Mi Brain and Spine Surgery Center v. American Alternative Insur ( 2023 )

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to
revision until final publication in the Michigan Appeals Reports.
STATE OF MICHIGAN
COURT OF APPEALS
MICHIGAN BRAIN & SPINE SURGERY UNPUBLISHED
CENTER, May 18, 2023
Plaintiff-Appellant,
v No. 362304
Macomb Circuit Court
AMERICAN ALTERNATIVE INSURANCE LC No. 2021-001006-NF
CORPORATION,
Defendant-Appellee.
Before: PATEL, P.J., and CAVANAGH and REDFORD, JJ.
PER CURIAM.
In this provider action under the no-fault act, MCL 500.3101 et seq., plaintiff appeals as of
right an order granting summary disposition under MCR 2.116(C)(10) in favor of defendant.
Plaintiff argues that the trial court erred because there was at least a question of fact regarding the
availability of personal protection insurance (PIP) benefits under two parked-vehicle exceptions,
to wit: MCL 500.3106(1)(b) and (c). We agree with plaintiff’s argument that the trial court erred
with respect to MCL 500.3106(1)(b), and decline to address plaintiff’s unpreserved argument
regarding subsection (1)(c). We reverse and remand for further proceedings.
I. BACKGROUND
This case arises from injuries sustained by plaintiff’s patient, Djerdj Djeljaj, in February
2019. Djeljaj went to a medical center for treatment. The facility was unequipped to diagnose
Djeljaj’s complaints and opted to transfer him to a hospital. Djeljaj testified that two emergency
medical technicians (EMTs) came inside with a stretcher, strapped him onto it, and wheeled him
outside. The ambulance door was open, and the female EMT attempted to push him inside, head
first. In the process, the stretcher overturned and Djeljaj struck the pavement with his head and
shoulder.
A report from the ambulance company described the incident similarly, explaining that one
of the EMTs attempted to lift the stretcher into the vehicle, but struggled to lift it high enough.
The second EMT came to the first EMT’s assistance and attempted to lift the stretcher further from
-1-
the side. This maneuver caused the stretcher to tilt and ultimately flip onto its side, with Djeljaj
still attached. Djeljaj was purportedly injured in the fall.
Plaintiff sued defendant to recover PIP benefits arising from the treatment it provided to
Djeljaj. Defendant moved for summary disposition for several reasons, including defendant’s
contention that plaintiff’s claim was barred by the parked-vehicle exclusion and did not come
within the scope of any of the exceptions identified in MCL 500.3106(1). Defendant also argued
that Djeljaj’s injury lacked a sufficient causal nexus to the use of a motor vehicle as a motor
vehicle. Plaintiff responded that it had a viable claim for benefits under MCL 500.3106(1)(b), that
Djeljaj’s injuries were related to the use of the ambulance as a motor vehicle, and that there was a
sufficient causal relationship between his injuries and the use of the parked ambulance. The trial
court disagreed and granted summary disposition under MCR 2.116(C)(10).
II. PRESERVATION AND STANDARDS OF REVIEW
Preliminarily, we note that an issue must generally be raised before or decided by the trial
court to preserve appellate review. Glasker-Davis v Auvenshine, 333 Mich App 222, 227; 964
NW2d 809 (2020). Plaintiff’s claim of error regarding MCL 500.3106(1)(b) was properly
preserved, but its argument regarding MCL 500.3106(1)(c) is being raised for the first time on
appeal. In civil litigation, “Michigan generally follows the ‘raise or waive’ rule of appellate
review,” under which failure to timely raise an issue before the trial court constitutes waiver of
that issue on appeal. Walters v Nadell, 481 Mich 377, 387; 751 NW2d 431 (2008). Although we
have discretion to overlook preservation requirements under appropriate circumstances, Smith v
Foerster-Bolser Const, Inc, 269 Mich App 424, 427; 711 NW2d 421 (2006), we decline to do so
in this case.
