Adia Blacksher v. State Farm Mutual Automobile Insurance Company ( 2014 )


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  •                        STATE OF MICHIGAN
    COURT OF APPEALS
    ADIA BLACKSHER,                                    UNPUBLISHED
    December 4, 2014
    Plaintiff-Appellant,
    and
    SANDEEAH BLACKSHER,
    Plaintiff,
    and
    MCLAREN REGIONAL MEDICAL CENTER,
    Intervening Plaintiff-Appellant,
    v                                                  No. 312107
    Genesee Circuit Court
    STATE FARM MUTUAL AUTOMOBILE                       LC No. 08-089055-NF
    INSURANCE COMPANY,
    Defendant-Appellee.
    ADIA BLACKSHER,
    Plaintiff-Appellee,
    and
    SANDEEAH BLACKSHER,
    Plaintiff,
    and
    MCLAREN REGIONAL MEDICAL CENTER,
    Intervening Plaintiff-Appellee,
    -1-
    v                                                                     No. 315678
    Genesee Circuit Court
    STATE FARM MUTUAL AUTOMOBILE                                          LC No. 08-089055-NF
    INSURANCE COMPANY,
    Defendant-Appellant.
    Before: GLEICHER, P.J., and SERVITTO and RONAYNE KRAUSE, JJ.
    PER CURIAM.
    This insurance coverage dispute flows from a closed head injury allegedly suffered by
    plaintiff Adia Blacksher in a February 2007 automobile accident, and exacerbated in an April
    2007 accident. Blacksher’s no-fault automobile insurer, defendant State Farm, initially covered
    treatment prescribed by Blacksher’s doctors, primarily provided at intervening plaintiff McLaren
    Regional Medical Center. State Farm’s cessation of coverage led to this lawsuit. A jury
    ultimately awarded Blacksher and McLaren less than $10,000 in additional payments. The trial
    court thereafter denied State Farm’s request for attorney fees based on its argument that the
    paucity of the verdict evinced the unreasonableness of plaintiffs’ case.
    In these consolidated appeals, Blacksher and McLaren challenge the jury trial judgment,
    claiming it was internally inconsistent and against the great weight of the evidence, and that the
    trial court should have entered a judgment notwithstanding the verdict or ordered a new trial.
    Blacksher contests the trial court’s treatment of her case, especially in relation to her presentation
    and questioning of the State Farm claims adjusters that handled this matter. McLaren contends
    that the trial court abused its discretion in precluding its late submitted medical billing records
    from the trial evidence. And State Farm appeals the denial of its request for attorney fees.
    Because we discern no errors in the trial court proceedings, we affirm.
    I. BACKGROUND
    On February 4, 2007, Blacksher was involved in a serious automobile accident and
    required emergency medical treatment. It is undisputed that she sustained injuries to her ankle
    and hip. She also claimed that she hit her head, leading to myriad symptoms, such as dizziness,
    headaches, and blurred vision. Blacksher was a vehicle passenger during another accident on
    April 6, 2007, and was again transported to the hospital. She thereafter reported dizziness,
    headaches, and memory problems.
    Trial evidence revealed that the emergency room physicians treating Blacksher on
    February 4, 2007, disagreed regarding whether their patient had hit her head and suffered any
    connected injury. Dr. Tarik Wasfie asserted that he perceived a hematoma on Blacksher’s scalp
    and that his patient complained of dizziness. As a result, he diagnosed a concussion. Dr. Wasfie
    acknowledged that emergency medical technicians (EMTs) at the accident scene evaluated
    -2-
    Blacksher using the “Glasgow Coma Scale” and gave Blacksher a perfect score.1 Dr. Wasfie
    further acknowledged that Blacksher did not immediately complain of dizziness or head pain
    upon her arrival at the hospital, and her initial physical examination performed by an unnamed
    doctor revealed no cranial tenderness or swelling. Nine days after the first accident, Blacksher
    continued to report headaches and nausea. Dr. Wasfie prescribed a CT scan and MRI of
    Blacksher’s head. Neither test revealed any bleeding in the brain. Dr. Wasfie opined that the
    negative test results did not rule out a head injury and referred Blacksher to a neurologist, Dr.
    Nasser Sabbagh.
    Dr. Sabbagh saw Blacksher multiple times in 2007 and 2009, diagnosing her with post-
    concussion syndrome. Blacksher reported symptoms including headaches, dizziness, and
    memory problems. Dr. Sabbagh also noted “reactive depression.” Dr. Sabbagh ordered an MRI
    and an EEG, both of which were normal. The doctor explained that head injuries cannot always
    be detected with MRIs or CT scans. Dr. Sabbagh referred Blacksher to Dr. Richard Weiss for
    neuropsychological testing.
    Neither party presented the testimony of Dr. Weiss at trial. Dr. Sabbagh testified that Dr.
    Weiss’s 2007 report opined that Blacksher was “having some cognitive deficits that are
    associated or compatible with traumatic brain injury.” However, Dr. Sabbagh admitted that Dr.
