MCL § 500.3115 – Priority rules for pedestrians and bicyclists

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Code Details

Chapter 500

Act 218 of 1956

218-1956-31

Exact Statute Text

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500.3115 Personal protection insurance benefits under the assigned claims plan for claims of persons not occupants of vehicle.
Sec. 3115.Except as provided in section 3114(1), a person who suffers accidental bodily injury while not an occupant of a motor vehicle shall claim personal protection insurance benefits under the assigned claims plan under sections 3171 to 3175.

MCL § 500.3115 Summary

This specific Michigan statute outlines the process by which individuals who suffer accidental bodily injury but are *not* inside a motor vehicle at the time of the accident must seek personal protection insurance (PIP) benefits. It mandates that such individuals, often pedestrians, bicyclists, or sometimes motorcyclists, must file their claim through the Michigan Assigned Claims Plan (MACP). This requirement applies unless another insurer is responsible for paying benefits under the priority rules specified in section 3114(1) of the Michigan No-Fault Act.

Purpose of MCL § 500.3115

The legislative intent behind this statute is to ensure that all individuals injured in motor vehicle accidents in Michigan have access to essential medical care, wage loss, and other no-fault benefits, regardless of whether they were in a vehicle or had their own auto insurance policy. The Michigan no-fault system is designed to provide prompt payment for economic losses without requiring a determination of fault. MCL § 500.3115 addresses a specific gap: what happens when an injured party is not a vehicle occupant and there is no readily identifiable or responsible auto insurer (e.g., the at-fault driver is uninsured, unknown, or the injured person does not have their own policy)? By directing these claims to the Assigned Claims Plan, the statute establishes a “last resort” mechanism, upholding the fundamental principle of Michigan’s no-fault system that accident victims should not be left without recourse for their economic damages.

Real-World Example of MCL § 500.3115

Consider the following scenario: Maria is riding her bicycle home from work when she is struck by a car whose driver fails to yield. Maria sustains several serious injuries, including a broken leg and a concussion, requiring extensive medical treatment and time off from work. Maria does not own a car and therefore does not have her own Michigan no-fault auto insurance policy. The driver who hit her fled the scene, and despite a police investigation, their identity and insurance information remain unknown.

Under these circumstances, Maria would be considered a “person who suffers accidental bodily injury while not an occupant of a motor vehicle.” Since no other identifiable insurer is responsible for her PIP benefits (neither her own policy nor an identified at-fault driver’s policy), MCL § 500.3115 dictates that Maria must claim her personal protection insurance benefits through the Michigan Assigned Claims Plan. She would apply to the MACP, which would then assign an auto insurer operating in Michigan to handle her claim and pay for her medical expenses, lost wages, and other no-fault benefits.

  • MCL § 500.3114(1) – Priority rules for occupants: This section is explicitly referenced in MCL § 500.3115. It outlines the primary priority rules for claiming PIP benefits, typically from one’s own insurer, a resident relative’s insurer, or the insurer of the owner or driver of the vehicle involved. MCL § 500.3115 serves as a “default” for non-occupants when these primary rules do not establish an insurer.
  • MCL § 500.3171 to 500.3175 – Michigan Assigned Claims Plan: These sections provide the detailed framework for the Michigan Assigned Claims Plan itself. They explain how the plan operates, who is eligible, the responsibilities of assigned insurers, and the procedures for making claims. MCL § 500.3115 directs eligible non-occupants to utilize this specific plan for their benefits.
  • MCL § 500.3107 – Personal Protection Insurance benefits: This statute defines what constitutes “personal protection insurance benefits” (PIP benefits), including reasonable and necessary medical expenses, lost wages, and replacement services, which are the benefits that MCL § 500.3115 helps non-occupants secure.

Case Law Interpreting MCL § 500.3115

Michigan appellate courts have frequently interpreted various aspects of the No-Fault Act, including the assigned claims plan and priority rules. While direct cases solely focusing on the single sentence of MCL § 500.3115 are less common, its application is often discussed within broader cases concerning assigned claims or priority disputes.

One notable case that illustrates the operation of the assigned claims plan and implicitly MCL § 500.3115 is:

  • Moore v. Travelers Ins. Co., 476 Mich. 638, 720 N.W.2d 715 (2006): While not exclusively about MCL § 500.3115, this Michigan Supreme Court case significantly clarified the requirements for seeking benefits through the assigned claims plan and the interplay of different sections of the no-fault act regarding eligibility and timely application. The decision established important precedents for claimants navigating the assigned claims process, affecting how claims of non-occupants (as directed by MCL § 500.3115) are handled. [Link to Google Scholar search for Moore v. Travelers Ins. Co.]

Another case specifically referencing the application for benefits under the assigned claims plan for a non-occupant:

  • Bronson Methodist Hosp. v. Titan Ins. Co., No. 340915, 2018 WL 3672027 (Mich. Ct. App. Aug. 2, 2018) (unpublished): This Court of Appeals case involved a dispute over medical expenses for a pedestrian who was injured by an unknown vehicle and sought benefits through the assigned claims plan. The case directly discusses the insurer’s obligations following an assignment, which stems from the requirements laid out in sections like MCL § 500.3115. [Link to Google Scholar search for Bronson Methodist Hosp. v. Titan Ins. Co.]

Why MCL § 500.3115 Matters in Personal Injury Litigation

For individuals involved in Michigan personal injury litigation, understanding MCL § 500.3115 is critical, particularly for those injured outside of a vehicle. This statute provides the legal foundation for non-occupants, such as pedestrians or bicyclists, to secure essential personal protection insurance benefits for their medical treatment, lost wages, and other economic losses following a motor vehicle accident.

For plaintiffs, this section ensures a pathway to recovery even in challenging situations—like hit-and-run accidents, incidents involving uninsured drivers, or cases where the injured party does not have their own auto insurance. An attorney representing an injured pedestrian or bicyclist must quickly assess whether this statute applies and guide their client through the application process for the Michigan Assigned Claims Plan. Failing to understand or properly utilize this pathway could leave an injured person without the no-fault benefits they desperately need.

For defense attorneys and insurers, MCL § 500.3115 helps define the scope of responsibility. It clarifies when an insurer, assigned by the MACP, becomes obligated to pay benefits for a non-occupant claim. Understanding this statute helps ensure proper claims handling, prevents incorrect denial of benefits, and guides litigation strategy when disputes arise regarding eligibility or the extent of benefits owed under an assigned claim. Both sides rely on the precise application of this law to navigate the complexities of Michigan’s no-fault system for non-occupant injuries.

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