Surgical Center of Southfield, LLC d/b/a Fountain View Surgery Center v. Allstate Property and Casualty Insurance Company

CourtDistrict Court, E.D. Michigan
DecidedJanuary 15, 2021
Docket2:19-cv-11458
StatusUnknown

This text of Surgical Center of Southfield, LLC d/b/a Fountain View Surgery Center v. Allstate Property and Casualty Insurance Company (Surgical Center of Southfield, LLC d/b/a Fountain View Surgery Center v. Allstate Property and Casualty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Surgical Center of Southfield, LLC d/b/a Fountain View Surgery Center v. Allstate Property and Casualty Insurance Company, (E.D. Mich. 2021).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION

ISPINE, PLLC,

Plaintiff, Case No. 19-cv-11458 v. UNITED STATES DISTRICT COURT JUDGE ALLSTATE PROPERTY AND CASUALTY INS. GERSHWIN A. DRAIN CO.,

Defendant. / OPINION AND ORDER (1) GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT [#99]; AND (2) DENYING AS MOOT PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT [#101]

I. INTRODUCTION On April 26, 2019, Plaintiffs Surgical Center of Southfield, LLC, d/b/a Fountain View Surgery Center and ISpine, PLLC filed the instant action in the Wayne County Circuit Court for the State of Michigan. See ECF No. 1-2. On May 17, 2019, Defendant Allstate Property and Casualty Insurance Company (“Defendant”) removed this matter to this Court. See ECF No. 1. The parties entered a stipulated order on July 31, 2019 dismissing without prejudice the “claims for medical services relating to Surgical Center of Southfield d/b/a Fountain View Surgery.” ECF No. 10, PageID.93. Plaintiff Surgical Center of Southfield d/b/a Fountain View Surgery Center and Defendant agreed to resolve their dispute through another case in this District before the Honorable Paul D. Borman, Surgical Center of Southfield LLC d/b/a Fountain View Surgery Center (Brian Slating) v. Allstate

Insurance Company, 19-cv-10991-PDB-APP, which closed in August 2019. Id. at PageID.94. Presently before the Court are Defendant’s Motion for Summary Judgment,1

which was filed on May 28, 2020, and Plaintiff ISpine, PLLC’s (hereinafter, “Plaintiff”) Motion for Summary Judgment, which was filed on May 29, 2020. ECF Nos. 99, 101. Both motions are fully briefed. On January 14, 2021, the Court held a hearing on this matter.2 For the reasons that follow, the Court will GRANT

Defendant’s Motion for Summary Judgment [#99] and DENY AS MOOT Plaintiff’s Motion for Summary Judgment [#101]. II. BACKGROUND Plaintiff’s claims stem from a motor vehicle accident on August 25, 2018.

ECF No. 34, PageID.671. On that date, insured Brian Slating endured spinal injuries which eventually resulted in an outpatient procedure. Id. Plaintiff provided treatment to Slating between February 20, 2019 and April 17, 2019. ECF No. 87,

1 Defendant filed an amended Motion later that same day. See ECF No. 100. The Court will cite to the amended Motion throughout this Opinion and Order. 2 At the beginning of the hearing, the Court invited arguments on both Motions; however, the parties used their allotted time to only argue Defendant’s Motion (ECF No. 99). At the end of the hearing, the Court denoted that it would decide Plaintiff’s Motion on the briefs. PageID.3341. Slating has claimed entitlement to benefits through the insurance policy issued to his ex-girlfriend, Brandy Powers, in a separate action in the Oakland

County Circuit Court, Brian Slating v. Brandy Powers, Connie Elizabeth Owen, and Allstate Insurance Company, 18-169945-NI. See ECF No. 99-1, PageID.4582. Plaintiff asserts that it prepared and mailed a bill to Defendant for the

treatment at issue in this action. ECF No. 87, PageID.3341. Defendant received this bill on March 11, 2019. ECF No. 100, PageID.4794. Plaintiff then filed the instant action on April 26, 2019 in the Wayne County Circuit Court, ECF No. 1-2, before it was removed to this Court on May 17, 2019, ECF No. 1. In its Complaint, Plaintiff

alleges Defendant violated Michigan’s No-Fault Act and seeks declaratory relief for the outpatient services and surgical facility medical treatment it provided to Slating. ECF No. 1-2, PageID.13.

