BAZZI v SENTINEL INSURANCE COMPANY
Docket No. 154442
Michigan Supreme Court
Decided July 18, 2018
502 Mich. 390
Stеphen J. Markman, Chief Justice; Justices: Brian K. Zahra, Bridget M. McCormack, David F. Viviano, Richard H. Bernstein, Kurtis T. Wilder, Elizabeth T. Clement
Argued January 11, 2018 (Calendar No. 1). Reporter of Decisions: Kathryn L. Loomis.
Syllabus
This syllabus constitutes no part of the opinion of the Court but has been prepared by the Reporter of Decisions for the convenience of the reader.
BAZZI v SENTINEL INSURANCE COMPANY
Docket No. 154442. Argued January 11, 2018 (Calendar No. 1). Decided July 18, 2018.
Alli Bazzi brought an action in the Wayne Circuit Court against Sentinel Insurance Company and Citizens Insurance Company, seeking to recover personal protection insurance (PIP) benefits under the no-fault act,
In an opinion by Justice WILDER, joined by Chief Justice MARKMAN and Justices ZAHRA, BERNSTEIN, and CLEMENT, the Supreme Court held:
The Court‘s decision in Titan implicitly abrogated the innocent-third-party rule. An insurer may seek rescission of an automobile insurance policy on the basis of the common-law defense of fraud—even with regard to a third party seeking to recover statutorily mandated PIP benefits—because the no-fault act does not limit an insurer‘s ability to rescind a policy on that basis. However, an insurer is not entitled to automatic rescission of a policy with regard to a third party even though the policy was procured by the insured through fraud. Instead, a trial court must balance the equities between the insurance company and the third party to determine whether, in its discretion, the policy could be rescinded as between those parties. In this case, Sentinel Insurance could raise the defense of fraud to plaintiff‘s action for PIP benefits. The Court of Appeals erred when it concluded that Sentinel Insurance was automatically entitled to rescission of the contract with regard to plaintiff. The case was remanded to the trial court for it to balance the equities between the two parties to determine whether, in its discretion, the policy could be rescinded.
- Automobile insurance contracts are governed by a combination of statutes and the common law related to contracts. Under
MCL 500.3112 , PIP benefits are payable to or for the benefit of an injured person or, in the case of an individual‘s death, to or for the benefit of the individual‘s dependents. Because PIP benefits are mandated byMCL 500.3101(1) of the no-fault act, issues regarding the award of those benefits are decided by construing the statute and the policy together as though the statute is part of the policy, and the rights and limitations of the policy coverage are governed by the statute. Conversely, the rights and limitations of a policy are entirely contractual and construed without reference to the statute if there is no applicable statute.Article 3, § 7 of the 1963 Michigan Constitution provides that common-law defenses remain in effect until they exрire by their own limitations or are changed, amended, or repealed. Consequently, unless doing so is clearly prohibited by a statute, an insurer may continue to avail itself of any common-law defenses, including fraud in the procurement of the policy. The plain language of the no-fault act does not preclude or otherwise limit an insurer‘s ability to rescind a policy on the basis of the common-law defense of fraud, including as to a third party. Accordingly, Sentinel Insurance could raise the defense of fraud and seek rescission of the insurance policy as to plaintiff. - Titan abrogated the easily-ascertainable-fraud rule—which provided that insurance companies may not rescind a policy on the basis of fraud when the fraud was easily ascertainable—and overruled prior Court of Appeals decisions, including State Farm Mut Auto Ins Co v Kurylowicz, 67 Mich App 568 (1976). Titan implicitly abrogated the innocent-third-party rule as well; the two rules overlap because the easily-ascertainable-fraud rule only applies when a third-party claimant is involved. In its discussion of the no-fault act, Titan also rejected the underlying reasons for the innocent-third-party rule, reasoning that there was no basis in the no-fault act to support the proposition that public policy requires a private business to maintain a source of funds for the benefit of a third party with whom the business has no contractual relationship. The Titan Court‘s reasoning was not dependent on whether the coverage was optional or mandatory under the act because each benefit is predicаted on a valid contract between the insured and the insurer. Moreover, public policy does not compel adoption of the innocent-third-party rule. Although an innocent third party might have a reasonable right to expect that other drivers have the minimum coverage required by the no-fault act (like PIP benefits), the innocent party does not have an absolute right by operation of law to hold an insurer liable for the fraud of the insured. Any implication in Titan that
MCL 500.3101(1) , like the example ofMCL 500.3009(1) used in Titan, limits the availability of rescission because both statutes mandate certain coverage—as opposed to the optional coverage at issue in Titan—was nonbinding dicta. - In general, fraud in the inducement to enter a contract renders the contract voidable at the option of the defrauded party. Accordingly, an insurance policy procured by fraud may be declared void ab initio at the option of the insurer, with the effect being that the contract is considered never to have existed. A claim to rescind a contract is equitable in nature, and the claim is therefore not strictly of right but instead granted as a remedy in the sound discretion of the trial court. A trial court must balance the equities to determine whether a party is entitled to the rescission the party seeks, and the remedy should not be granted when the result would be unjust or inequitable. In other words, the trial court must determine which party should assume the loss when both parties affected are equally innocent and blameless. In light of the fact that equity allows complete justice to be done in a case by adapting its judgments to the unique circumstances оf each case, an insured‘s fraud in an application of insurance does not automatically allow the insurer to rescind the policy with respect to third parties. In this case, although the contract with Mimo Investment was void ab initio because of Mimo Investment‘s fraud in the application, the Court of Appeals erred by concluding that the contract was therefore automatically void ab initio between Sentinel Insurance and plaintiff. The case was remanded to the trial court to determine whether, in its discretion, the insurance policy could be rescinded between those parties.
Affirmed in part, reversed in part, and remanded to the trial court for further proceedings.