We review de novo a trial court’s summary disposition ruling. El-Khalil v Oakwood
Healthcare, Inc, 504 Mich 152, 159; 934 NW2d 665 (2019). A motion brought under MCR
2.116(C)(10) tests the factual sufficiency of the claim. Id. at 160. The standard of review for such
motions is well settled:
In evaluating a motion for summary disposition brought under this subsection, a
trial court considers affidavits, pleadings, depositions, admissions, and other
evidence submitted by the parties, MCR 2.116(G)(5), in the light most favorable to
the party opposing the motion. Where the proffered evidence fails to establish a
genuine issue regarding any material fact, the moving party is entitled to judgment
as a matter of law. [Trueblood Estate v P&G Apartments, LLC, 327 Mich App 275,
284; 933 NW2d 732 (2019), quoting Maiden v Rozwood, 461 Mich 109, 120; 597
NW2d 817 (1999).]
“A genuine issue of material fact exists when the record, giving the benefit of reasonable doubt to
the opposing party, leaves open an issue upon which reasonable minds might differ.” West v Gen
Motors Corp, 469 Mich 177, 183; 665 NW2d 468 (2003).
This Court also reviews issues involving statutory interpretation de novo. Kemp v Farm
Bureau Gen Ins Co of Mich, 500 Mich 245, 252; 901 NW2d 534 (2017). The primary goal of
statutory interpretation is to give effect to the Legislature’s intent as conveyed by the plain
-2-
language of the statute. Id. “When a statute’s language is unambiguous, the Legislature must have
intended the meaning clearly expressed, and the statute must be enforced as written.” Id.(quotation marks and citation omitted).
III. ANALYSIS
Subject to the provisions of the no-fault act, an insurer that provides PIP coverage “is liable
to pay benefits for accidental bodily injury arising out of the ownership, operation, maintenance
or use of a motor vehicle as a motor vehicle . . . .” MCL 500.3105(1). But MCL 500.3106(1)
provides that “[a]ccidental bodily injury does not arise out of the ownership, operation,
maintenance, or use of a parked vehicle as a motor vehicle” (emphasis added), and thus does not
give rise to PIP benefits under MCL 500.3105(1), unless an exception applies. The so-called
parked-vehicle exclusion does not apply if any of the following exceptions occur:
(a) The vehicle was parked in such a way as to cause unreasonable risk of
the bodily injury which occurred.
(b) Except as provided in subsection (2),[1] the injury was a direct result of
physical contact with equipment permanently mounted on the vehicle, while the
equipment was being operated or used, or property being lifted onto or lowered
from the vehicle in the loading or unloading process.
(c) Except as provided in subsection (2), the injury was sustained by a
person while occupying, entering into, or alighting from the vehicle. [MCL
500.3106(1)(a) through (c).]
In determining whether PIP benefits are available for injuries related to parked motor
vehicles, courts must first consider whether the claimant’s “conduct fits one of the three exceptions
of subsection 3106(1).” Kemp, 500 Mich at 253 (quotation marks and citation omitted). “Second,
the claimant must show that the injury arose out of the ownership, operation, maintenance, or use
of the parked motor vehicle as a motor vehicle[.]” Id. (quotation marks, citation, and emphasis
omitted; alteration in original). Lastly, “the claimant must demonstrate that the injury had a causal
relationship to the parked motor vehicle that is more than incidental, fortuitous, or but for.” Id.
(quotation marks and citation omitted).
The principal point of contention in this appeal is whether the trial court erred by
concluding that MCL 500.3106(1)(b) did not apply to the circumstances at issue. We agree with
plaintiff that the trial court’s analysis of this issue was flawed and inconsistent with the plain
statutory language and controlling caselaw.
The trial court’s decision was premised on the Supreme Court’s discussion of this statutory
exception in Kemp, 500 Mich at 254-256. In that case, the plaintiff, upon arriving home from work
and exiting his vehicle, reached into the backseat to retrieve several personal items. Id. at 249. He
1
MCL 500.3105(2) concerns injuries that qualify for worker’s compensation benefits and is not
applicable in this case.
-3-
sustained an injury as he removed the items from the vehicle. Id. The Court opined that there was
a question of fact as to whether the plaintiff was injured as he lowered the items from his vehicle
during the unloading process. Id. at 254. The Court began by noting that the items the plaintiff
was retrieving—a briefcase, overnight bag, thermos, and lunch box—constituted property because
they were “things ‘owned or possessed’ by [the] plaintiff.” Id. Additionally, the plaintiff’s
testimony regarding the sudden onset of his injury upon twisting to set the items down was
sufficient to create a factual question regarding whether the injury was a direct result, or in other
words caused by, his contact with the property being loaded or unloaded. Id. at 255.
