Home-Owners Ins. Co. v. Herbert Boxer ( 2024 )


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  •                          NOT RECOMMENDED FOR PUBLICATION
    File Name: 24a0410n.06
    Case No. 23-1935
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    FILED
    Oct 18, 2024
    KELLY L. STEPHENS, Clerk
    )
    HOME-OWNERS INSURANCE COMPANY,
    )        ON APPEAL FROM THE
    Plaintiff - Appellee,                       )        UNITED STATES DISTRICT
    )        COURT FOR THE WESTERN
    )        DISTRICT OF MICHIGAN
    v.
    )
    )
    HERBERT BOXER; MARIAN BOXER,                       )                             OPINION
    )
    Defendants - Appellants.
    )
    Before: McKEAGUE, KETHLEDGE, and NALBANDIAN, Circuit Judges.
    McKEAGUE, Circuit Judge. The Michigan No-Fault Insurance Act requires automobile
    insurers to provide certain personal protection insurance (PIP) benefits to drivers. When it was
    first enacted, the No-Fault Act generally required the driver’s insurer to provide PIP benefits to
    passengers who were injured in an accident. But in 2019, the No-Fault Act was amended. Now,
    out-of-state residents who are injured in an accident are not entitled to PIP benefits unless they
    owned a vehicle that was registered and insured in Michigan.
    Shortly after these amendments were enacted, Herbert and Marian Boxer—residents of
    Colorado—were passengers in William Cron’s car. Cron’s car was in an accident in Michigan,
    and the Boxers were injured. The question presented to us is whether Cron’s insurer, Home-
    Owners Insurance, is required to provide PIP benefits to the Boxers.
    Because Cron’s insurance policy with Home-Owners is “subject to” the amended No-Fault
    Act, we AFFIRM the district court’s grant of summary judgment to Home-Owners.
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    I.
    A.     The Michigan No-Fault Insurance Act
    The Michigan No-Fault Insurance Act was passed in 1973 as “an innovative social and
    legal response to the long payment delays, inequitable payment structure, and high legal costs
    inherent in the tort (or ‘fault’) liability system.” Shavers v. Kelley, 
    267 N.W.2d 72
    , 77 (Mich.
    1978). Under the no-fault system, Michigan motorists are required to purchase a no-fault insurance
    policy from a private insurer, and the benefits provided by the insurer are a “substitute” for
    traditional common law tort remedies. Andary v. USAA Cas. Ins. Co., 1 N.W.3d 186, 192 (Mich.
    2023) (quoting Shavers, 267 N.W.2d at 77).
    The No-Fault Act requires automobile insurers to include PIP benefits in their policies. See
    
    Mich. Comp. Laws § 500.3101
    (2) (2019). PIP benefits cover “accidental bodily injury arising out
    of the…use of a motor vehicle.” 
    Id.
     § 500.3105(1) (1973). The benefits must “provide, at
    minimum, for payment of ‘[a]llowable expenses consisting of all reasonable charges incurred for
    reasonably necessary products, services and accommodations for an injured person’s care[,]
    recovery, or rehabilitation,’ subject to exceptions.” Andary, 1 N.W.3d at 193 (first alteration in
    original) (quoting 
    Mich. Comp. Laws § 500.3107
    (1)(a) (2012) (amended 2019)).
    In addition to requiring PIP benefits, the No-Fault Act serves as a “rule book” for how
    those benefits are awarded. Rohlman v. Hawkeye-Sec. Ins. Co., 
    502 N.W.2d 310
    , 313 (Mich.
    1993). For example, the No-Fault Act provides that certain categories of people are “excluded”
    from PIP benefits. From March 2017 to June 2019, one category excluded people from PIP benefits
    if they were (1) “not a resident of this state,” and (2) “an occupant of a motor vehicle or motorcycle
    not registered in this state,” when (3) “the motor vehicle or motorcycle was not insured by an
    insurer that has filed a certification” in compliance with the No-Fault Act. 
    Mich. Comp. Laws § 500.3113
    (c) (2017) (amended 2019). In other words, until June 2019, out-of-state residents were
    2
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    not excluded from PIP benefits if they were passengers in a vehicle that was registered and insured
    in Michigan.
