Roberts v. Mecosta County General Hospital

                                                                        Michigan Supreme Court
                                                                        Lansing, Michigan 48909
_____________________________________________________________________________________________
                                                                C hief Justice                   Justices
                                                                Maura D. Cor rigan	              Michael F. Cavanagh




Opinion
                                                                                                 Elizabeth A. Weaver
                                                                                                 Marilyn Kelly
                                                                                                 Clifford W. Taylor
                                                                                                 Robert P. Young, Jr.
                                                                                                 Stephen J. Markman

____________________________________________________________________________________________________________________________

                                                                                  FILED APRIL 24, 2002





                LISA ROBERTS,


                        Plaintiff-Appellee,


                v	                                                   Nos. 116563, 116570, 116573 


                MECOSTA COUNTY GENERAL HOSPITAL,

                GAIL A. DESNOYERS, M.D.,

                MICHAEL ATKINS, M.D., BARB DAVIS, and

                OBSTETRICS AND GYNECOLOGY OF BIG RAPIDS, P.C.,

                formerly known as GUNTHER, DESNOYERS & MEKARU


                     Defendants-Appellants.

                ___________________________________

                BEFORE THE ENTIRE BENCH


                YOUNG, J. 


                        This case again calls into question the authority of


                courts to create terms and conditions at variance with those


                unambiguously           and    mandatorily            stated      in   a   statute.            We


                reaffirm that the duty of the courts of this state is to apply


                the actual terms of an unambiguous statute.

      In this medical malpractice case, the Court of Appeals


concluded that defendants had waived their ability to object


to the sufficiency of the notices of intent by failing to


raise their objections before the filing of the complaint. We


hold that the statute of limitations cannot be tolled under


MCL 600.5856(d) unless notice is given in compliance with all


the provisions of MCL 600.2912b. We further hold that MCL


600.2912b places the burden of complying with the notice of


intent requirements on the plaintiff and does not implicate a


reciprocal duty on the part of the defendant to challenge any


deficiencies in the notice before the complaint is filed. In


addition, because MCL 600.5856(d) is a tolling provision and


a plaintiff relies on a tolling provision to negate a statute


of limitations defense raised by a defendant, a defendant does


not need to assert the defense or challenge a plaintiff’s


compliance with MCL 600.2912b, as required by MCL 600.5856(d),


until the plaintiff files suit. For these reasons, we reverse


the Court of Appeals opinion and remand this matter for


further proceedings consistent with this opinion.


                     I.   Facts and Proceedings


      Plaintiff was pregnant and sought treatment because she


was   experiencing     severe   pain    in   her   abdomen.      She   was


diagnosed as having suffered a spontaneous abortion and a D &


C   was   performed.      Plaintiff     alleges    that   it   was   later



                                   2

discovered that she had actually been suffering from an


ectopic pregnancy, not a spontaneous abortion, and that her


left   fallopian    tube    had    burst.      Emergency     surgery    was


performed    to    remove     plaintiff’s      left     fallopian   tube.


Plaintiff claims that as a result of the second operation, she


can no longer bear children because her right fallopian tube


had previously been removed. 


       Plaintiff decided to pursue a medical malpractice claim,


alleging    that   defendants      misdiagnosed       her   condition   and


subsequently performed an unnecessary operation.


       Plaintiff served a notice of intent on defendant Mecosta


County General Hospital on September 19, 1996, and on the


remaining defendants on September 23, 1996.                 Serving these


notices constituted plaintiff’s attempt to (1) meet the notice


requirements for medical malpractice actions prescribed by MCL


600.2912b and (2) toll the statute of limitations pursuant to


MCL 600.5856(d).


       After the waiting period required under MCL 600.2912b had


passed,     plaintiff      filed   her      complaint.1       Thereafter,



     1 Under the statute, a plaintiff must wait 182 days after

serving notice to file a complaint. MCL 600.2912b(1). However,

if a defendant fails to respond to the notice of intent within

154 days, a plaintiff may file a complaint immediately and

need   not   await   the   expiration    of  182   days.   MCL

600.2912b(7),(8); Omelenchuk v City of Warren, 461 Mich 567,

572-573, 609 NW2d 177 (2000). Defendants in the present case

did not respond to the notices of intent within 154 days, so

plaintiff filed a complaint in Mecosta Circuit Court on


                                     3

defendants filed motions for summary disposition.   Defendants


argued, inter alia, that plaintiff’s claims were barred by the


statute of limitations because the notices of intent failed to


comply with the requirements outlined in MCL 600.2912b(4).2


Specifically, defendants asserted that plaintiff’s notices


failed to sufficiently state the standard of care, the manner


in which the standard was breached, the action the defendants


should have taken, and the proximate cause of the injury.





