Lakeland Neurocare Centers v. Everest National Insurance Company

CourtMichigan Court of Appeals
DecidedOctober 8, 2019
Docket340349
StatusUnpublished

This text of Lakeland Neurocare Centers v. Everest National Insurance Company (Lakeland Neurocare Centers v. Everest National Insurance Company) 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
Lakeland Neurocare Centers v. Everest National Insurance Company, (Mich. Ct. App. 2019).

Opinion

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to revision until final publication in the Michigan Appeals Reports.

STATE OF MICHIGAN

COURT OF APPEALS

LAKELAND NEUROCARE CENTERS and VHS UNPUBLISHED OF MICHIGAN, INC, doing business as October 8, 2019 DETROIT MEDICAL CENTER,

Plaintiffs-Appellants,

and

JACULYN GORDON,

Intervening Plaintiff,

v No. 340346 Wayne Circuit Court EVEREST NATIONAL INSURANCE LC No. 17-005081-NF COMPANY, ARROWHEAD GENERAL INSURANCE AGENCY, and NDS INSURANCE AGENCY, INC, doing business as PREMIER INSURANCE AGENCY XXV,

Defendants-Appellees.

LAKELAND NEUROCARE CENTERS and VHS OF MICHIGAN, INC, doing business as DETROIT MEDICAL CENTER,

Plaintiffs,

Intervening Plaintiff-Appellee,

v No. 340349 Wayne Circuit Court

-1- EVEREST NATIONAL INSURANCE LC No. 17-005081-NF COMPANY,

Defendant-Appellant,

ARROWHEAD GENERAL INSURANCE AGENCY and NDS INSURANCE AGENCY, INC, doing business as PREMIER INSURANCE AGENCY XXV,

Defendants.

Before: JANSEN, P.J., and CAMERON, and TUKEL, JJ.

PER CURIAM.

In Docket No. 340346, plaintiffs Lakeland Neurocare Centers (Lakeland) and VHS of Michigan (VHS), doing business as Detroit Medical Center (DMC) (collectively, “plaintiffs”), appeal by leave granted1 the trial court order granting defendant Everest National Insurance Company (Everest) summary disposition in this third-party no-fault matter.2 Plaintiffs argue on appeal that the trial court erred when it granted Everest summary disposition because plaintiffs had valid assignments, antiassignment clauses are void, the assignments made a present transfer of rights, the antiassignment clause is unenforceable to postloss claims, the assignments were permitted under the no-fault act, MCL 500.3101 et seq., and the antiassignment clause is ineffective under the Uniform Commercial Code (UCC), MCL 440.1101 et seq. Plaintiffs also argue that the trial court erred when it denied their request to file an amended complaint. We agree that Everest was not entitled to summary disposition, but the trial court did not commit plain error affecting substantial rights when it declined plaintiffs’ request to file an amended complaint. Accordingly, we reverse, and remand for further proceedings consistent with this opinion.

1 Lakeland Neurocare Ctrs v Everest Nat’l Ins Co, 502 Mich 936; 916 NW2d 214 (2018). The Michigan Supreme Court remanded both of these consolidated cases to this Court for consideration as on leave granted. Id. at 936. 2 Although the Supreme Court order remanding these cases for consideration as on leave granted denotes defendants Arrowhead General Insurance Agency and NDS Insurance Agency, Inc, doing business as Premier Insurance Agency XXV, as “Defendants-Appellees,” the order appealed from by plaintiffs grants [only] Everest summary disposition. Plaintiffs’ claims against these other defendants were not decided by the trial court, and they have not filed any briefs on appeal in either of these consolidated cases.

-2- In Docket No. 340349, Everest appeals by leave granted3 the trial court order granting intervening plaintiff Jaculyn Gordon’s motion to intervene in this no-fault matter.4 Everest argues on appeal that the trial court erred in determining that Gordon’s complaint related back to plaintiffs’ complaint. Additionally, Everest argues that Shah v State Farm Mut Auto Ins Co, 324 Mich App 182; 920 NW2d 148 (2018), was wrongly decided, but if it is upheld, Gordon lacked standing to intervene, and if Shah is reversed, and the antiassignment clause is upheld, plaintiffs had no standing, and the court lacked subject-matter jurisdiction. We disagree in part because the trial court did not abuse its discretion in allowing Gordon to intervene, but we agree with Everest’s contention that Gordon’s claims did not relate back to the filing of plaintiffs’ complaint. Accordingly, we affirm in part, reverse in part, and remand for further proceedings consistent with this opinion.

