Woodrow Byers was a bail bondsman employed by his wife's corporation until he suffered a severe knee injury in a motor vehicle collision. State Farm stopped paying PIP benefits because it believed that he was continuing to work for his wife's business, even though he wasn't paid, a substitute "bounty hunter" was employed, and the medical testimony was undisputed regarding Byers' inability to work as a "bounty hunter." On the eve of trial, State Farm finally paid for Byers' knee surgery--one year late--in what the court concluded was a calculated attempt to avoid defending the delay at trial. The jury still awarded Byers' wage loss, a modest recovery for domestic service losses, and interest. When the Court awarded attorneys' fees relating to the "overdue" medical benefits, State Farm appealed both the jury verdict and the Court's fee award.
Continue reading "State Farm chastised for "disingenuous" actions in delaying payment of PIP benefits" »
When a no fault insured Michigan resident is so badly injured in a motor vehicle accident that he or she cannot manage his or her own affairs--necessitating the appointment of a guardian or conservator--the insurer responsible for paying PIP benefits (medical, three years of wages and household services) is required to pay the expense of the guardian. William McDonald became the Conservator for Larry Jerome LeBoeuf under these circumstances, but was not initially aware of his right to bill AutoOwners for his service. More than a year after some of his services were incurred, but less than a year after they were approved by the Probate Court, as required, he sued AutoOwners to recover his expenses.
Continue reading "AutoOwners wins partial victory in dispute over PIP benefits" »
On November 2, the KidsAndCars.org group challenged the National Highway Traffic Safety Administration to account more accurately for children injuries and deaths associated with power auto windows. It called for the universal application of an "auto reverse" feature on car windows to protect children. NHTSA responded that the risk to children is a "small, but persistent problem," not requiring government action. It estimates that car windows cause 1995 injuries to children annually, which it claims are "mostly minor," and six deaths. A 2003-4 study documented similar numbers, annually. Making the changes requested by KidsAndCars would cost about $6 per window.
Vivian Atkins was injured when two Suburban Mobility Authority for Regional Transportation (aka "SMART" buses) collided in Wayne County. She filed an Application for no fault PIP benefits promptly, and later filed a lawsuit alleging a more serious "third-party" injury meeting the "serious impairment" threshold. Her claim was dismissed on the theory that she had provide only "notice of her injury" and not "notice of her claim" within 60 days. The Court cited the controversial "Engler Gang of Four" Rowland v. Washtenaw County Road Commission decision, for its holding that the SMART defendant need not show that it was prejudiced by any defect in Atkins' Notice.
Continue reading "No fault PIP application is adequate notice of victim's injury and potential third-party claim" »
In a complicated case, Ruth Webb's car shuddered and vibrated after it was repaired following a minor collision. She complained repeatedly to Progressive Insurance and Adrian Dodge, the entity that was paid to fix the front end. Adrian Dodge claimed it couldn't find anything else wrong and Progressive claimed that any additional problems with the car related to normal "wear and tear." Webb had the vehicle examined by other mechanics who confirmed collision damage, but when she sued Adrian Dodge in Small Claims to compel it to complete the repairs, the magistrate ruled against her.
A few weeks later, she lost control of the car when it began vibrating and Webb was badly hurt in a collision. A mechanic who examined the vehicle found damage in the left tie rod socket and steering knuckle that he felt was related to the original collision and the vibration problem--and which he believed caused the second collision.
Continue reading "Woman can sue dealership for failing to identify needed repairs" »
The trial court originally ruled that Jenne Ott was entitled to PIP benefits from Progressive Michigan Insurance Co., because Progressive had insured the vehicle in which she suffered injuries as a passenger. Progressive argued, however, that the woman who purchased its insurance policy might not have enjoyed an ownership interest in the car, and therefore Ott should collect PIP benefits from the Assigned Claims plan (because Progressive should be allowed to cancel the insurance).
Continue reading "Insurer wins appeal: injury victim's right to PIP benefits must be determined by jury" »
Raymond Andres was horribly injured in a car accident and now requires 24 hour attendant care. State Farm was his auto (PIP) insurer and has been obligated to pay for this care. State Farm initially entered into an agreement to pay Andres' family for the care provided, but later refused to pay, alleging that the agreement had been fraudulently arrived at by some form of collusion between Andres' attorney and State Farm's adjuster.
