Auto-Owners Insurance v. Michigan Mutual Insurance
Auto-Owners Insurance v. Michigan Mutual Insurance
Opinion of the Court
In this action, plaintiff Auto-Owners Insurance Company seeks reimbursement from defendants for no-fault insurance benefits plaintiff paid to motor vehicle passengers who were injured in an automobile accident.. In Docket No. 184812, the trial court granted defendant Central Insurance Center’s motion for summary disposition and denied plaintiff’s motion for summary disposition. We reverse the trial court’s order granting summary disposition in favor of Central Insurance and affirm the trial court’s denial of plaintiff’s motion for summary disposition.
In Docket No. 184788, the trial court granted plaintiffs motion for summary disposition against defendant Michigan Mutual Insurance Company and denied Michigan Mutual’s motion for summary disposition. We reverse these decisions and order that plaintiff’s claims against Michigan Mutual be dismissed.
The facts leading up to this litigation are as follows: defendant Rudy Conaway sought automobile insurance for a 1988 Lincoln automobile owned by defendants Uni Trans Limousine, United Limousine Service, Lee M. Conaway, and Rudy Conaway (these defendants will be referred to collectively as Conaway). On February 8, 1991, Conaway approached Central Insurance, seeking immediate insurance for the Lincoln. Central Insurance did not act as Conaway’s insurer, but as Conaway’s agent. Pursuant to the statutes governing the Michigan Automobile Insurance Placement Facility (maipf), MCL 500.3301 et seq.;-MSA 24.13301 et seq., Central Insurance attempted to procure insurance for Conaway through defendant Michigan Mutual.
On February 11, 1991, Conaway was operating the Lincoln when it became involved in an accident. Claimants, who were customers of Conaway’s limousine service, were paying passengers in the automobile at the time of the accident. Claimants were injured and attempted to collect no-fault benefits from Michigan Mutual. Michigan Mutual denied coverage, claiming that under the maipf, Conaway’s tender of $500 was insufficient to confer immediate insurance coverage. Michigan Mutual argued that its coverage did not become effective until it issued a policy on February 13, 1991. Claimants then filed a claim with the Assigned Claims Facility pursuant to MCL 500.3171 et seq.) MSA 24.13171 el seq., and claimants’ no-fault benefit claims were assigned to plaintiff. Plaintiff paid benefits to the claimants and now seeks reimbursement from defendant Michigan Mutual or defendant Central Insurance Center. Claimants’ and Conaway’s causes of action were assigned to plaintiff and, thus, they are not parties to this appeal.
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In Docket No. 184812, the trial court found that the no-fault act contained no indication that the Legislature intended to create a cause of action by third par
Plaintiff in this case is an insurer that was assigned the claims of the passengers in the automobile operated by Conaway. Plaintiff seeks reimbursement from defendants, who, according to plaintiff, are the parties who should have paid claimants. Actions for reimbursement by insurers to which claims are assigned are governed by MCL 500.3175(2); MSA 24.13175(2), which provides in part:
The insurer to whom claims have been assigned shall preserve and enforce rights to indemnity or reimbursement against third parties and account to the assigned claims facility therefor and shall assign such rights to the assigned claims facility upon reimbursement by the assigned claims facility.
Pursuant to the plain language of the statute, plaintiff has both the authority and the duty to enforce any available rights to indemnity or reimbursement that could have been pursued by claimants against third parties. This Court has noted that the term “third parties,” as used in MCL 500.3175; MSA 24.13175, is not limited to tortfeasors, Allen v Farm Bureau Ins Co, 210 Mich App 591, 598; 534 NW2d 177 (1995), and thus is applicable to defendants.
Most of the jurisdictions that have considered whether an injured third party may bring an action against an insurance agent have permitted such a claim. 72 ALR4th 1095. Some of these decisions relied on a negligence theory, some on a third-party beneficiary theory, and some on both. In attempting to establish that claimants had standing to sue Central Insurance, plaintiff pursued a third-party beneficiary theory and a negligence theory.