Justice MCCORMACK, joined by Justice VIVIANO, dissenting, disagreed with the majority‘s conclusion that Titan abrogated the innocent-third-party rule. Titan held that an insurer may use traditional legal and equitable remedies to defend against optional residual-liability insurance unless those remedies are limited by a statute. But unlike the optional residual-liability insurance at issue in Titan, PIP benefits are required and mandated by the no-fault act:
©2018 State of Michigan
OPINION
FILED July 18, 2018
STATE OF MICHIGAN
SUPREME COURT
ALI BAZZI,
Plaintiff-Appellant,
and
GENEX PHYSICAL THERAPY, INC., and ELITE CHIROPRACTIC CENTER, PC,
Intervening Plaintiffs-Appellants,
and
TRANSMEDIC, LLC,
Intervening Plaintiff-Appellee,
v
No. 154442
SENTINEL INSURANCE COMPANY,
Defendant/Third-Party Plaintiff-Appellee,
and
CITIZENS INSURANCE COMPANY,
Defendant-Appellee,
and
HALA BAYDOUN BAZZI and MARIAM BAZZI,
Third-Party Defendants-Appellees.
BEFORE THE ENTIRE BENCH
Plaintiff, Ali Bazzi, was injured while driving a vehicle owned by his mother, third-party defendant Hala Baydoun Bazzi, and insured by defendant Sentinel Insurance
I. FACTS AND PROCEEDINGS
Plaintiff sued for PIP benefits after he was injured while driving a vehicle owned by his mother, Hala Bazzi. The vehicle had been leased by LaFontaine Honda to Hala Bazzi for personal and family use. Although Hala Bazzi leased the vehicle in her name, personally, she sought and procured from Sentinel a commercial automobile policy for no-fault coverage, which listed Mimo Investment, LLC, as the insured. Plaintiff‘s sister, third-party defendant Mariam Bazzi, is the resident agent of Mimo Investment.3
Sentinel claimed that the insurance pоlicy was procured through fraud by Hala and Mariam Bazzi because Mimo Investment was a shell company, the vehicle was not being commercially used by Mimo Investment, and no one had disclosed to Sentinel that plaintiff would be a regular driver of the vehicle. Sentinel filed a third-party complaint against Hala and Mariam Bazzi and obtained a default judgment rescinding the policy.4
Sentinel then moved for summary disposition of plaintiff‘s claim, arguing that rescission of the policy made it void ab initio and precluded recovery under the policy. The trial court denied the motion on the basis of the innocent-third-party rule, which prevents an insurer from rescinding an insurance policy on the basis of material misrepresentations in the application for insurance as to a claim made by a third party who is innocent of the fraud. After the Court of Appeals denied Sentinel‘s interlocutory application for leave to appeal, this Court remanded the case to the Court of Appeals for consideration as on leave granted. Bazzi v Sentinel Ins Co, 497 Mich 886 (2014).
On remand, the Court of Appeals issued a split, published decision reversing the trial court and remanding for further proceedings. Bazzi v Sentinel Ins Co, 315 Mich App 763, 780-782; 891 NW2d 13 (2016). The majority held that the innocent-third-party rule did not survive this Court‘s decision in Titan because there was no meaningful distinction between the easily-ascertainable-fraud rule and the innocent-third-party rule and because no statute prohibits an insurer from raising a fraud defense with respect to PIP benefits. Id. at 772-773, 778-782.
II. STANDARD OF REVIEW
This Court reviews de novo a trial court‘s decision on a motion for summary disposition. DeFrain v State Farm Mut Auto Ins Co, 491 Mich 359, 366; 817 NW2d 504 (2012). A motion for summary disposition under
there is no genuine issue regarding any material fact and the movant is entitled to judgment as a matter of law. Maiden v Rozwood, 461 Mich 109, 120; 597 NW2d 817 (1999). This Court also reviews de novo questions of statutory interpretation and the proper interpretation of a contract. Titan, 491 Mich at 553.
III. ANALYSIS
A. THE INNOCENT-THIRD-PARTY RULE DOES NOT SURVIVE TITAN
As a general rule, Michigan‘s no-fault insurance system is “a comprehensive scheme of compensation designed to provide sure and speedy recovery of certain economic losses resulting from motor vehicle accidents.” Belcher v Aetna Cas & Surety Co, 409 Mich 231, 240; 293 NW2d 594 (1980). The Insurance Code has various requirements detailing the benefits that Michigan automobile insurance policies must provide, including PIP benefits, which “are payable to or for the benefit of an injured person or, in the case of his death, to or for the benefit of his dependents.”
Consequently, automobile insurance contracts are governed by a combination of statutory provisions and the common law of contracts. Insurance policies are contracts “subject to the same contract construction principles that apply to any other species of contract.” Titan, 491 Mich at 554, quoting Rory v Continental Ins Co, 473 Mich 457, 461; 703 NW2d 23 (2005). When a provision in an insurance policy is mandated by a statute, the policy and the statute must be construed together as though the statute were
part of the policy, and “the rights and limitations of the coverage are governed by that statute.” Titan, 491 Mich at 554 (quotation marks and citation omitted). In the absence of any applicable statute, however, “the rights and limitations of the coverage are entirely contractual and construed
It is well established that common-law defenses “shall remain in force and effect until they expire by their own limitations, or are changed, amended or repealed.”
When the Legislature intends to limit the common-law remedies available to an insurer for misrepresentation or fraud, that intent is clearly reflected in the language
employed in the statute. For example,
In the past, Michigan courts have held that the “right to rescind ceases to exist once there is a claim involving an innocent third party” because “[p]ublic policy requires that an insurer be estopped from asserting rescission when a third party has been injured.” Katinsky v Auto Club Ins Ass‘n, 201 Mich App 167, 170-171; 505 NW2d 895 (1993), citing Darnell v Auto-Owners Ins Co, 142 Mich App 1, 9; 369 NW2d 243 (1985), and Ohio Farmers Ins Co v Mich Mut Ins Co, 179 Mich App 355, 364-365; 445 NW2d 228 (1989); see also Morgan v Cincinnati Ins Co, 411 Mich 267, 273, 277; 307 NW2d 53
(1981) (holding thаt the intentional burning of a home by one spouse would not bar the innocent spouse‘s recovery under a statutory
A “‘public policy’ rationale does not compel the adoption” of such a rule, however, and this Court implicitly abrogated the so-called “innocent-third-party” rule in Titan, 491 Mich at 565, 570, 573. In that case, the defendant had her driver‘s license suspended in January 2007 but expected that it would be restored at a hearing held on August 24, 2007. Id. at 551. In the meantime, the defendant sought car insurance from the plaintiff, Titan Insurance Company. Id. at 551-552. On the defendant‘s application, which she signed on August 22, 2007, and postdated August 24, 2007, she stated that her license was not suspended; the defendant‘s license, however, was not restored until September 20, 2007. Id. at 551. In February 2008, she crashed the insured vehicle into a vehicle driven by Howard and Martha Holmes. Id. at 552.
