ESURANCE PROPERTY & CASUALTY INSURANCE COMPANY v MICHIGAN ASSIGNED CLAIMS PLAN
No. 160592
Michigan Supreme Court
July 26, 2021
Argued on application for leave to appeal April 8, 2021. Decided July 26, 2021.
Syllabus
Chief Justice: Bridget M. McCormack
Justices: Brian K. Zahra, David F. Viviano, Richard H. Bernstein, Elizabeth T. Clement, Megan K. Cavanagh, Elizabeth M. Welch
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.
Reporter of Decisions: Kathryn L. Loomis
ESURANCE PROPERTY & CASUALTY INSURANCE COMPANY v MICHIGAN ASSIGNED CLAIMS PLAN
Docket No. 160592. Argued on application for leave to appeal April 8, 2021. Decided July 26, 2021.
Esurance Property & Casualty Insurance Company filed an action in the Wayne Circuit Court against the Michigan Assigned Claims Plan (MACP) and the Michigan Automobile Insurance Placement Facility (MAIPF), seeking reimbursement from defendants for the personal protection insurance (PIP) benefits Esurance had paid to Roshaun Edwards for the injuries he sustained in a motor vehicle crash; there were no other vehicles involved in the crash. Edwards did not have no-fault insurance at the time of the accident, and he did not live with a resident relative who had no-fault insurance. At the time of the accident, the vehicle Edwards was driving was registered in Michigan and titled to Anthony Robert White II (Anthony), who also did not have no-fault insurance of his own. The vehicle was insured by Esurance under a Colorado automobile insurance policy issued to Anthony‘s mother, Luana Edwards White (Luana). When Luana obtained the policy, she falsely represented that she owned the vehicle, that she lived in Colorado, and that the vehicle would be garaged in that state. Edwards sought PIP benefits from Esurance, and Esurance began paying those benefits. Edwards also applied for benefits from the MACP (as administered by the MAIPF), but the MAIPF did not assign a servicing insurer to Edwards‘s claim under
In an opinion by Justice ZAHRA, joined by Chief Justice MCCORMACK and Justices BERNSTEIN, CAVANAGH, and WELCH, the Supreme Court, in lieu of granting leave to appeal, held:
When a paying insurer has at least an arguable duty to pay benefits under the no-fault act, the insurer is simply protecting its own interests and not acting as a volunteer, and it may invoke the doctrine of equitable subrogation to recover any benefits paid erroneously. The mere existence of an insurance policy that ostensibly covers a claimant does not ipso facto render it a policy “applicable to the injury” for purposes of
1. Equitable subrogation is a flexible, elastic doctrine of equity that is analyzed on the case-by-case basis characteristic of equity jurisprudence. Equitable subrogation is the method by which equity compels the ultimate payment of a debt by one who in justice, equity, and good conscience ought to pay it. It is a legal fiction through which a person who pays a debt for which another is primarily responsible is substituted or subrogated to all the rights and remedies of the other. Under the doctrine, the subrogee acquires no greater rights than those possessed by the subrogor, and to recover, the subrogee may not be a mere volunteer. For purposes of equitable subrogation, a “volunteer” is one who intrudes into a matter that does not concern the person, or one who pays the debt of another without request when the person is not legally or morally bound to do so and has no interest to protect in making the payment. A person paying the debt is not a volunteer when the person has an interest to protect. In addition, a payment is not voluntary when made under compulsion, in ignorance of the real state of facts, or under an erroneous impression of one‘s legal duty. To that end, an insurance company is not a volunteer when it pays expenses on behalf of its insured pursuant to an insurance contract. Similarly, when an insurer pays a claim that another insurer may be liable for, the paying insurer is protecting its own interests and is not acting as a volunteer; under those circumstances, the paying insurer is entitled to invoke the doctrine of equitable subrogation because an insurer who has at least an arguable duty to pay is not a volunteer.
2.
3.
