Society of St. Vincent De Paul in the Archdiocese v. Mt. Hawley Insurance
E.D. Mich.5/6/1999
AI Case Brief
Generate an AI-powered case brief with:
đKey Facts
âïžLegal Issues
đCourt Holding
đĄReasoning
đŻSignificance
Estimated cost: $0.10â$0.50 per brief, depending on opinion length and retries
Full Opinion
MEMORANDUM OPINION AND ORDER DENYING PLAINTIFFâS MOTION FOR PARTIAL SUMMARY JUDGMENT AND GRANTING DEFENDANTâS MOTION FOR PARTIAL SUMMARY JUDGMENT EDMUNDS, District Judge. This insurance dispute arises out of an April 24, 1997 fire that destroyed Plaintiffs second hand store located at 28417 N. Telegraph Road in Flat Rock, Michigan. The building and its contents, along with other commercial properties, are insured by Defendant pursuant to Commercial Property Policy No. MCP119474 for the period October 1, 1996 through October 1, 1997. After the fire, Plaintiff submitted an insurance claim to Defendant. Defendant does not deny there is coverage for the loss. Rather, the dispute concerns the amount of the loss. Plaintiffs complaint alleges that Defendant has failed to timely pay, as required under the insurance policy, the $614,000 âagreed valueâ for the Flat Rock building, the $25,000 âagreed valueâ for the buildingâs contents, as well as amounts owed under the policy for debris removal and business interruption. Plaintiffs complaint asserts that Defendantâs conduct constitutes: (1) a breach of the insurance contract; (2) a bad faith breach of an insurance contract; (3) a violation of Michiganâs Uniform Trade Practices Act (âUTPAâ), Mich. Comp. Laws § 500.2001 et. seq.; and (4) a violation of Michiganâs Consumer Protection Act, Mich. Comp. Laws § 445.901 , et. seq. *1013 This matter comes before the Court on cross-motions for partial summary judgment. Plaintiff contends that it is entitled to summary judgment on its claims that: (1) the policy entitles it to the $614,000 âagreed valueâ of the building and che $25,000 âagreed valueâ of its contents; (2) the policy entitles it to a $755,112.54 âreplacement costâ of the building as limited by the $614,000 âagreed valueâ coverage limit; (3) alternatively, it is entitled to a declaration that the âactual cash valueâ of the building is $581,654.71; (4) it is entitled to 12% penalty interest under Michiganâs UTPA for the six month period between August 1997 (when the claim was filed) and February 1998 (when Defendant made partial payment of the claim); and (5) it is entitled to 12% prejudgment interest on all sums awarded. Defendantâs cross-motion contends that Plaintiff is entitled under the policy to receive the âactual cash valueâ of the destroyed Flat Rock building at the time of the loss and makes a demand, pursuant to the terms of the policy, that the amount of the loss be determined by the appraisal process set forth in the policy. Defendantâs motion further contends that Plaintiff does not have a viable tort claim for bad faith breach of an insurance contract; a viable claim for damages under Michiganâs Uniform Trade Practices Act; or a viable claim under Michiganâs Consumer Protection Act. Plaintiffs motion is DENIED, and Defendantâs motion is GRANTED. To the extent Plaintiffs breach of contract claim is premised on an âagreed valueâ argument, it is dismissed. The unambiguous terms of the partiesâ insurance policy provides that Plaintiffs loss is to be measured by the actual cash value of the destroyed building at the time of the loss. The policy further provides that either party may demand that disputes concerning the amount of the loss be resolved by the appraisal process described therein. Defendant has made such a demand here and thus the amount of the loss is to be determined by the appraisal process set forth in the insurance policy. To the extent Plaintiff alleges a tort claim for bad faith breach of the insurance contract, it is dismissed. Michigan does not recognize any such claim. Plaintiffs claim against Defendant for an alleged violation of Michiganâs Consumer Protection Act is likewise dismissed. Plaintiff is not a consumer who purchased Defendantâs policy for personal, family or household purposes and thus is not entitled to the protection provided under that Act. Plaintiffs claim for damages under Michiganâs Uniform Trade Practices Act is dismissed. There is no private cause of action under the UTPA. Plaintiffs motion for partial summary judgment as to its right to 12% penalty interest under the UTPA for the six month time period from August 1997 (when it filed its claim) and February 1998 (when Defendant tendered payment for the building loss to Plaintiff) is DENIED AS MOOT. Defendant has offered to pay Plaintiff 12% interest for that six month period. Plaintiffs remaining claims for the 12% penalty interest under the UTPA for the period commencing after February 1998 are DISMISSED because Plaintiffs claim