While investigating the accident, Titan discovered the defendant‘s misrepresentation. Id. Titan sought a declaration that if the Holmes family brought an action against the defendant and prevailed, Titan was not obligated to indemnify the defendant above the minimum liability coverage limits required by the financial responsibility act. Id.
The trial court granted summary disposition in favor of the defendant, reasoning that Titan could have easily ascertained whether the defendant‘s license was valid. Id. at 553. The Court of Appeals affirmed,7 relying on State Farm Mut Auto Ins Co v
Kurylowicz, 67 Mich App 568; 242 NW2d 530 (1976). The rule established in Kurylowicz prohibited insurers from asserting the defense of fraud once an insurable event occurred and there was an innocent, injured third party if the fraud perpetrated by the insured was easily ascertainable by investigation. Titan, 491 Mich at 563-564.
This Court held that “an insurer is not precluded from availing itself of traditional legal and equitable remedies to avoid liability under an insurance policy on the ground of fraud in the application for insurance, even when the fraud was easily ascertainable and the claimant is a third party.” Id. at 571. Thus, Titan abrogated the judicially created easily-ascertainable-fraud and innocent-third-party rules, and it overruled Kurylowicz and its progeny.
We are not persuaded by the argument of plaintiff, intervening plaintiffs, and the Court of Appeals dissent that Titan only addressed the easily-ascertainable-fraud rule, and left undisturbed the innocent-third-party rule. See Bazzi, 315 Mich App at 790 (BECKERING, J., dissenting). Titan recognized that these rules overlap because “the ‘easily ascertainable’ rule . . . only applies when a third-party claimant is involved.” Titan, 491 Mich at 563. The Titan Court explained that an insurance carrier could resort to traditional legal and equitable remedies, including rescission, even when the fraud was “easily ascertainable and the claimant is a third party.” Id. at 572, 573 (emphasis added). Because these two factors are insufficient to preclude rescission even when combined, each factor on its own is insufficient to preclude rescission.
Moreover, in Titan, this Court rejected the underlying reasons for the innocent-third-party rule in contemplation of the no-fault act:
[I]t is contended that the “easily ascertainable” rule is required for the protection of third parties. However, there is
simply no basis in the law to support the proposition that public policy requires a private business in these circumstances to maintain a source of funds for the benefit of a third party with whom it has no contractual relatiоnship. While perhaps authority exists in the Legislature to enact such a law, see, e.g., MCL 500.3172 (pertaining to the Michigan Assigned Claims Facility), this authority has not been exercised by the Legislature in this instance. The no-fault act seeks to protect third parties in a variety of ways, including through tort actions, but it states nothing about altering the common law that enables insurers to obtain traditional forms of relief when they have been the victims of fraud. Absent insurance, the operator of the motor vehicle is personally liable for tort liability. By requiring an insurer to indemnify an insured despite fraud in obtaining an insurance policy, . . . the insured [is relieved] of what would otherwise be the insured‘s personal obligation in the face of his or her own misconduct. As between the fraudulent insured and the insurer, there can be no question that the former should bear the burden of his or her fraud. [Id. at 568-569.]
This rationale applies in full force to the innocent-third-party rule, which, like the easily-ascertainable-fraud rule, also precludes an insurer from raising a fraud defense to deny coverage under an insurance policy procured by fraud. Imposition of the rule would require Sentinel to indemnify Mimo Investment for the benefit of plaintiff despite the fraud that was committed when obtaining the insurance policy, relieving Mimo Investment of what would otherwise be its obligation in the face of its own agent‘s misconduct.
Plaintiff, intervening plaintiffs, and the Court of Appeals dissent, further contend that mandatory liability minimums—including PIP coverage, which is mandatory under
acquisition of that policy. In support of this position, they сite
Should Titan prevail on its assertion of actionable fraud, it may avail itself of a traditional legal or equitable remedy to avoid liability under the insurance policy, notwithstanding that the fraud may have been easily ascertainable. However, as discussed earlier in this opinion, the remedies available to Titan may be limited by statute. . . .17
[Emphasis added.]
The same argument was made in State Farm Mut Auto Ins Co v Mich Muni Risk Mgt Auth (On Remand), 317 Mich App 97, 105; 892 NW2d 451 (2016) (MURPHY, J., concurring) (reasoning that “[b]y observing that
We reject the premise that there is a controlling distinction between mandatory coverage, i.e., statutorily mandated PIP benefits, and optional coverage. Whether statutory benefits or optional benefits are at issue, each is predicated on the existence of a valid contract between the insured and insurer. Moreover, our reasoning in Titan was not dependent on whether the coverage at issue was mandatory or optional. Rather, we recognized that common-law defenses are available when there are contractual insurance policies but limited when a statute prohibits the defense. Titan, 491 Mich at 558, 572. Although PIP benefits are mandated by statute, the no-fault act neither prohibits an insurer from invoking the common-law defense of fraud nor limits or narrows the remedy of rescission. Additionally, because Titan considered only optional benefits, there was no reason for this Court to opine on any purported statutory limitations on common-law defenses for mandatory coverage. As such, any implication derived from Titan‘s footnote 17 and accompanying text that
that several lower court opinions have questioned whether permitting rescission of a policy would be incompatible with the compulsory nature of the no-fault act, particularly after a third party has sustained injury. See, e.g., Cunningham v Citizens Ins Co of America, 133 Mich App 471, 481, 484-489; 350 NW2d 283 (1984) (BRENNAN, J., dissenting) (concluding that rescission ab initio was not an available remedy to insurers under this state‘s compulsory insurance scheme); Kurylowicz, 67 Mich App 579 (holding that a policy of no-fault insurance becomes absolute once an injury arises), overruled by Titan, 491 Mich at 551. However, although an innocent third party might have a reasonable right to expect that other drivers carry the minimum insurance required under the no-fault act, that expectation does not, by operation of law, grant an innocent third party an absolute right to hold an insurer liable for the fraud of the insured. In other words, an insurer has a reasonable right to expect honesty in the application for insurance,9 and there is
Accordingly, we hold that Titan abrogated the innocent-third-party rule and that Sentinel is therefore not precluded from raising a defense оf fraud.
