Ross v. Auto Club Group
Ross v. Auto Club Group
Concurring in Part
(concurring in part and dissenting in part). I concur in and join parts I, II, and III of the majority’s opinion affirming the award of work-loss benefits to plaintiff.
I dissent from part IV of the majority’s opinion reversing the award of attorney fees for plaintiff. I agree with the reasons stated in the Court of Appeals opinion for concluding that the trial court did not clearly err by awarding plaintiff attorney fees for defendant’s unreasonable failure to pay plaintiffs claim for work-loss benefits.
Concurring Opinion
(concurring). In her partial dissent, Justice CORRIGAN asserts that my position in this case is inconsistent with my position in Kirksey v Manitoba Pub Ins Corp.
Kirksey v Manitoba Pub Ins Corp, 191 Mich App 12; 477 NW2d 442 (1991).
Opinion of the Court
This case arises out of a dispute over no-fault benefits. Plaintiff Randall Ross was injured in an automobile accident and submitted a claim for work-loss benefits to defendant Auto Club Group, his no-fault insurer. Defendant denied plaintiffs claim, prompting him to file this lawsuit. The trial court not only awarded plaintiff benefits, but also awarded attorney fees. The Court of Appeals affirmed.
We granted defendant’s application for leave to appeal. We hold that the trial court properly awarded plaintiff work-loss benefits. But it clearly erred when deciding that defendant’s refusal to pay benefits was not based on a legitimate question of statutory interpretation. As a consequence, we affirm the Court of Appeals judgment that plaintiff is entitled to work-loss benefits, but reverse its affirmance of the award of attorney fees.
I. PACTS
Plaintiff was injured in an automobile accident. At the time of the accident, he was the sole shareholder and sole employee of Michigan Packing Company, Inc. Plaintiff had incorporated this entity under the Busi
As a result of his injuries, plaintiff was unable to work. He made a claim to defendant for work-loss benefits. In support of his claim, plaintiff provided defendant with W-2 forms showing that Michigan Packing had paid plaintiff wages in 2001 through 2003.
Defendant denied plaintiffs claim. It relied on the benefit-calculation methodology set forth by the Court of Appeals in Adams v Auto Club Ins Ass’n.
Plaintiff filed this lawsuit on May 6, 2004. The trial court granted his motion for summary disposition, ruling that he was entitled to work-loss benefits based on his wages. The court also awarded attorney fees under MCL 500.3148(1), the no-fault act’s attorney-fee provision. It found that defendant had unreasonably delayed making payment to plaintiff. Defendant moved for reconsideration. The trial court denied the motion, and defendant appealed in the Court of Appeals.
Defendant applied for leave to appeal in this Court. Initially, we denied the application, but later granted defendant’s motion for reconsideration. On March 7, 2007, this Court heard oral argument concerning whether “the Court of Appeals correctly affirmed the trial court’s award of attorney fees to plaintiff pursuant to MCL 500.3148(1).”
II. STANDARD OF REVIEW
This case requires us to decide whether the lower courts properly interpreted the no-fault act in determining that plaintiff is entitled to work-loss benefits. Issues of statutory interpretation are reviewed de novo.
Whereas questions of law are reviewed de novo, a trial court’s findings of fact are reviewed for clear error.
III. WORK-LOSS BENEFITS
The issue concerning work-loss benefits is one of first impression. It is whether someone can recover work-loss benefits under MCL 500.3107(l)(b) if he or she is the sole employee and shareholder of a subchapter S corporation that lost more money than it paid in wages. Defendant contends that plaintiff, who is such a person, is not entitled to benefits. Defendant points out that a subchapter S corporation’s profits and losses pass through to the shareholders for tax purposes. Accordingly, it argues, plaintiff should be treated like an unincorporated sole proprietor, which means that, when his income is calculated, his gross receipts must be reduced by his business expenses. The Court of Appeals rejected this argument.