    Weiss “felt that [Blacksher] does have some tendency to what we call somatization, like
    amplifying her complaints.” Dr. Sabbagh further conceded that Blacksher’s complaints of
    headaches, blurred vision, and dizziness could result from somatization or could be physical
    symptoms of depression, rather than a head injury.2 Following Dr. Weiss’s report, Dr. Sabbagh
    referred Blacksher to McLaren’s head injury program, a multifaceted regimen offering physical,
    speech and occupational therapy, as well as social work components. Dr. Sabbagh placed
    Blacksher on complete medical leave from work, advised her not to drive, and prescribed
    attendant care services.
    On cross-examination, State Farm’s counsel elicited from Dr. Sabbagh that Blacksher
    withheld from him vital information regarding her medical history. Blacksher falsely told Dr.
    1
    As described in Jones, Glasgow Coma Scale, 79 American J of Nursing 1551, 1551 (1979):
    The Glasgow Coma Scale (GCS) is an assessment tool used to describe
    level of consciousness. It was developed . . . to standardize observations of level
    of consciousness in patients with head injuries. . . . The scale has been subjected
    to extensive reliability tests, and has been proven to be a quick, accurate, and
    simple tool for evaluating neurological status.
    Medical personnel must evaluate a score a patient in various categories. “A normal person
    would score 14.” Id. at 1552. If a patient scores 7 or less, he or she is deemed to be in a coma.
    Id. Blacksher scored 15 points on the scale.
    2
    Dr. Weiss conducted a second evaluation in 2009, and noted that Blacksher’s cognitive scores
    actually declined over time. These scores would normally improve over time in a head injury
    patient receiving rehabilitative treatment.
    -3-
    Sabbagh that she had never suffered bouts of dizziness in the past. In 2001, however, Blacksher
    sought treatment for dizziness, headaches, and body aches (which she claimed to have lasted an
    entire year). Those symptoms were ultimately connected to a sinus infection. In 2004,
    Blacksher slipped and fell on ice, experiencing back injuries requiring physical therapy. At that
    time, Blacksher reported depression as well.
    Dr. Ed Atty conducted Blacksher’s initial evaluation for admission into the McLaren
    head injury program. Blacksher reported to Atty that she suffered from memory and
    concentration problems, headaches, dizziness, blurred vision, and neck and back pain. Dr. Atty
    acknowledged Blacksher’s negative MRI and CT scans. Even so, he diagnosed Blacksher with
    mild traumatic brain injury and prescribed treatment through McLaren’s program.
    State Farm ordered a series of independent medical exams as well. Neurologist Leonard
    Sahn examined Blacksher on April 29, 2008. He found no objective symptoms and noted that
    Blacksher’s diagnostic tests were normal.          Dr. Sahn reviewed the medical records
    contemporaneous with the 2007 accidents and found no evidence of a head injury. Rather, the
    EMTs and one emergency room doctor identified no physical injury to Blacksher’s head and
    found her oriented. In relation to Dr. Weiss’s neuropsychological evaluation, Dr. Sahn opined
    that Blacksher’s responses invalidated her Minnesota Multiphasic Personality Inventory (MMPI-
    2). Blacksher’s profile was “nuts,” nonsensical and indicative of no known mental condition,
    suggesting that Blacksher was “not even trying” or was purposely trying to skew the results.
    Even if Blacksher had hit her head in the accident and suffered headaches, dizziness, or memory
    loss as reported, those injuries would have resolved within a few weeks or months, Dr. Sahn
    opined.
    Dr. Lisa Metler conducted a neuropsychological examination on State Farm’s behalf in
    November and December of 2007. Dr. Metler’s review of the medical records contemporaneous
    with the accidents also revealed no support for Blacksher’s complaints of head injury. Dr.
    Metler questioned Dr. Weiss’s diagnosis based on the MMPI-2 results. For example, Dr. Weiss
    noted memory loss, but Blacksher scored high on difficult memory evaluations in the inventory
    and low on easy tests. Dr. Metler questioned Dr. Weiss’s decision to render a diagnosis given
    his own acknowledgement that the test results were invalid and evidenced that Blacksher was
    exaggerating or over-reporting her physical complaints. However, Dr. Metler’s examination did
    reveal mental impairments, such as a borderline IQ and reduced information processing speed.
    While such impairments can be caused by a closed head injury, there were myriad other sources
    as well.
    Dr. Joseph Femminineo, a physical medicine and rehabilitation specialist, conducted an
    IME on April 23, 2008. He reviewed Blacksher’s medical records and test results and conducted
    his own neuromuscular musculoskeletal examination. Dr. Femminineo concluded that
    Blacksher’s condition was normal and unremarkable and that any injuries she suffered likely
    resolved within three months of the accident. Based on his review and examination, Dr.
    Femminineo found unnecessary attendant care services and work and driving restrictions.
    Finally, State Farm presented the testimony of Dr. Robin Hanks, a clinical
    neuropsychologist, who reviewed Dr. Weiss’s reports but did not examine Blacksher in person.
