Arthur Willis Jr v. Farmers Insurance Exchange

CourtMichigan Court of Appeals
DecidedApril 27, 2023
Docket360370
StatusUnpublished

This text of Arthur Willis Jr v. Farmers Insurance Exchange (Arthur Willis Jr 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
Arthur Willis Jr v. Farmers Insurance Exchange, (Mich. Ct. App. 2023).

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

ARTHUR WILLIS JR., UNPUBLISHED April 27, 2023 Plaintiff-Appellant,

v No. 360370 Wayne Circuit Court FARMERS INSURANCE EXCHANGE, LC No. 21-004384-NF

Defendant-Appellee.

Before: M. J. KELLY, P.J., and SWARTZLE and FEENEY, JJ.

PER CURIAM.

Plaintiff, Arthur Willis, Jr., appeals as of right the trial court’s order dismissing his claim for personal protection insurance (PIP) benefits under the no-fault act, MCL 500.3101 et seq. The trial court dismissed his claim under MCR 2.116(C)(10) and as a sanction under MCL 500.3153 for Willis’s failure to attend four scheduled defense medical examinations (DMEs).1 For the reasons stated in this opinion, we reverse and remand for further proceedings.

I. BASIC FACTS

In September 2020, Willis was allegedly injured as a result of a motor vehicle crash. Willis submitted an application for PIP benefits to the Michigan Assigned Claims Plan (MACP). Defendant, Farmers Insurance Exchange, was assigned Willis’s claim. As part of its process of investigating the claim, Farmers requested Willis submit to a DME. The DME was originally scheduled for February 24, 2021. After Willis failed to show up for that appointment, Farmers

1 Although the parties refer to the examinations as “independent” medical examinations, “that appellation is a euphemistic term of art.” Micheli v Mich Auto Ins Placement Facility, ___ Mich App ___, ___; ___ NW2d ___ (2022) (Docket No. 356559); slip op at 2 n 3. “In reality, and to a great extent central to this matter, an IME involves obtaining a second opinion from a doctor who is entirely selected and paid for by an insurance company, rendering the “independence” of the examination somewhat questionable.” Id. Consequently, this opinion will refer to the examination as a defense medical examination or a DME.

-1- rescheduled it for March 19, 2021. Willis missed that appointment as well. Farmers then rescheduled for May 11, 2021, but Willis failed to appear.

Thereafter, Farmers filed a motion for summary disposition under MCR 2.116(C)(10), arguing that Willis’s claim should be dismissed because he had failed to attend the DME as scheduled and rescheduled. Before a hearing on that motion, Farmers rescheduled the DME for September 27, 2021. Willis missed that appointment as well.

In response to the motion for summary disposition, Willis admitted that he had failed to attend the DMEs. He asserted that dismissal, however, was not warranted because his failure to attend the DMEs was due to lack of transportation, miscommunications with Farmers, and because he had suffered a stroke. Following a hearing on the motion, the trial court found that it was appropriate to dismiss Willis’s claim for PIP benefits as a sanction for his failure to attend the DMEs.

II. DISMISSAL AS A SANCTION

A. STANDARD OF REVIEW

Willis argues that the trial court abused its discretion by dismissing his PIP claim as a sanction for missing four noticed DMEs. Although the court purported to grant summary disposition under MCR 2.116(C)(10), “the proper lens for reviewing dismissal of a no-fault claim for failure to comply with the statutory IME requirement is the traditional analysis for dismissal as a discovery sanction.” Gueye v State Farm Mut Auto Ins Co, ___Mich App ___; ___NW2d ___ (2022) (Docket No. 358992); slip op at 9. “We review the trial court’s decision to dismiss an action for an abuse of discretion.” Id. at ___; slip op at 7. “The trial court abuses its discretion when it chooses an outcome outside the range of principled outcomes.” Id. “Any factual findings underlying the trial court’s decision are reviewed for clear error.” Id. “A finding is clearly erroneous when this Court is left with a definite and firm conviction that a mistake has been made.” Id. (quotation marks and citation omitted).

