Jennese Massengale v. State Farm Mut. Auto. Ins. Co. ( 2022 )


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  •                          NOT RECOMMENDED FOR PUBLICATION
    File Name: 22a0349n.06
    Case Nos. 21-1430/1432
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    FILED
    Aug 22, 2022
    JENNESE    MASSENGALE  (21-1430);                    )
    DEBORAH S. HUNT, Clerk
    EXECUTIVE AMBULATORY SURGICAL                        )
    CENTER, LLC (21-1432),                               )
    )       ON APPEAL FROM THE UNITED
    Plaintiffs-Appellees,
    )       STATES DISTRICT COURT FOR
    )       THE EASTERN DISTRICT OF
    v.
    )       MICHIGAN
    )
    STATE FARM MUTUAL AUTOMOBILE
    )                                    OPINION
    INSURANCE COMPANY,
    )
    Defendant-Appellant.                          )
    Before: SILER, KETHLEDGE, and READLER, Circuit Judges.
    CHAD A. READLER, Circuit Judge. We took these interlocutory appeals to decide
    when, under Michigan law, partial assignments of no-fault car insurance benefits create privity
    between the assignor and assignee for purposes of res judicata and collateral estoppel. An
    intervening state court decision sheds lights on that determination. The Michigan Supreme Court
    recently held that “a judgment entered [against the assignor] after the assignment does not bind
    the assignee because the assignee is not in privity with the assignor with respect to that judgment.”
    Mecosta Cnty. Med. Ctr. v. Metro. Grp. Prop. & Cas. Ins. Co., --- N.W.2d ---, 
    2022 WL 2104120
    ,
    at *5 (Mich. 2022). We also understand Mecosta to indicate that an assignor and assignee of no-
    fault benefits are not privies with respect to a judgment against the assignee. Reading Michigan
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    law in these ways leads us to conclude that the assignors and assignees in today’s cases are not in
    privity. We therefore affirm.
    BACKGROUND
    This appeal is comprised of two separate disputes. In both cases, State Farm Mutual
    Automobile Insurance Company asserts that it does not owe the respective plaintiff benefits under
    an insurance policy issued by State Farm.
    1. The first case involves a claim for insurance benefits asserted by Jennese Massengale.
    The dispute ties back to injuries Massengale allegedly sustained in a car collision. Following the
    incident, Massengale obtained treatment from several medical providers, including Spine Rehab,
    PLLC. In exchange for some of the care she received from Spine Rehab, Massengale assigned the
    company her “claim/right to pursue payment from any insurance entity.” See Covenant Med. Ctr.,
    Inc. v. State Farm Mut. Auto. Ins. Co., 
    895 N.W.2d 490
    , 505 n.40 (Mich. 2017) (noting “an
    insured’s ability to assign his or her right to past or presently due benefits to a healthcare
    provider”).
    Invoking the assignment, Spine Rehab sued Massengale’s insurer, State Farm, in Michigan
    state court. Spine Rehab claimed that State Farm owed it no-fault insurance benefits for post-
    collision care it provided to Massengale. The jury, however, found that Massengale sustained no
    “accidental bodily injury” in the collision. Because accidental bodily injury is a prerequisite to
    any award of no-fault benefits, see 
    Mich. Comp. Laws § 500.3105
    (1); In re Carroll, 
    832 N.W.2d 276
    , 284 (Mich. Ct. App. 2013), the court entered judgment for State Farm.
    Around the time that Spine Rehab’s suit commenced, Massengale filed this lawsuit against
    State Farm. Through this action, Massengale seeks to recover no-fault benefits for other collision-
    related medical care. After the state court entered judgment for State Farm in Spine Rehab’s suit,
    2
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    State Farm moved for summary judgment in the district court against Massengale on res judicata
    and collateral estoppel grounds. The district court, however, denied the motion. At State Farm’s
    request, the district court certified for interlocutory appeal the summary judgment order as well as
    a subsequent order denying reconsideration. See 
    28 U.S.C. § 1292
    (b).
    2. The second case, one pursued by Executive Ambulatory Surgical Center, LLC, presents
    a similar story. Tamika Burrell purportedly suffered injuries in a car collision. She in turn sued
    State Farm, her insurer, for no-fault coverage tied to the collision.
