Esurance Prop & Casualty Ins Co v. Michigan Assigned Claims Plan

CourtMichigan Supreme Court
DecidedJuly 26, 2021
Docket160592
StatusPublished

This text of Esurance Prop & Casualty Ins Co v. Michigan Assigned Claims Plan (Esurance Prop & Casualty Ins Co v. Michigan Assigned Claims Plan) 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
Esurance Prop & Casualty Ins Co v. Michigan Assigned Claims Plan, (Mich. 2021).

Opinion

Michigan Supreme Court Lansing, Michigan Chief Justice: Justices:

Syllabus Bridget M. McCormack Brian K. Zahra David F. Viviano Richard H. Bernstein Elizabeth T. Clement Megan K. Cavanagh Elizabeth M. Welch

This syllabus constitutes no part of the opinion of the Court but has been Reporter of Decisions: prepared by the Reporter of Decisions for the convenience of the reader. Kathryn L. Loomis

ESURANCE PROPERTY & CASUALTY INSURANCE COMPANY v MICHIGAN ASSIGNED CLAIMS PLAN

Docket No. 160592. Argued on application for leave to appeal April 8, 2021. Decided July 26, 2021.

Esurance Property & Casualty Insurance Company filed an action in the Wayne Circuit Court against the Michigan Assigned Claims Plan (MACP) and the Michigan Automobile Insurance Placement Facility (MAIPF), seeking reimbursement from defendants for the personal protection insurance (PIP) benefits Esurance had paid to Roshaun Edwards for the injuries he sustained in a motor vehicle crash; there were no other vehicles involved in the crash. Edwards did not have no-fault insurance at the time of the accident, and he did not live with a resident relative who had no-fault insurance. At the time of the accident, the vehicle Edwards was driving was registered in Michigan and titled to Anthony Robert White II (Anthony), who also did not have no-fault insurance of his own. The vehicle was insured by Esurance under a Colorado automobile insurance policy issued to Anthony’s mother, Luana Edwards White (Luana). When Luana obtained the policy, she falsely represented that she owned the vehicle, that she lived in Colorado, and that the vehicle would be garaged in that state. Edwards sought PIP benefits from Esurance, and Esurance began paying those benefits. Edwards also applied for benefits from the MACP (as administered by the MAIPF), but the MAIPF did not assign a servicing insurer to Edwards’s claim under MCL 500.3175 because Esurance had already taken responsibility for paying PIP benefits to Edwards. When Esurance eventually discovered that Luana had obtained the Colorado policy through her fraudulent misrepresentations, it obtained in the Macomb Circuit Court a default judgment against Edwards, Anthony, and Luana that rescinded the policy, declaring it void ab initio. Esurance then filed this equitable-subrogation claim, requesting an order requiring defendants to reimburse it for the PIP benefits it had paid to Edwards. Defendants moved for summary disposition under MCR 2.116(C)(8), arguing that there was no legal basis for the claim because the no-fault act, MCL 500.3101 et seq., did not contemplate reimbursement and indemnification rights in these circumstances. Esurance argued that it could stand in Edwards’s place and pursue a claim against defendants through the doctrine of equitable subrogation because Edwards could seek recovery from defendants given that Edwards had timely filed for benefits from the MACP and was not covered by a no-fault policy. The court, David J. Allen, J., granted summary disposition for defendants. Relying on the doctrine expressio unius est exclusio alterius, the trial court concluded that equitable subrogation was unavailable to Esurance because while the no-fault act contained some provisions that contemplated reimbursement and indemnification, none of those provisions allowed Esurance to seek reimbursement from defendants in these circumstances. Esurance appealed. In a published opinion, the Court of Appeals (METER, P.J., and O’BRIEN and SWARTZLE, JJ.), affirmed the trial court’s dismissal of Esurance’s complaint but on different grounds. The Court concluded that Esurance’s equitable-subrogation claim failed as a matter of law for either of two reasons: (1) if the policy existed when Esurance paid the PIP benefits, Esurance’s equitable-subrogation claim failed because Edwards could not have pursued benefits from defendants under MCL 500.3172(1); and (2) if the policy was void ab initio, then Esurance was a volunteer when it paid the benefits and could not recover its payment of them to Edwards from defendants. In so holding, the Court also rejected the trial court’s application of the doctrine expressio unius est exclusio alterius, reasoning that the trial court had misapplied the canon when analyzing reimbursement provisions in the no-fault act and from there concluding that Esurance could not make out a claim for equitable subrogation. 330 Mich App 584 (2019). Esurance sought leave to appeal.

In an opinion by Justice ZAHRA, joined by Chief Justice MCCORMACK and Justices BERNSTEIN, CAVANAGH, and WELCH, the Supreme Court, in lieu of granting leave to appeal, held:

When a paying insurer has at least an arguable duty to pay benefits under the no-fault act, the insurer is simply protecting its own interests and not acting as a volunteer, and it may invoke the doctrine of equitable subrogation to recover any benefits paid erroneously. The mere existence of an insurance policy that ostensibly covers a claimant does not ipso facto render it a policy “applicable to the injury” for purposes of MCL 500.3172(1)(a). Instead, to determine whether there is an “applicable” policy, courts must perform an order-of-priority analysis under MCL 500.3114(1) and (4)(a) through (b).

1. Equitable subrogation is a flexible, elastic doctrine of equity that is analyzed on the case-by-case basis characteristic of equity jurisprudence. Equitable subrogation is the method by which equity compels the ultimate payment of a debt by one who in justice, equity, and good conscience ought to pay it. It is a legal fiction through which a person who pays a debt for which another is primarily responsible is substituted or subrogated to all the rights and remedies of the other. Under the doctrine, the subrogee acquires no greater rights than those possessed by the subrogor, and to recover, the subrogee may not be a mere volunteer. For purposes of equitable subrogation, a “volunteer” is one who intrudes into a matter that does not concern the person, or one who pays the debt of another without request when the person is not legally or morally bound to do so and has no interest to protect in making the payment. A person paying the debt is not a volunteer when the person has an interest to protect. In addition, a payment is not voluntary when made under compulsion, in ignorance of the real state of facts, or under an erroneous impression of one’s legal duty. To that end, an insurance company is not a volunteer when it pays expenses on behalf of its insured pursuant to an insurance contract. Similarly, when an insurer pays a claim that another insurer may be liable for, the paying insurer is protecting its own interests and is not acting as a volunteer; under those circumstances, the paying insurer is entitled to invoke the doctrine of equitable subrogation because an insurer who has at least an arguable duty to pay is not a volunteer.

2. MCL 500.3114(1), as amended by 2002 PA 38, provided that a person who sustains an accidental bodily injury in a motor vehicle accident must look first to no-fault insurance policies in their own household for PIP benefits—i.e., to the person named in the policy, the person’s spouse, and a relative of either domiciled in the same household—before looking to other insurers for benefits. If a person injured in a motor vehicle accident is not covered by a no-fault policy in their own household, MCL 500.3114(4)(a) and (b) provided that the injured person may next claim PIP benefits from first, the insurer of the owner or registrant of the vehicle occupied and then second, from the insurer of the operator of the vehicle occupied. If the person is unable to collect benefits applicable to the injury through that order of priority, MCL 500.3172(1)(a) provides that the person may claim PIP benefits through the MACP.

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Esurance Prop & Casualty Ins Co v. Michigan Assigned Claims Plan, Counsel Stack Legal Research, https://law.counselstack.com/opinion/esurance-prop-casualty-ins-co-v-michigan-assigned-claims-plan-mich-2021.