B. RESCISSION IS AN EQUITABLE REMEDY, NOT AN ABSOLUTE RIGHT
While we agree with the Court of Appeals majority that Titan abrogated the innocent-third-party rule, we do not agree that Sentinel was categorically entitled to rescission.
Generally, “[f]raud in the inducement to enter a contract renders the contract voidable at the option of the defrauded party . . . .” 5A Michigan Civil Jurisprudence, Contracts, § 44, p 215 (emphasis added), citing Tocco v Tocco, 409 F Supp 2d 816 (ED Mich, 2005), Star Ins Co v United Commercial Ins Agency, Inc, 392 F Supp 2d 927 (ED Mich, 2005) (applying Michigan law), Rooyakker & Sitz, PLLC v Plante & Moran, PLLC, 276 Mich App 146; 742 NW2d 409 (2007), Custom Data Solutions, Inc v Preferred Capital, Inc, 274 Mich App 239; 733 NW2d 102 (2006), Samuel D Begola Servs, Inc v Wild Bros, 210 Mich App 636; 534 NW2d 217 (1995), and Whitcraft v Wolfe, 148 Mich App 40; 384 NW2d 400 (1985). For that reason, an insurance policy procured by fraud may be declared void ab initio at the option of the insurer. Darnell, 142 Mich App at 9 (stating that “[w]here a policy of insurance is procured through the insured‘s intentional misrepresentation of a material fact in the application for insurance, and the person seeking to collect the no-fault benefits is the same person who procured the policy of insurance through fraud, an insurer may rescind an insurance policy and declare it void ab initio“), citing Cunningham, 133 Mich App 471, and United Security Ins Co v Comm‘r of Ins, 133 Mich App 38; 348 NW2d 34 (1984). In effect, the
insurance policy is considered never to have existed. United Security Ins Co, 133 Mich App at 42 (” ‘When a policy is cancelled, it is terminated as of the cancellation date and is effective up to such date; however, when a policy is rescinded, it is considered void ab initio and is considered never to have existed.’ “), quoting 8B Appleman, Insurance Law and Practice, § 5011, p 403. Additionally, “[u]nless rescinded, a voidable contract imposes on the parties the same obligations as if it were not voidable.” 1 Williston, Contracts (4th ed), § 1:20, p 76.
Rescission abrogates a contract and restores the parties to the relative positions that they would have occupied if the contract had never beеn made. Wall v Zynda, 283 Mich 260, 264-265; 278 NW 66 (1938).10 Because a claim to rescind
seeks equity must “do equity“) (quotation marks and citation omitted); Lenawee Co Bd of Health v Messerly, 417 Mich 17, 31; 331 NW2d 203 (1982) (stating that rescission is “an equitable remedy which is granted only in the sound discretion of the court“), citing Harris v Axline, 323 Mich 585; 36 NW2d 154 (1949), and Hathaway v Hudson, 256 Mich 694; 239 NW 859 (1932). See also Browne v Briggs Commercial & Dev Co, 271 Mich 191, 194; 259 NW 886 (1935) (stating that “[t]he equitable remedy of rescission is one of grace“); 12A CJS, Cancellation of Instruments, § 11, p 507 (stating that “[t]he fact that the rescission of a contract is an available remedy does not lead to the conclusion that it is required“).11
When a plaintiff is seeking rescission, “the trial court must balance the equities to determine whether the plaintiff is entitled to the relief he or she seeks.” Johnson v QFD, Inc, 292 Mich App 359, 370 n 3; 807 NW2d 719 (2011). Accordingly, courts are not required to grant rescission in all cases. For example, “rescission should not be granted in cases where the result thus obtained would be unjust or inequitable,” Amster, 259 Mich at 686, or “where the circumstances of the challenged transaction make rescission
infeasible,” CJS, § 11, p 507. Moreover, when two equally innocent parties are affected, the court is “required, in the exercise of [its] equitable powers, to determine which blameless party should assume the loss . . . .” Lenawee, 417 Mich at 31. “[W]here one of two innocent parties must suffer by the wrongful act . . . of another, that one must suffer the loss through whose act or neglect such third party was enabled to commit the wrong.” Zucker v Karpeles, 88 Mich 413, 430; 50 NW 373 (1891). “The doctrine is an equitable one, and extends no further than is necessary to protect the innocent party in whose favor it is invoked.” Id.In this instance, rescission does not function by automatic operation of the law. Just as the intervening interest of an innocent third party does not altogether bar rescission as an equitable remedy, neither does fraud in the application for insurance imbue an insurer with an absolute right to rescission of the policy with respect to third parties. Equitable remedies
Accordingly, although the policy between Sentinel and the insured, Mimo Investment is void ab initio due to the fraudulent manner in which it was acquired, the trial court must now determine whether, in its discretion, rescission of the insurance policy is available as between Sentinel and plaintiff.12 Therefore, we remand this matter to the trial court to exercise its discretion. Lenawee, 417 Mich at 31.
IV. CONCLUSION
We affirm the Court of Appeals’ holding that Titan abrogated the innocent-third-party rule and reverse the portion of the Court of Appeals’ opinion that held Sentinel was automatically entitled to rescission by operation of law. We remand to the trial court to determine whether rescission is available as an equitable remedy as between Sentinel and plaintiff.
Kurtis T. Wilder
Stephen J. Markman
Brian K. Zahra
Richard H. Bernstein
Elizabeth T. Clement
McCORMACK, J. (dissenting).
In Titan Ins Co v Hyten, 491 Mich 547, 550-551; 817 NW2d 562 (2012), we held that an insurer may avail itself of traditional legal and equitable remedies to defend against optional residual-liability insurance unless those remedies are limited by statute.
We cited
I respectfully dissent. PIP benefits arise out of the no-fault act (alternatively, the Act),
I. CONTRACTUAL VERSUS STATUTORY COVERAGE
A. TITAN WAS NOT A NO-FAULT CASE
Titan does not answer the question asked here because it analyzed coverage that arose solely by contract. Contrary to the majority‘s assertion, Titan‘s holding rested entirely on the premise that there is a controlling difference between benefits required by statute and optional benefits in excess of any statutory requirement. We stated:
[W]hen a provision in an insurance policy is mandated by statute, the rights and limitations of the coverage are governed by that statute. On the other hand, when a provision in an insurance policy is not mandated by statute, the rights and limitations of the coverage are entirely contractual and construed without reference to the statute. [Titan, 491 Mich at 554 (citation omitted).]
