BAZZI v SENTINEL INSURANCE COMPANY
Docket No. 320518
Court of Appeals of Michigan
Submitted December 9, 2015, at Detroit. Decided June 14, 2016, at 9:20 a.m. Leave to appeal granted ___ Mich ___.
315 Mich App 763
Ali 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,
The Court of Appeals held:
- An insurance policy is a contract, and common-law defenses like fraud may be invoked to avoid enforcement of the policy unless the Legislature restricted those defenses by statute. An insurer may invoke traditional legal and equitable remedies to avoid liability under an insurance policy on the ground of fraud in the application for that insurance even when the fraud was easily ascertainable and the claimant is a third party. The relevant statute controls the mandated insurance coverages when there is a valid policy. Statutorily required coverages are not relevant when the insurer is entitled because of fraud in the application to declare the policy void ab initio.
- The Supreme Court‘s decision in Titan Ins Co v Hyten, 491 Mich 547 (2012), is determinative of the outcome in this case. In Titan, without regard to whether the insurance policy benefits were required by statute, the Court held that because the insureds procured the policy through fraud in the application, the insurer had no duty to indemnify its insureds in a claim brought by third parties injured in an automobile accident with the insureds even though the fraudulent information in the application was easily ascertainable and the claimant was an innocent third party. In reaching that result, the Titan Court 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), and its progeny.
- Titan impliedly abrogated the innocent-third-party rule because there is no difference between that rule and the easily-ascertainable-fraud rule; both rules originated in Kurylowicz, and that case was expressly abrogated by Titan. It would be nonsensical to conclude that an insurer would have no liability if the fraud was easily ascertainable, but would retain liability if the fraud was not easily ascertainable. Accordingly, the rules are two different labels for the same rule. The Titan Court‘s overruling of Ohio Farmers Ins Co v Mich Mut Ins Co, 179 Mich App 355 (1989)—which discussed the innocent-third-party rule—supported the conclusion that the Titan Court‘s decision also abrogated the innocent-third-party rule. Public policy also did not require retention of the innocent-third-party rule, and it is up to the Legislature, not the courts, to create an innocent-third-party rule through legislation if the Legislature decides it is necessary.
- The fact that Titan involved liability coverage under the financial responsibility act (FRA),
MCL 257.501 et seq., specifically proof of financial responsibility underMCL 257.518 andMCL 257.519 , as opposed to the mandatory no-fault PIP benefits involved in this case, was irrelevant to the applicability of the Titan holding. Rather, the fact thatMCL 257.520(f)(1) of the FRA specifically limits the ability of an automobile insurer to avoid liability on the ground of fraud simply supports the conclusion that in order for an insurer to preclude coverage because of the insured‘s fraud, a statute must not limit the insurer‘s right to rescind the policy on the basis of fraud (like inMCL 257.520(f)(1) ). The no-fault act does not contain language that limits an insurer‘s right to rescind coverage when an insured procures the policy through fraud in the application. - When an insurer is entitled to rescind a no-fault insurance policy because of fraud by the insured, it is not required to pay any benefits under the policy, including PIP benefits to a third party who is innocent of the fraud. In this case, the trial court erred by denying Sentinel Insurance‘s motion for summary disposition on the basis of its erroneous conclusion that the innocent-third-party rule survived Titan.
Reversed and remanded.
Boonstra, J., concurring, wrote separately to elaborate on the reasoning of the majority opinion and to explain that although the earlier decision in State Farm Mut Auto Ins Co v Mich Muni Risk Mgt Auth, unpublished opinion per curiam of the Court of Appeals, issued February 19, 2015 (Docket Nos. 319709 and 319710) (by a panel of which he was a part), vacated 498 Mich 870 (2015), conflicted with the conclusions reached by the majority here, in this case the Court benefited from substantial additional briefing, argument, and analysis, which resulted in the conflicting opinion. The innocent-third-party rule is part of the easily-ascertainable-fraud rule that was abrogated by the Supreme Court in Titan; being a third party is a necessary predicate to applying the easily-ascertainable-fraud rule. Contrary to the panel‘s conclusion in State Farm, for purposes of applying Titan‘s conclusion that an insurer may rescind a policy when the insured fraudulently procures the policy, it is irrelevant that Titan involved optional liability insurance, while this case involved no-fault PIP benefits, because the no-fault act does not prohibit the insured from asserting common-law contract defenses, like rescission on the basis of fraud. While
Beckering, J., dissenting, disagreed with the majority‘s analysis of Titan and its application of the holding in that case to deny plaintiff coverage for PIP benefits. The Kurylowicz opinion did not create the innocent-third-party rule, and its holding was not outcome-determinative in this case. The easily-ascertainable-fraud rule and the innocent-third-party rule are distinct rules; before Titan, the easily-ascertainable-fraud rule had been applied to prevent an insurer from avoiding optional (nonstatutory) coverage when the insured‘s fraud was easily ascertainable, while the innocent-third-party rule was consistently applied to prevent an insurer avoiding liability for mandatory coverage, like PIP benefits. Because Titan involved contractually based excess liability coverage, not the statutorily mandated PIP benefits at issue in this case, and because the two rules are not the same, its holding—which threw out the easily-ascertainable-fraud rule—should not be extended to apply to mandatory PIP benefits. The Titan Court did not mention the innocent-third-party rule and did not discuss whether fraud could be asserted as a basis to avoid liability in the context of statutorily mandated benefits. Accordingly, the Court did not impliedly abrogate the innocent-third-party rule. Under the innocent-third-party rule, an insurer may not void a policy ab initio when an innocent third party is affected and the type of coverage is mandatory. The Titan Court only overruled Ohio Farmers, 179 Mich App 355, to the extent it held that an insurer may not deny coverage on the basis of fraud when it could have easily ascertained the fraud; the limited holding does not support the majority‘s rejection of the innocent-third-party rule because Ohio Farmers did not mention or involve an insurer‘s attempt to rescind statutorily mandated coverage. The innocent-third-party rule and statutorily mandated benefits were not at issue in Titan; the insurer in Titan expressly acknowledged liability for statutory residual liability amounts. Judge BECKERING would have concluded that Titan did not abrogate the innocent-third-party rule in the context of statutorily required PIP benefits under the no-fault act and that the language of the no-fault act does not contain exceptions to, or limitations on, its requirement that an insurance carrier cover certain identified PIP benefits. Accordingly, Judge BECKERING would have affirmed the trial court‘s conclusion that the innocent-third-party rule applied, but contrary to its conclusion, she would have held that plaintiff, as an innocent third party, was not limited in his recovery of PIP benefits by
- INSURANCE — NO-FAULT — FRAUD BY APPLICANT — INNOCENT THIRD PARTY — RECOVERY OF PERSONAL PROTECTION INSURANCE BENEFITS.
An insurance company may declare a no-fault policy void ab initio and rescind it when it is able to establish that the policy was obtained through fraud; an insurance company may deny an innocent third party coverage for personal protection insurance benefits under the no-fault act,
MCL 500.3101 et seq., when the insurance company establishes that the policy was obtained through fraud. - INSURANCE — FRAUD BY APPLICANT — RECOVERY OF PERSONAL PROTECTION INSURANCE BENEFITS — INNOCENT THIRD PARTY — DEFENSES — INNOCENT-THIRD-PARTY RULE AND EASILY-ASCERTAINABLE-FRAUD RULE.
The easily-ascertainable-fraud rule and the innocent-third-party rule, which prevent an insurance company from rescinding a policy obtained by fraud and denying coverage to innocent third parties, are not viable defenses to an insurance company‘s denial of coverage for personal protection insurance benefits under the no-fault act,
MCL 500.3101 et seq.; there is no distinction between the easily-ascertainable-fraud rule and the innocent-third-party rule.
Plunkett Cooney (by Mary Massaron) for Sentinel Insurance Company.
Anselmi & Mierzejewski, PC (by John D. Ruth and Michael D. Phillips), for Citizens Insurance Company.
Amici Curiae:
Willingham & Coté, PC (by John A. Yeager and Kimberlee A. Hillock), for Insurance Institute of Michigan.
Donald M. Fulkerson for Michigan Association for Justice.
Before: SAWYER, P.J., and BECKERING and BOONSTRA, JJ.
