Marquis v. Hartford Accident & Indemnity
Marquis v. Hartford Accident & Indemnity
Dissenting Opinion
(dissenting). I respectfully dissent. It is well settled that "work loss” as provided by the no-fault act refers to loss of actual income and not to loss of earning capacity. Ouellette v Kenealy, 424 Mich 83; 378 NW2d 470 (1985). The no-fault act defines work-loss personal protection insurance as follows:
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 had not been injured .... [MCL 500.3107(b); MSA 24.13107(b). Emphasis added.]
In the present case, the majority has confused loss of earning capacity and loss of actual earnings. In Nawrocki v Hawkeye Security Ins Co, 83 Mich App 135, 141-142; 268 NW2d 317 (1978), Judge (now Chief Justice) Michael F. Cavanagh noted that the distinction between the loss of earning capacity and the loss of actual income is the difference between what a claimant "could have” earned and "would have” earned. Further, the no-fault act provides recovery for only the latter:
First, we note that the cases which discuss earning capacity damages stress repeatedly that plaintiffs right is to recover not what he would have earned but what he could have earned. Prince v Lott, supra, 369 Mich at 610; 120 NW2d at 782, Lorenz v Sowle, supra, 360 Mich at 555; 104 NW2d*292 at 349-350, Coger v Mackinaw Products Co, 48 Mich App 113, 125; 210 NW2d 124, 130 (1973). This contrasts sharply with the language of the statute before us: "benefits are payable for . . . loss of income from work an injured person would have performed . . . .” Giving this language the plain meaning which we must, it seems evident to us that the statute is not an enactment of the common-law rule. [Emphasis in original. 83 Mich App 141-142.]
The circuit court ruled below that after plaintiff chose to become voluntarily unemployed,
Our decisions have repeatedly held that work-loss benefits are payable only for loss of actual income caused by an automobile accident injury. Subsequent events that are independent and intervening may break the necessary chain of causation. In MacDonald v State Farm Mutual Ins Co, 419 Mich 146; 350 NW2d 233 (1984), our Supreme Court held that a claimant’s unrelated heart attack was a subsequent and intervening event that terminated the no-fault carrier’s liability for work-loss benefits. The Supreme Court has summarized its holding in MacDonald as follows:
*293 In MacDonald v State Farm Mutual Ins Co, 419 Mich 146; 350 NW2d 233 (1984), this Court held that where a person suffers an unrelated injury, a heart attack, after an automobile accident and is rendered unable to work, eligibility for work-loss benefits ceases because no income would have been earned even if the accident had not occurred. [Ouellette, supra at 86. Emphasis added.]
Further, the incarceration of a claimant following a criminal conviction is also an independent and intervening event that breaks the causal connection necessary for the payment of no-fault work-loss benefits. Smith v League General Ins Co, 143 Mich App 112; 371 NW2d 491 (1985), rev’d 424 Mich 893 (1986); Luberda v Farm Bureau General Ins Co, 163 Mich App 457; 154 NW2d 245 (1987). Under such circumstances, the no-fault carrier is not responsible for work-loss benefits during the period of incarceration because an event unrelated to the automobile accident removed the claimant from the work force.
In this case, like in Coates v Michigan Mutual Ins Co, 105 Mich App 290; 306 NW2d 484 (1981), a decision by the plaintiff, not the automobile accident, controls plaintiff’s income level. Plaintiff’s decision not to work is a cause independent and intervening from the accident. Under such circumstances, "[plaintiff’s] eligibility for work-loss benefits ceases because no income would have been earned even if the accident had not occurred.” Ouellette, supra at 86.
Finally, I note that such a construction of the no-fault statute is consistent with the judicially created favored-work doctrine that we have repeatedly applied in the context of the Workers’ Disability Compensation Act. In a factually similar case, Coon v Rycenga Homes, 146 Mich App 262; 379 NW2d 480 (1985), we held that a workers’ compen
For these reasons, I respectfully dissent and would affirm.