This wasn‘t a new idea: in Rohlman, 442 Mich at 524-525, we stated that “the insurance policy itself, which is the contract between the insurer and the insured, controls the interpretation of its own provisions providing benefits not required by statute.” The dispute in Titan concerned only the latter category—benefits not required by statute.
Titan was simply not a no-fault case. It was a private contract dispute, so contract remedies applied as long as they were not statutorily prohibited. We therefore searched (in vain) for any express statutory restriction on the insurer‘s fraud defense, because the disputed benefits arose purely by contract and a contract must be enforced as written unless contrary to law or public policy. See Rory v Continental Ins Co, 473 Mich 457, 469; 703 NW2d 23 (2005). Finding no such restriction, we concluded in Titan that the insurer could avail itself of equitable remedies to avoid the purely contractual coverage.
This was not a novel approach to interpreting statutes or contracts. It was not
B. THE STATUTE GOVERNS MANDATORY COVERAGE
When benefits are required by statute, however, we must look to the statute for the available remedies. Also not new. For just one example, see what we said in Titan: “when a provision in an insurance policy is mandated by statute, the rights and limitations of the coverage are governed by that statute.” Titan, 491 Mich at 554. Titan simply adhered to our traditional approach. “It is a familiar and fundamental rule of construction of a private automobile insurance policy that the court‘s first duty is to determine, from the language used, the apparent intention of the contracting parties . . . . The language of a statute, on the other hand, is required to be construed by assigning to the words used their primary and generally understood meaning consistent with the apparent intention of the Legislature in enacting the law.” Royal Globe Ins Cos v Frankenmuth Mut Ins Co, 419 Mich 565, 573; 357 NW2d 652 (1984) (citations omitted).
PIP benefits are required by statute. “PIP benefits are mandated by statute under the no-fault act, and, therefore, the statute is the ‘rule book’ for deciding the issues involved in questions regarding awarding those benefits.” Rohlman, 442 Mich at 524-525 (citations omitted). And unlike the residual-liability coverage at issue in Titan—that is, optional coverage in excess of the mandatory minimum coverage that is required by the Act—there is no such thing as optional PIP coverage. There is no mandatory/optional distinction because PIP coverage is self-limiting—it covers only medical expenses and lost income.2 PIP coverage is mandatory in every insurance policy
issued in Michigan, and the statute sets the floor and the ceiling for the coverage.3
An automobile liability or motor vehicle liability policy insuring against loss resulting from liability imposed by law for property damage, bodily injury, or death suffered by any person arising out of the ownership, maintenance, or use of a motor vehicle shall not be delivered or issued for delivery in this state with respect to any motor vehicle registered or principally garaged in this state unless the liability coverage is subject to all of the following limits:
(a) A limit, exclusive of interest and costs, of not less than $20,000.00 because of bodily injury to or death of 1 person in any 1 accident.
(b) Subject to the limit for 1 person in subdivision (a), a limit of not less than $40,000.00 because of bodily injury to or death of 2 or more persons in any 1 accident.
(c) A limit of not less than $10,000.00 because of injury to or destruction of property of others in any accident.
The statute requires that every policy provide this 20/40/10 minimum coverage.
PIP coverage is similar.
But there‘s more. The insurer is also obligated to provide this coverage when Subsection (1) is read together with Subsection (5).
I see no way to distinguish the mandate to provide PIP coverage from the mandate to provide minimum residual-liability coverage we highlighted in Titan. This leads me to the seemingly uncontroversial conclusion that mandatory PIP coverage arises by statute and that we must therefore look to the text of the statute to determine an insurer‘s
remedies to avoid its statutory obligations. Just as we said in Titan. When rescission is consonant with the statute it is permitted and when it is not, not.C. THIRD-PARTY CLAIMANTS’ ENTITLEMENT TO PIP BENEFITS
The no-fault act provides ample guidance for an insurer who seeks to avoid its
The Act makes plain who is eligible, and who pays. Anyone who suffers “accidental bodily injury arising from a motor vehicle accident” can claim benеfits from their own policy or from another insurer in order of statutory priority.
The Act makes the timing of payment similarly clear. An insurer must timely pay PIP benefits to claimants: PIP benefits become payable once loss accrues and “are overdue if not paid within 30 days after an insurer receives reasonable proof of the fact and of the amount of loss sustained.”
When the Act‘s preference for prompt payments leads to mistakes, it provides remedies for insurers. If an insurer believes it was not obligated to pay a claimant‘s PIP benefits, the Act provides various avenues for shifting losses to the appropriate insurer after the fact. If, for example, two or more insurers are in the same order of priority, “an insurer paying benefits due is entitled to partial recoupment from the other insurers . . . in order to accomplish equitable distribution of the loss among all of the insurers.”
no personal protection insurance is applicable to the injury, no personal protection insurance applicable to the injury can be identified, the personal protection insurance applicable to the injury cannot be ascertained because of a dispute between 2 or more automobile insurers concerning their obligation to provide coverage or the equitable distribution of the loss, or the only identifiable personal protection insurance applicable to the injury is, because of financial inability of 1 or more insurers to fulfill their obligations, inadequate to provide benefits up to the maximum prescribed. [
MCL 500.3172(1) .]
The Act provides detailed procedures for resolving disputes between two or more insurers over their obligation to provide PIP benefits.
If the obligation to provide personal protection insurance benefits cannot be ascertained because of a dispute between 2 or more automobile insurers concerning their obligation to provide coverage or the equitable distribution of the loss, and if a method of voluntary payment of benefits cannot be agreed upon among or between the disputing insurers, all of the following apply:
(a) The insurers who are parties to the dispute shall, or the claimant may, immediately notify the Michigan automobile insurance placement facility of their inability to determine their statutory obligations.
(b) The claim shall be assigned by the Michigan automobile insurance placement facility to an insurer and the insurer shall immediately provide personal protection insurance benefits to the claimant or claimants entitled to benefits.