BAZZI v SENTINEL INSURANCE COMPANY
Docket No. 320518
Court of Appeals of Michigan
Decided June 14, 2016
315 Mich App 763
SAWYER, P.J. We are asked in this case to determine whether the so-called “innocent third party” rule, which this Court established in State Farm Mut Auto Ins Co v Kurylowicz,1 survived our Supreme Court‘s decision in Titan Ins Co v Hyten.2 We conclude that it did not.
Plaintiff, Ali Bazzi (plaintiff), is seeking to recover personal protection insurance (PIP) benefits for injuries he sustained in an automobile accident while driving a vehicle owned by third-party defendant Hala Bazzi (plaintiff‘s mother).3 Intervening plaintiffs, Genex Physical Therapy, Inc., Elite Chiropractic Center, PC, and Transmedic, LLC, are healthcare providers who provided services to plaintiff as a result of those injuries and are seeking payment for those services. The vehicle driven by Bazzi was insured under a commercial automobile policy issued by defendant Sentinel Insurance to Mimo Investments, LLC.4 Sentinel maintains that the policy was fraudulently procured by Hala Bazzi and third-party defendant Mariam Bazzi (plaintiff‘s sister and the resident agent for Mimo Investments) in order to obtain a lower premium because of plaintiff‘s involvement in a prior accident. Sentinel maintains that the vehicle was actually leased to Hala Bazzi for personal and family use, not for commercial use by Mimo, and, in fact, that Mimo was essentially a shell company, which had no assets or employees or was not otherwise engaged in actual business activity. Sentinel also alleges as fraud that the third-party defendants failed to disclose plaintiff would
Sentinel pursued a third-party complaint against Hala and Mariam Bazzi, seeking to rescind the policy on the basis of fraud in the application.5
Sentinel thereafter moved for summary disposition of plaintiff‘s claim against Sentinel for PIP benefits, as well as the intervening plaintiffs’ claims because the policy was rescinded on the basis of fraud. The trial court denied the motion, concluding that plaintiff had a claim because of the innocent-third-party rule.6 Sentinel sought leave to appeal in this Court, which we denied.7 Sentinel then sought leave to appeal in the Supreme Court, which, in lieu of granting leave, remanded the matter to this Court for consideration as on leave granted.8 We now reverse the decision of the trial court and remand the matter for further proceedings consistent with this opinion.
The standard of review to be applied here was set forth, as follows, in Titan:9
This Court reviews de novo a trial court‘s decision on a motion for summary disposition. Shepherd Montessori Ctr Milan v Ann Arbor Charter Twp, 486 Mich 311, 317; 783 NW2d 695 (2010). In addition, the proper interpretation of a statute is a question of law that this Court reviews de novo. Eggleston v Bio-Med Applications of Detroit, Inc, 468 Mich 29, 32; 658 NW2d 139 (2003). The proper interpretation of a contract is also a question of law that this Court reviews de novo. Rory v Continental Ins Co, 473 Mich 457, 464; 703 NW2d 23 (2005).
Resolution of this case begins and ultimately ends with our Supreme Court‘s decision in Titan. Although Titan did not involve a no-fault insurance claim for PIP benefits, we nonetheless are convinced that Titan compels the conclusion that the innocent-third-party rule does not apply to a claim for those benefits. That is, if an insurer is entitled to rescind a no-fault insurance policy because of fraud, it is not obligated to pay any benefits under that policy, including PIP benefits to a third party innocent of the fraud.
In Titan, the insurer sought a declaratory judgment on the basis that, because of fraud in the application, it had no duty to indemnify its insureds in a claim brought by third parties injured in an automobile accident with Titan‘s insureds.10 The injured parties and their insurer maintained that Titan could not avoid liability to the innocent third parties because the fraud was easily ascertainable. While this Court agreed because of our earlier decision in Kurylowicz, the Supreme Court disagreed and overruled Kurylowicz and its progeny.11
Plaintiff and defendant Citizens argue that the decision in Titan does not apply to this case for two reasons: Titan did not
We first consider whether there is a distinction between the easily-ascertainable-fraud rule discussed in Titan and the innocent-third-party rule advanced in this case. We conclude that they are one and the same.
While Titan consistently referred to the easily-ascertainable-fraud rule set forth in Kurylowicz, it and the so-called innocent-third-party rule are not separate and distinct rules. As stated by the Titan Court:
The principal question presented in this case is whether an insurer may avail itself of traditional legal and equitable remedies to avoid liability under an insurance policy on the ground of fraud in the application for insurance, when the fraud was easily ascertainable and the claimant is a third party.13
Therefore, the focus of Titan was not merely on the ascertainability of the fraud; it was also relevant that the case involved a third-party claimant. Indeed, the substance of Kurylowicz was that both conditions had to apply before the insurer was prevented from raising a fraud defense. This point was recognized by the Supreme Court in Titan when it observed that “when it is the insured who seeks benefits under an insurance policy procured through fraud, even an easily ascertainable fraud will not preclude an insurer from availing itself of traditional legal and equitable remedies to avoid liability.”14
In sum, Titan recognized that the rule in Kurylowicz only applied if the fraud was easily ascertainable and involved an innocent third party. Moreover, it would make no sense to conclude that an insurer has no liability if the fraud is easily ascertainable, but would retain liability if the fraud was not easily ascertainable.15 Accordingly, “easily ascertainable” and “innocent third party” are merely two different labels for the same rule, and we cannot dismiss the application of Titan merely by applying the “innocent third party” label to this case and then pointing out that Titan dealt with the “easily ascertainable fraud” rule. That is, in rejecting the easily-ascertainable-fraud rule, the Supreme Court of necessity also rejected the innocent-third-party rule because they are, in fact, the same rule.
Furthermore, even if the decision in Kurylowicz has evolved into two separate rules—the easily-ascertainable-fraud rule and the innocent-third-party rule—it is irrelevant. Both these rules have their
We now turn to the other question posed in this case, whether the holding in Titan extends to mandatory no-fault benefits. We conclude that it does. Titan involved optional benefits not mandated by statute. But that was not the basis of the Court‘s decision. And it made the rather unremarkable observation that when insurance benefits are mandated by statute, coverage is governed by that statute.22 It is also true that “because insurance policies are contracts, common-law defenses may be invoked to avoid enforcement of an
insurance policy, unless those defenses are prohibited by statute.”23 The Court ultimately 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.”24 And it did so without qualification regarding whether those benefits were mandated by statute. Therefore, if there is a valid policy in force, the statute controls the mandated coverages. But the coverages required by law are simply irrelevant when the insurer is entitled to declare the policy void ab initio. The situation would be akin to if the automobile owner had never obtained an insurance policy in the first place; the owner would have been obligated by law to obtain coverage, but failed to do so.
Thus, the question is not whether PIP benefits are mandated by statute, but whether that statute prohibits the insurer from availing itself of the defense of fraud. And the parties are unable to identify a provision in the no-fault act itself in which the Legislature statutorily restricts the use of the defense of fraud with respect to payment of PIP benefits. That is, the one argument under Titan that would carry
This leads us to a related argument raised by Citizens: that Titan is inapplicable because it dealt with the financial responsibility act, which is not at issue here. Citizens misconstrues the discussion in Titan regarding
Several appellate decisions of this state have suggested that
MCL 257.520 applies to all liability insurance policies. For example, in State Farm Mut Auto Ins Co v Sivey, 404 Mich 51, 57; 272 NW2d 555 (1978), this Court indicated thatMCL 257.520(b)(2) applies to ”all policies of liability insurance[.]” (Emphasis added.) In addition, in Farmers Ins Exch v Anderson, 206 Mich App 214, 220; 520 NW2d 686 (1994), the Court of Appeals indicated that “when an accident occurs in this state, the scope of liability coverage is determined by the financial responsibility act.” See also League Gen Ins Co v Budget Rent-A-Car of Detroit, 172 Mich App 802, 805; 432 NW2d 751 (1988) (“When an accident occurs in this state, the scope of the liability coverage required in an insurance policy is determined by Michigan‘s financial responsibility act[.]“). However, none of these decisions undertook a close analysis of this issue.We have closely reviewed
MCL 257.520(f)(1) , and we believe that the statute does not in every case limit the ability of an automobile insurer to avoid liability on the ground of fraud; its reference to “motor vehicle liability policy” is not all encompassing. Rather, as used inMCL 257.520(f)(1) , “motor vehicle liability policy” refers only to an “owner‘s or an operator‘s policy of liability insurance,
certified as provided in [
MCL 257.518 ] or [MCL 257.519 ] as proof of financial responsibility . . . .”MCL 257.520(a) . Thus, absent this certification,MCL 257.520(f)(1) has no relevant application. Further,MCL 257.520(f)(1) refers only to “the insurance required by this chapter,” (emphasis added), and the only insurance required by chapter V of the Michigan Vehicle Code is insurance “certified as provided in [MCL 257.518 ] or [MCL 257.519 ] as proof of financial responsibility . . . .”MCL 257.520(a) . Therefore, as we stated in Burch v Wargo, 378 Mich 200, 204; 144 NW2d 342 (1966),MCL 257.520 “applies only when ‘proof of financial responsibility for the future’ . . . is statutorily required . . . .” See alsoMCL 257.522 (“This chapter shall not be held to apply to or affect policies of automobile insurance against liability which may now or hereafter be required by any other law of this state . . . .“); and State Farm Mut Auto Ins Co v Ruuska, 412 Mich 321, 336 n 7; 314 NW2d 184 (1982) (“[I]n discussing the requisites for an automobile liability policy issued as proof of future financialresponsibility, the Legislature [in MCL 257.520(b) ], after requiring an owner‘s policy to designate by explicit description or appropriate reference all covered motor vehicles, limited the liability coverage to only those automobiles listed in the policy by speaking in terms of the use of ‘such’ vehicle(s).“). For these reasons, we now clarify thatMCL 257.520(f)(1) does not apply to a motor vehicle liability insurance policy unless it has been certified underMCL 257.518 orMCL 257.519 and, to the extent that Sivey, Anderson, and League suggest otherwise, they are overruled.