Plaintiffs brief contains the following admission:
Plaintiff-appellant’s subsequent employment was for a period of approximately six weeks, when she voluntarily quit. Plaintiff-appellant admits that since she voluntarily quit her employment, she has failed to mitigate her damages.
Opinion of the Court
ON REMAND
This matter is before us on remand from the Supreme Court for consideration as on leave granted. 436 Mich 866 (1990). Plaintiff appeals and defendant cross appeals from an order of the St. Clair Circuit Court which affirmed in part and reversed in part the judgment of the district court.
On November 16, 1985, plaintiff was injured in an automobile accident which disabled her from her employment. When she was medically released to return to work on March 6, 1986, a permanent replacement had filled her position with her original employer. Plaintiff received no-fault work-loss benefits until she began work for a new employer on September 1, 1986. Her wages in the new position were, on average, $233.60 lower per week than those paid by her former employer. Within two months, plaintiff became dissatisfied with her new job and voluntarily resigned.
Plaintiff argued below that defendant, the no-fault insurance carrier, was liable for eighty-five percent of her wage differential. The differential is the spread between her earnings at her former employment and those at her new employment the two months she worked there and while she was voluntarily unemployed. See MCL 500.3107(b); MSA 24.13107(b). The district court ruled that defendant was responsible for no work-loss benefits after plaintiff commenced her second job. The circuit court reversed and held defendant responsible for eighty-five percent of the wage differential after plaintiff returned to work. We affirm that ruling. However, the circuit court went on to refuse to make defendant responsible for any work-loss benefits after plaintiff became voluntarily unemployed. With that holding, we disagree.
The no-fault insurance act defines "work loss” personal protection insurance as:
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 had not been injured .... [MCL 500.3107(b); MSA 24.13107(b).]
"Work loss” includes actual loss of income. It does not include loss of earning capacity. Ouellette v Kenealy, 424 Mich 83; 378 NW2d 470 (1985). Here, the circuit court ruled that after plaintiff chose to become voluntarily unemployed, her "work-loss” claim was for loss of earning capacity rather than for loss of actual earnings. We disagree. Quellette quite clearly distinguishes the earning capacity loss involved there with a wage loss, which is what plaintiff suffered in the case before us.
Work-loss benefits are payable only for loss of actual income caused by automobile accident injuries. We recognize that subsequent events which are independent and intervening may break the necessary chain of causation. See Smith v League General Ins Co, 143 Mich App 112; 371 NW2d 491 (1985), rev’d 424 Mich 893 (1986); MacDonald v State Farm Mutual Ins Co, 419 Mich 146; 350
In this case, unlike MacDonald, Smith and Luberda, no independent and intervening event broke the chain of causation. By contrast, in MacDonald, the plaintiff had a heart attack which was unrelated to the accident-related injuries. In Smith and Luberda, it was the plaintiffs’ subsequent incarcerations that prevented them from working. In each of these cases, the plaintiffs would have earned no wages after the intervening events, even had the automobile accidents and resultant injuries never occurred. See Ouellette, supra.
Although Coates involved a claim for work-loss benefits, it too is distinguishable from this case. Coates, 297-298. Coates held that work-loss benefits are for loss of income an injured person would have received but for the "injury” and not, as the plaintiff argued, but for the "accident.” Id., 298. The plaintiff in Coates suffered loss of income because of damage to his truck caused by the accident, not because of injuries sustained.
Our decision in this case, to continue benefits based on the pay differential, does not reward plaintiff for quitting; it also does not reward defendant for the happenstance that plaintiff’s new job did not work out. Furthermore, it implicitly recognizes that plaintiff was forced to take the new job because of accident-related injuries. The benefits which plaintiff is eligible for are those which resulted from wage loss due to her injuries and which continued regardless of whether she kept the new job.
We find no basis to deny plaintiff no-fault work-loss benefits for pay loss suffered because of her accident-related injuries, reduced by the wages she
Affirmed in part, reversed in part.
Reference
- Full Case Name
- Marquis v. Hartford Accident & Indemnity (On Remand)
- Cited By
- 5 cases
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- Published