Muci v. State Farm Mutual Automobile Insurance

Court: Michigan Supreme Court
Date filed: 2007-06-06
Citations: 732 N.W.2d 88, 478 Mich. 178, 732 N.W.2d 88, 478 Mich. 178, 732 N.W.2d 88, 478 Mich. 178
Copy Citations
31 Citing Cases

                                                                         Michigan Supreme Court
                                                                               Lansing, Michigan
                                                  Chief Justice: 	         Justices:



Opinion                                           Clifford W. Taylor 	     Michael F. Cavanagh
                                                                           Elizabeth A. Weaver
                                                                           Marilyn Kelly
                                                                           Maura D. Corrigan
                                                                           Robert P. Young, Jr.
                                                                           Stephen J. Markman




                                                         FILED JUNE 6, 2007


 ALINA MUCI,

              Plaintiff-Appellee,

 v                                                               No. 129388

 STATE FARM MUTUAL AUTOMOBILE
 INSURANCE COMPANY,

              Defendant-Appellant.


 BEFORE THE ENTIRE BENCH

 TAYLOR, C. J.

       At issue in this no-fault automobile insurance case is whether provisions of

 the no-fault act and the parties’ contract of insurance establish the extent of

 allowable conditions on a medical examination of the claimant, or whether the

 allowable conditions are within a circuit court’s discretion pursuant to MCR 2.311

 (the general rule governing discovery with respect to physical and mental

 examinations). We conclude that the act and the contract establish the parameters

 of what is allowed and that the court’s role is confined to adjudicating disputes

 that arise under them. Accordingly, we reverse the judgment of the Court of
Appeals and the order of the trial court that held to the contrary, and remand to the

trial court for further proceedings consistent with this opinion.

             I. FACTUAL BACKGROUND AND PROCEDURAL POSTURE

       Alina Muci, an insured of State Farm Mutual Automobile Insurance

Company (State Farm), was injured in an automobile accident in May 2002. She

sought medical and psychiatric treatment for those injuries and, although the

record is sketchy, it appears that she filed a claim with State Farm for personal

protection insurance (PIP) benefits pursuant to the established process under the

no-fault act, MCL 500.3142(2).1 In such a situation State Farm, also operating

under the procedures of the no-fault act, would have usually demanded, pursuant

to MCL 500.3151 and the relevant section of the State Farm insurance policy,2

that Muci submit to an independent medical examination. However, in this case, it

       1
           MCL 500.3142(2) provides:
              Personal protection insurance benefits are overdue if not paid
       within 30 days after an insurer receives reasonable proof of the fact
       and of the amount of loss sustained. If reasonable proof is not
       supplied as to the entire claim, the amount supported by reasonable
       proof is overdue if not paid within 30 days after the proof is received
       by the insurer. Any part of the remainder of the claim that is later
       supported by reasonable proof is overdue if not paid within 30 days
       after the proof is received by the insurer. For the purpose of
       calculating the extent to which benefits are overdue, payment shall
       be treated as made on the date a draft or other valid instrument was
       placed in the United States mail in a properly addressed, postpaid
       envelope, or, if not so posted, on the date of delivery.
       2
         A person making a claim shall “be examined by physicians chosen and
paid by us as often as we reasonably may require.”




                                          2

appears that, for reasons not indicated in the record before us, State Farm did not

demand an independent medical examination. These unknown circumstances,

which are irrelevant to the issue before us, culminated in State Farm’s not paying

Muci’s claim, and she filed this action for a declaratory judgment, asserting that

State Farm was unreasonably refusing to pay PIP benefits to which she was

entitled.

       As the lawsuit developed, State Farm demanded an unconditional medical

examination (customarily referred to as a defense medical examination or DME)

pursuant to § 3151 of the no-fault act. Muci refused, asserting that § 3151 and the

policy were not exclusively controlling and that, rather, the conduct of any

independent medical examination was also governed by MCR 2.311(A), the rule

covering independent medical examinations in litigation of any kind. State Farm

disputed Muci’s assertion, contending that MCR 2.311(A) conflicts with § 3151,

because the rule limits the unqualified right to an independent medical

examination provided in § 3151 by requiring that litigation be pending and good

cause for the examination be shown, and by allowing court-created conditions on

the examination.