(c) An action shall be immediately commenced on behalf of the Michigan automobile insurance placement facility by the insurer to whom the claim is assigned in circuit court to declare the rights and duties of any interested party.
(d) The insurer to whom the claim is assigned shall join as parties defendant to the action commenced under subdivision (c) each insurer disputing either the obligation to provide personal protection insurance benefits or the equitable distribution of the loss among the insurers.
(e) The circuit court shall declare the rights and duties of any interested party whether or not other relief is sought or could be granted.
(f) After hearing the action, the circuit court shall determine the insurer or insurers, if any, obligated to provide the applicable personal protection insurance benefits and the equitable distribution, if any, among the insurers obligated, and shall order reimbursement to the Michigan automobile insurance placement
facility from the insurer or insurers to the extent of the responsibility as determined by the court. The reimbursement ordered under this subdivision shall include all benefits and costs paid or incurred by the Michigan automobile insurance placement facility and all benefits and costs paid or incurred by insurers determined not to be obligated to provide applicable personal protection insurance benefits, including reasonable, actually incurred attorney fees and interest at the rate prescribed in section 3175 as of December 31 of the year preceding the determination of the circuit court.
The Act‘s pay-first-and-haggle-later instructions to insurers further establish a clear intent to promptly cover PIP benefits for eligible claimants—like innocent third parties—one way or another.
In short, the no-fault act created a comprehensive statutory scheme that provides PIP coverage for all eligible claimants. The Act requires that PIP benefits be paid within 30 days of a claim. And because payment obligations may not be clear within 30 days, it provides mechanisms for a promptly paying insurer to recoup those payments from another insurer, dispute the obligation to pay benefits in the circuit court (after first assigning the claim to an MACP insurer for payment), or sue the owner of an uninsured vehicle for recovery of PIP benefits paid.
Permitting litigation of equitable defenses that conflict with the statute will upend the Legislature‘s clear expression of its priorities. The Act demands prompt, adequate, and assured payment of PIP benefits to eligible claimants, even though prompt and аssured payments may be—at least temporarily—inequitable for an insurer. The Act‘s menu of remedies further underscores the Legislature‘s expressed preferences in favor of the eligible claimant: temporary inequity is answered by the statutory remedies of recoupment, reimbursement, and equitable distribution of losses. The judiciary is not at liberty to impose its preferences in contravention of these legislative choices. Cf. Trentadue v Buckler Lawn Sprinkler Co, 479 Mich 378, 392; 738 NW2d 664 (2007) (“Because the statutory scheme here is comprehensive, the Legislature has undertaken the
necessary task of balancing plaintiffs’ and defendants’ interests and has allowed for [equitable] tolling only where it sees fit.“).D. THE FUTILITY OF EQUITABLE BALANCING WITH INNOCENT THIRD PARTIES
The Act created a system in which all insurers share the cost of eligible claims from innocent third parties in proportion to the insurer‘s market share. If Sentinel avoids any obligation to pay PIP benefits here, Citizens Insurance—the MACP insurer—will pick up the tab. The MACP will reimburse Citizens Insurance for the payments and the established loss adjustment cost, plus interest.
Given this statutory scheme, I don‘t see what advantage rescission provides an insurer in any event. Rescission of third-party PIP benefits makes financial sense only if the insurer stands to prevent the claimant from receiving PIP benefits entirely, thus reducing the insurer‘s proportion of MACP costs. If the claimant is a third party and otherwise eligible for PIP benefits, such a result is impermissible under the statute. And so the innocent-third-party doctrine is consonant with (or a useful shorthand for) that statutory requirement.6
Rescission would benefit an insurer if it would eliminate a claimant‘s entitlement to PIP benefits entirely.7 But under the statute, that should never be the case for an innocent third party; although a third party might be rendered ineligible for PIP benefits on the basis of his or her own wrongdoing, see
The majority‘s reasoning for permitting this new layer of litigation, despite the comprehensiveness of the Act‘s approach to remedies for insurers like Sentinel, is that it
believes that the Legislature‘s failure specifically to exclude the defense of rescission means that it must survive as an available defense. But this novel approach cannot be reconciled with traditional principles of statutory interpretation. “In general, where comprehensive legislation prescribes in detail a course of conduct to pursue and the parties and things affected, and designates specific limitatiоns and exceptions, the Legislature will be found to have intended that the statute supersede and replace the common law dealing with the subject matter.” Millross v Plum Hollow Golf Club, 429 Mich 178, 183; 413 NW2d 17 (1987), citing 2A Sands, Sutherland Statutory Construction (4th ed), § 50.05, pp 440-441; see also Hoerstman Gen Contracting, Inc, 474 Mich at 75 (concluding that when “the language of the statute shows that the Legislature covered the entire area, . . . [i]t clearly intended that the statute would abrogate the common law on this subject“). There are no rights under the no-fault act except those expressly conferred. See Covenant Med Ctr, Inc v State Farm Mut Auto Ins Co, 500 Mich 191, 217; 895 NW2d 490 (2017). Moreover, there is no saving clause in the no-fault act. Looking to comparable statutory schemes, evenAnd the majority‘s decision to do so yields strange results indeed. If Hala Bazzi had no insurance policy, Ali Bazzi could have received prompt and assured PIP coverage through an MACP insurer. The same result would obtain if two insurers tried to rescind coverage.
Unlike in Titan, there is no policy justification for this result. In that case, residual-liability coverage was at issue. The purpose of residual-liability coverage is to indemnify the insured for a tort judgment. So although residual-liability benefits are payable to a third party to satisfy a civil judgment, the beneficiary of the indemnity is the insured fraudfeasor, who is personally liable for the judgment. PIP benefits for an
innocent third party, however, are not a windfall for the fraudfeasor because the beneficiary of the third party‘s medical care is, of course, the third party. And third-party PIP coverage is not only not a windfall, the fraudfeasor may be sued for an insurer‘s losses in covering the claim.II. TITAN DID NOT ABROGATE THE INNOCENT-THIRD-PARTY DOCTRINE
A. THE INNOCENT-THIRD-PARTY DOCTRINE IS DISTINCT FROM THE EASILY-ASCERTAINABLE-FRAUD RULE
I am not persuaded by the majority‘s view that our opinion in Titan abrogated the innocent-third-party doctrine either.