This is an important point. Titan specifically established that
Therefore, it is necessary to determine exactly to what coverage the restrictions of
Citizens argues that
Next, Citizens argues that public policy requires us to retain the innocent-third-party rule. But this argument ignores the Supreme Court‘s criticism of this Court‘s reliance on public policy in Kurylowicz when justifying the easily-ascertainable-
First, Kurylowicz justified the “easily ascertainable” rule on the basis of its understanding of the “public policy” of Michigan. In light of the Legislature‘s then recent passage of the no-fault act,
MCL 500.3101 et seq., Kurylowicz reasoned thatthe policy of the State of Michigan regarding automobile liability insurance and compensation for accident victims emerges crystal clear. 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. [Kurylowicz, 67 Mich App at 574.]
This “public policy” rationale does not compel the adoption of the “easily ascertainable” rule. In reaching its conclusion, Kurylowicz effectively replaced the actual provisions of the no-fault act with a generalized summation of the act‘s “policy.” Where, for example, in Kurylowicz‘s state-
ment of public policy is there any recognition of the Legislature‘s explicit mandate that, with respect to insurance required by the act, “no fraud, misrepresentation, . . . or other act of the insured in obtaining or retaining such policy . . . shall constitute a defense” to the payment of benefits?
MCL 257.520(f)(1) . We believe that the policy of the no-fault act is better understood in terms of its actual provisions than in terms of a judicial effort to identify some overarching public policy and effectively subordinate the specific details, procedures, and requirements of the act to that public policy. In other words, it is the policy of this state that all the provisions of the no-fault act be respected, and Kurylowicz‘s efforts to elevate some of its provisions and some of its goals above other provisions and other goals was simply a means of disregarding the stated intentions of the Legislature. The no-fault act, as with most legislative enactments of its breadth, was the product of compromise, negotiation, and give-and-take bargaining, and to allow a court of this state to undo those processes by identifying an all-purpose public policy that supposedly summarizes the act and into which every provision must be subsumed, is to allow the court to act beyond its authority by exercising what is tantamount to legislative power. Third-party victims of automobile accidents have a variety of means of recourse under the no-fault act, and it is to those means that such persons must look, not to a judicial articulation of policy that has no specific foundation in the act itself and was designed to modify and supplant the details of what was actually enacted into law by the Legislature.
The policy concerns raised by Citizens may well have merit. But it is for the Legislature, and not this Court, to determine whether there is merit to those concerns and, if so, the appropriate remedy. While the Legislature might conclude that the appropriate response is to create an innocent-third-party rule, it may choose to address the issue differently. While we can envision any number of policy issues, as well as solutions to those issues, we are judges, not legisla-
tors. It is for the Legislature, not this Court, to consider these issues and determine what response, if any, represents the best public policy. We
For these reasons, we conclude the trial court erred by denying summary disposition to Sentinel based on the trial court‘s erroneous conclusion that the innocent-third-party rule remained viable after our Supreme Court‘s decision in Titan. However, we must decide the appropriate disposition of this matter. Sentinel argues that it is entitled to have summary disposition entered in its favor because a default judgment was entered against Hala and Mariam Bazzi, which rescinded the insurance policy. Citizens argues that that default judgment only operates as a determination against those two parties and not against it or Ali Bazzi. It does not appear that the trial court ultimately resolved this question; therefore, we conclude that the trial court should first address this question on remand.
Accordingly, we remand the matter to the trial court. On remand, there are two questions before the trial court. First, it must determine whether the default judgment against Hala and Mariam Bazzi conclusively established fraud, which would provide a basis for Sentinel to rescind the policy as to all parties, or whether the remaining parties are entitled to litigate the issue of fraud. Next, the trial court must determine whether there is a genuine issue of material fact regarding the fraud issue. If the trial court determines either of those questions in favor of Sentinel, it shall enter summary disposition in favor of Sentinel. If the
trial court rules against Sentinel on both of those questions, then it shall deny summary disposition.31
In sum, regardless whether there is one rule or two, and whether we consider a case involving liability coverage or PIP benefits, it all leads back to Kurylowicz, and the Supreme Court in Titan overruled Kurylowicz because Kurylowicz ignored the Supreme Court‘s decision in Keys v Pace,32 which had arguably itself involved easily ascertainable fraud and an innocent third party.33 Accordingly, we conclude that: (1) there is no distinction between an easily-ascertainable-fraud rule and an innocent-third-party rule, (2) the Supreme Court in Titan clearly held that fraud is an available defense to an insurance contract except to the extent that the Legislature has restricted that defense by statute, (3) the Legislature has not done so with respect to PIP benefits under the no-fault act, and (4) the judicially created innocent-third-party rule has not survived the Supreme Court‘s decision in Titan. Therefore, if an insurer is able to establish that a no-fault
policy was obtained through fraud, it is entitled to declare the policy void ab initio and rescind it, including
Reversed and remanded for further proceedings consistent with this opinion. We do not retain jurisdiction. Sentinel may tax costs.
Boonstra, J., concurred with Sawyer, P.J.
BAZZI v SENTINEL INSURANCE COMPANY
Docket No. 320518
Court of Appeals of Michigan
Decided June 14, 2016
315 Mich App 763
BOONSTRA, J. (concurring)
CONCURRING OPINION BY BOONSTRA, J.
BOONSTRA, J. (concurring). I fully concur in the majority opinion. I write separately because, as a member of the panel that decided State Farm Mut Auto Ins Co v Mich Muni Risk Mgt Auth, unpublished opinion per curiam of the Court of Appeals, issued February 19, 2015 (Docket Nos. 319709 and 319710),1 I feel obliged to offer some elucidation for the conflicting conclusion that the majority reaches today and, in doing so, to elaborate somewhat on its reasoning.
In vacating both State Farm and another unpublished decision that had reached a contrary conclusion,2 our Michigan Supreme Court directed that those matters be held in abeyance pending this Court‘s decision in this case. The panel in this case has now had the benefit of substantial additional briefing and argument both in this case and in the contemporaneously considered case of AR Therapy Servs, Inc v Farm Bureau Mut Ins Co of Mich, unpublished opinion per curiam of the Court of Appeals, issued June 14, 2016 (Docket No. 322339), and has had the opportunity to
develop and employ a level of analysis not reflected in either of the panels’ earlier unpublished opinions.
Cogent arguments exist on both sides of the issue before us. At first blush, it may appear that we are being asked to disregard decades of published jurisprudence from this Court, in favor of abrogating it based on an interpretation of recent Supreme Court obiter dicta, and to hold that the Supreme Court has already implicitly abrogated it. Were that the case, I would be inclined to conclude that we are bound to follow the binding decisions of this Court3 and to leave it to the Supreme Court to further develop the law in the current context, if it chooses to do so, by effecting that abrogation explicitly.