In this case, there is no dispute that (1) plaintiff received wages as an employee of the corporation and (2) plaintiff s remuneration from the corporation was not determined on the basis of the annual net income of the corporation. Plaintiff did not assert a work-loss claim based on the lost profits of the corporation. These facts distinguish this case from Adams. We reject defendant’s argument that plaintiffs self-employment status dictates a calculation of the gross receipts of the corporation less the corporate expenses to determine plaintiffs net income. We emphasize that plaintiff as an individual received wages and was not remunerated on the basis of the gross receipts of the corporation. Defendant presents no evidence to justify the disregard of the long-held rule that “ ‘[t]he corporate entity is distinct although all its stock is owned by a single individual or corporation.’ ” Moreover, “[a corporation’s] separate existence will be respected, unless doing so would subvert justice or cause a result that would be contrary to some other clearly overriding public policy.” Because plaintiff received wages from the corporation, and because defendant has presented no evidence to the contrary, the business expenses of the corporation are irrelevant in calculating plaintiffs wage loss, and plaintiff is treated as being in no different position than an employee of any other corporation operating at a loss. The trial court correctly determined that plaintiff was entitled to work-loss benefits and properly granted his motion for summary disposition.[17 ]
We conclude that the Court of Appeals reached the right result for the right reasons. Accordingly, we affirm its decision and hold that plaintiff is entitled to work-loss benefits based on his wages.
There is no authority for Justice CORRIGAN’s proposition that the distinct corporate identity created by Michigan law may be ignored. The corporation’s income or losses are not the shareholder’s income or losses for purposes of the no-fault act’s work-loss-benefits provision. Neither the BCA nor the no-fault act supports her analysis. Thus, her statement that “plaintiff and his wife had no taxable income in 2001, 2002, and 2003”
At its core, Justice CORRIGAN’s position would accomplish a de facto piercing of the corporate veil. It would do this even though the shareholder had not engaged in fraudulent or wrongful conduct that would justify a court’s ignoring the corporate form. It would punish plaintiff for filing an election under subchapter S, a legitimate designation that permits him to report a loss for federal taxation purposes. Justice CORRIGAN indulges in speculation that defendant created a question of material fact to defeat summary disposition under MCR 2.116(0(10). And she fails to explain how the undisputed proof of plaintiffs wages is an inaccurate reflection of his loss of income from work and how the corporation’s losses could possibly diminish that figure.
W. ATTORNEY FEES
The second issue is whether the award of attorney fees was proper.
An attorney is entitled to a reasonable fee for advising and representing a claimant in an action for personal or property protection insurance benefits which are overdue. The attorney’s fee shall be a charge against the insurer in addition to the benefits recovered, if the court finds that the insurer unreasonably refused to pay the claim or unreasonably delayed in making proper payment.
The purpose of the no-fault act’s attorney-fee penalty provision is to ensure prompt payment to the insured.
The trial court correctly set forth this rule of law in determining that plaintiff was entitled to attorney fees. The issue is whether it clearly erred in applying this rule and finding that defendant’s refusal was not based on a legitimate question of statutory construction, constitutional law, or factual uncertainty. The determinative factor in our inquiry is not whether the insurer ultimately is held responsible for benefits, but whether its initial refusal to pay was unreasonable.
Plaintiff sought work-loss benefits under MCL 500.3107(l)(b), which states:
*12 (1) Except as provided in subsection (2), personal protection insurance benefits are payable for the following:
(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.
In order to be entitled to benefits under this section, a plaintiff must suffer a loss of income.
Plaintiff in this case provided W-2 forms and asserted that they adequately represented his income. He made this claim despite the fact that he was the sole shareholder and sole employee of a subchapter S corporation that had lost more money then it paid him in wages. Defendant asserted that corporate losses must be considered when calculating “income” for a sole shareholder who is also the sole employee. Defendant’s argument presents an issue of first impression. In support of the argument that plaintiff was not entitled to work-loss benefits, defendant relied on the Court of Appeals decision in Adams v Auto Club Ins Ass’n.
In Adams, a motor vehicle accident permanently disabled the plaintiff. At the time of the accident, he was a self-employed cosmetologist who worked as an independent contractor. He paid 41 percent of his weekly gross revenue as chair rental and was also required to pay all of his own business expenses, including expenses for supplies and materials. When he applied for work-loss benefits after the accident, the defendant insurance company initially approved the payment of 85 percent of the plaintiffs average daily gross receipts. Approximately one year later, however, the defendant decided that the plaintiff was entitled to only 85 percent of his net receipts. The plaintiff brought suit, claiming that
The Court of Appeals began its analysis in Adams by noting that the issue to be decided was the proper method for calculating work-loss benefits under MCL 500.3107(l)(b).
