice to protect against the unfair processing and payment of insurance claims, which includes claims made by life insurance beneficiaries. When a surviving spouse incurs serious emotional distress as a result of the violation of those statutes, the harm and the statutory purpose are of sufficient importance to merit
On balance, we conclude that plaintiff has alleged a legally protected interest sufficient to subject defendant to liability for emotional distress damages.
We began this opinion by stating the reasons that this court has been reluctant to permit recovery of emotional distress damages in the absence of physical injury or property damage and the need for a limiting principle, in addition to foreseeability, to avoid indeterminate and potentially unlimited liability. Philibert, 360 Or at 704. In this case, we are convinced that plaintiff has alleged a legally protected interest that provides that limiting principle; that is, plaintiff, as the surviving spouse of a deceased breadwinner, has a legally protected interest sufficient to support a common-law negligence claim for emotional distress damages against her husband‘s life insurer for failure to reasonably investigate and promptly pay her claim for insurance benefits. As in Nearing, Oregon statutory law imposes an obligation to protect that interest. In undertaking to provide insurance benefits, an insurer not only undertakes to provide necessary financial resources but also undertakes to provide the peace of mind that comes with knowing that those resources will be promptly paid, alleviating emotional distress and avoiding further psychological harm. As in Tomlinson and Hovis, the parties are in a relationship of “mutual expectation of service and reliance.” As in Curtis, the services provided are intended to avoid inflicting emotional, as well as financial, harm. And, as in Philibert, there are objective indicators of possibly serious emotional injury. Considering all of those factors, and not relying on any one of them alone, we conclude that the insurance claim practices that
Accordingly, we answer the question whether plaintiff has alleged a viable common-law negligence claim against defendant for emotional distress damages in the affirmative. We caution that our conclusion here does not make every contracting party liable for negligent conduct that causes purely psychological damage, nor does it make every statutory violation the basis for a common-law negligence claim for emotional distress damages. Far from it. Few contracting parties promise to provide necessary financial resources on the death of a spouse knowing that their obligation to act reasonably in doing so is required by statute. And few statutes impose obligations on contracting parties designed to protect the parties from the type of emotional harm that plaintiff in this case allegedly suffered. Our decision in this case is a narrow one that applies and accords with the limiting principles that have guided our past decisions and does not unfairly expose defendant to liabilities that it could not have expected and guarded against.
IV. CONCLUSION
To summarize, we conclude that plaintiff has alleged a viable common-law negligence claim against defendant for emotional distress damages. Therefore, we also conclude that the trial court erred in granting defendant‘s motions to dismiss plaintiff‘s negligence claim and in striking her claim for emotional distress damages.
The decision of the Court of Appeals is affirmed. The judgment of the circuit court is reversed, and the case is remanded to the circuit court for further proceedings.
GARRETT, J., dissenting.
Forty-five years ago, this court held that an insurer‘s bad-faith denial of an insurance claim constitutes only a breach of contract and, therefore, cannot support an action in tort to recover damages for emotional distress. Farris v. U.S. Fid. and Guar. Co., 284 Or 453, 587 P2d 1015 (1978) (Farris II). That decision followed settled common-law principles: where parties have a contractual relationship, a breach of obligations resulting in damages will, ordinarily, support only a breach of contract claim, not a tort claim.
In this case, defendant insurer failed to pay out under the terms of a $3,000 life
Today, the majority announces that an insurer‘s denial of coverage can support liability in tort—the proposition that Farris II rejected. As a result of today‘s decision, Oregon not only ceases to be among the jurisdictions that do not recognize tort claims for bad-faith denial of insurance benefits; Oregon joins the minority of jurisdictions that recognize the broadest version of such claims—premised only on an insurer‘s negligence. The majority avoids expressly overruling Farris II (which no one has asked us to do) by reasoning that that case did not address the issue raised here. I disagree. This court in Farris II was asked to recognize tort liability based on an insurer‘s bad-faith denial of coverage. It declined to do so, following an extensive discussion that is irreconcilable with the analysis that the majority adopts today. The considerations that the majority relies on to create tort liability for negligent denial of an insurance claim are the same considerations that the court in Farris II rejected when it held that the insurer‘s bad-faith denial “could only have been a breach of contract.” 284 Or at 465. In effect, Farris II has been abrogated in the absence of any request that we do so and without undertaking the analysis that applies when this court is asked to overrule one of its precedents.