for a larger loss payment is reasonably in dispute and thus exempt from the UTPAâs 12% penalty interest provision. Finally, Plaintiffs motion for partial summary judgment as to prejudgment interest under Mich. Comp. Laws § 600.6013 (5) is DENIED WITHOUT PREJUDICE as premature. Future events; i.e., settlement or an appraisal award in an amount equal to the amount Defendant has already tendered to Plaintiff, may affect Plaintiffs right to prejudgment interest under § 600.6013(5). I. Facts A. Claim for Fire Loss Subsequent to the April 24, 1997 fire, Plaintiff filed a claim with Defendant. Defendant does not deny that the loss is covered under its policy; rather, it disputes only the amount of the loss. Plain *1014 tiff contends that, pursuant to the policyâs âagreed valueâ provisions, the amount of loss for the subject building is $614,000. Plaintiff also contends that a figure close to this amount reflects the actual cash value of the burned building. Defendant, on the other hand, contends that the policyâs âagreed valueâ optional coverage provision serves only to suspend the policyâs coinsurance provisions and thus addresses how much of a loss will be paid by the Defendant and not how the loss itself will be valued. Rather, other provisions address how the dollar value of the loss is to be determined in the first instance; i.e., by determining the buildingâs actual cash value. It is Defendantâs position that the actual cash value of the building is $247,-147.58 (including debris removal and clean up), and Defendant tendered this amount to Plaintiff on February 4, 1998. 1 In its motion for partial summary judgment, Defendant demands, pursuant to Section E.2 of the partiesâ insurance policy, that an appraisal panel determine the actual cash value of the subject building. B. Relevant Policy Provisions The policy at issue here is a âmanuscriptâ policy. This means it was the product of negotiations between Plaintiff and Defendant. See Complt. ¶¶ 6-8. The following provisions are relevant to the partiesâ cross motions for partial summary judgment. Declarations Page: Lists 25 covered items, each with a separate âamount of coverageâ and coinsurance percentage of â0%.â The âoptional coveragesâ section states that it is âapplicable only when entries are made in the schedule below.â There are entries under the âAgreed Valueâ portion but not under the âReplacement Valueâ portion of this section. See Def.âs motion, Ex. B at 1. Supplemental Declarations Page: Lists as Prem. No. 9, the building located at 28417 Telegraph, Flat Rock, Michigan, and lists $614,000; $25,000; and $185,000 as the âAmount of Coverageâ for the building, personal property, and business income respectively. It also lists a 0% coinsurance percentage for each item. Id. at 3. Limits of Insurance: This provision provides that â[t]he most we will pay for loss or damage in any one occurrence is the applicable Limit of Insurance shown in the Declarations.â Id. at 8, § C. Appraisal Provision: Provides that if the insurer and insured âdisagree on the value of the property or the amount of loss, either may make written demand for an appraisal of the loss. In this event, each party will select a competent and impartial appraiser. The two appraisers will select an umpire. If they cannot agree, either may request that selection be made by a judge of a court having jurisdiction. The appraisers will state separately the value of the property and amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding.â Id. at 9, § E.2. Loss Payment: Provides that â[i]n the event of loss or damage covered by this Coverage Form, at our option, we will either: (1) Pay the value of lost or damaged property; (2) Pay the cost of repairing or replacing the lost or damaged property, subject to b. below; (3) Take all or any part of the property at an agreed or appraised value; or (4) Repair, rebuild or replace the property with other property of like kind and quality, subject to b. below.â Id. at 10, § 4.a. This provision further provides that the insurer âwill pay for covered loss or damage within 30 days after we receive the sworn proof of loss, if you have complied with all of the terms of this Coverage Part and: (1) We have reached agreement with you on the amount of loss; or (2) An appraisal award has been made.â Id. at 10, § 4.g. *1015 Valuation: Provides that the insurer âwill determine the value of the Covered Property in the event of loss or damage as follows: a. At actual cash value as of the time of loss or damage, except as provided in b., c., d., e. and f. below.