February 25, 1997, before the expiration of 182 days.


     2 MCL 600.2912b(4) provides:


          The notice given to a health professional or

     health facility under this section shall contain a

     statement of at least all of the following:


          (a)   The factual basis for the claim.


          (b) The applicable standard of practice or

     care alleged by the claimant.


          (c) The manner in which it is claimed that

     the applicable standard of practice or care was

     breached by the health professional or health

     facility.


          (d) The alleged action that should have been

     taken to achieve compliance with the alleged

     standard of practice or care.


          (e) The manner in which it is alleged the

     breach of the standard of practice or care was the

     proximate cause of the injury claimed in the

     notice.


          (f) The names of all health professionals and

     health facilities the claimant is notifying under

     this section in relation to the claim.


                              4

Defendants advanced the position that, since the notices were


insufficient, the period of limitation was not tolled under


MCL 600.5658(d) and had therefore expired. The trial court


granted the motions for summary disposition. 


     The Court of Appeals reversed and remanded, holding that


defendants had waived their ability to challenge plaintiff’s


failure to comply with the notice requirements because they


did not raise their objections before the time the complaint


was filed:


          In short, defendants sandbagged, harboring the

     alleged error until plaintiff could no longer

     correct it and the only available remedy would be

     dismissal with prejudice.       This Court cannot

     condone such conduct. 


          . . . [T]he purpose behind subsection 2912b(1)

     is to encourage settlement without the need for

     formal litigation. This purpose cannot be served

     if defendants are permitted to sit on alleged

     deficiencies in the notice of intent until after

     suit has been filed. If the purpose of the notice

     requirement   is   to   encourage   settlement   of

     legitimate claims before litigation is commenced,

     then any claims of deficiencies in the notice need

     to be raised before the complaint is filed, not

     after. 


                            * * *


          Accordingly, we hold that any objections to a

     notice of intent under subsection 2912b(1) must be

     raised before the filing of the complaint. Summary

     disposition based on any alleged defect in the

     notice of intent not raised by the defendant before

     the filing of the complaint is not appropriate.

     [240 Mich App 175, 184-186; 610 NW2d 285 (2000).]


     We granted defendants’ application for leave to appeal to



                              5

consider the propriety of the Court of Appeals holding that a


plaintiff’s noncompliance with the provisions of § 2912b is


waived by a defendant if no objection is raised before the


filing of the complaint.


                        II.   Standard of Review


     Questions of statutory interpretation are reviewed de


novo by this Court.      In re MCI Telecom, 460 Mich 396, 413; 596


NW2d 164 (1999).        Similarly, we review de novo decisions on


summary disposition motions.         Herald Co v Bay City, 463 Mich


111, 117; 614 NW2d 873 (2000).


                              III. ANALYSIS


     A. 	The Tolling Statute Mandates Compliance with

                    all of MCL 600.2912b


     The limitation period for medical malpractice actions is


two years.   MCL 600.5805(5).        This period is tolled under MCL


600.5856(d)


     [i]f, during the applicable notice period under

     section 2912b, a claim would be barred by the

     statute of limitations or repose, for not longer

     than a number of days equal to the number of days

     in the applicable notice period after the date

     notice is given in compliance with section 2912b.

     [Emphasis added.]


     Plaintiff    argues      that    the   language   “is    given     in


compliance with section 2912b” indicates that the Legislature


intended   only   the    delivery    provisions   of   §   2912b   to   be


applicable to § 5856(d). In other words, plaintiff’s position




                                     6

is that, as long as § 2912b(2)3 is satisfied, the statute of


limitations      is    tolled     under      §    5856(d),        notwithstanding


noncompliance with § 2912b(4). On the basis of a plain reading


of the statute, we reject this contention. 


         An anchoring rule of jurisprudence, and the foremost rule


of statutory construction, is that courts are to effect the


intent of the Legislature. People v Wager, 460 Mich 118, 123,


n   7;    594   NW2d   487    (1999).     To     do   so,    we   begin   with   an


examination of the language of the statute. Wickens v Oakwood


Healthcare System, 465 Mich 53, 60; 631 NW2d 686 (2001). If


the statute’s language is clear and unambiguous, then we


assume that the Legislature intended its plain meaning and the


statute is enforced as written. People v Stone, 463 Mich 558,


562; 621 NW2d 702 (2001). A necessary corollary of these


principles       is    that   a   court        may    read    nothing     into   an


unambiguous statute that is not within the manifest intent of


the Legislature as derived from the words of the statute



         3 MCL 600.2912b(2) provides:


              The notice of intent to file a claim required

         under subsection (1) shall be mailed to the last

         known professional business address or residential

         address of the health professional or health

         facility who is the subject of the claim. Proof of

         the mailing constitutes prima facie evidence of

         compliance with this section.    If no last known

         professional business or residential address can

         reasonably be ascertained, notice may be mailed to

         the health facility where the care that is the

         basis for the claim was rendered.


