Vhs of Michigan Inc v. USA Underwriters

CourtMichigan Court of Appeals
DecidedSeptember 30, 2025
Docket369637
StatusUnpublished

This text of Vhs of Michigan Inc v. USA Underwriters (Vhs of Michigan Inc 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
Vhs of Michigan Inc v. USA Underwriters, (Mich. Ct. App. 2025).

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

VHS OF MICHIGAN, INC., doing business as UNPUBLISHED DETROIT MEDICAL CENTER, September 30, 2025 1:12 PM Plaintiff-Appellee, and No. 369637 Wayne Circuit Court ESTATE OF DR, a legally incapacitated person, by LC No. 22-001459-NF Conservator SUSAN ATKINSON-FIDEL,

Intervening Plaintiff-Appellee, v

USA UNDERWRITERS,

Defendant-Appellant, and

FARMERS INSURANCE EXCHANGE,

Defendant-Appellee.

Before: LETICA, P.J., and RICK and BAZZI, JJ.

PER CURIAM.

In this no-fault insurance action, defendant, USA Underwriters (USA), appeals by leave granted1 the trial court’s order denying USA’s motion for summary disposition and granting summary disposition in favor of plaintiff, VHS of Michigan, Inc., doing business as Detroit

1 VHS of Mich, Inc v USA Underwriters, unpublished order of the Court of Appeals, entered April 19, 2024 (Docket No. 369637).

-1- Medical Center (plaintiff), and defendant Farmers Insurance Exchange (Farmers). 2 We reverse and remand for further proceedings.

I. BASIC FACTS AND PROCEDURAL HISTORY

This appeal arises from an automobile insurance policy purchased by Susan Marie Atkinson-Fidel (Fidel) and the catastrophic injuries that Fidel’s adult son, DR, later sustained when he was struck by a vehicle.

At all times relevant to this appeal, Fidel lived in a two-bedroom house in Detroit, Michigan. In March 2021, Fidel applied for and purchased a no-fault insurance policy from LA Insurance Agency 43, LLC (LA Insurance), which policy was underwritten by USA. Fidel did not list any other household members in her application, nor did Fidel’s insurance policy identify any relatives that lived in her household. Although DR stayed overnight at Fidel’s house with some frequency in the preceding months, Fidel did not equate those visits to him living with her, and she did not tell anyone at LA Insurance that he lived in her house. The same day Fidel purchased the insurance policy, Fidel executed a form indicating that she elected not to maintain personal protection insurance (PIP) coverage for allowable-expense benefits. Fidel made this choice in exchange for a lower policy premium. As part of this choice, Fidel certified, in relevant part, that any resident relative of Fidel had qualified health coverage or had applicable coverage under a different insurance policy.

In June 2021, a vehicle hit DR while he was riding an electric scooter. DR sustained substantial injuries that required significant medical intervention and treatment. Someone filed a claim for PIP benefits with USA on DR’s behalf shortly after the accident, but this claim was denied on the basis that Fidel had elected not to maintain coverage for allowable-expense benefits in her insurance policy. Thereafter, Fidel (on DR’s behalf) and plaintiff each submitted applications for PIP benefits with the Michigan Assigned Claims Plan (MACP).

Plaintiff initiated this case by filing a complaint setting forth a no-fault claim against Farmers, the insurance carrier assigned to DR’s claim by the MACP, under the no-fault act, MCL 500.3101 et. seq. In relevant part, plaintiff sought reimbursement for over $2 million in medical services and treatment plaintiff allegedly provided DR after the accident. Farmers denied responsibility for the payment of allowable-expense benefits related to DR’s injuries and argued that, at the time of the accident, DR resided with a relative who had an active no-fault insurance policy—Fidel. After plaintiff unsuccessfully sought reimbursement from USA, plaintiff amended its complaint to add USA as a defendant. In the amended complaint, plaintiff brought no-fault claims against both USA and Farmers and sought declaratory relief regarding which insurance carrier was responsible for the payment of DR’s PIP benefits and whether Fidel made an

2 There were four parties to this action below: (1) plaintiff, (2) intervening plaintiff, Susan Atkinson-Fidel (Fidel), as conservator for DR, a legally incapacitated person, (3) defendant, USA, and (4) defendant, Farmers. For purposes of this opinion, we will refer to Farmers and USA, collectively, as defendants. When referencing Fidel and DR in their individual capacities, we will refer to them as Fidel and DR, respectively.