â Id. at 11, §§ 7 and 7.a. Coinsurance: Included under Section F, âAdditional Conditionsâ and provides that â[i]f a Coinsurance percentage is shown in the Declarations, the following condition applies. a. We will not pay the full amount of any loss if the value of Covered Property at the time of loss times the Coinsurance percentage shown for it in the Declarations is greater than the Limit of Insurance for the property. Instead, we will determine the most we will pay using the following steps: (1) Multiply the value of Covered Property at the time of loss by the Coinsurance percentage; (2) Divide the Limit of Insurance of the property by the figure determined in step (1); (3) Multiply the total amount of loss, before the application of any deductible, by the figure determined in step (2); and (4) Subtract the deductible from the figure determined in step (3). We will pay the amount determined in step (4) or the limit of insurance, whichever is less. For the remainder, you will either have to rely on other insurance or absorb the loss yourself.â Id. at 12, § F.l.a. Examples of the coinsurance calculation in an underinsured and adequately insured situation are demonstrated in § F.l.a. Optional Coverages: Include âAgreed Valueâ, âInflation Guardâ, and âReplacement Costâ. This provision states that â[i]f shown in the Declarations, the following Optional coverages apply separately to each item.â Id. at 14, § G. Agreed Value: Included under âOptional Coveragesâ, and provides that: âThe Additional Condition, Coinsurance does not apply to Covered Property to which this Optional coverage applies.â Id. at 14, § G.l.a. This provision further provides that the insurer âwill pay no more for loss of or damage to that property than the proportion that the Limit of Insurance under this Coverage Part for the property bears to the Agreed Value shown for it in the Declarations.â Id. Subsection G.l.b. provides that: â[i]f the expiration date for this Optional Coverage shown in the Declarations is not extended, the Additional condition, Coinsurance, is reinstated and this Optional Coverage expires.â II. Standard for Summary Judgment Summary judgment is appropriate only when there is no genuine issue as to any material fact and the moving party is entitled to judgment as a matter of law. Fed. R.Civ.P. 56(c). The central inquiry is âwhether the evidence presents a sufficient disagreement to require submission to a jury or whether it is so one-sided that one party must prevail as a matter of law.â Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 251-52, 106 S.Ct. 2505 , 91 L.Ed.2d 202 (1986). After adequate time for discovery and upon motion, Rule 56(c) mandates summary judgment against a party who fails to establish the existence of an element essential to that partyâs case and on which that party bears the burden of proof at trial. Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548 , 91 L.Ed.2d 265 (1986). III. Analysis A. Interpretation of the Policyâs âAgreed Valueâ Provisions Plaintiff asserts that, when there is a total loss of an insured property, the âagreed valueâ provisions of its policy require Defendant to consider the âagreed valueâ to be the amount of the loss and further require Defendant to pay the âagreed valueâ amount to Plaintiff as its insurance recovery for that loss. Defendant, on the other hand, asserts that the âagreed valueâ optional coverage provisions must be read in light of the entire policy. Doing this, Defendant contends, *1016 clarifies that the âagreed valueâ provisions affect the amount of insurance the insured is entitled to recover for the loss; not the amount of the loss itself. Rather, Defendant urges, the terms of the policy unambiguously provide that the amount of the loss is to be measured by its actual cash value at the time of its loss. The amount of the Plaintiffs insurance recovery for that loss is then determined using the calculation set forth in the âAgreed Valueâ provision found in § G.l.a. The Court agrees with Defendant. This dispute requires the Court to construe the terms of the partiesâ insurance contract. Having done so, the Court concludes that the unambiguous terms of the policy provide that Plaintiffs loss is to be measured by the actual cash value of the destroyed building at the time of the loss. 1. General Rules of Contract Interpretation The rules of construction for insurance contracts are the same as those for any other written contract. Comerica Bank v. Lexington Ins. Co., 3 F.3d 939, 942 (6th Cir.1993). The function of the court is to determine and give effect to the partiesâ intent as discerned from the policyâs language, looking at the policy as a whole. Auto-Owners Ins. Co. v. Churchman, 440 Mich. 560, 566 , 489 N.W.2d 431, 434 (1992). Under Michigan law, the issue of whether a contract is ambiguous is a question of law for the court. Steinmetz Elec. Contractors Assân v. Local Union No. 58, 517 F.Supp. 428, 432 (E.D.Mich. 1981); Mayer v. Auto-Owners Ins. Co., 127 Mich.App. 23, 27 , 338 N.W.2d 407, 409 (1983). A contract which admits of but one interpretation is unambiguous. Fragner