Rayis v. Shelby Mutual Insurance

264 N.W.2d 5, 80 Mich. App. 387, 1978 Mich. App. LEXIS 2052
CourtMichigan Court of Appeals
DecidedJanuary 4, 1978
DocketDocket 28204
StatusPublished
Cited by18 cases

This text of 264 N.W.2d 5 (Rayis v. Shelby Mutual 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
Rayis v. Shelby Mutual Insurance, 264 N.W.2d 5, 80 Mich. App. 387, 1978 Mich. App. LEXIS 2052 (Mich. Ct. App. 1978).

Opinion

V. J. Brennan, J.

Plaintiff Muayed M. Rayis appeals a verdict of no cause of action determined by jury verdict in Macomb County Circuit Court, Judge Raymond R. Cashen presiding. The case came to trial on March 3, 1976. At the close of proofs, plaintiff and defendant moved for directed verdict; both motions were denied by the trial court. The case went to the jury, which returned its verdict of no cause of action. Plaintiff now appeals as of right under GCR 1963, 806.1.

The facts of this case bear statement. Plaintiff’s cousin purchased a Hungry Jack Restaurant in East Detroit for $7,500 in June, 1974. Plaintiff then became his cousin’s partner by reimbursing his cousin one-half of the $500 downpayment. Plaintiff then purchased his cousin’s share for $40,000 on November 7, 1974, although a bill of sale was dated November 19, 1974. Plaintiff alleged his cousin’s share was worth $40,000 because the business was returning substantial income. In addition, his cousin had told plaintiff "any time you don’t make it just give it back to me”. Plaintiff paid his cousin an initial installment of $5,000. The sale price of $40,000 did not include the building. Plaintiff leased the building.

*389 When plaintiff and his cousin owned the restaurant as partners, they did not maintain insurance. Plaintiff applied for coverage with defendant on or about November 3, 1974. Plaintiff later received a policy with fire coverage for $40,000 and business interruption coverage for $20,000, the policy taking effect on November 7, 1974.

Plaintiff testified as to how he obtained his insurance policy from defendant. According to plaintiffs testimony, his initial contact with defendant’s agent was by telephone. Plaintiff told the agent how much insurance he needed, the figure being in the vicinity of $40,000. Plaintiff did not disclose to the agent the amount he had paid for the business. At some point between this initial contact and the date the policy was delivered to plaintiff on November 21, 1974, the agent stopped by the restaurant to observe the premises.

Plaintiff received his copy of the policy on November 21, 1974. Early in the morning of November 29, 1974, the restaurant burned. The inside of the building was completely destroyed. Two five-gallon gasoline tanks, one round, one sqaure, were found in the building. The police lab test on various articles found in the restaurant showed the presence of gasoline. Police testimony indicated, "It was a set fire”.

Plaintiff testified he was not familiar with the filing of an insurance claim; so he hired someone to assist him. Plaintiff signed a sworn proof of loss on February 5, 1975, after the preparer explained the procedure to him. Plaintiff claimed $40,000 in inventory and equipment loss and $20,000 business interruption, the full limits of the policy.

Defendant notified plaintiff by letter, dated March 4, 1975, that the insurance company would not accept plaintiffs proof of loss for six reasons, *390 among Which Were fraud áñd arson. Plaintiff filed suit in circuit court in April, 1975. Defendant alleged fraüd and arson in its answer.

The damage issue was submitted to an apr praiser, who determined plaintiff’s actual losses to be $8,500 for equipment, $900 for inventory, and $2,400 for business interruption, making a total of $11,800. The case came to trial on March 3, 1976.

Plaintiff produced Only two Witnesses at trial, and he alone addressed the issues pertinent to this appeal. At the close of plaintiff’s case, defendant moved for a directed verdict on two grounds, one being the substantial discrepancy between the amount claimed by plaintiff under the policy and the amount established by the appraiser as actual loss. After hearing plaintiff’s argument, the trial court denied defendant’s motion on the fraud question.

Defendant then presented three witnesses. Leroy Einkorn testified to plaintiff’s appearance at his Marathon station on November 28, 1974, the night before the fire at plaintiffs restaurant, for the purpose of purchasing ten gallons of gasoline. He stated that plaintiff and another man carried the gasoline away in two five-gallon gas containers, one being round and the other being square. Defendant’s other two witnesses were police officers who testified to the deliberate setting of the fire and the acceleration of the damage by the gasoline. At the close of its case, defendant again moved for a directed verdict, which was again denied.

Plaintiff then moved for a directed verdict on the basis that defendant had not submitted sufficient evidence to get to the jury on either fraud or arson. The trial judge denied plaintiffs motion, finding jury questions on both fraud and arson.

*391 The trial judge instructed the jury on defendant’s theory of the case as defendant had requested, including both the arson defense and the fraud defense. However, he also instructed on a third distinct defense, plaintiffs fraudulent procurement of the insurance policy. The trial court then explained the elements of each defense. Both parties had some objection to the trial court’s charge, but neither party objected to the judge’s statement that defendant had three defenses and his explanation of those defenses. The jury returned a verdict of no cause of action in defendant’s favor.

On appeal, plaintiff raises a single allegation of error. He contends that the trial court erred reversibly in submitting the case to the jury with ah instruction oh plaintiff’s fraudulent procurement of the insurance policy. We do not believe reversible error occurred.

We might observe at the outset that the fraudulent procurement defense was hot specifically submitted by defendant in his proposed instructions, but was given by the trial court on the basis of the record evidence. Defendant thus contends the trial court erred in even instructing on this defense. With this proposition we do not agree. First of all, neither party objected specifically to the giving of the fraudulent procurement defense to the jury for consideration. This fact alone speaks strongly to affirming the trial court in its decision to submit the defense to the jury. Hunt v Deming, 375 Mich 581, 584-585; 134 NW2d 662 (1965). See GCR 1963, 516.2.

Nevertheless, we also find sufficient justification in the record for separating defendant’s allegations of fraud into fraudulent procurement and fraudulent proof of loss. For instance, defendant isolates *392 such fraudulent procurement in his opening statement. 1 Consequently, we will not reverse the trial court simply because it distinguished the fraudulent procurement defense from fraudulent proof of loss. Fraudulent procurement has all the normal fraud elements, while fraudulent proof of loss, also called "false swearing”, does not have justifiable reliance as one of its elements. See Campbell v Great Lakes Insurance Co, 228 Mich 636, 638; 200 NW 457 (1924).

Having thus found the trial court was not in error by separating the defenses in its instructions, we must now decide if evidence of such procurement appeared to justify sending the defense as separated to the jury.

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Bluebook (online)
264 N.W.2d 5, 80 Mich. App. 387, 1978 Mich. App. LEXIS 2052, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rayis-v-shelby-mutual-insurance-michctapp-1978.