                                        7

itself. Omne Financial, Inc v Shacks, Inc, 460 Mich 305, 311;


596 NW2d 591 (1999).


     Section 5856(d) clearly provides that notice must be


compliant with § 2912b, not just § 2912b(2) as plaintiff


contrarily contends.     Had the Legislature intended only the


delivery provisions of § 2912b to be applicable, we presume


that the Legislature would have expressly limited compliance


only to § 2912b(2).     However, the Legislature did not do so.


Rather, it referred to all of § 2912b. 


     Since the statute is clear and unambiguous, this Court is


required to enforce § 5856(d) as written. Stone, supra. As a


result, the tolling of the statute of limitations is available


to a plaintiff only if all the requirements included in §


2912b are met. 


      B.   The Notice of Intent Statute, MCL 600.2912b


     The Court of Appeals did not decide whether the trial


court erred in determining that plaintiff’s notices of intent


did not comply with § 2912b(4). Instead, the Court concluded


that defendants had waived4 their ability to challenge the



     4 The Court of Appeals clearly used the term “waiver” in

a colloquial sense and one at odds with the established legal

meaning of this term.    As defined by this Court, “waiver”

connotes an intentional abandonment of a known right. People

v Carines, 460 Mich 750, 762, n 7; 597 NW2d 130 (1999).

Despite the dissent’s conclusory assertion to the contrary,

there is no record basis in this case for concluding that

defendants here advised plaintiff or anyone else that they

were intentionally abandoning their right to contest the


                                8

sufficiency of the notices under that section, by failing to


object to any deficiencies before the filing of the complaint.


     The notice of intent required for medical malpractice


actions is statutorily mandated. MCL 600.2912b(1) provides:


          [A]   person shall not commence an      action

     alleging   medical malpractice against a     health



adequacy of notice under § 2912b or their right ultimately to

assert a statute of limitations defense to her malpractice

claim. In fact, a review of the record produces a

communication between defendants’ adjusters and plaintiff that

is in direct contradiction to the meaning of “an intentional

abandonment of a known right.”      Defendant Mecosta County

General Hospital’s claim adjusters expressed in a writing

requesting information that their information request “does

not waive any rights Mecosta County General Hospital or the

MHA Insurance Company may have to dispute any defects in any

Notice of Intent or concede the validity of any such Notice.”

Thus, contrary to the dissent’s assertion that defendants made

“affirmative representations” so that there was a “voluntary

relinquishment of a known right,” not only were there no such

representations, defendants specifically stated in one of

their communications that the right to challenge the notice of

intent was not being waived. Therefore, in addition to the

absence of any affirmative representations, this communication

provides further evidence that our dissenting colleague’s

assertion that defendants’ communications “reasonably led

plaintiff to believe that her notice was sufficient, thereby

waiving any objections related to the adequacy of the notice”

is unsupportable.


     Rather, when referring to “waiver,” both the Court of

Appeals and dissent appear to rely on the related concept of

“forfeiture.” As defined by this Court, a “forfeiture” is the

failure to make a timely assertion of a right.       Carines,

supra.


     In any event, for the reasons explained below, it is

simply inappropriate to characterize defendants’ inaction as

either a waiver or a forfeiture, because the statute at issue

did not impose upon defendants a duty to assert that

plaintiff’s notice was deficient until her complaint was

filed.


                              9

     professional or health facility unless the person

     has given the health professional or health

     facility written notice under this section not less

     than 182 days before the action is commenced.

     [Emphasis added.]


     Subsection 2912b(4) provides that “[t]he notice given to


a health professional or health facility under this section


shall contain a statement of at least” the facts, standard of


care, action that should have been taken, breach, proximate


cause, and the names of those being notified.


     The phrases “shall” and “shall not” are unambiguous and


denote a mandatory, rather than discretionary action. People


v Grant, 445 Mich 535, 542; 520 NW2d 123 (1994).            Likewise,


the phrase “at least” plainly reflects a minimal requirement


and cannot plausibly be considered ambiguous. Because § 2912b


is unambiguous, we must enforce its plain language.


