EVELYN PROUDFOOT V STATE FARM MUTUAL INSUR CO

Annotate this Case
Download PDF
Michigan Supreme Court Lansing, Michigan 48909 Chief Justice Maura D. Corrigan Opinion Justices Michael F. Cavanagh Elizabeth A. Weaver Marilyn Kelly Clifford W. Taylor Robert P. Young, Jr. Stephen J. Markman FILED DECEMBER 23, 2003 EVELYN PROUDFOOT, Plaintiff-Appellee, V No. 123502 STATE FARM MUTUAL INSURANCE COMPANY, Defendant-Appellant. _______________________________ PER CURIAM Plaintiff suffered in modifications a sought no-fault car-pedestrian to her house. benefits accident The in circuit for order injuries to court make granted judgment for plaintiff and ordered that certain sums be paid to plaintiff and to the court. affirmed in part and reversed in part. The Court of Appeals We reverse in part the Court of Appeals decision and remand the case to the Washtenaw Circuit Court for further proceedings consistent with this opinion. In all other respects, we affirm. I Plaintiff sustained serious injuries in November 1995, when she was struck by a car during a visit to Michigan from her home in England. Her leg was amputated above the knee, and, because of complications with her prosthesis, the use of a plaintiff’s carrier a wheelchair husband letter became sent necessary. defendant stating that, In no-fault on the 1997, insurance basis of an occupational therapy report, significant home modifications were required and that an architect had been requested to prepare plans and to estimate the cost. The architect provided the plans to plaintiff, who paid the architect’s bill ($815.101) and forwarded it to defendant in March 1999. The estimated cost for the home modifications, including the value added tax (VAT) of 17.5 percent, was about $250,000. Defendant had its own expert evaluate the home, and, on the basis of that evaluation, defendant claimed unreasonable. It that also plaintiff’s denied requests plaintiff’s request were for reimbursement of the architect’s bill. Plaintiff sued for breach of contract and declaratory relief. As the result of a mutually accepted mediation 1 The monetary figures have been converted from English pounds to American dollars. 2 award, Washtenaw Circuit Judge Timothy P. Connors awarded plaintiff partial judgment on January 28, 2000.2 By its terms, the partial judgment did not dispose of plaintiff’s claim for home modifications. The court held a jury trial on the issues related to the proposed home modifications.3 on the jury form, the jury Responding to questions found that plaintiff had incurred “allowable expenses” in the amount of $815.10 (the architect’s bill) and that defendant had received reasonable proof of the expenses on March 2, 1999. In a portion of the form entitled “Declaratory Judgment,” the jury found that the modifications to plaintiff’s home were reasonably necessary, that the amount of the allowable expense was $220,500 (plus the VAT), and that plaintiff had supplied reasonable proof of those expenses on December 2, 1997. Plaintiff moved for entry of a judgment that would award her judgment interest, MCL 600.6013, no-fault penalty interest, MCL 500.3142, and no-fault attorney fees, MCL 2 Plaintiff was awarded certain wage loss benefits, attendant care benefits, mileage benefits, the cost of a modified van purchase, and no-fault interest, judgment interest, and attorney fees on all the benefits awarded. 3 At the time of trial, the modifications had not yet been made. 3 500.3148(1). The plaintiff architectural the January 5, 2001, services judgment fee interest on that fee from April 1, 1999. and awarded no-fault The judgment also provided: IT IS FURTHER ORDERED AND ADJUDGED that Plaintiff recover future home modifications as awarded by the jury in the amount of $220,500.00 plus value added tax of 17.5% for a total future home modification award in the amount of $259,087.50 is awarded [sic], such amount to be overseen by the Court as the expenses are incurred under the no fault law. IT IS FURTHER ORDERED AND ADJUDGED that no fault interest on the home modification amount of $259,087.50, from the date reasonable proof was submitted, with the billing April 1, 1999 at the rate of 1% per month until paid. No-fault costs of attorney fees $7,597.23 in were the amount awarded. of $69,300.00 and The judgment also provided: IT IS FURTHER ORDERED AND ADJUDGED that prejudgment interest or post judgment interest is owed from November 27, 1997 at the rate of 12% per annum compounded annually, on the architect’s bill, the no fault interest on the architect’s bill and the future home modifications, the no fault attorney fees and costs, and the no fault interest on home modifications until each of said items are paid. Defendant appealed, and