Uninsured/Underinsured Motorist Complaint - Michigan

UNINSURED / UNDERINSURED MOTORIST COMPLAINT

Table of Contents

1. Caption
2. Parties
3. Jurisdiction and Venue
4. General Allegations
5. No-Fault / PIP Coverage Context
6. Policy Identification and UM/UIM Coverage
7. UM vs. UIM Status
8. Serious Impairment Threshold
9. Count I — Breach of Contract (UM/UIM Benefits)
10. Damages
11. Jury Demand
12. Prayer for Relief

Caption

IN THE CIRCUIT COURT FOR THE COUNTY OF [COUNTY NAME]

STATE OF MICHIGAN

Parties

1. Plaintiff, [PLAINTIFF FULL NAME] ("Plaintiff"), is an individual residing in [CITY], [COUNTY] County, Michigan, and is an insured under the automobile insurance policy described herein.

2. Defendant, [INSURANCE COMPANY NAME] ("Defendant Insurer"), is an insurance company authorized to transact business in the State of Michigan, with its principal place of business at [INSURER ADDRESS].

3. [JOHN/JANE DOE] ("Uninsured/Underinsured Motorist") is an individual who, at all relevant times, operated a motor vehicle [☐ without bodily injury liability insurance / ☐ with bodily injury liability insurance inadequate to compensate Plaintiff's non-economic damages].

Jurisdiction and Venue

4. This Court has jurisdiction over this action pursuant to the Michigan Constitution, Art. VI, § 13, and MCL § 600.605.

5. The amount in controversy exceeds $25,000.

6. Venue is proper in [COUNTY] County under MCL § 600.1621(a) because Defendant Insurer [☐ resides here / ☐ has a place of business here / ☐ conducts business here / ☐ has its corporate registered office here]. This count seeks UM/UIM policy benefits from the insurer. [If a separate tort claim is joined, reassess venue under MCL §§ 600.1629 and 600.1641(2).]

Related case statement (MCR 1.109(D)(2)(a); select and complete one):

☐ There is no other pending or resolved civil action arising out of the transaction or occurrence alleged in this complaint.

☐ A civil action arising out of the transaction or occurrence alleged in this complaint was previously filed in [COURT], Case No. [CASE NUMBER], assigned to Judge [JUDGE NAME]. That action [☐ remains pending / ☐ is no longer pending].

General Allegations

7. On or about [DATE OF ACCIDENT], at approximately [TIME], Plaintiff was [☐ operating / ☐ a passenger in] a motor vehicle on [STREET/HIGHWAY], in [CITY/TOWNSHIP], [COUNTY] County, Michigan.

8. At said time and place, the Uninsured/Underinsured Motorist negligently operated a motor vehicle and caused a collision with Plaintiff's vehicle.

9. The Uninsured/Underinsured Motorist was negligent in one or more of the following respects:

☐ Operating at an excessive or unreasonable speed
☐ Failure to yield the right of way
☐ Failure to maintain a proper lookout
☐ Following too closely
☐ Operating under the influence (MCL § 257.625)
☐ Disregarding a traffic control device
☐ Improper lane change
☐ Distracted driving / texting (MCL § 257.602b)
☐ Other: [________________________________]

10. Each such act or omission was a proximate cause of the collision and Plaintiff's injuries.

No-Fault / PIP Coverage Context

11. Plaintiff has made a claim for Personal Injury Protection (PIP) benefits under [☐ Plaintiff's own policy / ☐ the Michigan Assigned Claims Plan] for allowable expenses, work loss benefits, and replacement services arising from the accident.

12. The PIP claim is [☐ being paid / ☐ in dispute / ☐ not applicable] and is separate from this UM/UIM claim for damages covered by the UM/UIM endorsement.

13. Plaintiff claims non-economic damages (pain and suffering, loss of enjoyment of life, etc.) arising from the negligence of the Uninsured/Underinsured Motorist. Plaintiff claims excess economic loss only if the UM/UIM endorsement covers it and only to the extent it is not payable as PIP benefits.

Policy Identification and UM/UIM Coverage

14. At the time of the accident, Plaintiff was insured under an automobile insurance policy issued by Defendant Insurer, Policy No. [POLICY NUMBER], effective from [POLICY START DATE] to [POLICY END DATE] (the "Policy").

15. The Policy provides uninsured motorist ("UM") bodily injury coverage with limits of $[UM LIMIT PER PERSON] per person / $[UM LIMIT PER ACCIDENT] per accident.

16. ☐ The Policy also provides underinsured motorist ("UIM") bodily injury coverage with limits of $[UIM LIMIT PER PERSON] per person / $[UIM LIMIT PER ACCIDENT] per accident.

17. Plaintiff has paid all premiums due under the Policy and has complied with the Policy's applicable conditions, including notice of the UM/UIM claim on [NOTICE DATE] in the manner and time required by the Policy.