v. Amer. Comm. Mut. Ins. Co., 199 Mich. App. 537, 540 , 502 N.W.2d 350, 352 (1993). In contrast, a contract provision is ambiguous if it is capable of two or more constructions, both of which are reasonable. Petovello v. Murray, 139 Mich.App. 639, 642 , 362 N.W.2d 857, 858 (1984). If unambiguous, the court must enforce the contract as written, according to its plain meaning, Clevenger v. Allstate Ins. Co., 443 Mich. 646, 654 , 505 N.W.2d 553, 557 (1993), without looking to extrinsic evidence. Upjohn Co. v. New Hampshire Ins. Co., 438 Mich. 197 , 205 n. 6, 476 N.W.2d 392 , 396 n. 6 (1991). It is improper for the court to ignore the plain meaning of the policyâs language in favor of a technical or strained construction. Arco Indus. Corp. v. Travelers Ins. Co., 730 F.Supp. 59, 66 (W.D.Mich. 1989). The court must consider the contract as a whole and give meaning to all its terms. Auto-Owners v. Churchman, 440 Mich. at 566 , 489 N.W.2d 431 . If the contract is ambiguous, the court must determine the intent of the parties. To do so, the court may look to extrinsic evidence such as custom and usage. Michigan Millers Mut. Ins. Co. v. Bronson Plating Co., 197 Mich.App. 482, 494-95 , 496 N.W.2d 373, 379 (1992), aff'd, 445 Mich. 558 , 519 N.W.2d 864 (1994). âPerhaps the most common of extrinsic aids to the construction of an insurance policy or other contract is usage and custom.â Allstate Ins. Co. v. Freeman, 432 Mich. 656, 712-13 , 443 N.W.2d 734, 760 (1989) (Boyle, J.). In addition, certain rules of construction apply. Ambiguous terms in an insurance policy are construed in favor of the insured. Arco Indus. Corp. v. Am. Motorists Ins. Co., 448 Mich. 395, 402-03 , 531 N.W.2d 168, 172 (1995). Moreover, it is the insurerâs responsibility to clearly express limits on coverage. Auto Club Ins. Assân v. DeLaGarza, 433 Mich. 208, 214 , 444 N.W.2d 803, 806 (1989). Thus, insurance exclusion clauses are construed strictly and narrowly. Auto-Owners v. Churchman, 440 Mich. at 567 , 489 N.W.2d at 435 ; Farm Bureau Mut. Ins. Co. v. Stark, 437 Mich. 175, 181 , 468 N.W.2d 498, 501 (1991). 2. Construction of the Insurance Policy Reading the âCoinsuranceâ and âAgreed Valueâ clauses together, as the Court *1017 must, it becomes evident that they provide mutually exclusive formulas for determining the total amount an insured will be paid for a covered loss. The Coinsurance provision explains the formula the insurer uses to calculate the amount that will be paid on a claim. 2 The provision provides examples of how the coinsurance formula works, explains how underinsured and adequately insured losses result from application of the formula, and cautions that, as to uninsured amounts, the insured âwill either have to rely on other insurance or absorb the loss yourself.â Def.âs Motion, Ex. B at 12, § F.l.a. As one authority observed, â[c]o-insurance clauses are designed to prompt policyholders to purchase âenoughâ property insurance by reducing their rights of recovery under the policy where they have underinsured.â Jeffrey W. Stemple, Law of Insurance Contract Disputes, § 8.03 at 8-12 (2d ed. Aspen Law & Bus.1999). Coinsurance clauses thus place the risk of underinsuring on the insured; not the insurer. They provide a financial disincentive for the policyholder who might otherwise choose to underin-sure and save on premium payments. Coinsurance clauses present insureds with the difficult task of predicting whether they have adequate insurance for property that is to be valued at the time of the loss. As explained by another authority: Establishing the exact value required to comply with the coinsurance clause is difficult. The insured is always left with the lingering doubt that a coinsurance penalty will be applied at the time of the loss; to avoid this worry, a cautious insured may decide to carry more insurance than is necessary. J. Trieschmann, et al., Commercial Property Insurance and Risk Management, Vol. II at 103 (4th ed.1994). The policy at issue here alleviates this problem by giving insureds the option to purchase âagreed valueâ coverage. As indicated on the Declarations pages of Plaintiffs policy, the âAgreed Valueâ optional coverage is applicable to Plaintiffs claimed loss. The âAgreed Valueâ provision, § G.l, unambiguously suspends the operation of the Coinsurance provision, and in its place provides a different method or formula for calculating the maximum amount the insurer is obligated to pay for a covered loss. The insurer is obligated to pay: no more for loss of or damage to [covered] property than the proportion that the Limit of Insurance under this Coverage Part for the property bears to the Agreed Value shown for it in the Declarations. Ex. A at 14, § G.l.a. Thus, when this coverage option is chosen and in effect, the maximum recovery calculation is as follows: [Limit of Insurance divided by