Alexus Greiwe v. Gage Franklin Hamilton ( 2022 )


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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
    ALEXUS GREIWE,                                                     UNPUBLISHED
    June 23, 2022
    Plaintiff-Appellee,
    v                                                                  No. 357124
    Oakland Circuit Court
    GAGE FRANKLIN HAMILTON and MICHAEL                                 LC No. 2019-172099-NI
    GLENN HAMILTON,
    Defendants,
    and
    MEEMIC INSURANCE COMPANY,
    Defendant-Appellant.
    .
    Before: MARKEY, P.J., and SHAPIRO and PATEL, JJ.
    PER CURIAM.
    On appeal in this underinsured-benefits case, defendant Meemic Insurance Company
    challenges the trial court’s decision to deny its motion for summary disposition. For the reasons
    stated in this opinion, we reverse.
    I. BACKGROUND
    The facts of this case are undisputed. In the early morning on October 21, 2017, Gage
    Hamilton was driving a Jeep Wrangler owned by his father, Michael Hamilton. Plaintiff Alexis
    Greiwe was a passenger in the vehicle, along with three others. When Gage fell asleep, the vehicle
    veered off the roadway, hit a fire hydrant, and all passengers were thrown from the vehicle and
    sustained injuries as a result of the crash.
    At the time of the accident, Gage was insured under his father’s policy with Farm Bureau
    General Insurance Company of Michigan and the policy included liability coverage with limits of
    $500,000 per person and $500,000 per occurrence. Plaintiff was insured under her grandparents’
    -1-
    policy with Meemic as a resident relative. The Meemic policy included underinsured motorist
    (UIM) coverage with liability limits of $500,000 per person, and $500,000 per occurrence.
    Plaintiff and two other passengers brought separate tort actions against the Hamiltons.
    After the three cases were consolidated, Farm Bureau filed a complaint for interpleader because
    the $500,000 liability limit on the Hamiltons’ policy would be insufficient to satisfy the claims of
    all plaintiffs. Farm Bureau and the four passengers eventually agreed to an apportionment of the
    $500,000, with plaintiff receiving $280,000.
    Concluding that a share of the Farm Bureau liability coverage would be insufficient given
    the extent of her injuries, plaintiff requested payment of UIM benefits from Meemic. Meemic
    denied the request and so plaintiff amended her complaint in the action against the Hamiltons to
    add a claim seeking recovery of those benefits. Meemic moved for summary disposition under
    MCR 2.116(C)(10), arguing that plaintiff was not entitled to UIM benefits because the Hamiltons’
    vehicle was not an “underinsured motor vehicle” as defined by the Meemic policy. The trial court
    disagreed with Meemic, denied its summary disposition motion, and determined that Meemic was
    liable to plaintiff “for the excess over any insurance proceeds recovered from the underlying Farm
    Bureau policy, in this case–$220,000.” Plaintiff moved for entry of judgment, and Meemic
    opposed the motion, arguing that plaintiff misinterpreted the trial court’s order denying summary
    disposition, and the issue of damages should be submitted for arbitration. The trial court granted
    plaintiff’s motion and entered a judgment in favor of plaintiff for $220,000, determining Meemic
    waived any right to arbitration because Meemic failed to raise the issue of arbitration earlier in the
    proceedings. This appeal followed.
    II. ANALYSIS
    Meemic argues that its policy unambiguously precludes UIM coverage because the
    Hamiltons’ vehicle did not satisfy the policy’s definition of underinsured motor vehicle. We
    conclude that this is the required reading of the contract.1
    “Because providing UIM coverage is optional and not statutorily mandated under the no-
    fault act, the policy language alone controls the circumstances entitling a claimant to an award of
    benefits.” DeFrain v State Farm Mut Auto Ins Co, 
    491 Mich 359
    , 367; 817 NW2d 504 (2012).
    “If an insurance contract sets forth definitions, the policy language must be interpreted according
    to those definitions.” Century Surety Co v Charron, 
    230 Mich App 79
    , 82; 583 NW2d 486 (1998).
    1
