Fortier v. Aetna Casualty & Surety Co.

346 N.W.2d 874, 131 Mich. App. 784
CourtMichigan Court of Appeals
DecidedFebruary 6, 1984
DocketDocket 67012
StatusPublished
Cited by13 cases

This text of 346 N.W.2d 874 (Fortier v. Aetna Casualty & Surety 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
Fortier v. Aetna Casualty & Surety Co., 346 N.W.2d 874, 131 Mich. App. 784 (Mich. Ct. App. 1984).

Opinion

T. M. Burns, P.J.

On September 20, 1975, plaintiff and her husband, Charles M. Fortier, were involved in a motor vehicle accident. Mr. Fortier died as a result of injuries sustained in that accident. At the time of the accident, the Fortiers were insured by defendant, Aetna Casualty and Surety Company, under a no-fault policy. Defendant was immediately advised of the accident and received a timely application for benefits.

Defendant began paying benefits pursuant to §3108 of the no-fault act, MCL 500.3108; MSA 24.13108. Plaintiff began receiving social security benefits and defendant stopped making these payments. On September 23, 1976, plaintiff brought suit in district court seeking reinstatement of § 3108 benefits and expenses, not exceeding $20 *788 per day, reasonably incurred by plaintiff for the replacement of ordinary and necessary services that the deceased would have performed, but for his death. In addition to these claims, Mrs. Fortier individually brought her own claim for medical and wage losses. Aetna deducted the amount originally paid under § 3108 from this latter claim because they considered that amount to be an overpayment.

On February 22, 1978, defendant sent interrogatories to plaintiff requesting proof to substantiate her claim for loss of services. Plaintiff replied by sending defendant records kept by plaintiff’s children. Mrs. Fortier had agreed to pay her children for services they rendered to replace the services that were formerly performed by her husband. She encouraged the children to keep records of these services. The children marked on calendars the services they performed, the amount of time they spent performing them, and the rates that they charged. Entries from these calendars were then entered onto a ledger. Defendant was given this ledger as proof of these services.

This case went to trial in the district court on June 9, 1980. On the first day of trial, Aetna paid the amount that it had improperly deducted from Mrs. Fortier’s wage loss and medical expenses benefits. Mrs. Fortier’s children then presented testimony of their agreement and of the services that they had rendered. The jury returned a verdict in favor of plaintiff, awarding $10,000 for replacement services and $4,336 for expenses that plaintiff incurred in acquiring Blue Cross insurance which had previously been provided by Mr. Fortier’s employer. The trial judge then awarded 12 percent interest for defendant’s failure to promptly pay the Blue Cross replacement charges, *789 for the charges for replacement services, for the wage loss benefits due plaintiff individually, and for the sum that defendant improperly deducted from the benefits which was paid on the. initial day of trial. The court also awarded attorney fees of one-third of the total sum. Aetna then paid the Blue Cross award with interest and the interest on Mrs. Fortier’s wage loss claim.

Aetna appealed the remainder of the district court’s judgment to the circuit court. The circuit court reversed the district court’s award finding that plaintiff had failed to prove that she had incurred expenses to replace services lost because of the death of her husband. The circuit court found that "checks, receipts and the like” would be required to prove such a claim. A more liberal interpretation of the act, the circuit court felt, would result in reams of collusive litigation. The circuit court also found that when one dependent’s services benefitted another dependent, they were acting in furtherance of the common goal of maintaining the household and, therefore, not replacing their father’s services. The district court judge’s award of penalty interest and attorney fees was also overturned. Plaintiff applied for leave to appeal from the circuit court’s decision, and this Court granted leave.

The circuit court’s ruling that plaintiff could only prove her case by presenting checks and receipts seems to be based on this Court’s decision in Adkins v Auto Owners Ins Co, 105 Mich App 431; 306 NW2d 312 (1980). In Adkins, a widow claimed expenses for replacement services incurred because of her husband’s death. She testified that her husband performed many tasks around the house and "if she were to place a monetary value on his services, she would esti *790 mate $15 to $20 per day was appropriate”. 105 Mich App 433. This Court found that the widow’s testimony was insufficient evidence to show that she had become liable for replacing these services. The widow submitted 12 cancelled checks to establish that she incurred some expenditures to replace her husband’s services. This Court held that the checks were sufficient to prove that she had incurred expenses for the amount of the checks only.

Adkins does not stand for the proposition that one must present the checks, bills, or invoices to support a claim for replacement services. In Adkins, the majority of the widow’s claim was rejected because she failed to establish any agreement to pay for the replacement of these services and only estimated an amount for the value of the lost services. Likewise in Schaible v Michigan Mutual Ins Co, 116 Mich App 116; 321 NW2d 860 (1982), this Court found that an insured’s testimony that he made an agreement with his relatives to pay them for their replacement services if he collected from the insurer was insufficient to prove that he incurred expenses for replacement services. The insured was unable to state how much he had agreed to pay his relatives. The insurer also had paid the insured for half of his claim for replacement services and the insured did not pay any of this money to the relatives pursuant to the agreement. This evidence tends to show that there was no such agreement.

Contrary to the circuit court’s ruling, this Court has found that a plaintiff may recover for replacement services without presenting such formal documentation. In Youmans v Citizens Ins Co of America, 89 Mich App 387; 280 NW2d 539 (1979), *791 lv den 407 Mich 894 (1979), the plaintiffs wife was killed in an automobile accident. Plaintiff remarried and testified that he had an agreement with his new wife to pay her $20 per day to care for his child. He determined this amount based on the benefits provided in the no-fault statute. There was no definite term to the agreement between the parties. This Court allowed plaintiff to recover the claimed expenses. More recently, in Manley v Detroit Automobile Inter-Ins Exchange, 127 Mich App 444; 339 NW2d 205 (1983), a child suffered severe head injuries in an auto accident. The child’s parents brought a claim for services performed for the child. The court, without any documentation, found that there was an implied agreement to provide these services, "[s]ervices performed by Mr. and Mrs. Manley which are 'allowable expenses’ under the rule previously stated are implicitly purchased by [their child] at their reasonable market value”. 127 Mich App 455.

The circuit court erred in requiring plaintiff to present more formal documentation to support her claim. Plaintiff is only required to establish that she incurred a liability. In the instant case, there was testimony to this effect.

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Bluebook (online)
346 N.W.2d 874, 131 Mich. App. 784, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fortier-v-aetna-casualty-surety-co-michctapp-1984.