the Court of Appeals affirmed in part and reversed in part. 254 Mich App 702; 658 NW2d 838 that (2003). The Court found the trial court had “appropriately ordered defendant to pay the total amount of 4 home modification distribution.” benefits Id. at 711. to the trial court for It reasoned that declaratory relief is not exclusive and that a money judgment may be appropriate when the parties have had notice and a hearing or when future Automobile damages Inter-Ins are involved, Manley v Detroit Exch, 425 Mich 140; 388 NW2d Appeals also held that the grant 216 (1986). The Court of of attorney fees was appropriate with regard to defendant’s failure to pay for both the architectural services and the overdue home modifications. It reasoned: [P]laintiff was forced to seek legal action to establish defendant’s obligation to pay for necessary home modifications. Defendant failed to provide any assistance to plaintiff. Absent independent financial means, plaintiff was unable to commence or obligate herself for these modifications. The record reveals a lack of any realistic finalized plan that defendant was prepared to implement at the time of trial. Consequently, the trial court properly decided that plaintiff was also entitled to attorney fees because defendant's delay in proffering a finalized alternative plan or payment was unreasonable. [254 Mich App 715 (emphasis in original).] The Court found that defendant’s premise—“that an insured must be able to pay for or have the economic ability to obligate oneself for all benefits before they become due”— would result in economic disparity wherein only the wealthy or those with a healthy credit line 5 would be able to pursue a dispute with their insurance company over benefits. [Id. at 716.] For the same reasons, the Court also found the award of nofault interest to be proper. Relying “future on MCL damages” 600.6013(1) in MCL and 600.6301, the the definition Court of of Appeals reversed the trial court on the issue of judgment interest on the future home modifications. architect’s fee, on the Judgment interest on the no-fault interest, and on the attorney fees was upheld. The Court of Appeals dissenter would have held that the expenses for the home modifications were not overdue because plaintiff had not incurred the expenses and because the necessity of the modifications was a bona fide factual dispute, which was ultimately settled by the jury. Mich App plaintiff 719. The would dissenter not need to reasoned pay the that costs 254 although of the modifications out of her own pocket in order to “incur” them, she would need to “become liable for them; defendant is not obligated to pay for modifications plaintiff may never make.” Id. at 720. The dissenter noted that plaintiff could “submit claims to defendant as they are incurred.” Id. at 722 (emphasis in original). The dissenter would have found that the expenses related to the 6 proposed modifications were not overdue, and that defendant should have been required to pay only the attorney fees and interest that were associated with the architect’s bill. Defendant has applied to this Court for leave to appeal. II A Because this case involves questions of law and issues of statutory interpretation, it is reviewed de novo. The primary rule of statutory construction is to effectuate the intent of the Legislature, and where the statutory language is clear written. and unambiguous, it is applied as Cruz v State Farm Mut Automobile Ins Co, 466 Mich 588, 594; 648 NW2d 591 (2002). given generally its ordinary and A statute's language is generally accepted meaning. Putkamer v Transamerica Ins Corp, 454 Mich 626, 631; 563 NW2d 683 (1997), citing Turner v Auto Club Ins Ass'n, 448 Mich 22, 27; 528 NW2d 681 (1995). B We agree with the Court of Appeals that plaintiff is not entitled modifications. to judgment interest on the proposed home MCL 600.6013(1) provides in part that, “for complaints filed on or after October 1, 1986, interest is not allowed on future damages from the date of filing the 7 complaint to the date of entry of the judgment.” added.) (Emphasis MCL 600.6301 defines “future damages” as “damages arising from personal injury which the trier of fact finds will accrue after the damage findings are made . . . .” The award of judgment interest on the architect’s fee, on the no-fault interest on that fee, and on the attorney fees that were associated with the award of the architectural services fee, was appropriate. C We also affirm the Court of Appeals holding concerning the declaratory judgment that the modifications to plaintiff’s home were reasonably necessary, that the amount of the allowable expense was $220,500 (plus the VAT), and that plaintiff had