    We review de novo a trial court’s decision on a motion for summary disposition. Dell v Citizens
    Ins Co of America, 
    312 Mich App 734
    , 739; 880 NW2d 280 (2015). “Summary disposition is
    appropriate under MCR 2.116(C)(10) if there is no genuine issue regarding any material fact and
    the moving party is entitled to judgment as a matter of law.” West v Gen Motors Corp, 
    469 Mich 177
    , 183; 665 NW2d 468 (2003). “[Q]uestions involving the proper interpretation of a contract or
    the legal effect of a contractual clause are [also] reviewed de novo.” McDonald v Farm Bureau
    Ins Co, 
    480 Mich 191
    , 197; 747 NW2d 811 (2008).
    -2-
    The “Insuring Agreement” provision of Meemic’s policy provides, in part, the following
    regarding UIM coverage:
    1. Subject to the Definitions, Exclusions, Conditions and Limits of Liability that
    apply to this Part, we will pay compensatory damages which an Insured person is
    legally entitled to recover as a proximate cause of the negligence of the owner or
    operator of an underinsured motor vehicle because of bodily Injury which is:
    a. sustained by an Insured person;
    b. is caused by accident; and
    c. arises out of the ownership, operation, maintenance or use of an
    underinsured motor vehicle . . . . [Bold type omitted; emphasis added.]
    Meemic argues that the Hamiltons’ vehicle was not an underinsured motor vehicle, which
    is defined by its policy as follows:
    3. An underinsured motor vehicle is:
    A. a motor vehicle which has bodily injury liability protection in effect and
    applicable at the time of the accident in an amount equal to or greater than the
    amounts specified for bodily injury liability by the financial responsibility laws of
    Michigan, but less than the limits of liability for Underinsured Motorists Coverage
    shown on the Declarations page; and
    B. in which the limits of liability are less than the amount of damages the
    insured person is legally entitled to recover for bodily injury. [Bold type omitted.]
    Under paragraph 3(A), an underinsured motor vehicle is one that has bodily injury liability
    limits in an amount equal to or greater than the amount required by Michigan law, but less than
    the liability limits for UIM coverage under Meemic’s policy. Thus, for the Hamiltons’ vehicle to
    be considered an underinsured motor vehicle under Meemic’s policy, the Farm Bureau policy
    liability limits for bodily injury must be less than the Meemic policy’s UIM liability limits.
    However, the policies have identical liability limits of $500,000 per person and $500,000 per
    occurrence. Accordingly, the Hamiltons’ vehicle does not satisfy the Meemic policy’s definition
    of an underinsured motor vehicle, and plaintiff’s injuries did not arise out of the “ownership,
    operation, maintenance or use of an underinsured motor vehicle” as required by section 1 of the
    “Insuring Agreement.” Plaintiff is therefore ineligible for UIM benefits under Meemic’s policy.
    Plaintiff offers several arguments to support the conclusion that the policy’s definition of
    underinsured motor vehicle is ambiguous. We will review each one, taking into account that a
    provision is unambiguous if “it is not susceptible to more than one interpretation and does not
    conflict with any other provision.” Coates v Bastian Bros Inc, 
    276 Mich App 498
    , 503; 741 NW2d
    539 (2007).
    Plaintiff first contends that the policy does not address the situation presented by this case,
    where there are a number of competing claims that exhaust the underlying policy limits. We agree
    -3-
    with plaintiff that Meemic’s policy does not address this scenario. However, this does not create
    an ambiguity. Instead of defining an underinsured motor vehicle in terms of the insured’s recovery
    under the underlying policy, Meemic’s definition turns solely on a comparison between the
    policies’ limits of liability. Accordingly, the amount of recovery is not relevant to whether there
    is UIM coverage under Meemic’s policy. The possibility of a less restrictive definition of
    underinsured motor vehicle than is actually provided in the policy does not render Meemic’s
    definition ambiguous.
    Plaintiff also argues that Meemic’s definition of underinsured motor vehicle is ambiguous
