University Neurosurgical Associates Pc v. USA Underwriters

CourtMichigan Court of Appeals
DecidedDecember 19, 2024
Docket364945
StatusUnpublished

This text of University Neurosurgical Associates Pc v. USA Underwriters (University Neurosurgical Associates Pc v. USA Underwriters) 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
University Neurosurgical Associates Pc v. USA Underwriters, (Mich. Ct. App. 2024).

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

UNIVERSITY NEUROSURGICAL ASSOCIATES UNPUBLISHED PC, doing business as MICHIGAN HEAD AND December 19, 2024 SPINE INSTITUTE, and VHS OF MICHIGAN 9:09 AM INC., doing business as DETROIT MEDICAL CENTER,

Plaintiffs-Appellees,

v No. 364945 Wayne Circuit Court USA UNDERWRITERS, LC No. 21-015441-NF

Defendant-Appellee,

and

MICHIGAN AUTOMOBILE INSURANCE PLACEMENT FACILITY,

Defendant-Appellant,

UNNAMED ASSIGNEE OF MAIPF,

Defendant.

DMA, a protected person, by Conservator ZETRICK HILL,

Plaintiff,

v No. 364946 Wayne Circuit Court

-1- CAROLYN DENISE AUSTIN and PERCY LC No. 21-008797-NI CRUTCH,

Defendants,

USA UNDERWRITERS,

Defendant-Appellant.

Plaintiff-Appellee,

v No. 364947 Wayne Circuit Court DMA, a protected person, by Conservator, ZETRICK LC No. 21-011607-CK HILL,

CAROLYN DENISE AUSTIN and PERCY ONEAL CRUTCH,

Before: N. P. HOOD, P.J., and CAMERON and LETICA, JJ.

-2- PER CURIAM.

In these consolidated appeals, defendant Michigan Automobile Insurance Placement Facility (MAIPF), appeals three October 5, 2022 orders of the trial court granting the motions for summary disposition of defendant, USA Underwriters (USAU), brought under MCR 2.116(C)(7) (action barred by doctrine of collateral estoppel), (C)(8) (failure to state a claim on which relief can be granted), and (C)(10) (no genuine issue of material fact). In Docket No. 364945, MAIPF appeals by leave granted1 in this action in which plaintiffs, University Neurosurgical Associates, doing business as Michigan Head and Spine Institute (MHSI), and VHS of Michigan, Inc., doing business as Detroit Medical Center (the DMC), sought recovery of disputed medical payments. In Docket No. 364946, MAIPF, appeals by leave granted2 in this action in which plaintiff, Zetrick Hill, as conservator for DMA, a protected person, alleged negligence against defendants Carolyn Denise Austin and Percy Crutch, and sought first-party no-fault benefits under the no-fault act, MCL 500.3101 et seq., against USAU. In Docket No. 364947, MAIPF appeals by leave granted3 in this action in which USAU sought declaratory judgment against defendant, Hill, as conservator for DMA, a protected person, and defendants Austin, Percy Oneal Crutch, and MAIPF. For the reasons set forth in this opinion, we reverse in part, vacate in part, and remand to the trial court for proceedings consistent with this opinion.

I. FACTUAL AND PROCEDURAL HISTORY

These appeals arise from catastrophic injuries that DMA suffered when he fell out of a moving vehicle driven by his mother, Austin, in the city of Detroit. On November 6, 2020, Austin, accompanied by one of her daughters, went to pick up DMA from a party where everyone was intoxicated. DMA’s girlfriend and her mother attacked Austin and knocked her down. DMA’s girlfriend and her mother then placed DMA in the vehicle, and Austin drove away as DMA’s girlfriend and mother chased the vehicle with sticks. As Austin continued to drive, her daughter informed Austin that DMA was not in the vehicle, and Austin then noticed that he had fallen out. Austin believed that the door of the vehicle was not closed properly when DMA was placed inside. DMA suffered a severe and traumatic brain injury and other incapacitating blunt force injuries to his head.

Hill, as DMA’s conservator, filed a cause of action against Austin, Crutch, USAU, and MAIPF in Wayne Circuit Court Case No. 21-008797-NI. The complaint alleged negligence against both Austin and Crutch, sought first-party benefits against USAU, and alternatively, personal protection insurance (PIP) coverage from MAIPF.

1 Univ Neurosurgical Assoc, PC v USA Underwriters, unpublished order of the Court of Appeals, entered July 3, 2023 (Docket No. 364945). 2 DMA v Carolyn Denise Austin, unpublished order of the Court of Appeals, entered July 3, 2023 (Docket No. 364946). 3 USA Underwriters v DMA, unpublished order of the Court of Appeals, entered July 3, 2023 (Docket No. 364947).