    Dr. Hanks opined that Dr. Weiss should have made no diagnosis in 2007, given the invalidity of
    -4-
    Blacksher’s MMPI-2 testing. Further, given the assessment that Blacksher is prone to
    exaggerate or over-report her symptoms, Dr. Weiss should not have rendered a diagnosis on
    subjective complaints with no objective support.
    In relation to the payment of Blacksher’s submitted bills, State Farm presented the
    testimony of claims representative Delon Bishop. Bishop recommended that Blacksher undergo
    IMEs after reviewing Dr. Weiss’s 2007 report. State Farm initially paid $53,000 on Blacksher’s
    behalf for her medical bills, attendant care and replacement services, and wage loss benefits. On
    October 2, 2008, however, State Farm denied Blacksher’s claim and tendered no more payments
    on her behalf.
    Based on this evidence, the jury determined that Blacksher had suffered an accidental
    bodily injury that arose out of the ownership, operation, or use of a motor vehicle as a result of
    the February 4 and April 6, 2007 accidents. The jury also agreed that Blacksher incurred
    allowable expenses arising out of the accidental bodily injury. The jury awarded only $8,012.80
    to McLaren, however, as “the amount of allowable expenses owed to the plaintiff,” including
    “only expenses not already paid by the defendant.” The jury made no monetary award in
    relation to any other category of claimed expenses or any other provider. The jury further
    determined that none of State Farm’s payments were overdue.
    II. CHALLENGES TO JURY VERDICT
    Following trial, Blacksher and McLaren both sought a JNOV or a new trial, because the
    verdict was inconsistent or against the great weight of the evidence. Prior to trial, Blacksher had
    also sought summary disposition based on a perceived lack of evidence on State Farm’s part.
    The trial court had denied the summary disposition motion, finding existing questions of material
    fact. It also denied the motion for JNOV or new trial, emphasizing:
    [W]hen the jury is here deciding the case, they bring their common sense
    to the courtroom. They also have the opportunity to re-review the evidence that
    was considered. They have the right to believe all, none or any part of any
    witness’s testimony. They certainly have the right to evaluate the exhibits that are
    admitted in any way that makes common sense to them. So, when you look at
    this issue, I don’t think that it’s just simply one of whether or not it logically
    flows mathematically. I think that there is more that goes into this consideration
    than just that.
    ***
    Here, a reasonable jury could have listened to the testimony and could
    have believed parts of the testimony and not believed other parts. They certainly
    have the right to eyeball the witnesses and determine their believability and
    credibility from what they observe. They have the right to decide, you know,
    whether certain treatment was reasonable and necessary. Even though the experts
    are arguing on both sides, they still have the right to decide what it is that they
    believe; and I think, when you look at the evidence in the light most favorable to
    -5-
    the non-moving party, . . . the only rationale that the Court could see, . . . is that
    the jury didn’t believe . . . the expert witnesses to the full extent.
    [T]hey certainly believed that Mrs. [sic] Blacksher suffered an injury; that
    it arose out of the operation of a motor vehicle, et cetera, but they did not believe
    obviously . . . that the level of treatment that was given to Mrs. Blacksher was
    necessary and reasonable; and . . . I think certainly a reasonable jury could have
    come to that conclusion by looking at the evidence in this case, because they may
    have felt that maybe some things that she was treated for, she should have been
    treated for, and other things she should not have been; they may have believed, as
    [defense counsel] pointed out, that she was faking and feigning a lot of this and
    that she wasn’t entitled to any recovery for certain aspects of her treatment. So I
    can’t say that the jury was unreasonable . . . .
    A. STANDARDS OF REVIEW
    We review de novo a trial court’s resolution of a JNOV motion. Genna v Jackson, 
    286 Mich App 413
    , 417; 781 NW2d 124 (2009). In doing so, we must view “the evidence and all
    legitimate inferences arising therefrom in the light most favorable to the nonmoving party to
    determine if a party was entitled to judgment as a matter of law.” 
    Id.
     “The motion should be
    granted only when there is insufficient evidence presented to create a triable issue for the jury.
    When reasonable jurors could honestly reach different conclusions regarding the evidence, the
    jury verdict must stand.” 
    Id.
     (citations omitted).
    A trial court has the discretion to grant a new trial and this Court may only interfere with
    its ruling when the trial court abuses that discretion. Kelly v Builders Square, Inc, 
    465 Mich 29
    ,
    34; 632 NW2d 912 (2001). A motion for new trial is supportable when, for example, an
    irregularity in the proceedings denied a party a fair trial, the verdict was “clearly or grossly
    inadequate or excessive,” or the verdict was against the great weight of the evidence. See MCR
    2.611(A)(1)(a), (d), (e).
    When a party challenges a jury’s verdict as against the great weight of the
    evidence, this Court must give substantial deference to the judgment of the trier of
    fact. If there is any competent evidence to support the jury’s verdict, we must
    defer our judgment regarding the credibility of the witnesses. The Michigan
    Supreme Court has repeatedly held that the jury’s verdict must be upheld, even if
    it is arguably inconsistent, if there is an interpretation of the evidence that
    provides a logical explanation for the findings of the jury. Every attempt must be
    made to harmonize a jury’s verdicts. Only where verdicts are so logically and
    legally inconsistent that they cannot be reconciled will they be set aside. [Allard v
    State Farm Ins Co, 
    271 Mich App 394
    , 406-407; 722 NW2d 268 (2006)
    (quotation marks, brackets, and citations omitted).]