       State Farm, in a motion to compel Muci to submit to a medical examination

pursuant to § 3151, asserted that, as the insurer, it had the unconditional right to an

independent medical examination conducted by its own physician without regard

to whether litigation was pending or good cause for the examination had been

shown. The trial court, evidently believing that MCR 2.311(A) could be read as a


                                          3

rule that merely supplemented § 3151, issued an order allowing the medical

examination but subject to many of the conditions proposed by plaintiff. The

order included the following conditions:

             1. That included with Plaintiff’s notice of the medical
      examiner’s deposition, Plaintiff’s counsel shall be entitled to
      subpoena copies of all IRS form 1099’s for the years 2000, 2001,
      and 2002, inclusive, for payments issued to said examiner,
      individually, and to any entity which received compensation for
      Independent and/or Insurance and/or defense medical examinations
      and related forensic services performed by said examiner, including
      but not limited to:

            a. Independent and/or Insurance and/or Defense medical
      examination;

            b. Independent and/or Insurance and/or Defense medical
      examination reports;

             c. Depositions;

             d. Medical records reviews; and

             e. Forensic activity for which payments were made.

             In the event said examiner refuses to provide the subpoenaed
      documents at his deposition, Defendant will be barred from
      introducing said examiner’s testimony at trial.

             2. That the Plaintiff may be accompanied by her attorney or
      other representative as allowed by MCR 2.311(A) to observe the
      examination and/or be permitted to record the examination by means
      of simultaneous audio and visual recording.

              3. No other persons other than Plaintiff, her representative,
      the videographer, and designated medical examiner and his or her
      staff are allowed to be present during the examination.

             4. That the examination must be limited to Plaintiff’s
      conditions, which are in controversy in this action, as provided by
      the Michigan Court Rules of 1985.



                                           4

       5. Any persons assisting the defense medical examiner must
be fully identified by full name and title to Plaintiff, Plaintiff’s
representative, and on the video.

       6.      Defendant shall provide transportation or pay
transportation to the Plaintiff for the evaluation/examination. If the
Plaintiff chooses to drive or be driven by someone else she knows,
the Defendant will reimburse the Plaintiff for reasonable
transportation costs to and from each examination, at the rate of .35
cents [sic] a mile.

       7. That the total time for examination and testing, if
applicable, shall not be limited by Plaintiff or Plaintiff’s counsel.

       8. That a copy of this order shall be provided to the physician
by the defense attorney prior to the exam.

       9. That the Plaintiff’s counsel will be provided a current copy
of the curriculum vitae of the defense medical examiner no more
than thirty (30) days after the scheduled appointment. [sic] As well
as:

       a. Within 21 days of the entry of this order Defendant will
provide a statement of the reasonable charge for the Plaintiff’s
counsel taking of 1 hour deposition of the defense medical examiner
at the medical examiner’s office.

       b. The full and correct name of the defense medical examiner
(or separate billing entity, i.e. payee), with the tax identification
number so that Plaintiff can comply with tax code and regulation
requirements for any payment made in taking the examiner’s
deposition.

       10. That no diagnostic test or procedure that is painful,
protracted, or intrusive will be allowed as set forth in the Michigan
Court Rules of 1985. X-rays will be allowed.

       11.     That the Plaintiff may be held responsible for
cancellation fees charged the Defendant, unless the Plaintiff gives
notification to the office of the Defense counsel 48 hours before
canceling the appointment.

      12. That the Plaintiff’s attorney will be permitted to intercept
communications between the Plaintiff and the defense medical
examiner, in the same manner as if the Plaintiff’s deposition were

                                  5

      being taken and if the communications are in violation of this order.
      Otherwise the attorney will not involve himself in the examination
      proceedings.

            13.     Defendant’s attorney shall provide all pertinent
      information to the defense medical examiner.

             14. That Plaintiff will not be required to give any oral history
      of the accident.

             15. That Plaintiff will not be required to give any oral
      medical history not related to the areas of injuries claimed in this
      lawsuit.

            16. That information that may be required by the Defense
      medical examiner may be obtained through the normal course of
      discovery.

              17. That Plaintiff will not be required to sign any paperwork
      or fill out any paperwork at the defense medical examiner’s office,
      including “patient information forms” or “consent forms” or the like,
      since the Plaintiff is not a patient of the defense medical examiner’s
      office and is submitting to this examination only pursuant to Court
      Order and the requirements of the Michigan Court Rules of 1985.

             18. That Plaintiff’s counsel will be provided a copy of any
      and all reports and writings generated by the defense medical
      examiners in this matter pursuant to the Michigan Court Rules of
      1985, including, but not limited to, a copy of a detailed written
      report, setting out any history obtained, examination, findings,
      (including the results of all tests made, diagnoses, prognoses, and
      conclusions of the examiner, all record review reports, a copy of all
      reports of earlier examinations of the same condition of the
      examinee made by that of [sic] any other examiner).

             19. Throughout the litigation, the evaluation and examiner
      will be called and referred to as a defense medical evaluation and
      defense medical examiner respectively; and the term “independent
      medical evaluation” and/or “independent medical examiner” will not
      be used in the report, orally in a deposition, or at trial.