In this case, defendant relied on Adams. It argued that, because plaintiff was the sole shareholder and employee of Michigan Packing and the company lost more than it paid plaintiff in wages, plaintiff was not entitled to work-loss benefits. He suffered no loss of income. Defendant asserted that the benefit-calculation
We acknowledge that this case differs from Adams in that the plaintiff in Adams was an unincorporated independent contractor, whereas Michigan Packing is incorporated. However, the inquiry is not whether defendant is responsible for the benefits, but only whether defendant’s refusal to pay them was unreasonable. As defendant points out, a subchapter S corporation does not pay income taxes; the business’s profits and losses pass through to the owners.
As the Court of Appeals acknowledged, how to calculate the “income” of an individual in plaintiffs situation for the purpose of determining work-loss benefits is an issue of first impression.
V CONCLUSION
The issues we decide in this case are whether plaintiff was properly awarded work-loss benefits and whether defendant’s refusal to pay work-loss benefits was reasonable. The trial court held that plaintiff was entitled to benefits. It also awarded attorney fees after finding that defendant’s refusal to pay benefits was not reasonable. The Court of Appeals affirmed on both issues. We affirm the award of benefits but reverse the award of attorney fees. Although defendant was ultimately responsible for paying the benefits, its refusal to pay was not unreasonable. Defendant relied on a factually similar Court of Appeals decision to adopt a reasonable position on an issue of first impression.
MCL 450.1101 et seq.
Subchapter S of the Internal Revenue Code, 26 USC 1361 through 1379, allows a qualifying corporation to avoid federal taxation at the corporate level, instead creating a “pass-through” of income that is taxed at the shareholder level. Chocola v Dep’t of Treasury, 422 Mich 229, 236; 369 NW2d 843 (1985).
Michigan Packing paid plaintiff wages of $16,200 in 2001, $11,250 in 2002, and $12,150 in 2003.
Adams v Auto Club Ins Ass’n, 154 Mich App 186; 397 NW2d 262 (1986).
Michigan Packing lost $21,828 in 2001, $28,179 in 2002, and $35,208 in 2003.
Ross v Auto Club Group, 269 Mich App 356; 711 NW2d 787 (2006).
477 Mich 960 (2006).
478 Mich 902 (2007).
People v Barbee, 470 Mich 283, 285; 681 NW2d 348 (2004).
MCL 500.3148(1).
See Sweebe v Sweebe, 474 Mich 151, 154; 712 NW2d 708 (2006).
Kitchen v Kitchen, 465 Mich 654, 661-662; 641 NW2d 245 (2002).
Ross, 269 Mich App at 361-362 (emphasis in original; citations omitted).
Post at 20.
Post at 20.
As noted in footnote 3 of this opinion, plaintiff received at least $11,250 in each of the tax years in question. Thus, as a result of his work for the corporation, plaintiff earned at least $11,000 annually for his own benefit. Presumably plaintiff also paid employment taxes on these W-2 wages, such as payroll taxes under the Federal Insurance Contributions Act, also known as FICA. Justice Corrigan does not attempt to explain how the corporation’s losses had any effect on the $11,000 in plaintiffs bank account.
Plaintiff argues that defendant has waived this claim by acquiescing in the entry of the trial court’s March 7, 2005, final judgment. This argument has no merit. Defendant has consistently objected to the award of attorney fees. Defendant’s approval of the entry of the judgment did not transform the disputed issue into an unappealable settlement or consent judgment. See Ahrenberg Mechanical Contracting, Inc v Howlett, 451 Mich 74, 77-79; 545 NW2d 4 (1996).
See Michigan Ed Employees Mut Ins Co v Morris, 460 Mich 180, 200 n 12; 596 NW2d 142 (1999).
Attard v Citizens Ins Co of America, 237 Mich App 311, 317; 602 NW2d 633 (1999).
Gobler v Auto-Owners Ins Co, 428 Mich 51, 66; 404 NW2d 199 (1987).
Adams, 154 Mich App at 190.
See Holmes v Dep’t of Revenue & Taxation Director, 937 F2d 481, 484 (CA 9, 1991).