     Subsections 2912b(1) and (4) clearly place the burden of


complying with the notice of intent requirements on the


plaintiff. A clear and unambiguous statute requires full


compliance with its provisions as written.        Northern Concrete


Pipe, Inc v Sinacola Companies-Midwest, Inc, 461 Mich 316,


320; 603 NW2d 257 (1999). Accordingly, plaintiff must fulfill


the preconditions of § 2912b(4) in order to maintain a medical


malpractice action.


     Further,   nowhere   does    the   statute   provide    that   a


defendant must object to any deficiencies in a notice of



                                 10

intent before the complaint is filed.5 In the absence of such


a statutory requirement, we do not have the authority to


create and impose an extrastatutory affirmative duty on the


defendant. Omne Financial, supra. The role of the judiciary is


not to engage in legislation. Tyler v Livonia Schools, 459


Mich 382, 392-393, n 10; 590 NW2d 560 (1999). The Legislature


did not require that an objection to a notice of intent must


be raised before a certain stage of the litigation.


             C.   The Tolling Provision, MCL 600.5856


     Although the Court of Appeals incorrectly held that


defendants    had   waived   their    ability   to   challenge   the


sufficiency of the notice of intent by creating and inserting


a waiver provision into MCL 600.2912b, MCL 600.5856 provides


an additional reason why waiver is inapplicable to the present


case.




     5 The dissent suggests that its “waiver” analysis is

derived from the structure of the statute. That argument is

undercut by the fact that the statute provides an explicit

remedy for a defendant’s failure to respond to the notice of

intent. It is well settled that when a statute provides a

remedy, a court should enforce the legislative remedy rather

than one the court prefers. Senters v Ottawa Savings Bank, 443

Mich 45, 56; 503 NW2d 639 (1993). Although MCL 600.2912b(7)

requires the defendant to respond to the notice of intent,

subsection 8 clearly provides the remedy for a defendant’s

failure to do so. That is, plaintiff may commence an action

after only 154 days after notice has been given, as opposed to

the 182 days otherwise required under subsection 1. However,

nothing in § 2912b suggests that defendant waives his right to

object to the sufficiency of the notice of intent by failing

to respond before the complaint is filed. 


                                11

      The plain language of § 5856(d) clearly requires a


medical malpractice plaintiff to comply with the provisions of


§ 2912b in order to toll the limitation period.                      Absent an


express   waiver       of   its    right     to   contest   the   adequacy      of


plaintiff’s notice of intent or to assert the statute of


limitations       as    a   defense,    defendant      cannot     forfeit,      or


“waive,” those rights until the tolling provision becomes an


issue.    This is because a tolling provision effectively works


to   negate   a    statute     of    limitations      defense     raised   by    a


defendant.    Thus, unless done so expressly, the only ways in


which a defendant could effectively “waive” any objections to


plaintiff’s fulfillment of the requirements of § 5856(d) would


be to fail to invoke the pertinent statute of limitations


after a plaintiff files suit or to fail to object to the


adequacy of the notice of intent after a plaintiff advances


tolling as a response to a statute of limitations defense. 


      In other words, under this statute, defendant’s failure


to respond to plaintiff’s notice does not result in a waiver


of a statute of limitations defense before a suit is even


filed.    Accordingly, since plaintiff sought to rely on the


tolling provision of § 5856(d) and that section plainly


requires compliance with § 2912b, defendants cannot logically


be   considered        to   have    waived    their   right     to   object     to





                                       12

plaintiff’s compliance with § 2912b before the filing of the


suit.


                            D.   The Dissent


       The lynchpin of the dissent is its repeated assertion


that “defendants in this case made affirmative representations


that reasonably led plaintiff to believe that her notice of


intent was adequate.” Post at 6-7 (emphasis added). We agree


that, if a defendant affirmatively represents to a plaintiff


that   it   waives   any    objection    to   plaintiff’s   notice   or


expressly waives its statute of limitations defense, such


representations could be binding in any subsequent litigation


under this statute.        However, what is noteworthy about the


dissent’s theory is the fact that, despite the repeated


contrary assertions, not a single representation is cited,


much less an affirmative representation, by any defendant that


they acquiesced in the adequacy of the notices that plaintiff


filed in this case.        The oddity of the dissent’s analysis is


that it relies on the absence of representations to establish


a waiver.     Indeed, the dissent is ultimately reduced to


admitting that the so-called waiver it relies upon must be


implied from the fact that defendants failed to include a


disclaimer in each of the several written requests they made





                                   13

of plaintiff for more information.   Post at 6, n 8.6


     We agree with the dissent that a “[w]aiver requires an


‘intentional and voluntary relinquishment of a known right.’”