4. In this case, the Esurance policy was declared void ab initio after the accident. However, at the time of the accident, Edwards did not have no-fault insurance, and he was not a resident relative of someone who had a no-fault policy. As a result, Edwards was not covered by the policy issued by Esurance under
Justice CLEMENT, joined by Justice VIVIANO, dissenting, agreed with the majority that the lower courts erroneously resolved the issues presented but disagreed that it was necessary to resolve more than whether those courts correctly resolved the issues. The trial court incorrectly applied the expressio unius canon to conclude that Esurance could not pursue an equitable-subrogation claim because it was not one of the listed mechanisms in the no-fault act by which a no-fault insurer could recover benefits paid; the reimbursement options in the no-fault act do not exclude other theories of reimbursement. The Court of Appeals should have recognized that whether Esurance had a valid claim for equitable subrogation turned on whether Edwards would have had a claim against defendants if the policy issued by Esurance to Luana had been rescinded before Edwards‘s accident. Further contrary to the Court of Appeals’ conclusion, the fact that the insurance policy was rescinded did not turn Esurance into an after-the-fact volunteer such as to defeat its subrogation claim. Justice CLEMENT would have corrected the lower courts’ errors and remanded to the trial court to resume its consideration of the case in view of the corrections.
OPINION
FILED July 26, 2021
STATE OF MICHIGAN
SUPREME COURT
ESURANCE PROPERTY & CASUALTY INSURANCE COMPANY, Plaintiff-Appellant, v MICHIGAN ASSIGNED CLAIMS PLAN and MICHIGAN AUTOMOBILE INSURANCE PLACEMENT FACILITY, Defendants-Appellees.
No. 160592
BEFORE THE ENTIRE BENCH
ZAHRA, J.
Plaintiff Esurance Property & Casualty Insurance Company (Esurance) paid personal injury protection (PIP) benefits1 to the claimant, Roshaun Edwards (Edwards),
pursuant to a no-fault automobile insurance policy, issued to another person, that was later declared void ab initio.2 Thereafter, Esurance filed this suit against defendants, the Michigan Assigned Claims Plan (MACP) and the Michigan Automobile Insurance Placement Facility (MAIPF), seeking reimbursement from them under a theory of equitable subrogation for the PIP benefits that Esurance had paid to Edwards under Michigan‘s no-fault act,
I. BASIC FACTS AND PROCEDURAL HISTORY
On January 10, 2016, Edwards was seriously injured when he crashed a red 2015 Dodge Challenger into a telephone pole in the city of Detroit. At the time, Edwards did not have no-fault insurance of his own, and he did not live with a resident relative who had no-fault insurance. When the accident occurred, the vehicle was registered in Michigan and titled to Anthony Robert White II (Anthony). Anthony likewise did not have no-fault insurance of his own; however, his mother, Luana Edwards-White (Luana), had procured a Colorado automobile insurance policy from Esurance on the basis of her representations that she owned the vehicle, that she lived in Colorado, and that the vehicle would be garaged there.
Esurance began paying PIP benefits in response to Edwards‘s claims.4 Edwards also applied for benefits from defendants,5 but a servicing insurer was not assigned to his claim under
Esurance eventually discovered that Luana had obtained the Colorado policy through her fraudulent misrepresentations. In reality, Luana was neither the registrant nor owner of the vehicle, which had been garaged in Michigan and not Colorado. Esurance subsequently filed an action in the Macomb Circuit Court to rescind the policy, naming Edwards, Luana, and Anthony as defendants. In a March 20, 2017 order, the circuit court entered a default judgment that rescinded the policy, voiding it ab initio.
Esurance appealed as of right in the Court of Appeals, which affirmed the circuit court‘s grant of summary disposition to defendants, albeit on the alternate ground that Esurance could not make out a claim of equitable subrogation.10 The Court of Appeals succinctly summarized its holding:
In the end, there are two ways to look at the problem. Either the equitable-subrogation claim must be analyzed under the circumstances that existed when benefits were paid, which was before the policy was rescinded, or it must be looked at through the lens that the policy never existed in the first place. If the policy exists, [Esurance‘s] claim of equitable subrogation fails as a matter of law because Edwards could not have pursued benefits from defendants under
MCL 500.3172(1) . If the policy never existed, then [Esurance] was a mere volunteer when it paid $571,000 in PIP benefits. In either case, [Esurance‘s] equitable-subrogation claim fails as a matter of law.11
In other words, according to the Court of Appeals, Esurance‘s equitable-subrogation claim fails regardless of the status of the insurance policy‘s existence.