The trial court interpreted this precedent as requiring plaintiff in this case to prove that (1)
Djeljaj owned or possessed the property, (2) he was in physical contact with the property and either
lifting it from or onto the vehicle, and (3) he was injured due to physical contact with that property.
Concerning the first “requirement,” the trial court misconstrued Kemp. The critical issues before
the Kemp Court were whether the plaintiff’s injury was closely related to the transportational
function of his motor vehicle and whether the injury had the requisite causal relationship to the
parked motor vehicle. Id. at 251. There is no indication that whether the plaintiff’s personal items
constituted property was ever in dispute. Rather, it appears that the Supreme Court commented
on that matter in the interest of complete analysis and without any intention to establish a binding
rule of law requiring that the property at issue be owned or possessed by the plaintiff. See
Griswold Props, LLC v Lexington Ins Co, 276 Mich App 551, 557-558; 741 NW2d 549 (2007)
(“It is a well-settled rule that statements concerning a principle of law not essential to
determination of the case are obiter dictum and lack the force of an adjudication.”) (quotation
marks and citation omitted). Indeed, such a conclusion would be at odds with the plain language
of MCL 500.3106(1)(b), which contains no words mandating an interest in the property beyond
the requirement of “physical contact” with “property being lifted or lowered from the vehicle in
the loading or unloading process.”
It is also notable that the “owned or possessed” language quoted by the Kemp Court came
from a dictionary definition of “property” that does not itself restrict the thing owned or possessed
to a particular person. Kemp, 500 Mich at 254 & n 27, quoting Merriam-Webster’s Collegiate
Dictionary (11th ed). In fact, under the same definitional sense of property, that very dictionary
also defines property as “something to which a person or business has a legal title.” Merriam-
Webster’s Collegiate Dictionary (11th ed). This additional definition makes clear that the owner
or possessor of the item is not dispositive of whether it constitutes property.
The trial court also found MCL 500.3106(1)(b) inapplicable because Djeljaj was not
actively engaged in lifting the property—that is, the stretcher—into the ambulance. This reasoning
is again unavailing because neither the plain statutory language nor Kemp imposes such a
requirement. The exception in subsection (1)(b) states only that the injury must be “a direct result
of physical contact with . . . property being lifted onto or lowered from the vehicle in the loading
or unloading process.” MCL 500.3106(1)(b). If the Legislature intended to limit the availability
of PIP benefits to parties who were injured in the act of lifting or lowering property from the
vehicle, it could surely have chosen more precise language to reflect that intent. The Legislature
did just that in subsection (2)(a) by providing that certain work-related injuries are excluded from
PIP benefits if the employee sustains an injury “while doing” certain tasks, including “[l]oading,
unloading, or doing mechanical work on a vehicle . . . .” MCL 500.3106(2)(a). Rather than using
similar language in MCL 500.3106(1)(b), the Legislature mandated only that the injury must be a
-4-
direct result of physical contact with property being lifted onto or lowered from the vehicle.
“When the Legislature uses different words, the words are generally intended to connote different
meanings.” United States Fidelity & Guaranty Co v Mich Catastrophic Claims Ass’n (On
Rehearing), 484 Mich 1, 14; 795 NW2d 101 (2009). As explained in Kemp, this condition only
requires proof the “injury was caused by contact with the property being loaded or unloaded.”
Kemp, 500 Mich at 255.
The trial court’s final reason for granting summary disposition with respect to this issue
was that Djeljaj’s injuries were caused not by his contact with the stretcher, but by his contact with
the ground when the stretcher overturned. This Court has already rejected the same flawed
reasoning. In Adanalic v Harco Nat’l Ins Co, 309 Mich App 173, 177-178; 870 NW2d 731 (2015),
the plaintiff was injured in the process of transferring a loaded pallet from a disabled vehicle to his
own semi-trailer. The plaintiff used straps attached to the pallet to pull it across a ramp from one
vehicle to the other. Id. at 178. When the pallet fell from the ramp while the plaintiff remained
attached to it by the straps, he too fell. Id. The trial court rejected the defendant’s contention that
the plaintiff was not entitled to PIP benefits because his injuries arose from contact with the
ground, rather than the pallet. Id. at 182. Concluding that the trial court’s analysis was consistent
with the statutory language, this Court affirmed. Id. It reasoned that the defendant’s position
attempted to “fundamentally rewrite the statute to state that a plaintiff’s injury must occur as a
result of being struck by the property being loaded or unloaded,” when the plain language required
only that “there be ‘physical contact’ with the property being loaded and that the physical contact
‘directly result’ in injury.” Id. The Court agreed that the plaintiff’s injury was a direct result of
contact with the pallet, explaining, “While hitting the ground when falling occurs at a different
instant than the moment the fall begins, it begs credulity (and the law of gravity) to suggest that a
fall ending in impact with the ground is not a direct process.” Id. at 183.
