Buntea v. State Farm Mutual Auto Insurance

467 F. Supp. 2d 740, 2006 U.S. Dist. LEXIS 91387, 2006 WL 3759966
CourtDistrict Court, E.D. Michigan
DecidedDecember 19, 2006
Docket05-72399
StatusPublished
Cited by9 cases

This text of 467 F. Supp. 2d 740 (Buntea v. State Farm Mutual Auto Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Buntea v. State Farm Mutual Auto Insurance, 467 F. Supp. 2d 740, 2006 U.S. Dist. LEXIS 91387, 2006 WL 3759966 (E.D. Mich. 2006).

Opinion

ORDER GRANTING IN PART AND DENYING IN PART DEFENDANT’S RENEWED MOTION TO DISMISS [44] AND DENYING DEFENDANT’S APPEAL FOR REVIEW OF THE MAGISTRATE JUDGE’S DECISION [48]

EDMUNDS, District Judge.

Pending before this Court are: (1) Defendant’s renewed motion to dismiss, filed on September 14, 2006, and (2) Defendant’s request for review and appeal of the magistrate judge’s decision denying a protective order regarding discovery, filed on September 29, 2006.

Plaintiff Anita Buntea sued Defendant State Farm for its alleged failure to provide the full benefits entitled to her under an insurance policy with Defendant. On August 24, 2006, this Court granted Plaintiffs motion for leave to file a Second Amended Complaint 1 and denied Defendant’s motion for partial summary judgment 2 without prejudice, in order to give Defendant an opportunity to bring a motion to dismiss that addressed new claims contained in the Second Amended Complaint. Specifically, Plaintiffs Second Amended Complaint brings claims of (1) silent fraud, (2) actual fraud, (3) breach of contract under the Michigan No Fault Act, MCL § 500.3101, et seq, (4) negligence, and (5) a violation of the Michigan Consumer Protection Act (“MCPA”), MCL § 445.901, et seq. Defendant responded with the instant renewed motion to dismiss. 3 For the reasons set forth below, the Court GRANTS IN PART Defendant’s renewed motion to dismiss and DENIES IN PART. The Court also DENIES Defendant’s appeal for review of the magistrate judge’s decision.

I. Facts

On September '22, 1995, Plaintiff was involved in an automobile accident that rendered her a quadriplegic. Plaintiff made a claim for first-party benefits under her automobile insurance policy with Defendant, and Defendant has since paid for much of her care. This case concerns costs not covered by Defendant.

Plaintiff alleges that Defendant has failed to pay for, or inform her of its responsibility to pay for, several of her medical expenses. She states that Defendant “had a policy of not paying family members and others commercially reason *743 able agency market rates for attendant care” and “of not informing its insureds of all benefits available under the insurance policy....” (Compl. ¶¶29-30.) Plaintiff does not claim that Defendant has refused to pay for claims that she submitted. Rather, she argues in essence that Defendant understood its obligations to be greater than Plaintiff understood them to be, but concealed this fact to save money.

Plaintiff states that despite an occupational therapist’s recommendation of a full twenty-four hours of attendant care, Defendant paid for only twelve hours of daily care by her mother and grandmother at $5 per hour in 1996, eight hours at $8 per hour beginning in 1998, and six hours at $12 per hour at present. Plaintiff also claims that her family caregivers were entitled to commercially reasonable rates for similar care provided by an outside agency, that she is entitled to housing and educational expenses, and that Defendants concealed these additional policy benefits from Plaintiff.

II. Standards of Review

A. Motion to Dismiss

A motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6) tests the sufficiency of a Complaint. In a light most favorable to Plaintiff, the Court must assume that Plaintiffs factual allegations are true and determine whether the Complaint states a valid claim for relief. See Albright v. Oliver, 510 U.S. 266, 114 S.Ct. 807, 127 L.Ed.2d 114 (1994); Bower v. Federal Express Corp., 96 F.3d 200, 203 (6th Cir.1996); Forest v. United States Postal Serv., 97 F.3d 137, 139 (6th Cir. 1996). This standard of review “ ‘requires more than the bare assertion of legal conclusions.’ ” In re Sofamor Danek Group, Inc., 123 F.3d 394, 400 (6th Cir.1997) (quoting Columbia Natural Resources, Inc. v. Tatum, 58 F.3d 1101, 1109 (6th Cir.1995)). The Complaint must include direct or indirect allegations “respecting all the material elements to sustain a recovery under some viable legal theory.” In re DeLorean Motor Co., 991 F.2d 1236, 1240 (6th Cir.1993) (citations omitted) (emphasis in original).

B. Appeal for Review a Magistrate’s Nondispositive Motion

A district judge reviewing a magistrate judge’s nondispositive order may only reverse or modify the order if the findings were clearly erroneous or contrary to law. Fed.R.Civ.P. 72(a); 28 U.S.C. § 636(b)(1)(A). “A finding is ‘clearly erroneous’ when although there is evidence to support it, the reviewing court on the entire evidence is left with the definite and firm conviction that a mistake has been committed.” U.S. v. U.S. Gypsum Co., 333 U.S. 364, 395, 68 S.Ct. 525, 92 L.Ed. 746 (1948).

III. Analysis

Defendant attacks all or part of each of Plaintiffs claims under the Complaint.

A. Claims for Silent Fraud, Actual Fraud, Negligence and Claims Arising Under the MCPA may Coexist with Breach of Contract Claims

As an initial matter, Defendant argues that non-contract causes of action cannot coexist with breach of contract claims. Defendant primarily relies on the following language from the Michigan Supreme Court, explaining the policies behind Michigan’s No-Fault Insurance Act:

The Michigan No-Fault Insurance Act, which became law on October 1, 1973, was offered as an innovative social and legal response to the long delays, inequitable payment structure, and high legal *744 costs inherent in the tort (or “fault”) liability system. The goal of the no-fault insurance system was to provide victims of motor vehicle accidents with assured, adequate, and prompt reparation for certain economic losses. The Legislature believed this goal could be most effectively achieved through a system of compulsory insurance, whereby every Michigan motorist would be required to purchase no-fault insurance or be unable to operate a vehicle legally in this state.

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Bluebook (online)
467 F. Supp. 2d 740, 2006 U.S. Dist. LEXIS 91387, 2006 WL 3759966, Counsel Stack Legal Research, https://law.counselstack.com/opinion/buntea-v-state-farm-mutual-auto-insurance-mied-2006.