    “This Court reviews de novo a trial court’s decision on a motion for summary
    disposition.” Hackel v Macomb Co Comm, 
    298 Mich App 311
    , 315; 826 NW2d 753 (2012). “In
    reviewing a motion under MCR 2.116(C)(10), this Court considers the pleadings, admissions,
    affidavits, and other relevant documentary evidence of record in the light most favorable to the
    -6-
    nonmoving party to determine whether any genuine issue of material fact exists to warrant a
    trial.” Walsh v Taylor, 
    263 Mich App 618
    , 621; 689 NW2d 506 (2004). “Summary disposition
    is appropriate if there is no genuine issue regarding any material fact and the moving party is
    entitled to judgment as a matter of law.” Latham v Barton Malow Co, 
    480 Mich 105
    , 111; 746
    NW2d 868 (2008). “A genuine issue of material fact exists when the record, giving the benefit
    of reasonable doubt to the opposing party, leaves open an issue upon which reasonable minds
    might differ.” West v Gen Motors Corp, 
    469 Mich 177
    , 183; 665 NW2d 468 (2003).
    B. ANALYSIS
    Entitlement to personal protection insurance (PIP) benefits under the no-fault act is
    governed by MCL 500.3105. Under MCL 500.3105(1), “an insurer is liable to pay benefits 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. There are “two
    threshold requirements” to establish entitlement to PIP benefits: the plaintiff must show that (1)
    “the claimed benefits are causally connected to the accidental bodily injury arising out of the
    automobile accident” and (2) the injuries arose out of or were caused by the ownership,
    operation, maintenance, or use of a motor vehicle. Douglas v Allstate Ins Co, 
    492 Mich 241
    ,
    257; 821 NW2d 472 (2012) (quotation and citation omitted).
    Not all costs incurred by an accident victim are recoverable as PIP benefits. MCL
    500.3107(1) defines the types of recoverable benefits:
    Except as provided in subsection (2), personal protection insurance
    benefits are payable for the following:
    (a) Allowable expenses consisting of all reasonable charges incurred for
    reasonably necessary products, services, and accommodations for an injured
    person’s care, recovery, or rehabilitation. . . .
    (b) Work loss consisting of loss of income from work an injured person
    would have performed during the first 3 years after the date of the accident if he
    or she had not been injured. . . .
    (c) Expenses not exceeding $20.00 per day, reasonably incurred in
    obtaining ordinary and necessary services in lieu of those that, if he or she had not
    been injured, an injured person would have performed during the first 3 years
    after the date of the accident, not for income but for the benefit of himself or
    herself or of his or her dependent.
    At issue in this trial was whether Blacksher incurred “allowable expenses.” “To be
    reimbursed for an ‘allowable expense’ under MCL 500.3107(1)(a), a plaintiff bears the burden of
    proving that (1) the charge for the service was reasonable, (2) the expense was reasonably
    necessary, and (3) the expense was incurred.” Spect Imaging, Inc v Allstate Ins Co, 
    246 Mich App 568
    , 574; 633 NW2d 461 (2001). The expense must also be connected to “an injured
    person’s care, recovery, or rehabilitation.” Douglas, 492 Mich at 259. If an expense is deemed
    not “allowable”—i.e. the charge was unreasonable, the expense was not actually incurred, the
    service was not reasonably necessary or the need did not flow from the accident—then no right
    -7-
    to benefits arises. Nasser v Auto Club Ins Ass’n, 
    435 Mich 33
    , 49, 52 n 7; 457 NW2d 637
    (1990). The plaintiff must prove that each expense was both reasonable and necessary; a failure
    of proof regarding a particular expense renders that expense unallowable. 
    Id. at 50
    .
    Our review of the record does not support plaintiffs’ claims that the jury verdict was
    against the great weight of the evidence. The jury concluded that Blacksher incurred some
    allowable expenses in relation to her automobile accident injuries. The jury could award benefits
    only to the extent that it found by a preponderance of the evidence that the services were
    reasonably necessary. Spect Imaging, 246 Mich App at 633. And the jury was limited to
    awarding only those benefits left unpaid after State Farm’s $53,000 remittance on Blacksher’s
    behalf. The jury concluded that State Farm had already paid nearly all of Blacksher’s allowable
    expenses.
    The conclusion that Blacksher was injured and therefore was entitled to some benefits is
    supported by the testimony of Doctors Wasfie, Sabbagh, and Atty. However, State Farm
    presented evidence that Blacksher’s injuries were not as severe or long lasting as she claimed.
    Specifically, Dr. Sahn opined that the symptoms of any head injury suffered by Blacksher would
    have resolved within a few weeks or months of the accident. Dr. Femminineo examined
    Blacksher in April 23, 2008, and discerned no remaining injury despite that her personal
    physicians continued to provide care. And Doctors Metler and Hanks called into question the
    credibility of Blacksher’s physicians by emphasizing the impropriety of rendering a head injury
    diagnosis with no objective support when the patient has a tendency to over-report and falsify
    symptoms. We may not interfere with the jury’s assessment and weight of the various testimony
    and medical opinions. People v Lemmon, 
    456 Mich 625
    , 636; 576 NW2d 129 (1998).
