Gavril Miclea v. Cherokee Insurance Company ( 2020 )


Menu:
  •            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
    GAVRIL MICLEA,                                                    FOR PUBLICATION
    September 17, 2020
    Plaintiff,
    and
    MICHIGAN HEAD & SPINE INSTITUTE, P.C.,
    Intervening Plaintiff,
    v                                                                 No. 344694
    Wayne Circuit Court
    CHEROKEE INSURANCE COMPANY,                                       LC No. 16-011913-NF
    Defendant-Appellee,
    and
    AUTO CLUB INSURANCE ASSOCIATION,
    Defendant-Appellant,
    and
    MICHIGAN ASSIGNED CLAIMS PLAN and
    MICHIGAN AUTOMOBILE INSURANCE
    PLACEMENT FACILITY,
    Defendants.
    Before: RONAYNE KRAUSE, P.J., and K. F. KELLY and TUKEL, JJ.
    K. F. KELLY. (dissenting).
    -1-
    I respectfully dissent. Because I conclude that Auto Club Insurance Association (Auto Club)
    was the highest-priority no-fault insurer for purposes of plaintiff’s claim for personal protection
    insurance (PIP) benefits under Michigan’s no-fault act, MCL 500.3101 et seq., I would affirm.
    The applicable facts and standard of review are delineated in the majority opinion. Briefly,
    plaintiff was injured when he slipped and fell while trying to put antifreeze in his 2000 Volvo tractor
    (the truck). Plaintiff owned the truck, but it was leased by Universal Am-Can, Ltd (Universal), and he
    provided driving services to Universal through an independent contractor agreement. Plaintiff
    maintained personal automobile insurance through Auto Club, and Universal maintained business
    automobile insurance through Cherokee Insurance Company (Cherokee). Plaintiff attempted to obtain
    PIP benefits from Auto Club, Cherokee, and defendant Michigan Assigned Claims Plan, but was denied
    benefits. He then filed this lawsuit, seeking a determination regarding the insurer highest in priority for
    purposes of his claim for PIP benefits.
    In Michigan, MCL 500.3114(1) sets forth the general rule to determine the Michigan insurer
    responsible for providing PIP benefits. Grange Ins Co of Mich v Lawrence, 
    494 Mich. 475
    , 490; 835
    NW2d 363 (2013). By its terms, MCL 500.3114(1), states in relevant part, that “a personal protection
    insurance policy . . . applies to accidental bodily injury to the person named in the policy, the person’s
    spouse, and a relative of either domiciled in the same household, if the injury arises from a motor
    vehicle accident.” MCL 500.3114(1). Thus, the no-fault insurance policy secured by the injured
    person’s household is first in order of priority for payment of no-fault benefits. Corwin v
    DaimlerChrysler Ins, 
    296 Mich. App. 242
    , 255; 819 NW2d 68 (2012). “[I]t is the policy of the no-fault
    act that persons, not motor vehicles, are insured against loss." Lee v Detroit Auto Inter-Ins Exch, 
    412 Mich. 505
    , 509; 315 NW2d 413 (1982). Accordingly, a personal insurer of an injured claimant may be
    liable for benefits despite the fact that it has written no coverage respecting any vehicle involved in the
    accident and indeed that no vehicle involved in the accident has any coverage whatever. This
    requirement, that the insurer of a personal vehicle must provide benefits regardless of whether the
    insured vehicle is involved in the accident, remains applicable. 
    Corwin, 296 Mich. App. at 255
    .
    In MCL 500.3114(3), however, there is an employee exception to that general rule:
    An employee, his or her spouse, or a relative of either domiciled in the same household,
    who suffers accidental bodily injury while an occupant of a motor vehicle owned or
    registered by the employer, shall receive personal protection insurance benefits to which
    the employee is entitled from the insurer of the furnished vehicle.
    To determine priority, one must examine whether plaintiff was an “employee” for purposes of MCL
    500.3114(3) such that Cherokee would be responsible for payment of PIP benefits as, “the insurer of the
    furnished vehicle,” rather than Auto Club, plaintiff’s personal automobile insurer under MCL
    500.3114(1).
    The economic-reality test provides the appropriate framework for determining whether an
    individual is an employee or an independent contractor under Michigan’s no-fault act. Parham v
    Preferred Risk Mut Ins Co, 
    124 Mich. App. 618
    , 624; 335 NW2d 106 (1983). However, Auto Club
    concedes that plaintiff was Universal’s independent contractor, not its employee. Despite that
    concession, Auto Club argues that plaintiff was an “employee” for purposes of MCL 500.3114(3) for the
    -2-
    simple reason that he was self-employed and occupying a vehicle that he owned at the time of his
    injuries.
    With respect to that argument, the trial court concluded that the outcome of this case was
    controlled by Adanalic v Harco Nat Ins Co, 
    309 Mich. App. 173
    ; 870 NW2d 731 (2015). In Adanalic,
    the plaintiff, who “had contracted with DIS Transportation [DIS] to pick up, haul, and deliver various
    loads of cargo,” “was seriously injured while unloading a pallet from a disabled box truck onto a semi-
    trailer,” both of which were owned by DIS.
    Id. at 177.
    When the plaintiff sought PIP benefits, a dispute
    arose as to which automobile insurer was liable for these benefits: Harco National Insurance Company,
    DIS’s business automobile insurer, or Michigan Millers Mutual Insurance Company (Millers), the
    plaintiff’s personal automobile insurer.
    Id. The trial court
    determined that Millers, the plaintiff’s
    personal automobile insurer, was the highest-priority no-fault insurer.
    Id. at 178.
    In reaching that decision, the trial court emphasized the following aspects of the relationship
    between the plaintiff and DIS: (1) the contract between the plaintiff and DIS identified him as an
    independent contractor, (2) the plaintiff “had the right to decline to haul any load offered by DIS” and
    “this was the actual practice between the parties,” (3) although their agreement “state[d] that DIS
    compensated [the plaintiff] based on a percentage of the loads he delivered,” the plaintiff “was
    responsible for withholding all taxes and for workers compensation insurance,” (4) their agreement “was
    terminable at will by either party,” and (5) the performance of the plaintiff’s duties were not an integral
    part of DIS’ business.” 
    Adanalic, 309 Mich. App. at 191-192
    . Based on these considerations, the trial
    court concluded that the plaintiff “was an independent contractor, not an employee” for purposes of
    MCL 500.3114(3).
    Id. at 192.
    This Court affirmed that decision by determining that, “[f]or purposes of MCL 500.3114(3),
    whether an injured party was an ‘employee’ is determined by applying the ‘economic reality test.’ ”
    
