Unfair environmental claims settlement practices
- • environmental claim mediation
- • rules
- • fees
- • damages
(1) An insurer or any other person may not commit any of the following unfair environmental claims settlement practices:
(a) Failure to commence investigation of an environmental claim within 15 working days after receipt of a notice of an environmental claim or failure to diligently respond to tenders of environmental claims, provided that an excess insurer may rely on the investigation of a primary insurer.
(b) Failure to make timely payments for costs reasonably incurred in the defense of environmental claims or for reasonable costs for which indemnity is owed.
(c) Denial of a claim for any improper purpose, such as to harass or to cause unnecessary delay or to needlessly increase the cost of litigation.
(d) Require that the insured provide answers to repetitive questions and requests for information concerning matters or issues unnecessary for resolution of the environmental claim of the insured, provided that an insurer may reserve its rights as to information that is not available at the time of the correspondence.
(e) Failure to pay interest as specified in ORS 82.010 (Legal rate of interest):
(A) On payments that an insured has made and that the insurer is legally obligated to pay as costs of defense or indemnity, provided that interest begins to accrue only on the 31st day after the claim for payment or reimbursement is presented or payment is made by the insured, whichever is later; or
(B) On overdue payments that an insurer agreed to make pursuant to an agreed settlement with an insured, provided that interest begins to accrue on the 31st day after the date of the settlement or on the date by which the insurer agreed to make the payment, whichever is later.
(f) Violation by insurers as described in ORS 465.479 (Lost policies) (9)(a).
(2)(a) In addition to the unfair environmental claims settlement practices specified in subsection (1) of this section, it is an unfair environmental claims settlement practice for an insurer to fail to participate in good faith in a nonbinding environmental claim mediation described under this subsection that is requested by an insured concerning the existence, terms or conditions of a lost policy or regarding coverage for an environmental claim.
(b) The insured may request in writing that the insurer participate in a nonbinding environmental claim mediation.
(c) Upon request from an insured to participate in a nonbinding environmental claim mediation, an insurer shall provide an insured with information concerning a nonbinding environmental claim mediation program. The information must include, but need not be limited to, a description of how an insured can efficiently commence the mediation with the insurer.
(d) The purposes of the nonbinding environmental claim mediation include, but are not limited to, the following:
(A) To assist the parties in resolving disputes concerning whether or not a general liability insurance policy applicable to the environmental claim was issued to the insured by the insurer and concerning the relevant terms, conditions and exclusions;
(B) To determine whether the entire claim, or a portion thereof, can be settled by agreement of the parties;
(C) To determine, if the claim cannot be settled, whether one or more issues can be resolved to the satisfaction of the parties; and
(D) To discuss any other methods of streamlining or reducing the cost of litigation.
(e) The Attorney General shall:
(A) Appoint a mediation service provider to operate a mediation program related to environmental claims;
(B) Prescribe by rule requirements related to qualification, training and experience for mediators who participate in the mediation program; and
(C) Establish by rule a schedule of fees related to the mediation program.
(f) Unless otherwise agreed, information provided and statements made by either party in a mediation shall be kept confidential by the parties and used only for purposes of the mediation in accordance with ORS 36.220 (Confidentiality of mediation communications and agreements).
(g) The insured and the insurer shall have representatives present, or available by telephone, with authority to settle the matter at all mediation sessions.
(3) The unfair environmental claims settlement practices specified in this section are in addition to any provisions relating to unfair claim settlement practices under ORS 746.230 (Unfair claim settlement practices).
(4)(a) Any insured aggrieved by one or more unfair environmental claims settlement practices specified in this section may apply to the circuit court for the county in which the insured resides, or any other court of competent jurisdiction, to recover the actual damages sustained, together with the costs of the action, including reasonable attorney fees and litigation costs.
(b) Twenty days prior to filing an action based on this section, the insured must provide written notice of the basis for the cause of action to the insurer and office of the Director of the Department of Consumer and Business Services. Notice and proof of notice must be provided by regular mail, registered mail or certified mail with return receipt requested. The insurer and director are deemed to have received notice three business days after the notice is mailed.
(c) If the insurer fails to resolve the basis for the action within the 20-day period after the written notice by the insured, the insured may bring the action without any further notice.
(d) If a written notice of claim is served under paragraph (b) of this subsection within the time prescribed for the filing of an action under this subsection, the statute of limitations for the action is tolled during the period of time required to comply with paragraph (b) of this subsection.
(e) In any action brought pursuant to this subsection, the court may, after finding that an insurer has acted unreasonably, increase the total award of damages to an amount not to exceed three times the actual damages.
(f) An action under this subsection must be brought within two years from the date the alleged violation is, or should have been, discovered.
(5) The provisions of this section do not limit the ability of a court to provide for any other remedy that is available at law. [2013 c.350 §6]
3 OregonLaws.org assembles these lists by analyzing references between Sections. Each listed item refers back to the current Section in its own text. The result reveals relationships in the code that may not have otherwise been apparent.