expenses on awarding plaintiff supplied December 2, the reasonable 1997. proof Likewise, architectural the services of those judgment fee that plaintiff has already paid is affirmed. However, we reverse that portion of the Court of Appeals judgment that ordered defendant to pay the total amount of future home modification expenses to the trial court for distribution because the have not yet been incurred. MCL 500.3107 provides in part: 8 expenses in question (1) Except as provided in subsection (2), personal protection insurance benefits are payable for the following: (a) Allowable expenses consisting of all reasonable charges incurred for reasonably necessary products, services and accommodations for an injured person’s care, recovery, or rehabilitation. [Emphasis added.] MCL 500.3110(4) insurance provides benefits that payable for “[p]ersonal accidental protection bodily injury accrue not when the injury occurs but as the allowable expense, work loss or survivors' loss is incurred” (emphasis added). To “incur” means “[t]o become liable or subject to, [especially] because of one’s own actions.”4 may enter "a declaratory judgment A trial court determining that an expense is both necessary and allowable and the amount that will be allowed[, but s]uch a declaration does not oblige a no-fault insurer to pay for an expense until it is actually incurred.” judgment, Manley, supra at 157. plaintiff had not yet At the time of the taken action to become liable for the costs of the proposed home modifications. 4 Webster’s II New College Dictionary (2001). An insured could be liable for costs by various means, including paying for costs out of pocket or signing a contract for products or services. Should the insured present a contract for products or services rather than a paid bill, the insurance company may, in order to protect itself, make its check payable to the insured and the contractor. 9 Because the expenses in question were not yet “incurred,” the Court of Appeals erred in ordering defendant to pay the total amount to the trial court. See Nasser v Auto Club Ins Ass'n, 435 Mich 33, 50; 457 NW2d 637 (1990). D Similarly, we reverse that portion of the no-fault interest awarded on the future home modification expenses. Twelve percent simple interest is payable only on “overdue” personal protection insurance benefits. MCL 500.3142(3). Generally, "benefits are payable as loss accrues.” 500.3142(1). MCL MCL 500.3142(2) provides in part that benefits are overdue if not paid within 30 days after an insurer receives reasonable proof of the fact and of the amount of loss sustained. [Emphasis added.] Because plaintiff has not sustained a loss associated with the actual home modifications (other than the architect’s fee), the “overdue,” future and home interest modification is not benefits payable. are not Therefore, plaintiff was entitled to interest on the architect’s fee only, and the award of no-fault modification amount is reversed. 10 interest on the home E With regard to attorney fees, MCL 500.3148(1) provides that [a]n 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. [Emphasis added.] Thus, attorney fees are payable only on overdue benefits for which the insurer has unreasonably refused to pay or unreasonably delayed in paying. Here, plaintiff was entitled only to those reasonable attorney fees that were attributable to the $815.10 architect’s fee. the modification expenses are not yet Claims for “overdue” because they are not yet “incurred.” IV Therefore, we affirm the portion of the Court of Appeals judgment denying judgment interest on the future home modifications interest relating interest on that and to affirming the fee, associated with that fee. the architect’s and the award of judgment fee, the no-fault attorney fees award We also affirm the declaratory portion of the judgment establishing the amount of future 11 home modification benefits, but we vacate the portion of the Court of Appeals judgment that orders defendant to immediately pay the future home modifications expenses to the trial judgment court. We affirming the also vacate award of that portion no-fault of the interest and attorney fees on the future home modification expenses. We remand this case to the Washtenaw Circuit Court for further proceedings consistent with this opinion. We do not retain jurisdiction. Maura D. Corrigan Michael F. Cavanagh Elizabeth A. Weaver Marilyn Kelly Clifford W. Taylor Robert P. Young, Jr. Stephen J. Markman 12

Some case metadata and case summaries were written with the help of AI, which can produce inaccuracies. You should read the full case before relying on it for legal research purposes.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.