    B.      William Cron’s Insurance Policy with Home-Owners
    In May 2019, Home-Owners issued an automobile insurance policy to William Cron. The
    policy identified William Cron and Sharon Cron as the “insured” and listed four vehicles as the
    “item[s] insured.” Insurance Policy, R.22-4 at PageID 208–13. Cron’s policy was effective from
    May 2019 to May 2020.
    In a section titled “No-Fault Insurance Endorsement,” the policy described the PIP benefits
    that Home-Owners would provide in the event of an accident. The policy defined the scope of
    coverage as follows:
    Subject to the provisions of this endorsement and of the policy to which this
    endorsement is attached, we will pay personal injury protection benefits to or on
    behalf of an injured person for accidental bodily injury arising out of the ownership,
    operation, maintenance, or use of a motor vehicle as a motor vehicle, subject to the
    provisions of Chapter 31 of the Michigan Insurance Code. Ownership, operation,
    maintenance, or use of a motor vehicle as a motor vehicle means that the
    involvement of the motor vehicle in the bodily injury was directly related to the
    transportation function of the motor vehicle.
    
    Id.
     at PageID 230 (emphasis omitted). “Chapter 31 of the Michigan Insurance Code” refers to the
    No-Fault Act. See Smejkal v. Beck, No. 363394, 
    2024 WL 1684864
    , at *6 (Mich. Ct. App. Apr.
    18, 2024) (per curiam) (noting that nearly identical contract language refers to “various statutory
    limitations set forth within the no-fault act”).
    On the final page of the “No-Fault Insurance Endorsement,” the policy described how the
    No-Fault Act affected the coverage that Home-Owners was obligated to provide:
    The premium for the coverages and the limits of liability of the policy have been
    established in reliance upon the provisions of Chapter 31 of the Michigan Insurance
    Code. … [P]rovisions of the policy that have been established in reliance upon
    Chapter 31 of the Michigan Insurance Code shall be voidable and shall revert to
    conform to applicable provisions of Chapter 31 at the time of the accident.
    Insurance Policy, R.22-4 at PageID 235.
    3
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    C.     Amendments to the No-Fault Act
    On June 11, 2019—twelve days after Home-Owners issued the insurance policy to Cron—
    the Michigan legislature made “sweeping changes” to the No-Fault Act. Andary, 1 N.W.3d at 193.
    The amendments to the No-Fault Act were intended to control the rising costs of automobile
    insurance. Demske v. Fick, No. 362739, 
    2024 WL 1685069
    , at *4 (Mich. Ct. App. Apr. 18, 2024)
    (per curiam) (citing Andary, 1 N.W. 3d at 191). Two changes are central to this case.
    First, the amended No-Fault Act provides that “[a]n insurer…is not required to provide
    [PIP benefits] for accidental bodily injury…arising from the…use of a motor vehicle as a motor
    vehicle by an out-of-state resident who is insured under the insurer’s automobile liability insurance
    policies,” unless the out-of-state resident has a vehicle that is registered and insured in Michigan.
    
    Mich. Comp. Laws § 500.3163
     (2019) (emphasis added). Prior to the 2019 amendments, insurers
    were required to certify that out-of-state residents who were insured would receive PIP benefits
    under their policies. See 
    id.
     § 500.3163 (2003) (amended 2019).
    Second, the amendments modified the categories of people who are excluded from PIP
    benefits. After the June 2019 amendments, a person is “not entitled to be paid [PIP benefits] if at
    the time of the accident…[t]he person was not a resident of this state, unless the person owned a
    motor vehicle that was registered and insured in this state.” Id. § 500.3113(c) (2019) (emphasis
    added). Unlike the prior version of § 500.3113, out-of-state residents are now categorically
    excluded from receiving PIP benefits unless they owned a vehicle that was registered and insured
    in Michigan.
    D.     Car Accident and Subsequent Coverage
    On July 22, 2019—six weeks after the No-Fault Act amendments took effect—Herbert and
    Marian Boxer were passengers in Cron’s car. At that time, the Boxers were residents of Colorado.