Esurance sought leave to appeal in this Court, and in lieu of granting leave, we ordered oral argument on the application.12
II. STANDARD OF REVIEW
The trial court granted defendants summary disposition under MCR 2.116(C)(8). As this Court recently explained:
A motion under MCR 2.116(C)(8) tests the legal sufficiency of a claim based on the factual allegations in the complaint. When considering such a motion, a trial court must accept all factual allegations as true, deciding the motion on the pleadings alone. A motion under MCR 2.116(C)(8) may only be granted when a claim is so clearly unenforceable that no factual development could possibly justify recovery.13
III. ANALYSIS
Our analysis proceeds in four parts. First, we state the principles that underpin a claim for equitable subrogation. Second, we lay out the relevant provisions of the no-fault act. Third, we establish that Esurance is not asserting greater rights than Edwards possesses; that is, there is a legal basis upon which Esurance can press its claim for equitable relief, grounded in an order-of-priority analysis. Fourth and finally, we analyze the interplay among rescission, Esurance‘s alleged volunteer status, and its claim for
A. PRINCIPLES THAT UNDERPIN AN EQUITABLE-SUBROGATION CLAIM
“Equitable subrogation is a flexible, elastic doctrine of equity.”19 Thus, “[i]ts application ‘should and must proceed on the case-by-case analysis characteristic of equity jurisprudence.’ ”20 Equitable subrogation is the “mode which equity adopts to compel the ultimate payment of a debt by one who in justice, equity, and good conscience ought to pay it.”21 Equitable subrogation has been invoked successfully in a variety of circumstances,22 but “the mere fact that [it] has not been previously invoked in a particular situation is not a prima facie bar to its applicability.”23 This Court has explained that equitable subrogation “is a legal fiction through which a person who pays a debt for which another is primarily responsible is substituted or subrogated to all the rights and remedies
This Court has defined a “volunteer” as “one who intrudes himself into a matter which does not concern him, or one who pays the debt of another without request, when he is not legally or morally bound to do so, and when he has no interest to protect in making such payment.”26 But “[w]here the person paying the debt has an interest to protect, he is not a stranger. . . . A payment is not voluntary when made under compulsion, . . . in ignorance of the real state of facts, or under an erroneous impression of one‘s legal duty.”27 When an insurer pays expenses on behalf of its insured pursuant to an insurance contract, it is not doing so as a volunteer.28 And when an insurer pays a claim that another insurer may be liable for, it is “protecting its own interests and not acting as a volunteer,” and in that instance, the insurer is “entitled to invoke the doctrine of equitable
B. RELEVANT PROVISIONS OF THE NO-FAULT ACT
At the time of the accident,
(1) . . . [A] personal protection insurance policy described in section 3101(1) applies to accidental bodily injury to the person named in the policy, the person‘s spouse, and a relative of either domiciled in the same household, if the injury arises from a motor vehicle accident. . . .
* * *
(4) Except as provided in subsections (1) to (3), a person suffering accidental bodily injury arising from a motor vehicle accident while an occupant of a motor vehicle shall claim personal protection insurance benefits from insurers in the following order of priority:
(a) The insurer of the owner or registrant of the vehicle occupied.
(b) The insurer of the operator of the vehicle occupied.31
A person entitled to claim because of accidental bodily injury arising out of the ownership, operation, maintenance, or use of a motor vehicle as a motor vehicle in this state may claim personal protection insurance benefits through the assigned claims plan if any of the following apply:
(a) No personal protection insurance is applicable to the injury.32
C. BECAUSE ESURANCE WAS NOT IN THE ORDER OF PRIORITY, IT HAD NO ACTUAL DUTY TO PAY PIP BENEFITS
The Court of Appeals erred when it determined that
Based on the allegations in its complaint, Esurance‘s policy was not “applicable to the injury” for purposes of
D. BECAUSE ESURANCE WAS NOT A VOLUNTEER, IT CAN PURSUE A CLAIM FOR EQUITABLE SUBROGATION
The Court of Appeals correctly recognized that when an insurance policy has been rescinded, it is void ab initio, which means it is as though the policy never existed; consequently, the parties are “restore[d] . . . to the relative positions that they would have occupied if the contract had never been made.”42 Based on the allegations in the pleadings, Esurance was not in the order of priority before the policy was rescinded, but it believed that it was because of Luana‘s misrepresentations in her insurance application. Therefore,
It is helpful to contextualize this dispute in light of both the purpose of the no-fault act and the incentive structure that it puts in place for insurers like Esurance to pay a claimant‘s PIP benefits in a timely fashion. The no-fault act is “a comprehensive scheme of compensation designed to provide sure and speedy recovery of certain economic losses resulting from motor vehicle accidents.”45 For that reason, “whenever a priority question
IV. CONCLUSION
The Court of Appeals observed that the question of whether defendants can be sued under
Accordingly, we reverse the Court of Appeals, and on remand, the Court of Appeals shall consider—in addition to any other issues it deems relevant in light of this opinion—whether defendants can be sued under
Brian K. Zahra
Bridget M. McCormack
Richard H. Bernstein
Megan K. Cavanagh
Elizabeth M. Welch
SUPREME COURT
ESURANCE PROPERTY & CASUALTY INSURANCE COMPANY, Plaintiff-Appellant, v MICHIGAN ASSIGNED CLAIMS PLAN and MICHIGAN AUTOMOBILE INSURANCE PLACEMENT FACILITY, Defendants-Appellees.
