Dozier v. State Farm Mutual Automobile Insurance
Dozier v. State Farm Mutual Automobile Insurance
Opinion of the Court
The sole issue on appeal is whether the letter of notification sent by plaintiffs to defendant State Farm Mutual Automobile Insurance Company was sufficient to extend the statute of limitation as provided under § 3145(1) of the no-
On June 9, 1976, plaintiff Isabell Dozier was riding a bicycle when she collided with a car driven by Michele Rebbe. As a result of this accident, Mrs. Dozier suffered personal injury and incurred various medical expenses. At the time of the accident neither Mrs. Dozier nor any relative with whom she was domiciled was covered by a no-fault insurance policy.
On June 25, 1976, plaintiffs, through their attorney, sent the following letter to defendant, the insurer of Michele Rebbe’s car.
"RE: Accident of 6/9/76
Your insured: Michele Rebbe and/or Joseph Rebbe
Dear Sir:
Please be advised that I have been retained by Mr. and Mrs. William Dozier to represent them in regard to the injuries sustained by Mrs. Dozier in the accident of June 9th.
I hereby claim a lien on any and all settlements in regard to this accident. All future contacts will be made through my office. Please do not contact my clients directly.
Your cooperation would be appreciated.”
On March 9, 1977, defendant, through its claims adjuster, acknowledged receipt of this communique with the following letter:
"Re: Your Client: William Dozier Our Insured: Joseph Rebbe Our File No: 22 6263 142
Dear Mr. Havey
Please be advised that I am in receipt of your correspondence dated June 25, 1976 regarding the above-captioned loss.
Also please be advised that I am the adjuster handling this file and all future correspondence should be sent directly to my attention. Please forward all specials you have in your file regarding this loss.
I wish to thank you for your anticipated cooperation in this matter.”
On June 15, 1977, one year and six days after the accident of June 9, 1976, plaintiffs filed suit against defendant, claiming personal protection benefits under Rebbe’s no-fault insurance policy for physical, mental and economic damages pursuant to MCL 500.3105; MSA 24.13105. Defendant answered by asserting that plaintiffs’ suit was barred by their failure to comply with § 3145(1) of the no-fault act.
As the essential facts were undisputed, the trial court considered the matter after taking oral argument and written briefs on the matter. On August 9, 1978, the court held that plaintiffs’ letter of June 25, 1976, was defective under the statute because it failed to indicate "Mrs. Dozier’s full name, her address, the nature of her injuries or the place of the injuries”. Accordingly, the trial court held that plaintiffs’ complaint was not timely filed under § 3145(1).
Section 3145(1) states:
"An action for recovery of personal protection insurance benefits payable under this chapter for accidental
By now it is clear beyond peradventure that this section is a one-year statute of■ limitations, with a provision enabling claimants to extend the period for recovery of personal protection insurance benefits up to one additional year by giving notice.
The last portion of § 3145(1) provides that the written notice
"may be given to the insurer or any of its authorized agents by a person claiming to be entitled to benefits therefor, or by someone in his behalf. The notice shall give the name and address of the claimant and indicate in ordinary language the name of the person injured and the time, place and nature of his injury”.
The "big query” as perceived by the trial judge "is how this type of statute should be construed”. The trial court properly rejected either a strict or a liberal construction of § 3145(1), choosing instead to construe the statute by the "plain meaning of the words”. Collins v Motorists Mutual Ins Co, 36 Mich App 424; 194 NW2d 148 (1971), lv den 388 Mich 812 (1972), Davis v Green Oak Twp, 65 Mich App 188; 237 NW2d 241 (1975). More particularly, the following statement is instructive in construing statutes of limitations:
"On the other hand, the judiciary must strictly adhere to such periods of limitation, and in construing such statutes, the court should consider the purpose thereof.” 20 Michigan Law & Practice, Statute of Limitations, § 2, pp 545-546. (Footnotes omitted.)
See generally, 16 Callaghan’s Michigan Civil Jurisprudence, Limitations of Actions, § 4.
