Edwin Bates Jr v. Auto Club Group Insurance Company ( 2019 )


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  •             If this opinion indicates that it is “FOR PUBLICATION,” it is subject to
    revision until final publication in the Michigan Appeals Reports.
    STATE OF MICHIGAN
    COURT OF APPEALS
    EDWIN BATES, JR.,                                                    UNPUBLISHED
    March 26, 2019
    Plaintiff,
    and                                                                  No. 340705
    Wayne Circuit Court
    KEYS OF LIFE SPECIALIZED CARE, INC.,                                 LC No. 15-003183-NF
    Intervening Plaintiff-Appellee,
    and
    MICHIGAN SPINE AND PAIN CLINIC, PLLC,
    Intervening Plaintiff
    v
    AUTO CLUB GROUP INSURANCE
    COMPANY,
    Defendant-Appellant.
    Before: O’BRIEN, P.J., and JANSEN and RONAYNE KRAUSE, JJ.
    JANSEN, J. (dissenting).
    I respectfully dissent.
    I agree with the majority that the trial court’s judgment in favor of intervening plaintiff,
    Keys of Life Specialized Care, Inc., (KOL), should be vacated. KOL admittedly waited until our
    Supreme Court’s decision in Covenant Med Ctr, Inc v State Farm Mut Auto Ins Co, 
    500 Mich. 191
    ; 895 NW2d 490 (2017), to file its motion for entry of a judgment based on the jury verdict in
    this case. In Covenant, our Supreme Court explicitly held that healthcare providers do not have
    an independent statutory cause of action against insurers to recover PIP benefits. 
    Id. at 195-196.
    Therefore, KOL never had a cause of action against defendant, absent a valid assignment, 
    id. at 217
    n 40, and defendant was entitled to summary disposition under MCR 2.116(C)(8). Further,
    -1-
    the trial court erroneously conferred standing on KOL solely because KOL produced purported
    assignments for the first time on the date of the hearing on its motion to entry of a judgment.
    However, I disagree with the majority’s decision to remand this matter back to the trial
    court to allow KOL to amend its complaint. KOL claimed, for the first time at the hearing on its
    motion for entry of a judgment, that it had obtained valid assignments from plaintiff, Edwin
    Bates, Jr., on August 1, 2014, October 3, 2014, December 3, 2014, January 5, 2015, March 3,
    2015, July 30, 2015, and September 30, 2015. Under Bronson Healthcare Group, Inc v Mich
    Assigned Claims Plan, 
    323 Mich. App. 302
    , 305; 917 NW2d 682 (2018), if KOL obtained valid
    assignments prior to March 13, 2015, the date Bates filed his original complaint, KOL could
    move to amend its intervening complaint. Should those purported assignments be valid, they
    could confer standing on KOL to pursue defendant for recovery of PIP benefits.
    However, if Bates executed any of the purported assignments obtained by KOL after
    March 13, 2015, the date Bates filed his original complaint, KOL is not entitled to amend its
    intervening complaint. If procuring assignments from Bates after the filing of the original
    complaint in this matter is the only “means by which [KOL] could have standing to maintain a
    direct action against defendant insurer for recovery of no-fault benefits[,]” KOL would have to
    move the trial court to file supplemental pleadings, which are subject to the relation back
    doctrine, MCR 2.118(D), (E), and the one-year-back rule found in MCL 3145(1). Shah v State
    Farm Mut Auto Ins Co, 
    324 Mich. App. 182
    , 202-205; 920 NW2d 148 (2018). Accordingly,
    depending on the date of execution of the purported assignments, amending its intervening
    complaint may not be the proper method for keeping KOL’s cause of action alive.1
    Moreover, KOL never moved the trial court, either orally or in writing, to amend its
    complaint or file supplemental pleadings based on a valid assignment of rights. Instead, it
    produced the purported assignments to the trial court, and to defendant, for the first time on the
    date of the hearing for its motion to enter judgment. Where KOL has failed to move the trial
    court to amend its complaint, or to file supplemental pleadings, I am unwilling to step into the
    shoes of the litigants and pursue the proper procedural remedy for them on appeal.
    /s/ Kathleen Jansen
    1
    I also note that given some of the language of the purported assignments, I question their
    validity. However, I do not find it necessary to address that issue here.
    -2-
    

Document Info

Docket Number: 340705

Filed Date: 3/26/2019

Precedential Status: Non-Precedential

Modified Date: 3/27/2019