Estate of John Neilson Jackson v. Pioneer State Mutual Ins Co

CourtMichigan Court of Appeals
DecidedAugust 10, 2023
Docket360831
StatusUnpublished

This text of Estate of John Neilson Jackson v. Pioneer State Mutual Ins Co (Estate of John Neilson Jackson v. Pioneer State Mutual Ins Co) 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
Estate of John Neilson Jackson v. Pioneer State Mutual Ins Co, (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

JANET JACKSON, Personal Representative of the UNPUBLISHED ESTATE OF JOHN NEILSON JACKSON, August 10, 2023

Plaintiff-Appellee,

v No. 360831 Wayne Circuit Court PIONEER STATE MUTUAL INSURANCE LC No. 19-002256-NF COMPANY,

Defendant-Appellant.

Before: BOONSTRA, P.J., and LETICA and FEENEY, JJ.

PER CURIAM.

Defendant appeals by right the judgment in favor of plaintiff entered by the trial court after a jury trial. We affirm.

I. PERTINENT FACTS AND PROCEDURAL HISTORY

On February 22, 2018, John Jackson (John), then 82 years old, was involved in a motor vehicle accident. Defendant was Jackson’s no-fault automobile insurer at the time of the accident. In 2019, John filed suit against defendant, alleging that defendant had refused to pay all of the personal protection injury (PIP) benefits to which he was entitled under the no-fault act. John died while this matter was pending and the personal representative of his estate was substituted as the plaintiff.

At trial, plaintiff claimed that John had suffered a minor stroke while driving, which caused him to strike another vehicle and caused his head to strike the steering wheel of his own vehicle, resulting in severe head trauma, including a nasal fracture and a serious nose bleed. Some of the blood entered John’s lung, which impacted the flow of oxygen to his brain. John was hospitalized for approximately 12 days in an intensive care unit after the accident, and then spent approximately seven weeks in a rehabilitation facility. Plaintiff alleged that defendant had refused to pay PIP benefits he was due, including medical expenses, replacement services, and attendant-care services provided by John’s wife (Janet) and their son (Robert), as they cared for him 24 hours a day, seven days a week, in the family home until his death. Plaintiff presented witnesses, including his

-1- treating physicians and expert witnesses, who attributed John’s physical decline and need for continuing care to the injuries and trauma he experienced in the motor vehicle accident.

Defendant paid some medical expenses for John’s care after the accident, but denied liability for other benefits. Defendant’s position at trial was that, after John had received medical treatment related to the accident for a period of time, his remaining health conditions were attributable to other preexisting conditions or supervening causes. At trial, defendant offered the testimony of its own expert witnesses, who opined that John’s condition after June 30, 2018 was primarily due to other preexisting conditions and strokes unrelated to the motor vehicle accident. Defendant pointed out that John had experienced another stroke shortly after the accident, which defendant claimed was the reason he needed continuing care from his family.

The jury found that John had sustained an accidental bodily injury, that the injury arose out of the ownership, operation, maintenance, or use of a motor vehicle as a motor vehicle on February 22, 2018, and that allowable expenses were incurred by or on behalf of John arising out of the accident. The jury awarded plaintiff $686,294.42 for medical expenses and attendant care services. The jury also found that John had incurred replacement-service expenses as a result of the accidental bodily injury and awarded benefits of $15,500. Finally, the jury found that payment for the expenses was overdue, entitling plaintiff to $105,679.75 in interest.

After the jury’s verdict, defendant moved the trial court for a judgment notwithstanding the verdict (JNOV), arguing that plaintiff had failed to offer any proof that it had incurred any obligation for the payment of attendant care services, replacement services, or medical payments. The trial court denied the motion and subsequently entered a judgment reflecting the jury’s verdict. This appeal followed.

II. JNOV

Defendant argues that the trial court erred by denying its motion for JNOV. We disagree. This Court reviews de novo a trial court’s ruling on a motion for JNOV. Hecht v Nat’l Heritage Academies, Inc, 499 Mich 586, 604; 886 NW2d 135 (2016). We review a trial court’s ruling on a motion for JNOV by reviewing the evidence and all legitimate inferences in the light most favorable to the nonmoving party. Hecht, 499 Mich at 604. “Only if the evidence so viewed fails to establish a claim as a matter of law, should the motion be granted.” Id. If reasonable jurors could have honestly reached different conclusions, the jury’s verdict must stand. Id. at 605-606.

After the jury returned its verdict, defendant moved for JNOV, arguing that Janet, as personal representative of plaintiff, never presented a claim for medical expenses to the estate as is required of estate creditors, and that plaintiff therefore never incurred any liability to Janet or Robert for attendant care or replacement services. Plaintiff argued that defendant was precluded from raising this argument because it did not assert it as an affirmative defense and had delayed raising this issue to plaintiff’s prejudice. Further, plaintiff noted that this action was filed while John was still alive, and that his claims survived his death regardless of any probate court proceedings. The trial court denied defendant’s motion, stating:

First, the Court does agree that this is an affirmative defense and it was not brought and it was not brought timely. As far as even if the—it is thought that this

-2- was not an affirmative defense, the Court notes the Plaintiff was alive when the claims were brought and the suit was filed for these claims. The personal—and he passed away, during the suit. A PR was merely named in the suit to substitute in for the deceased and to represent the claims that were already filed. The claims would survive, you know, the death and are not extinguished merely due to his death and as an insured incurs an expense, under [MCL] 500.3107, Section 1, when he becomes liable for it and responsible and that’s claimed prior to his death when he filed the—when he filed the suit when he was alive. And so I do not agree with Defense counsel’s interpretation of the probate statute, that this somehow limits the estate’s ability to proceed on this claim and—and for the reasons stated by the Plaintiff, the Court is going to [deny] the motion for judgment notwithstanding the verdict.

Defendant argues on appeal that it was entitled to JNOV because plaintiff did not incur any obligation to pay Janet or Robert for attendant care or replacement services, because there was no evidence that they submitted any claims for reimbursement to the estate. Defendant’s argument assumes that Janet and Robert were estate creditors who were required to seek reimbursement for their services directly from John, and therefore from his estate upon his death, and that their alleged failure to properly pursue a claim against John or his estate thereby relieves defendant of any liability for payment of attendant care or replacement services to John, defendant’s insured. We disagree. John (and, subsequent to his passing, his estate) was entitled to seek recovery of no-fault benefits for attendant care and replacement services before his death, and those claims survived his death.

In order to recover “allowable expenses” under MCL 500.3107(1), the plaintiff bears the burden of proving that (1) the charge for the service performed was reasonable, (2) the expense was reasonably necessary, and (3) the expense was incurred. Williams v AAA Mich, 250 Mich App 249, 258; 646 NW2d 476 (2002).

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