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Crossley v. Allstate Ins Co.

Michigan Court of Appeals
Aug 14, 1986
155 Mich. App. 694 (Mich. Ct. App. 1986)

Summary

holding that the plaintiff's allegation that the defendant's conduct constituted unfair trade practices under the UTPA failed because the UTPA already provides a comprehensive, exclusive scheme for relief

Summary of this case from Burns v. Unum Group

Opinion

Docket No. 85111.

Decided August 14, 1986.

Denenberg, Tuffley Bocan (by Stephen D. Duggan and John A. Lawson), for defendant.

Before: ALLEN, P.J., and MacKENZIE and J.P. SWALLOW, JJ.

Circuit judge, sitting on the Court of Appeals by assignment.


Defendant, plaintiff's insurer, rejected plaintiff's proof of loss for fire damage to his house and garage, claiming that the amount claimed greatly exceeded the value of the loss and that the fires were set, or procured to be set, by plaintiff. Plaintiff responded by filing a complaint against defendant for breach of contract, "negligence and unfair trade practices," and intentional infliction of emotional distress. Defendant's affirmative defenses included arson and fraud.

Following the trial court's grant of summary judgment to plaintiff pursuant to GCR 1963, 117.2(3) because there was no credible evidence to support defendant's affirmative defenses of arson and fraud and the trial court's judgment for plaintiff of $54,000 on an award of an umpire on the breach of contract claim, defendant filed appeals to this Court. The appeals were consolidated, the trial court's decisions reversed, and the case remanded for trial. See Crossley v Allstate Ins Co, 139 Mich. App. 464; 362 N.W.2d 760 (1984).

Following remand, defendant turned the tables and filed a motion for partial summary disposition under MCR 2.116(C)(8), failure to state a claim, against plaintiff on the unfair trade practices and infliction of emotional distress counts. Defendant appeals, by leave granted, the trial court's adverse ruling on that motion. We conclude that the trial court erred. Accordingly, we reverse that order and remand for trial on plaintiff's breach of contract claim.

A motion for summary disposition pursuant to MCR 2.116(C)(8) tests the legal basis of the complaint, and not whether it can be factually supported. Ross v Consumers Power Co (On Rehearing), 420 Mich. 567, 647; 363 N.W.2d 641 (1984). A court must accept as true all well-pled facts and determine whether plaintiff's claims are so clearly unenforceable as a matter of law that no factual development can possibly justify a right to recover. Trotter v Hamill Mfg Co, 143 Mich. App. 593, 596; 372 N.W.2d 622 (1985).

In Count I, plaintiff alleged that defendant's conduct constituted an unfair trade practice within the meaning of § 2006 of the Unfair Trade Practices Act, MCL 500.2001 et seq.; MSA 24.12001 et seq. In Count II, plaintiff alleged generally that defendant violated its fiduciary and statutorily prescribed duties under UTPA. Plaintiff further alleged that defendant's negligent and deceptive acts and practices, an allegation of practices within the ambit of § 2026 of the act, were the direct and proximate cause of plaintiff's injuries and his claimed entitlement to insurance proceeds and exemplary damages.

An allegation, such as plaintiff's allegation that defendant's conduct violated §§ 2000 and 2026 of the UTPA, that a defendant has breached an obligation imposed upon the defendant by law is an allegation of tort. See Valentine v General American Credit, Inc, 420 Mich. 256, 259; 362 N.W.2d 628 (1984), and Prosser Keeton, Torts (5th ed), § 92, pp 655-656. Plaintiff's allegation with regard to violation of the UTPA fails as a matter of law because the act provides a comprehensive, exclusive scheme of enforcement of the rights and duties it creates; no private cause of action exists in tort for a violation of the UTPA. Bell v League Life Ins Co, 149 Mich. App. 481; 387 N.W.2d 154 (1986), see also Young v Michigan Mutual Ins Co, 139 Mich. App. 600, 605; 362 N.W.2d 844 (1985), lv den 422 Mich. 977 (1985).

Nor can the relationship between an insurer and insured support recovery for plaintiff. Contrary to plaintiff's allegation, that relationship is not fiduciary in nature. Hearn v Rickenbacker, 140 Mich. App. 525, 528; 364 N.W.2d 371 (1985). While this Court has recognized a relationship of trust and confidence between insurer and insured which permits an action for fraud predicated upon a claim of misrepresentation, Drouillard v Metropolitan Life Ins Co, 107 Mich. App. 608, 621; 310 N.W.2d 15 (1981), lv den 413 Mich. 874 (1982), no misrepresentation by defendant is alleged here.