I am persuaded, however, as the majority recognizes, that the judicially created doctrine known as the “innocent-third-party rule” is indeed part and parcel of the “easily ascertainable rule” that the Supreme Court abrogated in Titan Ins Co v Hyten, 491 Mich 547; 817 NW2d 562 (2012). In Titan, the Supreme Court noted that “the ‘easily ascertainable’ rule . . . only applies when a third-party claimant is involved.” Id. at 563. Therefore, while its application has been described as denying insurers equitable remedies “when the fraud was easily ascertainable and the claimant is a third party,” id. at 550, the latter reference (to the claimant being a
I therefore conclude that by rejecting State Farm Mut Auto Ins Co v Kurylowicz, 67 Mich App 568; 242 NW2d 530 (1976), and its easily-ascertainable-fraud rule, the Supreme Court must have been rejecting the totality of the rule, whether we refer to it as the easily-ascertainable-fraud rule or the innocent-third-party rule. The reason is that if an insurer may rescind a policy even as to an innocent third party when the fraud was easily ascertainable to the insurer, then it must also be allowed to rescind when the fraud was not easily ascertainable. To conclude otherwise would simply make no sense. Why would an insurer remain accountable to an innocent third party in a situation in which the insurer could not have easily discovered the fraud, if it is not accountable to the third party in a situation in which the insurer could have easily discovered the fraud? For this reason, in abolishing the easily-ascertainable-fraud rule, the Supreme Court in Titan must also have rejected the innocent-third-party rule. This conclusion is bolstered by the fact that the Supreme Court overruled not only Kurylowicz but also its “progeny“—such as Ohio Farmers Ins Co v Mich Mut Ins Co, 179 Mich App 355; 445 NW2d 228 (1989). Ohio Farmers did not even address the easily-ascertainable-fraud aspect of the rule but only (insofar as it is relevant to this case) the innocent-third-party aspect. Yet it was overturned by Titan. Therefore, it is inconceivable that in overturning Kurylowicz and Ohio Farmers, the Supreme Court overturned one aspect of the rule without also overturning the other. This explains the Supreme Court‘s broad statement in Titan, in response to the contention “that the ‘easily ascertainable’ rule is required for the protection of third parties,” that “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 relationship.” Titan, 491 Mich at 568.
Having concluded that the Supreme Court in Titan abolished the innocent-third-party rule, I must next address the distinction relied on by the panel in State Farm, unpub op at 9-10, i.e., that Titan involved optional liability insurance, while State Farm (like this case) involves statutory no-fault personal protection insurance (PIP) coverage. The question is: does the distinction matter? I conclude that it does not.
The Supreme Court in Titan indeed noted that “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 (emphasis added). This was contrasted with a situation in which “a provision in an insurance policy is mandated by statute,” in which case “the rights and limitations of the coverage are governed by that statute.” Id.
However, I conclude that this does not take PIP coverage outside the reach of Titan‘s conclusion that an insured‘s fraud makes the equitable remedy of rescission available to the insurer. The Supreme Court said that “because insurance policies are contracts, common-law defenses may be invoked to avoid enforcement of an insurance policy, unless those defenses are prohibited by statute.” Id. It did not say that common-law defenses were only available if the coverage was “entirely” contractual; rather, it stated that common-law defenses are available to contractual insurance policies, but limited in the event that a statute “prohibits” the defense. Id.
In Titan, there was no statute requiring optional liability coverage, and no statutory prohibition on a contractual defense. Therefore, common-law contract defenses were allowed. Also in Titan, the insurer conceded liability (as the panel in State Farm, unpub op at 9, noted) for the basic liability coverage that is mandated by the financial responsibility act,
In this case, by contrast, the statutorily mandated coverage is PIP benefits, not liability coverage; therefore, the financial responsibility act does not apply. See Titan, 491 Mich at 595-560;
Further, Titan quotes from Couch on Insurance to the effect that “[the insurance] policy and the statutes relating thereto must be read and construed together as though the statutes were part of the contract. . . .” Titan, 491 Mich at 554, quoting 12A Couch, Insurance, 2d (rev ed), § 45:694, pp 331-332. And that would mean that if there were a statutory disallowance of a fraud defense (as there is in
Said differently, if, as Titan says, we must construe the insurance policy and the statute (here, the no-fault statute) together as though the statute is part of the contract, id., and there is nothing in the statute to the contrary, the common-law fraud defense remains available to effect a rescission of the policy, and with it, the applicability of the statutory provisions that are otherwise incorporated into the contract. After all, if an insurer only has PIP obligations because it entered into a contract with its insured, and if it is entitled to rescind the contract because of the insured‘s fraud, then there is no basis for a third party to enforce against this contracting insurer the statutory PIP liabilities that only derive (as to that insurer) from the contract that has been rescinded.
Finally, I note that in prior opinions this Court has justified the innocent-third-party rule in various ways that have ranged from public policy4 to reliance on our Supreme Court‘s decision in Morgan v Cincinnati Ins Co, 411 Mich 267; 307 NW2d 53 (1981), to the language in
In light of this analysis and that of the majority opinion, I simply see no way to continue to apply the innocent-third-party rule in the PIP context. I therefore concur in the majority‘s determination. Applying Titan, when an insurer is able to establish that a no-fault policy was obtained through fraud, it is entitled to declare the policy void ab initio and rescind it, including denying the payment of benefits to innocent third parties.
BAZZI V SENTINEL INS
315 MICH APP 763
BECKERING, J.
BECKERING, J. (dissenting). At issue in this appeal is whether our Supreme Court‘s decision in Titan Ins Co v Hyten, 491 Mich 547; 817 NW2d 562 (2012), which threw out the “easily ascertainable rule,” adversely impacted and necessarily abrogated the “innocent-third-party rule,” which I maintain is a distinctly different rule and one to which this Court has adhered for decades without complaint or redirection from either our Supreme Court or our Legislature. With all due respect for my esteemed colleagues, I would conclude that the easily-ascertainable-fraud and innocent-third-party rules are not “one and the same,” and caselaw bears out a clear distinction. Furthermore, because they are different rules and because the coverage at issue in Titan—contractually based excess liability coverage—is substantially different from the type of coverage at issue in this case—statutorily mandated benefits—I would decline
I. THE INNOCENT-THIRD-PARTY RULE IS NOT THE SAME AS THE EASILY-ASCERTAINABLE-FRAUD RULE
Before diving into the effect of Titan, I would be remiss not to address the majority and concurring opinions’ conclusion that the easily-ascertainable-fraud rule and the innocent-third-party rule are one and the same. They are not. My colleagues conclude that they are the same in part because they both necessarily involve an innocent third party. While this observation is accurate, any attempt to equate them disregards the context in which they have been used and overlooks pertinent caselaw. The innocent-third-party rule has consistently been applied to prevent an insurer from avoiding liability as to mandatory coverage—namely PIP benefits, while the easily-ascertainable-fraud rule had, before it was overruled in Titan, consistently been applied to prevent an insurer from avoiding optional coverage, i.e., nonstatutory coverage, when the insured‘s fraud was easily ascertainable. See, e.g., Farmers Ins Exch v Anderson, 206 Mich App 214; 520 NW2d 686 (1994), overruled by Titan, 491 Mich 547; State Farm Mut Auto Ins Co v Kurylowicz, 67 Mich App 568; 242 NW2d 530, overruled by Titan, 491 Mich 547.
The difference between the rules can be put simply: the innocent-third-party rule acts as a prohibition against rescinding a policy that was procured by fraud, but only as to mandatory coverage—specifically PIP coverage—for innocent third parties, while the now-overruled easily-ascertainable-fraud rule prevented a defrauded insurer from avoiding liability with respect to optional coverage. Stated differently, the innocent-third-party rule concerns statutory benefits, and the easily-ascertainable-fraud rule pertains to benefits originating in the insurance policy. Thus, the rules serve distinct purposes and relate to different types of insurance coverage. This Court has recognized this very principle in the past. See Manier v MIC Gen Ins Corp, 281 Mich App 485, 489-492; 760 NW2d 293 (2008), overruled by Titan, 491 Mich 547; Lake States Ins Co v Wilson, 231 Mich App 327, 331-332; 586 NW2d 113 (1998); Anderson, 206 Mich App at 216-219. For instance, in Anderson, 206 Mich App at 217, a case that was overruled by Titan for its application of the easily-ascertainable-fraud rule, the insurer, much like the insurer in Titan, conceded liability for the statutorily mandated $20,000/$40,000 limits found in
the case of fraud. Anderson, 206 Mich App at 218-219. Accordingly, “when fraud is used as a defense in situations such as these,” the panel explained, “the critical issue necessarily becomes whether the fraud could have been ascertained easily by the insurer at the time the contract of insurance was entered into.” Id. at 219. In other words, the easily-ascertainable-fraud rule was to be applied to determine whether the insurer could rescind the policy as it pertained only to optional liability coverage.3 So long as the fraud was not easily ascertainable, the insurer could void the policy as to this optional liability coverage. Id. If the fraud was easily ascertainable, the burden was essentially on the insurer for not having discovered and dealt with it. A review of our caselaw reveals that the easily-ascertainable-fraud rule has a history of application to optional liability coverage. See, e.g., Titan, 491 Mich 547; Manier, 281 Mich App 485; Kurylowicz, 67 Mich App 568.