A. For plaintiff to win, this court must recognize a new basis for tort liability.
The first obstacle that we encounter in assessing plaintiff‘s tort claim is that the claim is based, in part, on defendant‘s failure to perform contractual obligations. We have said that a tort claim cannot be predicated on a defendant‘s failure to perform contractual obligations unless the defendant‘s conduct in breaching the contract also breached an independent standard of care that exists separate from the contract terms. See Georgetown Realty v. The Home Ins. Co., 313 Or 97, 106, 831 P2d 7 (1992) (party may bring a tort claim in addition to or in lieu of a contract claim “if the other party is subject to a standard of care independent of the terms of the contract“).
For example, in Abraham v. T. Henry Construction, Inc., 350 Or 29, 33, 249 P3d 534 (2011) (Abraham II), the defendants contracted to build a home “in a workmanship like manner and in compliance with all building codes and other applicable laws.” (Internal quotation marks omitted.) The plaintiffs alleged that the defendants had been negligent, causing water damage to the property. Id. The plaintiffs asserted both contract and tort claims. Id. The defendants argued that there could be no tort liability because the contract already covered the alleged conduct. Id. at 36. This court disagreed, noting that the defendants’ alleged conduct breached the common-law tort obligation that imposes liability for negligently caused and foreseeable physical injuries. Id. at 37-38. Although the conduct underlying the contract and tort claims was the same, the tort obligation existed under the common law independent of the contract. Id. at 38.
In this case, plaintiff argues that the Insurance Code—specifically,
That brings us to the question whether the negligence claim that plaintiff advances here “otherwise exists,” i.e., whether Oregon tort law would recognize plaintiff‘s claim for negligence in these circumstances under the reasonableness standard of care. The answer, until today, was no. Plaintiff asserts a claim for a purely emotional injury allegedly resulting from defendant‘s negligence. As the majority notes, negligently caused emotional injuries are not generally actionable in tort law. 371 Or at 784. Unlike physical injuries, which are generally actionable whenever the defendant unreasonably created a risk of physical harm and the risk of the plaintiff‘s physical injury was foreseeable, negligently caused emotional injuries are actionable only in certain circumstances. See Norwest v. Presbyterian Intercommunity Hosp., 293 Or 543, 558, 652 P2d 318 (1982) (“Oregon has few precedents for liability for negligent injury to solely psychic interests.“). This court decides, as a matter of law, those narrow circumstances in which negligently caused emotional injuries are actionable, as in Philibert v. Kluser, 360 Or 698, 385 P3d 1038 (2016) (recognizing common-law claim for negligently inflicted emotional distress suffered by family members who witnessed the victim being struck and killed by a vehicle).
Plaintiff‘s argument, properly understood, asks this court to recognize another new circumstance in which a negligently caused emotional injury is actionable in tort—specifically, that an insurer may be liable to an insured (or insured‘s beneficiary) for an emotional injury that results from the insurer‘s failure to exercise reasonable care in handling a claim for benefits.
