Robert Gary WRIGHT, Shari Lea Wright, and James R. Strickland, Personal Representative of the Estate of Geoffery Eric Wright, Deceased, Petitioners on Review, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, and State Farm Fire and Casualty Company, Respondents on Review.
CC 16-96-05691; CA A95110; SC S45288
Supreme Court of Oregon
Argued and submitted November 10, 1999, decision of Court of Appeals and judgment of circuit court reversed in part and affirmed in part and case remanded to circuit court for further proceedings April 19, 2001
22 P.3d 744
GILLETTE, J.
Phil Goldsmith, Portland, and David Nathan Allen, of MacPherson, Gintner, Gordon & Diaz, Newport, filed the brief for amicus curiae Oregon Trial Lawyers Association.
Before Carson, Chief Justice, and Gillette, Durham, Kulongoski, Leeson, and Riggs, Justices.**
GILLETTE, J.
Leeson, J., concurred in part and dissented in part, and filed an opinion.
** Van Hoomissen, J., retired December 31, 2000, and did not participate in the decision of this case. De Muniz, J., did not participate in the consideration or decision of this case.
This is an action against an insurer on a claim for damages incurred in connection with a fatal automobile accident. Plaintiffs are Robert and Shari Wright (the insureds), whose son died in the accident, and James R. Strickland, the personal representative of the son‘s estate. Notwithstanding higher limits stated both in the insureds’ motor vehicle liability policy and their umbrella policy, the insurer, State Farm,1 refused to make any payment beyond the $25,000 minimum liability coverage required by the Oregon financial responsibility law. State Farm based its position on the wording of the “family member/household” exclusions contained in each of the policies. The trial court ruled in favor of State Farm, and the Court of Appeals affirmed. Wright v. State Farm Mutual Auto. Ins. Co., 152 Or App 101, 952 P2d 73 (1998). On review, we conclude that the family member exclusion in the motor vehicle liability policy is unenforceable and that State Farm therefore must pay the amount set out on that policy‘s declarations page. We also conclude that no additional coverage is available under the umbrella policy. Accordingly, we reverse in part and affirm in part the decision of the Court of Appeals.
The facts are not in dispute.2 In 1995, Geoffery Eric Wright was riding as a passenger in a motor vehicle owned by his parents, the insureds, when the motor vehicle was involved in a collision. Geoffery was killed. The accident was caused by the negligence of the motor vehicle‘s driver, who also was killed in the accident. Geoffery was 22 years old and was living with his parents at the time of his death.
There is no issue whether the two State Farm policies apply to the accident; they do. Rather, the issue is
Geoffery‘s damages exceeded $100,000. The personal representative of his estate therefore made a claim under both policies. State Farm, relying on the so-called “family member/household exclusion” contained in the automobile policy, offered to pay $25,000. State Farm claimed that that exclusion, which we set out verbatim, post, 332 Or at 6, limits the amount payable to injured insureds and their family members to $25,000, which is the minimum liability coverage required by
In the trial court, plaintiffs argued, inter alia, that, if the family member/household exclusion in the automobile policy limits the amount that State Farm must pay to $25,000, then the underinsured motorist provisions of that policy entitle them to the difference between that amount and $100,000, the limit of liability set out on the declarations page. They made a similar argument with respect to the umbrella policy: In the event that the court were to determine that the family member/household exclusion of that policy precluded coverage, they nonetheless were entitled to coverage under the underinsured motorist provision of that policy. As noted, the trial court ruled in favor of State Farm. On plaintiffs’ appeal, the Court of Appeals affirmed. Wright, 152 Or App at 116. We allowed plaintiffs’ petition for review.
We turn first to the issue of the coverage available under the automobile policy. The declarations page of that policy sets out the limits of liability for bodily injury and
“THERE IS NO COVERAGE:
“*****
“2. FOR ANY BODILY INJURY TO:
“*****
“c. (1) YOU, OR
“(2) ANY OTHER INSURED OR MEMBER OF AN INSURED‘S FAMILY RESIDING IN THE INSURED‘S HOUSEHOLD.
“TO THE EXTENT THE LIMITS OF LIABILITY OF THIS POLICY EXCEED THE LIMITS OF LIABILITY REQUIRED BY LAW.”
