Cohen v. Auto Club Ins. Ass'n

620 N.W.2d 840, 463 Mich. 525
CourtMichigan Supreme Court
DecidedJanuary 17, 2001
DocketDocket 116473
StatusPublished
Cited by27 cases

This text of 620 N.W.2d 840 (Cohen v. Auto Club Ins. Ass'n) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cohen v. Auto Club Ins. Ass'n, 620 N.W.2d 840, 463 Mich. 525 (Mich. 2001).

Opinion

Per Curiam.

The defendant insurance company sold the plaintiff a policy that included a clause voiding the policy in the event the plaintiff misrepresented a *526 material fact. The insurer later denied coverage on the basis of that clause, but the circuit court and Court of Appeals ruled that the clause was unlawful. We reverse in part the judgments of the circuit court and the Court of Appeals and remand this case to the circuit court.

i

In December 1993, plaintiff Thisha Cohen was involved in a motor vehicle accident in the city of Detroit. 1 She describes her injuries as “severe and debilitating,” and says that they have resulted in “a serious impairment of a body function.” She alleges economic and noneconomic damages.

At the time of the accident, Ms. Cohen was insured by defendant Auto Club Insurance Association (acia). The driver of the other vehicle was an uninsured motorist.

Ms. Cohen’s policy included uninsured motorist coverage, as well as a provision allowing such claims to be submitted to arbitration. 2 However, acia refused to provide coverage and refused to participate in arbitration. The basis of acia’s refusal was its conclusion that Ms. Cohen had submitted false documentation regarding her wage loss. 3

*527 In denying coverage, acia relied on a policy clause that voids the entire policy if the insured misrepresents a material fact relating to a claim. The clause states:

This entire Policy is void if an insured person has intentionally concealed or misrepresented any material fact or circumstance relating to:
a. this insurance;
b. the Application for it;
c. or any claim made under it.

Faced with acia’s refusals, Ms. Cohen filed suit in circuit court. She asked for an order compelling ACIA to submit her uninsured motorist claim to arbitration. 4

In a motion for summary disposition, Ms. Cohen denied any misconduct. For purposes of the motion, she further argued that the alleged misrepresentation should have no bearing on her claim. She said that “no portion of the Uninsured Motorist Claim seeks wage loss benefits” and that she “seeks an uninsured motorist arbitration to ascertain to what pain and suffering damage she is entitled.” Thus, “every allegation of fraud is totally irrelevant to the uninsured motorist arbitration.” Further, she argued that a no-fault policy can be rescinded only for misrepresentation in the course of applying for the policy.

Responding to the motion, acia asked that summary disposition be entered in its favor. It observed that uninsured motorist coverage is contractual, and is not *528 required by statute. Thus, there is no basis in law for failing to enforce the policy clause.

The circuit court ruled that “the insurance policy can only be void if there’s a material misrepresentation in the application for no-fault insurance.” The court granted summary disposition in favor of Ms. Cohen, and ordered that her uninsured motorist claim be submitted to arbitration. 5

The Court of Appeals granted leave to appeal, 6 and later issued a judgment in which it affirmed the circuit court order that sent Ms. Cohen’s uninsured motorist claim to arbitration. 7 238 Mich App 602; 606 NW2d 664 (1999). 8

Acia has applied to this Court for leave to appeal.

n

This case involves issues concerning the proper interpretation and application of a contract of insurance, and we review such questions de novo. Morley v Automobile Club of Michigan, 458 Mich 459, 465; 581 NW2d 237 (1998). It also presents issues of statutory construction, which likewise are reviewed de novo. Brown v Michigan Health Care Corp, 463 Mich 368, 374; 617 NW2d 301 (2000).

*529 m

The Court of Appeals affirmed on the authority of MCL 257.520(f)(1); MSA 9.2220(f)(1), which provides in part that “[e]very motor vehicle liability policy shall be subject to the following provisions”:

The liability of the insurance carrier with respect to the insurance required by this chapter shall become absolute whenever injury or damage covered by said motor vehicle liability policy occurs; said policy may not be cancelled or annulled as to such liability by any agreement between the insurance carrier and the insured after the occurrence of the injury or damage; no statement made by the insured or on his behalf and no violation of said policy shall defeat or void said policy, and except as hereinafter provided, no fraud, misrepresentation, assumption of liability or other act of the insured in obtaining or retaining such policy, or in adjusting a claim under such policy, and no failure of the insured to give any notice, forward any paper or otherwise cooperate with the insurance carrier, shall constitute a defense as against such judgment creditor.

The Court of Appeals concluded that the disputed clause of the policy violated the statutory mandate that “no statement made by the insured or on his behalf and no violation of said policy shall defeat or void said policy.” MCL 257.520(f)(1); MSA 9.2220(f)(1). Acknowledging that an insurer can declare a policy void ab initio if the insured obtains the policy through intentional misrepresentation of a material fact in the application process, the Court of Appeals contrasted the present case, in which the policy was obtained without initial untruth. 238 Mich App 607.

As indicated, MCL 257.520(f)(1); MSA 9.2220(f)(1) states requirements for a “motor vehicle liability pol *530 icy.” However, the analysis of the Court of Appeals omits MCL 257.520(g); MSA 9.2220(g), which limits that crucial term:

Any policy which grants the coverage required for a motor vehicle liability policy may also grant any lawful coverage in excess of or in addition to the coverage specified for a motor vehicle liability policy and such excess or additional coverage shall not be subject to the provisions of this chapter. With respect to a policy which grants such excess or additional coverage the term “motor vehicle liability policy” shall apply only to that part of the coverage which is required by this section. [Emphasis supplied.]

That concluding phrase (“the coverage which is required by this section”) means a policy of Lability insurance as specified in the earlier subsections of MCL 257.520; MSA 9.2220.

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Bluebook (online)
620 N.W.2d 840, 463 Mich. 525, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cohen-v-auto-club-ins-assn-mich-2001.