Agreed Value in Declarations] x [Amount of Loss] = Insurance Payment for Claimed Loss Examination of Plaintiffs policy reveals that the Limit of insurance and the Agreed Value of the properties listed in the Declarations both total $6,005,580. Therefore, Plaintiff is entitled to recover 100% of the loss (subject of course to policy limits and deductibles). The âAgreed Valueâ optional coverage provision, however, does not speak to how the claimed loss is to be valued. The language in the âAgreed Valueâ optional coverage provision contradicts Plaintiffs assertion that, in the event of a total loss, the insured is to automatically receive the âAgreed Valueâ listed on the Declarations pages. The âAgreed Valueâ and âCoinsuranceâ provisions both place the risk of underinsuring on the insured. The advantage of the âAgreed Valueâ provision is the certainty it provides to the insured that it is adequately insuring its *1018 property against future losses.- Unlike an insured with a âCoinsuranceâ provision in its policy, the insured with âAgreed Valueâ coverage knows at the time it purchases the policy what percentage of a covered loss the insurer is required to pay. The âAgreed Valueâ optional coverage provision clarifies the maximum amount of insurance dollars that will be paid for a covered loss; it does not.address how that covered loss is to be valued in the first instance. That information is provided elsewhere in the policy. The Courtâs interpretation is affirmed â by the Triesch-mann treatise, Commercial Property Insurance and Risk Management, Vol. II at 103, which observes that an âAgreed Valueâ optional coverage provision in a building and personal property insurance policy âvalues the property only for purposes of suspending the coinsurance provision, not for determining the amount of a covered loss.â The policyâs âValuationâ provision unambiguously provides that the value of a covered property loss will be measured by its âactual cash value as of the time of loss or damageâ. See Ex. B at 11, §§ 7 and 7.a. 3 To construe the policy as Plaintiff urges, would require this Court ignore the terms of its âValuationâ and âAgreed Valueâ provisions. This is something Michigan law prohibits. The insurance contract must be considered as a whole, and all of its terms must be given meaning. See Auto-Owners v. Churchman, 440 Mich. at 566 , 489 N.W.2d 431 . Examination of Endorsements No. 5 and 6 refute, rather than support, Plaintiffs position. Endorsement No. 5, which adds a building located in Highland Park to Location No. 25, lists a $470,000 figure for the building, increases the limit of liability, and further provides that âit is agreed that 80% Coinsurance and Actual Cash Value applies to Loc. #25.â See Ex. B at 43, Endorsement No. 5, dated December 27, 1996. Endorsement No. 6, dated February 14, 1997, provides that: (1) the new limit on the building at 15001 Woodward Avenue in Highland Park, Michigan is increased $3,530,000 to $4,000,000; (2) the policy limit of liability is amended to a new value of $12,669,759; and (3) âit is further agreed that 80% Coinsurance is amended to 0% coinsurance Agreed Amountâ and âvaluation remains unchanged at Actual Cash Valueâ. Id. at 44. There is nothing in the language of these Endorsements that contradicts this Courtâs interpretation of the policy. Rather, they lend additional support for the Courtâs interpretation. The policy at issue here does not provide that, in the event of a total loss, the insurer must pay the insured the âAgreed Valueâ of the destroyed property. This type of coverage is commonly known as âvalued policy coverageâ and is typically provided by statute. Plaintiffs reliance on decisions from states that have valued policy statutes is misplaced. Michigan does not have a valued policy statute, and Plaintiff has not persuaded this Court that the Michigan courts would ignore the plain, unambiguous language of Plaintiffs policy and construe it in the manner Plaintiff urges. To the extent Plaintiffs breach of contract claim is premised on the âagreed valueâ argument discussed above, it is DISMISSED. There is no support for Plaintiffs claim in the policy language or in Michiganâs statutory or case law. Similarly, there is no support in the policy for Plaintiffs claim that optional coverage for âReplacement Costâ applies to its policy. Examination of the policyâs Declarations pages reveals that under âOptional Coveragesâ, the policy provides that the optional coverage is applicable âonly when entries are made in the schedule below.â See Ex. B at 1. There are entries under âAgreed Valueâ but none under âReplacement Cost.