Ronnie Fields v. National General Insurance Company

CourtMichigan Court of Appeals
DecidedAugust 17, 2023
Docket361959
StatusUnpublished

This text of Ronnie Fields v. National General Insurance Company (Ronnie Fields v. National 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
Ronnie Fields v. National 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

RONNIE FIELDS, UNPUBLISHED August 17, 2023 Plaintiff-Appellant, and

ANDERSON MEDICAL SUPPLIES,

Intervening Plaintiff,

v No. 361959 Genesee Circuit Court NATIONAL GENERAL INSURANCE LC No. 20-113979-NI COMPANY, INTEGON NATIONAL INSURANCE COMPANY, GARLANDO DOXIE, KANESHA MARZETTE, and MICHIGAN AUTOMOBILE INSURANCE,

Defendants, and

NATIONWIDE MUTUAL FIRE INSURANCE COMPANY,

Defendant-Appellee.

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

PER CURIAM.

In this no-fault insurance action, plaintiff, Ronnie Fields, appeals as of right the trial court’s order granting summary disposition to defendant, Nationwide Mutual Fire Insurance Company, under MCR 2.116(C)(10) (no genuine issue of material fact). We affirm.

-1- I. FACTUAL BACKGROUND

This action arises out of an accident that occurred on September 30, 2019. Plaintiff was hit by a car at around 8:15 p.m. while riding a bicycle near the intersection of Home Avenue and Oxley Avenue in Flint, Michigan. Plaintiff sustained serious injuries, including multiple broken bones and lacerations, blunt force trauma to the chest and abdomen, and a traumatic brain injury.

In relation to the accident, plaintiff submitted two applications for personal protection insurance (PIP) benefits through the Michigan Automobile Insurance Placement Facility (MAIPF). The first application, dated October 4, 2019, explained that plaintiff was hit by a car while riding his bicycle and transported to Hurley Medical Center for treatment. The application further stated that plaintiff did not have any of the same injuries prior to the accident, that he had no preexisting medical conditions, and that he had not applied for social security benefits before or after the accident. The second application, dated November 4, 2019, again stated the cause of the accident and confirmed that plaintiff had no preexisting medical conditions or injuries that would be relevant to his claim for benefits. However, the new form noted that plaintiff was eligible for social security benefits, contrary to the information from the October 4, 2019 application. Notably, each of the applications contained a fraud warning, which stated:

A person who presents or causes to be presented an oral or written statement, including computer-generated information, as part of or in support of a claim to the Michigan Assigned Claims Plan maintained by the Michigan Automobile Insurance Placement Facility for payment or any other benefit knowing that the statement contains false information concerning a fact or thing material to the claim commits a fraudulent insurance act under section 4503 of the Insurance Code that is subject to the penalties Imposed under section 4511. A claim that contains or is supported by a fraudulent insurance act as described in this subsection is ineligible for payment or benefits under the Assigned Claims Plan.

Plaintiff filed his complaint in February 2020, initially naming the driver of the car that hit him, the owner of the car, and two insurance companies as defendants. Plaintiff later amended his complaint to add the MAIPF as a defendant, arguing that because he was not covered by a no-fault insurance policy on the date of the accident, the MAIPF was required to assign his claim to an insurer. The MAIPF eventually assigned his claim to Nationwide, and Nationwide was substituted as a defendant.1 All of the other defendants to the lawsuit were dismissed through various means.

Relevant to this appeal, Nationwide ultimately filed a motion for summary disposition under MCR 2.116(C)(10). Nationwide alleged that plaintiff committed fraud by submitting false information in support of his claim for PIP benefits, and that under MCL 500.3173a(4), he was therefore ineligible to receive said benefits. Nationwide took issue with information contained in plaintiff’s medical records, deposition testimony, and his two applications for benefits. It alleged that plaintiff failed to disclose medical conditions and injuries sustained before the car accident at issue in this case in both of his benefits applications. In his deposition testimony, plaintiff testified

1 The rest of the defendants were dismissed, either via motions for summary disposition or by stipulation. None of said defendants participate in this appeal.