B. ANALYSIS

“If the mental or physical condition of a person is material to a claim that has been or may be made for past or future personal protection insurance benefits, at the request of an insurer the person shall submit to mental or physical examination by physicians.” MCL 500.3151(1). If a person fails to comply with such a request, the court may impose sanctions, including dismissal of the “disobedient” person’s entire claim. See MCL 500.3153(c). Consequently, “dismissal of a lawsuit is a potential statutory sanction for failing to attend scheduled IMEs.” Gueye, ___ Mich App at ___; slip op at 9.

“Dismissal is a drastic step that should be taken cautiously.” Vicencio v Ramirez, 211 Mich App 501, 506; 536 NW2d 280 (1995). Accordingly, a dismissal “necessitates a consideration of the circumstances of each case to determine if such a drastic sanction is appropriate.” Dean v Tucker, 182 Mich App 27, 32; 451 NW2d 571 (1990). Because sanctions under MCL 500.3153 are only permissible when they are “just,” this Court has held that “before dismissing a no-fault claim under MCL 500.3153, a trial court should consider the applicable Vicencio factors, including

-2- the availability of alternative sanctions, and decide whether dismissal is just.” Gueye, ___ Mich App at ___; slip op at 9-10. The nonexhaustive list of Vicencio factors include:

(1) whether the violation was wilful or accidental; (2) the party’s history of refusing to comply with previous court orders; (3) the prejudice to the opposing party; (4) whether there exists a history of deliberate delay; (5) the degree of compliance with other parts of the court’s orders; (6) attempts to cure the defect; and (7) whether a lesser sanction would better serve the interests of justice. [Vicencio, 211 Mich App at 507.]

“[I]t is imperative that the trial court balance the factors and explain its reasons for imposing such a grave sanction in order to allow for meaningful appellate review.” Kalamazoo Oil Co v Boerman, 242 Mich App 75, 88; 618 NW2d 66 (2000). “[A]n abuse of discretion occurs when a court fails to place its reasoning and consideration of alternative sanctions on the record.” Gueye, ___ Mich App at ___; slip op at 10 (quotation marks and citation omitted).

In this case, factor one does not favor a finding of dismissal because Willis’s missed DMEs were not willful. See Vicencio, 211 Mich App at 507. Willfulness includes circumstances such as when “the failure to respond to discovery requests extends over substantial periods” or “the failure to provide discovery is in violation of a direct order of the trial court.” MacArthur Patton Christian Ass’n v Farm Bureau Ins Group, 403 Mich 474, 477; 270 NW2d 101 (1978). Neither circumstance were present here.

Willis missed the February 2021 appointment because of a miscommunication related to transportation. Willis asserted Farmers coordinated transportation for Willis to receive roundtrip transport to the DME. Willis assumed he would get a phone call the day before the appointment to confirm the trip, but did not get any such confirmation. As a result, Willis left his home around the time the transportation service arrived, so he missed the appointment. Farmers has not disputed Willis’s explanation for missing the February 2021 appointment. Thus, the record does not support a finding that the failure to attend the February 2021 DME was a willful violation. Willis missed the March 2021 DME because he did not receive notice of it. Two facts support this assertion. First, the confirmation letters for the DMEs were sent to his former lawyer.

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Related

Kalamazoo Oil Co. v. Boerman
618 N.W.2d 66 (Michigan Court of Appeals, 2000)
Dean v. Tucker
451 N.W.2d 571 (Michigan Court of Appeals, 1990)
Vicencio v. Ramirez
536 N.W.2d 280 (Michigan Court of Appeals, 1995)
Macarthur Patton Christian Ass'n v. Farm Bureau Insurance Group
270 N.W.2d 101 (Michigan Supreme Court, 1978)

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Bluebook (online)
Arthur Willis Jr v. Farmers Insurance Exchange, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arthur-willis-jr-v-farmers-insurance-exchange-michctapp-2023.