Continue reading "Supreme Court reverses lower court decision; allows State Farm to claim fraud" »
Judges Christopher Murray, Jane Markey and Stephen Borrello wrapped up a good month for the insurance industry by ruling against Linda Berishaj on her "serious impairment" claim. The judges found a basis to throw out each of the injury cases on their docket, completing a "clean sweep" on Friday by dismissing four cases. In Berishaj v. Shkreli and Auto Club, the judges ruled that a woman injured in a car accident couldn't sue the at-fault driver, even though her injury was objectively manifested and signficantly impaired her ability to walk. The evidence showed that Berishaj was confined to a wheelchair for five months, used a walker for five more, and then began using a cane to ambulate: the judges concluded this was not adequate proof to demonstrate that she had suffered a "serious impairment of bodily function."
Judges Christopher Murray, Jane Markey and Stephen Borello, constituting a panel of the Court of Appeals, handed down several opinions this week, all of which managed to result in victories for an insurance company. Among them: the dismissal of Gunnard Kyllonen's injury case against William Luepnitz. Luepnitz had caused a car accident in which Kyllonen suffered a shoulder injury. Kyllonen endured two surgeries on the shoulder (one to insert a screw and another to remove it) and pain, limitation of work and recreational activities, and some continuing disability. The judges held that his injury was not a "serious impairment."
Rochelle Washington, a Texas resident driving a car registered in Texas, was injured in a Michigan car accident. Initially, her insurer, "Old American County Mutual Fire Insurance Co.," paid her PIP benefits. After paying a little over $13,000.00 in medical and wages, however, Old American stopped paying and Washington sued it and Titan Insurance--the assigned insurance company under the Assigned Claims Plan. Old American is not registered in the State of Michigan, and therefore not obligated to pay PIP benefits under Michigan law; it could still be obligated under the terms of its policy/contract. The Court of Appeals concluded that it was not, however.
Continue reading "Texas resident cannot collect Michigan PIP benefits from his insurer" »
Sallie Smith was allegedly hurt when Michael Lundeen made a left turn in front of her on a winter day. He argued that she was speeding and ran a red light, but never offered that excuse to the investigating officer. The jury found in favor of Lundeen, but the Court granted a new trial, finding that the verdict was "against the great weight of the evidence." The judge pointed to the inconsistency of the Defendant's excuses and also the fact that the Defense attorney violated the judge's pre-trial ruling precluding him from offering weather as an excuse and from bringing up the plaintiff's denial of Social Security Disability.
Continue reading "Trial judge's grant of new trial is reversed by Court of Appeals" »
Cyrus Trent was killed in a motor vehicle caused by Hilda Mae Rippy, the mother of Barbara Goldmanl The Estate of Trent sued Rippy but Citizens refused to honor the liability policy that would otherwise have provided umbrella protection to Rippy and the Goldman family. Citizens argued that under the Oade v. Jackson National LIfe case, it owed no coverage because the Goldmans had not included Rippy--who lived above their garage--as a member of their "household" in their original application for the umbrella insurance policy. In the Oade case, the insured's life insurance application had accurately stated that he had never been hospitalized with cardiac concerns when he submitted it, however, he had been seen in the Emergency Room and hospitalized with chest pain prior to the issuance of the policy. His failure to up-date his application was deemed to be a material misrepresentation.
Continue reading "Citizens Insurance allowed to rescind its umbrella policy after car accident" »
David Aslani sued State Farm and its insureds, alleging injuries resulting from a motor vehicle collision. The Court became frustrated with the behavior of both plaintiffs and State Farm, declaring the case "a mess" and asserting control over the scheduling of discovery. When Aslani appeared for his court-ordered deposition, however, he refused to answer certain areas of questioning and engaged in an obnoxious colloquoy with the State Farm attorney; when his behavior was challenged before the trial judge (who, by now, had had enough), he argued that while he was ordered to appear for the deposition, he wasn't ordered to answer questions. The trial judge dismissed his injury claim and Aslani appealed.
Continue reading "Court dismisses litigant's claims in response to uncivil behavior" »
Several years ago, the Michigan Supreme Court was dominated by a group of Justices hand-selected by Governor Engler for their fidelity to the Chamber of Commerce and the insurance industry. In a 4-3 decision, these Justices reversed a 19-year old precedent and re-interpreted the no-fault law to limit PIP actions by a one-year statute of limitations. This week, their decision cost an insurer thousands of dollars in reimbursement.