The panel in Wilson, 231 Mich App at 331-332, in a slightly different factual scenario involving PIP benefits, reinforced the idea that the rules are not the same, specifying that the innocent-third-party rule acted as a bar against rescinding a policy as it concerns statutorily mandated benefits, and that the easily-
ascertainable-fraud rule pertained to an insurer‘s attempts to limit its liability as to optional coverage.4 The panel in Wilson applied the same type of bar against rescission as found in
Once an innocent third party is injured in an accident in which coverage was in effect with respect to the relevant vehicle, the insurer is estopped from asserting fraud to rescind the insurance contract. However, an insurer is not precluded from rescinding the policy to void any “optional” insurance coverage, unless the fraud or misrepresentation could have been “ascertained easily” by the insurer. [Id. at 331-332 (citations omitted; emphasis added).]
Thus, as is apparent from this Court‘s opinion in Wilson, the innocent-third-party rule and the easily-ascertainable-fraud rule are different. The innocent-third-party rule concerns mandatory coverage and arises from the fact that the coverage is mandatory, while the easily-ascertainable-fraud rule applies to optional coverage. Essentially, the innocent-third-party rule is a rule that applies to PIP benefits and protects entitlement to those benefits. Consistently with this rationale, this Court has applied the
innocent-third-party rule in the context of PIP benefits. See, e.g., Roberts v Titan Ins Co (On Reconsideration), 282 Mich App 339, 360; 764 NW2d 304 (2009), overruled in part on other grounds Spectrum Health Hosp v Farm Bureau Mut Ins Co of Mich, 492 Mich 503; 821 NW2d 117 (2012).
This distinction is of critical importance to the instant case, as the concern in this case is with mandatory PIP benefits, not optional excess liability coverage.5 Moreover, this distinction explains away with relative ease the result that the majority opinion describes as “bizarre” and the concurring opinion says “simply make[s] no sense.” That is, in concluding that the easily-ascertainable-fraud rule and the innocent-third-party rule are essentially the same, both the majority opinion and the concurring opinion postulate that the rules must be treated as the same, because if an insurer can avoid liability when fraud is easily ascertainable, it must logically be able to avoid liability when the fraud was not easily ascertainable. If we were truly dealing with rules that applied in the same context and to the same type of coverage, this concern would be a valid one. However, given that caselaw has clearly applied the innocent-third-party rule to mandatory coverage, whereas the easily-ascertainable-fraud rule has been applied to optional coverage, the rules can be reconciled, and the concerns of the majority and concurring opinions quickly dissipate. With regard to mandatory coverage, whether the fraud was easily ascertainable matters not; the insurer is not permitted to rescind once an innocent third party is injured. However, with regard to optional coverage, the insurer is only prevented from rescinding the policy as it concerns such optional coverage if the fraud was easily
ascertainable. Our Supreme Court in Titan did away with the bar against an insurer rescinding optional coverage in the face of easily ascertainable fraud.
I take issue with the majority and concurring opinions’ conclusions that our Supreme Court‘s decision in Titan necessarily recognized that the innocent-third-party rule and the easily-ascertainable-fraud rule are one and the same. In fact, our Supreme Court in Titan made no mention of the innocent-third-party rule, nor did it weigh in on whether fraud could be asserted as a basis to avoid liability in the context of statutorily mandated benefits. The subject of statutorily mandated coverage was simply not before the Court in Titan, as the insurer in that case expressly conceded
Along similar lines, I note that the majority and concurring opinions observe that our Supreme Court in Titan overruled this Court‘s decision in Ohio Farmers Ins Co v Mich Mut Ins Co, 179 Mich App 355, 358, 364-365; 445 NW2d 228 (1989), and conclude that: (1) Ohio Farmers discussed the innocent-third-party rule and (2) therefore, the Supreme Court in Titan must have necessarily overruled the innocent-third-party rule. Assuming that the decision in Ohio Farmers implicated the innocent-third-party rule, I disagree with my colleagues’ conclusions. First, our Supreme Court in Titan, 491 Mich at 551 n 1, did not make any sweeping declarations about Ohio Farmers;6 rather, it only overruled the case “[t]o the extent” that it “held or stated that an insurer is estopped from denying coverage on the basis of fraud when it could have easily ascertained the fraud . . . .” This language is in line with the easily-ascertainable-fraud rule, not the innocent-third-party rule. Noticeably absent from this qualified and narrow rejection of Ohio Farmers is any discussion about whether an insurer can deny mandatory, statutorily required coverage to an innocent third party on the basis of fraud. Thus, even assuming that Ohio Farmers only implicated the innocent-third-party rule, an assumption that is not entirely apparent from the text of the Ohio Farmers decision, the Court in Titan made no comment about the innocent-third-party rule. Second, contrary to what the majority and concurring opinions postulate—and regardless of what Ohio Farmers actually says—our Supreme Court in Titan seemed to think that Ohio Farmers concerned the easily-ascertainable-fraud rule. See Titan, 491 Mich at 563-564 (“[U]nder the Kurylowicz rule, an insurer may not avail itself of traditional legal and equitable remedies to avoid liability under an insurance policy on the ground of fraud when the fraud was easily ascertainable and the claimant is a third party. See, e.g., Ohio Farmers Ins Co v Mich Mut Ins Co, 179 Mich App 355; [445] NW2d 228 (1989).“) (emphasis added). Accordingly, any suggestion that Titan was overruling Ohio Farmers for some other reason—for
instance, that it discussed the innocent-third-party rule—is not apparent from the Court‘s decision in Titan. Third, and on a somewhat related note, I disagree that Titan‘s qualified overruling of Ohio Farmers can be construed to reject a rule that Titan itself never mentioned.7
Aside from taking issue with the conclusion that the rules are one and the same, I take issue with the majority opinion‘s conclusion
In Kurylowicz, 67 Mich App at 569, the plaintiff, State Farm, appealed as of right a declaratory judgment that stated it was not allowed to rescind a policy for optional,8 or nonstatutorily mandated, liability coverage ab initio when the policy was procured through fraud. In that case, the insured, defendant Robert J. Kurylowicz, made a material misrepresen-
tation in his application for insurance when answering the question whether his driver‘s license had ever been revoked or suspended. Id. at 570. State Farm, which relied on our Supreme Court‘s decision in Keys v Pace, 358 Mich 74; 99 NW2d 547 (1959), argued that an insurer was entitled to rescind a policy on the basis of a material misrepresentation and that there was no duty imposed on the insurer to investigate the subject of the alleged fraud.9 Kurylowicz, 67 Mich App at 571.
This Court, in an effort to avoid the application of Keys, noted that our Legislature had amended various statutes since our Supreme Court issued Keys, including statutes regarding the cancellation of insurance policies,
mishaps.” Kurylowicz, 67 Mich App at 573.10 Reading the legislative enactments as a whole, this Court arrived at the idea that the statutes formulated a “policy” of providing
With that “policy” as a backdrop, the panel cited a treatise for the proposition that an insurer‘s liability “with respect to insurance required by the act” becomes absolute “whenever injury or damage covered by such policy occurs . . . .” Id. (citation and quotation marks omitted). However, the panel was quick to observe that “[t]hat issue is not before us in this case“—whether liability with respect to insurance required by law became absolute upon the happening of an injury—“so we need not decide it.” Id. Hence, the panel expressly declined to comment on the innocent-third-party rule—which is implicated in situations involving the “liability of the insurer with respect to insurance required by the [no-fault] act.” Id. (quotation marks and citation omitted). Instead, stated the panel, “[w]e need only decide whether, under the facts of the case at bar, State Farm reasonably relied on the representations of the insured so as to justify a holding
that the policy was procured by fraud, thus warranting a judicial determination that the policy was void ab initio.” Id. (first emphasis added).