    They did not own a vehicle registered in Michigan, and they did not have an insurance policy
    under the No-Fault Act. See id. § 500.3101 (2019). While driving through Michigan, Cron’s car
    4
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    collided head-on with a vehicle traveling the opposite direction. The Boxers suffered serious
    injuries, and they sought to recover PIP benefits from Home-Owners.
    Home-Owners soon informed the Boxers that they did not qualify for PIP benefits. In their
    letter denying coverage, Home-Owners cited (1) the amended 
    Mich. Comp. Laws § 500.3163
    ,
    (2) the amended 
    Mich. Comp. Laws § 500.3113
    (c), and (3) the “Constitutionality” section of
    Cron’s insurance policy, which provided that references to the No-Fault Act in the policy “shall
    revert to conform to applicable provisions of [the No-Fault Act] at the time of the accident.”
    Coverage Position Letter, R.22-8 at PageID 274–75. Home-Owners told the Boxers that they
    should pursue their claim through their own insurance policy.
    In September 2019, the Michigan Department of Insurance and Financial Services (DIFS)
    issued an order that prevented insurers from using the No-Fault Act amendments to change the
    coverage of “existing, in-force policies.” 2019 DIFS Order, R.22-5 at PageID 263. Insurers were
    also prohibited from relying on “conformity to law clauses” in existing policies to incorporate the
    No-Fault Act amendments that affected the scope of coverage. 
    Id.
     at PageID 265. Instead, insurers
    were required to submit revised forms and rates for DIFS approval.
    In response to the DIFS order, Home-Owners sent a “Reservation of Rights” letter to the
    Boxers. The letter stated that the Boxers would receive coverage because of DIFS’s interpretation
    of the No-Fault Act. Home-Owners then clarified that if the DIFS order was later reversed, the
    Boxers would no longer have coverage under Cron’s policy, and they would be required to
    reimburse Home-Owners.
    In July 2021, DIFS issued a memorandum that rescinded its 2019 order.
    E.     Procedural History
    Home-Owners initiated this lawsuit in February 2022. The complaint sought a declaratory
    judgment that the Boxers were not entitled to PIP benefits; Home-Owners did not seek to recover
    prior PIP benefits already paid to the Boxers. See 
    28 U.S.C. § 2201
    (a). In short, Home-Owners’
    5
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    complaint alleged that the Boxers are not entitled to PIP benefits because at the time of the
    accident, they were out-of-state residents who did not own and insure a vehicle in Michigan.
    The parties consented to have the matter decided by a magistrate judge. See 
    28 U.S.C. § 636
    (c); Fed. R. Civ. P. 73. Home-Owners subsequently filed a motion for summary judgment.
    In response, the Boxers argued that an insurer may provide broader coverage than what is required
    under the No-Fault Act and that the “unequivocal language” of Cron’s insurance policy provided
    PIP benefits to “an injured person for accidental bodily injury.” The Boxers also cited the doctrines
    of promissory and equitable estoppel, as Cron and the Boxers purportedly “relied upon” the alleged
    promise by Home-Owners to pay PIP benefits. In supplemental briefing, the Boxers further argued
    that retroactively applying the No-Fault Act amendments to an existing contract would violate the
    contracts clause of the Michigan Constitution. See Mich. Const. art. 1, § 10.
    The district court granted Home-Owners’ motion for summary judgment. First, the court
    held that the 2019 DIFS order—which prevented Home-Owners from relying on “conformity to
    law clauses”—was “considered never to have existed” because DIFS rescinded the order in 2021.1
    Dist. Ct. Op. & Order, R.37 at PageID 537. Second, the court found that Home-Owners was not
    estopped from denying coverage to the Boxers, as Home-Owners issued a “reservation of rights”
    letter to the Boxers shortly after the 2019 DIFS order. Third, the court concluded that because the
    coverage provision of Cron’s policy was “subject to” the No-Fault Act, the amended statute
    controlled the scope of the policy.
    The Boxers timely appealed.
    1
    On appeal, Home-Owners spends a considerable portion of their brief arguing that the 2019 DIFS order
    was legally erroneous. But in their reply brief, the Boxers note that the DIFS order “has little, if anything,
    to do with this case.” Thus, we consider any argument about the applicability of the 2019 DIFS order to be
    waived on appeal. See McPherson v. Kelsey, 
    125 F.3d 989
    , 995–96 (6th Cir. 1997).