Post at 3, n 1.    Carines, supra.     However, as previously


discussed, n 4, no such waiver occurred here.     It is simply


contradictory for the dissent to conclude that the failure to


raise an issue in preliminary communications amounts to a


waiver, while it simultaneously instructs that waiver requires


an “intentional and voluntary relinquishment.”


     In reality, the dissent is not relying on a waiver


analysis, but a forfeiture analysis.   As we have defined the



     6 The dissent actually reasons that, because defendants

contacted plaintiff for information following the issuance of

her notice, “she had every reason to believe that the notice

triggered the tolling provision of MCL 600.5856(d).” Post at

p 7. As noted previously, n 4, a reference in this record

concerning the adequacy of plaintiff’s notice was made in a

September 6, 1996, letter to plaintiff from MHA.       In what

surely must have been the product of an abundance of lawyerly

caution, in that letter Mecosta and MHA specifically

disclaimed any waiver of rights to contest defects in

plaintiff’s notice.       The dissent similarly cites a

communication from defendants’ insurance claim adjusters that

indicates that the failure to comply with medical information

requests will force defendants’ insurers to consider the

notice of intent defective as evidence that defendants made an

affirmative representation that they were intentionally

abandoning their right to contest the notice of intent. Such

is the world that the dissent would create that defendants

must communicate at their peril with any potential plaintiff

unless each such communication specifically disclaims any

waiver of any right of defense available. If the folly of

this approach is not sufficiently self-evident, for the

reasons set forth below, we reject the dissent’s game theory

of litigation and in particular its “nonrepresentation implied

waiver” theory.


                             14

term, a “forfeiture” is the failure to assert a right in a


timely fashion.        Carines, supra.         The dissent has again


confused these related, but distinct, concepts of forfeiture


and waiver.       See, e.g., People v Carter, 462 Mich 206, 216;


612 NW2d 144 (2000).


      Even if the dissent’s argument is viewed as a forfeiture


argument,    it    remains    unpersuasive.          This   is   because   a


forfeiture necessarily requires that there be a specific point


at   which   the    right    must   be    asserted    or    be   considered


forfeited.        As noted above, § 2912b does not require a


response to the adequacy of plaintiff’s notice.                  Thus, the


first occasion that defendant must challenge the adequacy of


the notice as required by the statute is after plaintiff has


filed a complaint. This duty to challenge the adequacy of the


notice arises not because of the statute, but because of our


court rules concerning pleading, MCR 2.111(F)(3), and summary


disposition, MCR 2.116(D)(2).7





     7 The objection to the notice must be made under these

rules because, in this malpractice case, if plaintiff failed

to comply with the notice requirement, her claim was arguably

barred by the controlling statute of limitations, an

affirmative defense that must be pleaded in defendants’ motion

for summary disposition or first responsive pleading. Once

the statute of limitations is asserted as a defense as it was

below, then a plaintiff is free to argue that the statute was

tolled under § 5856(d).    It is only at this point that a

defendant is obligated to object to the adequacy of

plaintiff’s notice under § 2912b.


                                    15

     In sum, in a medical malpractice case arising under this


statute, it is only when the tolling provision becomes an


issue that a defendant would be compelled to contest adequacy


of the notice.    The Court of Appeals and the dissent argue for


the extrastatutory requirement of an earlier obligation to


object to the adequacy of the notice because they contend that


the statute was intended to promote settlement negotiations.


Whatever the merit of this policy argument, we are obligated


to apply the unambiguous terms of the statute, not our policy


preferences. We conclude that the Legislature not only failed


to require an earlier objection, it affirmatively provided a


different remedy for a defendant’s failure to respond to the


notice thus negating the “waiver” arguments offered by the


Court of Appeals and the dissent. See n 5.


     For these reasons, regardless of whether it relies on


waiver or forfeiture principles, the dissent’s argument fails.


                         IV.   Conclusion


     In light of the plain language of MCL 600.5856(d), we


conclude   that   the   statute   of    limitations   in   a   medical


malpractice action is not tolled unless notice is given in


compliance with all the provisions of MCL 600.2912b. We


further conclude that MCL 600.2912b did not require defendants


to object to the sufficiency of the notices of intent before





                                  16

the filing of the complaint.8                 In addition, because MCL


600.5856(d) is a tolling provision and tolling provisions work


to   negate   a    statute    of   limitations      defense     raised      by    a


defendant, defendants did not need to assert the defense or


challenge     plaintiff’s      compliance      with      MCL   600.2912b,        as


required by MCL 600.5856(d), until plaintiff filed suit.