The panel‘s framing of this issue is of particular significance and illustrates the fatal flaw in the majority opinion‘s conclusion that Kurylowicz created the innocent-third-party rule. The focus of the issue in that case was the insurer‘s reasonable reliance, or lack thereof, on the insured‘s representations. And when the panel mentioned the scenario that implicates the innocent-third-party rule—liability mandated by statute and an injured third party—it expressly declined to consider it in any detail. It cannot reasonably be argued that Kurylowicz created a rule it took special care to avoid.
Indeed, the only issue in Kurylowicz concerned whether the insurer should have accepted certain representations at face value, or whether the insurer should have discovered that the representations were false. The rest of the opinion in Kurylowicz was spent answering that question, and only that question, as evidenced by the panel citing caselaw from other jurisdictions that imposed on an insurer a duty to investigate representations made by insureds in insurance applications. Id. at 574-577, citing Allstate Ins Co v Sullam, 76 Misc 2d 87; 349 NYS2d 550 (1973); State Farm Mut Auto Ins Co v Wood, 25 Utah 2d 427; 483 P2d 892 (1971); Barrera v State Farm Mut Auto Ins Co, 71 Cal 2d 659; 79 Cal Rptr 106; 456 P2d 674 (1969); State Farm Mut Auto Ins Co v Wall, 92 NJ Super 92; 222 A2d 282 (NJ Sup Ct, 1966). The panel then went on to impose a duty on the insurer in that case to make a reasonable investigation of an insured‘s representations in an application for insurance. This is precisely contrary to the tenets of Keys.
Because the instant case does not involve the imposition of a duty on an insurer to investigate representations made by a prospective insured, and given that Titan overruled Kurylowicz for failing to follow the precedent established in Keys, Kurylowicz is not dispositive in this case. Likewise, any assertion that the innocent-third-party
II. THE INNOCENT-THIRD-PARTY RULE
The innocent-third-party rule has been firmly entrenched in this Court‘s jurisprudence for the past three decades and has never been questioned by our Supreme Court, nor has it prompted the Legislature to revise the no-fault law. In general, an insurer may rescind a policy ab initio because of fraud. Roberts, 282 Mich App at 359-360. However, under the innocent-third-party rule, “an insurer may not void a policy of insurance ab initio where an innocent third party is affected” and the type of coverage at issue is mandatory coverage. Id.12 As stated in Roberts, “caselaw demonstrates that the innocent third party doctrine ensures coverage for any person who is innocent of participation in the alleged fraud.” Id. at 361.
For decades, this Court has adhered to the innocent-third-party rule in cases in which the insured sought statutory, i.e., nonoptional, benefits and precluded insurers from denying coverage to injured third parties who were innocent of the insured‘s fraud. See, e.g., Wilson, 231 Mich App at 331; Hammoud v Metro Prop & Cas Ins Co, 222 Mich App 485, 488; 563 NW2d 716 (1997); Burton v Wolverine Mut Ins Co, 213 Mich App 514, 517 n 2; 540 NW2d 480 (1995); Auto-Owners Ins Co v Johnson, 209 Mich App 61, 64; 530 NW2d 485 (1995); Katinsky v Auto Club Ins Ass‘n, 201 Mich App 167, 170; 505 NW2d 895 (1993); Darnell v Auto-Owners Ins Co, 142 Mich App 1, 9; 369 NW2d 243 (1985); Cunningham v Citizens Ins Co of America, 133 Mich App 471, 477; 350 NW2d 283 (1984); United Security Ins Co v Comm‘r of Ins, 133 Mich App 38, 43; 348 NW2d 34 (1984).13 In fact, our Supreme Court has also protected innocent parties from the fraud of others in the context of insurance policies, albeit in a case dealing with a “statutory fire insurance policy.” See
Morgan v Cincinnati Ins Co, 411 Mich 267, 277; 307 NW2d 53 (1981). (“[W]henever the statutory clause limiting the insurer‘s liability in case of fraud by
The challenges raised against the innocent-third-party rule come from claims by Sentinel and others that our Supreme Court‘s decision in Titan, 495 Mich 547, implicitly overruled the innocent-third-party rule. Accordingly, our Supreme Court‘s decision in Titan must be examined.
III. TITAN v HYTEN
While much is being made about what Titan says and implies, it is helpful to focus first on what Titan does not say. For example, and most notably, the innocent-third-party rule was not at issue in Titan, 491 Mich 547. In addition, Titan did not involve no-fault PIP benefits, nor did it involve any other statutorily required benefits. Rather, in Titan, our Supreme Court examined the so-called “easily ascertainable” fraud rule and addressed whether, in a case involving excess liability coverage, an insurer could rescind that coverage on the basis of fraud in the procurement of the policy when the fraud was easily ascertainable by the insurer. Id. at 550-551. In Titan, McKinley Hyten, whose mother, Anne Johnson, had made fraudulent misrepresentations in her application for no-fault insurance, was involved in a motor vehicle accident with Howard and Martha Holmes. Id. at 552. Anticipating that the Holmeses would file a third-party tort claim against Hyten for their injuries, Titan sought to rescind the excess liability coverage because of Johnson‘s material misrepresentations. Id. In particular, Titan requested declaratory relief stating that should the Holmeses prevail in an action against Hyten, Titan was not required to provide liability coverage under the policy in excess of the statutory minimums set forth in
In examining the viability of the easily-ascertainable-fraud rule, the Supreme Court in Titan began by recognizing that insurance policies are contracts, and that, “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, id., cited Rohlman v Hawkeye-Security Ins Co, 442 Mich 520, 524-525; 502 NW2d 310 (1993), for the proposition that “because personal injury protection benefits are mandated by
The Court then looked at the various common-law doctrines of fraud that exist in Michigan and concluded that common-law fraud did not include as an element that the party asserting the fraud prove the fraud was not easily ascertainable. For this reason, the common-law doctrines of fraud did not support the existence of the easily-ascertainable-fraud rule. Id. at 555-557.
Next, the Court looked at the different remedies available in those instances in which a contract was procured by fraud. Id. at 557-558. Because contracts must be construed in conjunction with the applicable law, the Court recognized that common-law remedies “may be limited or narrowed by statute.” Id. at 558. For instance,
With this backdrop, the Court turned its attention to the easily-ascertainable-fraud rule, concluding that its earlier decision in Keys, 358 Mich 74, was outcome-determinative in that Keys had rejected the easily-ascertainable-fraud rule over 50 years ago. Titan, 491 Mich at 562 (”Keys answered the precise question presented in this case[,]
Our Supreme Court noted that despite the fact that Keys had rejected the easily-ascertainable-fraud rule, this Court later reached the opposite conclusion in Kurylowicz; for this reason, Titan overruled Kurylowicz because it had ignored Supreme Court precedent. Titan, 491 Mich at 572-573. In addition, the Court went on to decry the reasoning employed in Kurylowicz.18 The Court first noted that Kurylowicz had justified the easily-ascertainable-fraud rule on the basis of what it determined to be the “public policy” of the no-fault act. Titan, 491 Mich at 564-565. However, our Supreme Court rejected the idea that public policy supported the rule, explaining that the public policy of the no-fault act should be understood in terms of the provisions of the act itself, and not “in terms of a judicial effort to identify some overarching public policy . . . .” Id. at 565. “In other words, it is the policy of this state that all the provisions of the no-fault act be respected, and Kurylowicz‘s efforts to elevate some of its provisions and some of its goals above other provisions and other goals was simply a means of disregarding the stated intentions of the Legislature.” Id.
