Tm v. Aaa of Michigan
366360
Mich. Ct. App.Mar 20, 2025Background
- Plaintiff (TM, a minor represented by her mother) was struck by a car in 2004 and, lacking a no-fault policy, her claim was assigned to AAA under Michigan's Assigned Claims Plan.
- Plaintiff sought personal protection insurance (PIP) benefits, including attendant care for alleged traumatic brain injury, which AAA partially denied, disputing causation for her mental/behavioral issues.
- After trial, a jury awarded $41,280 but the parties stipulated to a $25,000 judgment (district court’s jurisdictional cap) in 2011 for attendant care benefits.
- AAA appealed, first on subject-matter jurisdiction grounds, resulting in nearly a decade of litigation up to the Michigan Supreme Court and back, with AAA finally making the benefit payment in 2020.
- Plaintiff then sought appellate attorney fees under MCL 500.3148(1) for the protracted delay, arguing the delay was unreasonable.
- Both the district and circuit courts awarded appellate attorney fees, finding AAA's prolonged post-judgment delay unjustified; AAA appealed, mainly contesting liability for fees based on the reasonableness of its initial denial and subsequent delay.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does an insurer's unreasonable post-judgment delay warrant attorney fees under MCL 500.3148(1)? | Delay in paying the judgment post-jury-verdict was unreasonable, regardless of initial denial's reasonableness. | Initial denial was reasonable due to bona fide factual dispute; only unreasonable denials warrant fees. | Yes; unreasonable delay post-judgment independently authorizes fees under MCL 500.3148(1). |
| Whether AAA’s use of settlement evidence violated MRE 408 | Settlement showed AAA conceded reasonableness of fee claim. | Use of settlement as evidence of liability/waiver is barred by MRE 408. | Court erred in considering settlement under MRE 408, but error was harmless. |
| Was AAA's prolonged appellate litigation a legitimate basis to delay payment? | No; appeals did not justify delay post-judgment—jurisdictional arguments unrelated to merit of claim. | Appeals were based on jurisdiction/statutes; delay was not unreasonable given split decisions. | Appeals did not excuse payment; AAA failed to rebut presumption of unreasonable delay. |
| Sufficiency of trial court’s factual findings on fees | Court sufficiently justified reasonableness of the award. | District court failed to adequately support reasonableness of hours/rates. | District court's findings were adequate under clear error review. |
Key Cases Cited
- Ross v. Auto Club Group, 481 Mich 1 (Mich. 2008) (explains criteria for awarding attorney fees under the no-fault act; insurer’s initial refusal or delay must be unreasonable)
- Moore v. Secura Ins., 482 Mich 507 (Mich. 2008) (clarifies procedures for determining when PIP benefits are overdue and the award of attorney fees)
- Proudfoot v. State Farm Mut. Ins. Co., 469 Mich 476 (Mich. 2003) (attorney fees are payable only on overdue benefits unreasonably refused or delayed)
- Shavers v. Attorney General, 402 Mich 554 (Mich. 1978) (establishes the policy for prompt payment of no-fault benefits)
- Detroit Med. Ctr. v. Progressive Mich. Ins. Co., 302 Mich App 392 (Mich. Ct. App 2013) (describes required causal connection for PIP benefit eligibility)