Defendant filed its present Motion for Summary Judgment on May 28, 2020. ECF No. 100. Defendant argues that (1) it cannot be liable for payment of any benefits since it did not write Power’s insurance policy, (2) the purported assignment of benefits from Slating to Plaintiff was “invalid and meaningless,” and (3) that any

rights Plaintiff did obtain from Slating were subsequently transferred to another entity called Velocity MRS – Fund VI, LLC (“Velocity”), thus rendering this action moot. Id. at PageID.4798. According to Defendant, each of these issues forecloses the recovery sought by Plaintiff and there is thus no issue of material fact that could be presented to the jury. Id.

Plaintiff filed its Response on June 18, 2020. ECF No. 106. Plaintiff argues that Defendant’s allegations regarding the assignment of benefits and standing to bring this action are “without merit.” ECF No. 106, PageID.5156. Additionally,

Plaintiff asserts that it named Defendant as a proper party; however, “should the Court find that the named defendant is not the property party, Plaintiff asserts that justice demands that the Plaintiff be permitted to amend the complaint based on Defendant’s handling of this case[.]” Id. Plaintiff also argues that it is the sole party

with interest in Slating’s accounts receivable. Id. Defendant filed a Reply on July 2, 2020. ECF No. 108. Plaintiff separately filed a Motion for Summary Judgment on May 29, 2020.

ECF No. 101. Plaintiff argues that there are no genuine issues of material fact upon review of seventeen of Defendant’s affirmative defenses, “as well as [Defendant’s allegations and inferences of illegal referrals, improper marketing and fraud in general.” Id. at PageID.4846. Plaintiff also emphasizes its diligent discovery in this

matter, whereas Defendant “failed to supplement any answers regarding [its] Affirmative Defenses by the May 1, 2020 discovery cutoff date.” Id. At the hearing, Plaintiff stated that it filed its present Motion in the interest of judicial economy. Defendant opposed Plaintiff’s Motion on June 19, 2020. ECF No. 107. Defendant asserts that Plaintiff’s Motion is merely an attempt to prevent it from

presenting the allegedly “extensive evidence” of Plaintiff’s “fraudulent conduct.” Id. at PageID.5267. Defendant emphasizes that Plaintiff’s arguments are not appropriate for summary judgment. Id. Moreover, Defendant contends that

Plaintiff’s motion is premised on material misrepresentations of its affirmative defenses, including the defenses that it stipulated to withdraw (ECF No. 102). Id. at PageID.5268. Plaintiff did not file a Reply. III. LEGAL STANDARD

Federal Rule of Civil Procedure 56(a) “directs that summary judgment shall be granted if there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Cehrs v. Ne. Ohio Alzheimer’s

Research Ctr., 155 F.3d 775, 779 (6th Cir. 1998) (quotations omitted). The court must view the facts, and draw reasonable inferences from those facts, in the light most favorable to the non-moving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255, (1986). No genuine dispute of material fact exists where the record “taken

as a whole could not lead a rational trier of fact to find for the non-moving party.” Matsushita Elec. Indus., Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986). Ultimately, the court evaluates “whether the evidence presents a sufficient disagreement to require submission to a jury or whether it is so one-sided that one party must prevail as a matter of law.” Anderson, 477 U.S. at 251–52.

IV. ANALYSIS A. Defendant’s Motion for Summary Judgment (ECF No. 99) In its Motion for Summary Judgment, Defendant first argues that it cannot be

liable for the payment of any benefits.

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Surgical Center of Southfield, LLC d/b/a Fountain View Surgery Center v. Allstate Property and Casualty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/surgical-center-of-southfield-llc-dba-fountain-view-surgery-center-v-mied-2021.