Next, in rejecting the purported justifications for the easily-ascertainable-fraud rule, the Court rebuffed the idea that
Finally, in concluding that there was no support in the law for the easily-ascertainable-fraud rule, the Court considered—and rejected—the idea that the rule was “required for the protection of third parties.” Id. at 568. The Court explained that “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 relationship.” Id. The no-fault act protects third parties “in a variety of ways,” reasoned the Court—including allowing 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.” Id. at 568-569. The Court further explained
IV. THE INNOCENT-THIRD-PARTY RULE AFTER TITAN
Before weighing in on the issue of whether Titan affects the validity of the innocent-third-party rule in the context of statutorily required PIP benefits, I note that this Court has already had occasion to examine this matter, albeit in unpublished opinions. See Frost v Progressive Mich Ins Co, unpublished opinion per curiam of the Court of Appeals, issued September 23, 2014 (Docket No. 316157); State Farm Mut Auto Ins Co v Mich Muni Risk Mgt Auth, unpublished opinion per curiam of the Court of Appeals, issued February 19, 2015 (Docket Nos. 319709 and 319710). Those two cases, however, came to opposite conclusions. Rather than grant leave to appeal in one or both of those cases and resolve firsthand the breadth of its intentions in Titan and whether its rationale should be extended to the innocent-third-party rule and statutorily mandated PIP benefits, our Supreme Court came to the somewhat perplexing conclusion that it should vacate both of those decisions, remand the cases to this Court, order this Court to accept as on leave granted yet another case regarding this issue—the instant case—and hold in abeyance any further rulings in Frost and State Farm pending our resolution in this matter.20 Hence, I will briefly address Frost and State Farm and the reasoning provided by each panel in coming to its conclusion on the issue at hand.
A. FROST v PROGRESSIVE
The first case following Titan to examine the innocent-third-party rule in the context of PIP benefits was Frost. In Frost, Kenya Frost‘s minor daughter was injured in an accident while a passenger in an uninsured automobile. Citizens Insurance Company was assigned by the assigned claims plan to Frost‘s daughter‘s claim. Progressive had issued a policy of insurance to Frost on her own vehicle, which had been destroyed one month before Frost‘s daughter‘s accident. Citizens Insurance Company sought reimbursement from Progressive for the benefits it had paid on Frost‘s daughter‘s behalf.21 Frost, unpub op at 1-2. Progressive claimed that it had rescinded Frost‘s policy ab initio because Frost had procured the policy through fraud. Citizens argued that the innocent-third-party rule barred Progressive‘s attempt to rescind as it pertained to Frost‘s daughter. In response, Progressive contended that Titan had effectively eliminated the innocent-third-party rule. The trial court concluded that because the accident involving Frost‘s daughter had occurred before Progressive attempted to rescind the policy, once the accident occurred Progressive lost its ability to rescind as to Frost‘s daughter. Id. at 2. In short, the trial court applied the innocent-third-party doctrine.
On appeal in this Court, the panel overturned the trial court and held that its ruling was “inconsistent with our Supreme Court‘s holding” in Titan. Id. The panel explained:
In [Titan], our Supreme Court held that absent statutory provisions to the contrary, “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.” [Titan, 491 Mich at 571.] Accordingly, the claim by Frost‘s daughter did not bar Progressive from rescinding the policy in this case. [Frost, unpub op at 2.]
B. STATE FARM v MICH MUNI RISK MGT AUTH
Five months after Frost was issued, this Court reached the opposite conclusion in State Farm.22 Pertinent to the present matter, one of the insurers in that case sought to rescind a policy for no-fault PIP benefits ab initio because it alleged that the policy had been procured by fraud.23 State Farm, unpub op at 4. The trial court disagreed, concluding that because coverage was required under the no-fault act, the policy could not be rescinded after an innocent third party sustained injuries that would have otherwise been covered under the policy. Id. at 5.
On appeal, a panel of this Court examined the innocent-third-party rule and recognized that “[t]his Court has generally denied an insurer‘s right to rescind a policy of insurance in order to avoid payment of no-fault benefits to an innocent third party[.]” Id. at 9, citing Hammoud, 222 Mich App at 488. “Thus,” the panel explained, “[o]nce an innocent third party is injured in an accident in which coverage was in effect with respect to the relevant vehicle, the insurer is estopped from asserting fraud to rescind the insurance contract.” State Farm, unpub op at 9, quoting Katinsky, 201 Mich App at 170 (citation omitted; alteration in State Farm).
The relevant insurer in that case argued that the innocent-third-party rule was abrogated by our Supreme Court‘s decision in Titan, 491 Mich 547. The panel disagreed, explaining that Titan involved a different type of coverage—optional, excess liability coverage—rather than the mandatory PIP coverage at issue. In addition, the panel noted that Titan did not involve a claim for benefits by an innocent third party. In this regard, the panel explained:
In Titan, our Supreme Court held that an excess insurance carrier may avail itself of the equitable remedy of reformation (of contract) to avoid liability under an insurance policy on the ground of fraud in the application for insurance, even though the fraud was easily ascertainable and the claimant is a third party, so long as the remedies are not prohibited by statute.
[The claimed] entitlement to PIP benefits is statutory, however, not contractual. The insurer in Titan did not seek to avoid payment of statutorily mandated no-fault benefits; in fact, that insurer
acknowledged its liability for the minimum liability coverage limits. Nor did Titan address a claim for PIP benefits from an innocent third party. Thus, the holding of Titan, that an insurance carrier may seek reformation to avoid liability for contractual amounts in excess of statutory minimums, does not compel a finding that Titan overruled the many binding decisions of this Court applying the “innocent third-party rule” in the context of PIP benefits and an injured third party who is statutorily entitled to such benefits. [State Farm, unpub op at 9 (citations omitted).]
Because of the key differences between the issue in Titan and the issue involved in State Farm, the panel held that Titan did not abrogate or overrule the innocent-third-party rule. Id. at 9-10.
V. THE INNOCENT-THIRD-PARTY RULE SURVIVES TITAN
I would hold that the panel in State Farm reached the correct result by concluding that the innocent-third-party rule survives Titan in the context of statutorily mandated no-fault benefits, and I would therefore hold that the rule has continuing validity and applies in this case. As the panel did in State Farm, I note that the coverage at issue in this case differs from that which was at issue in Titan. In Titan, contractual liability coverage, i.e., nonstatutory, optional liability coverage, was at issue. In fact, statutory coverage was expressly not at issue in Titan, as the insurer conceded liability for the statutory minimum coverage amounts under the financial responsibility act, despite alleging that the policy was void ab initio because of the insured‘s fraud. Titan, 491 Mich at 552 n 2. In other words, Titan involved a case in which the insurer sought to rescind the policy, but acknowledged it was nevertheless responsible for statutory benefits.
In contrast to Titan, the PIP benefits at issue in this case are mandated by statute. See, e.g.,
Like the panel in State Farm, I conclude that the difference between the benefits at issue in this case and the contractual benefits at issue in Titan is significant. Simply put, Titan did not address benefits that were required by statute; the insurer in that case expressly acknowledged liability for statutory residual liability amounts. To conclude that our Supreme Court‘s ruling as to purely contractual, excess liability benefits should apply and overrule approximately 30 years of this Court‘s precedent with regard to statutory PIP benefits is a leap I am not prepared to make. That is, I am disinclined to extend Titan and its reasoning to the innocent-third-party rule as that rule applies to statutorily mandated PIP benefits. I see no support for doing so in the plain language of the no-fault act. Similarly, I conclude that the innocent-third-party rule is not inconsistent with the Supreme Court‘s decision in Titan. Accordingly, I would find that we are bound to follow this Court‘s precedent applying the innocent-third-party rule to PIP benefits. See MCR 7.215(J)(1); Charles A Murray Trust v Futrell, 303 Mich App 28, 49; 840 NW2d 775 (2013) (noting that this Court is bound to follow a prior published Court of Appeals decision issued on or after November 1, 1990, that has not been reversed or modified by our Supreme Court or a special panel of this Court).
Nonetheless, this conclusion warrants the discussion of two matters. First, the justifications posed for the innocent-third-party rule have been inconsistent over time, and in some cases those justifications were premised on incorrect legal principles.24 Yet, the innocent-third-party rule has been consistently applied by this Court for over 30 years, and there is an absence of published authority criticizing the rule. Thus, the rule remains good law, and this Court is bound to follow it. MCR 7.215(J)(1). And although not serving as a basis for my decision, I would note that the innocent-third-party rule serves the purposes of the no-fault act. One of the chief purposes of the no-fault act, as has been consistently identified by our appellate Courts, is to ensure prompt and adequate payment for the types of injuries and losses encompassed under the category of PIP benefits. See, e.g., Shavers, 402 Mich at 578-579. Allowing retroactive rescission of a policy in a manner that removes coverage from an innocent individual who would ordinarily be covered under the policy thwarts the mandatory nature of these benefits and the purposes of the no-fault act.