Here, Djeljaj’s contact with the ground was inextricably tied to his physical contact with
the stretcher. But for having been secured to the stretcher, Djeljaj would never have fallen to the
ground and sustained injuries upon impact. His injury was caused by a “single, unbroken, and
immediate course of events,” id. at 182-183, that occurred because Djeljaj was in contact with, and
indeed strapped to, the stretcher as it was being loaded onto the ambulance. Because the evidence
suggests that Djeljaj’s injury was a direct result of physical contact with the stretcher as it was
being lifted onto the ambulance in the loading process, the trial court erred by concluding that
MCL 500.3106(1)(b) was inapplicable as a matter of law.
Having determined that the trial court erred by ruling that MCL 500.3106(1)(b) was
inapplicable, the next question is whether “the injury arose out of the ownership, operation,
maintenance, or use of the parked motor vehicle as a motor vehicle[.]” Kemp, 500 Mich at 253
(quotation marks and citation omitted; alteration in original). Concerning this “transportational
function requirement,” the Supreme Court explained:
[T]he phrase “use of a motor vehicle ‘as a motor vehicle’ ” would appear to
invite contrasts with situations in which a motor vehicle is not used “as a motor
vehicle.” This is simply to say that the modifier “as a motor vehicle” assumes the
existence of other possible uses and requires distinguishing use “as a motor vehicle”
from any other uses. While it is easily understood from all our experiences that
most often a vehicle is used “as a motor vehicle,” i.e., to get from one place to
-5-
another, it is also clear from the phrase used that the Legislature wanted to except
those other occasions, rare as they may be, when a motor vehicle is used for other
purposes, e.g., as a housing facility of sorts, as an advertising display (such as at a
car dealership), as a foundation for construction equipment, as a mobile public
library, or perhaps even when a car is on display in a museum. . . . It seems then
that when we are applying the statute, the phrase “as a motor vehicle” invites us to
determine if the vehicle is being used for transportational purposes. [Id. at 257-
258, quoting McKenzie v Auto Club Ins Ass’n, 458 Mich 214, 218-219; 580 NW2d
424 (1998) (alteration in original).]
The critical inquiry is thus “whether the injury is closely related to the transportational function of
motor vehicles.” Kemp, 500 Mich at 258 (quotation marks and citation omitted).
The trial court concluded that plaintiff’s claim failed on this element, not for lack of a
factual dispute, but because plaintiff did not adequately brief it. See Houghton v Keller, 256 Mich
App 336, 339; 662 NW2d 854 (2003) (“An appellant may not merely announce his position and
leave it to this Court to discover and rationalize the basis for his claims, nor may he give issues
cursory treatment with little or no citation of supporting authority.”) (citations omitted). We
disagree. A party moving for summary disposition under MCR 2.116(C)(10) “must first
specifically identify the issues as to which [it] believes there is no genuine issue as to any material
fact, and has the initial burden of supporting its position with affidavits, depositions, admissions,
or other admissible documentary evidence.” Innovative Adult Foster Care, Inc v Ragin, 285 Mich
App 466, 475; 776 NW2d 398 (2009) (quotation marks and citations omitted; alteration in
original). The nonmoving party is only tasked with establishing a genuine issue of material fact
after the moving party has met its initial burden. Id.Defendant’s dispositive motion noted that, in addition to meeting an exception outlined in
MCL 500.3106(1), plaintiff had to establish that the injury arose from the ownership, operation,
maintenance, or use of a motor vehicle as a motor vehicle (i.e., the transportational function
element) and that the injury had a causal relationship to the parked motor vehicle that was more
than incidental, fortuitous, or but for (i.e., the causal relationship element). Defendant argued that
Djeljaj’s injuries were merely incidental to the ambulance because he was receiving medical
services at the time and was not in contact with the ambulance. Defendant concluded, “The fact
[Djeljaj] fell near an ambulance is simply incidental and is insufficient to establish he was using a
motor vehicle as a motor vehicle.” Defendant’s single-paragraph argument incorporated language
implicating both the transportational function and causal relationship elements, leaving it unclear
whether defendant believed there was no genuine issue of material fact as to just one or both of
these elements, and thus unclear which element or elements plaintiff had a duty to respond to.2
Assuming, without deciding, that plaintiff’s duty to respond was triggered by defendant’s
vague position, the trial court’s characterization of plaintiff’s response as conclusory was
2
That said, we acknowledge that the transportational function and causal relationship inquiries are
not necessarily discrete inquiries and “bear an obvious logical relationship to one another.” Kemp,