    6
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    II.
    We review the district court’s grant of summary judgment, including the district court’s
    interpretation of contracts and state statutes, de novo. Hinman v. ValleyCrest Landscaping Dev.,
    Inc., 
    89 F.4th 572
    , 574 (6th Cir. 2024); Royal Ins. Co. of Am. v. Orient Overseas Container Line
    Ltd., 
    525 F.3d 409
    , 421 (6th Cir. 2008). We must affirm where there is no genuine dispute of any
    material fact and the moving party is entitled to judgment as a matter of law. See Fed. R. Civ. P.
    56(a).
    A.       The Scope of Cron’s Insurance Policy
    On appeal, the Boxers argue that the district court over-emphasized the No-Fault Act
    amendments and gave “short shrift” to the language of Cron’s insurance policy. In their view, the
    policy provides broader coverage than what the No-Fault Act requires, and the Boxers fall squarely
    within the policy’s terms.
    We begin by accepting the premise of the Boxers’ argument: insurance contracts can
    provide more coverage than what is required under the No-Fault Act. PIP benefits “have both
    statutory and contractual characteristics.” Andary, 1 N.W.3d at 200. An insurance policy “may
    provide broader coverage than that mandated by the no-fault act, even with respect to a mandated
    coverage such as PIP benefits.” Mapp v. Progressive Ins. Co., No. 359889, 
    2023 WL 3131948
    ,
    at *8 (Mich. Ct. App. Apr. 27, 2023), appeal denied, 1 N.W.3d 259 (Mich. 2024). When the
    coverage is required by the No-Fault Act, then the scope of coverage is governed by statute. See
    Bronson Health Care Grp., Inc. v. State Auto Prop. & Cas. Ins. Co., 
    948 N.W.2d 115
    , 118 (Mich.
    Ct. App. 2019). But when an insurance policy provides non-mandatory coverage, then the
    language of the policy controls. See Rohlman, 502 N.W.2d at 313.
    Both parties agree that, after the No-Fault Act amendments, insurers are generally “not
    required” to provide PIP benefits to out-of-state passengers who are injured in an accident. 
    Mich. Comp. Laws § 500.3163
     (2019). As a result, the Boxers do not contend that they have a statutory
    7
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    right to PIP benefits. Instead, they rely solely on Cron’s insurance policy with Home-Owners. So,
    to determine if the Boxers are entitled to PIP benefits at all, we must turn to the language of the
    policy.
    Insurance policies are subject to the same principles of construction as any other contract.
    Rory v. Cont’l Ins. Co., 
    703 N.W.2d 23
    , 26 (Mich. 2005). Michigan courts “read contracts as a
    whole, giving harmonious effect, if possible, to each word and phrase.” Wilkie v. Auto-Owners Ins.
    Co., 
    664 N.W.2d 776
    , 781 n.11 (Mich. 2003). This is done to “avoid an interpretation that would
    render any part of the contract surplusage or nugatory.” Klapp v. United Ins. Grp. Agency, Inc.,
    
    663 N.W.2d 447
    , 453 (Mich. 2003).
    Cron’s insurance policy provided that Home-Owners “will pay [PIP benefits] to or on
    behalf of an injured person for accidental bodily injury arising out of the ownership, operation,
    maintenance, or use of a motor vehicle as a motor vehicle, subject to the provisions of [the No-
    Fault Act].” The Boxers note that the policy broadly refers to “an injured person.” But Home-
    Owners points out that an injured person’s right to PIP benefits is “subject to” the No-Fault Act.
    What does it mean for a contractual right to be “subject to” a statute? The district court
    answered this question by citing the Michigan Court of Appeals:
    The phrase “subject to” means “subordinate” to and “governed or affected by.”
    Black’s Law Dictionary (6th ed). In other words, the phrase is “introduc[ing] a
    subordinate provision,” indicating that the proposition set forth before the phrase
    can be superseded by a contrary provision in Chapter 31. Garner’s Dictionary of
    Legal Usage (3rd ed), p 616. Thus, if Chapter 31 does not override the provision,
    then coverage is owed if the conditions listed are satisfied.