(Emphasis in original.) Additionally, the automobile policy includes an endorsement that provides for uninsured and underinsured motor vehicle coverage under certain circumstances.
State Farm argues that the family member/household exclusion quoted above makes the $100,000 limit of liability set out on the declarations page of the policy inapplicable in this case. It contends that the phrase, “limits of liability required by law,” unambiguously refers to the minimum liability coverage of $25,000 required by the Oregon financial responsibility law,
Plaintiffs consistently have argued that, assuming that State Farm‘s interpretation of the exclusion is correct,
Plaintiffs attack the reasoning of the Court of Appeals respecting its underinsured motorist analysis, arguing that the Court of Appeals failed to analyze the pertinent statutes by means of the methodology identified by this court in PGE v. Bureau of Labor and Industries, 317 Or 606, 610-12, 859 P2d 1143 (1993). We allowed review to address that issue of substantive law, but now conclude that we need not reach it, because the assumed premise for the inquiry is not well taken.
In North Pacific Ins. Co. v. Hamilton, 332 Or 20, 22 P3d 739 (2001), we reviewed an exclusion similar to the family member/household exclusion at issue in this case. In that case, an automobile liability policyholder was injured in a motor vehicle accident and made a claim under the policy. Like State Farm in the present case, the insurer in North Pacific argued that the family member exclusion in the policy reduced the amount payable to the injured insured from the amounts stated on the declarations page to the $25,000 minimum liability coverage required by
We held in North Pacific that the wording of the foregoing exclusion was ambiguous because it failed to provide proper notice to the insured that liability coverage under the policy is limited to the statutorily required minimum coverage for injured insureds and their family members. Id. at 29. We construed the provision against the insurer, the party who drafted the policy. Under that construction, we held that the insured was entitled to liability coverage in the amount provided on the declarations page of the policy. Id. at 29.
We turn to the only remaining issue, which is whether plaintiffs are entitled to coverage under the umbrella policy. Plaintiffs contend that the uninsured motor vehicle coverage endorsement to the umbrella policy entitles them to underinsurance coverage to the extent of the difference between the coverage limits stated on the declarations page ($1,000,000) and the coverage available under the automobile policy (now $100,000).
Like the automobile policy, the umbrella policy also contains a family member/household exclusion. That exclusion is not the same as that in the automobile policy, however. The exclusion provides:
“We will not provide insurance:
“*****
“10. for bodily injury or personal injury to the named insured, spouse, or anyone within the meaning of part a. or b. of the definition of insured.”3
(Boldface type in original.) In addition, the umbrella policy includes an “Uninsured Motor Vehicle Coverage” endorsement that, as pertinent here, provides:
” ’Uninsured Motor Vehicle’ means:
“1. a land motor vehicle, the ownership, maintenance or use of which is:
“*****
“b. insured or bonded for bodily injury liability at the time of the accident, but
“*****
“(2) the limits of liability:
“(a) are less than the limits you carry for uninsured motor vehicle coverage under this policy * * *.
“*****
”An uninsured motor vehicle does not include a land motor vehicle:
“1. insured under the liability coverage of this policy * * *
“*****
”Coverage U—Uninsured Motor Vehicle
“We will pay, up to the Coverage U limit, the amount which you and your passengers are legally entitled to recover as bodily injury damages from the owner or driver of the uninsured motor vehicle.”
(Boldface type in original; emphasis added.)
Plaintiffs appear to concede that the family member/household exclusion to the umbrella policy excludes coverage under that policy for Geoffrey‘s injuries and death. The gravamen of their argument is that they nonetheless are entitled to coverage under the uninsured motor vehicle coverage endorsement to that policy. They contend that certain wording in the endorsement clearly purports to grant coverage for named insureds and their passengers injured or killed in single vehicle collisions, but that State Farm is relying on other unintelligible and misleading wording in the endorsement to create an exemption from coverage. Plaintiffs further assert that the dispute should be resolved in their favor because, under familiar rules of insurance law, ambiguities in insurance policies are construed against the drafter. Finally, they argue that the wording that State Farm employed in its effort to reduce coverage in certain circumstances does not comply with
“Every motor vehicle liability insurance policy issued for delivery in this state shall state the name and address of the named insured, the coverage afforded by the policy, the premium charged therefor, the policy period and the limits of liability.”