Although plaintiff‘s theory requires recognizing a new basis for tort liability, that is not how plaintiff has framed her argument; in fact, she expressly disavows any need for this court to recognize something new. That failure to properly frame the argument likely stems from the confusing language that this court has used to discuss the existence and scope of obligations that, if breached, are actionable in tort. An obligation actionable in tort has traditionally been called a “duty.” Courts properly use “duty” to identify what types of facts give rise to what types of tort obligations. This court has, at times, been hesitant to frame tort issues in terms of “duty” because of its uncertain status following Fazzolari v. Portland School Dist. No. 1J, 303 Or 1, 734 P2d 1326 (1987). But defining the existence and scope of obligations is a logically necessary component of tort law. When the court fails to use “duty” to describe the existence or scope of an obligation actionable in tort law, then the court must find other terms to do that work.
The court has not always been consistent in the terminology that it has used to replace the duty element. The majority opinion uses the concept of “legally protected interest” to describe its conclusion that, under the facts alleged, defendant may be liable for plaintiff‘s emotional distress damages. A more straightforward way to state that conclusion
B. In Farris II, this court decided that an insurer‘s bad-faith denial of coverage is not actionable in tort.
The majority concludes that the relationship between an insurance provider and an insured gives rise to an obligation, actionable in tort law, to avoid wrongfully denying an insured‘s claim. This court considered and rejected that idea in 1978, when it decided Farris II.
In Farris II, the plaintiffs purchased a liability insurance policy from the defendant. 284 Or at 455. After being sued, the plaintiffs tendered the case to the defendant, which denied coverage. Id. The plaintiffs defended the case themselves and subsequently sued the defendant, seeking damages for emotional distress. Id. The plaintiffs alleged two causes of action. The first claim alleged a breach of the insurance contract, asserted that the breach had not been in good faith, and sought damages for emotional distress.
The second cause of action was not denominated as either a tort or a contract claim, and it alleged that the “[d]efendant‘s rejection of coverage and refusal to defend plaintiffs was not made in good faith and was made with the knowledge that such action would inflict mental distress and anguish upon plaintiffs.” In addition to seeking damages for emotional distress, that second claim added a demand for punitive damages.
The plaintiffs demonstrated at trial that the defendant had denied their claim for benefits in bad faith: “At the time of final rejection of coverage, [the] defendant was aware that there was coverage but, nevertheless, chose to deny it.” See id. The defendant‘s claim manager indicated an intent to “bluff it out[.] [W]e can always buy out at a later date.” Id. (internal quotation marks omitted). A jury entered a verdict for the plaintiffs and awarded damages for emotional distress. Id.
In assessing whether emotional distress damages were available on those facts, this
The court first considered whether a violation of the Insurance Code was actionable as a statutory tort, specifically the provision prohibiting insurers from “‘[n]ot attempting, in good faith, to promptly and equitably settle claims in which liability has become reasonably clear.‘” Id. (quoting
“There is nothing to indicate that the legislature intended, when it prohibited certain claims settlement practices in
ORS 746.230 , that actions for breach of insurance contracts would be transformed, in all of the covered instances, into tort actions with a resulting change in the measure of damages. The statutes express no public policy which would promote damages for emotional distress. Concern about the insured‘s peace of mind does not appear to be the gravamen of the statutory policy.”
After concluding that the legislature did not intend for the defendant‘s violation of the statute to be a tort, we went on to consider the plaintiffs’ separate argument that “the common law of the construction of insurance contracts dictates that defendant was guilty of the kind of ‘bad faith’ conduct which gives rise to tort liability and that damages for emotional distress are, therefore, recoverable along with [the] plaintiffs’ other damages.” Id. at 458-59 (emphasis added). The plaintiffs drew on cases recognizing that, upon accepting an insured‘s tendered claim for defense, a liability insurer must carry out that defense with due care. In those situations, “courts have held the insurer to a duty of ‘good faith’ in investigating the facts and in attempting to settle within the policy limits.” Id. at 459. The plaintiffs in Farris II alleged a similar duty of good faith. As we described it, the plaintiffs sought emotional distress damages “arising out of a tort action for failure to exercise good faith in denying coverage.” Id. (emphasis added).