    Dist. Ct. Op. & Order, R.37 at PageID 540–41 (alteration in original) (quoting Carson v. Home
    Owners Ins. Co., No. 308291, 
    2014 WL 1510039
    , at *3 (Mich. Ct. App. Apr. 15, 2014) (per
    curiam)). In the context of statutory interpretation, Michigan courts define the phrase “subject to”
    as “dependent upon.” See S. Dearborn Env’t Improvement Ass’n, Inc. v. Dep’t of Env’t Quality,
    
    917 N.W.2d 603
    , 610 (Mich. 2018) (citing Mayor of Lansing v. Mich. Pub. Serv. Comm’n, 680
    8
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    N.W.2d 840, 844 (Mich. 2004)). When one provision is “subject to” another, they must be “read
    together, not in isolation.” Id.; see also Mich. Head & Spine Inst., PC v. Mid-century Ins. Co., No.
    357144, 
    2022 WL 2182329
    , at *4 (Mich. Ct. App. June 16, 2022) (per curiam), appeal dismissed,
    
    985 N.W.2d 192
     (Mich. 2023) (“[E]ntitlement to, and payment of, PIP benefits is governed by
    statute, not by the insurance contract. This is embodied in the insurance policy itself, which
    expressly states that liability for PIP benefits is ‘subject to the provisions of [the no-fault act].’”
    (second alteration in original) (citation omitted)).
    In light of this definition, Cron’s insurance policy provides PIP benefits to “an injured
    person” who was a passenger in Cron’s car, “dependent upon” any limitations or exclusions
    provided by the No-Fault Act. The Boxers argue that the amended No-Fault Act does not limit
    Home-Owners’ coverage, as 
    Mich. Comp. Laws § 500.3163
     does not contain any limitations or
    exclusions. In their view, that statute “does not forbid non-resident passenger coverage; instead, it
    is no longer mandatory.”
    That may be true, but that’s not the statute that matters. The key statute is 
    Mich. Comp. Laws § 500.3113
    (c). Before the 2019 amendments, § 500.5113(c) provided that passengers were
    “not entitled” to PIP benefits if they were out-of-state residents and occupied a vehicle that was
    neither registered in Michigan nor insured in compliance with the No-Fault Act. 
    Mich. Comp. Laws § 500.3113
    (c) (2017) (amended 2019). After the amendments, however, out-of-state
    residents are categorically “not entitled” to PIP benefits unless they owned a vehicle that was
    registered and insured in Michigan. 
    Mich. Comp. Laws § 500.3113
    (c) (2019). The Boxers fail to
    even mention § 500.3113(c), let alone explain which version of the statute is relevant to this case.
    Nevertheless, the critical question is whether the contract is “subject to” the No-Fault Act as it
    existed when the contract was formed (i.e., pre-amendments), or whether it is “subject to” the No-
    Fault Act at the time of the accident (i.e., post-amendments).
    9
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    The contract answers that question too. Cron’s policy explicitly provides that (1) “the limits
    of liability of the policy have been established in reliance upon the provisions of [the No-Fault
    Act],” and (2) “provisions of the policy that have been established in reliance upon [the No-Fault
    Act] shall be voidable and shall revert to conform to applicable provisions of [the No-Fault Act]
    at the time of the accident.” Insurance Policy, R.22-4 at PageID 235 (emphasis added). In other
    words, whether the Boxers are entitled to PIP benefits from Home-Owners is dependent upon the
    exclusions in the No-Fault Act, and the exclusions in the No-Fault Act are determined by when
    the Boxers were injured.
    The “revert to conform” provision aligns with how Michigan courts interpret insurance
    policies. When an insurance policy is “directed by” the No-Fault Act, the policy’s language
    “should be interpreted in a consistent fashion, which can only be accomplished by interpreting the
    statute.” Rohlman, 502 N.W.2d at 315. Moreover, the Michigan Supreme Court recently affirmed
    that “the scope of available PIP benefits under an insurance policy vests at the time of injury.”
    Andary, 1 N.W.3d at 204. Even assuming that the Boxers were third-party beneficiaries to Cron’s
    insurance policy, their rights under the policy could not vest until the time of the accident, which
    was after the No-Fault Act amendments took effect—when they were not entitled to PIP benefits.