    Accordingly, we discern no grounds for granting a new trial or a JNOV, and the trial evidence
    rendered moot Blacksher’s pretrial motion for summary disposition.
    In her appellate brief, Blacksher continues that the verdict was against the great weight of
    the evidence because State Farm failed to rebut the presumption that it unreasonably refused to
    pay no-fault benefits within 30 days of the submission of reasonable proof of loss. See MCL
    500.3142(2) (“[PIP] benefits are overdue if not paid within 30 days after an insurer receives
    reasonable proof of the fact and of the amount of loss sustained.”). We agree that a no-fault
    insurance provider should not delay in rejecting an insured’s claim while the insured continues to
    accumulate costs for services. Here, however, State Farm paid $53,000 of Blacksher’s incurred
    costs until the IMEs supported that Blacksher no longer (or never) needed the provided medical
    treatment and rehabilitation. In the jury’s estimation, Blacksher did not meet her burden of
    establishing additional allowable expenses beyond $8,012.80. Besides this de minis amount, no
    PIP benefits could have been overdue. If the expenses are not allowable, they simply do not
    qualify as PIP benefits under the no-fault act.
    Blacksher also challenges the jury’s failure to award transportation costs to those
    treatments at McLaren for which the jury found she was entitled to benefits. Blacksher’s mother
    testified at trial that she drove Blacksher to all her appointments and requested reimbursement
    for her mileage. Blacksher’s mother conceded that State Farm had already paid some of her
    transportation expenses. The witness could not recollect when State Farm discontinued those
    payments. It is possible that the jury determined that Blacksher had already recovered all
    reasonably necessary, incurred transportation costs. Had Blacksher not stipulated to such a
    -8-
    simplistic verdict form, we may have been able to evaluate this claim in more detail. As there is
    record support for the denial of additional transportation costs and in light of Blacksher’s
    stipulation, we discern no grounds for relief. See Hodge v Parks, 
    303 Mich App 552
    , 556; 844
    NW2d 189 (2014) (“A party cannot stipulate with regard to a matter and then argue on appeal
    that the resulting action was erroneous.”).
    In its appellate brief, McLaren argues that the verdict was inconsistent because the jury
    found that Blacksher incurred allowable expenses in her treatment with Doctors Sabbagh and
    Atty but awarded no recovery for those bills. McLaren argued further inconsistency in the jury’s
    decision to award payment to McLaren for treatment prescribed by Doctors Sabbagh and Atty
    but not to the doctors in prescribing the treatment. However, the evidence revealed that State
    Farm had already made some payments to Doctors Sabbagh and Atty. Bishop testified that the
    $53,000 in benefits paid by State Farm “encompassed medical bills” as well as “some attendant
    care pay, wage loss benefits and a week of replacement services.” She asserted that State Farm
    had paid some but not all of Dr. Atty’s bills. State Farm provided payment to Dr. Atty through
    May 12, 2008. And Bishop testified that State Farm recompensed Dr. Sabbagh for
    approximately $1,500 in treatment. From this evidence, a reasonable jury could determine that
    State Farm had already met its duty of paying allowable expenses incurred with these doctors.
    McLaren also challenges the adequacy of the verdict because the benefits awarded—
    $8,012.90—does not match any particular unpaid bill or combination of unpaid bills in the
    record.3 However, McLaren cites no authority establishing that a verdict must be deemed
    inconsistent unless the parties or the court can mathematically reconstruct precisely how the jury
    determined the amount that it awarded. “A party cannot simply announce a position and expect
    the court to search for authority to sustain or reject that position.” Hodge, 303 Mich App at 557.
    McLaren also contends that the issue of its damages must be retried because the jury did
    not award the full requested amount of reimbursement for medical treatment. McLaren contends
    that the jury was required to find either that the entirety of treatment provided to Blacksher was
    necessitated by her accident or that none of the services were so connected. McLaren
    mischaracterizes the evidence. There was evidence suggesting that Blacksher did suffer a head
    injury, but that the symptoms resolved sooner than alleged by Blacksher and her doctors. And
    the jury concluded that Blacksher incurred allowable expenses, not necessarily that all of her
    expenses were allowable. Accordingly, the record supported the jury’s conclusion that only a
    portion of the McLaren medical bills amounted to allowable expenses.
    III. ABSENCE OF MATERIAL WITNESS
    As noted, State Farm presented the testimony of Bishop, a claims representative who
    worked on Blacksher’s file. During Blacksher’s deposition of Bishop, counsel discovered that
    3
    McLaren contends that the jury was limited to awarding benefits accumulated on a monthly
    basis because the court precluded McLaren’s medical bills and the jury saw only a monthly
    accounting spreadsheet. As discussed later in this opinion, the majority of McLaren’s bills were
    actually presented to the jury through the State Farm case file.