-3- In Wayne Circuit Court Case No. 21-011607-CK, USAU filed a complaint against Hill, Austin, and Crutch seeking declaratory relief. USAU alleged that both Austin and Crutch had made material misrepresentations when procuring their respective policies because they did not disclose to USAU that Austin’s driver’s license had been suspended within the prior three years, and Crutch also did not disclose the names of all the residents in the household who might drive his insured vehicle. With respect to Austin’s no-fault policy, USAU also asserted that the policy had been cancelled on October 23, 2020, on the basis of nonpayment of premiums. USAU refunded the policy premiums for both policies and rescinded both policies on the basis of the material misrepresentations made in procuring the policies.

MHSI and the DMC filed a cause of action in Wayne Circuit Court Case No. 21-015441- NF, against USAU, MAIPF, and an unnamed assignee of MAIPF. MHSI and the DMC alleged that they had provided necessary products, services, and accommodations to DMA for injuries he sustained in the November 6, 2020 accident, but that USAU and MAIPF had not yet reimbursed MHSI and the DMC. MHSI and the DMC alleged that the total cost of their services to DMA from November 7, 2020 through December 15, 2020 was $1,408,391.89. MHSI and the DMC also alleged that either USAU or MAIPF was the highest priority no-fault insurer responsible for the payment of no-fault benefits arising from the November 6, 2020 motor vehicle accident. The trial court ultimately consolidated all three cases under Case No. 21-015441-NF.

In February 2022, Austin and Crutch had been defaulted in Wayne Circuit Court Case No. 21-011607-CK, and on the motion of USAU, a default judgment was entered against both Austin and Crutch. The default judgment provided that both no-fault policies were rescinded on the basis of material misrepresentations in the procurement and that the Austin policy had been cancelled because of premium nonpayment. The default judgment further stated that DMA did not have coverage under either the Austin or Crutch no-fault policies. Notably, before entering the default judgment, the trial court did not conduct a balancing of the equities before rescinding the no-fault policy as to DMA. MAIPF unsuccessfully moved to set aside the default judgment, and the trial court denied the motion, concluding that the no-fault policies were rescinded as to both Crutch and Austin, and to DMA as well.

USAU subsequently filed three motions for summary disposition in Wayne Circuit Court Case No. 21-015441-NF, and MAIPF, MHSI and the DMC filed responses. In its motion for summary disposition with respect to the Austin policy, USAU claimed that judgment should be granted in its favor as a matter of law because the Austin policy had been cancelled before the accident because of nonpayment of premiums, and it was also voidable when USAU discovered Austin’s material misrepresentations in procuring the policy. USAU made a similar argument with respect to the Crutch policy as it pertained to Crutch’s material misrepresentations. MAIPF responded, claiming that genuine issues of material fact existed regarding whether Austin and Crutch made fraudulent misrepresentations in the procurement of their respective policies. MAIPF also argued that the trial court made a significant legal error in not balancing the equities as to DMA before extending the rescission of the no-fault policies to him.

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

Related

Titan Insurance Company v. Hyten
491 Mich. 547 (Michigan Supreme Court, 2012)
Estes v. Titus
751 N.W.2d 493 (Michigan Supreme Court, 2008)
Monat v. State Farm Insurance
677 N.W.2d 843 (Michigan Supreme Court, 2004)
Rogers v. J B Hunt Transport, Inc
649 N.W.2d 23 (Michigan Supreme Court, 2002)
Nowell v. Titan Insurance
648 N.W.2d 157 (Michigan Supreme Court, 2002)
Patterson v. Kleiman
526 N.W.2d 879 (Michigan Supreme Court, 1994)
Recorder's Court Presiding Judge v. Third Judicial Circuit Judge
65 N.W.2d 320 (Michigan Supreme Court, 1954)
Maiden v. Rozwood
597 N.W.2d 817 (Michigan Supreme Court, 1999)
Allstate Insurance v. Hayes
499 N.W.2d 743 (Michigan Supreme Court, 1993)
Wischmeyer v. Schanz
536 N.W.2d 760 (Michigan Supreme Court, 1995)
Ali Bazzi v. Sentinel Insurance Company
919 N.W.2d 20 (Michigan Supreme Court, 2018)
Keyon Harrison v. Curt Vanderkooi
918 N.W.2d 785 (Michigan Supreme Court, 2018)
Epps v. 4 Quarters Restoration LLC
872 N.W.2d 412 (Michigan Supreme Court, 2015)
Dextrom v. Wexford County
789 N.W.2d 211 (Michigan Court of Appeals, 2010)
Duncan v. State
832 N.W.2d 761 (Michigan Court of Appeals, 2013)

Cite This Page — Counsel Stack

Bluebook (online)
University Neurosurgical Associates Pc v. USA Underwriters, Counsel Stack Legal Research, https://law.counselstack.com/opinion/university-neurosurgical-associates-pc-v-usa-underwriters-michctapp-2024.