    when read in conjunction with other policy provisions. Plaintiff primarily relies on the “Other
    Insurance” provision, which states:
    If there is Underinsured Motorist Coverage with us or any other insurer for
    a loss covered by this Part, then for purposes of this coverage, damages shall be
    limited to the maximum amount shown on the Declarations Page for any one
    Insured person and/or for two or more Insured persons. Our share is the proportion
    that our Limit of Liability bears to the total of all applicable limits. However, any
    Insurance we provide with respect to a vehicle the Insured person does not own
    shall be excess over any other valid or collectible Insurance. [Bold type omitted;
    emphasis added.]
    Plaintiff argues that the emphasized sentence “carves out an exception” for her because she
    did not own a vehicle at the time of the collision. Plaintiff misinterprets this provision. Simply
    put, the “Other Insurance” provision addresses how to calculate the amount to be paid by the UIM
    coverage, not whether there is coverage. The sentence providing that “[o]ur share is the proportion
    that our Limit of Liability bears to the total of all applicable limits” means that Meemic will pay a
    pro rata share of the maximum combined coverage of the applicable policies. See Horr v Detroit
    Auto Inter-Ins Exch, 
    379 Mich 562
    , 566-567; 153 NW2d 655 (1967). However, the next sentence
    clarifies that “any Insurance we provide with respect to a vehicle the Insured person does not own”
    will be paid only as excess coverage, i.e., after the other applicable policies have been exhausted,
    and not as a pro rata share. But nothing in this provision changes the fact that the other vehicle is
    not “underinsured” if its liability limits are not less than Meemic’s UIM liability limits.
    Plaintiff also argues that there is an ambiguity regarding her entitlement to UIM benefits
    because she satisfied the condition of coverage set forth in section 2(A) of the “Insuring
    Agreement” provision, which provides in relevant part:
    2. We will pay under this coverage only if:
    A. The limits of liability under any applicable bodily injury liability bonds
    or policies have been exhausted by payment of judgment or settlements[.] [Bold
    type omitted.]
    Section 2(A) places an additional condition on UIM coverage. It does not, as plaintiff
    suggests, expand the definition of underinsured motor vehicle so as to include the Hamiltons’
    vehicle.
    -4-
    Finally, plaintiff relies on section 3 of the “Limits of Liability” provision, which provides
    in part:
    3. Underinsured Motorists Coverage shall be reduced by the sum of the
    limits of liability under all bodily injury bonds or policies, other than this policy,
    applicable at the time of the accident.
    Plaintiff argues that the purpose of that provision is to avoid duplicate payments for the
    same injury, not to bar UIM claims, and that she is not seeking a duplicate payment in this case.
    Meemic counters that, regardless of this provision’s purpose, its language merely requires that the
    total liability limits available to the insured be subtracted from Meemic’s liability limits. We agree;
    this provision does not create UIM coverage under the policy when it does not otherwise exist.
    In sum, because the Meemic policy and the Farm Bureau policy both had liability limits of
    $500,000 per person and $500,000 per occurrence, the Hamiltons’ vehicle did not meet the policy
    definition of “uninsured motor vehicle” and plaintiff cannot recover UIM benefits from Meemic.
    The trial court erred by denying Meemic’s summary disposition motion and entering a judgment
    in favor of plaintiff for $220,000. Because we conclude that plaintiff is not entitled to receive UIM
    benefits from Meemic, we need not address Meemic’s alternative argument that the amount of
    plaintiff’s damages should be submitted to arbitration.
    Reversed and remanded for proceedings consistent with this opinion. We do not retain
    jurisdiction.
    /s/ Jane E. Markey
    /s/ Douglas B. Shapiro
    /s/ /Sima G. Patel
    -5-
    

Document Info

Docket Number: 357124

Filed Date: 6/23/2022

Precedential Status: Non-Precedential

Modified Date: 6/24/2022