    -9-
    another State Farm claims representative, Lori Holguin, had originally been assigned the matter,
    and made several critical coverage decisions early in the case. Blacksher subpoenaed Holguin
    before trial, which was originally scheduled to begin in April 2010. The trial was then adjourned
    three times. Each time, Blacksher served a new subpoena. However, despite that Blacksher had
    deposed Bishop, she never sought to depose Holguin.
    On the first day of trial, April 19, 2011, plaintiff’s counsel indicated that he had been
    unable to locate Holguin to serve her with a subpoena for the current trial. Partway through trial,
    it was revealed that Holguin was suffering some health issues that rendered her unavailable to
    testify at trial or to appear for a deposition. The trial court did not disclose the nature of
    Holguin’s ailment, but indicated that it began approximately one week before trial and made her
    unavailable indefinitely. The trial court denied Blacksher’s request to once again adjourn the
    trial until Holguin could be present. Blacksher now contends that Holguin’s role in managing
    the case file was more critical than Bishop’s and that she was prejudiced by the inability to
    question this witness. Accordingly, Blacksher contends, the court’s failure to grant a
    continuance warrants a new trial.
    We review for an abuse of discretion a trial court’s decision on a motion for a
    continuance. Soumis v Soumis, 
    218 Mich App 27
    , 32; 553 NW2d 619 (1996). The party seeking
    the continuance or adjournment must establish good cause and that the adjournment is necessary
    to “promote the cause of justice.” Zerillo v Dyksterhouse, 
    191 Mich App 228
    , 230; 477 NW2d
    117 (1991); MCR 2.503(D)(1). A motion for adjournment based on a witness’s unavailability
    must be made as soon as possible after learning the facts. MCR 2.503(C)(1). “An adjournment
    may be granted on the ground of unavailability of a witness or evidence only if the court finds
    that the evidence is material and that diligent efforts have been made to produce the witness or
    evidence.” MCR 2.503(C)(2).
    Here, the trial court’s decision not to adjourn trial until Holguin became available fell
    within the range of reasonable outcomes. Trial had already been adjourned multiple times, the
    case was nearly three years old, and the original trial date was nearly a year before the date on
    which trial actually occurred. A communication from Holguin’s doctor to the trial court
    indicated that Holguin’s medical condition rendered her unavailable for an indefinite time
    period. Further, Blacksher knew about Holguin long before trial and yet failed to depose her.
    Moreover, the record does not support Blacksher’s contention that Holguin’s absence was
    prejudicial. State Farm claims representative Bishop was involved in handling Blacksher’s
    claim, exhibited familiarity with the file, and was available for cross-examination at trial.
    Blacksher made no offer of proof regarding the content of Holguin’s potential testimony.
    Moreover, the point of this testimony, as expressed by Blacksher, was immaterial to the issues at
    trial. Blacksher contends that she needed to question Holguin about her handling of the claim
    file to establish that State Farm unreasonably delayed making payments. The central issue at
    trial was whether Blacksher incurred allowable expenses, which revolved around the conflicting
    medical testimony concerning the necessity of Blacksher’s treatment. Holguin’s handling of the
    claim was a minor issue in comparison. Overall, we are not convinced that the failure to adjourn
    trial constituted an abuse of discretion.
    -10-
    IV. COURT CONTROL OF QUESTIONING OF BISHOP
    Blacksher argues that the trial court “rushed” her attorney’s cross-examination of Bishop
    and improperly sustained objections to questions posed by her counsel, thereby hindering the
    presentation of her case. Blacksher failed to preserve her challenge to the trial court’s exclusion
    of evidence through the sustaining of objections by making an offer of proof in the trial court.
    See Detroit v Detroit Plaza Ltd Partnership, 
    273 Mich App 260
    , 291; 730 NW2d 523 (2006),
    citing MRE 103(a)(2). While we would generally review such an evidentiary challenge for an
    abuse of discretion, Edry v Adelman, 
    486 Mich 634
    , 639; 786 NW2d 567 (2010), our review of
    unpreserved issues is limited to plain error affecting substantial rights. King v Oakland Co
    Prosecutor, 
    303 Mich App 222
    , 239; 842 NW2d 403 (2013).
    More damaging to her chances on appeal than the lack of preservation, Blacksher fails to
    specify the exact evidentiary rulings that she is challenging. Instead, Blacksher cites several
    dozen pages of the trial transcripts, without explaining which rulings she disputes or the legal
    bases for her disagreement with the trial court’s decisions. In general, Blacksher contends that
    the trial court was “frustrated” with the pace of cross-examination and prevented her counsel
    from asking certain questions because they had already been asked. This was prejudicial,
    Blacksher contends, because it was sometimes necessary to cover certain topics more than once
    because they were relevant to different issues.