We turn to plaintiffs’ contention that the pertinent wording of the umbrella policy is ambiguous and fails to state the coverage as required by
We agree with plaintiffs that the family member/household exclusion in the umbrella policy, which clearly
We disagree, however, with plaintiffs’ contention that the endorsement either is ambiguous or fails to comply with
We first consider whether the endorsement is ambiguous. We held in North Pacific that a policy provision is ambiguous if it has multiple plausible meanings or if it is “not comprehensible for some reason, such as indefiniteness, erroneous usage, or form of expression.” 332 Or at 26. As we explain below, we conclude that the definition of the term “uninsured motor vehicle” is not capable of multiple plausible interpretations; neither is it obscure.
As discussed, an endorsement to the umbrella policy provides uninsured motorist coverage. The declarations page to the umbrella policy lists under “COVERAGES,” “COVERAGE U UNINSURED (INC UNDERINSURED) MOTOR VEHICLE.” “Coverage U,” in turn, provides that State Farm
As pertinent here, the term “uninsured motor vehicle” is defined as “a land motor vehicle * * * which is * * * insured or bonded for bodily injury liability at the time of the accident, but * * * the limits of liability * * * are less than the limits you carry for uninsured motor vehicle coverage under this policy.” (Boldface type in original.) That wording, together with the wording of “Coverage U,” plainly conveys that coverage is available when the policyholder is entitled to damages from an owner or driver of a vehicle that is insured for an amount less than the umbrella policy‘s liability limits, viz., from an underinsured owner or driver. The definition, though admittedly dense, is comprehensible and is capable of only one plausible interpretation, viz., “uninsured” includes “underinsured.”
As noted, plaintiffs have argued that, because the endorsement fails to use the word “underinsured,” it is misleading and does not inform a policyholder adequately that the endorsement applies in an underinsurance situation. We disagree. The reference on the declarations page of the umbrella policy to “COVERAGE U UNINSURED (INC UNDERINSURED) MOTOR VEHICLE” places the policyholder on notice that the endorsement grants underinsurance as well as uninsurance coverage. Moreover, although we agree that the endorsement itself might be easier to understand if it used the word “underinsured,” it is not ambiguous in the sense described in North Pacific merely because it uses other words to describe the same concept.
In the same vein, the exclusion from the definition of an uninsured motor vehicle of a land motor vehicle “insured under the liability coverage of this policy,” when read together with the wording of “Coverage U,” is unambiguous. The exclusion informs the policyholder that he or she is not
We turn to whether the foregoing provisions fail to “state * * * the coverage afforded by the policy,” including the limits of liability, as required by
To “state” means “to express the particulars of[:] set forth.” Webster‘s Third New Int‘l Dictionary, 2228 (unabridged ed 1993). The declarations page of the umbrella policy recites that “OTHER LIMITS AND EXCLUSIONS MAY APPLY,” and “YOUR POLICY CONSISTS OF THIS PAGE, ANY ENDORSEMENTS AND THE POLICY FORM. PLEASE KEEP TOGETHER.” The policyholder, therefore, is on notice not to rely exclusively on the declarations page for information concerning the coverage available under the policy. Moreover, as noted, the declarations page of the umbrella policy specifically directs the insured to the endorsement, “Coverage U,” for an explanation of the uninsured and underinsured motor vehicle coverage available under the policy. As discussed, we have concluded that the wording of the two provisions at issue in the endorsement is neither obscure nor capable of multiple plausible interpretations. Under those circumstances, the endorsement meets the requirement set out in
Plaintiffs in effect ask for more. They ask that all the rules that relate to a particular kind of claim such as the one that they are asserting appear together in one place in the policy. As we have explained,
The decision of the Court of Appeals is reversed in part and affirmed in part. The judgment of the circuit court is reversed in part and affirmed in part, and the case is remanded to the circuit court for further proceedings.
LEESON, J., concurring in part and dissenting in part.
