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