Ross, 269 Mich App at 360.
Concurring in Part
(concurring in part and dissenting in part). I concur in part IV of the majority’s decision, which reverses the award of attorney fees to plaintiff. I respectfully dissent, however, from the majority’s conclusion in part III that plaintiffs W-2 wages established compensable loss of income from work under § 3107 of the no-fault act, MCL 500.3107(l)(b).
Plaintiff was the sole owner and sole employee of a subchapter S corporation that he operated at a loss that exceeded his wages. To establish compensable “loss of income from work” under MCL 500.3107(l)(b), plaintiff merely provided evidence that he paid himself W-2 wages. Defendant persuasively argues that plaintiffs W-2 wages were not a true measure of his income from work because plaintiffs work resulted in no actual income, but only created losses. Further, because of the unique tax status of S corporations, plaintiff reported the corporate losses on his personal tax returns and, as a result, paid no income tax on his wages. The no-fault act explicitly recognizes the relationship between income from work and taxable income in MCL 500.3107(l)(b), which provides that, generally, “[b]e-cause the benefits received from personal protection
Under these circumstances, for our purposes, the W-2 is a meaningless form that merely reflects the cash flow plaintiff allowed himself from a business that generated no income from work. Reimbursing him for this lost cash flow would, therefore, subsidize his preexisting business losses; it would not compensate him for actual loss of income from work. I acknowledge that plaintiff and his corporation have separate legal identities. See ante at 8. But this fact does not alleviate plaintiffs burden to establish, as a matter of fact, that he suffered loss of income from work. Because defendant created a genuine issue of material fact regarding whether plaintiff can establish any “loss of income from work an injured person would have performed,” MCL 500.3107(l)(b), I would reverse and remand this case to the trial court for further proceedings.
I. STANDARD OP REVIEW
This Court reviews de novo a trial court’s decision granting or denying a motion for summary disposition. City of Taylor v Detroit Edison Co, 475 Mich 109, 115; 715 NW2d 28 (2006). This case involves a question of statutory interpretation, which we also review de novo. Haynes v Neshewat, 477 Mich 29, 34; 729 NW2d 488 (2007). The goal of statutory interpretation is to effectuate the Legislature’s intent as demonstrated by the text of the statute. Casco Twp v Secretary of State, 472 Mich 566, 571; 701 NW2d 102 (2005). “If the statutory language is unambiguous, the Legislature is presumed to have intended the meaning expressed in the statute and judicial construction is not permissible.” Id.
The no-fault act describes the benefits available for “work loss” in pertinent part as those for
\w]ork 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. Work loss does not include any loss after the date on which the injured person dies. Because the benefits received from personal protection insurance for loss of income are not taxable income, the benefits payable for such loss of income shall be reduced 15% unless the claimant presents to the insurer in support of his or her claim reasonable proof of a lower value of the income tax advantage in his or her case, in which case the lower value shall apply. [MCL 500.3107(l)(b) (emphasis added).]
“Work-loss benefits replace income that a claimant would have earned had he not been injured.” Popma v Auto Club Ins Ass’n, 446 Mich 460, 472; 521 NW2d 831 (1994). These benefits “are meant primarily to provide claimants with simple income insurance and are intended to compensate claimants approximately dollar for dollar for the amount of wages lost because of the injury or disability.” Id. Compensable work loss is not always measured by reference to a claimant’s preaccident wages, however. The statute defines “work loss” not as “lost wages,” but as “loss of income from work.” MCL 500.3107(l)(b) (emphasis added). In accord, for example, an independent contractor may seek work-loss benefits because “work loss includes not only lost wages, but also lost profit which is attributable to personal effort and self-employment.” Kirksey v Manitoba Pub Ins Corp, 191 Mich App 12, 17; 477 NW2d 442 (1991). Most significantly, “[i]n all cases, claimants are left to their proofs.” Popma, supra at 472. A plaintiff “will not be allowed to manipulate the statutory scheme to avoid this burden of proof.” Id.