      This order, with its conditions, prompted State Farm to file an application

for an interlocutory appeal in the Court of Appeals. The Court of Appeals granted


                                        6

the application and, in a published opinion, the divided panel affirmed the trial

court’s order. Muci v State Farm Mut Automobile Ins Co, 267 Mich App 431; 705

NW2d 151 (2005).

      Judge Fitzgerald, writing for the majority, stated that while § 3151 gave the

parties the right to include reasonable provisions in the policy regarding medical

examinations, it did not give the parties a right to contractually determine how to

proceed with discovery, and also stated that the trial court properly treated State

Farm’s motion to compel a medical examination in the present litigation as a

discovery device controlled by MCR 2.311. Muci, supra at 440-442.

      Presiding Judge Saad dissented, stating that the “no-fault law should govern

a no-fault insurer’s statutory right to have a claimant submit to a medical

examination” and that this right “does not depend on whether an insured has filed

a lawsuit for failure to pay” or if there is a showing of “good cause.” Id. at 445,

446 (Saad, P.J., dissenting). Further, the dissent concluded that the Legislature

had made no provisions for the conditions placed on the examination of the kind

the trial court imposed in this case. The dissent stated that “MCR 2.311 should

not be used preemptively to circumvent our Legislature’s extensive statutory

scheme for dealing with medical examinations under the no-fault act” and that “it

is clear that our Legislature dealt comprehensively with both the question of

medical examinations for PIP claimants and the appropriate penalties for an

insurer’s unreasonable refusal to pay benefits.” Id. at 446, 448. Therefore, the

dissent concluded, “[I]f a no-fault carrier abuses its right under § 3151, a trial


                                        7

court should use no-fault law and apply the remedies available in [MCL 500.3142,

500.3153, and 500.3148] rather than use MCR 2.311 to impose conditions for the

taking of such examinations—conditions our Legislature chose not to impose.”

Id. at 448.

       State Farm sought leave to appeal in this Court, arguing that this effort of

plaintiff’s counsel placed at risk State Farm’s “ability to conduct fair and

meaningful discovery.”      This Court ordered oral argument on whether the

application for leave to appeal should be granted. 475 Mich 877 (2006).

                           II. STANDARD OF REVIEW

       The interpretation of court rules and statutes presents an issue of law that is

reviewed de novo. Lapeer Co Clerk v Lapeer Circuit Judges, 465 Mich 559, 566;

640 NW2d 567 (2002).

                                  III. ANALYSIS

       The Legislature enacted the no-fault act in 1972. The act eliminated the old

automobile tort reparations system for injured parties and replaced it with a

mandatory coverage, no-fault automobile insurance system. Under this scheme,

an injured insured was guaranteed what the Legislature considered to be a

sufficient and expeditious recovery from his or her own insurer for all expenses

for reasonably necessary medical care, recovery, and rehabilitation, as well as

some incidental expenses. Kreiner v Fischer, 471 Mich 109, 114; 683 NW2d 611

(2004).




                                          8

      From our first handling of this statute in an advisory opinion issued in

1973, Advisory Opinion re Constitutionality of 1972 PA 294, 389 Mich 441; 208

NW2d 469 (1973), we have, without exception, emphasized the act’s

comprehensive nature.3     What is unmistakable about this first-party payment

scheme is that it was designed to cover contingencies that could arise, including,

as relevant here, the process for making a claim, the procedures for investigation

by the insurer, and the range of available enforcement tools. All of which are

found within the four corners of the act. Thus, the legislative enactment in great

detail dictated how injured parties are to make claims with “reasonable proof,”

mandated rapid payment within 30 days by insurers if the proofs were reasonable,

and established fraud prevention investigation and examination rights for insurers

that worked in accord with those important goals. Thus, upon receiving a claim,

insurers have great latitude in evaluating the claim, including scheduling a medical

examination. In this regard, MCL 500.3151 provides:

              When the mental or physical condition of a person is material
       to a claim that has been or may be made for past or future personal
       protection insurance benefits, the person shall submit to mental or
       physical examination by physicians. A personal protection insurer
       may include reasonable provisions in a personal protection insurance
      3
        Shavers v Attorney General, 402 Mich 554, 579; 267 NW2d 72 (1978);
Davey v Detroit Automobile Inter-Ins Exch, 414 Mich 1, 10; 322 NW2d 541
(1982); Thompson v Detroit Automobile Inter-Ins Exch, 418 Mich 610, 624; 344
NW2d 764 (1984); Priesman v Meridian Mut Ins Co, 441 Mich 60, 65; 490 NW2d
314 (1992); Michigan Ed Employees Mut Ins Co v Morris, 460 Mich 180, 194;
596 NW2d 142 (1999); State Farm Fire & Cas Co v Old Republic Ins Co, 466
Mich 142, 150; 644 NW2d 715 (2002).