No. 160592
CLEMENT, J. (dissenting).
Esurance Property & Casualty Insurance Company issued a no-fault insurance policy to Luana Edwards-White. Later, Roshaun Edwards was injured while operating the insured vehicle, and Esurance paid personal protection insurance (PIP) benefits to Roshaun. Eventually, Esurance filed a successful rescission action against Luana, rescinding the no-fault policy it had issued to her. Seeking to recover the PIP benefits it had paid, Esurance then sued the Michigan Assigned Claims Plan (MACP), theorizing that it was equitably subrogated to the claim Roshaun would have had against the MACP if the policy issued to Luana had been rescinded before Roshaun‘s accident. The trial court disagreed, and the Court of Appeals affirmed.1 In my view, this Court need not do more
The trial court‘s rationale for granting summary disposition to the MACP was the negative-implication canon expressio unius est exclusio alterius—the expression of one thing is the exclusion of another. The court held that Michigan‘s no-fault laws provide mechanisms by which a no-fault insurer can recover PIP benefits paid and, by negative implication, that these are the exclusive mechanisms for no-fault insurers to recover PIP benefits paid. Because an equitable-subrogation action is not one of the listed mechanisms in the no-fault act,2 the trial court concluded that Esurance could not maintain this action. The Court of Appeals correctly rejected this argument, stating, “[I]t is a misapplication of the expressio unius maxim to conclude that the Legislature must have intended to exclude the type of suit brought by plaintiff because such action is not specified in the no-fault act.” Esurance Prop & Cas Ins Co v Mich Assigned Claims Plan, 330 Mich App 584, 591; 950 NW2d 528 (2019). This Court recently agreed, holding that “we do not believe these [reimbursement] options can be construed as ‘an expression of all that shares in the grant’ of avenues for reimbursement” allowed by the no-fault law. Bronner v Detroit, 507 Mich 158; NW2d (2021).
This reasoning denies the equitable nature of both rescission and subrogation. As the majority notes, subrogation is a “flexible and elastic equitable doctrine” “that permits one party to stand in the shoes of another.” Atlanta Int‘l Ins Co v Bell, 438 Mich 512, 521-522; 475 NW2d 294 (1991) (opinion by BRICKLEY, J.). But rescission itself is also an equitable remedy. Lenawee Co Bd of Health v Messerly, 417 Mich 17, 31; 331 NW2d 203 (1982). It imposes some degree of revisionist history—a legal fiction—in the name of fairness:
To rescind a contract is not merely to terminate it, but to abrogate and undo it from the beginning; that 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 necessarily involves a repudiation of the contract and a refusal of the moving party to be further bound by it. But this by itself would constitute no more than a breach of the contract or a refusal of performance, while the idea of rescission involves the additional and distinguishing element of a restoration of the status quo. [Wall v Zynda, 283 Mich 260, 264; 278 NW 66 (1938) (quotation marks and citation omitted; emphasis added).]
The Court of Appeals held in the alternative that Esurance‘s successful rescission of the policy it had issued to Luana turned it into a volunteer—precluding subrogation relief. Because Esurance successfully rescinded the policy it had issued to Luana, the PIP payments it made to Roshaun as a result of the policy were to be construed, ex post facto, as voluntary payments made to someone with whom Esurance had no contractual relationship and to whom it owed no legal responsibilities.
[I]f the claim for equitable subrogation proceeds under the premise that the policy never existed, then plaintiff had no obligation to pay PIP benefits on [Roshaun‘s] behalf. Without a policy, plaintiff would have paid benefits not to its insured, but to an individual with whom it had no relationship. Without any legal or equitable duty to pay PIP benefits, plaintiff is a mere volunteer—one who accidentally paid nearly $600,000 in PIP benefits. [Esurance, 330 Mich App at 595.]
In short, then, I would hold that: (1) the trial court‘s expressio unius holding was erroneous, (2) whether Roshaun had a claim against defendants to which Esurance can be subrogated turns on whether Roshaun would have had a claim against defendants if the policy Esurance issued to Luana had been rescinded before Roshaun‘s accident, and (3)
Elizabeth T. Clement
David F. Viviano
