Dairyland Insurance Company v. Cameron Mews

CourtMichigan Court of Appeals
DecidedJuly 20, 2023
Docket359855
StatusPublished

This text of Dairyland Insurance Company v. Cameron Mews (Dairyland Insurance Company v. Cameron Mews) 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
Dairyland Insurance Company v. Cameron Mews, (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

DAIRYLAND INSURANCE COMPANY, FOR PUBLICATION July 20, 2023 Plaintiff/Counterdefendant-Appellee, 9:05 a.m.

v No. 359855 Oakland Circuit Court CAMERON MEWS, LC No. 2020-184192-NF

Defendant/Counterplaintiff,

and

INTENSIVE CASE MANAGEMENT, LLC,

Defendant-Appellant.

INTENSIVE CASE MANAGEMENT,

Plaintiff-Appellee,

v No. 361345 Wayne Circuit Court DAIRYLAND INSURANCE COMPANY, LC No. 21-013892-NF

Defendant,

MICHIGAN CATASTROPHIC CLAIMS ASSOCIATION,

DIVERSIFIED HOME HEALTH CARE,

-1- Plaintiff-Appellee,

v No. 361348 Wayne Circuit Court DAIRYLAND INSURANCE COMPANY, LC No. 21-013983-NF

v No. 361351 Wayne Circuit Court DAIRYLAND INSURANCE COMPANY, LC No. 21-013892-NF

Defendant-Appellant,

Defendant.

v No. 361357 Wayne Circuit Court DAIRYLAND INSURANCE COMPANY, LC No. 21-013983-NF

-2- MICHIGAN CATASTROPHIC CLAIMS ASSOCIATION,

Before: PATEL, P.J., and BOONSTRA and RICK, JJ.

PATEL, P.J.

These consolidated appeals1 involve separate lawsuits regarding benefits under the no-fault act, MCL 500.3101 et seq., for Cameron Mews. Mews’s insurer, Dairyland Insurance Company, initiated the first lawsuit, against Mews, in Oakland Circuit Court to establish Mews’s entitlement to personal protection insurance (PIP) benefits. In the interim, Mews’s providers, Intensive Case Management (ICM) and Diversified Home Health Care, filed separate suits against Dairyland and the Michigan Catastrophic Claims Association (MCCA) in the Wayne Circuit Court, seeking the same determination on Mews’s behalf as his assignees.

Because no prior pending suit existed between ICM and Dairyland, we find that the Oakland Circuit Court erred by denying ICM’s motion for summary disposition under MCR 2.116(C)(6) in Docket No. 359855. And because the pending Wayne Circuit case was the first case between ICM and Dairyland, the Wayne Circuit Court did not err by denying Dairyland’s motion for summary disposition under MCR 2.116(C)(6) in Docket No. 361351. The Wayne Circuit Court also did not abuse its discretion by denying Dairyland’s motion for change of venue given that Dairyland failed to establish that the Wayne County venue was inconvenient. In Docket No. 361357, the Wayne Circuit Court did not err by denying Dairyland’s motion for summary disposition under MCR 2.116(C)(6) because no prior pending litigation existed between Dairyland and Diversified. The Wayne Circuit Court also did not abuse its discretion by denying Dairyland’s motion for change of venue given that Dairyland failed to establish that the Wayne County venue was inconvenient. Finally, in Docket Nos. 361345 and 361348, the Wayne Circuit Court erred by denying the MCCA’s motion for summary disposition under MCR 2.116(C)(8) on ICM and Diversified’s claims for tortious interference with a business expectancy and violation of the ELCRA. We reverse and remand for further proceedings in Docket Nos. 359855, 351345, and 361348; and affirm in Docket Nos. 361351 and 361357.

I. FACTS AND PROCEDURAL HISTORY

On October 14, 2010, Mews was in a motorcycle accident. Mews sustained a cervical- spine injury that rendered him a tetraplegic. Since that time, Mews has required around-the-clock nursing and attendant care. Mews receives some services through ICM, a business founded, owned, and run by Mews’s mother, Rebecca Mews, and some services through Diversified.