                                         9

      policy for mental and physical examination of persons claiming
      personal protection insurance benefits.

      Because economy in the handling of claims to reduce transaction costs was

also an important goal of the no-fault scheme, Kreiner, supra at 117, it is

noteworthy that most claims are made, investigated, and either paid or rejected

without a lawsuit being filed or indeed any court intervention or even lawyer

involvement.4 To allow for enforcement, should it be needed, the Legislature, in §

3153, authorized sanctions against an insured who refuses to submit to an

examination, including dismissal of the insured’s claim and an award of

reasonable attorneys fees against the insured.5 It also made provisions to protect

an insured from discovery practices that cause annoyance, embarrassment, or

oppression in MCL 500.3159,6 which provides:

      4
          This is very different from the situation contemplated by MCR 2.311,
which, by its own terms, is only applicable when litigation is pending. The failure
to appreciate this distinction between § 3151 and MCR 2.311 has led the dissent to
stray in its analysis.
      5
          Other such provisions are also found in § 3142 and § 3148.
      6
          We reject State Farm’s argument that judicial authority to impose
conditions on discovery under § 3159 is specifically limited to discovery sought
under MCL 500.3158. Unlike, for example, § 3153, which specifically states it
applies to §§ 3151 and 3152, there is nothing in the plain language of § 3159 that
limits its application to pretrial discovery from medical entities and employers
under § 3158. Rather, § 3159 clearly pertains to disputes about discovery
regarding an injured person’s “history, condition, treatment and dates and costs of
treatment” without limiting the source of the discovery to medical entities and
employers.




                                         10

               In a dispute regarding an insurer’s right to discovery of facts
       about an injured person’s earnings or about his history, condition,
       treatment and dates and costs of treatment, a court may enter an
       order for the discovery. The order may be made only on motion for
       good cause shown and upon notice to all persons having an interest,
       and shall specify the time, place, manner, conditions and scope of
       the discovery. A court, in order to protect against annoyance,
       embarrassment or oppression, as justice requires, may enter an order
       refusing discovery or specifying conditions of discovery and may
       order payments of costs and expenses of the proceeding, including
       reasonable fees for the appearance of attorneys at the proceedings, as
       justice requires.

       The argument of the insured in this matter, which was adopted by the trial

court and the Court of Appeals majority, has been that in spite of the Legislature’s

obvious intent shown throughout the no-fault act to treat automobile accident

cases falling within the scope of the act differently, these cases, and in particular

this claim and investigation situation, should be seen as just another species of

civil litigation subject to all the generally applicable court rules. While the court

rules control matters on which the no-fault act is silent, they do not control matters

specifically addressed by the act. Here, where the act covers independent medical

examinations,7 it is entirely antithetical to the Legislature’s desired approach to

       7
         When a claim has been made under § 3142(2), § 3151 requires the no-
fault claimant to “submit” to physical or mental examination under rules in the
policy. The parties focus on definitions and purported ambiguities that the use of
the word “submit” introduces. We need not sort through this because, even if
there is doubt about its meaning, it is dispelled when one examines the
enforcement provisions in § 3153 regarding the refusal to comply with § 3151.
There, after indicating that the court cannot cause the arrest of the insured for
disobeying a request to submit to a physical or medical examination required in §
3151, it provides for an order that directs the disobedient person (inescapably the
insured) to submit to an examination and gives enforcement powers that include
                                                                      (continued…)


                                         11

argue that § 3151 does not give the insurer the right to include a policy provision

allowing it to choose the examiner or even insist on the examination itself. It is

simply incorrect to argue that what can be done under § 3151 of the no-fault act is

no different from what is required under MCR 2.311; after all, the court rule

requires pending litigation and the insurer to show good cause, and allows court-

imposed conditions as a predicate to the examination while § 3151 does not have

these requirements. Indeed, under § 3151 an insured must submit to a medical

examination. In contrast, under MCR 2.311, whether an insured must submit to a

medical examination is left to the trial court to decide. Therefore, the court rule

and the statute conflict because that which is required under § 3151 is merely

discretionary under MCR 2.311.8

       Arguing in the alternative, however, Muci asserts that if it is conceded that

the statute and the court rule are in conflict, the court rule should control because,

as Muci sees it, claims and investigations are procedural, not substantive, and


(…continued)
the disallowance of evidence and defenses of the insured. The section further
allows the entry of a default and the assessment of reasonable attorney fees against
the insured. Given all this, it is unmistakably clear that under § 3151, the insurer
has the right to include a policy provision allowing it to pick the examiner.
Further, MCL 500.3152 requires that the report generated be made available to the
insured and that any refusals to cooperate under these rules can be sanctioned by
the court.
       8
         We further note that the court rule conflicts with § 3159. While MCR
2.311 requires the party seeking the medical examination to demonstrate good
cause, § 3159 requires the party seeking to impose conditions on a discovery order
such as an order for a medical examination to show good cause.




