Ryan Vandercook v. Auto-Owners Insurance Company ( 2018 )


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  •                           STATE OF MICHIGAN
    COURT OF APPEALS
    RYAN VANDERCOOK,                                                    UNPUBLISHED
    May 24, 2018
    Plaintiff-Appellee,
    v                                                                   No. 339145
    Washtenaw Circuit Court
    AUTO-OWNERS INSURANCE COMPANY,                                      LC No. 15-000750-NF
    Defendant-Appellant.
    Before: METER, P.J., and GADOLA and TUKEL, JJ.
    PER CURIAM.
    Defendant appeals as of right the trial court’s determination that the parties’ acceptance
    of the case evaluation award only resolved the claims that were included in plaintiff’s case
    evaluation summary. Defendant asserts that the trial court misinterpreted MCR 2.403 and
    neglected to consider controlling caselaw for its decision. We agree and, therefore, reverse and
    remand.
    Plaintiff sued defendant for breach of a no-fault auto insurance policy issued by
    defendant to recover no-fault personal protection insurance benefits (PIP) for expenses, loss of
    wages, replacement services, and other benefits related to injuries sustained by plaintiff in an
    auto accident on December 23, 2014. Plaintiff also sought declaratory relief for determination of
    plaintiff’s rights to PIP benefits and defendant’s rights to reduction, set offs, or reimbursements
    of paid benefits. The case was submitted for case evaluation. Plaintiff’s case evaluation
    summary listed disputed benefits and stated that defendant owed approximately $93,000 for
    medical expenses and family-provided attendant care. Defendant stated in its case evaluation
    summary that it properly paid all PIP benefits and challenged numerous categories and specific
    benefits demanded by plaintiff for, among other things, medical services, attendant care,
    mileage, and wage loss. Defendant contended that it overpaid for services, entitling it to
    reimbursement. Defendant also claimed a right to setoff because plaintiff received government-
    provided benefits and had the right to receive other government benefits but refused to take
    them.
    The case evaluation panel considered the case and unanimously awarded plaintiff
    $45,000. Plaintiff accepted the award but typed into the form that he accepted the award “as to
    benefits referenced in Plaintiff’s Case Evaluation Summary only. Not including wage loss.”
    Defendant also accepted the award which, because both parties had accepted, had the effect of
    -1-
    settling the case for that amount. See MCR 2.403(M). After notification of the parties’ mutual
    acceptance, defendant moved for clarification from the trial court as to whom the proper payees
    were for payment of the case evaluation award.1 Plaintiff responded by arguing that he had
    limited his case evaluation acceptance to the unpaid bills he had referred to in his case evaluation
    summary. Plaintiff offered no legal argument and cited no rule, statute, or caselaw for his
    position.
    At the hearing on defendant’s motion, defendant argued that MCR 2.403 clearly provided
    that mutual acceptance of a case evaluation award resolves all claims in an action, through the
    date of the case evaluation. Plaintiff countered that he had accepted the case evaluation award
    with a limited acceptance, which purportedly precluded defendant from refusing to pay
    plaintiff’s providers for benefits that accrued before the date of case evaluation and had not been
    in dispute. The trial court denied defendant’s motion, ruling that only the claims or damages
    presented in plaintiff’s case evaluation summary were subject to the court rules regarding case
    evaluation sanctions. The trial court reasoned that “[n]o-fault cases are different because the
    claims continue to accrue the entire time that the case is pending in some—in some
    circumstances.” However, the court did not rely on or even address the portion of MCR
    2.403(M)(1) which contains an exception for claims involving PIP benefits that have not accrued
    at the time of the case evaluation. Consequently, the parties were unable to agree on a proposed
    order to submit to the trial court for entry because defendant contended that MCR 2.403 and
    controlling caselaw did not permit a party to limit his acceptance to anything other than the
    entirety of his claims asserted in the lawsuit.
    The parties’ failure to agree on the order prompted them each to file motions. Plaintiff
    moved to set aside the case evaluation, and defendant moved to settle the order and dismiss the
    case pursuant to MCR 2.403(M). At some point, defendant issued and sent plaintiff a check in
    the amount of the case evaluation award. At the hearing on the parties’ competing motions,
    plaintiff announced that, based on his limited acceptance of the panel’s decision, he had filed a
    separate lawsuit for PIP benefits that he claimed were not resolved by the case evaluation award.
    Defendant argued that the court rule and controlling caselaw did not permit what plaintiff did.
    The trial court ultimately ruled against defendant and ordered that the parties’ case evaluation
    acceptance only resolved the claims included in plaintiff’s case evaluation summary. Defendant
    now appeals.
    “The proper interpretation and application of a court rule is a question of law, which this
    Court reviews de novo.” Haliw v Sterling Hts, 
    471 Mich. 700
    , 704; 691 NW2d 753 (2005). The
    interpretation and application of a court rule is governed by the principles of statutory