I. RELEVANT FACTUAL BACKGROUND

This case arises from an automobile accident involving Gordon on June 27, 2016, from which she sustained injuries. Gordon struck a pot hole at a high speed, and sustained a broken arm, dislocated hip, and multiple pelvic fractures that required surgery. Plaintiffs provided medical services to Gordon in relation to her injuries in the amount of $288,073.52. At the time of the accident, Gordon had an insurance policy with Everest. When plaintiffs tried to claim benefits under Gordon’s policy for the services that they provided to Gordon, Everest attempted to rescind Gordon’s auto insurance policy, claiming that Gordon did not disclose a licensed driver of her household on her application for insurance.

Gordon initially executed an assignment of benefits to plaintiffs on March 18, 2017, and plaintiffs filed suit on March 30, 2017, alleging their assignee status. The Michigan Supreme Court issued its opinion in Covenant Med Ctr, Inc v State Farm Mut Auto Ins Co, 500 Mich 191; 895 NW2d 490 (2017), on May 27, 2017, holding that medical providers have no direct cause of action against insurers for personal protection insurance (PIP) benefits. On June 14, 2017, Everest filed a motion for summary disposition seeking to dismiss plaintiffs’ claims under Covenant. Gordon executed a second assignment of benefits to plaintiffs on June 17, 2017, because she was still receiving treatment for her accident-related injuries. On July 28, 2017, Gordon filed an emergency motion to intervene as a party plaintiff. The trial court granted Everest summary disposition under Covenant, and upheld the antiassignment clause in Gordon’s insurance policy. The trial court also granted Gordon’s motion to intervene, and determined that her claims related back to the date that plaintiffs filed their complaint. Plaintiffs and Everest filed applications for leave to appeal these orders in this Court, which were denied.5 Plaintiffs

3 See footnote 1. 4 Although defendants Arrowhead and NDS opposed Gordon’s motion to intervene in the trial court, they have not challenged the trial court order granting intervention or otherwise participated in this appeal. 5 Lakeland Neurocare Ctrs v Everest Nat’l Ins Co, unpublished order of the Court of Appeals, entered February 16, 2018 (Docket No. 340346); Lakeland Neurocare Ctrs v Everest Nat’l Ins Co, unpublished order of the Court of Appeals, entered February 16, 2018 (Docket No. 340349).

-3- and Everest filed for leave to appeal in the Michigan Supreme Court, which remanded both cases to this Court as on leave granted.6 We consolidated these cases for appeal on remand.

II. DOCKET NO. 340346

A. EVEREST’S MOTION FOR SUMMARY DISPOSITION

Plaintiffs argue on appeal that the trial court erred in granting Everest summary disposition because they had valid assignments from Gordon that reflected an intent to make a present transfer, the antiassignment clause in the policy was void and unenforceable as to postloss claims, the assignments were valid under the no-fault act, and the antiassignment provision was ineffective under the UCC. We agree that the trial court erred in granting Everest summary disposition because plaintiffs had valid assignments from Gordon.

This Court reviews de novo a trial court’s grant of summary disposition. Lowrey v LMPS & LMPJ, Inc, 500 Mich 1, 5-6; 890 NW2d 344 (2016). Everest moved for summary disposition under MCR 2.116(C)(8), arguing that plaintiffs failed to state a claim upon which relief could be granted under Covenant. However, the trial court considered materials outside of the pleadings that the parties attached to their briefs, so the motion should be evaluated on appeal under MCR 2.116(C)(10). Shah, 324 Mich App at 206.

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Lakeland Neurocare Centers v. Everest National Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lakeland-neurocare-centers-v-everest-national-insurance-company-michctapp-2019.