At that time, this court had not clarified whether the failure-to-settle cases that the plaintiffs cited recognized an action in contract or in tort. We assumed, without deciding, that the failure-to-settle cases were based in tort but declined to extend them to the plaintiffs’ claim, explaining, “it is our opinion that the rationale of such [a failure-to-settle] action has no application to the present situation and that the present action is not one in tort.” Id. at 460.
The court in Farris II identified the key distinction as being that the insurer takes on a fiduciary obligation in the failure-to-settle context but not in the denial-of-benefits context. We explained that, “[i]n an action for failure to settle within the policy limits, the insurance company is charged with acting in a fiduciary capacity as an attorney in fact representing the insured‘s interest in litigation.” Id. That fiduciary relationship is never created when the insurer simply denies coverage. See id. (“In the present case, [the] defendant did not undertake this fiduciary duty to represent the insured‘s interest in the litigation—it refused it.“).
The court in Farris II then quoted at length from a previous case making the same distinction between failure to settle and bad-faith
“[i]n cases involving the insurer‘s duty to pay under policies for theft, fire, health, disability or life insurance, the unique relationship which gives rise to the special duty of liability insurers to attempt to settle within their policy limits does not arise. The insured, or his beneficiary, is not subject to the imposition of excess liability, and his rights and responsibilities are limited to those set forth in his contract.”
Id. at 62, quoted in Farris II, 284 Or at 463.2
The court in Farris II acknowledged that the plaintiff in Santilli had asserted a first-party claim for life insurance benefits, while the plaintiffs in Farris II sought relief from the insurer‘s failure to tender a defense on a third party‘s claim. Farris II, 284 Or at 463. But the court noted that, like Santilli, the plaintiffs’ claim in Farris II “does not involve a failure to settle within the policy limits and the rationale expressed in Santilli is equally applicable.” Id.
Similarly, the court in Farris II cited two cases involving the bad-faith denial of first-party claims for medical and fire insurance in which the Supreme Court of California had allowed recovery for emotional distress damages based on tortious breach of an insurance contract. Id. (citing Silberg v. California Life Ins. Co., 11 Cal 3d 452, 521 P2d 1103 (1974); Gruenberg v. Aetna Ins. Co., 9 Cal 3d 566, 510 P2d 1032 (1973)). The court in Farris II described those California cases as “sufficiently similar to this case that they are not able to be distinguished.” Id. But, “for the reasons given in Santilli,” the court in Farris II declined to follow those California cases in recognizing bad-faith denial of an insurance claim as actionable in tort. Id. at 464-65.3
The court then addressed the plaintiffs’ policy arguments offered in support of their contention that the court should permit emotional distress damages. The plaintiffs had argued that “one who enters into a contract of insurance does so to guarantee himself peace of mind * * * and, therefore, he should receive reimbursement for that for which he has bargained and not received.” Id. at 465. In support of that argument, the plaintiffs cited two other California cases allowing emotional distress damages based on an insurer‘s tortious breach of contract. Id. (citing Crisci v. Sec. Ins. Co. of New Haven, Conn., 66 Cal 2d 425, 426 P2d 173 (1967); Fletcher v. W. Nat‘l Life Ins. Co., 10 Cal App 3d 376, 89 Cal Rptr 78 (Cal Ct App 1970)). This court rejected that argument, stating that it “does not furnish a logical basis for recovery for emotional distress because many contracts for services, materials or financial assistance, as well
as insurance contracts, are similarly made for economic and financial peace of mind.” Id.
Plaintiffs also appealed to the public interests involved in the insurance business, arguing that “public policy dictates that full responsibility for the results of failure to perform should be imposed” without respect to the traditional rule concerning contract damages. Id. at 466. This court responded that the plaintiffs
“point[ed] out no reasons why such public interest should change the measure of
damages which has resulted in the rule against recovery for mental distress brought about by an intentional breach of a contract. Any idea of punishment or warning to others is within the province of punitive damages and has no place in consideration of the propriety of a recovery for emotional distress.”
