Vhs of Michigan Inc v. Progressive Marathon Insurance Company

CourtMichigan Court of Appeals
DecidedJuly 24, 2018
Docket337616
StatusUnpublished

This text of Vhs of Michigan Inc v. Progressive Marathon Insurance Company (Vhs of Michigan Inc v. Progressive Marathon 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
Vhs of Michigan Inc v. Progressive Marathon Insurance Company, (Mich. Ct. App. 2018).

Opinion

STATE OF MICHIGAN

COURT OF APPEALS

VHS OF MICHIGAN, INC., doing business as UNPUBLISHED DETROIT MEDICAL CENTER, July 24, 2018

Plaintiff-Appellee,

and

PATRICK GARDNER, by Guardian DAWN GARDNER, and MICHIGAN SPINE AND BRAIN SURGEONS, PLLC,

Intervening Plaintiffs-Appellees,

BOTSFORD GENERAL HOSPITAL and DEPARTMENT OF HEALTH AND HUMAN SERVICES,

Intervening Plaintiffs,

v No. 337616 Wayne Circuit Court PROGRESSIVE MARATHON INSURANCE LC No. 15-009104-NF COMPANY,

Defendant,

GEICO INDEMNITY COMPANY,

Defendant-Appellant.

Before: BORRELLO, P.J., and M. J. KELLY and BOONSTRA, JJ.

PER CURIAM.

-1- Defendant, Geico Indemnity Company (defendant), appeals as of right an order dismissing the case with prejudice1 in this first-party no-fault action.2 Defendant’s issue on appeal relates to a prior order that denied defendant’s motion for summary disposition. For the reasons set forth in this opinion, we affirm.

I. BACKGROUND

This appeal arises out of plaintiff’s requests for payment of PIP benefits on Patrick’s behalf for injuries sustained by Patrick in a motor vehicle accident on February 28, 2015.3 On the night of February 27, 2015, Patrick went to a casino with his cousin, Deon Edwards. They left around 4:45 a.m. and during their ride home, Patrick’s black Ford Explorer stalled, and all of the vehicle’s electricity went out, but it started back up again. Patrick left Edwards’s house in Detroit to drop off another cousin, and Patrick told Edwards that he was going to try to make it all the way home before his car stalled again.

Randy Tung was driving on southbound Telegraph Road in the early morning hours on February 28, 2015, from his home in Bloomfield Hills to a gas station that he owned in Garden City. The speed limit in the area of Telegraph Road and Nine Mile Road was 50 miles per hour, with four lanes of southbound travel. Tung was driving in the left lane around 6:10 a.m. or 6:15 a.m.,4 his headlights were on, and he was not distracted. He first saw Patrick’s Ford Explorer in the far left lane when the Ford Explorer was only 20 feet in front of Tung, only a “split second” or “less than one second” before impact. He did not see anyone standing next to the vehicle immediately before the impact, nor did he recall a traffic light at the intersection, and said that he was traveling in the range of upper 40s to 50 miles per hour, but he could have been driving between 50 and 55 miles per hour. Tung testified that his car hit a large SUV that had no blinking lights or emergency signals on and was “a color that you cannot see in the dark.” Photographs taken by an accident reconstructionist of the intersection showed Patrick’s Ford Explorer almost directly underneath a traffic light, with an additional streetlight on a utility pole nearby. The narrative on the police report indicates that Patrick’s Ford Explorer was “STOPPED IN ROADWAY UNOCCUPIED,” Patrick exited his vehicle and stood nearby, and

1 The parties stipulated to the entry of an order for dismissal and consent judgment so a final order existed, and defendant could appeal the trial court’s denial of its motion for summary disposition. If defendant does not receive relief on appeal, judgment will be entered in favor of plaintiff and intervening plaintiffs. 2 All claims against defendant, Progressive Marathon Insurance Company (Progressive), were dismissed in the lower court, and Progressive is not a party on appeal. Hence, Geico Indemnity Company will be referred to as “defendant” herein. 3 From the outset we note that in defendant’s brief they recognize that because Gardner intervened in this action, Covenant Med Ctr, Inc v State Farm Mut Auto Ins Co, 500 Mich 191; 895 NW2d 490 (2017) does not bar recovery to plaintiff Gardner. 4 The police report is timestamped at 6:44 a.m., and Tung testified that the police may have arrived at that time.