                                         12

under McDougall v Schanz, 461 Mich 15; 597 NW2d 148 (1999), that means that

the court rule controls. Muci misunderstands the rule of McDougall, which holds

that a statute is substantive when, as in this case, it concerns a matter that has “‘as

its basis something other than court administration . . . .’” Id. at 31 (citation

omitted). Accordingly, the provisions concerning medical examinations, because

they do not concern court administration, are substantive, not procedural, and are

supreme over the court rule, just as the general court rule concerning experts’

qualifications must, pursuant to McDougall, supra at 30-31, yield to statutory

requirements concerning expert witnesses’ qualifications.

       Thus, we conclude that the no-fault act comprehensively addresses the

matter of claimant examinations. Accordingly, MCR 2.311 is not applicable to

such examinations.

       Muci argues she has demonstrated good cause under § 3159 and can thus

get an order imposing conditions on the examination as § 3159 allows because, as

a general matter, physicians hired by an insurer are adversarial agents of the

insurer and write their reports accordingly. Contrary to Muci’s assertions, good

cause may only be established by “‘a particular and specific demonstration of fact,

as distinguished from stereotyped and conclusory statements.’” Hertenstein v

Kimberly Home Health Care, Inc, 189 FRD 620, 624 (D Kan, 1999), quoting Gulf

Oil Co v Bernard, 452 US 89, 102 n 16; 101 S Ct 2193; 68 L Ed 2d 693 (1981).

Physicians are presumed to be bound by the methodologies of their profession and




                                          13

by principles of professional integrity. Only with demonstrable evidence that the

discovery order or medical examination will cause the claimant annoyance,

embarrassment, or oppression can a claimant rebut this presumption. Until this

presumption is rebutted, a court may not impose conditions on an examination

under § 3159.

       Muci claims that she provided a specific demonstration of good cause

through evidence that one of State Farm’s physicians had previously delved into

matters protected by the attorney-client privilege by asking an examinee about the

status of settlement negotiations in her lawsuit. Specifically, plaintiff introduced a

written medical report prepared by the same physician who was to examine Muci.

In the medical report, defendant’s examiner made the following notation as part of

a previously conducted independent medical examination:

              When I asked her how her lawsuit was progressing she said
       she really did not know. When I inquired if there had been an offer
       she said she believed that one had been made. When I asked her
       what her attorney’s advice to her had been she said “It’s up to me;”
       she said that she would not, however, settle for the amount that was
       offered. She does not really know what amount she would like.

       Here, plaintiff has produced demonstrable evidence that, on a previous

occasion, defendant’s medical examiner asked inappropriate questions of another

examinee during an independent medical examination, including questions

regarding settlement issues and inquiring into areas unquestionably protected by

the attorney-client privilege. We can fathom no explanation, and defendant has

provided none, explaining what appropriate purpose this line of questioning would



                                         14

serve in the context of a medical examination. In this case, where plaintiff has

proffered evidence that the doctor previously engaged in inappropriate

questioning, plaintiff has established a basis in fact for requesting that the trial

court impose conditions requiring that the doctor refrain from engaging in similar

questioning in Muci’s examination. Such questioning surely provides “good

cause” for judicial intervention to protect against “annoyance, embarrassment or

oppression,” the statutory bases for imposing conditions on discovery under MCL

500.3159.

      The remaining question concerns whether the various conditions imposed

by the trial court on the independent medical examination were appropriate to

protect against annoyance, embarrassment, or oppression. The trial court’s

discretion to specify conditions of discovery in no-fault cases is specifically

limited to protecting “against annoyance, embarrassment or oppression, as justice

requires.” Therefore, any conditions of discovery imposed by the trial court must

be fashioned to avert the annoying, embarrassing, or oppressive action or event

that the insured establishes by her good-cause showing.

      In this case, the trial court relied on MCR 2.311(A), rather than MCL

500.3159, in imposing 19 conditions on the independent medical examination

defendant is entitled to conduct under § 3151. Many of those conditions bore no

apparent relationship to the “annoyance” the plaintiff established–improper

questioning by the medical examiner concerning the status of the litigation and

attorney advice to the insured. On remand, in the event that the defendant insists


                                        15

on using the medical examiner who asked the improper questions, the trial court

shall reconsider plaintiff’s proposed examination conditions, and determine which

conditions, if any, ought be imposed in light of the evidence proffered by plaintiff.