Plaintiffs corporation reported overall losses that exceeded plaintiffs wages in 2001, 2002, and 2003. He listed the corporation’s losses on his personal income tax return. Accordingly, defendant offered as evidence the opinion of an accounting expert who concluded that, although plaintiff reported W-2 wages, he suffered no actual loss of income from work. Defendant argues that, under these circumstances, plaintiff should not be treated as a wage-earning employee of a distinct corporation. Rather, plaintiffs yearly income from work should be calculated by subtracting his business expenses from his gross receipts, as was done in Adams v Auto Club Ins Ass’n, 154 Mich App 186; 397 NW2d 262 (1986).
As the majority explains, ante at 13, the Adams panel acknowledged that the “goal of the no-fault act is to place individuals in the same, but no better, position than they were before their automobile accident.” Adams, supra at 193. It opined that the self-employed “plaintiff [could] not claim that his actual expendable income included even that income which he was re
I agree with defendant and find Adams applicable. Here, plaintiff operated his business at a loss that exceeded his W-2 income, and he reported his corporate losses for tax purposes. Indeed, plaintiff and his wife had no taxable income in 2001, 2002, and 2003. Most significantly, plaintiffs work as the sole employee of his corporation resulted in no income — but only overall losses — to the corporation. The expert opinion offered by defendant, which recounted these facts and conclusions, created a genuine issue of material fact regarding whether plaintiff can establish any “loss of income from work an injured person would have performed. ...” MCL 500.3107(l)(b). Put otherwise, defendant created a genuine issue of material fact with regard to whether plaintiffs W-2 wages constituted a correct measure of his loss of income from work.
In adopting the reasoning of the Court of Appeals in this case, the majority stresses that, to the contrary, plaintiff should merely be treated as any employee of a corporation that is operating at a loss. Ante at 8. But plaintiff cannot be compared directly to an employee of any corporation that is operating at a loss. Employees of subchapter C corporations receive real income, which is in no way offset by corporate losses, and must pay income taxes on their wages regardless of whether the corporation, itself, operates at a loss. Here, plaintiff used the S corporation’s losses to offset his wages and, as a result, he was relieved from paying any federal income tax.
For these reasons, I conclude that a work-loss claim of a sole shareholder and sole employee of an S corporation is subject to a factual inquiry concerning the actual amount of lost income from work. In a given case, I may not disagree with the majority of my colleagues that the W-2 wages of an employee of an S corporation may be comparable to the wages of an employee of a C corporation and will be the appropriate
By adopting such a rule, the majority treats otherwise similarly situated sole proprietors differently on the mere basis of whether they choose to incorporate. Further, contrary to the majority’s assertion, ante at 10, I do not think that my position requires a “de facto piercing of the corporate veil” in any traditional sense. Rather, I recognize that plaintiffs profits or losses as the sole shareholder and sole proprietor of an S corporation may bear on whether he lost income from work as a matter of fact. Moreover, to any extent my view may be cast as requiring us to pierce the corporate veil, it is not at all clear that doing so would be inappropriate under these circumstances. As I have observed on more than one occasion, this Court has failed to establish clear standards for piercing the corporate veil. See L & R Homes, Inc v Jack Christenson Rochester, Inc, 475 Mich 853 (2006) (CORRIGAN, J., dissenting). As the Court of Appeals observed in Kline v Kline, 104 Mich App 700, 702-703; 305 NW2d 297 (1981), this Court has historically treated corporations and sole shareholders “as one for certain purposes,” in part because the “fiction of a corporate entity different from the stockholders themselves was introduced for convenience and to serve the ends of justice, but when it is invoked to subvert the ends of justice it should be and is disregarded by the
Most significantly, a rule treating W-2 wages as the measure of loss of income from work under all circumstances is not consistent with the no-fault act’s intent to compensate for the actual loss of work-related income caused by an accident. The no-fault act “is not designed to provide compensation for all economic losses suffered as a result of an automobile accident injury.” Belcher v Aetna Cas & Surety Co, 409 Mich 231, 245; 293 NW2d 594 (1980). Michigan courts have consistently engaged in factual inquiries to determine the true measure of an
“Work loss”, as are the other components of loss, is restricted to accrued loss, and thus covers only actual loss of earnings as contrasted to loss of earning capacity. Thus, an unemployed person suffers no work loss from injury until the time he would have been employed but for his injury. On the other hand, an employed person who loses time from work he would have performed had he not been injured has suffered work loss * * *. Work loss is not restricted to the injured person’s wage level at the time of injury. For example, an unemployed college student who was permanently disabled could claim loss, at an appropriate time after the injury, for work he would then be performing had he not been injured. Conversely, an employed person’s claim for work loss would be appropriately adjusted at the time he would have retired from his employment.” [Id., quoting the comments to § 1(a)(5) of the UMVARA, found in 14 ULA 46-47.]