First, the doctrinal weakness: our opinion in Titan never mentioned the innocent-third-party doctrine. One explanation for this silence is that Titan did not address the innocent-third-party doctrine because the doctrine was not before us. The majority accepts an alternative explanation: perhaps Titan failed to mention the innocent-third-party doctrine because it is synonymous with the easily-ascertainable-fraud rule. This follows, the majority says, because the easily-ascertainable-fraud rule also applies to claims by third parties. The majority reasons that because Titan held that rescission was available “even when the fraud was easily ascertainable and the claimant is a third party,” Titan, 491 Mich at 571 (emphasis added), third-party status alone cannot preclude rescission. But the majority makes a logical misstep—it assumes that third-party status is the only relevant factor on which to compare the two rules.
Precedent does not support this theory. Courts must specify what they mean when eliminating a common-law doctrine, generally by defining the contours of that doctrine in caselaw. Titan did just that. It overruled State Farm Mut Auto Ins Co v Kurylowicz, 67
Mich App 568; 242 NW2d 530 (1976), and its progeny and reaffirmed Keys v Pace, 358 Mich 74; 99 NW2d 547 (1959). Kurylowicz did not create an innocent-third-party rule—it acknowledged the circumstances under which the innocent-third-party doctrine might apply, but stressed that it need not consider those circumstances.10 It isThe majority is correct that both doctrines appear to apply to the same people (third parties), but similarity on that single dimension is not dispositive. The innocent third party is a particular subset of third parties, of course. She must be innocent. And therefore the doctrine is consonant with the statute: a third party who drives a stolen vehicle (
Instead, I am persuaded by the distinction Judge BECKERING drew—the two doctrines announced different thresholds for rescission depending on the origin of the coverage in question. An insurer‘s ability to rescind optional coverage was far more expansive—rescission of coverage above the statutory floor was only precluded if the insurer itself was blameworthy. In other words, the right to seek rescission of optional coverage was the insurer‘s right to lose. If the insurer failed to exercise even the minimum of reasonable care before binding itself to an insurance contract, why should equity rescue it from its obligation to a third party? As between these two actors, the insurer was the cheapest cost avoider. But if the insurer acted reasonably yet still fell victim to fraud, it would be unfair to require it to pay out the benefits that arose from the parties’ infirm contract. So went the easily-ascertainable-fraud rule.
But what if the parties’ rights and obligations arise and are governed by statutе? If coverage is mandated by statute, then the statute defines the circumstances in which
rescission is available. These mandatory policy provisions are in no sense bargained-for.11 Instead, they are the default starting point of every insurance policy. And the Act makes plain the Legislature‘s intention that innocent third parties’ medical expenses be covered in the event of an accident, whether by the insurer linked with the vehicle involved in the accident or through the MACP.This principle comports with the no-fault act, but it also makes sense from an equitable
The result of the majority‘s opinion only fuels my skepticism: It recognizes that there are no per se rules in equity and therefore remands for the trial court to balance the equities. Although Sentinel prevailed here, its right to raise equitable defenses may prove to be a hollow victory.12 The innocent-third-party doctrine allowed courts to cut short fruitless litigation. In addition to ensuring the speedy payment of benefits as the statute requires, the doctrine operated as equitable shorthand. In other words, it described the equitable balance of certain archetypal relationships, thus saving the parties (and courts) the time and expense of balancing the equities case-by-case. That certainty, efficiency, and stability is now lost.
The majority instead remands for equitable balancing, but it is mum on what that proceeding will entail. Its silence allows it to avoid confronting the burdensome realities of its remedy. The majority states that “[e]quitable remedies are adaptive to the circumstances of each case, and an absolute approach would unduly hamper and constrain the proper functioning of such remedies.” Ante at 17. It further points out that “[e]quity jurisprudence molds its decrees to do justice amid all the vicissitudes and intricacies of life” and that “[e]quity allows complete justice to be done in a case by adapting its judgments to the special circumstances of the case.” Ante at 17, quoting
Tkachik v Mandeville, 487 Mich 38, 45-46; 790 NW2d 260 (2010) (alterations in original). “Complete justice” sounds good to me. But the remand order with instructions that the trial court please ensure that complete justice is done, thank you, doesn‘t paper over the problems with the remedy.A remedy that is adaptive to the circumstances of each case requires that a court consider each case‘s unique circumstances. All of them. Parties will be required to litigate a new set of factual and legal disputes. Since no one factor is dispositive and any factor may be relevant, each party is incentivized to pursue every argument of conceivable merit, to fight each battle to its end, to concede nothing. And summary disposition is not a tool in a court‘s toolkit in disputes over equity, where any fact can be material and no rule is absolute. Thus, parties will litigate trials within a trial to demonstrate to the court that their opponent is the more blameworthy party. They will dispute whether the insurer exercised reasonable diligence to discover the insured‘s
It‘s hard to call this a win for insurers or accident victims.
B. THE INNOCENT-THIRD-PARTY DOCTRINE IS SUBSTANTIVELY SOUND
We rejected the easily-ascertainable-fraud rule in Titan because it was unsupported by law. The rule was unsupported by the no-fault act because the Act does not govern optional contractual coverage. And it was unsupported by substantive common-law doctrines against fraud or misrepresentation because the rule created an affirmative duty that conflicted with the legal elements of fraud. “[A]lthough the doctrines of actionable fraud, innocent misrepresentation, and silent fraud еach contain separate elements, none of these doctrines requires that the party asserting fraud prove that the fraud could not have been discovered through the exercise of reasonable diligence.” Titan, 491 Mich at 557. Although the rationale of the easily-ascertainable-fraud rule—the “clean hands” doctrine—may remain a valid consideration as a matter of equity, the insurer‘s lack of reasonable diligence does not affect a fraud claim as a matter of law.
The innocent-third-party doctrine, in contrast, comports with both equitable principles and the Act. It simply does not suffer from the same doctrinal weaknesses as the easily-ascertainable-fraud rule. And in the new equitable-balancing world in which a third party‘s innocence certainly will be weighed, and innocent third parties will be covered by one insurer or another, the shorthand serves the purposes of the Act and saves insurers from costly litigation. I see no principled basis to reject it.
