Carmen Schroeder v. Western National Mutual Insurance Company , 850 N.W.2d 712 ( 2014 )


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  •                               STATE OF MINNESOTA
    IN COURT OF APPEALS
    A13-2289
    Carmen Schroeder,
    Respondent,
    vs.
    Western National Mutual Insurance Company,
    Appellant.
    Filed July 7, 2014
    Affirmed
    Halbrooks, Judge
    Hennepin County District Court
    File No. 27-CV-13-5497
    William J. Schmitz, Schmitz Law Offices, Woodbury, Minnesota (for respondent)
    Katherine A. McBride, Meagher & Geer, P.L.L.P., Minneapolis, Minnesota (for
    appellant)
    Considered and decided by Halbrooks, Presiding Judge; Smith, Judge; and
    Klaphake, Judge.
    SYLLABUS
    Under the Minnesota No-Fault Act, Minn. Stat. §§ 65B.41-.71 (2012), an injured
    insured who has primary responsibility for the management of a household is entitled to
    the reasonable value of the insured’s household care and maintenance services, regardless
    of whether the services were replaced when the insured could not perform them.
    
    Retired judge of the Minnesota Court of Appeals, serving by appointment pursuant to
    Minn. Const. art. VI, § 10.
    OPINION
    HALBROOKS, Judge
    Following the district court’s denial of its motion to vacate a no-fault arbitration
    award, appellant insurer argues that the arbitrator exceeded his authority when he
    awarded no-fault benefits for the reasonable value of respondent insured’s household care
    and maintenance services that were not replaced.          Because we conclude that the
    applicable provision of the no-fault statute supports the award, we affirm.
    FACTS
    On May 10, 2012, respondent Carmen Schroeder was rear-ended on Highway 55
    after stopping her vehicle to make a left turn. Schroeder suffered a spinal fracture and
    underwent significant spinal surgery on May 14. Schroeder was completely disabled
    until September 5 and partially disabled until October 3. Schroeder was then a 59-year-
    old single woman who owns and maintains her own home. She has no close family
    nearby.   During the period of her disability, no one provided household care or
    maintenance services for Schroeder on a paid or volunteer basis.
    Schroeder submitted a claim to appellant Western National Mutual Insurance
    Company for, among other things, the reasonable value of the care and maintenance
    services for her home that she was unable to perform as a result of her injury. Western
    National denied this aspect of Schroeder’s claim, asserting that it could not calculate and
    process the claim until it received proof of what replacement services were performed
    and by whom. But Western National agreed that Schroeder need not have incurred any
    expense to be eligible for these benefits.
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    Schroeder petitioned for mandatory no-fault arbitration, claiming $3,400 in
    replacement services benefits under Minn. Stat. § 65B.44, subd. 5, calculated as $200 per
    week from May 18 to September 13, 2012, and $100 per week from September 14 to
    September 21, 2012. After a hearing, the arbitrator ruled in Schroeder’s favor, awarding
    $3,400 plus interest.   Western National moved the district court under Minn. Stat.
    § 572B.23 (2012) to vacate the no-fault arbitration award on the ground that the arbitrator
    misapplied the law in awarding benefits for services that were not replaced and therefore
    had exceeded his authority. The parties agreed that (1) Schroeder meets the definition of
    a person with primary responsibility for the management of a household under the second
    clause of Minn. Stat. § 65B.44, subd. 5, and the case law interpreting it; (2) she was
    disabled from performing her usual household services for the relevant time period; and
    (3) no replacement services were performed.
    The district court denied Western National’s motion, determining that under the
    second clause of Minn. Stat. § 65B.44, subd. 5, as interpreted by the Minnesota Supreme
    Court, “an insured homemaker with full-time responsibility for her household is entitled
    to recover the reasonable value of her services, without regard to whether her services
    have been replaced.”     After the denial of Western National’s motion, the parties
    stipulated to entry of judgment in the amount of $3,908.44. This appeal follows.
    ISSUE
    Does Minn. Stat. § 65B.44, subd. 5, permit an insured who has primary
    responsibility for the management of a household to recover the reasonable value of the
    household services that the insured was unable to perform but were not replaced?
    3
    ANALYSIS
    Western National argues that Schroeder is not entitled to benefits under Minn.