This Court employed similar reasoning, and relied on MacDonald, to hold in favor of the plaintiff in Marquis v Hartford Accident & Indemnity (On Remand), 444 Mich 638; 513 NW2d 799 (1994). There, the plaintiff was injured in an accident and alleged that her resulting temporary injury caused her to lose her job. During her period of disability, her job was offered to a permanent replacement employee. She was then unable to find a job that paid a similar amount. Id. at 640. She alleged that, although her period of disability had ended, she qualified for full work-loss benefits during the statutory three-year period because, but for the accident, she would have remained employed in her previous position. Id. at 642. This Court agreed that, although the availability of lower-paying work could be considered in terms of the plaintiffs obligation to mitigate her damages, she had created a genuine issue of material fact regarding whether the accident was the but-for cause of her loss of income at a higher wage. Id. at 649-650.
I am unable to square the majority’s holding in this case with Michigan jurisprudence, including MacDonald, Marquis, and Kirksey. The clear import of the no-fault act and these cases interpreting it is that an injured plaintiff may recover work-loss benefits on the basis of his actual loss of income, as reflected by the factual record.
The Kline Court’s full discussion follows:
Complete identity of interest between sole shareholder and corporation may lead courts to treat them as one for certain purposes. Williams v America Title Ins Co, 83 Mich App 686; 269 NW2d 481 (1978). Where the corporation is a mere agent or instrumentality of its shareholders or a device to avoid legal obligations, the corporate entity may be ignored. People ex rel Attorney General v Michigan Bell Telephone Co, 246 Mich 198, 205; 224 NW 438 (1929). A court may look through the veil of corporate structure to avoid fraud or injustice. Schusterman v Employment Security Comm, 336 Mich 246; 57 NW2d 869 (1953). The community of interest between corporation and shareholders may be so great that, to meet the purposes of justice, they should be considered as one and the same. L A Walden & Co v Consolidated Underwriters, 316 Mich 341, 346; 25 NW2d 248 (1946). When the notion of a corporation as a legal entity is used to defeat public convenience, justify a wrong, protect fraud or defend crime, that notion must be set aside and the corporation treated as the individuals who own it. Paul v Univ Motor Sales Co, 283 Mich 587, 602; 278 NW 714 (1938). The fiction of a corporate entity different from the stockholders themselves was introduced for convenience and to serve the ends of justice, but when it is invoked to subvert the ends of justice it should be and is disregarded by the courts. Paul, supra. A court’s treatment of a corporate entity clearly rests on notions of equity, whether it is an action at law or at equity. Bach case involving disregard of the corporate entity rests on its own special facts. Brown Bros Equip Co v State Hwy Comm, 51 Mich App 448; 215 NW2d 591 (1974). [Id. at 702-703.]
Because actual loss as a matter of fact is the central inquiry, Justice Kelly’s attempt in her concurring opinion to distinguish the Kirksey plaintiff on the basis that he was an independent contractor, ante at 15, is inapposite. Further, a hypothetical example involving an independent contractor illustrates my overall point. What if an independent contractor, such as the one in Kirksey, chooses to incorporate and file as an S corporation for tax or liability reasons, thereby becoming the sole shareholder, sole proprietor, and sole employee of a company that hired out his services? As a factual matter, how would his actual income earned from work change as a mere result of his changing his legal status? Why would his actual W-2 wages automatically become a more accurate measure of his income upon incorporation?
Farm Bureau Mutual Insurance Company of Michigan raises a similar problem in its amicus curiae brief. It notes that injured, self-employed farmers may not be able to prove actual loss of income after an automobile accident. Therefore, farmers may elect to add replacement-labor endorsements to their no-fault policies. Such endorsements require an insurer to pay for farmer replacement labor in the event of a disabling accident. Farm Bureau reasonably asks why plaintiff should receive
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