      Accordingly, we reverse the judgment of the Court of


Appeals and, recognizing that the panel did not reach a


determination regarding whether the trial court erred in


concluding that plaintiff’s notices of intent did not comply


with § 2912b(4), we remand this matter to the Court of Appeals


for further proceedings consistent with this opinion.


      CORRIGAN ,   C.J.,     and   WEAVER ,   TAYLOR ,   and    MARKMAN ,   JJ.,


concurred with YOUNG , J.





     8 We express no opinion concerning plaintiff’s compliance

or noncompliance with MCL 600.2912b, an issue that the Court

of Appeals declined to answer.


                                      17

                 S T A T E    O F   M I C H I G A N


                             SUPREME COURT





LISA ROBERTS,


       Plaintiff-Appellee,


v                                                      No. 116563


MECOSTA COUNTY GENERAL

HOSPITAL, GAIL A. DESNOYERS,

M.D., BARB DAVIS, AND

OBSTETRICS AND GYNECOLOGY OF 

BIG RAPIDS, P.C., formerly known

as GUNTHER, DESNOYERS & MEKARU,


       Defendants-Appellees.


and


MICHAEL ATKINS, M.D.,


     Defendant-Appellant.

___________________________________

LISA ROBERTS,


       Plaintiff-Appellee,


v                                                      No. 116570


MECOSTA COUNTY GENERAL HOSPITAL,


       Defendant-Appellant,


and

GAIL A. DESNOYERS, M.D., MICHAEL

ATKINS, M.D., BARB DAVIS,

OBSTETRICS AND GYNECOLOGY OF

BIG RAPIDS, P.C., formerly known

as GUNTHER, DESNOYERS & MEKARU,


     Defendants.

___________________________________

LISA ROBERTS,


       Plaintiff-Appellee,


v                                                  No. 116573


MECOSTA COUNTY GENERAL HOSPITAL,

MICHAEL ATKINS, M.D., OBSTETRICS

AND GYNECOLOGY OF BIG RAPIDS, P.C.,

formerly known as GUNTHER, DESNOYERS

& MEKARU,


       Defendants-Appellees,


and


GAIL A. DESNOYERS, M.D., and

BARB DAVIS,


     Defendants-Appellants.

___________________________________

KELLY, J. (dissenting).


       The majority implies that a statute must explicitly


permit waiver before the waiver doctrine can operate to excuse


noncompliance.    Moreover, the majority seems to confuse the


concept of an affirmative representation indicating waiver and


an explicit statement of waiver.      It seems to regard the


latter as necessary in this case, but provides no authority to





                                2

support that assumption.           I disagree with the majority's


analysis and would affirm the Court of Appeals application of


the doctrine of waiver in this case.1


     I would not, and do not, infer waiver from mere silence.


Moreover, I do not believe that either MCL 600.2912b or MCL


600.5856(d) supports a requirement that a defendant object to


alleged   deficiencies    in   a    notice   of   intent   before   the


complaint is filed.      Therefore, I agree with the majority's


conclusion that there is no duty to challenge deficiencies


before the complaint is filed.


     Generally, I agree that, to begin the tolling of the MCL


600.5856(d) statute of limitations, a plaintiff must fully


comply with the requirements of MCL 600.2912b.             Compliance


with the delivery provision of the notice statute alone is





     1The Court of Appeals initially couched its holding in

these terms: "[D]efendants waived any alleged deficiencies in

the notice of intent," (emphasis added).       It went on to

emphasize that defendants "fail[ed] to complain." Ultimately,

it held that a defendant must raise any objections to a notice

of intent before a complaint is filed. 240 Mich App 175, 181,

185; 610 NW2d 285 (2000).


     Waiver    requires   an   "intentional   and    voluntary

relinquishment of a known right." Black's Law Dictionary (6th

ed); see also Moore v First Security Casualty Co, 224 Mich App

370, 376; 568 NW2d 841 (1997). I would affirm the Court of

Appeals decision to the extent that it applied the doctrine of

waiver, but I would reverse the holding to the extent that it

requires a potential defendant to object before a plaintiff

files a complaint.    MCL 600.2912b does not require that a

defendant respond in any way to a notice of intent.


                                    3

insufficient.   However, I would hold that a prospective


defendant can waive the specific content requirements for the


notice of intent by an affirmative action.