18. Plaintiff affirmatively elected and purchased UM/UIM coverage as an optional coverage under the Policy.

UM vs. UIM Status

Select one:

☐ Uninsured Motorist (UM) Claim:

19. The at-fault motorist was uninsured at the time of the accident in that [☐ no bodily injury liability policy was in effect / ☐ the at-fault motorist is unknown (hit-and-run) / ☐ the at-fault motorist's insurer denied coverage or is insolvent].

☐ Underinsured Motorist (UIM) Claim:

20. The at-fault motorist maintained bodily injury liability coverage with limits of $[TORTFEASOR POLICY LIMIT], which is insufficient to compensate Plaintiff for the full extent of non-economic damages sustained.

21. Plaintiff has exhausted the at-fault motorist's bodily injury liability limits and received $[AMOUNT RECOVERED FROM TORTFEASOR] in [☐ settlement / ☐ judgment].

22. Defendant Insurer was provided with timely written notice and the opportunity to consent to the settlement with the tortfeasor's insurer.

23. Plaintiff's non-economic damages exceed the tortfeasor's coverage, and Plaintiff is entitled to recover additional amounts under the UIM provisions of the Policy.

Serious Impairment Threshold

24. Plaintiff has suffered a "serious impairment of body function" as defined by MCL § 500.3135(5), meaning an objectively manifested impairment of an important body function that affects the person's general ability to lead a normal life. Specifically:

☐ The impairment is objectively manifested: [________________________________]
☐ The impairment affects an important body function: [________________________________]
☐ The impairment affects Plaintiff's general ability to lead a normal life: [________________________________]

25. ☐ Alternatively, Plaintiff suffered permanent serious disfigurement as a result of the accident: [________________________________].

26. ☐ Alternatively, the accident resulted in the death of [DECEDENT NAME], and this claim is brought by [☐ the personal representative of the estate / ☐ surviving family members].

Count I

Breach of Contract (UM/UIM Benefits)

27. Plaintiff re-alleges and incorporates by reference paragraphs 1 through 26.

28. The Policy constitutes a valid and enforceable contract between Plaintiff and Defendant Insurer.

29. Plaintiff has performed all obligations and satisfied all conditions precedent required under the Policy, including its notice terms.

30. Defendant Insurer has breached the Policy by failing and refusing to pay UM/UIM benefits owed to Plaintiff despite proper demand.

31. As a direct and proximate result of Defendant Insurer's breach, Plaintiff has been damaged in an amount to be proven at trial.

Damages

32. As a result of the accident and Defendant Insurer's alleged breach, Plaintiff seeks the following damages to the extent covered by the Policy:

Non-Economic Damages (UM/UIM Claim):

☐ Pain and suffering (past and future): $[AMOUNT]
☐ Mental anguish and emotional distress: $[AMOUNT]
☐ Loss of enjoyment of life: $[AMOUNT]
☐ Permanent disability or impairment: $[AMOUNT]
☐ Disfigurement: $[AMOUNT]
☐ Loss of consortium (if applicable): $[AMOUNT]

Excess Economic Damages (only if the UM/UIM endorsement covers them and PIP does not):

☐ Excess medical expenses beyond PIP limits: $[AMOUNT]
☐ Excess wage loss beyond PIP limits: $[AMOUNT]

Additional Damages:

☐ Interest on overdue policy benefits under MCL § 500.2006(4), if supported by proof of loss and payment dates
☐ Taxable costs as allowed by court rule

Jury Demand

Plaintiff will file a separate written jury demand and pay the jury fee within the time required by MCR 2.508(B)(1). This Complaint alone is not the jury demand.

Prayer for Relief

WHEREFORE, Plaintiff prays for judgment against Defendant Insurer as follows:

1. Non-economic compensatory damages in an amount to be determined at trial;
2. UM/UIM benefits in the full amount owed under the Policy;
3. Excess economic damages beyond PIP benefits, only to the extent covered by the UM/UIM endorsement;
4. Simple interest on overdue policy benefits at 12% per annum under MCL § 500.2006(4), measured from 60 days after Defendant received satisfactory proof of loss, if applicable;
5. Taxable costs as allowed by court rule; and
6. Such other and further relief as this Court deems just and equitable.

Respectfully submitted,

[ATTORNEY NAME], P[BAR NUMBER]
[FIRM NAME]
[FIRM ADDRESS]
[CITY], Michigan [ZIP CODE]
Telephone: [________________________________]
Email: [________________________________]
Attorney for Plaintiff

State-Specific Notes — Michigan

Sources and References

• MCL § 500.3135 — Michigan Legislature
• MCL § 500.3145 — Michigan Legislature
• MCL § 500.3009 — Michigan Legislature
• MCL § 500.2006 — Michigan Legislature
• Your Guide to Automobile Insurance (DIFS) — State of Michigan
• Michigan UM/UIM Claims — Goodman Acker
• UM Coverage in Michigan — Michigan Auto Law