â Id. Accordingly, to the extent Plaintiffs breach of contract or other claims are premised on a claim that it is entitled to âReplacement Costâ, they are DISMISSED. *1019 3. Use of the Policyâs Appraisal Process to Ascertain the Amount of the Loss The unambiguous terms of the partiesâ insurance policy provides that Plaintiffs loss is to be measured by the actual cash value of the destroyed building at the time of the loss. This determination, however, does not resolve the partiesâ dispute. There remains a dispute concerning the proper method for ascertaining the actual cash value of the destroyed property. Pursuant to the unambiguous terms of the policy, Defendant has demanded that the partiesâ dispute concerning the amount of the loss be resolved by the appraisal process set forth in the policy. See Ex. B at 9,- § E.2. Plaintiff has not persuaded the Court that Defendantâs demand should not be honored. The policy does not state a time when a demand to invoke the appraisal process must first be raised. Moreover, Defendantâs failure to immediately select its appraiser on the heels of making its demand does not justify this Courtâs nullification of the Appraisal terms of the policy. The Michigan Court of Appealsâ decision in Pollock v. Fire Ins. Exchange, 167 Mich.App. 415 , 423 N.W.2d 234 (1988) does not support a contrary result. In Pollock , the Court held that the insurer .could not raise a coverage defense concerning the plaintiffs failure to perform under the terms of the contract when the insurer itself hindered such performance. Id. at 237. Plaintiff here is not claiming that Defendantâs dilatory actions have hindered its performance under the contract. Accordingly, its reliance on Pollock is misplaced. When read together, the âAppraisalâ, âLoss Paymentâ, and âValuationâ provisions of the policy clarify that: (1) the value of the destroyed property will be determined by its actual cash value at the time of the loss, § E.7; (2) if the insurer and insured disagree on the value of the property or the amount of loss, either may make a written demand for an appraisal of the loss, § E.2; and (3) a covered loss will be paid within 30 days after the insurer has received the sworn proof of loss, if the insured has complied with all of the terms of the policy and the insured and insurer have either reached an agreement on the amount of loss or an appraisal award has been made, § E.4.g. The Court next addresses Plaintiffs claims based on Defendantâs alleged bad faith in its performance under the insurance contract, violation of the Michigan Consumer Protection Act, and violations of Michiganâs Uniform Trade Practices Act. B. Plaintiffs Bad Faith Claims Plaintiff alleges, in Paragraph 20 of its Complaint, that Defendantâs failure âto pay Plaintiff under the terms of its policy of insurance is a breach of its obligation of good faith to Plaintiff and is a breach of the contract of insurance.â Defendant requests that this Court dismiss Plaintiffs claims to the extent they assert a tort claim for bad faith breach of the insurance contract. To the extent Plaintiff alleges such claims, they are DISMISSED. This Court has recently observed that âMichigan law does not recognize an independent tort based upon a bad faith breach of contract.â Aetna Casualty & Surety Co. v. Dow Chemical Co., 883 F.Supp. 1101, 1111 (E.D.Mich.1995) (citing Kewin v. Massachusetts Mutual Life Ins. Co., 409 Mich. 401, 403 , 295 N.W.2d 50, 56 (1980) and Hearn v. Rickenbacker, 428 Mich. 32 , 400 N.W.2d 90 (1987)). Michigan law recognizes a tort claim only when a plaintiffs complaint alleges âthe breach of duties existing independent of and apart fromâ the contract of insurance. Hearn, 428 Mich. at 40 , 400 N.W.2d at 94 . â â[I]f a relationship exists which would give rise to a legal duty without enforcing the contract promise itself, the tort action will lie, otherwise not.â â Haas v. Montgomery Ward and Co., 812 F.2d 1015, 1016 (6th Cir.1987) (quoting Hart v. Ludwig, 347 Mich. 559, 567 , 79 N.W.2d 895, 898 (1956)). Plaintiffs bad faith allegations cannot be separated from Defendantâs contractual duties. Plaintiff has not alleged that a relationship exists between it and Defendant indepen *1020 dent of and apart from their contractual relationship. Accordingly, to the extent Plaintiffs Complaint alleges a tort claim for bad faith breach of the insurance contract, it is DISMISSED. C. Plaintiffs Consumer Protection Act Claims Plaintiffs claim against Defendant for an alleged violation of Michiganâs Consumer Protection Act (MCPA) is likewise DISMISSED. Plaintiff is not a consumer who purchased Defendantâs policy for personal, family or household purposes and thus is not entitled to the protection provided under the Act. See Robertson v. State Farm Fire & Casualty Co., 890 F.Supp. 671, 678, 678-81 (E.D.Mich.1995) (where the court held the plaintiff was not entitled to the protections of the MCPA when the insured had purchased the subject insurance policy primarily for business, rather than personal, family or household purposes). D. Plaintiffs Claims Under Michiganâs Uniform Trade Practices Act Plaintiff also seeks, pursuant to Michiganâs Uniform Trade Practices Act (âUTPAâ), to recover â[d]amages caused by the dilatory conduct of Defendant in making full or partial payments on Plaintiffs claimâ. See Def.