Kewin v. Massachusetts Mutual Life Insurance

263 N.W.2d 258, 79 Mich. App. 639, 1977 Mich. App. LEXIS 816
CourtMichigan Court of Appeals
DecidedNovember 21, 1977
DocketDocket 31474
StatusPublished
Cited by15 cases

This text of 263 N.W.2d 258 (Kewin v. Massachusetts Mutual Life Insurance) 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
Kewin v. Massachusetts Mutual Life Insurance, 263 N.W.2d 258, 79 Mich. App. 639, 1977 Mich. App. LEXIS 816 (Mich. Ct. App. 1977).

Opinion

Allen, J.

Defendant appeals from the March 29, 1976, jury verdict totaling $142,298.40 for the plaintiff in Genesee County Circuit Court. In addition to the usual procedural and instructional allegations of error, the appeal requires that we analyze the various causes of action and damage remedies available to an insured plaintiff who alleges that the insurance company defendant unreasonably resisted his claims for benefits.

The dispute arose from a disability income policy purchased by the plaintiff from the defendant on September 15, 1972. On December 2, 1972, *642 plaintiff severely injured his right leg in a motorcycle accident and filed a claim for benefits. Defendant, which had some reason to question the validity of the claim, paid benefits for the first two months only after requiring extensive documentation from the plaintiff and requiring that he file a separate claim for each month’s benefits. Simultaneously, the defendant was conducting overt and covert investigations to determine the validity of the claim. Although benefits for the first two months were paid, they were not paid until some time after they were due. When the third month’s payment was also late, the plaintiff again contacted the defendant. In a phone conversation, an agreement was worked out whereby the defendant would immediately pay three months’ benefits in return for the plaintiff’s agreement to waive benefits for a six-month period, i.e., until October 1, 1973.

In November of 1973, the plaintiff again requested claim forms for additional benefits, but never submitted a claim. This suit was filed in August of 1974. After a lengthy trial, the jury found for the plaintiff and returned the following items of damages: (1) $16,500 in benefits under the disability insurance contract; (2) $75,000 for "mental or emotional distress”; (3) $50,000 for "exemplary damages”. 1

This appeal presents a number of difficult questions of law. We begin with the most difficult of those issues.

*643 I. What causes of action and damage remedies are available to an insured who alleges that he has suffered mental anguish as a result of his insurance company’s bad faith refusal to honor a valid claim?

While instructing the jury on exemplary damages, the trial judge noted "that the law is somewhat confusing in this regard”. We can only second that observation and extend it to all of the issues raised by the above stated question.

In addition to traditional breach of contract and contract damage theories, the cases in this area appear to have accomplished an unfortunate intermingling of four related concepts which ought to have separate identities. Specifically, we refer to: (1) the tort cause of action for intentional infliction of emotional distress; (2) damages for emotional distress; (3) exemplary damages; and (4) punitive damages. We will first discuss causes of action; an analysis of damage categories follows that discussion. See also Anno: Insurer’s Liability for Consequential or Punitive Damages for Wrongful Delay or Refusal to Make Payments Due Under Contracts, 47 ALR3d 314.

Traditionally, a plaintiff who successfully sued for breach of contract could obtain either specific performance or a damage award equal to the pecuniary equivalent of what he would have received if the contract had not been breached. It was not considered possible to compute consequential damages for mental anguish caused by the breach; and breach of contract was not considered sufficiently reprehensible to justify punishment unrelated to compensating the plaintiff for his loss. See the analysis by Justice Smith in Stewart v Rudner, 349 Mich 459; 84 NW2d 816 (1957). See also Jankowski v Mazzotta, 7 Mich App 483; 152 NW2d 49 (1967).

*644 In Stewart v Rudner, supra, the Supreme Court allowed a plaintiff to recover damages for mental anguish resulting from her physician’s breach of contract calling for a caesarean section delivery of the plaintiff’s baby. The specified operation was not performed and, possibly as a result of that failure, the baby was stillborn. While recognizing the traditional rule that damages for mental anguish are not recoverable in breach of contract actions, the opinion in Stewart recognized an exception for contracts which deal with "matters of mental concern and solicitude, * * * [where] a breach of duty with respect to such contracts will inevitably and necessarily result in mental anguish, pain and suffering”. 349 Mich at 471.

It is important to note that Justice Smith’s opinion in Stewart v Rudner, supra, was not signed by a majority of the justices. Four members of the Court signed the opinion while the other four justices concurred in the result without specifying the reasons for their refusal to join in the opinion. The opinion has often been cited for its analysis of prior law, but no majority opinion of the Supreme Court has ever either adopted or rejected its central thesis.

However, in the Court of Appeals, that opinion has been used to justify a significant expansion in the remedies available to an insured person who alleges that his insurer has breached the insurance contract. The trend, which has rapidly accelerated in the last year, began with Frishett v State Farm Mutual Insurance Co, 3 Mich App 688; 143 NW2d 612 (1966), lv den, 378 Mich 733 (1966). That decision held that an insured could bring a tort action for intentional infliction of emotional distress against her own automobile insurance company. As authority for that holding, Frishett *645 cited Stewart v Rudner, supra, and the Restatement, Torts (1948 supp), § 46. By citing Stewart in the context of a tort decision, the Frishett opinion began the intermingling of tort and contract law which has created so much confusion in the present case.

Defendant insurance company sought leave to appeal the Frishett decision to the Supreme Court. In its order denying leave, the Supreme Court said:

"Reversal of this summary judgment will doubtless bring about a trial of plaintiffs allegations, the record of which will provide a much better footing for determination of the posed question of law.

"It is time to remind again as Justice Holmes did for the court in United States v Carver, 260 US 482, 490 (43 S Ct 181, 67 L Ed 364), that 'The denial of a writ of certiorari imports no expression of opinion upon the merits of the case, as the bar has been told many times’, and that this Court has formally adopted that reminder as expressive of its policy and attitude toward the effective orders denying leave to appeal [Citations omitted.]

"This means that the Supreme Court expresses no present view with respect to the legal questions dealt with in the opinion of the Court of Appeals.” 378 Mich at 733-734.

Unfortunately, Frishett

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Bluebook (online)
263 N.W.2d 258, 79 Mich. App. 639, 1977 Mich. App. LEXIS 816, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kewin-v-massachusetts-mutual-life-insurance-michctapp-1977.