As those passages show, this court in Farris II determined that the bad-faith claim denial by the insurer in that case was not actionable in tort. The court held that an insurer‘s decision whether to allow or deny a claim for insurance benefits does not trigger the kind of fiduciary relationship with the insured needed to implicate tort law. Rather than sounding in tort, the insurer‘s bad-faith denial “could only have been a breach of contract, and, in cases of breach, the law is clear that no recovery for mental distress because of threat of pecuniary loss is recoverable.” Id. at 465.
This court has repeatedly characterized Farris II as declining to recognize a tort. See Goddard v. Farmers Ins. Co., 344 Or 232, 263-64, 179 P3d 645 (2008) (characterizing Farris II as rejecting an insured‘s argument that “the insurer‘s denial of liability insurance coverage sounded in tort, so that the insured could recover for emotional distress caused by that denial“); Georgetown Realty, 313 Or at 108 n 5 (“This court [in Farris II] held that damages in tort were not recoverable because performance was never undertaken.“).
The Court of Appeals has understood Farris II the same way. See Shin v. Sunriver Preparatory School, Inc., 199 Or App 352, 366, 111 P3d 762, rev den, 339 Or 406 (2005) (“[W]here the insurer does not undertake the defense of the insured, the carrier does not assume the fiduciary duty that would result from having done so, and its responsibilities are confined to the contract terms.” (Citing Farris II, 284 Or at 460.)); Warren v. Farmers Ins. Co. of Oregon, 115 Or App 319, 324, 838 P2d 620 (1992), rev den, 316 Or 529 (1993) (“In [Farris II], the Supreme Court held that an insurer‘s failure to exercise good faith in denying coverage is a breach of contract, not a tort.“); Employers’ Fire Ins. v. Love It Ice Cream, 64 Or App 784, 790, 670 P2d 160 (1983) (“In [Farris II], the court held that an insurer‘s bad faith refusal to defend its insured under a liability policy gives rise only to a breach of contract claim, for which punitive and emotional distress damages cannot be recovered, rather than a tort claim.“). Federal courts are in accord.4
C. Farris II disposes of this case.
Farris II answered the question whether an insurer‘s bad-faith denial of coverage can support liability in tort. The majority‘s contrary conclusion is based on a strained reading of that decision.
At the outset, the majority distinguishes Farris II on the ground that that case arose in the third-party context. 371 Or at 792. That
law announced in Farris II, which applies with equal force here. In Farris II, as discussed above, we held that the relationship between an insurer and insured imposes no obligation on the insurer to act in the interest of the insured unless an insurer accepts an insured‘s claim for liability coverage. Thus, when an insurer denies a claim altogether, the insurer is not subject to an obligation actionable in tort to act in good faith. We rejected the plaintiffs’ argument that the nature of an insurance contract is one for which a breach should give rise to such tort liability. See Farris II, 284 Or at 465 (concluding that protecting an insured‘s “peace of mind” in the denial-of-coverage context “does not furnish a logical basis for recovery for emotional distress because many contracts for services, materials or financial assistance, as well as insurance contracts, are similarly made for economic and financial peace of mind“).
Nothing about that reasoning is specific to a third-party liability insurer refusing a tender of coverage in bad faith. The court‘s analysis demonstrates that the reasoning applies equally to the bad-faith denial of first-party claims. In considering the plaintiff‘s argument in that case, we relied on Santilli, a first-party coverage case like this one. Farris II, 284 Or at 463. And we rejected the reasoning of first-party cases from California that we described as so similar that “they are not able to be distinguished.” Id. While some of the facts in this case are different than in Farris II, the salient facts are the same: as in Farris II, plaintiff seeks to impose tort liability for a denial of coverage, as opposed to the breach of obligations that might arise after coverage is accepted.