    Burrell also obtained treatment from numerous medical providers. One was Executive
    Ambulatory. Another was Michigan Rehabilitation Specialists of Fowlerville, L.L.C. few months
    after she filed the lawsuit against State Farm, Burrell assigned Executive Ambulatory her “right to
    enforce payment of charges incurred for Services, for which charges are payable under any policy
    of insurance, contract, legal claim and/or statute”; she made a similar assignment to Rehabilitation
    Specialists.   Based on Burrell’s respective assignments, both Rehabilitation Specialists and
    Executive Ambulatory filed actions seeking to recover no-fault benefits from State Farm for
    Burrell’s post-accident care. Rehabilitation Specialists’ suit reached judgment first, but in an
    unsatisfactory manner for that company: the jury found that Burrell suffered no accidental bodily
    injury in the collision. With that judgment in hand, State Farm moved for summary disposition in
    Burrell’s suit, arguing that the judgment against Rehabilitation Specialists precluded Burrell from
    relitigating whether she had been injured. The Wayne County Circuit Court agreed and entered
    judgment for State Farm.
    State Farm then moved for summary judgment in this suit, asserting that the judgments
    against Rehabilitation Specialists and Burrell barred Executive Ambulatory’s claim. The district
    court, however, declined to apply res judicata or collateral estoppel and denied summary judgment.
    3
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    As in the Massengale litigation, the district court certified the summary judgment order and a
    subsequent reconsideration order for interlocutory appeal under § 1292(b).
    We granted State Farm leave to appeal whether “the partial assignment of no-fault personal
    protection insurance benefits under Michigan law from an insured to a healthcare provider creates
    privity for purposes of res judicata and collateral estoppel.” In re State Farm Mut. Auto. Ins. Co.,
    Nos. 20-0112/21-0101, 
    2021 U.S. App. LEXIS 13336
    , at *2 (6th Cir. May 4, 2021) (order).
    ANALYSIS
    A. By and large, we can resolve the respective cases on the same grounds. State Farm
    contends that the state court judgments against Spine Rehab and Burrell bar Massengale’s and
    Executive Ambulatory’s respective claims under the doctrines of res judicata and collateral
    estoppel. We review the district courts’ summary judgment rulings de novo, viewing the evidence
    in the light most favorable to plaintiffs (the nonmoving parties). NOCO Co. v. OJ Com., LLC, 
    35 F.4th 475
    , 481 (6th Cir. 2022). And because state judicial proceedings “shall have the same full
    faith and credit in every court within the United States . . . as they have by law or usage in the
    courts of such State,” 
    28 U.S.C. § 1738
    , Michigan law determines the preclusive effect of a
    Michigan state court’s judgment, see Migra v. Warren City Sch. Dist. Bd. of Educ., 
    465 U.S. 75
    ,
    81 (1984); Bus. Dev. Corp. of S.C. v. Rutter & Russin, LLC, 
    37 F.4th 1123
    , 1129 (6th Cir. 2022).
    Under Michigan law, “res judicata is employed to prevent multiple suits litigating the same
    cause of action.” Foster v. Foster, --- N.W.2d ---, 
    2022 WL 1020390
    , at *6 (Mich. 2022) (citation
    omitted). Res judicata (or claim preclusion) bars a subsequent action where “(1) the prior action
    was decided on the merits, (2) both actions involve the same parties or their privies, and (3) the
    matter in the second case was, or could have been, resolved in the first.” Mecosta, 
    2022 WL 2104120
    , at *4 (citation omitted). Collateral estoppel (or issue preclusion), by contrast, prevents
    4
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    relitigating issues raised and decided in a prior suit. See Hunter v. Hunter, 
    771 N.W.2d 694
    , 712
    (Mich. 2009). The doctrine applies where (1) “a question of fact essential to the judgment [was]
    actually litigated and determined by a valid and final judgment,” (2) “the parties or privies ‘[had]
    a full [and fair] opportunity to litigate the issue’” in the original suit, and (3) “there [is] mutuality
    of estoppel.” Mecosta, 
    2022 WL 2104120
    , at *4 (citation omitted).
    Today’s cases turn on the second element of each preclusion doctrine: privity. For
    direction on how Michigan state courts would analyze that critical element, we turn to Mecosta, a
    case that also involved assignments of no-fault benefits. There, the Michigan Supreme Court
    defined privity “as ‘mutual or successive relationships to the same right of property, or such an
    identification of interest of one person with another as to represent the same legal right.’” Id. at *5
    (citation omitted). But, the court clarified, “the mere succession of rights to the same property or
    interest does not, by itself, give rise to privity with regard to subsequent actions by and against the
    assignor.” Id. In this setting, the court emphasized, the timing of the assignment is paramount, as
    the assignee acquires the assignor’s rights as they existed when the assignment occurred. Id. So
    “[w]hen the litigation involving the assignor occurs after the assignment, the rights could not yet
    have been affected by the litigation at the time they were transferred.” Id.; see also Saginaw Fin.