    Adanalic, 309 Mich. App. at 190-191
    . The economic-reality test weighs several factors, this Court
    recognized, including “(a) control of the worker’s duties, (b) payment of wages, (c) right to hire, fire and
    discipline, and (d) the performance of the duties as an integral part of the employer’s business towards
    the accomplishment of a common goal.”
    Id. at 191
    (citation and internal quotation marks omitted).
    Nevertheless, this Court explained, “[a]n independent contractor is not considered an ‘employee’ for
    purposes of the no-fault act.”
    Id., citing Citizens Ins
    Co of America v Auto Club Ins Ass’n, 179 Mich
    App 461, 465; 446 NW2d 482 (1989). Because it “h[e]ld that the trial court did not err by finding that,
    for purposes of the no-fault act, [the plaintiff] was an independent contractor, not an employee, of DIS,”
    this Court concluded that “the trial court did not err by ruling that Millers, as [the plaintiff’s] no-fault
    insurer, was responsible for payment of his PIP benefits.”
    Id. at 194.
    As Cherokee contends, and the trial court concluded, Adanalic is on point. Like the injured
    person in that case, plaintiff was performing truck-driving services under an independent-contractor
    agreement. Similar to the factual scenario in Adanalic, plaintiff testified that he was paid “[a]
    percentage” of each shipment, not by the hour; received 1099s, not W2s; paid for the truck’s
    registration, fuel, repairs, and “everything” else himself; had the right to refuse loads; and chose his own
    routes to make deliveries. As a result, pursuant to Adanalic, plaintiff was an independent contractor, not
    an employee, for purposes of MCL 500.3114(3).
    Auto Club contends, however, that Adanalic is distinguishable “because the injured person in
    that case did not own the trailer involved in the accident.” “Stated another way,” Auto Club claims,
    -3-
    “Adanalic did not involve a self-employed person who was injured while occupying a business vehicle
    he owned.” Auto Club argues that Celina Mut Ins Co v Lake States Ins Co, 
    452 Mich. 84
    ; 549 NW2d
    834 (1996), and Besic v Citizens Ins Co of the Midwest, 
    290 Mich. App. 19
    ; 800 NW2d 93 (2010), control
    because those cases added an additional legal inquiry to the determination of whether an injured person
    was an independent contractor: whether the injured person was also self-employed and occupying an
    owned business vehicle.
    In Celina, Robert Rood was injured while driving a wrecker owned by his own towing company,
    Rood’s Wrecker & Mobile Home Service. Celina Mut Ins 
    Co, 452 Mich. at 86
    . Celina Mutual
    Insurance Company (Celina), Rood’s Wrecker & Mobile Home Service’s business automobile insurer,
    paid Rood’s claim for PIP benefits but also filed suit against Lake States Insurance Company, Rood’s
    personal automobile insurer, alleging that it was the highest-priority no-fault insurer.
    Id. The trial court
    concluded that MCL 500.3114(3) applied to Rood because he was an “employee” of Rood’s Wrecker &
    Mobile Home Service despite it being his own business.
    Id. at 85.
    Therefore, the trial court held,
    Celina, as the insurer of the vehicle involved in the accident, was the highest-priority insurer.
    Id. Although this Court
    reversed, “concluding that a sole proprietor was not an ‘employee’ for the purpose
    of § 3114(3),” the Supreme Court reversed and reinstated the trial court’s decision.
    Id. at 85-86.
    According to the Supreme Court, its decision was “most consistent with the purposes of the no-
    fault statute to apply § 3114(3) in the case of injuries to a self-employed person.” Celina Mut Ins 
    Co, 452 Mich. at 89
    . The Court explained: “The cases interpreting that section have given it a broad reading
    designed to allocate the cost of injuries resulting from use of business vehicles to the business involved
    through the premiums it pays for insurance.” Id.1 Conversely, the Court continued, the Court of
    Appeals’ analysis relied too heavily “on cases involving worker’s compensation statutes which have
    held that a sole proprietor is not an ‘employee’ ” and “were enacted for the protection of both employees
    and employers.”
    Id. at 90.
    The no-fault act, on the other hand, “has no such restrictive definition of
    ‘employee’ ” and achieves its “goals . . . by including self-employed persons within the purview of
