Ana Maria Sandoval v. Farmers Insurance Exchange

CourtMichigan Court of Appeals
DecidedJanuary 25, 2024
Docket361166
StatusPublished

This text of Ana Maria Sandoval v. Farmers Insurance Exchange (Ana Maria Sandoval v. Farmers Insurance Exchange) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ana Maria Sandoval v. Farmers Insurance Exchange, (Mich. Ct. App. 2024).

Opinion

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to revision until final publication in the Michigan Appeals Reports.

STATE OF MICHIGAN

COURT OF APPEALS

ANA MARIA SANDOVAL, FOR PUBLICATION January 25, 2024 Plaintiff-Appellee, 9:15 a.m.

v No. 361166 Wayne Circuit Court FARMERS INSURANCE EXCHANGE, HENRY LC No. 20-009792-NF FORD HEALTH SYSTEM, and VLADIMIR BOSHEVSKI,

Defendants-Appellees, and

ZURICH AMERICAN INSURANCE COMPANY,

Defendant-Appellant.

TOX TESTING INC doing business as PARAGON DIAGNOSTICS, PRO TOXICOLOGY TESTING, and DETROIT METRO RX (ANA SANDOVAL),

Plaintiffs-Appellees, v No. 361176 Wayne Circuit Court FARMERS INSURANCE EXCHANGE, LC No. 20-014589-NF

Defendant-Appellee, and

Before: REDFORD, P.J., and O’BRIEN and FEENEY, JJ.

REDFORD, P.J.

-1- In these consolidated appeals, Docket Nos. 361166 and 361176,1 defendant Zurich American Insurance Company (“Zurich”) seeks to appeal as of right the April 2022 stipulated order of dismissal as to Zurich and defendants, Henry Ford Health System (“HFHS”) and Vladimir Boshevski (“Boshevski”),2 in these personal insurance protection (PIP) benefits actions. Zurich is only challenging the trial court’s July 2021 order granting defendant Farmers Insurance Exchange’s (“Farmers”) motion for summary disposition under MCR 2.116(C)(10) (no genuine issue of material fact) and the October 2021 order denying Zurich’s motion for reconsideration. We dismiss this appeal for lack of jurisdiction.

I. BACKGROUND

These cases arise from a motor vehicle accident. In October 2019, plaintiff Ana Sandoval (“Sandoval”) was riding as a passenger in a shuttle bus owned and operated by HFHS, driven by Boshevski, and insured by Zurich. When Boshevski made a turn, Sandoval’s wheelchair came loose, and she fell onto the floor, sustaining injuries. After the accident, Sandoval submitted a claim for PIP benefits through the Michigan Assigned Claims Plan (MACP), which assigned Farmers as the servicing insurer for her claim.

Sandoval filed suit against Farmers alleging it unlawfully refused to pay her PIP benefits under Michigan’s no-fault act, MCL 500.3101 et seq. Farmers answered, claiming although it received Sandoval’s complaint from the MACP, it did not fail to perform any statutory duty and did not owe Sandoval PIP benefits. Farmers also asserted various affirmative defenses, relevant here, that Sandoval is not entitled to PIP benefits because there is a carrier in a higher order of priority under MCL 500.3114, including the no-fault PIP benefit carriers of HFHS and Boshevski. Plaintiffs Tox Testing, Inc. (doing business as Paragon Diagnostics), Pro Toxicology Testing, and Detroit Metro RX (hereinafter “plaintiffs”), after Sandoval assigned and transferred her rights and interests to them to recover payment for the medical services they provided to Sandoval, also filed suit against Farmers, alleging it violated its statutory duties under MCL 500.3101 et seq., and committed breach of contract. Farmers responded by denying plaintiffs’ claims and asserting various affirmative defenses including that Farmers may not be the carrier in the highest order of priority under MCL 500.3114.