    Corp. v. Detroit Lubricator Co., 
    240 N.W. 44
    , 45 (Mich. 1932) (“After assignment, the assignor
    loses all control over the chose, and cannot bind the assignee, by estoppel or otherwise.”). As a
    result, “a judgment entered after the assignment does not bind the assignee because the assignee
    is not in privity with the assignor with respect to that judgment.” Mecosta, 
    2022 WL 2104120
    , at
    *5; see also Howell v. Vito’s Trucking & Excavating Co., 
    191 N.W.2d 313
    , 316 (Mich. 1971)
    (defining a privy as “one who, after rendition of the judgment, has acquired an interest in the
    subject matter” (emphasis added)).
    5
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    Much the same is true for a judgment entered against the assignee. Recall that the Michigan
    Supreme Court defines a privy as one who “has acquired an interest in the subject matter affected
    by the judgment through or under one of the parties, as by inheritance, succession, or purchase.”
    Howell, 191 N.W.2d at 316. That does not describe an assignor, who acquires no rights from the
    assignee. See Mecosta, 
    2022 WL 2104120
    , at *5. Basic tenets of preclusion law confirm the
    absence of privity in this setting. A pre-assignment judgment against the assignor binds the
    assignee because the assignee “takes subject to all defenses against the assignor . . . existing at the
    time of the assignment.” Saginaw Financing, 240 N.W. at 45; see also Restatement (Second) of
    Judgments § 43 cmt. a (Am. Law Inst. 1982) (characterizing an adjudication of property rights as
    “in effect a conveyance from the losing party to the winning party”). Yet the assignor takes no
    rights from the assignee, meaning he is not subject to defenses available against the assignee.
    Accordingly, “while parties may sometimes be bound by what binds their assignors in privity,
    there is no rule which binds any one by estoppel by the acts or doings of his subsequent grantees.”
    Bigelow v. Reynolds, 
    36 N.W. 95
    , 96 (Mich. 1888); see also Restatement (Second) of Judgments
    § 55 cmt. c (“A judgment for or against the partial assignee does not preclude the assignor from
    bringing an action on the unassigned portion of the obligation.”).
    By this reading of Michigan law, privity is absent here, meaning that neither res judicata
    nor collateral estoppel bars plaintiffs’ claims. Mecosta, 
    2022 WL 2104120
    , at *8. Executive
    Ambulatory and Burrell are not privies with respect to the judgment against Burrell because that
    judgment postdated Burrell’s assignment of no-fault benefits to Executive Ambulatory. See id. at
    *5; Howell, 191 N.W.2d at 316. The same is true for Massengale and Spine Rehab. The two are
    not in privity with respect to the judgment against Spine Rehab because Massengale did not acquire
    6
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    her right to no-fault benefits “through or under” Spine Rehab. Howell, 191 N.W.2d at 316; see
    also Bigelow, 36 N.W. at 96.
    B. State Farm, understandably, has a different outcome in mind.
    1.   Start with its challenge to Executive Ambulatory’s claim.           State Farm believes
    Mecosta’s preclusion principles come into play much earlier—when the assignor files an action.
    After that, says State Farm, any subsequent assignee is bound by any subsequent judgment entered
    against the assignor in the same action. That matters here, the argument goes, because Burrell’s
    assignment to Executive Ambulatory occurred while Burrell’s own suit for no-fault benefits was
    pending.
    While State Farm’s argument is plausible, we do not read Mecosta to endorse a bright-line
    rule that post-assignment judgments rendered against an assignor bind the assignee where the
    assignment occurred during the assignor’s suit. Time and again, Mecosta emphasized that the
    seminal event in this circumstance is whether the judgment against the assignor predated the
    assignment. E.g., 
    2022 WL 2104120
    , at *3 (Plaintiffs “were not bound by the earlier judgment
    because it was entered after they were assigned the claim.”); id. at *5 (“It is therefore well
    established that a judgment entered after the assignment does not bind the assignee . . . .”); id. at
    *7 (stating “the rule that judgments rendered after an assignment do not bind the assignee”). So
    did Howell, an earlier Michigan Supreme Court decision relied on by Mecosta. See id. (“[A] privy
    is one who, after rendition of the judgment, has acquired an interest in the subject matter affected
    by the judgment . . . .” (quoting Howell, 191 N.W.2d at 316)). And in holding that privity was
    lacking because “the judgment [in the first suit] was rendered against [the assignor] after he had
    assigned the present [no-fault] claim to plaintiffs,” Mecosta made no mention of when the
    assignor’s suit began. Id. at *8. So it is difficult to see how Mecosta endorses the idea that privity
    7
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    turns on whether the assignment preceded the assignor’s suit. Nor has the Michigan Court of
    Appeals taken this view. Utilizing the analytical framework that Mecosta later adopted, the state
    appeals court held that an assignor and assignee of no-fault benefits were not privies with respect
    to a post-assignment judgment in a suit brought by the assignor before the assignment. See Mich.