The majority appears to view Farris II as declining only to award tort “damages” for a breach of contract “claim,” without making a policy judgment about whether the underlying facts should be actionable in tort. 371 Or at 794. That reading is problematic for several reasons. First, although the majority opinion takes pains to suggest that the plaintiffs in Farris II had only alleged contract claims, it is far from clear that that is true. Second, it does not matter whether that is true: Regardless of what the plaintiffs called their claims in their pleading, this court understood that the plaintiffs were asking the court to recognize a tort. We said so repeatedly.
As noted earlier, the plaintiffs in Farris II alleged two claims, but it is not clear how the claims were denominated. According to the abstract of record, the first claim was alleged in terms of breach of contract. The second claim was more ambiguous. It incorporated the earlier contract allegations by reference, but it emphasized the “bad faith” denial of coverage, requested damages for emotional distress, and, significantly, added a demand for punitive damages that the first claim omitted. Thus, although the second claim was not expressly denominated as a tort claim, the context suggests that the plaintiffs asserted a tort cause of action. That interpretation is consistent with what had happened earlier in that case. The plaintiffs had initially made a demand for emotional distress damages as part of their contract claim, but the trial court struck that demand, and this court affirmed that ruling. Farris v. U.S. Fidelity & Guaranty, 273 Or 628, 638, 542 P2d 1031 (1975) (Farris I). In that case, we held that, “when there is an unaggravated breach, such as alleged in the complaint, damages are not awarded for mental anguish. We do not decide what the result would be if there was evidence of an aggravated breach; that is, one, for example, made in bad faith or otherwise.” Id. Because we had warned that a breach of contract claim might not support emotional distress even with an allegation of bad faith, it is logical to interpret the plaintiffs’ amended pleading as asserting a noncontract claim. That explanation is more plausible than the majority‘s suggestion that the plaintiffs tried to cure the deficiency in Farris I by stating two duplicative contract claims. 371 Or at 792 n 8, 795 n 10.5
More
In characterizing Farris II as holding that the plaintiffs’ claim “was one for breach of contract,” 371 Or at 794, the majority seems to view that as merely a descriptive statement about what the plaintiffs had alleged. On the contrary, this court was making a prescriptive statement: when we said that the plaintiffs’ claim “could only have been a breach of contract,” we were holding that the facts of that case could not support a claim sounding in tort, which the plaintiffs needed in order to win emotional distress damages. See Farris II, 284 Or at 464-65 (emphasis added). The court was stating a legal conclusion about the facts that the plaintiffs had established at trial, not describing the legal theory that the plaintiffs had alleged in their complaint.
The majority also stresses that the plaintiffs in Farris II did not style their tort theory as a “negligence claim,” but it is unclear what significance the majority thinks can be drawn from that. It is true that the court in Farris II did not explicitly address the standard of care that the plaintiffs were asking the court to impose. The court, however, noted that the defendant‘s denial of insurance benefits was intentional. See id. at 458 (referring to the defendant‘s conduct as an example of insurance providers “intentionally breaching their contract to settle their insureds’ claims“). If the court was unwilling to recognize tort liability even for the intentional conduct proven in that case, it necessarily follows that the court implicitly rejected such liability for mere negligence.6
that Farris II was considering only whether to allow tort “damages” for a breach of contract “claim.” 371 Or at 795 n 10. But the court described its task in Farris II more broadly than that, and its analysis admits of no such parsing. The court was deciding whether a set of facts should permit an award of damages for emotional distress as a matter of policy that turned on substantive considerations, not the fortuity of what labels the plaintiffs happened to attach to their legal theories. The court in Farris II could hardly have been clearer that it was grappling with those policy questions:
“It may logically be asked what difference it makes whether the action is considered one of contract or of tort. In a case like the present where plaintiffs received no injury or fright resulting in serious physical manifestations, why should it be of moment, when considering whether to allow recovery for the emotional distress, whether a plaintiff‘s concern about his financial plight arose out of a breach of contract or of a breach of contract which is also a tort? In reality, there probably isn‘t any reason for a distinction. Either people should be able to recover for their fear of financial disaster as the result of the other party‘s intentional breach of a contract or they should not. Calling an intentional breach of contract a tort has no magical consequences which change anything. Neither is there anything inherent in a contract of insurance which makes the suffering any greater, any less, or any more certain than in numerous other business contracts which are generally breached intentionally and for which no recovery for emotional distress is allowed.”
