Home-Owners Ins. Co. v. Herbert Boxer

CourtCourt of Appeals for the Sixth Circuit
DecidedOctober 18, 2024
Docket23-1935
StatusUnpublished

This text of Home-Owners Ins. Co. v. Herbert Boxer (Home-Owners Ins. Co. v. Herbert Boxer) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Home-Owners Ins. Co. v. Herbert Boxer, (6th Cir. 2024).

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 24a0410n.06

Case No. 23-1935

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT FILED Oct 18, 2024 KELLY L. STEPHENS, Clerk

) HOME-OWNERS INSURANCE COMPANY, ) ON APPEAL FROM THE Plaintiff - Appellee, ) UNITED STATES DISTRICT ) COURT FOR THE WESTERN ) DISTRICT OF MICHIGAN v. ) ) HERBERT BOXER; MARIAN BOXER, ) OPINION ) Defendants - Appellants. )

Before: McKEAGUE, KETHLEDGE, and NALBANDIAN, Circuit Judges.

McKEAGUE, Circuit Judge. The Michigan No-Fault Insurance Act requires automobile

insurers to provide certain personal protection insurance (PIP) benefits to drivers. When it was

first enacted, the No-Fault Act generally required the driver’s insurer to provide PIP benefits to

passengers who were injured in an accident. But in 2019, the No-Fault Act was amended. Now, out-of-state residents who are injured in an accident are not entitled to PIP benefits unless they

owned a vehicle that was registered and insured in Michigan.

Shortly after these amendments were enacted, Herbert and Marian Boxer—residents of

Colorado—were passengers in William Cron’s car. Cron’s car was in an accident in Michigan,

and the Boxers were injured. The question presented to us is whether Cron’s insurer, Home-

Owners Insurance, is required to provide PIP benefits to the Boxers.

Because Cron’s insurance policy with Home-Owners is “subject to” the amended No-Fault Act, we AFFIRM the district court’s grant of summary judgment to Home-Owners. No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.

I.

A. The Michigan No-Fault Insurance Act

The Michigan No-Fault Insurance Act was passed in 1973 as “an innovative social and

legal response to the long payment delays, inequitable payment structure, and high legal costs

inherent in the tort (or ‘fault’) liability system.” Shavers v. Kelley, 267 N.W.2d 72, 77 (Mich.

1978). Under the no-fault system, Michigan motorists are required to purchase a no-fault insurance

policy from a private insurer, and the benefits provided by the insurer are a “substitute” for traditional common law tort remedies. Andary v. USAA Cas. Ins. Co., 1 N.W.3d 186, 192 (Mich.

2023) (quoting Shavers, 267 N.W.2d at 77).

The No-Fault Act requires automobile insurers to include PIP benefits in their policies. See

Mich. Comp. Laws § 500.3101(2) (2019). PIP benefits cover “accidental bodily injury arising out

of the…use of a motor vehicle.” Id. § 500.3105(1) (1973). The benefits must “provide, at

minimum, for payment of ‘[a]llowable expenses consisting of all reasonable charges incurred for

reasonably necessary products, services and accommodations for an injured person’s care[,]

recovery, or rehabilitation,’ subject to exceptions.” Andary, 1 N.W.3d at 193 (first alteration in

original) (quoting Mich. Comp. Laws § 500.3107(1)(a) (2012) (amended 2019)).

In addition to requiring PIP benefits, the No-Fault Act serves as a “rule book” for how

those benefits are awarded. Rohlman v. Hawkeye-Sec. Ins. Co., 502 N.W.2d 310, 313 (Mich.

1993). For example, the No-Fault Act provides that certain categories of people are “excluded”

from PIP benefits. From March 2017 to June 2019, one category excluded people from PIP benefits

if they were (1) “not a resident of this state,” and (2) “an occupant of a motor vehicle or motorcycle

not registered in this state,” when (3) “the motor vehicle or motorcycle was not insured by an

insurer that has filed a certification” in compliance with the No-Fault Act. Mich. Comp. Laws

§ 500.3113(c) (2017) (amended 2019). In other words, until June 2019, out-of-state residents were

2 No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.

not excluded from PIP benefits if they were passengers in a vehicle that was registered and insured

in Michigan.

B. William Cron’s Insurance Policy with Home-Owners

In May 2019, Home-Owners issued an automobile insurance policy to William Cron. The

policy identified William Cron and Sharon Cron as the “insured” and listed four vehicles as the

“item[s] insured.” Insurance Policy, R.22-4 at PageID 208–13. Cron’s policy was effective from

May 2019 to May 2020. In a section titled “No-Fault Insurance Endorsement,” the policy described the PIP benefits

that Home-Owners would provide in the event of an accident. The policy defined the scope of

coverage as follows: Subject to the provisions of this endorsement and of the policy to which this endorsement is attached, we will pay personal injury protection benefits to or on behalf of an injured person for accidental bodily injury arising out of the ownership, operation, maintenance, or use of a motor vehicle as a motor vehicle, subject to the provisions of Chapter 31 of the Michigan Insurance Code. Ownership, operation, maintenance, or use of a motor vehicle as a motor vehicle means that the involvement of the motor vehicle in the bodily injury was directly related to the transportation function of the motor vehicle.

Id. at PageID 230 (emphasis omitted). “Chapter 31 of the Michigan Insurance Code” refers to the No-Fault Act. See Smejkal v. Beck, No. 363394, 2024 WL 1684864, at *6 (Mich. Ct. App. Apr.

18, 2024) (per curiam) (noting that nearly identical contract language refers to “various statutory

limitations set forth within the no-fault act”).

On the final page of the “No-Fault Insurance Endorsement,” the policy described how the

No-Fault Act affected the coverage that Home-Owners was obligated to provide: The premium for the coverages and the limits of liability of the policy have been established in reliance upon the provisions of Chapter 31 of the Michigan Insurance Code. … [P]rovisions of the policy that have been established in reliance upon Chapter 31 of the Michigan Insurance Code shall be voidable and shall revert to conform to applicable provisions of Chapter 31 at the time of the accident.

Insurance Policy, R.22-4 at PageID 235.

3 No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.

C. Amendments to the No-Fault Act

On June 11, 2019—twelve days after Home-Owners issued the insurance policy to Cron—

the Michigan legislature made “sweeping changes” to the No-Fault Act. Andary, 1 N.W.3d at 193.

The amendments to the No-Fault Act were intended to control the rising costs of automobile

insurance. Demske v. Fick, No. 362739, 2024 WL 1685069, at *4 (Mich. Ct. App. Apr. 18, 2024)

(per curiam) (citing Andary, 1 N.W. 3d at 191). Two changes are central to this case.

First, the amended No-Fault Act provides that “[a]n insurer…is not required to provide [PIP benefits] for accidental bodily injury…arising from the…use of a motor vehicle as a motor

vehicle by an out-of-state resident who is insured under the insurer’s automobile liability insurance

policies,” unless the out-of-state resident has a vehicle that is registered and insured in Michigan.

Mich. Comp. Laws § 500.3163 (2019) (emphasis added). Prior to the 2019 amendments, insurers

were required to certify that out-of-state residents who were insured would receive PIP benefits

under their policies. See id. § 500.3163 (2003) (amended 2019).

Second, the amendments modified the categories of people who are excluded from PIP

benefits. After the June 2019 amendments, a person is “not entitled to be paid [PIP benefits] if at

the time of the accident…[t]he person was not a resident of this state, unless the person owned a

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