     The majority neglects to consider an important fact in


this case. Representatives of defendants' insurance companies


corresponded with plaintiff's counsel without complaining that


there were inadequacies in the notice of intent.2   A review of


the parties' numerous written communications reveals that


plaintiff cooperated with defendants' requests for medical


records and other personal information related to plaintiff's




     2The majority points out that one defendant, Mecosta

County General Hospital, reserved the right to object to

plaintiff's notice of intent in a writing requesting

information.   That letter from Mecosta, dated September 6,

1996, refers to an earlier communication from plaintiff and

states:   "This letter does not waive any rights . . . ."

(Emphasis added.)    However, plaintiff's amended notice of

intent to Mecosta is dated September 19, 1996. After that

notice, plaintiff cooperated with Mecosta's requests for her

personal medical history and access to plaintiff's medical

records.   None of those cooperative letters from Mecosta

indicated any objections to the amended notice of intent or

reserved a later objection.


     I would note that representatives of other defendants,

particularly Gail DesNoyers and Barbara Davis, explicitly

stated that plaintiff's failure to comply with their request

for medical information "will force [defendants' insurer] to

consider this pre-suit notice defective." Presumably, once

plaintiff complied with that request, those defendants had no

objection premised on defective notice.


     Moreover, plaintiff provided evidence that each of

defendant's insurers communicated with defendant after

receiving the notice of intent without objecting to its

content. That evidence went uncontradicted by any defendant.


                              4

claim.    I believe that these communications from defendants


reasonably led plaintiff to believe that her notice was


sufficient, thereby waiving any objections related to the


adequacy of the notice.


     The majority also confuses the issue by focusing on the


tolling provision, MCL 600.5856(d).      In order for these


defendants to maintain a statute of limitations claim, they


had to challenge the sufficiency of plaintiff's notice of


intent.    Thus, the disposition of this case turns on an


analysis of the requirements of MCL 600.2912b, including


whether defendants waived any challenge related to those


requirements.


     Defendants advance no authority in support of their


contention that the doctrine of waiver cannot be applied to a


statutory provision that does not explicitly include the


possibility of waiver.     Nor does the majority cite such


authority.3   The majority relies only on the "mandatory"


nature of the notice provision and the proposition that an





     3The majority relies on Northern Concrete Pipe, Inc v

Sinacola Companies-Midwest, Inc, 461 Mich 316; 603 NW2d 257

(1999), and Onme Financial, Inc v Shacks, Inc, 460 Mich 305;

596 NW2d 591 (1999), for the proposition that a clear and

unambiguous statute requires full compliance with its

provisions. However, neither decision addressed the equitable

doctrine of waiver.


                              5

unambiguous statute requires full compliance.4     However, I


believe that the mandatory nature of the notice statute is not


dispositive here, where it is undisputed that defendants had


actual notice of plaintiff's intent to file suit.


     Waiver is an equitable doctrine, applied judicially to


avoid injustice.   28 Am Jur 2d, Estoppel and Waiver, § 197.


As is true with the doctrine of equitable estoppel, the


possibility of waiver need not be set forth in the language of


a   statute.5      Where   a   defendant   makes   affirmative


representations implying that he has no objections to the


content of a notice, we may, as a matter of equity, find his




     4The majority emphasizes that MCL 600.2912b provides a

remedy for a prospective defendant's failure to respond to a

notice of intent. I would point out that, by addressing a

failure to respond, the remedy may preclude forfeiture, but it

does not preclude waiver. Where defendants made affirmative

representations that could only have been designed to induce

plaintiff's reliance on her notice of intent, the statute

provides no remedy for this plaintiff.


     5This Court has readily applied the doctrine of waiver in

the criminal context. For example, we recently pointed out,

in People v Krueger, 466 Mich ___; ___ NW2d ___ (2002), that

a criminal defendant may waive the right, specifically

conferred in MCL 768.3, to be present at trial.       See also

People v Hyland, 212 Mich App 701; 538 NW2d 465 (1995); People

v Staffney, 187 Mich 660; 648 NW2d 238 (1991).       MCL 768.3

provides in absolute terms that "No person indicted for a

felony shall be tried unless personally present during the

trial . . . ." It gives no indication of the possibility of

waiver.   One would expect it to be more difficult for a

criminal defendant to waive a right than a civil defendant.

Hence, I see no need to examine the statute involved here for

explicit permission to apply the equitable doctrine in this

context.