âs motion, Ex. A, ¶¶ 15-17, and E. Defendant responds that there is no private cause of action under the UTPA, and thus Plaintiff is not entitled to collect damages for an alleged violation of the UTPA. This Court agrees. To the extent Plaintiff alleges a claim for damages premised on Defendantâs violation of the UTPA, those claims are DISMISSED. There is no private cause of action for violation of the UTPA. See National Union Fire Ins. Co. v. Arioli, 941 F.Supp. 646, 655 (E.D.Mich.1996); Isagholian v. Transamerica Ins. Corp., 208 Mich. App. 9 , 527 N.W.2d 13, 17 (1994); Young v. Michigan Mutual Ins. Co., 139 Mich.App. 600 , 362 N.W.2d 844, 846-47 (1984). Proof that Defendant has violated the UTPA will entitle Plaintiff to a 12% interest penalty and no more. The Michigan legislature has enacted the UTPA for the purpose of imposing penalties on insurers âwho procrastinate or are dilatory in paying meritorious claims in bad faith.â Burnside v. State Farm Fire & Cas. Co., 208 Mich.App. 422 , 528 N.W.2d 749, 753 (1995). Dependant acknowledges that this Act permits recovery of a 12% penalty interest, but emphasizes that the interest payment applies only if Plaintiffs claim is not reasonably in dispute. This Court agrees. As set forth in the statute, recovery of the 12% interest penalty is warranted only where an insurance claim is not reasonably in dispute. The statute provides that: A person must pay on a timely basis to its insured ... the benefits provided under the terms of its policy, or in the alternative, the person must pay to its insured ... 12% interest ... on claims not paid on a timely basis. Failure to pay claims on a timely basis or to pay interest on claims ... is an unfair trade practice unless the claim is reasonably in dispute. Mich. Comp. Laws Annot. § 500.2006(1) (emphasis added). Plaintiffs reliance on dictum in Yaldo v. North Pointe Ins. Co., 457 Mich. 341 , 578 N.W.2d 274 (1998), is misplaced. As recently observed by the Michigan Court of Appeals, the Yaldo majorityâs interpretation of the penalty interest statute was âmerely dictumâ, did not establish a rule of law with regard to interpretation of this statute, and is not binding on the courts. See Arco Indus. Corp. v. American Motorists Ins. Co., 232 Mich.App. 146 , 594 N.W.2d 61 (1998). The Arco Court further observed that, since 1983, the courts have consistently held that, âin cases involving claims of breach of an insurance contract, under M.C.L. § 500.2006; M.S.A. § 24.12006 an insurer may refuse to pay a claim and be relieved of paying interest on the claim only when the claim is reasonably in dispute.â Id. (internal quotes and *1021 citations omitted). The Court further noted that: The purpose of the penalty interest statute is to penalize insurers for dilatory practices in settling meritorious claims, not to compensate a plaintiff for'delay in recovering benefits to which the plaintiff is ultimately determined to be entitled. Id. This Court predicts that, if called upon to address the issue presented here, the Michigan Supreme Court would follow this recent Arcodecision. The Court now addresses whether Plaintiff is entitled to 12% penalty interest on its building loss claim. Plaintiffs UTPA claim for 12% penalty interest as to Defendantâs delayed payment on its destroyed building loss can be separated into two time periods. The first includes the six month time period from August 1997 through February 1998. Plaintiff claims that Defendant owes it 12% interest on the $247,147.58 it tendered Plaintiff in February 1998 because Defendant delayed this payment for six months after the August 1997 date Defendant acknowledged it owed the amount. The second time period begins after the February 1998 payment date and continues until such time as Defendant pays Plaintiff the total amount it claims it is owed. As to the first time period, Defendant responds that it is prepared to tender to Plaintiff 12% interest on the $247,147.58 already paid to it; covering the time period commencing with the date Plaintiffs entitlement to the $247,147.58 was no longer reasonably in dispute and ending on February 4, 1998 when that amount was tendered to Plaintiff. In light of Defendantâs offer to pay Plaintiff 12% interest on the $247,147.58 amount for this 6 month period, Plaintiffs motion for partial summary judgment concerning its right to such 12% interest is DENIED AS MOOT. As to the second time period, Defendant continues to contest Plaintiffs right to 12% penalty interest under the UTPA for any insurance recovery over and above the