Farmers moved for joinder of the actions, and Sandoval moved for leave to amend her pleading to add claims against Zurich, HFHS, and Boshevski. While these motions were pending, Farmers moved from summary disposition under MCR 2.116(C)(10), claiming Sandoval is not eligible for PIP benefits through the MACP under MCL 500.3172. Under MCL 500.3114(2), a person who suffers accidental bodily injury while a passenger of a motor vehicle operated in the

1 We consolidated Docket Nos. 361166 and 361176 on January 17, 2023. Sandoval v Farmers Insurance Exchange, unpublished order of the Court of Appeals, entered January 17, 2023 (Docket No. 361166); Tox Testing Inc v Farmers Insurance Exchange, unpublished order of the Court of Appeals, entered January 17, 2023 (Docket No. 361176). 2 Defendants Zurich, HFHS, and Boshevski will be referred to as “defendants” when discussed jointly, or by their proper names, as appropriate, for purposes of identification when the facts dictate.

-2- business of transporting passengers shall receive PIP benefits from the insurer of the motor vehicle. Under MCL 500.3114(2)(d), this does not apply to a bus operated by a nonprofit organization unless the passenger is not entitled to PIP benefits under any other policy. While Sandoval indicated she had no automobile insurance at the time of the accident, she identified HFHS through Zurich who had an applicable no-fault insurance policy. Because there is no genuine issue of material fact that Zurich’s policy applies to Sandoval’s loss, Farmers averred Sandoval may not seek PIP benefits from the MACP as a provider of last resort.

The trial court granted Sandoval’s motion to add defendants and also found consolidation of the cases was more appropriate than joinder, consolidating plaintiffs’ and Sandoval’s cases, and administratively closing plaintiffs’ case. Sandoval filed her amended complaint against Farmers, Zurich, HFHS and Boshevski, asserting (1) Farmers and Zurich unlawfully refused to pay her PIP benefits under Michigan’s no-fault act, MCL 500.3101 et seq., (2) Boshevski was negligent in his operation of the shuttle bus, and (3) HFHS was liable for Boshevski’s negligence under the doctrine of respondeat superior and for the negligent hiring of Boshevski. Defendants answered Sandoval’s amended complaint, denying her allegations as untrue and asserting various affirmative defenses, including any and all defenses under MCL 500.3101 et seq., and that Zurich is not the insurer of highest priority under MCL 500.3114.

Defendants responded to Farmers’s motion for summary disposition, denying Zurich was the highest priority insurer under MCL 500.3114(2). Defendants argued the shuttle bus was not operated in the business of transporting passengers under MCL 500.3114(2) because the shuttle bus service is an incidental or small part of its primary business function of operating a healthcare system. Thus, Zurich argues, MCL 500.3114(2) is inapplicable to Zurich, MCL 500.3114(4) controls, and Farmers, as the insurer assigned to Sandoval’s claim by the MACP, is the highest priority insurer and responsible for paying Sandoval’s PIP benefits.

The trial court conducted hearings on Farmers’s motion on June 8, 2021 and July 13, 2021. At both hearings for summary disposition, Farmers, argued it was not liable to Sandoval for PIP benefits because under MCL 500.3114(2), Zurich, as the insurer for HFHS, is the highest priority insurer. At both hearings, Sandoval concurred with Farmers. Zurich denied it was the highest priority insurer because the shuttle bus was not operated in the business of transporting passengers and the free shuttle service was incidental to HFHS’s primary business operation as a healthcare system. In rebuttal, Farmers argued because HFHS’s shuttle bus was specifically equipped to handle transport of wheelchair-bound individuals, the shuttle bus is operating in the business of transporting passengers under MCL 500.3114(2).

On July 19, 2021, the trial court entered an order granting Farmers’s motion for summary disposition and dismissed Sandoval’s and plaintiffs’ claims against Farmers without prejudice. The order stated “IT IS FURTHER ORDERED that this Order does not resolve the last pending claim and does not close the case.”

Zurich filed a motion for reconsideration and brief in support thereof on August 9, 2021. The trial court denied the motion for reconsideration on October 4, 2021.

-3- The case continued with Zurich filing a motion for summary disposition against plaintiffs January 25, 2022.

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Cite This Page — Counsel Stack

Bluebook (online)
Ana Maria Sandoval v. Farmers Insurance Exchange, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ana-maria-sandoval-v-farmers-insurance-exchange-michctapp-2024.