                               6

later objections waived.6


     The   defendants   in     this   case   made   affirmative


representations that reasonably led plaintiff to believe that


her notice of intent was adequate.     In so doing, defendants


encouraged plaintiff to rely on the 182-day tolling period


initiated by that notice.    When plaintiff filed her complaint


well within the extended limitation period,7 defendants cannot


be permitted to object on statute of limitations grounds and


the requirements of the notice provision.      The defense was


affirmatively waived by defendants' actions.


     Presumably, plaintiff could have filed her malpractice


claim within the statutory period of limitation but for the


statutory requirement that she provide a notice of intent to


file her claim.    After doing so, and particularly after




     6This is not to say, in the abstract, that a defendant

waives an objection based on notice or the statute of

limitations any time that the defendant participates in a

lawsuit. When it enacted MCL 600.2912b and MCL 600.5856(d),

the Legislature created a unique and complex set of

requirements that intertwine the notice requirement with the

statute of limitations. Under the circumstances of this case,

I believe that defendants sufficiently implied that they had

no objection premised on inadequate notice to preclude a

statute of limitations objection.


     7Proper notice under the statute initiates a 182-day

tolling period regardless of whether a defendant responds

pursuant to MCL 600.2912b(7). However, plaintiff filed her

complaint immediately upon the expiration of the 154-day

abbreviated waiting period, as soon as the statute permitted.

See Omelenchuck v City of Warren, 461 Mich 567, 576-577; 609

NW2d 177 (2000).


                                7

receiving communications from defendants' agents because of


that notice, she had every reason to believe that the notice


triggered the tolling provision of MCL 600.5856(d).       The


requirements of MCL 600.2912b are vague.   Neither the statute


nor related case law provides any guidance about the quantity


of detail a potential plaintiff must furnish regarding the


malpractice claim.8


     The majority also implies that a challenge on the basis


of the statute of limitations cannot be waived before the


filing of suit. Again, I disagree. Where parties are engaged


in settlement negotiations, for example, a potential defendant


might agree to waive a statute of limitations defense to


continue negotiations and avoid a claim being filed.     See,


e.g., Wickings v Arctic Enterprises, Inc, 244 Mich App 125,


148-150; 624 NW2d 197 (2000).9 Should settlement negotiations


fail, the affirmative representation that the defendant waived


a statute of limitations defense would bar any objection when


the plaintiff filed a claim outside the statutory period.


Similarly, defendants' communications to plaintiff here should



     8I wonder how much detail can reasonably be expected from

a plaintiff who has not yet had the benefit of discovery.


     9Federal courts have recognized that the judiciary has

equitable control over statutory periods of limitation,

including tolling and waiver. See Bowen v City of New York,

476 US 467, 479; 106 S Ct 2022; 90 L Ed 2d 462 (1986); Zipes

v Trans World Airlines, Inc, 455 US 385, 398; 102 S Ct 1127;

71 L Ed 2d 234 (1982).


                              8

operate to waive the statute of limitations defense.


     The   effect   of   today's   decision    is   to   shorten   the


statutory period of limitation for a medical malpractice claim


by more than half a year.     A potential plaintiff would be well


advised to file a notice of intent at least 182 days before


the period expires.      There is now no telling whether a notice


will be deemed sufficient to trigger the tolling provision.


In fact, even the plaintiff who follows a notice by inquiring


whether additional information is needed risks suffering the


consequence of a notice found to be technically inadequate.


A plaintiff should not rely even on the formal response


outlined in MCL 600.2912b(7).           If the complaint were filed


more than two years after the malpractice claim accrued and


the notice were sufficiently flawed, the claim would still be


time-barred.   The Legislature could not have intended that


result when it enacted MCL 600.2912b, which was designed to


promote settlement.


     In conclusion, I would reverse the Court of Appeals


decision to the extent that it imposed a duty to object to a


deficient notice of intent before a complaint is filed.


However, I would affirm the application of waiver to the


notice and tolling statute combination.             These defendants


communicated with plaintiff and investigated her claim as the


notice statute contemplates, presumably in furtherance of the



                                   9

possibility of a settlement.           The Court of Appeals recognized


the unfairness of allowing them only much later to object that


the   notice     of    intent    was     defective   because      it     gave


insufficient information to promote pretrial investigation and


settlement.


      When defendants affirmatively responded to plaintiff's


notice    of   intent,    they   reasonably      should    have   expected


plaintiff to understand that they had no objections to its


form or content. By so doing, defendants affirmatively waived


any objection premised on that notice. Because the statute of


limitations objection in this case is necessarily based on an


inquiry   into   the     adequacy   of    the   notice    of   intent,    the


objection was affirmatively waived.


      CAVANAGH , J., concurred with KELLY , J.





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