tendered amount because Plaintiffs claim that it is entitled to a larger amount for the loss of its building is reasonably in dispute and thus exempt from the 12% penalty interest as provided in the UTPA. This Court agrees with Defendant. Similar to the facts in Arco, there are legitimate issues being contested here. The amount Defendant owes Plaintiff for the loss of its building is reasonably in dispute. Accordingly, as to the building loss, Plaintiff is not entitled to 12% penalty interest under the UTPA for the post-February 1998 time period. Defendantâs resort to the appraisal process to help resolve this dispute, as set forth under the terms of the policy, does not render the dispute âunreasonableâ or otherwise entitle Plaintiff to the 12% penalty interest provided under the UTPA. See O.J. Enterprises, Inc. v. Insurance Co. of North America, 96 Mich.App. 271 , 292 N.W.2d 207, 208-209 (1980) (where the court observed that â[i]t is inconceivable that the Michigan Legislature ... would have intended to penalize insurers for seeking settlement of a disputed claim through the appraisal processâ). E. Plaintiffs Claim for Prejudgment Interest Finally, the Court addresses Plaintiffs argument that it is entitled as a matter of law to the 12% judgment interest provided under Mich. Comp. Laws § 600.6013 (5) from the date of its Complaint to the date of payment. See Yaldo v. North Pointe, 457 Mich. 341 , 578 N.W.2d 274 (1998). Defendant responds that Plaintiff is not entitled to prejudgment interest because it has demanded an appraisal and will timely pay, without judicial intervention, any appraisal award (less the amount already paid to Plaintiff for the building loss). See O. J. Enterprises, 292 N.W.2d at 209 ; Krim v. Commercial Union Assurance Co., 94 Mich.App. 639 , 288 N.W.2d 463, 464 (1980). Plaintiffs motion as to prejudgment interest is DENIED but not for the reasons stated in Defendantâs response. Plaintiffs request for an assessment of its right to prejudgment interest is *1022 premature. Accordingly, the denial here is WITHOUT PREJUDICE. Future events may affect Plaintiffs right to prejudgment interest under § 600.6013. First, the parties may settle prior to entry of a judgment on the merits. The Michigan courts have observed that â[w]hen a plaintiff accepts a settlement, the plaintiff waives the right to prejudgment interest on that amount of the total judgment.â See Freysinger v. Taylor Supply Co., 197 Mich.App. 349 , 494 N.W.2d 870, 871 (1992). Second, the appraisal process may result in an award that equals the amount Defendant tendered to Plaintiff prior to the filing of this Complaint. Defendant tendered the $247,147.58 payment for the building loss prior to this suit being filed on February 26, 1998. As this Court recently observed, âthe purpose of the prejudgment interest statute... is to compensate a party for the delay between the filing of its complaint and the entry of a judgment in its favorâ. Prestige Casualty Co. v. Michigan Mut. Ins. Co., 969 F.Supp. 1029, 1033 (E.D.Mich.1997). The statute is not designed to compensate a party for delay prior to the time the complaint is filed. Id. The Complaint in this action was filed on February 26, 1998, and Defendant invoked the appraisal procedure for resolution of the partiesâ dispute over the amount of Plaintiffs loss on March 22, 1999. If judgment enters after the appraisal process is completed and is an amount.greater than the amount Defendant has already tendered, the Court will at that time evaluate whether Plaintiff is entitled to prejudgment interest under § 600.6013(5) from the time the Complaint was filed until the judgment is paid or whether prejudgment interest will be disallowed for the period of delay resulting from Defendantâs resort to the appraisal procedure provided under the subject insurance policy. See Dedes v. Asch, 233 Mich.App. 329 , 590 N.W.2d 605 (1998) (where the court held that prejudgment interest may be disallowed for periods of delay not the fault of the insurer or delays that do not erode the purposes underlying the prejudgment statute). IV. Conclusion For the foregoing reasons, Plaintiffs motion for partial summary judgment is DENIED and Defendantâs motion for partial summary judgment is GRANTED. 1 . Plaintiff filed its Complaint in Wayne County Circuit Court on February 26, 1998. Defendant removed the action here in April 1998. 2 . The calculation involves two principal steps: (1) multiply [value of the property at the time of the loss] by [coinsurance percentage]; and (2) multiply [policy limit] by [the answer to step (1) above]. The amount paid is this figure or the limit of insurance, whichever is less. 3 . It is not claimed that the exceptions con-tamed in 7.b, c, d, e and f apply here.
Case Information
- Court
- E.D. Mich.
- Decision Date
- May 6, 1999
- Status
- Precedential