The policy and purposes such statutes are intended to serve have been stated thus:
"Statutes of limitations are intended to 'compel the exercise of a right of action within a reasonable time so that the opposing party has a fair opportunity to defend’; 'to relieve a court system from dealing with "stale” claims, where the facts in dispute occurred so long ago that evidence was either forgotten or manufactured’; and to protect 'potential defendants from protracted fear of litigation’.” Bigelow v Walraven, 392 Mich 566, 576; 221 NW2d 328 (1974).
Notice provisions have different objectives than statutes of limitations:
"Notice provisions are designed, inter alia, to provide time to investigate and to appropriate funds for settlement purposes.” Davis v Farmers Ins, supra, at 47.
In light of these objectives, and the existence in a single statutory provision of both a notice provision and a limitation of action provision, we conclude that substantial compliance with the written notice provision which does in fact apprise the insurer of the need to investigate and to determine the amount of possible liability of the insurer’s fund, is sufficient compliance under § 3145(1).
Generally speaking, provisions for the giving of notice of claims to an insurer will be liberally construed in favor of the insured and substantial compliance therewith will suffice. 44 Am Jur 2d, Insurance, § 1482.
"No matter what the form of a notice of loss may be, if it operates to bring the attention of the insurer to the loss or accident, sets forth the essential facts upon which the liability of the insurer depends, and appears credible, it is sufficient.” Id., p 350.
And see id., § 1491, 45 CJS, Insurance, §§ 982(5)(a), 987, 1057, 1088. 2 Callaghan’s Michigan Civil Jurisprudence, Automobiles and Motor Vehicles, §191.
Certainly, the plaintiffs’ letter operated to inform defendant of the accident out of which the
Nevertheless, in view of the defendant’s acknowledgment of plaintiffs’ letter (rather than denial of liability or a request for additional information) and its adjuster’s request to "forward all specials you have in your file regarding this loss” we are persuaded that defendant waives its right to assert the insufficiency of the notice. Since the notice provision is for the protection of the insurer, Exo v Detroit Automobile Inter-Insurance Exchange, 259 Mich 578; 244 NW 241 (1932), it follows that the insurer can waive the adequacy of the notice. Pastucha v Ross, 290 Mich 1; 287 NW 355 (1939), see Anno: Liability insurance: clause with respect to notice of accident or claim, etc., or~ with respect to forwarding suit papers, 18 ALR2d 443, 487. Defendant’s letter of March 9, 1977, appeared to acknowledge its liability, or at least did not dispute it. While we do not conclude that defendant must establish prejudice in order to require strict enforcement of the notice provision, compare, Wendel v Swanberg, 384 Mich 468; 185 NW2d 348 (1971), we note that all of the purposes for which statutory notice is intended have been either met or waived in the instant case.
Accordingly, the lower court’s judgment of no cause of action in favor of defendant should be
Reversed and remanded.
Because § 3145(1) and (2) specifically designate a one-year statute of limitations for personal protection benefits and property protection benefits payable under the no-fault act, respectively, it follows that actions brought under the residual liability insurance provision, MCL 500.3131; MSA 24.13131, or for tort liability remaining under the no-fault statute, MCL 500.3135; MSA 24.13135, are still subject to the traditional statutes of limitations for such actions. However, since plaintiffs claimed personal protection insurance benefits under § 3105, MCL 500.3105; MSA 24.13105, the applicable statute of limitation is found in § 3145 of the no-fault insurance act.
Concurring Opinion
(concurring). I concur in the result reached by Judge Allen, but would prefer to limit our decision to the facts and address the rationale of the trial judge’s decision which found the plaintiff’s claim related to third-party benefits and not to no-fault personal injury protection benefits. I believe the rule should be that an insurance company which has notice of a given claim on a given policy, as evidenced by State Farm’s March 9, 1977, letter of acknowledgment, should not be able to disclaim notice for PIP benefits while negotiating, adjusting, reserving, or denying benefits on the same policy arising out of the same accident for the same claimant for third-party benefits.
I do not think that the rationale should be based on a waiver analysis because such might encourage the insurance companies to postpone acknowledgment of claims with the concomitant result of increased resort to the court with claims that should be adjusted without litigation.
Reference
- Full Case Name
- Dozier v. State Farm Mutual Automobile Insurance Company
- Cited By
- 24 cases
- Status
- Published