In order to have standing to sue Central Insurance under a third-party beneficiary theory, plaintiff, as claimants’ subrogee, must show that claimants were intended beneficiaries of the alleged contract between Conaway and Central Insurance. Paul v Bogle, 193 Mich App 479, 491; 484 NW2d 728 (1992). In determining whether a third party is an intended beneficiary, an objective test is used. Id. In Eschle v Eastern Freight Ways, Inc, 128 NJ Super 299; 319 A2d 786 (1974), the Superior Court of New Jersey found that it is “ ‘a fair and reasonable inference’ ” that, in attempting to obtain automobile insurance, the
We agree with the above jurisdictions and find that, when Conaway attempted to purchase insurance for the Lincoln, intended beneficiaries of the alleged insurance contract included unspecified passengers in thé car such as claimants. Accordingly, plaintiff, as the subrogee of claimants, has standing to sue Central Insurance under a third-party beneficiary theory
We also find that plaintiff has standing to sue under a negligence theory. Central Insurance argues that a negligence theory is inapplicable because it had no duty to protect claimants. However, “those foreseeably injured by the negligent performance of a contractual undertaking are owed a duty of care.” Osman v Summer Green Lawn Care, Inc, 209 Mich App 703, 708; 532 NW2d 186 (1995). Thus, Central Insurance, as an insurance agent, owed a duty to those who would foreseeably benefit from the insurance contract or who would be injured by the negligent failure to procure insurance. It was foreseeable that third parties such as claimants, who were paying customers of Conaway’s limousine service, could be injured while riding in Conaway’s automobile. Claimants clearly would have benefited had the automobile
We find that the trial court erred in ordering summary disposition in favor of Central Insurance on the ground that plaintiff lacked standing. The differing testimony of Conaway and Central Insurance’s representative raised genuine issues of fact concerning whether Conaway told Central Insurance that immediate coverage was needed, whether Central Insurance told Conaway that an additional premium was required for immediate coverage, and whether Central Insurance was negligent in issuing the certificate of insurance indicating that coverage was effective on February 9, 1991, despite that the necessary funds for immediate coverage were not tendered. Because there were genuine issues of material fact that are properly for the trier of fact, the trial court properly denied plaintiff’s motion for summary disposition.
We reverse the trial court’s order granting Central Insurance’s motion for summary disposition, we affirm the trial court’s denial of plaintiff’s motion for summary disposition against Central Insurance, and we remand for a trial on the merits with respect to this issue.
In Docket No. 184788, the trial court granted plaintiff’s motion for summary disposition against Michigan Mutual and denied Michigan Mutual’s motion for summary disposition. The trial court found that, because a certificate of insurance was issued indicating that coverage had begun at the time of the accident, and because claimants were innocent third parties, Michigan Mutual was estopped from denying coverage. We disagree with the trial court and reverse its decisions regarding the motions for summary disposition.
For its conclusion that Michigan Mutual was estopped from denying coverage, the trial court principally relied on Katinsky v Auto Club Ins Ass’n, 201 Mich App 167; 505 NW2d 895 (1993). In that case, McBride wrote the insurance company a check, and the company issued insurance. Soon thereafter, the plaintiff was involved in an accident with McBride and filed a claim with McBride’s insurer. However, McBride’s check was returned for insufficient funds, so the insurance company notified McBride that his policy was canceled because of nonpayment. This Court found that the insurer’s right to rescind the insurance contract ceases to exist once there is a claim involving an innocent third party. The Court found that public policy requires that an insurer be estopped from asserting rescission when a third party has been injured.
In Katinsky, unlike in the instant case, the contract had already been issued at the time of the accident and thus the case dealt with the rescission of a contract. However, in this case, Michigan Mutual did not seek to rescind a contract, but it contends that no
The principal question raised in this case is whether Michigan Mutual was bound to coverage by the certificate of insurance issued by Central Insurance. The certificate stated that coverage began on February 9, 1991. If Michigan Mutual was bound by that certificate, it would be liable for the benefits paid to claimants by plaintiff. We find, however, that Michigan Mutual was not bound by the certificate issued by Central Insurance and, thus, the trial court erred in denying Michigan Mutual’s motion for summary disposition.
When Conaway sought insurance through Central Insurance, the application stated that Central Insurance was not acting as an agent of any company, but was acting as an agent for the applicant. In addition, it is well established that “an independent insurance agent or broker is an agent of the insured, not the insurer.” Harwood, v Auto-Owners Ins Co, 211 Mich App 249, 254; 535 NW2d 207 (1995). Conaway’s agent at Central Insurance testified at deposition that he was an independent insurance agent, and his signature appears on the insurance application, which
Plaintiff concedes that Central Insurance was acting as an independent agent, but it contends that there was an implied agency relationship between Central Insurance and Michigan Mutual, such that the certificate issued by Central Insurance bound Michigan Mutual. We disagree.
The authority of an agent to bind a principal may be either actual or apparent. Meretta v Peach, 195 Mich App 695, 698; 491 NW2d 278 (1992). Actual authority may be either express or implied. Implied authority is the authority that an agent believes the agent possesses. Id. Apparent authority arises where the acts and appearances lead a third person reasonably to believe that an agency relationship exists. However, apparent authority must be traceable to the principal and cannot be established only by the acts and conduct of the agent. Id., pp 698-699. [Alar v Mercy Memorial Hosp, 208 Mich App 518, 528; 529 NW2d 318 (1995).]