1 This Court consolidated these appeals on its own motion. See Intensive Case Mgt v Dairyland Ins Co, unpublished order of the Court of Appeals, entered Sept 23, 2022 (Docket No. 361345).

-3- Dairyland is the no-fault insurer responsible for payment of Mews’s PIP benefits. Pursuant to a settlement agreement, Dairyland paid PIP benefits for attendant care and skilled-nursing care at an agreed upon rate through November 30, 2019.2

After the settlement agreement expired, Mews claimed PIP benefits for attendant care and skilled-nursing care beginning on December 1, 2019. Dairyland maintained that Mews failed to respond to its requests for information and documentation regarding his claim, failed to submit to insurance medical examinations (IMEs), and failed to allow an in-home inspection. Dairyland asserted that it was not liable nor required to pay for benefits claimed by Mews for which Dairyland was not provided reasonable proof of fact and amount of loss.

A. OAKLAND CIRCUIT COMPLAINT AND COUNTERCOMPLAINT

On October 22, 2020, Dairyland filed suit in the Oakland Circuit Court seeking a declaratory judgment that Mews was required to attend an IME and that Dairyland was not liable for any claims for which Mews had not submitted reasonable proof (hereinafter, “Oakland Circuit case” (LC No. 20-184192-NF)). Mews filed a counterclaim against Dairyland for recovery of PIP benefits, and added the MCCA as a defendant. Mews alleged a claim of tortious interference with a business expectancy against the MCCA, asserting that the MCCA had been leveraging its position as a reimbursement agency to assert influence over the rates paid for Mews’s care. He also alleged that the MCCA violated the ELCRA by denying or reducing Mews’s rates for services because he is African-American.

The MCCA moved for summary disposition under MCR 2.116(C)(8), which the Oakland Circuit Court granted. The court concluded that Mews’s claim for tortious interference with business expectancy failed as a matter of law

because the MCCA’s alleged conduct is not per se wrongful, nor is it a lawful act done with malice. The MCCA has a duty under the no-fault act to oversee Dairyland’s adjustment of Mews’[s] claim, pursuant to MCL 500.3104(7). Specifically, MCL 500.3104(7)(g) provides that the MCCA shall

[e]stablish procedures for reviewing claims procedures and practices of members of the association. If the claims procedures or practices of a member are considered inadequate to properly service the liabilities of the association, the association may undertake or may contract with another person, including another member, to adjust or assist in the adjustment of claims for the member on claims that create a potential liability to the association and may charge the cost of the adjustment to the member.

Further, MCL 500.3104(7)(b) provides that Dairyland must provide reports to the MCCA about Mews’[s] claim, including “subsequent developments likely to

2 Because the PIP expenses incurred to date exceed the $600,000 statutory threshold, Mews’s claim is “catastrophic” and Dairyland may seek reimbursement from the MCCA for PIP benefits paid beyond the statutory threshold. See MCL 500.3104.

-4- materially affect the interest of the association in the claim.” MCL 500.3104(7)(c) requires Dairyland to report detailed losses and expenses associated with Mews’[s] claim “in the form and detail as required by the plan of operation.” The preapproval process is permitted by the plan of operation, which in turn is authorized by statute, as a means of containing costs of catastrophic claims.

Mews’[s] allegations that the MCCA’s conduct is per se improper, illegal, and unethical are mere conclusions, and they are not supported by facts.

The court also found that Mews’s ELCRA claim failed as a matter of law

because the MCCA is not a place of public accommodation for purposes of ELCRA. The MCCA offers no products, services, facilities, or anything else to the public. It is an association, created by statute, whose members are insurers.

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Dairyland Insurance Company v. Cameron Mews, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dairyland-insurance-company-v-cameron-mews-michctapp-2023.