    § 3114(3).”
    Id. This Court deemed
    Celina’s analysis controlling in Besic several years later. In that case, after
    quoting the Supreme Court’s analysis, this Court held that Celina mandated that MCL 500.3114(3)
    apply even though the plaintiff was a self-employed independent contractor rather than an employee.
    The Court stated:
    Besic owned the truck and worked as a self-employed independent contractor for
    MGR. Consistently with the Michigan Supreme Court’s analysis in 
    Celina, 452 Mich. at 1
      The Celina Court expressly held that the act was designed to allocate the cost to the business for the
    premium it pays for the vehicle. However, there is no definition of employee in MCL 500.3114(3).
    Consequently, businesses have hired owners of tractor-trailers as independent contractors and leased the
    owner’s vehicle. Thus, the characterization of this employment relationship, despite the business lease
    of the vehicle, effectively allows the business to avoid payment for PIP benefits and place the burden on
    the independent contractor’s personal insurer, a result that was not intended.
    -4-
    89, the priority language in MCL 500.3114(3) extends to the self-employment situation
    of Besic.
    * * *
    Because MCL 500.3114(3) applies to the undisputed facts of this case, it dictates that
    Besic “shall receive personal protection insurance benefits to which [he] is entitled from
    the insurer of the furnished vehicle.” In light of the fact that only Clearwater [Insurance
    Company] extended PIP benefits to the truck involved in Besic’s accident, it has first
    priority to pay Besic’s first-party benefits. 
    [Besic, 290 Mich. App. at 32
    .]
    In reaching that decision, this Court expressly rejected arguments regarding a lack of evidence as to who
    Besic’s purported “employer” was for purposes of the statute.
    Id. at 33.
    While our Supreme Court’s opinion in Celina and this Court’s opinion in Besic are closely
    related to the circumstances presented here, Adanalic still controls. While Adanalic stands for the
    proposition that the injured party must seek payment of PIP benefits from its personal no-fault insurer
    when deemed to be an independent contractor, Celina and Besic stand for the proposition that the
    injured party must seek payment of PIP benefits from the insurer of the vehicle if the person is self-
    employed and if the person is acting on behalf of his or her business at the time the accident occurs. But
    if an injured party is deemed to be an independent contractor under the economic-reality test, the
    question becomes whether he was acting on behalf of his business at the time of the injury.
    Here, while plaintiff was self-employed, he was acting on behalf of Universal, the trucking
    company he worked for as an independent contractor, not himself as an employer. Consequently, Celina
    and Besic are not directly on point. Instead, because plaintiff was undisputedly an independent
    contractor—Auto Club expressly concedes that point on appeal—at the time he sustained his injuries,
    and was acting on behalf of Universal, MCL 500.3114(3) does not apply. Although there are
    circumstances that distinguish this case from Adanalic as well, including differences regarding the
    ownership of the truck involved, it is my view that the injured person’s personal automobile insurer is
    responsible for PIP benefits if the person is an independent contractor alone, but the insurer of the
    vehicle involved is responsible if the person is self-employed and acting on behalf of his or her own
    self-employment, as this outcome appears most consistent with Adanalic, Celina, Besic, and the
    statutory language at issue. Moreover, I reject Auto Club’s contention that Celina and Besic added an
    additional legal inquiry to the independent contractor determination. The plain language of MCL
    500.3114(3) contains no such requirement.
    Because I conclude that the trial court properly determined that plaintiff was not an “employee”
    for purposes of MCL 500.3114(3), I would hold that the trial court correctly identified Auto Club, not
    Cherokee, as the highest-priority no-fault insurer for purposes of plaintiff’s claim for PIP benefits.
    Therefore, I would affirm.
    /s/ Kirsten Frank Kelly
    -5-
    

Document Info

Docket Number: 344694

Filed Date: 9/17/2020

Precedential Status: Precedential

Modified Date: 9/18/2020