    “An appellant may not merely announce his position and leave it to this Court to discover
    and rationalize the basis for his claims, nor may he give issues cursory treatment with little or no
    citation of supporting authority. An appellant’s failure to properly address the merits of his
    assertion of error constitutes abandonment of the issue.” Houghton ex rel Johnson v Keller, 
    256 Mich App 336
    , 339-340; 662 NW2d 854 (2003) (citations omitted). “This Court will not search
    the record for factual support for a party’s claim.” McIntosh v McIntosh, 
    282 Mich App 471
    ,
    485; 768 NW2d 325 (2009). Here, Blacksher cited a large swath of the transcript and expects
    this Court to ascertain the specific rulings being challenged and the legal bases for those
    challenges. We therefore deem this issue abandoned by inadequate briefing. Houghton, 256
    Mich App at 339-340.
    Moreover, Blacksher’s argument that she was “rushed” in presenting proofs and in cross-
    examining Bishop is devoid of merit. MRE 611(a) provides that the trial court “shall exercise
    reasonable control over the mode and order of interrogating witnesses and presenting evidence”
    at trial, to “avoid needless consumption of time.” This case was tried over a course of 11 days.
    During that time, Blacksher was afforded more than ample opportunity to present witnesses and
    exhibits in her case-in-chief and to cross-examine defense witnesses. Defense counsel’s direct
    examination of Bishop covers 13 transcript pages, whereas Blacksher’s cross-examination covers
    152 pages. The sheer length of cross-examination in comparison to direct reflects that
    Blacksher’s counsel was not “rushed.” And Blacksher has identified no additional evidence or
    testimony she would have presented had she not been “rushed.” Blacksher has thus failed to
    establish that any evidentiary error was outcome determinative.
    In a related argument, Blacksher contends that, when sustaining objections to her
    counsel’s questions of Bishop, the trial court made derogatory or prejudicial comments about her
    counsel in front of the jury. Blacksher also failed to preserve this challenge by raising a
    -11-
    contemporaneous objection in the trial court, see People v Sardy, 
    216 Mich App 111
    , 117-118;
    549 NW2d 23 (1996), again limiting our review to plain error. King, 303 Mich App at 239. In
    determining whether a trial court’s comments are improper and prejudicial, we must consider the
    comments in context. Dykema Gossett, PLLC v Ajluni, 
    273 Mich App 1
    , 18; 730 NW2d 29
    (2006), vacated in part on other grounds 
    480 Mich 913
     (2007). Reversal is not warranted if the
    record reflects that the verdict was based on the jury’s review of the evidence rather than the an
    opinion expressed by the trial court. 
    Id.
    “[A] trial judge has wide discretion and power in matters of trial conduct. . . . This
    power, however, is not unlimited.” City of Lansing v Hartsuff, 
    213 Mich App 338
    , 349; 539
    NW2d 781 (1995) (quotation marks and citation omitted). Reversal is required if a trial court
    pierces the veil of judicial impartiality. 
    Id.
     A court pierces the veil of judicial impartiality when
    its conduct or comments have a tendency to unduly influence the jury and deprive a party of a
    fair and impartial trial. Id. at 350. Challenged remarks must be considered in context to
    determine whether they were improper and prejudicial. Dykema Gossett, 273 Mich App at 18.
    The fact that a court’s remarks are improper does not by itself establish the denial of a fair trial;
    the record must demonstrate that the court’s comments reflected bias and prejudiced the jury. Id.
    at 20.
    Blacksher again fails to identify with specificity the comments to which she objects,
    generally asserting that the trial court “inferred [sic] that [her counsel] was not being forthright in
    the representations he was making and testimony he was attempting to elicit from Ms. Bishop.
    In addition, there was an influx of frustration clearly portrayed in front of the jury about the
    length of time it was taking to cover a lot of these intricate issues.” Our review of the record
    reveals no derogatory comments concerning Blacksher’s counsel made in front of the jury.
    At one point, defense counsel objected that plaintiff’s counsel “testif[ied]” by reading
    from an exhibit during cross-examination of Bishop and took the material out of context. In
    overruling the objection, the trial court expounded:
    [Y]ou have the right to conduct your examination as you see fit. However, in my
    opinion lawyers’ credibility rise or fall on what they say before this jury and if the
    lawyers are misquoting, misinterpreting things before a jury the jurors are going
    to know it and so I would just caution any lawyer to always be candid about what
    they say to the jury and I’m not suggesting that you’re not. I’m just saying that
    based on his objection. Now proceed . . . .
    This comment was not prejudicial. The court merely responded to a defense objection that
    plaintiff’s counsel took information in an exhibit out of context. The court overruled the
    objection, made general statements about how it is important for any lawyer’s credibility to be
    candid with the jury, and immediately clarified that it was not implicating plaintiff’s counsel.
    Viewed in context, the remark was not improper. Although the court later expressed concerns
    that plaintiff’s counsel was spending too much time cross-examining Bishop, those comments
    were made outside of the jury’s presence. Accordingly, we discern no grounds for relief.
    -12-
    V. EXCLUSION OF MEDICAL BILLS
    Blacksher and McLaren both challenge the trial court’s denial of McLaren’s motion to
    admit its medical bills at trial. The court excluded this evidence because McLaren did not
    comply with the court’s pretrial scheduling order.