    Spine & Brain Surgeons, PLLC v. Esurance Prop. & Cas. Ins. Co., No. 355581, 
    2021 WL 5027968
    , at *1, 7 (Mich. Ct. App. Oct. 28, 2021) (per curiam); see also Enhance Ctr. for
    Interventional Spine & Sports v. Auto-Owners Ins. Co., No. 354517, 
    2021 WL 5232284
    , at *2
    (Mich. Ct. App. Nov. 9, 2021) (per curiam) (finding privity lacking without considering whether
    the assignor’s no-fault suit began before the assignment).
    We note that Mecosta had no occasion to consider issues unique to assignments made
    during the assignor’s suit, as the assignment there occurred before the assignor’s suit began.
    Indeed, Mecosta cited several authorities that focus on whether the assignment occurred before
    “the institution of” the assignor’s suit. 
    2022 WL 2104120
    , at *6 (quoting Dull v. Blackman, 
    169 U.S. 243
    , 248 (1898)); see also, e.g., 
    id.
     (“The assignee of a note is not affected by any litigation
    in reference to it, beginning after the assignment.” (quoting A. C. Freeman, A Treatise on the Law
    of Judgments § 162 (1st ed. 1873))); id. at *6 n.5 (noting the Restatement rule that a judgment
    against the assignor does not bind the assignee unless “the action was ‘brought by the assignor
    before the assignment’” (quoting Restatement (Second) of Judgments § 55)). Yet the court did
    not distinguish these authorities from others that look to when judgment issued in the assignor’s
    action. See id. at *6–7. So, although we do not read Mecosta to endorse State Farm’s approach,
    neither do we understand the case to displace longstanding principles of Michigan law under which
    assignments made during litigation may, in certain circumstances, give rise to privity.
    8
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    In particular, where an assignee “acquiesces in” the assignor’s ongoing litigation over the
    assigned rights “and permits the suit to go on” after the assignment, the judgment is “a bar to any
    future proceedings which the assignee might undertake to commence, for the same cause of
    action.” Sayre v. Detroit, G. H. & M. Ry. Co., 
    171 N.W. 502
    , 509 (Mich. 1919) (citing Peters v.
    Gallagher, 
    37 Mich. 407
    , 411 (1877)). And for good reason: by choosing not to intervene or
    otherwise protect himself, the assignee treats the assignor as his representative, come what may.
    Restatement (Second) of Judgments § 44 cmt. a; 18A Charles Alan Wright & Arthur R. Miller,
    Federal Practice and Procedure § 4462 (3d ed. 2022). See generally State Mut. Life Assurance
    Co. of Am. v. Deer Creek Park, 
    612 F.2d 259
    , 268 n.7 (6th Cir. 1979) (observing that judgment
    “in an action brought by the assignor with the knowledge and consent of the assignee, is binding
    upon the assignee” (citing Lamson v. City of Marshall, 
    95 N.W. 78
     (Mich. 1903))).
    But today’s record does not establish that Executive Ambulatory acquiesced in Burrell’s
    handling of litigation over the assigned claim.       Burrell received treatment from Executive
    Ambulatory after she filed suit against State Farm. On the day of her treatment, she assigned
    Executive Ambulatory her right to payment of no-fault benefits. At the time she filed suit, in other
    words, Burrell’s suit could not have encompassed any rights related to Executive Ambulatory’s
    care. Cf. 
    Mich. Comp. Laws § 500.3143
     (“An agreement for assignment of a right to benefits
    payable in the future is void.”). Nor, so far as the record reveals, did these rights ever play a part
    in Burrell’s suit. To see why, recall that Burrell sought “proper payments to the Plaintiff” along
    with a declaration as to “[t]he applicability of the No-Fault Act to Plaintiff’s claims” and the
    benefits “owed to Plaintiff.” Yet after the assignment, Burrell was not entitled to payment for the
    cost of Executive Ambulatory’s services. Nor does State Farm identify any other evidence that
    Burrell sought to recover no-fault benefits related to Executive Ambulatory’s care. Simply put,
    9
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    State Farm fails to prove that Executive Ambulatory’s rights fell within the scope of Burrell’s suit.
