Hamilton v. AAA MICHIGAN

639 N.W.2d 837, 248 Mich. App. 535
CourtMichigan Court of Appeals
DecidedFebruary 25, 2002
DocketDocket 217618
StatusPublished
Cited by14 cases

This text of 639 N.W.2d 837 (Hamilton v. AAA MICHIGAN) 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
Hamilton v. AAA MICHIGAN, 639 N.W.2d 837, 248 Mich. App. 535 (Mich. Ct. App. 2002).

Opinion

Wilder, J.

In this insurance dispute, defendant AAA Michigan appeals by leave granted from the trial court’s order permanently enjoining AAA from refusing to pay regular inpatient telephone and television *537 access charges for hospitalized insureds and certifying a class of plaintiffs consisting of all those insured by AAA who have received fourteen days or more of inpatient medical treatment and incurred telephone and television access charges that were denied by AAA. We reverse and remand.

I. BASIC FACTS AND PROCEDURAL BACKGROUND

Plaintiff Angela Hamilton, as next friend of her teenage daughter Tiandra Gunn, filed suit against AAA for automobile insurance benefits under subsection 3107(l)(a) of Michigan’s no-fault insurance act, MCL 500.3107(l)(a), after Tiandra was severely and permanently injured in a bus accident. Plaintiff’s insurance, primary health insurance through Omni Care and coordinated no-fault medical coverage through AAA, covered all Tiandra’s medical expenses incurred during her eight-week hospitalization except for a $140 charge for Tiandra’s telephone and television use while hospitalized. Both Omnicare and AAA refused to pay the television and telephone charges.

Plaintiff initially sued AAA to recover only for Tiandra’s attendant care and replacement services and those claims have been settled. Plaintiff later filed an amended complaint adding count m, alleging that AAA was responsible under § 3107 of the no-fault act for Tiandra’s basic telephone and television charges while hospitalized, and count IV, alleging that AAA’s policy of denying claims violated the Michigan Consumer Protection Act, MCL 445.901 et seq. Plaintiff additionally requested that the trial court certify a class of plaintiffs, including all insureds who, while hospitalized, incurred basic telephone and television use fees that AAA refused to pay.

*538 AAA filed a motion for summary disposition pursuant to MCR 2.116(C)(10) with regard to counts m and IV of plaintiffs amended complaint. With respect to count m, the trial court ruled that plaintiff was allowed to recover from AAA the telephone and television expenses under subsection 3107(l)(a) of the no-fault act, reasoning as follows:

Under the circumstances of this particular case, where we have a person who evidently is unable to leave bed without some difficulty because of the amputation of a leg, who has had to have extensive rehabilitation in a hospital setting, the Court finds that a [sic] telephone access and TV access are reasonable services to be made available to an injured person and the Court does not interpret [subsection] 3107(l)(a) as limiting those services to medically necessary services, but as those services that would accommodate an injured person. And for those reasons the Court will grant... plaintiff’s motion for summary disposition for payment of those costs and deny defendant’s motion to dismiss those counts.

The trial court declined to consider plaintiff’s request for class certification, but briefly stated that it was not inclined to certify the class because it made findings based on the particular facts and circumstances of plaintiff’s case and, thus, plaintiff was not representative of the class. However, the trial court agreed to entertain arguments regarding the issue at a subsequent hearing.

At the subsequent hearing on plaintiff’s request for class certification, plaintiff argued that a class action would be the only remedy for persons such as Tiandra who were charged for basic television and telephone service while hospitalized, but had already paid their hospital bill. Plaintiff described the question presented as whether AAA’s insureds who were *539 hospitalized for fourteen days or longer were entitled to reimbursement for all medical expenses, including basic telephone and television services, under subsection 3107(l)(a) of the no-fault act. AAA responded that individual fact questions existed in each case and, while it did not dispute the trial court’s award of $140 to plaintiff for the telephone and television charge in the instant case, class certification was not appropriate because the no-fault act was not designed for class action claims or other broad injunctive relief where every case requires an individual factual determination regarding the proper remedy. AAA further noted that, contrary to plaintiff’s contention that AAA has a strict “no-pay” policy regarding these charges, its policy was to pay for basic inpatient telephone and television expenses only when a doctor opined that the services were necessary for cognitive stimulation or other medical reasons.

At the conclusion of the hearing, the trial court found that basic inpatient telephone and television expenses were “reasonable accommodations” and were “reasonably necessary” under subsection 3107(l)(a) of the no-fault act:

I guess the ruling, I should say, goes on how I interpret what § 3107 says for allowable expenses. I cannot fathom that in this day and age where televisions — they would wheel them in if you said, if you wanted them, and the television would come in, television and telephones have become so acceptable as a reasonable accommodation of daily living, that they are made available in virtually every hospital or health care facility to every bed, not only to a room, but to a bed in a room, in recognition, I believe, that this is a reasonable accommodation of daily living and certainly under the No-Fault Act it is to accommodate the care, recovery and rehabilitation of a person and therefore one *540 should be at least as comfortable as possible as they would be at home. That is what those natural accommodations of a TV or a telephone are. The Court will take judicial notice of just the standard of our homes in today’s society having not one television but multiple televisions. There are very few homes that don’t have multiple televisions. There are very few homes that don’t have multiple telephones including — what do you call those — cordless telephones, cell phones, now cell digital phones. So I believe that the No-Fault Act is a live and breathing act because it doesn’t delineate the specific items for which compensation is allowed, but it gives categories, and that is those as previously indicated under § 3107 that are reasonably necessary or a reasonable accommodation for an injured person.

The trial court granted a permanent injunction prohibiting AAA from refusing to pay basic inpatient telephone and television access charges for hospitalized insureds, and ordered AAA to pay reasonable charges for basic inpatient telephone and television access, excluding extra items such as charges for long distance or toll calls, pay-per-view television, and video rental fees. The trial court additionally certified a class of plaintiffs consisting of all insureds who received fourteen days or more of inpatient medical treatment and incurred during their stay in the hospital basic telephone and television access charges that were denied by AAA. This Court granted AAA’s application for leave to appeal the trial cpurt’s entry of a permanent injunction and certification of a class. Hamilton v AAA Michigan, unpublished order of the Court of Appeals (Docket No. 217618).

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Bluebook (online)
639 N.W.2d 837, 248 Mich. App. 535, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hamilton-v-aaa-michigan-michctapp-2002.