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936 N.W.2d 834
Mich. Ct. App.
2019
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Background

  • Defendant USA Underwriters (USAU) sold and issued a policy to Steven Vandeinse that provided only comprehensive/collision and other optional coverages but omitted Michigan's mandatory no-fault coverages (PIP, PPI, residual liability).
  • Vandeinse purchased the 2011 Chevrolet Impala June 19, 2015, was given a USAU Certificate of Insurance, registered the car, and paid premiums; USAU knew the vehicle would be driven because it sold collision coverage.
  • On September 8, 2015, a permissive driver of the Impala injured bicyclist Niles Johnson; the car and policy were identified at the scene as insured by USAU.
  • Johnson sued and the trial court concluded USAU’s policy violated MCL 500.3101 by failing to include mandatory no-fault coverages and reformed the contract to include those coverages; USAU appealed.
  • The dispute centers on whether an insurer may lawfully issue an automobile insurance policy in Michigan that supplies only optional coverages (e.g., collision/comprehensive) without first providing the statutory no-fault minimums, except where the vehicle is not driven on a highway.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether an insurer may sell an "automobile insurance" policy in Michigan that omits mandatory no-fault coverages (PIP, PPI, residual liability) when the vehicle will be driven on highways Johnson (and trial court) — such policies violate MCL 500.3101; insurers must start with mandatory no-fault coverages; reformation appropriate USAU — its policy documents and disclosures show the insured accepted a comprehensive/collision-only policy without PIP; financial responsibility schemes permit multiple policies to satisfy statutory requirements Trial court correct in treating USAU’s policy as violative; the no-fault act requires initial inclusion of mandatory coverages unless vehicle will not be driven on a highway (dissent would affirm)
Whether the Financial Responsibility Act allows insurers to circumvent the no-fault act by allocating mandatory coverage across multiple policies Johnson — the Financial Responsibility Act cannot be used to justify policies that are repugnant to the no-fault act USAU — reliance on statutes permitting multiple policies to fulfill financial responsibility requirements Court (and cited precedent) — financial responsibility provisions do not authorize insurers to circumscribe no-fault mandates; no-fault act controls
Whether an insurer’s issuance of a certificate that resembles Secretary of State registration proof and omission of mandatory coverage supports reformation for intent to deceive Johnson — the certificate and conduct evidenced deceptive practice justifying reformation to include mandatory coverages USAU — contends insured knowingly accepted limited coverage per application/disclosures Trial court found evidence supported reformation; dissent would affirm that issuing such noncompliant policies is unlawful
Whether prior caselaw (e.g., Integral) allows combining non-PIP policies with others to meet no-fault requirements Johnson — Integral does not authorize selling policies that lack PIP; Integral involved temporally complementary PIP policies, not non-PIP policies USAU — majority relied on Integral to support permissibility of multiple policies Court’s analysis (dissent) — Integral concerned priority and temporally complementary PIP coverage; it does not permit issuing policies that omit PIP altogether

Key Cases Cited

  • Johnson v. Recca, 492 Mich. 169 (Supreme Court) (describing mandatory PIP under the no-fault act)
  • Citizens Ins. Co. of America v. Federated Mut. Ins. Co., 448 Mich. 225 (Supreme Court) (financial responsibility act cannot justify policies that conflict with the no-fault act)
  • Integral Ins. Co. v. Maersk Container Serv. Co., Inc., 206 Mich. App. 325 (Mich. Ct. App.) (priority dispute between no-fault insurers; policies provided complementary PIP coverage)
  • Krohn v. Home-Owners Ins. Co., 490 Mich. 145 (Supreme Court) (owners may buy greater coverage than no-fault minimums)
  • Dobbleare v. Auto-Owners Ins. Co., 275 Mich. App. 527 (Mich. Ct. App.) (insurer electing to provide automobile insurance is liable for no-fault benefits)
  • MEEMIC Ins. Co. v. Michigan Millers Mut. Ins., 313 Mich. App. 94 (Mich. Ct. App.) (statutory interpretation standards on no-fault provisions)
Read the full case

Case Details

Case Name: Niles Johnson v. USA Underwriters
Court Name: Michigan Court of Appeals
Date Published: May 14, 2019
Citations: 936 N.W.2d 834; 328 Mich. App. 223; 340323
Docket Number: 340323
Court Abbreviation: Mich. Ct. App.
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    Niles Johnson v. USA Underwriters, 936 N.W.2d 834