SAAD, P.J.
On November 5, 2013, plaintiff, who suffered injuries in two car accidents, settled her personal protection insurance ("PIP") claim in an agreement with defendant Progressive Insurance Company (Progressive), that provided that all PIP benefits incurred as of that date would be settled in exchange for a $78,000 payment from Progressive. Days after she made the agreement, plaintiff attempted to void this universal, binding settlement by asserting that she and her lawyer were unaware of a nearly $29,000 expense she had incurred several months before the settlement, and that the charge had only recently come to
When plaintiff settled the case, she or her lawyer could have demanded that the settlement only include a specific list of PIP benefits incurred to date, rather than all PIP benefits incurred to date.
Having failed to protect her interests,
If this claim sounds strange, that's because it is. Why? Because were we to agree with plaintiff's theory — which she does not articulate in legal terms — then this case would stand for the unprecedented proposition that an adversary in litigation has a duty to ensure that his opponent considered all relevant factors before making a settlement decision. And, were we to credit the theory that opposing counsel
Yet, plaintiff instead says the lawyer for her adversary (or her adversary itself) should advise her of relevant information before settlement. To shift what is rightly the obligation of plaintiff's attorney to opposing counsel or the defendant would fly in the face of the adversarial nature of litigation, and compromise a lawyer's obligation to zealously represent his client — and his client alone — without any conflicts.
For these reasons, which we explain below, we reject plaintiff's novel theories to avoid the agreement she freely entered into with the advice of counsel. The trial court's unwarranted rewriting of the parties' settlement agreement is reversed, and we remand for entry of an order to enforce the settlement agreement.
In 2011, plaintiff was involved in two car accidents in as many months. She suffered injuries in both accidents, and damaged her left shoulder and back. Though Progressive, plaintiff's insurer, initially paid for her medical treatment, it terminated her benefits in October 2011. Plaintiff filed suit against Progressive in the Washtenaw Circuit Court,
Before trial, plaintiff and Progressive reached a settlement. In an e-mail exchange in early November 2013, the parties agreed to a $78,000 "global settlement" for plaintiff's PIP and underinsured/uninsured motorist claims. Progressive's adjuster explicitly stated, and plaintiff's trial attorney unequivocally agreed, that the PIP settlement "would be for all benefits to date." Plaintiff's trial attorney informed the trial court of the settlement on November 5, 2013.
Three days later, plaintiff asserts that her trial attorney received a $28,942 facility bill from Synergy for her May 2013 shoulder surgery. Plaintiff's lawyer contacted Progressive, claimed neither he nor plaintiff had knowledge of Synergy's charges, and said he would not have settled the suit for $78,000 had he or plaintiff known about this charge. He also alleged that Progressive was aware of the $28,942 statement, and had negotiated over this bill with Synergy at some point from May to November 2013. Plaintiff's attorney asked Progressive to confirm that the settlement agreement excluded the Synergy charges, and stated that if the agreement did not exclude the charges, the settlement was void.
Plaintiff responded, asserting that the settlement agreement could not include Synergy's $28,942 bill because (1) plaintiff had no knowledge of the bill before the settlement agreement, and (2) Progressive, which was aware of the charges, provided her with no notice of them.
After a hearing on Progressive's motion, the trial court, in a written order, stated that the $28,942 Synergy invoice "was not part of the settlement agreement" and could be pursued through separate litigation. In all other respects, the trial court ruled that the "parties' settlement agreement. . . shall remain in full force and effect and is a final agreement in this case."
On appeal, Progressive makes the same argument as it did below: namely, that the parties made a valid settlement agreement on November 5, 2013 that encompassed all of plaintiff's incurred PIP "benefits to date." As a result, it says the trial court erred when it held that plaintiff could pursue Synergy's charges — which she incurred in May 2013 — through separate litigation. Plaintiff again argues that the November 5, 2013 settlement agreement could not have included Synergy's charges, as plaintiff had no knowledge of them, and the agreement was intended to settle a specific set of claims of which plaintiff had knowledge.
"The existence and interpretation of a contract are questions of law reviewed de novo." Kloian v. Domino's Pizza, LLC, 273 Mich.App. 449, 452, 733 N.W.2d 766 (2006).
"An agreement to settle a pending lawsuit is a contract, governed by the legal rules applicable to the construction and interpretation of other contracts." Reicher v. SET Enterprises, Inc., 283 Mich.App. 657, 663, 770 N.W.2d 902 (2009). "Before a contract can be completed, there must be an offer and acceptance. Unless an acceptance is unambiguous and in strict conformance with the offer, no contract is formed. Further, a contract requires mutual assent or a meeting of the minds on all the essential terms." Kloian, 273 Mich. App. at 452-453, 733 N.W.2d 766 (citations and quotation marks omitted).
As a general rule, settlement agreements are "final and cannot be modified." Smith v. Smith, 292 Mich.App. 699, 702, 823 N.W.2d 114 (2011). This is because settlements are favored by the law, and therefore will not be set aside, except for fraud, mutual mistake, or duress. Streeter v. Mich. Consol. Gas Co., 340 Mich. 510, 517, 65 N.W.2d 760 (1954).
"A mutual mistake is `an erroneous belief, which is shared and relied on by both parties, about a material fact that affects the substance of the transaction.'" Kaftan v. Kaftan, 300 Mich.App. 661, 665-666, 834 N.W.2d 657 (2013), quoting Ford Motor Co. v. City of Woodhaven, 475 Mich. 425, 442, 716 N.W.2d 247 (2006). A "mutual mistake" is not a mere error or misunderstanding — it is an extreme mistake that must be "so material that . . . it goes to the foundation of the agreement." Simkin v. Blank, 19 N.Y.3d 46, 52, 945 N.Y.S.2d 222, 968 N.E.2d 459 (2012) (citation and quotation marks omitted).
