Justin Childers v. Progressive Marathon Ins Co

CourtMichigan Supreme Court
DecidedJune 7, 2024
Docket164953
StatusPublished

This text of Justin Childers v. Progressive Marathon Ins Co (Justin Childers v. Progressive Marathon Ins Co) 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
Justin Childers v. Progressive Marathon Ins Co, (Mich. 2024).

Opinion

Michigan Supreme Court Lansing, Michigan

Syllabus Chief Justice: Justices: Elizabeth T. Clement Brian K. Zahra David F. Viviano Richard H. Bernstein Megan K. Cavanagh Elizabeth M. Welch Kyra H. Bolden

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

CHILDERS v PROGRESSIVE MARATHON INSURANCE COMPANY

Docket Nos. 164953 and 164954. Argued on application for leave to appeal on March 13, 2024. Decided June 7, 2024.

Susan Childers brought an action against Progressive Marathon Insurance Company in the Genesee Circuit Court as conservator for her son, Justin Childers, who had been injured in an automobile collision on August 6, 2011, that rendered him quadriplegic. Justin had initially received no-fault personal protection insurance (PIP) benefits from plaintiff’s insurer, American Fellowship Mutual Insurance Company, which was the first-priority insurer, but that insurer was declared insolvent on June 12, 2013. The Michigan Property and Casualty Guaranty Association (the MPCGA) assumed liability for payment of PIP benefits after American Fellowship was declared insolvent. After an investigation, the MPCGA concluded that Progressive was next in statutory priority after American Fellowship to provide Justin’s PIP benefits. Progressive first received notice of Justin’s injuries when it was informed of his claim on September 24, 2013, and Progressive denied Justin’s claim in October 2013.

Plaintiff filed this action against Progressive for Justin’s PIP benefits, and the court, Brian S. Pickell, J., later granted the MPCGA’s motion to intervene as a plaintiff in the action; the MPCGA agreed that Progressive was primarily liable for the payment of no-fault benefits, and it sought reimbursement under the Property and Casualty Guaranty Association Act (the guaranty act), MCL 500.7901 et seq., for the amount of PIP benefits it had already paid on Justin’s behalf. Progressive responded that the complaints were untimely filed and that Progressive was not in the line of priority insurers. On cross-motions for summary disposition, the trial court denied relief to plaintiff and the MPCGA and granted summary disposition to Progressive. The court concluded that, while neither action was time-barred by MCL 500.3145(1), Progressive was not within statutory priority for Justin’s benefits.

Plaintiff and the MPCGA appealed, and Progressive cross-appealed. In a published opinion, the Court of Appeals, CAVANAGH, P.J., and GARRETT and YATES, JJ., reversed the trial court’s order and remanded for entry of orders granting summary disposition in favor of plaintiff and the MPCGA. 343 Mich App 257 (2022). The Court of Appeals concluded that, given the structure and purpose of the MPCGA, the one-year limitations period in MCL 500.3145(1) did not govern because the MPCGA is not generally subject to the no-fault act, MCL 500.3101 et seq., and the MPCGA did not bring the action under no-fault act. Instead, the Court of Appeals reasoned, the MPCGA’s right to proceed against Progressive came from the guaranty act, which allows the MPCGA to claim reimbursement from another insurer in the chain of designated priority insurers. Because the guaranty act applied and because that act does not include a provision governing accrual of actions brought under that act or a statute of limitations for such actions, the Court reasoned that the default six-year limitations period of MCL 600.5813 applied. Thus, the MPCGA had six years from the date American Fellowship was declared insolvent to bring this action, and the MPCGA’s action was therefore timely. The Court of Appeals alternatively held that, even if the MCL 500.3145(1) one-year limitations period applied, the period would run from the date of American Fellowship’s insolvency, making the MPCGA’s action timely regardless of whether the correct limitations period was one year or six years. The Court of Appeals also held that, to the extent plaintiff’s action was independent from the MPCGA’s action, it was similarly not subject to the MCL 500.3145(1) limitations period because that claim also arose under the guaranty act. Progressive sought leave to appeal, and the Supreme Court ordered and heard oral argument on whether to grant the application for leave to appeal or take other action. 511 Mich 966 (2023).

In a unanimous opinion by Justice CAVANAGH, the Supreme Court, in lieu of granting leave to appeal, held:

The one-year limitations period in MCL 500.3145(1) applies where either an insured or the MPCGA brings an action for PIP benefits against a lower priority no-fault insurer after the higher priority insurer becomes insolvent. Plaintiff’s action against Progressive was barred by the limitations period because plaintiff did not file the action within a year of the accident or give written notice of injury to Progressive during that period, and Justin did not previously receive PIP benefits from the insurer. In the MPCGA’s action, recovery was limited to the underlying claimant’s—i.e., Justin’s—right to recover PIP benefits; accordingly, the MPCGA’s action was similarly time-barred. The trial court therefore erred by granting summary disposition in favor of plaintiff and the MPCGA. Part II(A)(2) of the Court of Appeals opinion was reversed, the remainder of that opinion was vacated, and the case was remanded to the trial court for further proceedings.

1. The MPCGA is an association of insurers (other than life and disability insurers) licensed to do business in Michigan that was established under the guaranty act. Under certain circumstances, the MPCGA is required by statute to pay insurance benefits owed to an insured if their insurer becomes insolvent. Relevant here, the MPCGA has a statutory duty under MCL 500.7931(1) and MCL 500.7925 to pay obligations of insolvent insurers that come within the act’s definition of “covered claims,” which are obligations of an insolvent insurer that meet specific statutory conditions. However, the MPCGA is not obligated to pay benefits for all covered claims. Instead, MCL 500.7931(3) of the guaranty act (the credit provision) grants the MPCGA the right to receive a credit toward payment on covered claims if damages or benefits are recoverable by a claimant from another insurance policy, including a no-fault insurance policy; the claimant must first exhaust all coverage provided by any policy before obtaining benefits from the MPCGA. In addition, under MCL 500.7935(2) (the assignment provision), the MPCGA may also recoup benefits it already paid a claimant through a statutory assignment of any other rights the insured or claimant may have against another person for payment of the covered claim paid by the association. 2. At the time of both Justin’s accident and the filing of the case in 2013, MCL 500.3145(1) provided that a person filing a claim for PIP benefits must do so within one year of the accident unless the insured gives written notice of injury or previously received PIP benefits from the insurer. MCL 500.3145(1) applies to an action to recover PIP benefits, and there is no stated exception for such actions brought against an insurer after a higher priority insurer becomes insolvent. Although the credit provision of the guaranty act imposes on a plaintiff the duty to exhaust all coverage provided by any policy, the nature of the action remains an action to recover PIP benefits under the no-fault act. Stated differently, the credit provision of the guaranty act only requires a claimant to pursue coverage that is “provided by” another policy—it does not expand a claimant’s right to recover on that policy or otherwise provide an independent cause of action against an insurer.

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Justin Childers v. Progressive Marathon Ins Co, Counsel Stack Legal Research, https://law.counselstack.com/opinion/justin-childers-v-progressive-marathon-ins-co-mich-2024.