Continue reading "Insurer bit by consequences of judicial activism" »
Annie Smith was injured in a motor vehicle collision. She sued the at-fault, who turned out to be uninsured. Her attorneys wrote to her insurer, MEEMIC Insurance Company, informing them of the latter development and seeking to negotiate her Uninsured Motorist (UM) claim. MEEMIC refused to respond. Smith's attorneys obtained a default judgment against the at-fault and then sued MEEMIC. The trial court dismissed Smith's action against MEEMIC, in reliance on MEEMIC's policy provision that voided its UM Coverage in the event that the insured settled with, or took a judgment against, the at-fault. Smith's attorneys appealed.
Continue reading "Uninsured Motorist insurer can't avoid coverage on a technicality" »
Laura Putnam-Wesener suffered a head injury, apparently, in a motor vehicle collision. She sued the other driver and she also had to fight with her own insurer, Farm Bureau, to collect PIP benefits. Ultimately, she settled the claim against the at-fault. In the meantime, Farm Bureau sought leave of the court to add as expert witnesses the neurologist and neuropsychologist who had examined the injured woman for the at-fault's insurer. The problem was that Farm Bureau sought to add the experts 18 months late, and the Court had already extended the expert witness deadline once to accommodate Farm Bureau's request to add expert physicians.
Continue reading "Farm Bureau punished for "lying in the weeds" on experts" »
When the Engler Majority of the Michigan Supreme Court jacked up the proof required to document a "serious impairment of bodily function" under the no fault act, one group of victims denied compensation was composed of people who suffered injuries to the spleen. In a number of cases, Michigan courts applying the "life-altering injury" standard engrafted on the threshold by insurance activists had held that a victim's spleen injury was not "serious," even if it resulted in a major operation and removal of the spleen. Recent medical research has documented the short-sighted unfairness of these decisions.
Continue reading "Spleen injuries and "serious impairment"" »
In its recent decision in Caiger v. Oakley, et al., the Court of Appeals unanimously reversed a St. Clair County judge's dismissal of Donald Caiger's injury claim. Caiger suffered a knee injury in a car accident caused by Oakley in 2005. Within weeks, Caiger's doctor performed arthroscopic surgery on the knee, and 11 months after the collision Caiger was forced to undergo a knee replacement.
Continue reading "Court overturns absurd "serious impairment" decision" »
In Horvath v. Don Johnson, et al., the Court of Appeals rejected the defendant's claim that loading and unloading bus passengers does not constitute operating a bus "as a motor vehicle". Under governmental immunity statutes, governmental entities remain responsible for their employees' negligence in operating motor vehicles. The so-called "Engler Majority" or "Gang of Four" insurance-oriented Justices of the Supreme Court have interpreted this statute in a way that has denied standing to a number of injury victims. For example, it has held that maintaining a bus, conducting a police chase, or plowing snow may not constitute "operation of a motor vehicle"--even if the actor is doing precisely that. This trend was rejected in the Horvath case, however, when the Court of Appeals dismissed the bus authority's claim that unloading passengers was not "operation" of the vehicle.
Continue reading "Transportation Authority loses argument that unloading bus passengers is "not operating a motor vehicle." " »
The Associated Press reported on August 21 that the Michigan Supreme Court has agreed to reconsider a case involving the "life-altering" serious impairment interpretation of the no fault law adopted by Justice Clifford Taylor and the so-called Engler Gang of Four. The latter justices, hand-selected by then-Governor Engler with an eye toward cozying up to the Chamber of Commerce and the insurance industry, adopted a number of lawsuit "reforms," including a re-analysis of the no fault threshold that severely limited when injured car accident victims could sue.
Continue reading "Michigan Supreme Court to reconsider Kreiner no fault "serious impairment" standard?" »
Tracie Couture's husband, while driving a motorcycle, was killed by a negligent driver. The at-fault driver was insured with Farm Bureau. Prior to the fatal collision, the at-fault's husband had asked his insurance agent to reduce the cost of their auto insurance coverage. The agent re-wrote the terms of the policy to eliminate or reduce several coverages, but by mistake Farm Bureau increased their liability coverage to $300,000.00. The insured, Rodney Daniels, paid the insurance bill--now reduced--without noticing that his liability coverage and premium had actually increased. After Couture's husband was killed, however, Farm Bureau attempted to reduce the coverage to $20,000.00, even though Daniels had paid for the greater coverage.
