George Eubanks v. State Farm Mutual Automobile Insurance Company
330078
Mich. Ct. App.Jul 18, 2017Background
- On July 8, 2013, George Eubanks was injured as a passenger in a hit-and-run motor-vehicle accident; he had no auto coverage and the vehicle was uninsured.
- Eubanks applied for PIP benefits through the Michigan Assigned Claims Plan; the claim was assigned to State Farm.
- Eubanks and co-passenger Patrick Garrett filed suit seeking PIP benefits; several medical providers (Get Well Medical Transport, Advanced Care Rehab, Sinai Diagnostic Group) intervened seeking payment for services to Eubanks.
- The trial court dismissed Eubanks’s claim with prejudice after he failed to comply with discovery and failed to appear.
- State Farm moved for summary disposition of the intervenors’ claims, arguing those claims were derivative of Eubanks’s and extinguished by the dismissal; the trial court denied the motion.
- On appeal, the Court of Appeals reversed the trial court in light of the Michigan Supreme Court’s ruling in Covenant Med Center, holding healthcare providers lack a statutory cause of action under the no-fault act to sue insurers directly for PIP benefits.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether medical providers may maintain a statutory cause of action against a no-fault insurer for PIP benefits | Intervenors argued they could directly recover PIP from insurer as courts previously allowed provider suits based on MCL 500.3112 | State Farm argued providers have no statutory cause of action and intervenors’ claims are derivative of Eubanks’s claim, so dismissal of his claim with prejudice bars them | Held: Providers have no statutory cause of action under the no-fault act; intervenors’ claims fail as a matter of law (reversal of trial court) |
Key Cases Cited
- Covenant Med Ctr., 895 N.W.2d 490 (Mich. 2017) (healthcare providers do not have a statutory cause of action against no-fault insurers for PIP benefits)
- Wyoming Chiropractic Health Clinic v. Auto-Owners Ins. Co., 308 Mich. App. 389 (Mich. Ct. App. 2014) (court of appeals had allowed direct provider suits against insurers under MCL 500.3112)
- Hatcher v. State Farm Mut. Auto. Ins. Co., 269 Mich. App. 596 (Mich. Ct. App. 2006) (recognizing insured’s primary right to PIP benefits)
- Dawoud v. State Farm Mut. Auto. Ins. Co., 317 Mich. App. 517 (Mich. Ct. App. 2016) (summary-disposition standard and procedural posture discussion)
- McCahan v. Brennan, 492 Mich. 730 (Mich. 2012) (de novo review applies to statutory interpretation)
