Royal Property Group, LLC v. Prime Insurance Syndicate, Inc

706 N.W.2d 426, 267 Mich. App. 708
CourtMichigan Court of Appeals
DecidedNovember 10, 2005
DocketDocket 249043
StatusPublished
Cited by106 cases

This text of 706 N.W.2d 426 (Royal Property Group, LLC v. Prime Insurance Syndicate, Inc) 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
Royal Property Group, LLC v. Prime Insurance Syndicate, Inc, 706 N.W.2d 426, 267 Mich. App. 708 (Mich. Ct. App. 2005).

Opinion

Zahra, J.

In this insurance case, defendant insurer, Prime Insurance Syndicate, Inc. (Prime), appeals as of right the trial court’s entry of judgment in favor of plaintiff insured, Royal Property Group, LLC (Royal), for $228,729.84. The significant issues in this case are (1) whether the insurance policy is ambiguous in regard to the method of valuation used to determine coinsurance liability and (2) whether a coinsurance clause that determines an insured’s coinsurance liability on the basis of the replacement cost value (RCV) of the property is against public policy where an insurer’s liability is limited to the actual cash value (ACV) of the loss. Reading the policy as a whole, we hold that there is but *710 one reasonable interpretation of the policy. The insured’s coinsurance obligation is based on the RCV of the property and the insurer’s limit of liability is based on the ACV of the loss. We further hold that Michigan’s public policy does not prohibit an insurer from issuing a policy of insurance that measures an insured’s coinsurance liability using the RCV of the property while limiting its liability to the ACV of the loss. We reverse the trial court’s order granting Royal partial summary disposition, and remand with instructions that summary disposition be granted to Prime.

I. BASIC FACTS AND PROCEEDINGS

Royal, through its agent, defendant Whitcomb & Company, Inc., applied for commercial property insurance from Prime to cover three apartment buildings that Royal owned and operated in the city of Detroit. The coverage for “Building 2” is at issue in this case. In regard to Building 2, the policy application contains the following section: 1

SUBJECT OF INSURANCE AMOUNT COINS % VALUATION CAUSES OF LOSS INFLATION GUARD % DEDUCTIBLE FORMS AND CONDITIONS TO APPLY

Bldg 600,000 80 ACV Special 1500 Excl theft

Loss of Rents 156,000 12 months ACV Special 1500 Excl theft

Prime later issued a policy to Royal. The declarations page of the policy contains a section titled, “COVER *711 AGES PROVIDED — INSURANCE AT THE DESCRIBED PREMISES FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN,” which provides in regard to Building 2: 2

PREM. NO. BLDG. NO. COVERAGE LIMIT OF INSURANCE COVERED CAUSES OF LOSS COINSURANCE % RATES

2 1 BUILDING 600,000 BROAD-ACV 80 .81

2 1 BUS. INC. 156,000 BROAD-ACV

1/3 .81

In a section titled, “ADDITIONAL CONDITIONS,” the policy states:

The following conditions apply in addition to the Coverage Conditions and the Loss Conditions.
1. Coinsurance
A Coinsurance percentage of 80% applies to this policy.
a. We will not pay the full amount of any loss if the replacement cost value of Covered Property at the time of loss multiplied by the 80% Coinsurance percentage shown for it in the Declarations is greater than the limit of insurance for the property.
Instead we will determine the most we -will pay using the following steps:
(1) multiply the replacement cost value of covered property at the time of loss by the coinsurance percentage;
(2) divide the limit of insurance of the property by the figure determined in step (1);
(3) multiple the total amount of loss, before the application of any deductible, by the figure determined in step (2); and
*712 (4) subtract the deductible from the figure determined in step (3).
We will pay the amount determined in step (4) or the limit of insurance, whichever is less. For the remainder, you will either have to rely on other insurance or absorb the loss yourself.

Three detailed examples are provided that show how the coinsurance clause operates when the sum of the RCV of the covered property and the coinsurance percentage is more than (underinsurance), less than (over-insurance), and equal to (adequate insurance) the amount of the policy limit.

Building 2 was destroyed in a fire on April 16, 2002. At the time of the fire, Building 2 had an ACV of between $814,270 and $1,280,769, and an RCV of $3,659,396. Prime paid out $372,270.16 under the policy. 3 Royal disputed the amount of the payment and claimed that Prime reduced its payment by improperly applying the coinsurance clause.

Royal filed this action to recover the policy limit. In Royal’s view, the policy application and the declarations page of the policy require the coinsurance clause be construed to state “actual cash value” instead of “replacement cost value.” Under this formulation, the ACV of the loss would exceed the policy limit of $600,000 and would entitle Royal to the policy limit.

Prime moved for partial summary disposition, arguing that it had properly applied the coinsurance clause to reduce Royal’s recovery. After holding a hearing, the trial court concluded that the notations on the declarations page of the policy rendered the policy ambiguous in regard to coinsurance liability. The trial court denied *713 Prime’s motion for summary disposition and ordered that summary disposition be issued in favor of Royal. 4 The trial court subsequently granted Royal’s motion for entry of final judgment and ordered that Prime pay Royal an additional $228,729.84. This appeal ensued.

II. OPERATION OF THE COINSURANCE CLAUSE

A. STANDARD OF REVIEW

“This Court reviews the grant or denial of summary disposition de novo to determine if the moving party is entitled to judgment as a matter of law.” Maiden v Rozwood, 461 Mich 109, 118; 597 NW2d 817 (1999). Summary disposition is appropriate under MCR 2.116(C)(10) when, “[e]xcept as to the amount of damages, there is no genuine issue as to any material fact, and the moving party is entitled to judgment or partial judgment as a matter of law.” “A genuine issue of material fact exists when the record, giving the benefit of reasonable doubt to the opposing party, leaves open an issue upon which reasonable minds might differ.” West v Gen Motors Corp, 469 Mich 177, 183; 665 NW2d 468 (2003). Accordingly, when deciding a motion under MCR 2.116(C)(10), this Court reviews “the entire record in the light most favorable to the party opposing the motion, including affidavits, pleadings, depositions, admissions, and other evidence submitted by the parties.” Corley v Detroit Bd of Ed, 470 Mich 274, 278; 681 NW2d 342 (2004).

Further, resolution of this issue depends on interpretation of the insurance policy, which is also reviewed de novo. Wilkie v Auto-Owners Ins Co,

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Bluebook (online)
706 N.W.2d 426, 267 Mich. App. 708, Counsel Stack Legal Research, https://law.counselstack.com/opinion/royal-property-group-llc-v-prime-insurance-syndicate-inc-michctapp-2005.