-2- Tung collided with the Ford Explorer and Patrick. Patrick was taken from the scene by ambulance to Botsford, where he stayed for 30 days, and was then transferred to a hospice facility for another 30 days. Patrick died on October 26, 2016. Gardner testified that the Ford Explorer was leased solely in Patrick’s name, and she had her own vehicle, which was insured by defendant. It was ultimately determined that Patrick did not have insurance on his Ford Explorer.

On July 10, 2015, plaintiff filed a complaint against Progressive Insurance Company, alleging that Progressive was the no-fault insurer of highest priority responsible for PIP benefits on Patrick’s behalf pursuant to an automobile policy issued to Patrick. Plaintiff provided medical products, services, and accommodations for Patrick’s care for bodily injuries that he suffered in the car accident, which totaled $248,996.95. Plaintiff argued that Progressive’s refusal to pay was a breach of the automobile insurance contract, as well as a violation of the no- fault act, MCL 500.3101 et seq. On September 4, 2015, plaintiff filed an amended complaint to make the same allegations against defendant. Plaintiff asserted that the amount that it was due increased to $1,038,879.43 for medical services provided to Patrick up to that time without clarifying what attributed to the large increase in costs. Defendant and Progressive each filed an answer to the amended complaint denying liability for PIP benefits owed on Patrick’s behalf.

On October 1, 2015, Gardner, as the guardian of Patrick, filed a motion to intervene, which was granted by the trial court. Gardner filed an intervening complaint alleging that Patrick underwent medical treatment, lost his employment, and needed attendant care as a result of the injuries that he sustained in the accident, and neither insurer paid any of Patrick’s allowable expenses and defendant “and/or” Progressive were the responsible insurers for Patrick’s PIP benefits.5

Responding to a motion by plaintiff for summary judgment, Progressive asserted that Patrick’s alleged policy was fraudulently obtained, and therefore, void at the time of the accident. Progressive asserted that Patrick was never insured with Progressive at any relevant time because his policy was rescinded for failure to ever pay the premium. They claimed that an unidentified individual tried to purchase several no-fault policies from Progressive on a computer located at a public library, using false information and a fraudulent credit card. As no premium was received, Patrick’s policy was rescinded on December 6, 2014 and thus, he was not insured with Progressive on the day of the accident.

Progressive and defendant also argued that Patrick’s vehicle was uninsured at the time of the accident, and he could not recover PIP benefits. Moreover, Patrick’s vehicle was parked, and PIP benefits are not available pursuant to MCL 500.3106(1)(a) unless the vehicle is parked in such a way as to cause an unreasonable risk of the bodily injury that occurred. They argued that Patrick’s vehicle was parked in the traveling section of the roadway without emergency flashers or other indicators, so it was parked in such a way as to cause an unreasonable risk of bodily

5 Prior to our Supreme Court’s ruling in Covenant Med Ctr, Inc, 500 Mich 191, the medical facilities and providers listed in this matter were also allowed to intervene.

-3- injury. Also, they argued that Patrick’s vehicle was involved in the accident, Patrick was not a pedestrian, and therefore, he was not eligible for PIP benefits.

A hearing was held on defendant’s motion for summary disposition on July 15, 2016. Progressive argued that, if Patrick was considered a pedestrian, and Patrick had no policy with Progressive, then defendant was responsible for Patrick’s PIP benefits.

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Bluebook (online)
Vhs of Michigan Inc v. Progressive Marathon Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vhs-of-michigan-inc-v-progressive-marathon-insurance-company-michctapp-2018.