Lakeland Neurocare Centers v. State Farm Mutual Automobile Insurance

645 N.W.2d 59, 250 Mich. App. 35
CourtMichigan Court of Appeals
DecidedMay 31, 2002
DocketDocket 224245
StatusPublished
Cited by29 cases

This text of 645 N.W.2d 59 (Lakeland Neurocare Centers v. State Farm Mutual Automobile 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
Lakeland Neurocare Centers v. State Farm Mutual Automobile Insurance, 645 N.W.2d 59, 250 Mich. App. 35 (Mich. Ct. App. 2002).

Opinion

Cavanagh, P.J.

Plaintiff appeals as of right from an order denying its motion for no-fault penalty interest, MCL 500.3142, and attorney fees, MCL 500.3148(1). We reverse and remand.

Plaintiff filed this action against defendant, a no-fault insurer, as a consequence of defendant’s denials of plaintiff’s requests for payment for rehabilitation services rendered to Arthur Smith, defendant’s insured, 1 who was a pedestrian injured in a motor vehicle accident. Defendant denied plaintiff’s claims for payment, alleging that Smith was not struck by a motor vehicle. Subsequently, after plaintiff filed a motion for summary disposition that was supported by a plethora of evidence, defendant entered into a stipulated order granting plaintiff’s motion with regard to the issue of defendant’s liability. Further, *37 defendant was ordered to pay plaintiff the full amount of “reasonable charges for the medical services rendered by Plaintiff” to Smith, an amount totaling $162,331.50. Thereafter, plaintiff filed a motion for no-fault penalty interest, MCL 500.3142, and attorney fees, MCL 500.3148(1). The trial court, citing Darnell v Auto-Owners Ins Co, 142 Mich App 1; 369 NW2d 243 (1985), denied the motion, holding that plaintiff was not entitled to no-fault penalties because plaintiff was not the injured party. This appeal followed.

Plaintiff argues that the trial court erred in denying its motion on the ground that only an injured party is entitled to enforce the penalty interest and attorney fee provisions of the no-fault act, MCL 500.3142, 500.3148(1). We agree.

Statutory interpretation is a question of law subject to review de novo on appeal. Crowe v Detroit, 465 Mich 1, 6; 631 NW2d 293 (2001). This Court first looks to the specific language of the statute to discern the Legislature’s intent. Charboneau v Beverly Enterprises, Inc, 244 Mich App 33, 40; 625 NW2d 75 (2000). We presume that every word, phrase, and clause in the statute has meaning and avoid any construction that would render any part of the statute surplusage or nugatory. Bieber v Keeler Brass Co, 209 Mich App 597, 604; 531 NW2d 803 (1995). If the plain and ordinary meaning of the language of the statute is clear, judicial construction is inappropriate. Ypsilanti Housing Comm v O'Day, 240 Mich App 621, 624; 618 NW2d 18 (2000).

In this case, defendant did not dispute that plaintiff had the legal right to commence this action for payment of medical services rendered to defendant’s insured. The issue, however, is whether plaintiff had *38 the right to attempt enforcement of the penalty interest and attorney fee provisions of the no-fault act as a consequence of defendant’s failure to pay plaintiff for medical services rendered to defendant’s injured insured within the time limits imposed by the no-fault act. To resolve this issue, we review the relevant no-fault statutes.

MCL 500.3105(1) provides: “Under personal protection insurance an insurer is liable to pay benefits 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 this chapter.” MCL 500.3112 provides, in pertinent part:

Personal protection insurance benefits are payable to or for the benefit of an injured person or, in the case of his death, to or for the benefit of his dependents. Payment by an insurer in good faith of personal protection insurance benefits, to or for the benefit of a person who it believes is entitled to the benefits, discharges the insurer’s liability to the extent of the payments unless the insurer has been notified in writing of the claim of some other person. [Emphasis added.]

MCL 500.3142 provides:

(1) Personal protection insurance benefits are payable as loss accrues.
(2) Personal protection insurance benefits are overdue if not paid within 30 days after an insurer receives reasonable proof of the fact and of the amount of loss sustained. . . .
(3) An overdue payment bears simple interest at the rate of 12% per annum.

These statutes resolve in favor of plaintiff the issue whether plaintiff, a health care provider, is entitled to attempt enforcement of the penalty interest provision *39 of the no-fault act. MCL 500.3105(1) imposes liability on an insurer to pay personal protection insurance benefits. These benefits are “payable to or for the benefit of an injured person . ” MCL 500.3112. These “benefits are payable as loss accrues” and “within 30 days after an insurer receives reasonable proof of the fact and of the amount of loss sustained.” MCL 500.3142(1) and (2). Because plaintiff submitted a claim for personal protection insurance benefits for the benefit of Smith, the injured person and defendant’s insured, plaintiff was entitled to payment within thirty days of defendant’s receipt of reasonable proof of the medical services provided and the cost of such services. Consequently, plaintiff was entitled to attempt enforcement of the penalty interest provision of the no-fault act, MCL 500.3142.

Further, contrary to the trial court’s conclusion, the fact that plaintiff was not the injured person is not dispositive. MCL 500.3112 specifically contemplates the payment of benefits to someone other than the injured person as reflected by its inclusion of the phrase “benefits are payable to or for the benefit of an injured person” and by its discharge of an insurer’s liability upon payment made in good faith to a payee “who it believes is entitled to the benefits . ...” As a result, it is common practice for insurers to directly reimburse health care providers for services rendered to their insureds. See, e.g., Mercy Mt Clemens Corp v Auto Club Ins Ass’n, 219 Mich App 46, 48; 555 NW2d 871 (1996); McGill v Automobile Ass’n of Michigan, 207 Mich App 402, 404; 526 NW2d 12 (1994); Hicks v Citizens Ins Co of America, 204 Mich App 142, 145; 514 NW2d 511 (1994). Moreover, MCL 500.3142 does not limit the right to seek penalty interest solely to *40 the injured person and if the Legislature intended to limit the penalty interest provision, it could have done so. MCL 500.3142(1) could have been written as “[p]ersonal protection insurance benefits are payable to the injured person as loss accrues.” However, the judiciary may not engraft such a limitation under the guise of statutory construction. See Hagerman v Gencorp Automotive, 457 Mich 720, 729; 579 NW2d 347 (1998). Therefore, the trial court improperly denied plaintiff the right to attempt enforcement of the penalty interest provision, MCL 500.3142; accordingly, we reverse and remand for a determination whether payments for medical services rendered by plaintiff were overdue.

Next, we consider whether plaintiff was entitled to attempt enforcement of the attorney fee provision of the no-fault act. MCL 500.3148(1) provides:

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Cite This Page — Counsel Stack

Bluebook (online)
645 N.W.2d 59, 250 Mich. App. 35, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lakeland-neurocare-centers-v-state-farm-mutual-automobile-insurance-michctapp-2002.