Second, it could be argued that portions of the Titan opinion appear to undermine the innocent-third-party rule: notably, the portions of the opinion concluding that the remedy of rescission can only be limited by statute could be said to call the innocent-third-party rule into question. However, as noted earlier in this opinion, the instant case involves an entirely different type of benefits than was at issue in Titan. That is, the instant matter involves mandatory PIP benefits, while Titan involved voluntary liability coverage above the statutorily required minimum. And significantly, Titan
In addition, I note that in Titan, 491 Mich at 557, the Court rejected the easily-ascertainable-fraud rule in part because the various doctrines of fraud in Michigan “do not require the party asserting fraud to have performed an investigation of all assertions and representations made by its contracting partner as a prerequisite to establishing fraud.” In short, the easily-ascertainable-fraud rule had no place in the common law of fraud, and thus it could not bar rescission of an insurance policy. This type of problem is not present in the instant case, as the innocent-third-party rule does not impute any additional requirements on an insurer who pleads fraud in the procurement of a policy.
Moreover, turning to the remedy of rescission, it has generally been viewed as an equitable remedy. Madugula v Taub, 496 Mich 685, 712; 853 NW2d 75 (2014). It is not found in the plain language of the no-fault act, yet the Supreme Court deemed it appropriate to apply in the context of voluntary insurance coverage, which is rooted in contract rights. Similarly, the innocent-third-party rule is an equitable remedy that is not found in the plain language of the no-fault act; like rescission, it too should be deemed appropriate to apply in the proper, equitable context. It is well established that the equitable remedy of rescission is not granted as a matter of right and will not be granted when it would accomplish an inequitable result. See, e.g., Schnitz v Grand River Avenue Dev Co, 271 Mich 253, 257; 259 NW 900 (1935); Johnson v QFD, Inc, 292 Mich App 359, 375; 807 NW2d 719 (2011); McMullen v Joldersma, 174 Mich App 207, 219; 435 NW2d 428 (1988). Thus, the remedy of rescission carries with it the idea that the result achieved is to be an equitable one. In other words, there is room within the concept of rescission for balancing the equities, which ostensibly extends to considering the fact that an innocent third party is involved and mandatory PIP benefits are at issue. I am not convinced that it is equitable in this case to allow an insurer to avoid paying statutorily mandated PIP benefits when the innocent, injured third party, absent another‘s fraud, would have been entitled to coverage under the policy. See Morgan, 411 Mich at 276-277. This is especially true when the no-fault act itself discusses mandatory benefits with no mention of limitations on or exceptions to that mandatory coverage.
Furthermore, I am not convinced that it is equitable to require the innocent third party otherwise covered by a policy to seek PIP benefits through the assigned claims plan in the event the insurance carrier claims fraud by the procurer and seeks rescission, as Sentinel contends should occur in this case. As Sentinel impliedly concedes in its briefing, the payment of benefits through the assigned claims plan might be unavailable for certain innocent third parties. And I note that statutory deadlines for giving notice of claimed PIP benefits could prevent an innocent third party, through no fault of his or her own, from receiving mandatory PIP benefits. Notably, a person claiming benefits through the assigned claims plan “shall notify” the Michigan Automobile Insurance Placement Facility (MAIPF) of his or her claim within one year. See
I pose the following question: what happens when an innocent third party tries to obtain PIP benefits through the insurer listed on the policy, only to have that insurer subsequently rescind the policy because of fraud in which the innocent third party did not participate, and the innocent third party then misses the one-year deadline for notifying the MAIPF? At least one panel of this Court has held that unless notice is given to the MAIPF within one year of the accident, the claim is barred, even when the injured person first sought benefits from the insurer he or she thought was the correct insurer. See Visner v Harris, unpublished opinion per curiam of the Court of Appeals, issued December 6, 2012 (Docket Nos. 307506 and 307507), pp 3-4.27 This bolsters the position that permitting the remedy of rescission of an insurance policy under which PIP benefits payable to innocent third parties are sought has the potential to work an inequitable result. Moreover, allowing insurance companies to rescind their contracts with respect to PIP benefits owed to innocent third parties could encourage gamesmanship and delay tactics on the part of an insurer; insurance companies are assigned claims by the MAIPF, and waiting to rescind an insurance policy until after that claim deadline passes means fewer claims will be assigned by the MAIPF. This also runs afoul of the no-fault act‘s purpose of ensuring prompt and adequate payment for the types of injuries and losses encompassed under the category of PIP benefits. Shavers, 402 Mich at 578-579. Put simply, I do not agree that the equitable remedy of rescission trumps the equitable remedy of the innocent-third-party rule such that it is appropriate to apply rescission to first-party statutorily mandated PIP benefits, and I decline to extend Titan in that fashion.
The majority opinion indicates that it “decline[s] the invitation to legislate into existence an innocent-third-party rule that, thus far, the Legislature has chosen not to adopt.” I first note that the equitable remedy of the innocent-third-party rule has barred claims for the equitable remedy of rescission with respect to PIP benefits and innocent third parties for more than 30 years, yet the Legislature has felt no need to tweak the no-fault act to set this Court straight. I also note that the Legislature has never adopted the equitable remedy of rescission when it comes to the no-fault act and statutorily entitled PIP benefits. Rather, it expressly states that no-fault PIP benefits are mandatory. That should rule the day when it comes to statutorily mandated PIP benefits.
VI. CONCLUSION
The differences that exist between this case and Titan are significant. For the reasons stated in this opinion, I would conclude that Titan does not abrogate the innocent-third-party rule with respect to statutory, first-party PIP benefits, and I would not cast aside 30 years of this Court‘s precedent on the matter.
Accordingly, I would affirm the trial court‘s ruling to the extent it held that the innocent-third-party rule applied. However, I would hold that the trial court erred by concluding that plaintiff, as an innocent third party, could only recover PIP benefits up to the amount mandated by
Notes
Moreover, if inquiry is to be demanded, is it enough to stop with the traffic court? Might not the accident suggest physical or psychiatric defects? Should investigations not also be made of the past hospitalizations of the insured? Where will we say this may stop within the existing economic framework? It is doubtful whether one who deliberately sets out to swindle an insurance company can be prevented from so doing by any such requirement, and it is even more doubtful that there is enough of this practice to warrant the placing upon the insurance business of a requirement so onerous. [Keys, 358 Mich at 84.]
Subject to the following provisions no insurer licensed to write automobile liability coverage, after a policy has been in effect 55 days or if the policy is a renewal, effective immediately, shall cancel a policy of automobile liability insurance except for any 1 or more of the following reasons:
(a) That during the 55 days following the date of original issue thereof the risk is unacceptable to the insurer.
(b) That the named insured or any other operator, either resident of the same household or who customarily operates an automobile insured under the policy has had his operator‘s license suspended during the policy period and the revocation or suspension has become final.
A person claiming through the assigned claims plan shall notify the Michigan automobile insurance placement facility of his or her claim within the time that would have been allowed for filing an action for personal protection insurance benefits if identifiable coverage applicable to the claim had been in effect. The Michigan automobile insurance placement facility shall promptly assign the claim in accordance with the plan and notify the claimant of the identity and address of the insurer to which the claim is assigned. An action by the claimant shall not be commenced more than 30 days after receipt of notice of the assignment or the last date on which the action could have been commenced against an insurer of identifiable coverage applicable to the claim, whichever is later.
An action for recovery of personal protection insurance benefits payable under this chapter for accidental bodily injury may not be commenced later than 1 year after the date of the accident causing the injury unless written notice of injury as provided herein has been given to the insurer within 1 year after the accident or unless the insurer has previously made a payment of personal protection insurance benefits for the injury. If the notice has been given or a payment has been made, the action may be commenced at any time within 1 year after the most recent allowable expense, work loss or survivor‘s loss has been incurred. However, the claimant may not recover benefits for any portion of the loss incurred more than 1 year before the date on which the action was commenced. The notice of injury required by this subsection may be given to the insurer or any of its authorized agents by a person claiming to be entitled to benefits therefor, or by someone in his behalf. The notice shall give the name and address of the claimant and indicate in ordinary language the name of the person injured and the time, place and nature of his injury.
It can certainly be argued that the trial court has already resolved this point and merely went on to hold that the policy cannot be rescinded as to Ali Bazzi solely because of the innocent-third-party rule. Nonetheless, we are not quite prepared to determine that the trial court definitively resolved the issue; therefore, remand is necessary.So if the inquiry ended right there you would say that, I‘ve already made the determination that Hala Bazzi was fraud, so you would say, you would agree, we would all agree that the contract is rescinded, you would say rescinded with a period right there. [Emphasis added.]