Continue reading "Farm Bureau can't re-write insurance contract to reduce coverage from 300K to 20K" »
In James v. AAA Insurance Company, the Court of Appeals held that the Wayne County Circuit Court would have to take a second look at James' PIP claims. The lower court had held that James could not collect for her hospital billings because she did not admit into evidence the actual itemized hospital billings, however, the Appellate Court ruled that James' testimonial evidence was adequate to support an award of these expenses, if the jury chose to believe the testimony: she was not required to offer the "best evidence" of the expenses reasonably incurred, leaving the jury to decide what weight should be given her testimonial evidence.
Continue reading "Court of Appeals sends PIP claim back to Wayne County Circuit bench" »
Daniel Bamm was injured in a motor vehicle collision. All three of his treating doctors agreed that his newly-identifed herniated discs were caused by the accident, however Farm Bureau refused to pay the related Personal Injury Protection (PIP) benefits, claiming that his back problems predated the collision. Ultimately, the jury found that the back problems were related to the collision, and the trial judge hit Farm Bureau with $90,000.00 in attorney fees, finding that it "unreasonably delayed payment" of benefits. The Court of Appeals upheld this award.
Continue reading "Court upholds $90,000.00 fee award against Farm Bureau for unreasonable delay in paying benefits" »
The Virginia Tech Transportation Institute recently published data it procured from a study financed by the Federal Motor Carrier Safety Administration. The study videotaped 100 long-haul truckers constantly for 18 months. It concluded that a texting driver is 23 times more likely to be involved in a motor vehicle collision. It regularly observed texting drivers take their eyes off the road for five seconds or longer--long enough to travel the length of a football field. The study confirmed the results from several previous studies, leading the director of the Institute to conclude "You should never do this, it should be illegal."
Continue reading "Another study documents "crazy" risk of texting while driving" »
The Sixth Circuit reversed the District Court in an Eastern District case this month, and sent a death case back to the lower court for a new jury to consider. In Biegas v. Quickway Carriers, Inc., the widow of a dump truck driver sued the driver and employer of a semitractor that struck her husband after he climbed out of his disabled truck on the freeway shoulder.
Continue reading "Comparative fault of drivers is not a question of law for the court" »
In 2004, Patricia Paquette sued her son Richard's auto insurance carrier, State Farm, for fraud and misconduct related to its failure to pay Personal Injury Protection benefits for Richard's care. Richard suffered a catastrophic brain injury in 1985 and Patricia cared for him at home. She maintained that State Farm concealed its duty to pay a reasonable sum for attendant care and basically defrauded Richard of his right to benefits. State Farm claimed that it had no duty to advise her with regard to her son's legal PIP benefits and that, in any event, even if it committed misconduct, Ms. Paquette was too late in filing suit.
Continue reading "Court of Appeals affirms fraud-type verdict against State Farm" »
This month, the Center for Auto Safety and Public Citizen published data they secured through the Freedom of Information Act, documenting the significant safety risk associated with cell phone use while driving. The federal Transportation Department had gathered this information in 2005 and 2006, but did not disseminate it during the Bush Administration in order to maintain favor with the cell phone industry. Until 2009, the latter industry argued that cellphone use while driving was not a danger and should not be regulated.
Continue reading "Bush Administration withheld data on danger of cell phone use while driving" »
Dr. Anthony Adeleye was hurt when a chunk of concrete fell from the M-39 overpass and struck his windshield, as he was driving south on the Lodge. He sued the Michigan Department of Transportation (MDOT) for failing to properly maintain the overpass bridge. Luckily, his attorneys alleged that one cause of the deterioration of the bridge was the failure to maintain the roadway surface that rested on the bridge. MDOT argued that it should have no responsibility for failing to properly inspect and maintain the bridge because its statutory duty to "maintain a reasonably safe roadway" applies only to the traveled surface and not to the structure supporting it.