    As a result, Executive Ambulatory never “acquiesce[d] in” Burrell’s handling of litigation
    involving the rights she assigned. Sayre, 171 N.W. at 509; cf. Physiatry & Rehab Assocs. v. State
    Farm Mut. Auto. Ins. Co., No. 350826, 
    2021 WL 1236126
    , at *1, 3 (Mich. Ct. App. Apr. 1, 2021)
    (per curiam) (holding that the assignor’s settlement of “all claims for [no-fault] benefits by or for
    [the assignor]” barred the assignee’s suit because the assignee knew the assignor “intended to
    adjudicate all no-fault claims arising out of the . . . accident” yet failed to intervene).
    2. State Farm raises a separate challenge as to Massengale. According to State Farm,
    Massengale and Spine Rehab were privies because the two shared a “substantial identity of
    interests” and a “working functional relationship” in which Spine Rehab protected Massengale’s
    interests. Adair v. State, 
    680 N.W.2d 386
    , 396 (Mich. 2004) (citation omitted). True, as State
    Farm observes, Massengale and Spine Rehab each must prove that Massengale suffered an
    “accidental bodily injury” as a prerequisite to any award of no-fault benefits. 
    Mich. Comp. Laws § 500.3105
    (1). But, as Mecosta makes clear, “[p]rivity does not arise from the mere fact that
    persons as litigants are interested in the same question or in proving or disproving the same state
    of facts.” Mecosta, 
    2022 WL 2104120
    , at *5 (citation omitted). So without more, Massengale’s
    and Spine Rehab’s common interest in showing that Massengale was injured cannot establish a
    substantial identity of interests for purposes of privity. See Gumienny v. Hess, 
    280 N.W. 809
    , 809–
    10 (Mich. 1938). Nor, in any event, does the record establish a working functional relationship
    between the two. That State Farm subpoenaed Massengale to testify in Spine Rehab’s suit (an
    invitation she declined), for instance, falls well short of demonstrating cooperation between the
    two. Cf. Jones v. Craig, 
    212 F.2d 187
    , 187 (6th Cir. 1954) (per curiam) (finding privity where the
    10
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    appellee “assisted in the preparation of the defense [in the prior suit] and testified as a witness for
    the defendant, and also paid one-fourth of the expense of said litigation”).
    3. Finally, State Farm advances additional counterarguments that bear on both suits. To
    start, the company invokes the general principle that privity exists where “the first litigant
    represents the same legal right that the later litigant is trying to assert.” Adair, 680 N.W.2d at 396.
    That rule governs here, the company says, because the assignors and assignees seek no-fault
    benefits arising from the same accidents under the same insurance policies. We cannot accept
    State Farm’s position, however, in view of Mecosta’s holding that “plaintiff assignees were not in
    privity with [the assignor] . . . after he had assigned the present [no-fault] claim to plaintiffs.” 
    2022 WL 2104120
    , at *8. That language prevents us from concluding that assignors and assignees of
    no-fault benefits always stand in privity.
    Shifting gears, State Farm notes that Mecosta said nothing about when a party has a “full
    [and fair] opportunity to litigate” for purposes of collateral estoppel. Fair enough. Yet that
    observation has no bearing on today’s outcome. Collateral estoppel applies only if “the parties or
    privies” previously litigated a question of fact essential to a prior judgment. Mecosta, 
    2022 WL 2104120
    , at *4. And because the prior suits here did not involve the same parties or their privies,
    whether a full and fair opportunity to litigate existed then makes no difference.
    State Farm also attempts to distinguish Mecosta on its facts. There, the previous suit ran
    aground because the assignor “did not maintain insurance coverage on the vehicle,” rendering him
    ineligible for no-fault benefits under 
    Mich. Comp. Laws § 500.3113
    (b). Id. at *3. Here, by
    contrast, the prior suits yielded findings that the assignors were not injured. So, State Farm
    maintains, plaintiffs cannot recover no-fault benefits because the insureds suffered no “accidental
    bodily injury.” § 500.3105(1). The company’s theory, however, rests on a flawed understanding
    11
    Case Nos. 21-1430/1432, Massengale v. State Farm Mutual Auto. Ins. Co.
    of the prior judgments’ preclusive effects. Given our holding that today’s assignors and assignees
    lack privity, plaintiffs are entitled to their opportunity to prove that the collisions caused accidental
    bodily injuries. See Mecosta, 
    2022 WL 2104120
    , at *8.
    *       *       *
    We affirm.
    12