    Stat. § 65B.44, subd. 5, because her services were not replaced and her loss is a
    noneconomic loss. We review questions of statutory interpretation of the no-fault act
    de novo. State Farm Mut. Auto. Ins. Co. v. Frelix, 
    764 N.W.2d 581
    , 582 (Minn. App.
    2009). Statutes are construed to ascertain and effectuate the intent of the legislature and
    to give effect to the plain meaning of the statutory terms. Ill. Farmers Ins. Co. v. Glass
    Serv. Co., 
    683 N.W.2d 792
    , 803 (Minn. 2004).
    Minn. Stat. § 65B.44, subd. 5, provides in full:
    Replacement service and loss. Replacement service loss
    benefits shall reimburse all expenses reasonably incurred by
    or on behalf of the nonfatally injured person in obtaining
    usual and necessary substitute services in lieu of those that,
    had the injured person not been injured, the injured person
    would have performed not for income but for direct personal
    benefit or for the benefit of the injured person’s household; if
    the nonfatally injured person normally, as a full time
    responsibility, provides care and maintenance of a home
    with or without children, the benefit to be provided under
    this subdivision shall be the reasonable value of such care
    and maintenance or the reasonable expenses incurred in
    obtaining usual and necessary substitute care and
    maintenance of the home, whichever is greater. These
    benefits shall be subject to a maximum of $200 per week. All
    replacement services loss sustained on the date of injury and
    the first seven days thereafter is excluded in calculating
    replacement services loss.
    (Emphasis added.) The Minnesota Supreme Court has interpreted this subdivision to
    contain two distinct clauses. See Rindahl v. Nat’l Farmers Union Ins. Cos., 
    373 N.W.2d 294
    , 296 (Minn. 1985) (interpreting the 1982 statute, which is identical in relevant part to
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    the 2012 clause at issue here); see also Lenz v. Depositors Ins. Co., 
    561 N.W.2d 559
    , 562
    (Minn. App. 1997) (“The supreme court has suggested that the first and second clauses of
    the subdivision are independent of one another.”), review denied (Minn. June 11, 1997).
    The first clause applies when the claimant does not have primary responsibility for
    the management of the household. Minn. Stat. § 65B.44, subd. 5; see 
    Rindahl, 373 N.W.2d at 296-97
    ; Nadeau v. Austin Mut. Ins. Co., 
    350 N.W.2d 368
    , 373 & n.2 (Minn.
    1984). It provides reimbursement for expenses reasonably incurred in obtaining usual
    and necessary substitute services in lieu of those that the injured person would have
    performed for the benefit of the household. Minn. Stat. § 65B.44, subd. 5. It is not
    limited to services directly supporting the care and maintenance of the home. 
    Lenz, 561 N.W.2d at 562-63
    (affirming judgment in favor of insured on claim for car repair services
    that he would have performed but for his injury). Benefits are only available under the
    first clause when the claimant pays for replacement help. 
    Rindahl, 373 N.W.2d at 296
    (“We held in Nadeau v. Austin Mutual Ins. Co., 
    350 N.W.2d 368
    (Minn. 1984), that [the
    first] clause provides benefits only for actual expenses incurred in hiring substitute
    household help.”).
    The second clause, which does not appear in the Uniform Motor Vehicle Accident
    Reparations Act, only applies, “if the injured person ‘normally, as a full time
    responsibility,’ takes care of the home.” 
    Rindahl, 373 N.W.2d at 296
    (quoting Minn.
    Stat. § 65B.44, subd. 5); see also 
    Lenz, 561 N.W.2d at 562
    . The supreme court has held
    that “‘full time responsibility’ as used in section 65B.44, subd. 5, means primary
    responsibility for management of the household, regardless of whether the person also
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    works outside the home.” 
    Rindahl, 373 N.W.2d at 297
    . The parties agree that Schroeder
    is an injured person who “normally, as a full-time responsibility, takes care of the home.”
    See 
    Rindahl, 373 N.W.2d at 296
    . Clause two provides:
    [I]f the nonfatally injured person normally, as a full time
    responsibility, provides care and maintenance of a home with
    or without children, the benefit to be provided under this
    subdivision shall be the reasonable value of such care and
    maintenance or the reasonable expenses incurred in
    obtaining usual and necessary substitute care and
    maintenance of the home, whichever is greater.
