889 N.W.2d 759
Mich. Ct. App.2016Background
- 21st Century issued an auto policy to Barry Zufelt in June 2012 after he omitted an April 18, 2012 accident from his application; the policy allowed rescission for material misrepresentation or nondisclosure.
- Barry’s driving record actually exceeded the insurer’s eligibility points threshold when the application was made; plaintiff’s underwriter later stated they would not have issued coverage had they known of the accident.
- The policy automatically renewed in December 2012; by renewal Barry’s record later reflected fewer points, but the insurer had not been informed of the April 2012 accident.
- In March 2013 Barry was injured in a crash with Daniel Novak; University of Michigan Regents provided significant medical care and sought PIP reimbursement from the insurer.
- 21st Century sued to rescind the policy ab initio for Barry’s misrepresentation; the trial court granted summary disposition for plaintiff, rescinded the policy, and entered judgment against Regents for reimbursement of medical payments.
- Regents appealed, arguing (among other things) that the renewal cured any initial ineligibility and that equitable estoppel barred rescission.
Issues
| Issue | Plaintiff's Argument | Defendant's (Regents') Argument | Held |
|---|---|---|---|
| Whether policy may be rescinded for applicant's misrepresentation | Policy permits rescission for material misstatement or nondisclosure; insurer relied on misrepresentation | Rescission requires fraud/intentional misrepresentation | Rescission permitted without proof of intent where insurer relied on misrepresentation |
| Whether renewal created a new contract curing initial misrepresentation | Renewal incorporated original terms; initial misrepresentation tainted renewal | Renewal is a new, separate contract so later eligibility cured the defect | Renewal did not cure misrepresentation; original terms controlling and rescission allowed |
| Whether insurer had duty to monitor or was estopped from rescinding after renewal | No duty to continuously check record; insurer unaware of misrepresentation at renewal | Renewal declarations and confirmation induced reliance; estoppel bars denial of coverage | Equitable estoppel fails: no justifiable reliance and insured’s misrepresentation precludes estoppel |
| Entitlement to reimbursement of medical payments to Regents | Rescission voids coverage; insurer entitled to reimbursement for benefits paid | Regents entitled to PIP as a covered claimant at time of loss | Judgment for insurer against Regents for reimbursement affirmed |
Key Cases Cited
- Maiden v Rozwood, 461 Mich. 109 (standards for de novo review of summary disposition)
- Lash v Allstate Ins Co, 210 Mich. App. 98 (insurer may rescind no-fault policy for material misrepresentation)
- Burton v Wolverine Mut Ins Co, 213 Mich. App. 514 (rescission justified without regard to intent if relied upon)
- Lake States Ins Co v Wilson, 231 Mich. App. 327 (reliance supports rescission when misrepresentation relates to eligibility)
- Russell v State Farm Mut Auto Ins Co, 47 Mich. App. 677 (renewal generally a separate contract unless original terms carry forward)
- Titan Ins Co v Hyten, 491 Mich. 547 (insurer may pursue remedies to avoid liability despite discoverability of applicant fraud)
- West Am Ins Co v Meridian Mut Ins Co, 230 Mich. App. 305 (elements of equitable estoppel)
- Zurich Ins Co v CCR & Co, 226 Mich. App. 599 (contract interpretation by looking within the four corners)
Affirmed. No costs awarded.