    1
    At the time, this Court’s ruling in Covenant Med Ctr, Inc v State Farm Mut Auto Ins Co, 
    313 Mich. App. 50
    , 54; 880 NW2d 294 (2015), rev’d 
    500 Mich. 191
    (2017), was in effect and provided
    that medical providers had standing to bring a direct claim against an insurer for payment of no-
    fault benefits. Defendant explained to the trial court that it did not want to pay plaintiff and still
    remain liable to plaintiff’s medical providers if it did so. The Supreme Court would not reverse
    Covenant until months later.
    -2-
    construction, commencing with an examination of the plain language of the court rule. 
    Id. at 704-705.
    “The intent of the rule must be determined from an examination of the court rule itself
    and its place within the structure of the Michigan Court Rules as a whole.” 
    Id. at 706.
    This
    Court has explained:
    The goal of court rule interpretation is to give effect to the intent of the drafter,
    the Michigan Supreme Court. The Court must give language that is clear and
    unambiguous its plain meaning and enforce it as written. Each word, unless
    defined, is to be given its plain and ordinary meaning, and the Court may consult
    a dictionary to determine that meaning. [Varran v Granneman (On Remand), 
    312 Mich. App. 591
    , 599; 880 NW2d 242 (2015) (citations omitted).]
    Defendant argues that the trial court failed both to follow applicable law and to apply
    MCR 2.403 correctly. In so doing, defendant argues that the trial court denied defendant the
    finality that case evaluation should afford the parties when they mutually submit the case for
    case evaluation and accept the case evaluation panel’s decision. We agree.
    MCR 2.403 in relevant part provides:
    (A) Scope and Applicability of Rule.
    (1) A court may submit to case evaluation any civil action in which the relief
    sought is primarily money damages or division of property.
    * * *
    (3) A court may exempt claims seeking equitable relief from case evaluation for
    good cause shown on motion or by stipulation of the parties if the court finds that
    case evaluation of such claims would be inappropriate.
    * * *
    (I) Submission of Summary and Supporting Documents.
    * * *
    (3) The case evaluation summary shall consist of a concise summary setting forth
    that party’s factual and legal position on issues presented by the action. . . .
    (K) Decision.
    * * *
    (2) Except as provided in subrule (H)(3), the evaluation must include a separate
    award as to each plaintiff’s claim against each defendant and as to each cross-
    claim, counterclaim, or third-party claim that has been filed in the action. For the
    purpose of this subrule, all such claims filed by any one party against any other
    party shall be treated as a single claim.
    -3-
    * * *
    (L) Acceptance or Rejection of Evaluation.
    (1) Each party shall file a written acceptance or rejection of the panel’s
    evaluation with the ADR clerk within 28 days after service of the panel’s
    evaluation. Even if there are separate awards on multiple claims, the party must
    either accept or reject the evaluation in its entirety as to a particular opposing
    party. The failure to file a written acceptance or rejection within 28 days
    constitutes rejection.
    * * *
    (M) Effect of Acceptance of Evaluation.
    (1) If all the parties accept the panel’s evaluation, judgment will be entered in
    accordance with the evaluation, unless the amount of the award is paid within 28
    days after notification of the acceptances, in which case the court shall dismiss the
    action with prejudice. The judgment or dismissal shall be deemed to dispose of
    all claims in the action and includes all fees, costs, and interest to the date it is
    entered, except for cases involving rights to personal protection insurance benefits
    under MCL 500.3101 et seq., for which judgment or dismissal shall not be
    deemed to dispose of claims that have not accrued as of the date of the case
    evaluation hearing.
    (2) If only a part of an action has been submitted to case evaluation pursuant to
    subrule (A)(3) and all of the parties accept the panel’s evaluation, the court shall
    enter an order disposing of only those claims.
    The general purpose of case evaluation under MCR 2.403 “is to expedite and simplify the
    final settlement of cases to avoid a trial.” Magdich & Assoc, PC v Novi Dev Assoc, LLC, 
    305 Mich. App. 272
    , 276-277; 851 NW2d 585 (2014) (quotation marks and citation omitted). Further,
    acceptance of case evaluation serves as a final adjudication and is therefore binding on the
    parties, similar to a consent judgment or settlement agreement. 
    Id. In CAM
    Constr v Lake Edgewood Condo Ass’n, 
    465 Mich. 549
    , 554-555; 640 NW2d 256
    (2002), the Michigan Supreme Court considered the effect of the parties’ acceptance of a case
    evaluation award pursuant to MCR 2.403(M) on claims that allegedly had not been presented in
    case evaluation. The plaintiff’s complaint alleged four breach-of-contract claims against the
    defendant, with the fourth based on a separate contract. 
    Id. at 551.
    The trial court summarily
    dismissed the fourth count. 
    Id. The case
    then went to case evaluation, and the parties accepted
    the award. 
    Id. at 551-552.
    Following case evaluation, the plaintiff contended that it had reserved
    the right to appeal the summary dismissal of the fourth count and that the parties’ case evaluation
    acceptance resolved only the first three claims. 