As such, one who signs a settlement "cannot seek to avoid it on the basis that . . . he supposed that it was different in its terms." Nieves v. Bell Indus., Inc., 204 Mich.App. 459, 463, 517 N.W.2d 235 (1994). More specifically, a party cannot void a settlement agreement "merely because [he] has had a `change of heart,'"
PIP benefits include "all reasonable charges incurred for reasonably necessary products, services and accommodations for an injured person's care, recovery, or rehabilitation."
An insured "incurs" an expense under MCL 500.3107(1) when he becomes "liable" for it, which occurs when he is "[r]esponsible or answerable in law" or "legally obligated" to pay that expense. Bombalski v. Auto Club Ins. Ass'n, 247 Mich.App. 536, 543, 637 N.W.2d 251 (2001). An insured becomes liable for an expense when he accepts the medical treatment for which he (or his insurer) is being charged. Shanafelt v. Allstate Ins. Co., 217 Mich.App. 625, 638, 552 N.W.2d 671 (1996); see also Harris v. Auto Club Ins. Ass'n, 494 Mich. 462, 468-469, 835 N.W.2d 356 (2013) (discussing our Court's summation of Bombalski and Shanafelt's interpretations of when an insured "incurs" an expense under MCL 500.3107(1)).
Here, the parties agreed to a settlement in a series of clear, unambiguous e-mails exchanged on November 5, 2013, which state that the settlement included all PIP "benefits [incurred] to date." Plaintiff incurred the $28,942 expense from Synergy in May 2013, when she had shoulder surgery at Synergy's facilities. The cost of using Synergy's facilities for plaintiff's shoulder surgery is a PIP benefit. Synergy's invoice for $28,942 is thus included in the November 5, 2013 settlement, which, again, encompassed all PIP benefits incurred to date. The trial court therefore erred when it held that the $28,942 was not a part of the settlement agreement, and that plaintiff could pursue this sum through separate litigation against Progressive.
Plaintiff's attempts to avoid this obvious outcome must be rejected under Michigan law. As noted, settlements are not set aside unless a party shows fraud, duress, or mutual mistake. Streeter, 340 Mich. at 517, 65 N.W.2d 760. Plaintiff does not allege fraud or duress. And though plaintiff does not speak explicitly in these terms, her suggestion that there was mutual mistake in the formation of the settlement is without merit.
Specifically, plaintiff says that the November 5, 2013 settlement agreement could not have included Synergy's $28,942 charge, as plaintiff had no knowledge of it, and the agreement was intended to settle a specific set of claims of which plaintiff had knowledge. This assertion is not a "mutual mistake" for two reasons: (1) Progressive supposedly had knowledge of the alleged "mistake," meaning that it cannot be "mutual"; and (2) plaintiff's lack of knowledge of the $28,942 Synergy billing cannot be a "mistake" in the context of the settlement agreement's plain terms. Moreover, the fact that she and her lawyer knew of the charge for the surgery undermines any claim of mistake about related charges.
Again, "[a] mutual mistake is `an erroneous belief, which is shared and relied on by
More importantly, what plaintiff alleges — her unilateral lack of knowledge of the Synergy bill — is not a "mistake" in the context of the settlement agreement.
Accordingly, it is not possible for plaintiff not to have contemplated expenses related to her May 2013 shoulder surgery when she agreed, on November 5, 2013, to a settlement that explicitly encompassed all PIP benefits incurred as of that date. Plaintiff and her attorney "are presumed to understand and intend what the language employed"
In essence, plaintiff's attempt to invalidate the settlement agreement is a misguided effort to force Progressive or its counsel to perform a duty that should have been performed by her trial attorney. Before a plaintiff settles a case for all charges incurred to date, it is incumbent upon the plaintiff's attorney to ensure that he and
This professional obligation is the core duty of the plaintiff's lawyer — not the opposing party or its counsel. If the plaintiff's lawyer fails to fulfill this obligation — and does not ensure that he and his client consider all possible claims before signing a settlement agreement — the lawyer cannot shift this responsibility to the opposing party or opposing counsel. To do so would ignore the nature of contested litigation and the adversarial process, as well as the obligations of opposing counsel, which entail zealous representation of his client, not consideration of whether the plaintiff has thought of all the possible implications of a settlement agreement.
Here, plaintiff seeks to engage in exactly this sort of obligation shifting: because her trial attorney did not consider that she might face additional (and perhaps unknown) charges
Under Michigan law, neither Progressive nor its counsel had any duty to inform plaintiff of possible claims she might have made regarding the $28,942 Synergy billing, or to advise her to include those claims in the November 5, 2013 settlement.
The trial court erred when it ruled that the Synergy invoice for $28,942 is not subject to the settlement agreement and may be the subject of separate litigation. The settlement agreement encompasses the $28,942 charge, and we remand to the trial court for entry of an order to enforce the settlement agreed to by the parties on November 5, 2013.
Reversed and remanded. We do not retain jurisdiction.
OWENS and KIRSTEN FRANK KELLY, JJ., concurred with SAAD, P.J.
A party bears the risk of a mistake when
Accordingly, one expects plaintiff and her trial counsel did discuss the possibility that she had incurred other, unknown PIP benefits before November 5, 2013 — but decided to settle her claims anyway, because they believed $78,000 to be a favorable amount. It is contrary to both the attorney-client relationship and common sense to require Progressive and its counsel to divine the content of plaintiff's settlement negotiations, and inform plaintiff and her attorney of other claims that she might not have considered.