                                   IV. CONCLUSION

       In a no-fault automobile insurance case, the act and the provisions of the

parties’ insurance policy control whether any conditions may be placed on

independent medical examinations. A trial court’s ability to adjudicate disputes

arising under the statute and the insurance policy regarding examinations is

limited to the authority granted by the no-fault act itself, primarily the provisions

of §§ 3142, 3148, 3151, 3153, and 3159, and such other sections as may apply.

When an insured fails to demonstrate good cause that submission to a particular

examination will cause annoyance, embarrassment, or oppression, the trial court

may not impose conditions on the examination. We reverse the order of the trial

court and the Court of Appeals judgment9 that affirmed the trial court’s order, and

remand to the trial court for further proceedings.

       Reversed and remanded to the trial court.

                                                     Clifford W. Taylor
                                                     Maura D. Corrigan
                                                     Robert P. Young, Jr.
                                                     Stephen J. Markman
       9
         We note that the Court of Appeals concluded that State Farm waived any
challenge to two of the imposed conditions because its attorney agreed to the
conditions if the court rule applied, Muci, supra at 442; however, because the
court rule does not apply in the instant case, we conclude that the challenge to the
relevant imposed conditions was not waived.



                                         16

                          STATE OF MICHIGAN

                               SUPREME COURT


ALINA MUCI,

             Plaintiff-Appellee,

v                                                            No. 129388

STATE FARM MUTUAL AUTOMOBILE
INSURANCE COMPANY,

              Defendant-Appellant.


KELLY, J. (dissenting).

      MCL 500.3151 and MCR 2.311 do not conflict. Rather, they can and

should be read together. Accordingly, during plaintiff’s declaratory judgment

action, when defendant sought a court order that instructed plaintiff to submit to a

physical examination under MCL 500.3151, the court properly issued such an

order. The court did not abuse its discretion in imposing various conditions in the

order pursuant to MCR 2.311. Accordingly, I dissent from the majority opinion,

which holds to the contrary, and would affirm the judgment of the Court of

Appeals. Muci v State Farm Mut Automobile Ins Co, 267 Mich App 431; 705

NW2d 151 (2005).

                       APPLICABLE STANDARD OF REVIEW

      The interpretation of court rules and statutes presents an issue of law that is

reviewed de novo. Lapeer Co Clerk v Lapeer Circuit Judges, 465 Mich 559, 566;
640 NW2d 567 (2002). Additionally, the no-fault act is remedial in nature and is

to be liberally construed in favor of the persons who are intended to benefit from

it. Turner v Auto Club Ins Ass’n, 448 Mich 22, 28; 528 NW2d 681 (1995).

                MCL 500.3151 AND MCR 2.311 DO NOT CONFLICT

       This Court granted leave to appeal to determine, among other things,

whether MCL 500.3151 and MCR 2.311 conflict. 475 Mich 877 (2006). As this

Court noted in McDougall v Schanz: “When there is no inherent conflict, ‘[w]e

are not required to decide whether [the] statute is a legislative attempt to supplant

the Court’s authority.’ ‘We do not lightly presume that the Legislature intended a

conflict, calling into question this Court’s authority to control practice and

procedure in the courts.’”1

       MCL 500.3151 provides:

              When the mental or physical condition of a person is material
       to a claim that has been or may be made for past or future personal
       protection insurance benefits, the person shall submit to mental or
       physical examination by physicians. A personal protection insurer
       may include reasonable provisions in a personal protection insurance
       policy for mental and physical examination of persons claiming
       personal protection insurance benefits.

The statute mandates that a person who seeks personal protection benefits “shall

submit to mental or physical examination by physicians.” Id. The use of the term

“shall” indicates a mandatory and imperative directive that the claimant submit to

       1
         461 Mich 15, 24; 587 NW2d 148 (1999) (citation omitted). In
McDougall, the issue before this Court was whether MCL 600.2169 and MRE 702
could be construed so as to avoid a conflict.



                                         2

examinations.2 However, the statute does not indicate that the examination must

be unrestricted or that the court cannot impose reasonable conditions on it.