Plaintiff has acknowledged that Central Insurance was an independent agency. Thus, claimants (plaintiffs subrogors) could not have believed that Central Insurance had the authority to bind Michigan Mutual. Despite plaintiffs contention, the insurance application did not specifically state that Central Insurance had the authority to effect automobile insurance for Michigan Mutual specifically. Rather, the application merely stated that Central Insurance had the authority to effect automobile insurance “for a member of the facility.” By statute, all insurers are required to belong to the facility. MCL 500.3301; MSA 24.13301. Thus, the application did nothing to imply that Central Insurance had the specific authority to bind Mich
Because Michigan Mutual had issued no policy at the time of the accident and because Central Insurance had no implied or apparent authority to bind Michigan Mutual to immediate coverage, the trial court erred in granting summary disposition in favor of plaintiff and denying Michigan Mutual’s motion for summary disposition. Accordingly, we reverse these decisions and order that plaintiff’s claim against Michigan Mutual be dismissed.
In Docket No. 184812, we reverse in part, affirm in part, and remand for a trial on the merits.
In Docket No. 184788, we reverse the orders granting summary disposition in favor of plaintiff and denying Michigan Mutual’s motion for summary disposition. Plaintiff’s claim against Michigan Mutual is dismissed.
The maipf is a statutorily mandated program whose goal is to guarantee automobile insurance coverage to those who may be unable to procure insurance through ordinary methods. MCL 500.3301(1); MSA 24.13301(1).
Concurring in Part
(concurring in part and dissenting in part). I concur in part n of the majority opinion without reservation regarding Docket No. 184788. First, the insurance contract had not come into effect when the accident occurred. Second, defendant Michigan Mutual Insurance Company was not bound by defendant Central Insurance Center’s actions because Central did not act as an agent for Michigan Mutual and had no authority to bind Michigan Mutual.
Plaintiff Auto-Owners asserts that MCL 500.3175(2); MSA 24.13175(2) permits it to maintain a cause of action for reimbursement against Central because Central failed to bind properly no-fault insurance coverage from Michigan Mutual. MCL 500.3175(2); MSA 24.13175(2) provides in part:
The insurer to whom claims have been assigned shall preserve and enforce rights to indemnity or reimbursement against third parties and account to the assigned claims facility therefor and shall assign such rights to the assigned claims facility upon reimbursement by the assigned claims facility.
I cannot conclude that the above statutory language creates a separate cause of action for insurers against an insured’s agent.
Whether plaintiff has a cause of action under the statute presents a question of statutory interpretation. Grand Traverse Co v Michigan, 450 Mich 457, 463-464; 538 NW2d 1 (1995). Statutory interpretation is a question of law, which we review de novo. Attorney General ex rel Dep’t of Natural Resources v Michigan Property & Casualty Guaranty Ass’n, 218 Mich App 342, 344; 553 NW2d 700 (1996).
When courts construe statutory meaning, their primary goal is to ascertain and give effect to legislative intent. Farrington v Total Petroleum, Inc, 442 Mich
MCL 500.3175(2); MSA 24.13175(2) allows insurers to enforce rights to indemnity or reimbursement against third parties. As the insurer, plaintiff contends that it may enforce rights to indemnity or reimbursement against Central, the third party. Plaintiff, however, had no direct relationship with Central. Thus, any enforceable rights asserted by plaintiff must arise from the relationship between plaintiffs insured and Central. As the majority opinion points out, plaintiff acquired all the rights and claims of its insureds, the injured third-party claimants. See Citizens Ins Co of America v Buck, 216 Mich App 217, 225; 548 NW2d 680 (1996). In essence, plaintiff stands in the shoes of the insureds, the claimants, and plaintiffs rights are limited to those that the claimants could assert. Allstate Ins Co v Snarski, 174 Mich App 148, 155; 435 NW2d 408 (1988).
Further, the statute itself limits plaintiffs rights. “ ‘Where a statute gives new rights and prescribes new remedies, such remedies must be strictly pursued; and a party seeking a remedy under the act is confined to the remedy conferred thereby and to that only.’ ” Monroe Beverage Co, Inc v Stroh Brewery Co,
My dissent is limited to the interpretation of the no-fault insurance act. Although I decline to expand the no-fault insurance act to accommodate an insurer’s action in indemnity or reimbursement under these facts, I make no comment on the viability of an action in negligence or under a third-party beneficiary theory.
Plaintiff further argues that MCL 500.3175(2); MSA 24.13175(2) creates an independent right of action under these circumstances. The common law recognizes no cause of action in indemnity or reimbursement on these facts.
The statute does not create expressly a private cause of action. As reflected in the statutory language, MCL 500.3175(2); MSA 24.13175(2) protects existing causes of action — it does not create a new cause of action. The statute refers to rights that already exist — indemnity or reimbursement. The statute does not expand the available rights. See Bell, supra. As a result, the second question arises: whether a private cause of action may be inferred because the statute does not provide adequate means to enforce its provisions. Because the statute is not designed to provide a comprehensive scheme of enforcement of the rights and duties it creates, no private cause of action may be inferred. See id. Plaintiff therefore has no private cause of action under the statute.
I would rule that plaintiff Auto-Owners Insurance Company has no cause of action as subrogee against the insured’s agent, Central, under MCL 500.3175(2); MSA 24.13175(2).
I do not address the other possible common-law causes of action available to plaintiff.
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