In a case previously reported by our firm, the Michigan Court of Appeals affirmed an attorney-fee award following Farm Bureau’s unreasonable withholding of no-fault benefits. The injured person was represented by Adrienne Logeman.

The identified appellate decision

The unpublished February 9, 2023 opinion in Maurer v. Farm Bureau, No. 359690 affirmed the attorney-fee ruling and rejection of reconsideration. Its discussion also rejected conditioning payment on successful detoxification. The decision does not establish that every recommended treatment is covered or every denial unreasonable.

Medical decisions and insurance entitlement are related but different questions. A treating provider’s recommendation may be important evidence, while the applicable coverage, statutory requirements, and actual dispute still need review.

Records for a current treatment-related dispute

  • The denial or condition imposed by the insurer, in writing.
  • Treating-provider orders and records explaining the proposed care.
  • Examination reports or other material the insurer relied on.
  • Bills, service dates, payment records, and proof of submissions.
  • The policy and a timeline of requests, responses, and decisions.

Evaluate the actual reason benefits stopped

Identify whether the insurer disputes necessity, causation, coverage, documentation, or another requirement. Do not assume a brief case announcement resolves a different medical or policy situation.

For a current evaluation, see PIP denial remedies and our no-fault claims practice. A past result does not guarantee a similar outcome.

Talk with Logeman & Iafrate

Request a free consultation or call (734) 994-0200 to discuss your situation with our Ann Arbor office. Bring the relevant records and any insurer correspondence. Advice about your claim depends on the facts, coverage, and applicable deadlines.

General information only; this article is not legal advice for an individual case.

Frequently Asked Questions

Does this report mean every treatment recommendation must be paid?

No. Coverage and the applicable legal requirements still need individual review.

What should I preserve if payment is conditioned on treatment?

Keep the actual condition, provider records, insurer materials, and the submission/payment timeline.

‍This article is provided for informational purposes only and does not constitute legal advice. Consult a qualified attorney at Logeman & Iafrate, P.C. for advice regarding your individual situation.