    The Boxers’ counterarguments are unavailing. First, they argue that contracts incorporate
    the law as it existed when the contract was formed, so Cron’s policy incorporated the No-Fault
    Act before it was amended. See LaFontaine Saline, Inc. v. Chrysler Grp., LLC, 
    852 N.W.2d 78
    ,
    84 (Mich. 2014) (quoting Crane v. Hardy, 
    1 Mich. 56
    , 62–63 (1848)); Von Hoffman v. City of
    Quincy, 
    71 U.S. 535
    , 550 (1867). If this default rule of construction applied, we would have to
    determine whether Michigan insurance contracts incorporate the No-Fault Act at the time of
    10
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    formation (i.e., when the contract is executed) or at the time when the claimant’s rights vest (i.e.,
    when the claimant is injured).2
    But a contract can supply a rule of construction that overrides the default rule. See Mazur
    v. Young, 
    507 F.3d 1013
    , 1017 (6th Cir. 2007) (citing Restatement (Second) of Contracts § 5 cmt. b
    (Am. L. Inst. 1981)). And that’s exactly what happened here. The policy specifically noted that
    provisions “established in reliance” on the No-Fault Act “shall be voidable and shall revert to
    conform” to the No-Fault Act as it existed at the time of the accident. The Boxers fail to adequately
    explain—or explain at all—why this provision does not supplant the default rule on which they
    rely.
    Second, the Boxers note that in addition to being “subject to” the No-Fault Act, the policy’s
    coverage for “an injured person” is also “[s]ubject to the provisions of this endorsement and of the
    policy to which this endorsement is attached.” In their view, this means that changes to the No-
    Fault Act must be “subordinate” to the insurance policy. But rather than construct an arbitrary
    hierarchy of clauses, we find a simpler way to read this provision: the broad coverage for “an
    injured person” is limited by both the insurance policy and the No-Fault Act. For example, the
    policy states that Home-Owners will not provide PIP benefits to “an injured person” if they
    intentionally injured themselves. Or if the person has their own no-fault insurance policy. Or if the
    person occupied a vehicle that was used as a residence. The No-Fault Act simply provides
    additional limitations, including the provision that out-of-state residents are not entitled to PIP
    benefits.
    2
    The Michigan Supreme Court declined to answer this question and acknowledged that it presents a
    “conundrum.” Andary, 1 N.W.3d at 205. The majority opinion acknowledged that “a factual scenario where
    the law changed between the time an insurance policy was issued and the injury or loss occurred could raise
    questions about what law governs.” Id. Justice Viviano similarly noted that “[i]t is not entirely clear whether
    the majority believes the statutory law becomes fixed at the time the contract is entered or when rights vest
    under the contract.” Id. at 240 n.24 (Viviano, J., concurring in part and dissenting in part).
    11
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    Third, the Boxers claim that the phrase “subject to [the No-Fault Act]” is ambiguous, and
    thus should be construed against Home-Owners. See Northland Ins. Co. v. Stewart Title Guar. Co.,
    
    327 F.3d 448
    , 455 (6th Cir. 2003). While ambiguities are construed in favor of the insured, “this
    does not mean that the plain meaning of a word or phrase should be perverted, or that a word or
    phrase…should be given some alien construction merely for the purpose of benefitting an insured.”
    Henderson v. State Farm Fire & Cas. Co., 
    596 N.W.2d 190
    , 194 (Mich. 1999). Courts are not
    permitted to “simply ignore portions of a contract…in order to declare an ambiguity.” Klapp, 663
    N.W.2d at 453. The natural reading of Cron’s insurance policy is that (1) whether an injured person
    is entitled to PIP benefits is “dependent upon” the No-Fault Act, (2) the version of the No-Fault
    Act at the time of the accident governs, and (3) at the time of the accident, out-of-state residents
    were not entitled to PIP benefits. The Boxers have failed to offer another reasonable interpretation
    that “give[s] effect to every word, phrase, and clause” of the policy. Id.
