Michigan Head & Spine Institute v. Frankenmuth Mutual Insurance Co

CourtMichigan Court of Appeals
DecidedNovember 4, 2021
Docket355521
StatusUnpublished

This text of Michigan Head & Spine Institute v. Frankenmuth Mutual Insurance Co (Michigan Head & Spine Institute v. Frankenmuth Mutual Insurance Co) 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
Michigan Head & Spine Institute v. Frankenmuth Mutual Insurance Co, (Mich. Ct. App. 2021).

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

MICHIGAN HEAD & SPINE INSTITUTE, UNPUBLISHED November 4, 2021 Plaintiff-Appellant,

v No. 355521 Oakland Circuit Court FRANKENMUTH MUTUAL INSURANCE LC No. 2020-180719-NF COMPANY,

Defendant-Appellee.

Before: RICK, P.J., and RONAYNE KRAUSE and LETICA, JJ.

PER CURIAM.

In this no-fault action, plaintiff, Michigan Head & Spine Institute appeals by right the circuit court order granting defendant’s motion for summary disposition under MCR 2.116(C)(4) (lack of jurisdiction). For the reasons stated in this opinion, we reserve and remand for further proceedings.

I. BACKGROUND

This appeal arises from plaintiff’s claim for no-fault insurance benefits from defendant for healthcare services provided to 24 individuals between April 2019 and February 2020. Plaintiff argued that it submitted reasonable proof of the fact and amount of each loss and repeatedly requested full payment of the outstanding charges, and that defendant unreasonably withheld or delayed full payment. Plaintiff asserted that the circuit court had jurisdiction because the amount in controversy exceeded $25,000. Plaintiff also attached documentation to its complaint showing that the unpaid balance was over $91,000 dollars.

At the time the complaint was filed, each individual listed in the complaint had executed an assignment of benefits or was expected to execute an assignment consistent with MCL 500.3143, assigning to plaintiff their rights, privileges, and remedies to recover payment of no fault benefits for services rendered by plaintiff. Plaintiff argued that it was entitled to enforce the insureds’ rights against defendant under each assignment. Additionally, under MCL 500.3112, effective June 11, 2019, plaintiff argued that it could assert a direct cause of action against defendant to recover overdue benefits.

-1- Defendant filed a motion for summary disposition under MCR 2.116(C)(4), (6), (7), (8), and (10). Defendant argued that the 24 individuals listed in the complaint were involved in separate motor-vehicle accidents that occurred on different dates and locations, resulting in different treatments. Defendant asserted that 23 of the 24 claims did not meet the minimum $25,000 threshold for subject-matter jurisdiction of the circuit court. Additionally, defendant argued that plaintiff could not “aggregate” the 24 different claims to meet the circuit court’s jurisdictional requirement because plaintiff was an assignee who stood in the shoes of the individual assignors and the assignors could not have combined their claims and brought them against defendant under MCR 2.206. Therefore, defendant asserted that the 24 claims should be severed under MCR 2.207 or separated under MCR 2.505(B) and proceeded with separately.

Additionally, defendant argued that one of the individuals listed in the complaint, had filed his own lawsuit to recover no fault benefits against defendant. Therefore, defendant asserted that plaintiff’s claim related to that individual should be dismissed under MCR 2.116(C)(6). Defendant also asserted that two other claims should also be dismissed because those individuals had released all no-fault claims against defendant by executing a release.

In response, plaintiff argued that plaintiff properly filed the 24 claims in accordance with MCR 2.203(B), as a single plaintiff. It further argued that a plaintiff, having multiple assignments, could pursue its rights in accordance with the assignments in a single claim and aggregate the various claims against defendant to establish the jurisdictional minimum of the circuit court and that its claims exceeded $25,000. Plaintiff also asserted that it maintained a direct cause of action for any services provided on or after June 11, 2019, under MCL 500.3112.

Plaintiff argued that the claims should not be severed because “while the claims involve[d] different patients, there [was] significant overlap in the issues pertaining to the charges[.]”. In the event the court granted defendant’s motion, plaintiff requested that the court transfer the claims to district court and “preserve the one-year back from the filing of [the] complaint.”

