502 N.W.2d 378 | Mich. Ct. App. | 1993
POPMA
v.
AUTO CLUB INSURANCE ASSOCIATION
Michigan Court of Appeals.
Williams, Klukowski, Fotieo & Szczytko (by Michael P. Szczytko), for the plaintiff.
*655 Nancy L. Bosh, for the defendant.
Before: MACKENZIE, P.J., and GRIFFIN and CONNOR, JJ.
PER CURIAM.
Defendant appeals as of right from an order granting summary disposition in favor of plaintiff and ordering defendant to pay plaintiff $25,700.70 in work-loss benefits. Plaintiff cross appeals that part of the order entitling defendant to a setoff for social security benefits received by plaintiff. We affirm in part and reverse in part.
The facts are substantially undisputed. Plaintiff suffered a fracture of the right femur in a one-car accident that occurred on September 23, 1988. He was disabled from working following the accident. Defendant is plaintiff's no-fault insurer. At issue is the amount of work-loss benefits to which plaintiff is entitled.
Plaintiff's work history is as follows. Plaintiff worked sporadically in Grand Rapids, the State of Texas, and Gaylord after he left high school in his junior year. After being unemployed for two years, he went to Georgia, where he spent 2 1/2 years working in the construction industry. Upon his return to Michigan in January 1987, plaintiff went to Traverse City, where he worked eleven days in an oil field. Plaintiff hung drywall for a brief period, then in June 1987 returned to Grand Rapids, where he worked for Manpower until March 1988. Plaintiff also worked at Norm's Restaurant from September 1987 until February 1988. He then obtained a job doing general maintenance, which he held from February until March 1988.
When he quit his Manpower and maintenance jobs, plaintiff entered an apprenticeship program working for Newkirk Electric, but was laid off after one week. Plaintiff next worked as an apprentice *656 substation electrician for Hydaker-Wheat-lake Company in Traverse City from April 18, 1988, until June 2, 1988. Plaintiff was paid $10.47 an hour at this job, but was terminated for inability to work above the ground. Plaintiff remained in Traverse City for a few weeks hanging drywall, then quit and returned to Grand Rapids. He received unemployment benefits and also returned to limited work. Beginning about August 18, 1988, and continuing until the date of his accident, plaintiff again worked for Manpower. He also worked at Norm's Restaurant about ten hours a week.
I
Defendant paid plaintiff work-loss benefits of $6,215, calculated at $55 a week the amount he was earning at the time of his accident for 113 weeks. Plaintiff claimed, and the trial court agreed, that his work-loss benefits should have been computed on the basis of his wages at his last full-time employment before the accident, the job at Hydaker-Wheatlake.
MCL 500.3107(1)(b); MSA 24.13107(1)(b) provides for the payment of personal protection insurance benefits for
[w]ork loss consisting of loss of income from work an injured person would have performed during the first 3 years after the date of the accident if he or she had not been injured....
The trial court's award of benefits was based on MCL 500.3107a; MSA 24.13107(1), which provides:
Subject to the provisions of [MCL 500.3107(1)(b); MSA 24.13107(1)(b)], work loss for an injured person who is temporarily unemployed at the time of *657 the accident or during the period of disability shall be based on earned income for the last month employed full time preceding the accident. [Emphasis added.]
We agree with defendant that the trial court erred in awarding benefits to plaintiff on the basis of the latter statute, § 3107a. It is clear from a reading of the two statutes that the Legislature has seen fit to authorize work-loss benefits for persons whose work status falls within one of only two categories employed or temporarily unemployed. Irrespective of the nature of the work being performed, an underemployed person is, by definition, employed. Plaintiff, as an employee of both Manpower and Norm's Restaurant, was employed at the time of the accident. He was therefore entitled to benefits as set forth in § 3107(1)(b) and not § 3107a.
This conclusion is consistent with the purpose of § 3107a. In enacting § 3107a, the Legislature intended to protect persons whose regular employment has been temporarily suspended as a result of its seasonal nature or because of a temporary layoff. See MacDonald v State Farm Mutual Ins Co, 419 Mich. 146; 350 NW2d 233 (1984). As his work history demonstrates, plaintiff simply does not fit that classification. Accordingly, we reverse the trial court's order awarding work-loss benefits under § 3107a.