    B.     Promissory and Equitable Estoppel
    The Boxers also claim that Home-Owners is obligated to provide PIP benefits “under
    principles of promissory estoppel and equitable estoppel.” The district court held that Home-
    Owners was not estopped from denying coverage because it issued the “Reservation of Rights”
    letter to the Boxers within a reasonable time after the 2019 DIFS Order. But on appeal, the Boxers
    argue that while the No-Fault Act amendments may have changed the scope of coverage in Cron’s
    policy, Home-Owners did not notify Cron of this change before the accident. Thus, the Boxers
    conclude, Home-Owners is estopped from denying coverage that was promised to Cron in the
    policy. As explained below, neither promissory nor equitable estoppel apply here.
    Promissory estoppel consists of four elements: “(1) a promise, (2) that the promisor should
    reasonably have expected to induce action…on the part of the promisee, (3) which in fact produced
    reliance or forbearance of that nature, (4) in circumstances such that the promise must be enforced
    if injustice is to be avoided.” Leila Hosp. & Health Ctr. v. Xonics Med. Sys., Inc., 
    948 F.2d 271
    ,
    12
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    275 (6th Cir. 1991) (quoting McMath v. Ford Motor Co., 
    259 N.W.2d 140
    , 142 (Mich. Ct. App.
    1977)). The doctrine should be “cautiously applied,” and its “sine qua non…is a promise that is
    definite and clear.” Marrero v. McDonnell Douglas Cap. Corp., 
    505 N.W.2d 275
    , 278 (Mich. Ct.
    App. 1993); see also Gason v. Dow Corning Corp., 
    674 F. App’x 551
    , 559 (6th Cir. 2017). The
    facts must be “unquestionable” and the wrong to be avoided must be “undoubted.” Novak v.
    Nationwide Mut. Ins. Co., 
    599 N.W.2d 546
    , 552 (Mich. Ct. App. 1999).
    Even if we assume that the Boxers can raise a promissory estoppel claim as potential third-
    party beneficiaries of an insurance contract between Home-Owners and Cron, their argument fails
    to address the key provisions of the policy. The policy’s coverage was explicitly “subject to” the
    No-Fault Act, and the “revert to conform” clause put Cron on notice that the No-Fault Act may
    provide additional (or fewer) exclusions than at the time his policy began. In short, there is no
    “injustice” in interpreting the policy by its own terms. Cron was “obligated to read his…insurance
    policy and raise any questions about the coverage within a reasonable time after the policy [was]
    issued.” Casey v. Auto Owners Ins. Co., 
    729 N.W.2d 277
    , 283 (Mich. Ct. App. 2006) (per curiam).
    The Boxers’ equitable estoppel claim fares no better. Equitable estoppel applies “where a
    party, by representations, admissions, or silence intentionally or negligently induces another party
    to believe facts, the other party justifiably relies and acts on that belief, and the other party will be
    prejudiced if the first party is allowed to deny the existence of those facts.” Van v. Zahorik, 
    597 N.W.2d 15
    , 22 (Mich. 1999). In the context of insurance policies, the doctrine serves to “prevent[]
    one party to a contract from enforcing a specific provision contained in the contract.” Morales v.
    Auto-Owners Ins. Co., 
    582 N.W.2d 776
    , 779 (Mich. 1998).
    Here too, there is no act or omission by Home-Owners that led Cron or the Boxers to
    believe facts that Home-Owners would later deny. In fact, Home-Owners’ first letter to the Boxers
    stated that the Boxers were not entitled to PIP benefits, citing to both the relevant policy provisions
    and Mich. Comp. Laws. § 500.3113(c). The change in coverage was caused by the No-Fault Act
    13
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    amendments, not any action by Home-Owners. Thus, Home-Owners is not estopped from
    enforcing the clear terms of the policy. See Conagra, Inc. v. Farmers State Bank, 
    602 N.W.2d 390
    ,
    405–06 (Mich. Ct. App. 1999) (noting that a party to a contract does not have a duty to inform the
    other party of the contract’s terms).
    C.      Contracts Clause of the Michigan Constitution
    The Boxers’ final argument is that applying the No-Fault Act amendments to Cron’s
    existing insurance policy would violate the contracts clause of the Michigan Constitution. The
    contracts clause, which resembles its federal counterpart, prohibits the state from enacting a law
    “impairing the obligation of contract.” Mich. Const. art. 1, § 10. But there are two reasons why
    our reading of Cron’s insurance policy does not raise constitutional concerns.
