Meemic Insurance Company v. Louise M Fortson

922 N.W.2d 154, 324 Mich. App. 467
Michigan Court of Appeals·Decided May 29, 2018·No. 337728·Published·Cited by 30 cases

Opinion

M. J. Kelly, J.

*471 Defendants/counterplaintiffs, Louise Fortson and Richard Fortson, individually and as conservator for their son, Justin Fortson, appeal as of right the trial court's order granting the motion of plaintiff/counterdefendant, Meemic Insurance Company, *157 for summary disposition under MCR 2.116(C)(10) and denying the Fortsons' motion for summary disposition under MCR 2.116(I)(2). For the reasons stated in this opinion, we reverse.

I. BASIC FACTS

This case arises out of a motor-vehicle incident that occurred in September 2009. On that day, Richard and Louise's 19-year-old son, Justin, was riding on the hood of a vehicle when the driver suddenly accelerated and turned. The motion flung Justin from the vehicle, and he struck his head. Justin suffered extensive injuries, including a fractured skull, a traumatic brain injury, and shoulder bruising. He was initially hospitalized but eventually returned to his parents' home. According *472 to Louise, Justin's brain injury continued to manifest itself after he returned home.

Justin received benefits under his parents' no-fault policy with Meemic. Relevant to this appeal, Louise and Richard provided attendant care to Justin. The record reflects that from 2009 until 2015, Louise submitted payment requests to Meemic for attendant-care services. On each request, Louise simply noted "24" on each day of the calendar, indicating that she and Richard had provided Justin with constant daily supervision. Meemic routinely paid these benefits, and Meredith Valko, a claims representative employed by Meemic, testified that these payment requests were sufficient because she knew that Justin had a serious traumatic brain injury with significant residual effects requiring "24/7" supervision.

Around 2014, Meemic initiated an investigation into Louise and Richard's supervision of Justin and discovered that they had not provided him with daily direct supervision. Indeed, the investigation showed that Justin had been periodically jailed for traffic and drug offenses and had spent time at an inpatient substance-abuse rehabilitation facility. Additionally, on social media, Justin had reported spending time with his girlfriend and smoking marijuana. Based on its investigation, Meemic concluded that the Louise and Richard had fraudulently represented the attendant-care services they claimed to have provided. Meemic terminated Justin's no-fault benefits and filed suit against Louise and Richard, alleging that they had fraudulently obtained payment for attendant-care services that they had not provided. Louise and Richard filed a counterclaim, arguing that Meemic breached the insurance contract by terminating Justin's benefits and refusing to pay for attendant-care services. The parties *473 filed cross-motions for summary disposition. Relying on this Court's decision in Bazzi v. Sentinel Ins. Co. , 315 Mich. App. 763 , 891 N.W.2d 13 (2016), lv. gtd. 500 Mich. 990 , 894 N.W.2d 590 (2017), the trial court granted summary disposition in Meemic's favor.

II. SUMMARY DISPOSITION

A. STANDARD OF REVIEW

Louise and Richard argue that the trial court erred by granting summary disposition in Meemic's favor. We review de novo a trial court's decision on a motion for summary disposition. Barnard Mfg. Co., Inc. v. Gates Performance Engineering, Inc. , 285 Mich. App. 362 , 369, 775 N.W.2d 618 (2009).

B. ANALYSIS
1. FRAUD

Louise and Richard first argue that the trial court erred by finding that there was no genuine question of material fact with regard to whether they committed fraud. We disagree.

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Meemic Insurance Company v. Louise M Fortson, 922 N.W.2d 154, 324 Mich. App. 467 (Mich. Ct. App. 2018).

922 N.W.2d 154 (Meemic Insurance Company v. Louise M Fortson) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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