    Id. at 552.
    The Michigan Supreme Court held
    that, pursuant to MCR 2.403(M)(1), the parties’ acceptance resolved all of the plaintiffs’ claims
    in the action—even those that had been summarily disposed. 
    Id. at 555.
    The Court explained
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    that “allowing bifurcation of the claims within such actions, as plaintiff suggests, would be
    directly contrary to the language of the rule.” 
    Id. Importantly, the
    CAM Constr Court overruled this Court’s earlier decisions that construed
    MCR 2.403(M)(1) as allowing submission of less than all issues to case evaluation. 2 
    Id. at 556,
    557. The Court explained that “[a]llowing the parties involved in the case evaluation process to
    make such a showing has no basis in the court rule.” 
    Id. at 556.
    The Court summarized that the
    “unambiguous language [of MCR 2.403(M)(1)] evidences our desire to avoid bifurcation of civil
    actions submitted to case evaluation.” 
    Id. at 557.
    Simply put, “If all parties accept the panel’s
    evaluation, the case is over.” 
    Id. As this
    Court has noted, “the purpose of case evaluation is to
    resolve the case, not to bifurcate litigation or decide it piecemeal.” Magdich & Assoc, 305 Mich
    App at 280.
    In this case, the parties agreed to submit the case to case evaluation. Neither party
    objected to case evaluation under MCR 2.403(C).3 Further, the trial court did not exempt any
    aspect of plaintiff’s action from case evaluation under MCR 2.403(A)(3). Therefore, the case
    evaluation panel had the entire case for its consideration and determination.
    We hold that plaintiff’s claims in this action did not consist of a dispute over only some,
    but not all, no-fault PIP benefits. Plaintiff’s complaint nowhere limited the scope of the
    adjudication to a specific set or list of disputed benefits. In Count I, plaintiff sought money
    damages for payment of all expenses for his care, recovery, and rehabilitation; wage loss; and
    replacement services, including other PIP benefits. In Count II, plaintiff sought determination of
    his rights to wage loss benefits, replacement service expenses, medical expenses, no-fault
    interest, attorney fees, and other benefits allegedly owed by defendant. Plaintiff also sought
    determination by the trial court of whether defendant could reduce, set off, or seek
    reimbursement for overpaid PIP benefits. Plaintiff’s complaint plainly did not limit his civil
    action to the benefits he listed in his case evaluation summary.
    Plaintiff’s contention that MCR 2.403 permitted him to limit his acceptance lacks merit.
    As the Supreme Court’s decision in CAM Constr makes clear, MCR 2.403 nowhere permits a
    party in an action involving one plaintiff against one defendant to (1) submit less than all of his
    claims to case evaluation and (2) limit any acceptance. Only in cases involving multiple parties
    with claims against each other does MCR 2.403(L) give the parties the option to accept all or
    part of a case evaluation award. The form used for acceptance and rejection also cannot be
    construed to permit limited acceptances as attempted by plaintiff. The form very clearly tracks
    2
    Those Court of Appeals cases interpreted the prior version of MCR 2.403, which the CAM
    Constr Court described as being “less detailed” than the present version. CAM 
    Constr, 465 Mich. at 556
    .
    3
    “MCR 2.403(C) allows a party to file a motion to remove the matter from case evaluation.”
    Magdich & 
    Assoc, 305 Mich. App. at 280
    (emphasis added). Thus, even this provision would not
    allow plaintiff to only submit some of his non-equitable claims to case evaluation.
    -5-
    MCR 2.403(L). Therefore, plaintiff had no option or right to limit his acceptance of the case
    evaluation award.
    MCR 2.403(M)(1) unambiguously describes the effect of acceptance of a case evaluation
    award. Upon acceptance by both parties, the trial court must dismiss the action with prejudice,
    and the judgment or dismissal “shall be deemed to dispose of all claims in the action.”
    (Emphasis added.) However, for no-fault cases involving the rights to PIP benefits, the trial
    court’s judgment may not dispose of claims that have not accrued as of the date of the case
    evaluation hearing. But all claims which have accrued at the time of the case evaluation are, as a
    matter of law, disposed of pursuant to MCR 2.403(M)(1). Accordingly, plaintiff’s acceptance of
    the case evaluation award in this case disposed of all disputes over PIP benefits that had accrued
    before the date of the case evaluation.
    Therefore, the trial court improperly allowed plaintiff to limit his acceptance of case
    evaluation in contravention of the plain language of MCR 2.403. Upon both parties’ acceptance
    of case evaluation, MCR 2.403(M)(1) required the trial court to enter judgment and dismiss the
    entire action—not review plaintiff’s case evaluation summary and allow him to bifurcate his
    claims so that he could file another lawsuit for PIP benefits which had accrued before the date of
    the case evaluation hearing.
    Reversed and remanded for proceedings consistent with this opinion. We do not retain
    jurisdiction. Defendant, as the prevailing party, may tax costs pursuant to MCR 7.219.
    /s/ Patrick M. Meter
    /s/ Michael F. Gadola
    /s/ Jonathan Tukel
    -6-
    

Document Info

Docket Number: 339145

Judges: Meter, Gadola, Tukel

Filed Date: 5/24/2018

Precedential Status: Non-Precedential

Modified Date: 10/19/2024