500 Mich at 264 n 52.
-6-
reasonable, but we nevertheless conclude that plaintiff’s limited briefing should not have been
treated as abandoning this issue. Plaintiff quoted caselaw in which the Supreme Court found the
transportational function element satisfied because the plaintiff was going to be driving an
automobile upon entering it. See Putkamer v Transamerica Ins Corp of America, 454 Mich 626,
638; 563 NW2d 683 (1997). Then, mirroring the language it just quoted, plaintiff concluded that
Djeljaj’s “injury was related to the use of the vehicle (ambulance)[,] i.e., he was going to be
transported in the ambulance when he entered it, and . . . there is a sufficient causal connection
between his injury and the use of the parked vehicle.” While plaintiff’s succinct response
undoubtedly leaves something to be desired, it was not so deficient as to warrant summary
disposition on an element that was not clearly challenged by the moving party.
Moreover, it is clear upon de novo review that the evidence proffered in support of and in
opposition to defendant’s motion weighed against granting the motion with respect to the
transportational function element. When a person is injured while entering a parked vehicle with
the intention of traveling, the vehicle is being used as a motor vehicle as a matter of law. Id. at
636. Djeljaj was injured while the EMTs were in the process of loading the stretcher to which he
was strapped into the ambulance so as to transport Djeljaj from the medical center to a hospital
that was better equipped to diagnose his ailment. The ability to “get from one place to another” is
the essence of the transportational function of a motor vehicle. Kemp, 500 Mich at 257; McKenzie,
458 Mich at 218-219. Because Djeljaj was being loaded into the ambulance for purposes of
transportation, he was clearly using the vehicle for its transportational function. See Putkamer,
454 Mich at 636.
The final step for determining whether an injury involving a parked vehicle is compensable
under the no-fault act is to consider whether “the injury had a causal relationship to the parked
motor vehicle that is more than incidental, fortuitous, or but for.” Kemp, 500 Mich at 253
(quotation marks and citation omitted). In other words, “[t]he injury must be foreseeably
identifiable with the normal use, maintenance and ownership of the vehicle.” Id. at 263 (quotation
marks and citation omitted).
The trial court again found this element lacking because of plaintiff’s inadequate briefing
of the issue. For the reasons set forth above, we disagree with the trial court’s treatment of this
element. Djeljaj was injured while being loaded into the ambulance for transportation to a hospital.
The primary purpose of an ambulance is to provide transportation to people in need of medical
attention. It is axiomatic that in order to provide such transportation, the person in need of medical
attention will need to enter the ambulance, often by way of a stretcher. It would be unreasonable
to conclude that mishaps in that process are not a foreseeable result of the normal use of an
ambulance.
IV. CONCLUSION
The trial court erred by granting defendant’s motion for summary disposition. MCL
500.3106(1)(b) provides an exception to the parked-vehicle exclusion if “the injury was a direct
result of physical contact with . . . property being lifted onto or lowered from the vehicle in the
loading or unloading process.” Plaintiff’s patient sustained injuries when the stretcher he was
strapped to fell over as it was being loaded into an ambulance. A jury could conclude that this
satisfied the exception set forth in MCL 500.3106(1)(b). The evidence further demonstrated that
-7-
his injuries arose from use of the ambulance as a motor vehicle and that there was a sufficient
causal relationship between his injuries and such use of the ambulance.
Reversed and remanded for further proceedings consistent with this opinion. We do not
retain jurisdiction.
/s/ Sima G. Patel
/s/ Mark J. Cavanagh
/s/ James Robert Redford
-8-