Continue reading "Cement falls from overpass injuring doctor--he MIGHT have valid claim against road authority" »
Mary Ann Hennig sued the City of Troy and one of its officers after she suffered significant injuries in a car accident. She was traveling on I-75 when she was rear-ended at high speed by a police vehicle involved in a chase. The City appealed after the trial court refused to dismiss the claim; the City argued that the claim should be dismissed as a matter of law, but the trial judge said there were too many disputed facts to render judgment for the City and its officer.
Continue reading "Sometimes what we really need is a man of the cloth: police chase goes to jury" »
Rachael Venzuch underwent several spinal surgeries after severe injuries in a car accident. She was left with significant permanent restrictions as a result and filed a lawsuit against the at-fault driver. In defending her case, the insurance attorneys apparently took some photographs from her social networking site (a common practice today) and attempted to use them to cross examine the girl. She was allegedly evasive in replying to the attorneys, supposedly failing to forthrightly provide last names of companions and failing to assist in making them available for depositions. At the insurer's request, the trial court ordered that she supply a $10,000.00 bond before going forward with her case; her attorneys appealed this order.
Continue reading "Court can't require security bond because injured teenager is evasive in identifying friends" »
Charlotte Chalko sued State Farm for 24 hour attendant care. Chalko is obese and has other health problems, and suffered a severe ankle fracture in a motor vehicle collision. She claimed that the ankle fracture compounded her existing physical problems, resulting in respiratory failures and the need for full-time attendant care. She presented the testimony of her doctor in support of her claim, but State Farm hired two doctors who testified that any need for attendant care was solely the result of her other health problems and unrelated to her ankle injury.
Continue reading "Woman's right to attendant care under no fault is rejected" »
Kinda Kayl suffered a knee injury in a 1994 motor vehicle collision. Ten years later, she was still having trouble and required medical care which her doctor attributed to the collision. Under Michigan's no fault law, if Kayl's current care was caused, in part, by the prior collision, Allstate, her insurer at the time, was obligated to pay the medical expenses. Kayl filed suit, and Allstate sought summary disposition claiming the recent care was caused by a more recent collision and not by the 1994 injuries. Allstate's attorney also argued, at some point, that Kayl had not properly submitted evidence of her current expenses and treatment. Her attorney responded with an affidavit documenting her submission of claims, however, Kayl's signature was not secured on the affidavit until after the hearing.
Continue reading "Allstate achieves dismissal of PIP claim on a technicality" »
Laura Woods required surgery on her neck after Margaret Naylor drove into a pothole containing wet cement. Woods was a passenger in Naylor's car as they approached a work scene. The City had posted no barriers or warnings, and both women claimed to have seen the pothole only at the last moment. The claim against the City was dismissed because proper notice wasn't given--even though City workers were at the scene and observed the incident--and the jury then concluded that the driver was not at fault.
Continue reading "Pothole claims against City and driver are defeated after passenger suffers neck injury" »
Neil Begin was rendered a quadraplegiac in a motor vehicle collision while he worked for Michigan Bell Telephone. Bell is self-insured for no fault and workers compensation. It argued that since Begin drove a van before his injuries, it should not be required to provide him with a replacement van after his wore out; it relied upon the Engler majority's decision in the Griffith v. State Farm case, where the Court ruled that the no fault insurer was not required to compensate a seriously-injured accident victim for necessities that non-injured persons also require.
Continue reading "Quadraplegiac gets a new van under no fault rules." »
In MacDonald v. Koch and Norandex Reynolds Distribution Co. the Court of Appeals recently held that affidavits filed by the injured man's doctors were sufficient to create a question of fact with regard to whether MacDonald had suffered a traumatic brain injury that constituted a "serious impairment of bodily function." MacDonald had sued the at-fault driver and his employer after a motor vehicle collision. By law he must prove that he suffered a "threshold" injury, and the pertinent statute addresses the proofs necessary to prove a head injury separately from other injuries.
Continue reading "Doctors' affidavits establish question of fact regarding traumatic brain injury" »
The Estate of Michael Verschure sued Essex Insurance Co. after Michael was run over in a bar parking lot. Essex wrote liability insurance on the bar, "Wild Woody's" in Roseville. Essex denied responsibility for the incident, claiming the events leading to Verschure's death were not an "occurrence" under the policy, that liability was excluded as an "intended injury" and that the broad auto-related injury exclusion in its policy applied to Michael's death.
Continue reading "Insurer allowed to exclude coverage arising from use of an auto" »