I agree with the majority that, under the family member/household exclusion in the umbrella policy, plaintiffs are not entitled to coverage. However, I disagree with the majority that plaintiffs are entitled to prevail under the automobile policy. The reason that plaintiffs prevail on their auto claim, the majority explains, is because the exclusion in their auto policy is as unintelligible as a similar family member/household exclusion in the policy at issue in North Pacific Ins. Co. v. Hamilton, 332 Or 20, 22 P3d 739 (2001). The majority concludes that plaintiffs in this case are entitled to prevail on the same theory, apparently because both cases are decided on the same day. The difficulty with the majority‘s conclusion is that it permits these plaintiffs to prevail on a theory that they did not raise below. In my view, the majority errs in reversing the Court of Appeals’ decision and the trial court‘s judgment for a reason that plaintiffs never have advanced at any stage of this litigation.
This court has held that,
“[g]enerally, before an appellate court may address whether a trial court committed an error in any of the particulars of the trial of a case, the adversely affected party must have preserved the alleged error in the trial court and raised the issue on appeal by an assignment of error in its opening brief.”
Ailes v. Portland Meadows, Inc., 312 Or 376, 380, 823 P2d 956 (1991). There is, of course, an exception to the rule
Preservation problems typically arise when a party that failed to preserve an error at trial claims error for the first time on appeal. See, e.g., Brokenshire v. Rivas and Rivas, Ltd., 327 Or 119, 121, 957 P2d 157 (1998) (claim of error appeared for first time in defendant‘s opening brief in Court of Appeals). In this case, plaintiffs did not raise at trial the issue whether the family member/household exclusion in State Farm‘s policy is ambiguous under this court‘s methodology for construing insurance contracts. Neither did plaintiffs make that argument on appeal or on review.
At the trial court, the parties agreed to submit the case under
”A Submission without action. Parties to a question in controversy, which might have been the subject of an action with such parties plaintiff and defendant, may submit the question to the determination of a court having subject matter jurisdiction.
”A(1) Contents of submission. The written submission shall consist of an agreed statement of facts upon which the controversy depends, a certificate that the controversy is real and that the submission is made in good faith for the purpose of determining the rights of the parties, and a request for relief.
“*****
”A(3) Effect of submission. From the moment the submission is filed, the court shall treat the controversy as if it is an action pending after a special verdict found. The controversy shall be determined on the agreed case alone, but the court may find facts by inference from the agreed facts.”
“Query #1: Under State Farm Auto‘s car policy is State Farm Auto‘s liability limited to $25,000.00[?]
“Query #2: If the liability limits of State Farm Auto‘s policy are reduced from $100,000.00 to $25,000.00, is there underinsured motorist coverage of $75,000.00 available under State Farm Auto‘s policy for claims of the Estate of Geoffery Eric Wright and James R. Strickland, Personal Representative thereof[?]”
In their briefs to the trial court, plaintiffs argued that the exclusion in Section 1 of the auto policy, quoted in the majority opinion, 332 Or at 5-6, did not apply to the personal representative of Geoffery Wright‘s estate. They contended that, by the plain terms of the exclusion, “the Personal Representative‘s claim is not a claim brought by the named insured or any members of the insured‘s family residing in the insured‘s household.”
Plaintiffs also argued that the failure of the auto policy to include the claim of a personal representative within its exclusion, and the failure “to advise their insured of the lower limit [of coverage] when applicable,” violated
“Every motor vehicle liability insurance policy issued for delivery in this state shall state the name and address of the named insured, the coverage afforded by the policy, the premium charged therefor, the policy period and the limits of liability.”
At the Court of Appeals, plaintiffs pressed two assignments of error regarding the trial court‘s judgment in favor of State Farm on the auto policy. In their first assignment, plaintiffs argued that both the auto and umbrella policies violated the requirements of
The Court of Appeals affirmed the trial court. Wright v. State Farm Mutual Auto. Ins. Co., 152 Or App 101, 952 P2d 73 (1998). On review before this court, plaintiffs argued that,
The majority, sua sponte, has raised the contract issue for plaintiffs and then has resolved it in their favor. The majority‘s rationale appears to be that, if this court decides two cases on the same day and, properly understood, the cases raise the same issue, then this court will resolve the similar issue the same way no matter how the cases were argued below. I disagree both with that rationale and the result in this case as it affects plaintiffs’ claim under the auto policy.
Notes
(Boldface type in original.)“5. ’insured’ means:
“*****
“b. the following residents of the named insured‘s household:
“(1) the named insured‘s relatives * * * ”
