2015 ORS 742.534¹
Reimbursement of other insurers paying benefits
  • arbitrating issues of liability and amount of reimbursement

(1) Except as provided in ORS 742.544 (Reimbursement for personal injury protection benefits paid), every authorized motor vehicle liability insurer whose insured is or would be held legally liable for damages for injuries sustained in a motor vehicle accident by a person for whom personal injury protection benefits have been furnished by another such insurer, or for whom benefits have been furnished by an authorized health insurer, shall reimburse such other insurer for the benefits it has so furnished if it has requested such reimbursement, has not given notice as provided in ORS 742.536 (Notice of claim or legal action to insurer) that it elects recovery by lien in accordance with that section and is entitled to reimbursement under this section by the terms of its policy. Reimbursement under this subsection, together with the amount paid to injured persons by the liability insurer, shall not exceed the limits of the policy issued by the insurer.

(2) In calculating such reimbursement, the amount of benefits so furnished shall be diminished in proportion to the amount of negligence attributable to the person for whom benefits have been so furnished, and the reimbursement shall not exceed the amount of damages legally recoverable by the person.

(3) Disputes between insurers as to such issues of liability and the amount of reimbursement required by this section shall be decided by arbitration.

(4) Findings and awards made in such an arbitration proceeding are not admissible in any action at law or suit in equity.

(5) If an insurer does not request reimbursement under this section for recovery of personal injury protection payments, then the insurer may only recover personal injury protection payments under the provisions of ORS 742.536 (Notice of claim or legal action to insurer) or 742.538 (Subrogation rights of insurers to certain amounts received by claimant). [Formerly 743.825; 1993 c.709 §7; 2007 c.392 §1]

(formerly 743.825)

Notes of Decisions

An insurer who makes recovery from third party for moneys paid its insured is only re­quired to pay attorney fees which were reasonably and necessarily incurred to make recovery; and, absent an agree­ment to contrary, an insurer is only obligated for attorney fees if it is benefited. Ridenour v. Na­tionwide Mut. Ins. Co., 273 Or 514, 541 P2d 1377 (1975)

No reimburse­ment could be compelled against insurer of party allegedly at fault by insurer who made per­sonal injury pay­ments if ac­tion by plaintiff-insured was barred by statute of limita­tions. West American Ins. Co. v. Na­tionwide Mutual Ins. Co., 39 Or App 525, 593 P2d 796 (1979), Sup Ct review denied

Reference to furnishing of benefits by an­oth­er insurer and other insurer does not preclude insurer who by chance insures both vehicles from offset provided by [former] ORS 18.510. State Farm Mut. Auto Ins. v. Sommerholder, 65 Or App 449, 671 P2d 1194 (1983), Sup Ct review denied

Authorized motor vehicle liability insurer which is re­quired to reimburse an­oth­er such insurer for amount paid by it to insured for PIP benefits is not entitled to credit in that amount in determining whether reimbursing insurer has exhausted liability policy limits in settling claim against its insured by payee of the PIP benefits where payees damages are in excess of liability policy limits. Kessler v. Weigandt, 299 Or 38, 699 P2d 183 (1985)

Formal acknowledg­ment of obliga­tion under this sec­tion to reimburse constitutes reimburse­ment pay­ment within meaning of [former] ORS 18.510 (PIP reimburse­ment pay­ments). Dougherty v. Gelco Express Corp., 79 Or App 490, 719 P2d 906 (1986)

When insurer paid passenger injured in motor vehicle accident amount equal to liability limits of insureds policy, this sec­tion prevented further exposure to other insurer. Farmers Ins. Co. v. American Fire & Casualty, 117 Or App 347, 844 P2d 235 (1992), Sup Ct review denied

State­ment that insurer would proceed pursuant to PIP reimburse­ment pro­ce­dure was not reimburse­ment pay­ment within meaning of [former] ORS 18.510 because insurer did not commit to specific pay­ment amount. Heintz v. Baxter, 120 Or App 603, 853 P2d 320 (1993), Sup Ct review denied

Interinsurer reimburse­ment is not available for underinsured motorist coverage paid to injured insured. Providence Health Plan v. Charriere, 666 F. Supp. 2d 1169 (D. Or. 2009)

Sec­tion requires arbitra­tion of any potential dispute pertaining to interinsurer reimburse­ment. California Casualty Indemnity v. Federated Mutual, 251 Or App 371, 286 P3d 901 (2012), Sup Ct review denied

(formerly 743.800 to 743.835)

Notes of Decisions

Nothing in PIP statutes prohibits plaintiff from pleading and proving all special damages in a civil ac­tion, even though plaintiff has received PIP benefits from his insurer. Koberstein v. Sierra Glass, 65 Or App 409, 671 P2d 1190 (1983), as modified by 66 Or App 883, 675 P2d 1126 (1984), Sup Ct review denied

PIP endorse­ment which offsets PIP pay­ments against policys liability limits does not contravene PIP scheme of these statutes. Edwards v. Bonneville Automobile Insurance Co., 68 Or App 863, 683 P2d 142 (1984), affd 299 Or 119, 699 P2d 670 (1985)


1 Legislative Counsel Committee, CHAPTER 742—Insurance Policies Generally; Property and Casualty Policies, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ors742.­html (2015) (last ac­cessed Jul. 16, 2016).
 
2 Legislative Counsel Committee, Annotations to the Oregon Revised Stat­utes, Cumulative Supplement - 2015, Chapter 742, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ano742.­html (2015) (last ac­cessed Jul. 16, 2016).
 
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.