    Trial courts possess authority to set reasonable deadlines in scheduling orders and to
    enforce those deadlines. See MCR 2.401(B)(2); Kemerko Clawson, LLC v RxIV, Inc, 
    269 Mich App 347
    , 349; 711 NW2d 801 (2005). A trial court has “discretion to decline to entertain actions
    beyond the agreed time frame. Were the rules not so construed, scheduling orders would quickly
    become meaningless.” People v Grove, 
    455 Mich 439
    , 469; 566 NW2d 547 (1997), superseded
    on other grounds by MCR 6.310(B) as stated in People v Franklin, 
    491 Mich 916
     (2012).
    “[T]his construction promotes the efficient management of the trial court’s docket and is
    consistent with . . . MCR 1.105,” Kemerko Clawson, LLC, 269 Mich App at 350, which requires
    that court rules be construed “to secure the just, speedy, and economical determination of every
    action . . . .”
    We discern no abuse of discretion in the trial court’s ruling. McLaren ignored the time
    requirements in the court’s scheduling order for exchanging exhibit lists. The record reflects that
    McLaren had notice of and received the pretrial scheduling order, contrary to its appellate
    contention, as it asked for extensions in relation to other deadlines. And McLaren never
    exchanged the proposed exhibit with State Farm before trial, in contravention of the order.
    Defense counsel therefore had no opportunity to review the exhibit as presented by McLaren. In
    any event, approximately one-half of McLaren’s bills were actually admitted into evidence
    through State Farm’s claim file. Further, the parties presented other exhibits from which the jury
    could calculate the amount owed to McLaren, including explanation of benefit forms, letters
    from State Farm, and McLaren’s accounting spreadsheet. During closing argument, McLaren’s
    counsel told the jury that the spreadsheet provided “all of the information that I believe will help
    you in terms of making your calculation. It gives you the account number, dates of service, the
    date it was billed, the amount it was billed for, the date it went past due which by law is thirty
    days after the day it goes out.” The availability of these other exhibits significantly mitigated
    any prejudice arising from the exclusion of McLaren’s medical bills exhibit. Accordingly,
    plaintiffs cannot support their request for relief.
    VI. ATTORNEY FEES
    Finally, in Docket No. 315678, State Farm argues challenges the denial of its motion for
    attorney fees under MCL 500.3148(2). “Under the ‘American rule,’ attorney fees are not
    recoverable as an element of costs or damages unless expressly allowed by statute, court rule,
    common-law exception, or contract.” Reed v Reed, 
    265 Mich App 131
    , 164; 693 NW2d 825
    (2005). MCL 500.3148(2) provides an exception to this rule: “An insurer may be allowed by a
    court an award of a reasonable sum against a claimant as an attorney’s fee for the insurer’s
    attorney in defense against a claim that was in some respect fraudulent or so excessive as to have
    no reasonable foundation.”
    The decision to award or deny attorney fees under MCL 500.3148(2) is
    reviewed for an abuse of discretion. An abuse of discretion occurs when the trial
    -13-
    court’s decision is outside the range of reasonable and principled outcomes.
    However, for purposes of MCL 500.3148(2), a trial court’s findings regarding the
    fraudulent, excessive, or unreasonable nature of a claim should not be reversed
    unless they are clearly erroneous. A decision is clearly erroneous when a
    reviewing court is left with a firm and definite conviction that a mistake was made
    by the lower court. Any issues regarding what legally constitutes fraud in some
    respect, excessiveness, and an unreasonable foundation are questions of law
    subject to de novo review. [Gentris v State Farm Mut Auto Ins Co, 
    297 Mich App 354
    , 361; 824 NW2d 609 (2012) (quotation marks and citations omitted).]
    State Farm sought attorney fees arguing that Blacksher’s and McLaren’s claims were so
    excessive as to have no reasonable foundation. Specifically, plaintiffs collectively sought more
    than $630,000 in benefits, McLaren alone was awarded recovery, and the jury awarded McLaren
    less than 10% of its demand and less than 1.5% of the total damages sought. State Farm also
    references the medical testimony supporting its position that Blacksher either did not sustain a
    traumatic brain injury or that she would have recovered from any injury within a few months as
    supporting the unreasonableness of plaintiffs’ claims.
    As noted previously, there was conflicting evidence regarding the existence and severity
    of Blacksher’s injuries. Accordingly, plaintiffs’ quest for allowable expenses was not
    unreasonable or fraudulent. The small size of the jury’s award also does not support that
    plaintiffs’ claim was unreasonable or excessive. Although the disparity between the amount
    demanded and the ultimate award may comprise evidence that the initial claims were excessive,
    that does not mean that the disparity conclusively established that the claims were excessive.
    Given the conflicting medical testimony presented to the jury, the trial court did not clearly err
    by rejecting State Farm’s contention that plaintiff’s claims were so excessive as to lack a
    reasonable foundation.
    We affirm.
    /s/ Elizabeth L. Gleicher
    /s/ Deborah A. Servitto
    /s/ Amy Ronayne Krause
    -14-
    

Document Info

Docket Number: 315678

Filed Date: 12/4/2014

Precedential Status: Non-Precedential

Modified Date: 4/18/2021