III. CONCLUSION
The no-fault act is a comprehensive statutory scheme in which the Legislature established a clear intent to mandate PIP coverage for all eligible claimants. I would hold that because the Act mandates payment of PIP benefits and explicitly provides cost-
shifting and recovery remedies for insurers to invoke after the fact, the Legislature intended to abrogate common-law and equitable remedies when those remedies are in conflict with the Act. Rescission of an insurance policy to avoid the obligation to provide PIP benefits for an innocent third party contravenes the Legislature‘s enacted policy. Sentinel may seek to avoid its PIP obligations by invoking the remedies permitted by statute, but it may not invoke equity as an independent basis to avoid the payment of mandatory PIP benefits to an eligible claimant.The majority‘s decision to permit rescission litigation when that remedy is inconsistent with the Act is a victory only for lawyers. Innocent third parties must be covered one way or another because the statute requires it and the equitable balancing cannot impose a remedy contrary to law. Although innocent third parties surely will have to endure new delays with the new litigation (and new uncertainty over the availability of MACP coverage at all if litigation commences after the one-year notice period for the MACP).
Insurers lose too. Sentinel‘s “win” in today‘s innocent-third-party rescission litigation will be another insurer‘s loss when
Bridget M. McCormack
David F. Viviano
Notes
A person is not entitled to be paid personal protection insurance benefits for accidentаl bodily injury if at the time of the accident any of the following circumstances existed:
(a) The person was willingly operating or willingly using a motor vehicle or motorcycle that was taken unlawfully, and the person knew or should have known that the motor vehicle or motorcycle was taken unlawfully.
(b) The person was the owner or registrant of a motor vehicle or motorcycle involved in the accident with respect to which the security required by section 3101 or 3103 was not in effect.
(c) The person was not a resident of this state, was an occupant of a motor vehicle or motorcycle not registered in this state, and the motor vehicle or motorcycle was not insured by an insurer that has filed a certification in compliance with section 3163.
(d) The person was operating a motor vehicle or motorcycle as to which he or she was named as an excluded operator as allowed under section 3009(2).
(e) The person was the owner or operator of a motor vehicle for which coverage was excluded under a policy exclusion authorized under section 3017.
Personal protection insurance benefits are payable to or for the benefit of an injured person or, in case of his death, to or for the benefit of his dependents. Payment by an insurer in good faith of personal protection insurance benefits, to or for the benefit of a person who it believes is entitled to the benefits, discharges the insurer‘s liability to the extent of the payments unless the insurer has been notified in writing of the claim of some other person. If there is doubt about the proper person to receive the benefits or the proper apportionment among the persons entitled thereto, the insurer, the claimant or any other interested person may apply to the circuit court for an appropriate order. The court may designate the payees and make an equitable apportionment, taking into account the relationship of the payees to the injured person and other factors as the court considers appropriate.
An automobile liability or motor vehicle liability policy insuring against loss resulting from liability imposed by law for property damage, bodily injury, or death suffered by any person arising out of the ownership, maintenance, or use of a motor vehicle shall not be delivered or issued for delivery in this state with respect to any motor vehicle registered or principally garaged in this state unless the liability coverage is subject to all of the following limits:
(a) A limit, exclusive of interest and costs, of not less than $20,000.00 because of bodily injury to or death of 1 person in any 1 accident.
(b) Subject to the limit for 1 person in subdivision (a), a limit of not less than $40,000.00 because of bodily injury to or death of 2 or more persons in any 1 accident.
(c) A limit of not less than $10,000.00 because of injury to or destruction of property of others in any accident.
See, e.g., AT&T Mobility LLC v Concepcion, 563 US 333, 343; 131 S Ct 1740; 179 L Ed 2d 742 (2011) (Federal Arbitration Act) (a federal statute‘s saving clause “cannot in reason be construed as allowing a common law right, the continued existence of which would be absolutely inconsistent with the provisions of the act. In other words, the act cannot be held to destroy itself“) (cleaned up); Pilot Life Ins Co v Dedeaux, 481 US 41, 54; 107 S Ct 1549; 95 L Ed 2d 39 (1987) (ERISA) (“The presumption that a remedy was deliberately omitted from a statute is strongest when Congress has enacted a comprehensive legislative scheme including an integrated system of procedures for enforcement.“), quoting Massachusetts Mut Life Ins Co v Russell, 473 US 134, 147; 105 S Ct 3085; 87 L Ed 2d 96 (1985) (cleaned up); United States v Locke, 529 US 89, 106; 120 S Ct 1135; 146 L Ed 2d 69 (2000) (Oil Pollution Act) (“We decline to give broad effect to saving clauses where doing so would upset the careful regulatory scheme established by federal law.“); Northwest Airlines, Inc v Transp Workers Union of America, AFL-CIO, 451 US 77, 98; 101 S Ct 1571; 67 L Ed 2d 750 (1981) (Title VII) (“[A] favorable reaction to the equitable considerations supporting petitioner‘s contribution claim is not a sufficient reason for enlarging on the remedial provisions contained in these carefully considered statutes.“).The Kurylowicz panel stated:[r]escission abrogatеs a contract completely. All former contract rights are annulled, and it is as if no contract had been been made. Thus, to rescind a contract is not merely to terminate it, but to undo it from the beginning, and the effect of rescission is not merely to release the parties from further obligation to each other in respect to the subject of the contract, but to annul the contract and restore the parties to the relative positions which they would have occupied if no such contract had ever been made. Rescission involves a restoration of the status quo. [5A Michigan Civil Jurisprudence, Contracts, § 215, pp 439-440 (citations omitted).]
It is the policy of this state that persons who suffer loss due to the tragedy of automobile accidents in this state shall have a source and a means of recovery. Given this policy, it is questionable whether a policy of automobile liability insurance can ever be held void ab initio after injury covered by the policy occurs. Generally, it is held that:
“The liability of the insurer with respect to insurance required by the act becomes absolute whenever injury or damage covered by such policy occurs * * * no statement made by the insured or on his behalf and no violation of the policy provisions may be used to defeat or avoid the policy.” 1 Long, The Law of Liability Insurance, § 3.25 pp 3-83-84. See Detroit Automobile Inter-Insurance Exchange v Ayvazian, 62 Mich App 94; 233 NW2d 200 (1975).
That issue is not before us in this case, so we need not decide it. [Kurylowicz, 67 Mich App at 574.]
