Michael Barnett Spencer v. State Farm Mutual Automobile Ins Co
332111
| Mich. Ct. App. | Sep 14, 2017Background
- Michael Spencer was injured in a 2013 car accident and sought reimbursement under his no-fault PIP policy for replacement (in-home) services performed by his sister, Barbara Cooper.
- Cooper submitted weekly activity "calendars;" State Farm reimbursed Cooper through January 15, 2014, then denied further reimbursement. Spencer sued for breach of contract and declaratory relief.
- State Farm moved for summary disposition under MCR 2.116(C)(10), arguing Spencer made fraudulent deposition statements about receiving daily assistance between January 2015 and August 2015 that Cooper did not provide.
- The trial court granted summary disposition for State Farm based on the policy’s fraud-exclusion clause. State Farm bore the burden to prove the exclusion applied.
- On appeal, the Court of Appeals reversed, holding material factual disputes (credibility, context of deposition answers, and absence of documentary proof contradicting Spencer) made summary disposition inappropriate.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Spencer’s deposition statements were fraudulent such that the policy’s fraud exclusion bars coverage | Spencer’s answers were taken out of context; he was not seeking reimbursement for the disputed period and his "yes" answer was to a confusing question about calendars | Spencer’s testimony that Cooper gave assistance "every day" from Jan 2015–Aug 2015 contradicts Cooper’s testimony and her calendars, proving false statements | Reversed: genuine issues of material fact exist about falsity; deposition excerpts alone do not establish fraud as a matter of law |
| Whether State Farm met its burden to prove the exclusionary defense on summary disposition | The record does not conclusively establish all elements of fraud (materiality, falsity, knowledge/recklessness, intent to induce reliance) | State Farm argued inconsistencies in testimony establish the elements of fraud and entitlement to judgment | Held for Spencer: insurer failed to eliminate factual disputes on all elements required to void coverage for fraud |
| Whether credibility and intent issues allow summary disposition | Spencer argued credibility and mental-state issues preclude summary disposition; trial should resolve them | State Farm argued deposition testimony was clear enough to permit no genuine dispute | Held: credibility and intent are classic jury-triable issues; summary disposition was improper |
Key Cases Cited
- Johnson v Recca, 492 Mich. 169 (De novo review of summary disposition)
- Maiden v Rozwood, 461 Mich. 109 (summary-disposition evidence standards)
- West v General Motors Corp., 469 Mich. 177 (definition of genuine issue of material fact)
- Vanguard Ins Co v Bolt, 204 Mich. App. 271 (credibility issues defeat summary disposition)
- Auto-Owners Ins Co v Seils, 310 Mich. App. 132 (insurer bears burden to prove policy exclusion)
- Bahri v IDS Property Cas Ins Co, 308 Mich. App. 420 (fraud exclusion may support summary disposition where evidence is indisputable)
- Mina v Gen Star Indemnity Co, 218 Mich. App. 678 (elements of fraud for voiding policy)
- White v Taylor Distributing Co, 275 Mich. App. 615 (courts may not resolve credibility on summary disposition)
- Burkhardt v Bailey, 260 Mich. App. 636 (same)
- Arbelius v Poletti, 188 Mich. App. 14 (trial court may not weigh credibility at summary judgment)
- In re Handelsman, 266 Mich. App. 433 (intent/state-of-mind issues typically inappropriate for summary disposition)