Finally, to the extent plaintiff's complaint alleges "negligence" in defendant's refusal to pay, or failure to more properly investigate and assess the merit of plaintiff's claim, the complaint merely alleges a breach of contract, and summary disposition would properly have been granted with regard to such a "negligence" claim. Hart v Ludwig, 347 Mich. 559, 565; 79 N.W.2d 895 (1956).

We choose to address separately plaintiff's Count III, which alleges emotional distress damages caused by defendant's conduct. Initially, we note that an allegation of bad faith breach of an insurance contract does not support recovery of damages for mental distress in Michigan. There must be a finding of tortious conduct independent of the contractual breach to justify the award of mental distress damages. Kewin v Massachusetts Mutual Life Ins Co, 409 Mich. 401, 416; 295 N.W.2d 50 (1980).

In Roberts v Auto-Owners Ins Co, 422 Mich. 594; 374 N.W.2d 905 (1985), our Supreme Court declined to decide if a separate tort of intentional infliction of emotional distress exists in Michigan. With regard to the establishment of that tort, the Roberts Court quoted the following from the Restatement:

"Liability has been found only where the conduct has been so outrageous in character, and so extreme in degree, as to go beyond all possible bounds of decency, and to be regarded as atrocious, and utterly intolerable in a civilized community. Generally, the case is one in which the recitation of the facts to an average member of the community would arouse his resentment against the actor, and lead him to exclaim, `Outrageous!'

"The liability clearly does not extend to mere insults, indignities, threats, annoyances, petty oppressions, or other trivialities." [ Roberts, supra, p 603 (quoting Restatement Torts, 2d, § 46, comment d, pp 72-73).]

The Roberts Court found that Kewin, supra, and the Restatement comments "significantly" limit the "range of circumstances in which a prima facie showing of outrageousness can be made in the insurance context." In Roberts, the Court found the plaintiffs' reliance on the insurer's failure to supply the insured with forms, delay in responding to his claims, and "denial" of benefits by a request for verification of loss insufficient as a matter of law.

The instant plaintiff rests his mental distress damages claim on defendant's alleged failure to reasonably investigate his claim and alleged deliberate oppression of plaintiff to deny him benefits. The underlying factual allegation is defendant's "accusing plaintiff David Crossley of arson and fraud when defendant had absolutely no evidence whatsoever to support those allegations."

From the allegations in plaintiff's complaint, it is clear that the alleged "accusation" was responsive to plaintiff's filing of a proof of loss. Plaintiff has alleged, at most, a bad faith attempt by defendant to avoid paying under the insurance contract. No claim arising independently of the contract has been stated. Defendant's response to plaintiff's proof of loss was not a type which would cause an average member of the community to scream "Outrageous!"

We find nothing in plaintiff's allegations indicating that the "accusation" was published.

The order of the circuit court denying defendant's motion for partial summary disposition is reversed. This matter is remanded for trial on plaintiff's breach of contract claim.


Summaries of

Crossley v. Allstate Ins Co.

Michigan Court of Appeals
Aug 14, 1986
155 Mich. App. 694 (Mich. Ct. App. 1986)

holding that the plaintiff's allegation that the defendant's conduct constituted unfair trade practices under the UTPA failed because the UTPA already provides a comprehensive, exclusive scheme for relief

Summary of this case from Burns v. Unum Group

observing that the UTPA provides a "comprehensive, exclusive scheme of enforcement"

Summary of this case from Emergency Dep't Physicians P.C. v. United Healthcare, Inc.

In Crossley, the plaintiff alleged mental distress damages based upon defendant's, "alleged failure to reasonably investigate his claim and alleged deliberate oppression of plaintiff to deny him benefits."

Summary of this case from Cromer v. Safeco Insurance Company of America
Case details for

Crossley v. Allstate Ins Co.

Case Details

Full title:CROSSLEY v ALLSTATE INSURANCE COMPANY

Court:Michigan Court of Appeals

Date published: Aug 14, 1986

Citations

155 Mich. App. 694 (Mich. Ct. App. 1986)
400 N.W.2d 625

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