    First, the contracts clause is inapplicable because the Boxers had no vested contract rights
    when the No-Fault Act amendments took effect. The contracts clauses of the Michigan
    Constitution and the U.S. Constitution are interpreted similarly. See Borman, LLC v. 18718
    Borman, LLC, 
    777 F.3d 816
    , 824 (6th Cir. 2015) (citing Att’y Gen. v. Mich. Pub. Serv. Comm’n,
    
    642 N.W.2d 691
    , 698 (Mich. Ct. App. 2002)). When assessing a claim under the contracts clause,
    the first step is to determine “whether the state law has, in fact, operated as a substantial impairment
    of a contractual relationship.” Allied Structural Steel Co. v. Spannaus, 
    438 U.S. 234
    , 244 (1978).
    But at this step, courts only consider whether the law impaired vested contract rights. See, e.g.,
    Campbell v. Mich. Judges Ret. Bd., 
    143 N.W.2d 755
    , 757 (Mich. 1966) (“Vested rights acquired
    under contract may not be destroyed by subsequent State legislation or even by an amendment of
    the State Constitution.”); LaFontaine Saline, 852 N.W.2d at 86 (noting that whether a statute
    affects existing contracts depends on whether it “takes away or impairs vested rights acquired
    under existing laws” (quoting Hughes v. Judges’ Ret. Bd., 
    282 N.W.2d 160
    , 163 (Mich. 1979)));
    Kia Motors Am., Inc. v. Glassman Oldsmobile Saab Hyundai, Inc., 
    706 F.3d 733
    , 740 (6th Cir.
    2013) (same); Aguirre v. State, 
    891 N.W.2d 516
    , 523 (Mich. Ct. App. 2016) (per curiam)
    14
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    (recognizing that the federal and state constitutions “provide that vested rights acquired under a
    contract may not be destroyed by subsequent state legislation” (quoting Seitz v. Prob. Judges Ret.
    Sys., 
    474 N.W.2d 125
    , 130 (Mich. Ct. App. 1991))).
    Even if the Boxers had contractual rights under Cron’s insurance policy, those rights did
    not vest until the accident on July 22, 2019. In Michigan, an individual’s right to PIP benefits
    under a no-fault insurance policy vests “when their injuries occurred and they first [become]
    eligible for PIP benefits.” Andary, 1 N.W.3d at 205; see also Clevenger v. Allstate Ins. Co., 
    505 N.W.2d 553
    , 558 (Mich. 1993). Moreover, Michigan law provides that a third-party beneficiary’s
    rights under a contract vest “the moment the promise becomes legally binding on the promisor.”
    Mich. Comp. Laws. § 600.1405(2)(a) (1963). But when the beneficiary is not immediately
    ascertainable, then the beneficiary’s rights vest “the moment he comes into being or becomes
    ascertainable.” Id. § 600.1405(2)(b) (1963). The Boxers could not be third-party beneficiaries to
    Cron’s insurance policy, even theoretically, unless and until they were injured while they were
    passengers in Cron’s car. And because the Boxers’ contract rights could not have vested until after
    the No-Fault Act amendments took effect, they cannot claim that the legislation impaired their
    existing contract rights.
    Second, the No-Fault Act amendments could not impair any rights under Cron’s policy
    because the policy was explicitly “subject to” the No-Fault Act. As described above, Cron’s policy
    provided that Home-Owners would provide PIP benefits to “an injured person,” dependent upon
    any exclusions or limitations in the No-Fault Act. The policy further stated that provisions
    “established in reliance” on the No-Fault Act “shall revert to conform” to the No-Fault Act as it
    existed at the time of the accident. In short, the Boxers claim that the No-Fault Act amendments
    impair the rights provided by Cron’s policy, even though the rights provided by Cron’s policy are
    expressly limited by the No-Fault Act. That argument does not pass muster, and their constitutional
    challenge fails.
    15
    No. 23-1935, Home-Owners Ins. Co. v. Boxer, et al.
    III.
    We AFFIRM the district court’s judgment.
    16
    

Document Info

Docket Number: 23-1935

Filed Date: 10/18/2024

Precedential Status: Non-Precedential

Modified Date: 10/18/2024