    Minn. Stat. § 65B.44, subd. 5 (emphasis added). Under this clause, an insured with
    primary responsibility for the management of a household may claim either the
    reasonable value of the care and maintenance services that the injured party cannot
    perform or the reasonable expenses incurred in obtaining usual and necessary substitute
    care and maintenance of the home. See 
    id. An insured
    is eligible for clause-two benefits
    without paying for replacement services. 
    Rindahl, 373 N.W.2d at 296
    (concluding that
    “the injured person . . . is not required to incur actual expense for replacement help but
    can recover the reasonable value of her or his own household services”); see also
    
    Nadeau, 350 N.W.2d at 373
    n.2 (“[Clause two] would seemingly entitle claimants to
    replacement service loss benefits regardless of whether expenses have actually been
    incurred by or on behalf of the injured person if the injured person provides care and
    maintenance of a home ‘as a full time responsibility.’”).
    In Rindahl, the insured “never hired anyone to perform the lost household
    services; instead, other members of the family [took] up the 
    slack.” 373 N.W.2d at 296
    .
    The district court awarded clause-two benefits based on the reasonable value of the
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    insured’s household services. 
    Id. at 297.
    Our supreme court affirmed the district court’s
    calculation of benefits. 
    Id. Clause-two benefits
    are, therefore, “the reasonable value of
    [the insured’s household care and maintenance services] or the reasonable expenses
    incurred in obtaining usual and necessary substitute care and maintenance of the home,
    whichever is greater.” Minn. Stat. § 65B.44, subd. 5.
    The question before us is whether a primary household manager’s care and
    maintenance services must first be replaced—with or without cost—to trigger eligibility
    for benefits. Western National argues that if household services are not replaced, the loss
    of those services is dignitary noneconomic loss, which is not recoverable under the no-
    fault statute. “Loss” is defined in the no-fault statute in relevant part as, “economic
    detriment resulting from the accident causing the injury, consisting only of medical
    expense, income loss, replacement services loss.” Minn. Stat. § 65B.43, subd. 7. But
    because out-of-pocket expense need not be incurred for the insured to be eligible for
    clause-two benefits, this definition does not resolve our inquiry.
    Western National asserts that the readjustment of duties within a household is the
    economic detriment when services are replaced without cost. But nothing prevents a
    non-household member from assisting the insured, and in any event, the statutory benefit
    is not calculated based on the economic detriment to those who have “taken up the
    slack.” See 
    Rindahl, 373 N.W.2d at 296-97
    . The benefit is the reasonable value of the
    care and maintenance services that otherwise would have been performed by the person
    with primary responsibility for management of the household. Minn. Stat. § 65B.44,
    subd. 5; see also 
    Rindahl, 373 N.W.2d at 296-97
    .
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    Western National also argues that because the relevant provision falls within the
    subdivision on “replacement service and loss,” replacement of services is required by the
    plain statutory language. It argues that any other construction reads “replacement” and
    “services” out of the subdivision. We disagree. Clause two presents two methods by
    which to calculate the benefit for the person with primary responsibility for management
    of the household. The first method, under which the arbitrator awarded benefits here,
    contains no reference to replacement or substitute services.
    Western National also argues that the district court inappropriately relied on
    potential future economic loss in determining that Schroeder is entitled to clause-two
    benefits. Because the plain language of the statute resolves the question before us, we
    conclude that it is unnecessary to reach the district court’s policy statement.
    We hold that an insured who normally, as a full-time responsibility, provides care
    and maintenance of a home is entitled to the reasonable value of the insured’s care and
    maintenance services, without regard to whether the services were replaced when the
    insured could not perform them. The benefits available to Schroeder are therefore the
    reasonable value of her household care and maintenance services.              The arbitrator
    determined that the reasonable value of Schroeder’s household care and maintenance
    services was $3,400 from May 18 through September 21. A no-fault arbitrator’s findings
    of fact are final. Karels v. State Farm Ins. Co., 
    617 N.W.2d 432
    , 434 (Minn. App. 2000).
    Because the arbitrator did not exceed his authority, the district court did not err in
    denying Western National’s motion to vacate, and we will not disturb the award.
    8
    DECISION
    The no-fault arbitrator did not exceed his authority in awarding no-fault benefits
    under the second clause of Minn. Stat. § 65B.44, subd. 5, for the loss of household care
    and maintenance services that the insured could not perform but were not replaced.
    Affirmed.
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