284 Or at 465 n 3 (emphasis added). Farris II rejects the availability of emotional distress damages for an insurer‘s bad-faith denial of coverage, full stop. It did not leave the door open for the next plaintiff to give the same claim a different name.7
The majority‘s analysis is contrary to Farris II in other respects. The majority relies heavily on the relationship between the parties as support for recognition of a common-law negligence claim. The majority explains that the parties here are in a relationship of “mutual expectation of service and reliance,” and that defendant “undertook to provide [] services that, absent the exercise of reasonable care, may foreseeably create a risk of emotional harm.” 371 Or at 803. This court in Farris II, however, took full measure of the nature of the relationship in the simple denial-of-coverage context. Contrasting it to the fiduciary obligations that are triggered once an insurer accepts the defense of a liability claim, the court concluded that, when coverage is denied altogether, an insurer does not “undert[ake]
Separate from the special relationship issue, the Farris II court also considered and rejected the same policy arguments that the majority advances today as reasons to recognize a common-law negligence claim. The majority reasons, for example, that the prohibitions set forth in
The majority also opines that the claimed harm here—emotional distress resulting from an insurer‘s bad-faith denial of an insurance claim—is “of sufficient importance to merit protection,” supporting recognition of a common-law negligence claim. 371 Or at 804. That is not a new idea, either, and Farris II rejected it, finding “no reason[] why such public interest should change the measure of damages which has resulted in the rule against recovery for mental distress brought about by an intentional breach of a contract.” 284 Or at 466.
In short, Farris II did what it appeared to do. It stated the rule that the bench and bar have understood it to state for nearly fifty years: there is no tort liability for emotional distress damages arising from an insurer‘s denial of coverage. In concluding otherwise today, the majority changes the landscape of insurance litigation in Oregon. Under Farris II, Oregon was among those jurisdictions that did not recognize tort claims for bad-faith denial of insurance benefits, even when the insurer‘s conduct was knowing and intentional. Today, Oregon joins the minority of jurisdictions recognizing the broadest form of those claims, requiring a plaintiff to establish only an insurer‘s negligence. See Stephen S. Ashley, Bad Faith Actions Liability & Damages § 5:2 (2d ed 1997) (identifying the negligence standard as the minority position among jurisdictions that recognize first-party bad faith insurance claims); Dobbs et al, 3 The Law of Torts § 702, 772 (2d ed 2011) (“A little authority requires only proof of negligence as ground for the insurer‘s tort liability. But the mainstream core test for judging tortious bad faith requires the plaintiff to prove that (1) the insurer lacked a reasonable basis for denying policy benefits to the insured and (2) that the insurer acted with knowing or reckless disregard of the inadequate ground for denying the benefits.“).
In my view, Farris II disposes of this case. “[T]he principle of stare decisis dictates that this court should assume that its fully considered prior cases are correctly decided.” Farmers Ins. Co. v. Mowry, 350 Or 686, 692, 261 P3d 1 (2011) (internal quotation marks omitted). If Farris II is to be abrogated, then plaintiff “must assume responsibility for affirmatively persuading [this court] that we should abandon that precedent.” Id. (internal quotation marks omitted). In the absence of that showing, the trial court‘s judgment dismissing plaintiff‘s claim was correct and should be affirmed. I respectfully dissent.
Duncan, J., and Balmer, S.J., join in this dissenting opinion.