In response to plaintiff’s argument, defendant asserted that each of the 24 claims would require deposition testimony from treating doctors and the insureds relative to the alleged injuries and separate discovery and medical records to determine the entitlement to no-fault benefits. Defendant also argued that the claims must be severed or the single action would confuse the jury and “extremely prejudice” defendant.

The trial court granted defendant’s motion for summary disposition under MCR 2.116(C)(4). The court found as follows:

The action was filed by Plaintiff on behalf of 24 different claimants/assignors. All 24 were involved in separate motor vehicle accidents that allegedly necessitated treatment by Plaintiff. This Court finds that summary disposition is appropriate. Plaintiff may not aggregate the individual claims pertaining to each assignor to meet the Court’s jurisdictional limits. The separate assignors could not have combined their claims to meet the jurisdictional limit and the assignee stands in the shoes of the assignor.

The court did not address plaintiff’s request regarding the transfer to district court.

-2- On appeal, plaintiff argues that the circuit court erred by concluding that it lacked jurisdiction to hear its claim and by granting summary disposition in favor of defendant under MCR 2.116(C)(4). We agree.

II. STANDARD OF REVIEW

This Court reviews de novo a trial court’s decision whether to grant or deny a motion for summary disposition. Ingham Co v Mich Co Rd Comm Self-Ins Pool, 321 Mich App 574, 579; 909 NW2d 533 (2017), remanded on other grounds by 503 Mich 917 (2018). “Whether the trial court has subject-matter jurisdiction is a question of law that this Court reviews de novo.” Citizens for Common Sense in Gov’t v Attorney General, 243 Mich App 43, 49-50; 620 NW2d 546 (2000). We also review de novo the proper interpretation and application of court rules. Haliw v Sterling Hts, 471 Mich 700, 704; 691 NW2d 753 (2005).

“Summary disposition is appropriate under MCR 2.116(C)(4) when the court lacks jurisdiction of the subject matter.” Southfield Ed Assn v Bd of Ed of Southfield Pub Sch, 320 Mich App 353, 373; 909 NW2d 1 (2017) (cleaned up). “In reviewing a motion under MCR 2.116(C)(4), we examine whether the pleadings, affidavits, depositions, admissions, and documents in the case show that the trial court lacked subject-matter jurisdiction.” Mich Head & Spine Institute PC v Auto-Owners Ins Co, ___ Mich App___; ___ NW2d ___ (2021) (Docket No. 354765); slip op at 2.

III. ANALYSIS

A. SUBJECT MATTER JURISDICTION

“Circuit courts have original jurisdiction to hear and determine all civil claims and remedies, except where exclusive jurisdiction is given in the constitution or by statute to some other court or where the circuit courts are denied jurisdiction by the constitution or statutes of this state.” MCL 600.605. District courts have “exclusive jurisdiction in civil actions when the amount in controversy does not exceed $25,000.00.” MCL 600.8301(1). The statute does not define “amount in controversy.” However, “absent bad faith in the pleadings, the amount in controversy is determined from the prayer for relief in the plaintiff’s pleadings.” Mich Head & Spine Institute PC, ___ Mich App at___; slip op at 2. In its complaint, plaintiff alleged that the amount in controversy exceeded $25,000. There is no evidence that plaintiff did so in bad faith.

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Related

Haliw v. City of Sterling Heights
691 N.W.2d 753 (Michigan Supreme Court, 2005)
Citizens for Common Sense in Government v. Attorney General
620 N.W.2d 546 (Michigan Court of Appeals, 2000)
Boyd v. Nelson Credit Centers, Inc
348 N.W.2d 25 (Michigan Court of Appeals, 1984)
Southfield Educ. Ass'n v. Bd. of Educ. of the Southfield Pub. Sch.
909 N.W.2d 1 (Michigan Court of Appeals, 2017)
County of Ingham v. Mi County Road Commission Self-Insurance Pool
909 N.W.2d 533 (Michigan Court of Appeals, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
Michigan Head & Spine Institute v. Frankenmuth Mutual Insurance Co, Counsel Stack Legal Research, https://law.counselstack.com/opinion/michigan-head-spine-institute-v-frankenmuth-mutual-insurance-co-michctapp-2021.