Legal Opinion

LaMothe v. Auto Club Insurance

Michigan Court of Appeals

Decided December 15, 1995No. Docket 171729PublishedCited by 20 opinions

1Opinion of the CourtTaylor, P.J.

Plaintiff appeals as of right the trial court’s order granting summary disposition for defendant. We affirm.

Plaintiff was injured in an automobile accident. Defendant was plaintiff’s automobile no-fault insurer and, pursuant to the insurance policy, was responsible for the payment of "reasonable charges incurred” for plaintiff’s medical services.1 Defendant paid its portion of plaintiff’s expenses until 1992, when it instituted a company-wide system of medical bill audits to determine what constituted a reasonable charge for a medical service. Through the audit process, defendant determined…

2Cases cited10 opinions

  1. Kewin v. Massachusetts Mutual Life Insurance CompanyMichigan Supreme Court · 1980
  2. Nasser v. Auto Club Ins. Ass'nMichigan Supreme Court · 1990
  3. Paschke v. Retool IndustriesMichigan Supreme Court · 1994
  4. Huhtala v. Travelers InsuranceMichigan Supreme Court · 1977
  5. Van Marter v. American Fidelity Fire InsuranceMichigan Court of Appeals · 1982

5 more not listed; retrieve them via the Exa API.

3Cited by20 opinions

  1. United States Fidelity & Guaranty Co. v. Michigan Catastrophic Claims Ass'nMichigan Supreme Court · 2009
  2. Advocacy Organization for Patients & Providers v. Auto Club InsuranceMichigan Court of Appeals · 2003
  3. Bronson Methodist Hospital v. Auto-Owners InsuranceMichigan Court of Appeals · 2012
  4. Regents of the University of Michigan v. State Farm Mutual InsuranceMichigan Court of Appeals · 2002
  5. Koenig v. City of South HavenMichigan Court of Appeals · 1997

15 more not listed; retrieve them via the Exa API.

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