Dragen Perkovic v. Zurich American Insurance Company
152484
| Mich. | Apr 14, 2017Background
- On Feb 28, 2009 Perkovic was injured in a Nebraska semitruck crash and was treated at The Nebraska Medical Center (NMC).
- On Apr 30, 2009 NMC mailed Perkovic’s medical records and bills to Zurich (his employer’s insurer); Zurich returned them on May 19, 2009 stating “No injury report on file.”
- Perkovic sued for unpaid PIP benefits on Aug 11, 2009 naming his personal insurer; he added Zurich as a defendant only on Mar 25, 2010 (≈13 months after the accident).
- Zurich moved for summary disposition under MCR 2.116(C)(7), arguing MCL 500.3145(1)’s one‑year limitations bar applied because Zurich had received no adequate written notice or payment within one year.
- The trial court and Court of Appeals agreed with Zurich; the Michigan Supreme Court reversed, holding the NMC submission satisfied MCL 500.3145(1) because it contained the statutory information and was sent “in behalf” of Perkovic.
Issues
| Issue | Perkovic's Argument | Zurich's Argument | Held |
|---|---|---|---|
| Whether medical records/bills sent by a nonparty medical provider within 1 year satisfy the written‑notice requirement of MCL 500.3145(1) | NMC’s records/bills contained the claimant’s name/address and the time, place, and nature of injury and were sent on his behalf, satisfying the statute | Notices must indicate an intent to claim PIP (i.e., be sent by someone claiming benefits or clearly assert a PIP claim); NMC’s materials did not do so | Majority: Yes — the documents satisfied MCL 500.3145(1) because they contained the required information and were sent “in behalf” of the claimant; statute does not require explicit language asserting a PIP claim. Dissent: No — notice must be given by or on behalf of someone actively claiming PIP benefits at the time of notice. |
Key Cases Cited
- Dozier v. State Farm Mut. Auto. Ins. Co., 95 Mich. App. 121 (1980) (Court of Appeals endorsed "substantial compliance" approach to §3145(1) notice)
- Walden v. Auto-Owners Ins. Co., 105 Mich. App. 528 (1981) (notice that substantially complied with statutory contents can suffice)
- Heikkinen v. Aetna Cas. & Surety Co., 124 Mich. App. 459 (1981) (documents meeting content requirements may nonetheless fail if not presented as a claim for PIP)
- Jesperson v. Auto Club Ins. Ass’n, 499 Mich. 29 (2016) (statutory interpretation and one‑year limitations analysis under the no‑fault act)