Moreover, the statute does not mandate that an independent medical or physical

examination be performed by a physician chosen by the defendant.3

       MCL 500.3151 provides that an insurer may include in a personal

protection insurance policy reasonable provisions for mental and physical

examinations of persons claiming personal protection insurance benefits. This

enables the insurer to gather information in order to establish the claimant’s

entitlement to benefits and detect fraud. See Cruz v State Farm Mut Automobile

Ins Co, 466 Mich 588, 608; 648 NW2d 591 (2002) (Kelly, J., concurring in part

and dissenting in part).4

       During litigation, if an insurer wishes to seek a court order requiring the

claimant to submit to a mental or physical examination, the insurer may bring a

motion under MCR 2.311(A), which provides:


       2
         This Court has noted that the Legislature’s use of the word “shall” in a
statute generally indicates a mandatory and imperative directive. Costa v
Community Emergency Med Services, Inc, 475 Mich 403, 409; 716 NW2d 236
(2006), citing Burton v Reed City Hosp Corp, 471 Mich 745, 752; 691 NW2d 424
(2005).
       3
          Moreover, as noted by the Court of Appeals, there is no language in MCL
500.3151 that indicates that the statute applies only to prelitigation medical
examinations. Muci, 267 Mich App 436 n 5. It is foreseeable that a claimant may
undergo an examination pursuant to MCL 500.3151 before the commencement of
litigation. It is equally conceivable that the claimant will not undergo an
examination pursuant to MCL 500.3151 until after litigation has commenced.
       4
           Justice Cavanagh concurred in my opinion.



                                         3

              When the mental or physical condition (including the blood
       group) of a party, or of a person in the custody or under the legal
       control of a party, is in controversy, the court in which the action is
       pending may order the party to submit to a physical or mental or
       blood examination by a physician (or other appropriate professional)
       or to produce for examination the person in the party’s custody or
       legal control. The order may be entered only on motion for good
       cause with notice to the person to be examined and to all parties. The
       order must specify the time, place, manner, conditions, and scope of
       the examination and the person or persons by whom it is to be made,
       and may provide that the attorney for the person to be examined may
       be present at the examination.

       In order to obtain a court order under MCR 2.311(A), the insurer will have

to demonstrate good cause5 and provide notice to the claimant and to all parties.

Any court order requiring the plaintiff to submit to a physical or mental

examination will specify, among other things, the time, place, manner, conditions,

and scope of the examination. Id. The order may also provide that the attorney

for the person to be examined may be present at the examination. Id.

       Therefore, under this analysis, MCL 500.3151 and MCR 2.311(A) can be

read in harmony. Because on their face they do not conflict, there is no need to

decide whether the statute is a legislative attempt to supplant the Court’s authority.




       5
         As noted by plaintiff at oral argument, it is likely that in most, if not all,
situations, the good-cause requirement will be easily established by reliance on
MCL 500.3151. That provision mandates that the claimant submit to a mental or
physical examination if the claimant’s mental or physical condition is material to
the claim for personal protection insurance benefits.



                                          4

Accordingly, the trial court properly relied on MCR 2.311(A) when deciding

whether to impose various conditions on plaintiff’s examination.6

      The majority concludes that the statute and the court rule conflict because

the court rule allows court-imposed conditions while the statute is silent on the

subject. I find this argument unpersuasive. Although MCL 500.3151 requires a

claimant to undergo a medical examination to receive personal protection benefits,

it does not state that the examination must be without limits. Nothing in the

statute prohibits a court from imposing conditions on the examination once

litigation has commenced. Their imposition, if reasonable, would not interfere

with the insurer’s substantive right to force a claimant to submit to an

examination.

      Moreover, the application of MCR 2.311(A) to disputes concerning an

insurer’s ability to enforce MCL 500.3151 is consistent with MCL 500.3159, the

discovery provision of the no-fault act, MCL 500.3101 et seq. MCL 500.3159

provides:

            In a dispute regarding an insurer’s right to discovery of facts
      about an injured person’s earnings or about his history, condition,
      treatment and dates and costs of treatment, a court may enter an

      6
         The majority contends that my dissent fails to appreciate that MCR 2.311
applies only when litigation is pending. In doing so, it makes a distinction where
there is none to be made. Plaintiff filed a declaratory action for personal
protection insurance benefits. Therefore, for purposes of MCR 2.311(A), there
was an “action . . . pending” when defendant moved to compel the independent
medical examination pursuant to MCL 500.3151.




                                        5

       order for the discovery. The order may be made only on motion for
       good cause shown and upon notice to all persons having an interest,
       and shall specify the time, place, manner, conditions and scope of
       the discovery. A court, in order to protect against annoyance,
       embarrassment or oppression, as justice requires, may enter an order
       refusing discovery or specifying conditions of discovery and may
       order payments of costs and expenses of the proceeding, including
       reasonable fees for the appearance of attorneys at the proceedings, as
       justice requires.

       MCL 500.3159 provides that, if a dispute exists regarding an insurer’s right

to discovery of facts about matters such as the injured person’s condition, the

court may enter a discovery order. Id. Similarly, MCR 2.311(A) provides that, if

the mental or physical condition of a party is in controversy, the court may enter

an order for a medical examination. Both MCL 500.3159 and MCR 2.311(A)

provide that the order may be made only “on motion for good cause.” Moreover,

MCL 500.3159 provides that the order “shall specify the time, place manner,

conditions and scope of the discovery,” while MCR 2.311(A) similarly provides

that the order “must specify the time, place, manner, conditions, and scope of the

examination . . . .”

