DAWOUD v STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
Docket Nos. 327915 and 327927
Court of Appeals of Michigan
October 18, 2016
317 MICH APP 517
Submittеd October 5, 2016, at Detroit. Decided October 18, 2016, at 9:05 a.m.
The Court of Appeals held:
1. Under
2. The service providers failed to develop any argument in support of their assertion that the circuit court‘s order violated the Due Process Clause of the Michigan Constitution,
Affirmed.
INSURANCE — NO-FAULT — PERSONAL PROTECTION INSURANCE BENEFITS — SERVICE PROVIDERS — INDEPENDENT ACTION DERIVATIVE OF INSURED INDIVIDUAL‘S ACTION — EFFECT OF DISMISSAL OF INSURED INDIVIDUAL‘S ACTION.
A service provider may bring an independent cause оf action for personal protection insurance (PIP) benefits against an insurer for medical expenses associated with the treatment of the injured individual under the no-fault act,
Temrowski & Temrowski (by Lee Roy H. Temrowski, Jr.) for Utica Physical Therapy and Grace Transportation, Inc.
Scarfone & Geen, PC (by John C. W. Hohmeier and Robert J. Scarfone), for State Farm Mutual Automobile Insurance Company.
Before: SAAD, P.J., and JANSEN and M. J. KELLY, JJ.
I. BASIC FACTS
On November 28, 2012, plaintiffs Kevin Dawoud, Rasha Kamel, and Mikho Essa (plaintiffs) were allegedly involved in a motor vehicle accident. They applied for no-fault benefits through the Michigan Automobile Insurance Placement Facility because they were not eligible for those benefits through any automobile insurance. See
Thereafter, State Farm moved for summary disрosition and argued that the dismissal of the underlying plaintiffs’ case operated as an adverse adjudication on the merits pursuant to
II. ANALYSIS
On appeal, the service providers argue that the trial court erred when it granted State Farm‘s motion for summary disposition and dismissed the case. We disagree.
Although the trial court did not specify the court rule it relied on when it granted State Farm‘s motion for summary disposition,
The service providers rely only on
Personal protection insurance benefits are payable to or for the benefit оf 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, thе 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 оf the payees to the injured person and other factors as the court considers appropriate. In the absence of a court order directing otherwise the insurer may pay:
(a) To the dependents of the injured person, the personal protеction insurance benefits accrued before his death without appointment of an administrator or executor.
(b) To the surviving spouse, the personal protection insurance benefits due any dependent children living with the spouse.
Clearly, the text of this statute doеs not address the issue presented in this appeal. It says nothing about whether a provider can proceed against an insurer when the injured party‘s claim has been dismissed because of a discovery violation. It merely states that an “interested party may apрly to the circuit court for an appropriate order” if there is doubt about the proper allocation of PIP benefits and that PIP benefits “are payable... for the benefit of an injured person.”
In Wyoming Chiropractic, 308 Mich App at 396-397, this Court affirmed the trial court‘s order that entered judgment in favor of Wyoming Chiropractic and held that a provider has standing to bring a direct cause of action against an insurer to recover PIP benefits on behalf of the injured individual for services provided. After discussing
In regard to the argument that their claims for PIP benefits are “derivative” of plaintiffs’ claim for PIP
These arguments are not persuasive. As already noted, the standing issue in Wyoming Chiropractic has little to do with the issue in this appeal. Additionally, the service providers agree that if an injured party‘s claim fails for “substantive” reasons, the provider is precluded from obtaining PIP benefits. Thus, they inherently recognize that a provider‘s claim to PIP benefits, at least in some circumstances, is derivative of the injured party‘s claim to PIP benefits. Accordingly, this case boils down to the specific question of whether the dismissal of plaintiffs’ underlying claims with prejudice due to discovery violatiоns should be treated differently than a “substantive” dismissal “on the merits.” We hold that it should not be treated differently.
Although the trial court did not specify the court rule under which it dismissed plaintiffs’ claims, it stated that it was dismissing them “for the reasons stated in the brief and on the record.” In its trial court brief, State Farm referred to, among other things,
And the court rules describe the effect given to such an involuntary dismissal in
Unless the court otherwise specifies in its order for dismissal, a dismissal under this subrule or a dismissal not provided for in this rule, other than а dismissal for lack of jurisdiction or for failure to join a party under
MCR 2.205 , operates as an adjudication on the merits. [Emphasis added.]
And because the court did not provide otherwise in its order for dismissal, the dismissal of plaintiffs’ claims operated “as an adjudication on the merits” with regard to their rights to PIP benefits under the clear language of thе applicable court rule. Further, as the service providers have acknowledged, if an insured‘s claim is substantively barred on the merits, any derivative claims necessarily fail as well. See Covenant Med Ctr, Inc v State Farm Mut Auto Ins Co, 313 Mich App 50, 54; 880 NW2d 294 (2015),3 Moody v Home Owners Ins Co, 304 Mich App 415, 440-441; 849 NW2d 31 (2014), rev‘d on other grounds by Hodge v State Farm Mut Ins Co, 499 Mich 211 (2016). Accordingly, the trial court did not err when it granted State Farm‘s motion for summary disposition with respect to the service providers’ derivative claims.4
SAAD, P.J., and JANSEN and M. J. KELLY, JJ., concurred.
Notes
The Court Rules and statutes clearly give authority for sanctions to disobedient parties, but there is nothing that allows punish-
ment for the acts of others (such punishment would seem to raise constitutional issues as well,The service providers do not develop any argument with respect to this purported “constitutional issue.” Accordingly, we treat that issue as abandoned. See Mitcham v Detroit, 355 Mich 182, 203; 94 NW2d 388 (1959) (“It is not enough for an appellant in his brief simply to announce a position or assert an error and then leave it up to this Court to discover and rationalize the basis for his claims, or unravel and elaborate for him his arguments, and then search for authority either to sustain or reject his position.“). As the trial court noted, it appears that the service providers’ remedy is to recover the costs of the therapy and transportation services from plaintiffs.