-2- ineffective election in her insurance policy such that USA was liable for the payment of unlimited allowable-expense benefits. USA and Farmers each answered the amended complaint and denied being the highest-priority insurer.

Intervening plaintiff, Fidel, as conservator for the estate of DR, a legally incapacitated person, then intervened in the case and brought first-party benefit claims against Farmers and USA. Again, USA and Farmers each denied responsibility for the payment of no-fault benefits relative to DR. After the parties conducted discovery, USA, plaintiff, and Farmers each filed competing motions for summary disposition under MCR 2.116(C)(10). Relevant to the present appeal, the motions raised arguments regarding (1) whether DR was domiciled in Fidel’s household at the time of the accident, such that Fidel’s insurance policy was applicable to DR and (2) whether Fidel made an effective election to opt out of allowable-expense benefits under MCL 500.3107d(1). After holding a hearing on the competing motions, the trial court denied USA’s motion for summary disposition and granted summary disposition in favor of plaintiff and Farmers. In an order entered after the hearing, the trial court ruled that DR was domiciled with Fidel on the date of the accident, Fidel’s insurance policy applied to the injuries DR sustained in the accident, and Fidel did not make an effective election under MCL 500.3107d(1). This appeal followed.

II. STANDARD OF REVIEW

The appellate court reviews “de novo a trial court’s decision on a motion for summary disposition.” El-Khalil v Oakwood Healthcare, Inc, 504 Mich 152, 159; 934 NW2d 665 (2019). “A motion for summary disposition submitted pursuant to MCR 2.116(C)(10) tests the factual sufficiency of a claim.” Wilmore-Moody v Zakir, 511 Mich 76, 82; 999 NW2d 1 (2023). “When considering such a motion, a trial court must consider all evidence submitted by the parties in the light most favorable to the party opposing the motion.” El-Khalil, 504 Mich at 160. “A motion under MCR 2.116(C)(10) may only be granted when there is no genuine issue of material fact.” Id. “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.” Gueye v State Farm Mut Auto Ins Co, 343 Mich App 473, 481; 997 NW2d 307 (2022) (quotation marks and citation omitted).

“The trial court is not permitted to assess credibility, weigh the evidence, or resolve factual disputes, and if material evidence conflicts, it is not appropriate to grant a motion for summary disposition under MCR 2.116(C)(10).” Barnes v 21st Century Premier Ins Co, 334 Mich App 531, 540; 965 NW2d 121 (2020) (quotation marks and citation omitted). “Like the trial court’s inquiry, when an appellate court reviews a motion for summary disposition, it makes all legitimate inferences in favor of the nonmoving party.” Id. at 541.

III. DOMICILE UNDER THE NO-FAULT ACT

On appeal, USA argues that the trial court erred by determining DR’s domicile as a matter of law. We agree.

MCL 500.3114(1) sets forth “the general rule for determining which Michigan insurer is liable to provide PIP benefits.” Grange Ins Co of Mich v Lawrence, 494 Mich 475, 490; 835 NW2d 363 (2013).

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Related

Workman v. Detroit Automobile Inter-Insurance Exchange
274 N.W.2d 373 (Michigan Supreme Court, 1979)
Dairyland Insurance v. Auto-Owners Insurance
333 N.W.2d 322 (Michigan Court of Appeals, 1983)
Cervantes v. Farm Bureau General Insurance
726 N.W.2d 73 (Michigan Court of Appeals, 2007)
Grange Insurance Co of Michigan v. Edward Lawrence
494 Mich. 475 (Michigan Supreme Court, 2013)

Cite This Page — Counsel Stack

Bluebook (online)
Vhs of Michigan Inc v. USA Underwriters, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vhs-of-michigan-inc-v-usa-underwriters-michctapp-2025.