II
After his accident, plaintiff hired an attorney to secure social security disability benefits for him. These benefits were paid, and the attorney fee was sent directly to plaintiff's attorney by the Social Security Administration.
*658 After ruling on the amount of no-fault work-loss benefits payable to plaintiff, the trial court held that defendant was entitled to a setoff equal to the entire amount of social security disability benefits paid to plaintiff, including the amount paid to plaintiff's attorney as compensation for securing the social security benefits. In his cross appeal, plaintiff contends that this was error. We disagree.
Neither the fact that plaintiff's attorney received his fee directly from the Social Security Administration nor the fact that this money never actually passed through plaintiff's hands precludes a setoff for the entire amount of social security disability benefits to which plaintiff was entitled. See Thompson v DAIIE, 418 Mich. 610, 617-619; 344 NW2d 764 (1984); Perez v State Farm Mutual Automobile Ins Co, 418 Mich. 634, 645-646; 344 NW2d 773 (1984); Gregory v Transamerica Ins Co, 425 Mich. 625, 635-636; 391 NW2d 312 (1986); Deppmeier v Associated Truck Lines, Inc, 143 Mich. App. 244, 248; 372 NW2d 521 (1984).
Plaintiff contends that he should not be forced to accept less than a full recovery of no-fault benefits. However, on several occasions our Supreme Court and this Court, in varying circumstances, have allowed the recovery of no-fault benefits to be reduced by a setoff for other benefits. See Thompson, supra; Perez, supra; Gregory, supra; Deppmeier, supra. We also reject plaintiff's contention that the trial court's decision to allow a setoff is contrary to the policies underlying the no-fault insurance act, MCL 500.3101 et seq.; MSA 24.13101 et seq. The setoff of benefits provided by the federal government is expressly authorized by MCL 500.3109(1); MSA 24.13109(1). As this Court has recognized, "[t]he purpose of § 3109(1) is to reduce the basic cost of insurance by requiring a setoff of those government benefits that duplicate *659 no-fault benefits and coordinating those benefits a victim may receive." Allstate Ins Co v Sentry Ins Co of Michigan, 175 Mich. App. 157, 159; 437 NW2d 338 (1989). The trial court's decision comports with this purpose.
Affirmed in part and reversed in part.
CONNOR, J. (concurring).
I agree with my colleagues that defendant was entitled to a setoff equal to the entire amount of social security benefits paid to plaintiff, including the amount paid to plaintiff's attorney.
I also agree that "underemployed" is clearly not the same as "temporarily unemployed." The trial court's order granting plaintiff summary disposition and awarding work-loss benefits under § 3107a must be reversed. However, the majority opinion fails to address the trial court's misapprehension that plaintiff's benefits would be unfairly diminished if they were to be determined under § 3107(1)(b) merely because he was underemployed at the time of his accident.
Defendant, applying § 3107(1)(b), calculated plaintiff's work-loss benefits on the basis of the amount he was earning at the time of his accident, $55 a week. The trial court ordered that plaintiff's benefits be redetermined pursuant to § 3107a (using as the income basis his income at his last full-time employment), because the court determined that plaintiff should not be penalized for accepting part-time employment, the only available work at the time of his accident.
The appropriate no-fault work-loss benefits payable to an underemployed person is set forth in § 3107(1)(b), which provides in part:
[P]ersonal protection insurance benefits are payable for the following:
*660 * * *
Work loss consisting of loss of income from work an injured person would have performed during the first 3 years after the date of the accident if he had not been injured.... [MCL 500.3107(1)(b); MSA 24.13107(1)(b).]
The amount of money an underemployed person would earn in the three years after the date of the accident is a question of fact. Nothing in the provision states that the income must be calculated on the basis of the person's earnings at the time the injury occurred. Kirksey v Manitoba Public Ins Corp, 191 Mich. App. 12, 16; 477 NW2d 442 (1991). An underemployed person is entitled to increased work-loss benefits if it can be demonstrated convincingly that, but for the injury, a higher income would have been earned during the three years after the date of the accident.
After remand, plaintiff should be permitted to present his proofs regarding his anticipated loss of income from work he would have performed during the first three years after the date of the accident if he had not been injured.
