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Toriana Thomas v. Allstate Property & Casualty Insurance Co
332100
Mich. Ct. App.
Aug 24, 2017
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Background

  • Plaintiff (Toriana Thomas) sued Allstate for benefits; case reached Michigan Court of Appeals after lower-court proceedings on summary disposition.
  • Allstate invoked the policy’s anti-fraud provision, arguing Thomas made fraudulent statements about post-accident needs for assistance and prescription sunglasses.
  • Evidence for Allstate included private-investigator photographs (January 14, 2014) and Facebook photos suggesting plaintiff did not need glasses or assistance claimed.
  • Plaintiff maintained she needed prescription sunglasses for daylight and help with ordinary daily tasks following the accident.
  • The majority opinion concluded genuine issues of material fact remained; Judge O’Brien dissented, arguing the evidence made fraud conclusively demonstrable.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether summary disposition is appropriate under the policy’s anti-fraud provision where plaintiff’s claimed need for glasses and daily assistance conflicts with surveillance and social-media photos Thomas: claimed she needed prescription sunglasses in daylight and assistance with daily tasks due to the accident Allstate: surveillance and Facebook photos show she performed activities without glasses or assistance, demonstrating fraudulent claims Majority: genuine issues of material fact preclude summary disposition; Dissent (O’Brien): reasonable minds could not differ and summary disposition should be affirmed

Key Cases Cited

  • Bahri v. IDS Prop. Cas. Ins. Co., 308 Mich. App. 420 (Court of Appeals) (summary disposition appropriate when clear evidence shows fraudulent representations)
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Case Details

Case Name: Toriana Thomas v. Allstate Property & Casualty Insurance Co
Court Name: Michigan Court of Appeals
Date Published: Aug 24, 2017
Docket Number: 332100
Court Abbreviation: Mich. Ct. App.