-2- to suffering significant injury from a dog bite, which ultimately required a skin graft. Nationwide also alleged that plaintiff failed to disclose that he had eye surgery prior to the accident and that he is legally blind. According to Nationwide, “[p]laintiff’s blindness and eye surgery is material to his claims in this matter as plaintiff testified that his eye sight was the same after the accident, as it was from before the accident[.]” Nationwide further alleged that plaintiff’s medical records revealed that between 2012 and 2019, he had been treated for complications arising from the dog bite, as well as for injuries sustained after someone allegedly struck him with a baseball bat, including a fractured leg. Plaintiff was also treated for “altered mental status” on two occasions, first in 2012 and again in 2017. Based on all of this information, Nationwide argued:

Plaintiff lied about his medical history, his medication history, and same and similar injuries in his application for benefits and at his deposition. While [MCL 500.3173a(4)] does not limit the misrepresentations to those only applicable to the claims at issue, Defendant has presented records to show prior head injuries and prior leg injuries and treatment, which are material [to] the alleged head and leg injury being claimed from the subject accident. The case law further supports that the failure to disclose medical conditions, similar and different to those claimed in an accident, is material and entitles defendant to summary disposition.

Nationwide claimed that plaintiff violated MCL 500.3173a(4) by knowingly submitting false statements in support of his claim for benefits. It asserted that no genuine issue of material fact existed as to whether plaintiff committed fraud and was thus ineligible for PIP benefits, and asked the trial court to grant its motion for summary disposition under MCR 2.116(C)(10).

In response, plaintiff argued that under MCL 500.3173a(4), Nationwide could not show that plaintiff “knowingly” sought to commit fraud, and pointed out that his applications for benefits were clearly prepared by another person. Plaintiff also argued that the applications themselves were inadmissible hearsay, as the preparer of the documents was unknown and it was unclear whether plaintiff had a hand in preparing the documents at all.

The trial court heard oral argument on the matter, and the parties largely argued consistent with their briefs. At the close of the hearing, the trial court stated, in relevant part:

The existing record does not raise a genuine issue of material fact as to [plaintiff’s] ability to be aware and understanding of what his signature on the document, the two applications, mean.

The full context of the record which does not indicate any backtracking on his part either by saying I didn’t know what I was signing because of my head injury, my concussion, and the like.

* * *

He did sign it and his signing of it is an indication that what he is signing is true. If I couldn’t draw that conclusion, then what would be the point of anybody signing anything? How would somebody say, no, that’s not true, I’m not signing it?

-3- * * *

And a lot of people don’t fill out things.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Walters v. Nadell
751 N.W.2d 431 (Michigan Supreme Court, 2008)
Smith v. Globe Life Insurance
597 N.W.2d 28 (Michigan Supreme Court, 1999)
Lease Acceptance Corp. v. Adams
724 N.W.2d 724 (Michigan Court of Appeals, 2006)
Barnard Manufacturing Co. v. Gates Performance Engineering, Inc.
775 N.W.2d 618 (Michigan Court of Appeals, 2009)
Merrow v. Bofferding
581 N.W.2d 696 (Michigan Supreme Court, 1998)
Vushaj v. Farm Bureau General Insurance
773 N.W.2d 758 (Michigan Court of Appeals, 2009)
Smith v. Foerster-Bolser Construction, Inc
711 N.W.2d 421 (Michigan Court of Appeals, 2006)
Demski v. Petlick
873 N.W.2d 596 (Michigan Court of Appeals, 2015)
Kalvin Candler v. Farm Bureau Mutual Insurance Company of Michigan
910 N.W.2d 666 (Michigan Court of Appeals, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
Ronnie Fields v. National General Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ronnie-fields-v-national-general-insurance-company-michctapp-2023.