Auto-Owners Insurance v. Lydon

386 N.W.2d 628, 149 Mich. App. 643
CourtMichigan Court of Appeals
DecidedMarch 4, 1986
DocketDocket 79366
StatusPublished
Cited by4 cases

This text of 386 N.W.2d 628 (Auto-Owners Insurance v. Lydon) 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
Auto-Owners Insurance v. Lydon, 386 N.W.2d 628, 149 Mich. App. 643 (Mich. Ct. App. 1986).

Opinion

Per Curiam.

In this dispute over the payment of automobile insurance benefits, plaintiff, Auto-Owners Insurance Company, appeals from the circuit court’s order granting defendant’s motion for summary judgment and denying plaintiffs motion for summary judgment. We reverse.

On August 10, 1979, an automobile driven by Roger Lydon collided with an abandoned uninsured automobile. Defendant, Mary Ann Lydon, Roger Lydon’s wife, was' a passenger in the car driven by her husband. She sustained a severe closed head injury and reportedly suffered permanant brain damage. At the time of the accident, the Lydons’ automobile insurer was plaintiff, Auto-Owners Insurance Company.

Pursuant to the automobile insurance policy, defendant claimed, and was awarded, no-fault personal protection insurance benefits for economic damages. Alleging negligence on the part of both her husband and the owner of the uninsured vehicle, defendant also filed a claim for recovery of *646 noneconomic damages under both the residual bodily injury liability provision 1 and the uninsured motorist provision of the policy. 2 The policy’s limits of residual bodily injury liability coverage and uninsured motorist coverage were each $20,000. Plaintiff paid defendant the maximum $20,000 for noneconomic damages under the residual bodily injury liability provision, but denied defendant’s claim for benefits under the uninsured motorist provision. The denial was based on the following set-off clause in the policy:

"If claim is made under Coverage D [uninsured motorist coverage] and claim is also made against any person who is an insured under the Bodily Injury Liability of the policy because of bodily injury sustained in an accident by a person who is an insured under Coverage D:
"(a) any payment made under Coverage D to or for any such person shall be applied in reduction of any amount which he may be entitled to recover from any *647 person who is an insured under the Bodily Injury Liability; and
"(b) any payment made under the Bodily Injury Liability to or for any such person shall be applied in reduction of any amount which he may be entitled to recover under Coverage D.”

Since defendant’s claim under the residual bodily injury liability provision was based on an accident caused by her husband, an insured, and since the amount of residual bodily injury liability coverage and the amount of uninsured motorist coverage were the same, plaintiff argued that this set-off clause precluded defendant from obtaining an additional award under the uninsured motorist provision.

When defendant filed a demand for arbitration with the American Arbitration Association, plaintiff filed a complaint for declaratory relief in circuit court. Both parties filed motions for summary judgment. On the authority of Bradley v Mid-Century Ins Co, 409 Mich 1; 294 NW2d 141 (1980), the court granted defendant’s motion, ruling that the set-off clause was unenforceable as "either ambiguous or inconsistent with the reasonable expectations of the insured”.

The sole issue on appeal is whether the circuit court erred in ruling that the set-off clause is unenforceable. The parties agree that the controlling authority is Bradley v Mid-Century Ins Co, supra; they focus primarily on two of the cases consolidated in Bradley — American Fidelity Fire Ins Co v Williams and Schigur v West Bend Mutual Ins Co. 409 Mich 60 et seq. We find that the facts in Williams and Schigur are distinguishable from the instant facts, and we hold that the set-off clause at issue in this case is enforceable.

Prior to enactment of the no-fault act, MCL *648 500.3101 et seq.; MSA 24.13101 et seq., a tortfeasor was liable for economic loss and noneconomic loss suffered by a person injured as a result of the tortfeasor’s negligent ownership, maintenance or use of an automobile. Under the no-fault system, basic economic expenses (work loss and medical expenses) are recoverable in the form of statutorily mandated personal protection insurance benefits from the injured party’s own no-fault insurer without regard to fault. MCL 500.3101(1), 500.3105, 500.3107; MSA 24.13101(1), 24.13105, 24.13107. An insured tortfeasor is now generally liable only for noneconomic loss resulting from above-threshold injuries and for excess economic loss. MCL 500.3135; MSA 24.13135. Uninsured negligent motorists may be sued for all economic loss and for above-threshold noneconomic loss. Id. Each motorist must maintain residual liability insurance, in addition to personal protection insurance, to provide a source of recovery for persons suffering above-threshold injury and excess economic loss caused by the negligence of the insured. MCL 500.3101(1), 500.3131; MSA 24.13101(1), 24.13131. Uninsured motorist coverage is not required by statute but may be purchased to provide the insured a source of recovery for excess economic loss and noneconomic loss if the tortfeasor is uninsured. See Bradley, supra, pp 61-62. See also Ouellette v Kenealy, 424 Mich 83; 378 NW2d 740 (1985).

In Williams and Schigur, the insureds were involved in accidents with negligent uninsured motorists. The insureds had each purchased a standard no-fault policy and had paid an additional premium for uninsured motorist coverage. Relying on a set-off clause in the policies, the insurers deducted personal protection insurance benefits paid to the insureds from the amounts *649 payable to them under their uninsured motorist coverage for noneconomic loss. 3

The Supreme Court found that, if the set-off clause were enforced in the manner the insurers sought, payment of statutorily required personal protection insurance benefits (i.e., basic economic benefits) could reduce or eliminate voluntarily purchased uninsured motorist coverage for noneconomic and excess economic loss. The Court rejected this construction of the set-off clause:

"One who has purchased uninsured motorist coverage would not expect to collect twice for the same economic loss and the insurer prevents this from happening through the set-off clause. But neither would he expect to have his uninsured motorist coverage reduced or eliminated altogether because of other coverage he has purchased. He would expect, even in the face of the set-off clause, that amounts paid by the insurer for economic loss would not reduce the amount payable for noneconomic or excess economic lost.” 409 Mich 63.

The Court held that the set-off clause was not enforceable to the extent that it would permit the insurer to deduct no-fault personal protection insurance benefits from the amount otherwise recoverable for noneconomic and excess economic loss under uninsured motorist coverage. Bradley, supra, p 23.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Citizens Insurance Co. of America v. Buck
548 N.W.2d 680 (Michigan Court of Appeals, 1996)
Nankervis v. Auto-Owners Insurance
497 N.W.2d 573 (Michigan Court of Appeals, 1993)
Stewart v. Capps
789 P.2d 563 (Court of Appeals of Kansas, 1990)
Schroeder v. Farmers Insurance Exchange
419 N.W.2d 9 (Michigan Court of Appeals, 1987)

Cite This Page — Counsel Stack

Bluebook (online)
386 N.W.2d 628, 149 Mich. App. 643, Counsel Stack Legal Research, https://law.counselstack.com/opinion/auto-owners-insurance-v-lydon-michctapp-1986.