       Accordingly, both MCL 500.3159 and MCR 2.311(A):               (1) apply to

disputes involving a person’s condition, (2) provide that a court may order a party

to abide by the relevant form of discovery, (3) provide that the order will be made

only on motion for good cause, and (4) provide that the order must specify the

time, place, manner, conditions, and scope of the relevant discovery. Rather than




                                         6

conflicting in any respect, the statute and the court rule are parallel with one

another.7

      Therefore, because MCL 500.3151 and MCR 2.311 do not conflict, there is

no need to decide whether the statute is a legislative attempt to supplant the

Court’s authority. McDougall v Schanz, 461 Mich 15, 24; 587 NW2d 148 (1999).

Accordingly, I would affirm the judgment of the Court of Appeals. It correctly

affirmed the trial court’s decision that defendant’s motion to compel a medical

examination pursuant to MCL 500.3151 was a request for a discovery device that

is subject also to MCR 2.311.

            APPROPRIATENESS OF THE PARTICULAR CONDITIONS AT ISSUE

      Because I find that the trial court was empowered to impose conditions on

the examination, the next issue is whether the particular conditions it imposed

were warranted.




      7
          Defendant contended at oral argument that MCL 500.3159 is the
enforcement mechanism for MCL 500.3158. However, the language of MCL
500.3159 does not indicate that the provision is the enforcement mechanism for
MCL 500.3158. This is in sharp contrast to MCL 500.3153, the enforcement
mechanism for MCL 500.3151 and MCL 500.3152, which specifically provides
that “[a] court may make such orders in regard to the refusal to comply with
sections 3151 and 3152 as are just . . . .” MCL 500.3153. Accordingly, the
Legislature clearly knows how to specify that a particular provision is an
enforcement mechanism for a preceding provision. The absence of such a
specification in MCL 500.3159 suggests that the Legislature did not intend that
statute to be an enforcement provision for MCL 500.3158.



                                       7

       This Court reviews a trial court’s decision regarding discovery for an abuse

of discretion. People v Phillips, 468 Mich 583, 587; 663 NW2d 463 (2003). In this

case, defendant challenges the following court-imposed conditions:

              2. That the Plaintiff may be accompanied by her attorney or
       other representative as allowed by MCR 2.311(A) to observe the
       examination and/or be permitted to record the examination by means
       of simultaneous audio and visual recording.

                                       * * *

              14. That Plaintiff will not be required to give any oral history
       of the accident.

              15. That Plaintiff will not be required to give any oral
       medical history not related to the areas of injuries claimed in this
       lawsuit.

       Defendant agreed to the condition that plaintiff be accompanied by her

attorney “and/or” be permitted to record the examination if the court ruled that

MCR 2.311(A) applied. Muci, 267 Mich App 442-443. Accordingly, because I

conclude that MCR 2.311(A) applies, defendant has agreed to allow plaintiff’s

attorney to attend the examination and to allow the examination to be recorded. In

any event, MCR 2.311(A) explicitly provides that an attorney may be present

during the examination.

       With regard to the condition forbidding the physician from taking an oral

history of the accident, defendant has other means to accomplish this objective. It

can request that plaintiff answer interrogatories outlining the history of the

accident. See MCR 2.309. Defendant can also request that plaintiff answer

interrogatories outlining plaintiff’s unrelated medical history. Id.


                                          8

      It is important to note that the conditions do not preclude a written history

of unrelated medical injuries. They do not preclude the physician from inquiring

into plaintiff’s mental or physical condition at the time of the accident or asking

how the injuries occurred or other similar questions. Accordingly, I believe that

the remaining conditions challenged were reasonable, and the trial court did not

abuse its discretion in imposing them.

                                   CONCLUSION

      MCL 500.3151 and MCR 2.311 do not conflict. Rather, they can be read in

harmony. Specifically, MCL 500.3151 mandates that a claimant submit to a

mental or physical examination. However, it does not state that this is a limitless

statutory right. MCR 2.311 is the court rule addressing orders for physical or

mental examinations when, as in this case, an action is pending. And it provides

that the court can impose conditions on the order.

      I conclude that the trial court properly relied on MCR 2.311 in imposing

various conditions on the order mandating that plaintiff submit to a mental or

physical examination. The conditions imposed were not an abuse of discretion.

Accordingly, the Court of Appeals judgment should be affirmed.

                                                Marilyn Kelly
                                                Michael F. Cavanagh
                                                Elizabeth A. Weaver




                                         9



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