Phillipe Martin v. Geico General Insurance Company

CourtMichigan Court of Appeals
DecidedAugust 17, 2023
Docket362010
StatusUnpublished

This text of Phillipe Martin v. Geico General Insurance Company (Phillipe Martin v. Geico General 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
Phillipe Martin v. Geico General Insurance Company, (Mich. Ct. App. 2023).

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

PHILLIPE MARTIN, UNPUBLISHED August 17, 2023 Plaintiff-Appellant, and

SURGICAL CENTER OF SOUTHFIELD, LLC, doing business as FOUNTAIN VIEW SURGERY CENTER,

Intervening Plaintiff,

v No. 362010 Wayne Circuit Court GEICO GENERAL INSURANCE COMPANY, LC No. 19-001797-NF

Defendant-Appellee.

Before: REDFORD, P.J., and K. F. KELLY and RICK, JJ.

PER CURIAM.

Plaintiff appeals by leave granted1 the trial court’s order granting defendant’s motion in limine to exclude evidence pertaining to claims previously assigned to ISpine, PLLC (ISpine). 2 We vacate and remand for an evidentiary hearing.

I. FACTUAL BACKGROUND

Plaintiff was injured on December 30, 2015, after he was struck by a vehicle while standing outside his home in Detroit, Michigan. A prior lawsuit for personal protection insurance (PIP) benefits for expenses incurred through May 23, 2018, was previously settled between the parties.

1 Phillipe Martin v Geico Gen Ins Co, unpublished order of the Court of Appeals, entered November 18, 2022 (Docket No. 362010). 2 ISpine was not named as a party in the proceedings below, and does not participate in this appeal.

-1- On February 7, 2019, plaintiff instituted the present lawsuit, which focuses only on expenses incurred after May 23, 2018. In his complaint, plaintiff alleged that “defendant has denied continued medical, home care services, and other reasonable charges incurred for products, services, and accommodations necessary for the Plaintiff’s care, recovery and rehabilitation which have been incurred since May 23, 2018.”

This interlocutory appeal primarily focuses on medical expenses incurred by plaintiff in relation to treatment received from ISpine. Relevant to this appeal, defendant filed a motion in limine to exclude evidence pertaining to fees incurred by plaintiff for treatment with ISpine. Defendant stated that the parties intended to go to trial, and that it believed plaintiff might seek to introduce bills for treatment with ISpine as part of his case-in-chief. Defendant explained that plaintiff previously assigned away his right to claim no-fault benefits relating to expenses incurred from his treatment with ISpine. Along with the motion, defendant attached three forms relating to the assignment, executed May 10, 2018, February 20, 2019, and March 12, 2019. Presumably, a separate assignment was executed each time plaintiff treated with ISpine, although such information is not specified in the record. The assignments all stated as follows:

ASSIGNMENT OF RIGHTS: You are assigned to exclusive, irrevocable rights. Any cause of action that exists in my favor against any insurance company or other person or entity to the extent of your bill for total services, including the exclusive, irrevocable right to receive payment for such services, make demand in my name for payments, and prosecute and receive penalties, interest, court costs, or other legally compensable amounts owned by an insurance company or other person or entity. I, as the patient and or responsible party further agree to cooperate, provide information as needed, and appear as needed, wherever to assist in the prosecution of such claims for benefits upon request. The physician and or facility is also assigned the exclusive, irrevocable right to request and receive from any insurance company or health care plan any and all information and documents pertaining to my policies including a copy of such policy and my information or supporting documentation concerning or touching upon the handling, calculation, processing or payment of any claim.

Defendant argued that plaintiff could not recover for expenses related to ISpine’s treatment because he “transferred his right to recoup any no-fault benefits” when he executed an irrevocable assignment to ISpine. Defendant thus argued that evidence regarding ISpine should be excluded as irrelevant under MRE 401 and MRE 402, except for the limited purpose of establishing the nature and extent of his injuries.

In response to the motion, plaintiff argued that ISpine agreed to the revocation and reassignment of the claim, meaning that plaintiff was once again responsible for pursuing PIP benefits against defendant in relation to those claims. Plaintiff stated that Dr. Stefan Pribil, an ISpine employee who performed surgery on him, would be willing to testify that the assignment had been revoked. Additionally, plaintiff argued that ruling on the motion in limine without first taking testimony to confirm that ISpine agreed to the reassignment of the claim would essentially be equivalent to a ruling on a motion for summary disposition, rather than just a ruling on the admissibility of the evidence.

-2- A hearing was held on the motion, and the parties largely argued consistent with their briefs. They also addressed whether the one-year-back rule, MCL 500.3145(1), precluded recovery of benefits in relation to ISpine’s treatment of plaintiff. Defendant argued that the claim would likely be barred by the one-year-back rule, whereas plaintiff contended that the claim would relate back to the date of the filing of his lawsuit, meaning that it would be timely under the statute. The trial court ultimately granted the motion, stating:

The Assignment of Rights indicates that the assignment to iSpine was irrevocable. If the provider wanted to have the Plaintiff go forward with this claim, he wouldn’t have offered Plaintiff the Assignment of Benefits, which Plaintiff signed. They’re irrevocable and, in addition, along with the response, there was no evidence that indicated that these irrevocable rights were revoked by either party. There is a statement by Plaintiff’s attorney that they were revoked. Plaintiff’s attorney argues that it’s an evidentiary issue and that the owners of iSpine would come forward and testify at trial but this is the—the motion that I have before me and, based on the evidence presented, this—these claims were assigned to iSpine. So, for those reasons, the Court is going to grant Defendant Geico’s motion in limine and I’m going to preclude any claims by iSpine PLLC.

The trial court subsequently entered an order granting the motion in limine.

Plaintiff moved for reconsideration, stating that after the order granting the motion in limine had been entered, Dr. Pribil executed an assignment of rights to plaintiff on behalf of ISpine, dated April 1, 2022. Plaintiff argued that the assignment constituted new evidence that did not exist when the motion in limine was granted, and asked the trial court to reconsider its earlier ruling. The trial court declined to do so, and denied the motion for reconsideration. This appeal followed.

II. ANALYSIS

A. MOTION TO EXCLUDE EVIDENCE

Plaintiff argues that the trial court abused its discretion by granting the motion in limine. He contends that the claim for benefits previously assigned to ISpine was revoked and reassigned to him. Additionally, plaintiff argues that the assignment relates back to the filing of the complaint and is thus not barred by the one-year-back rule. We agree that the trial court abused its discretion by granting the motion in limine without first taking steps to determine the veracity of plaintiff’s assertions that ISpine had agreed to the reassignment of the claim for PIP benefits against defendant. Remand is therefore required.

This Court “review[s] a trial court’s decision on a motion in limine for an abuse of discretion.” Bellevue Ventures, Inc v Morang-Kelly Investment, Inc, 302 Mich App 59, 63; 836 NW2d 898 (2013).

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Bluebook (online)
Phillipe Martin v. Geico General Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/phillipe-martin-v-geico-general-insurance-company-michctapp-2023.