Insurer Liability for Business Closures due to COVID-19-Will Courts Find “Physical Loss or Damage”?
Tue Apr 21, 2020
Approximately one-third of U.S. businesses have “business interruption” insurance, intended to cover losses from events that force them to suspend or stop operations. Many of these policies also contain specific “civil authority” clauses, which cover losses when a government agency stops a business from operating.
However, in the wake of unprecedented business interruptions – caused by the spread of COVID-19 and government orders shutting down “non-essential” businesses – major insurers have uniformly denied businesses owners coverage for their losses. A joint statement from the American Property Casualty Insurance Association, Council of Insurance Agents and Brokers, Independent Insurance Agents & Brokers of America, and National Association of Mutual Insurance Companies claims that “business interruption policies do not, and were not designed to, provide coverage against communicable diseases such as COVID-19.”
But despite insurers’ current denial of COVID-19 related claims, there is a strong legal argument that many business interruption policies do in fact provide coverage for current shutdowns. Over the past month, there has been a wave of litigation across the country testing this question. And although we have yet to see any cases filed in Washington, they’re likely coming.
Legislatively, efforts are underway at both the state and federal levels to require that insurers provide coverage to businesses facing interruptions from COVID-19. For instance, on April 14, Rep. Mike Thompson (CA-05) introduced HR 6494, titled the “Business Interruption Insurance Coverage Act of 2020,” which would require business interruption insurers to cover COVID-19 related closures, and would void any exclusions for viral pandemics in existing business interruption policies. Though not currently a cosponsor of HR 6494, Washington’s Rep. Jayapal (WA-07) has also publicly criticized major insurers for “refusing to pay up during this economic and public health crisis.” At the state level, legislators in Pennsylvania, Ohio, New Jersey, and Massachusetts have introduced legislation to similar effect.
So, what are the issues being argued in these cases? And what does the litigation landscape look like so far? This article examines two issues common to most claims being filed and provides a brief overview of representative cases from across the country.
- The primary issue in dispute is whether COVID-19 shutdowns constitute “physical loss or damage” to property.
A typical business interruption policy compensates businesses for lost income due to a necessary suspension of operations if the suspension of operations is caused by “physical loss of or damage to” property at the business’ premises. The trillion-dollar question currently facing businesses and insurers is whether the spread of Covid-19 and attending shutdowns constitutes “physical loss or damage” within the scope of business interruption policies.
Business owners seeking coverage have argued that the inability for employees and customers to physically enter their premises constitutes “physical loss,” and widespread contamination by a deadly virus such as Covid-19 constitutes “physical damage.” There is substantial legal authority to back up these arguments.
For instance, in 2016, the Oregon Shakespeare Festival won a case against Great American Insurance Company, following Great American’s denial of coverage for loss of business income due to wildfire smoke, which had infiltrated OSF’s theater and rendered it temporarily uninhabitable. See Oregon Shakespeare Festival Ass’n v. Great Am. Ins. Co., No. 1:15-CV-01932-CL, 2016 WL 3267247, at *1 (D. Or. June 7, 2016). In that case, Great American Insurance unsuccessfully argued that such smoke was not a “physical” loss or injury, implying that loss or damage had to be structural in order to trigger coverage. In a colorful rebuke, the Court held that such damage was physical because “air is not mental or emotional, nor is it theoretical . . . while air may often be invisible to the naked eye, surely the fact that air has physical properties cannot reasonably be disputed.”
Likewise, the 8th Circuit Court of Appeals initially held in 2006 (before vacating its own decision) that the federal government’s restriction on imports of Canadian beef due to concerns over mad cow disease constituted physical loss, even without actual proof that the plaintiff’s beef had been contaminated. See Source Food Tech., Inc. v. U.S. Fid. & Guar. Co., 460 F.3d 995, 998 (8th Cir.), reh’g granted and opinion vacated (Oct. 5, 2006).
Complaints filed by business owners related to Covid-19 have gone to great lengths to emphasize they physical nature of the virus. For instance, in a U.S. District Court case filed in Alabama, plaintiff Wagner Shoes noted that “COVID-19 can and will reside on everyday surfaces . . . and cleaning is the necessary first step of any sterilization or disinfection process.” The complaint goes on to describe cleaning as “a form of decontamination that renders the environmental surface safe to handle or use by removing organic matter and agents which interfere with microbial inactivation.”
Contingent Business Interruption coverage
Insured business owners should also be aware of possible coverage for contingent business interruptions. Contingent business interruption coverage (CBI) covers lost earnings that are the result of a third-party supplier or distributor shutdown whose interruption in turn directly impacts the insured’s ability to produce a product or provide a service. As a result, even if some businesses are able to continue operating – such as certain construction firms performing essential services – they may nevertheless have a valid claim for costs faced as a result of supplier or distributor shutdowns. Covered business owners should look to the specific language of their policies to determine if CBI coverage is included.
Virus or pandemic exclusions
Following the outbreak of SARS in 2002-2003 many (but not all) insurers began including virus or bacteria exclusions from their policies. While these exclusions may preclude some claims for direct physical losses due to the virus, they may not be a complete bar to business owners’ recovery. Rather, businesses owners which have faced shutdowns due to government order may argue that it is the order – not the virus itself – which has caused them to suspend operation.
Additionally, the existence of these exclusions in some policies undercuts insurers’ argument that the COVID-19 pandemic is not an event causing “physical loss.” Were that to be true – that the spread of a dangerous virus does not create “physical loss or damage” – no policy exclusions for such losses would be necessary.
- The second issue is whether shutdowns caused government orders, such as “shelter in place” are within the scope of civil authority clauses.
Business interruption policies commonly contain a “civil authority” clause, which provides coverage when a civil authority prohibits access to the insured’s premises resulting in a total loss of business income. Generally, such clauses still require underlying physical loss or damage – for instance if a building is locked due to a fire in an adjacent property. As a result, it will likely be necessary for covered business owners to prove that the spread of COVID-19 is a physical event, resulting in at least the risk of physical loss.
Even still, the parameters of such clauses are not always clear. For instance, in Kilroy Industries v. United Pacific Insurance Co. (1985, C.D. Cal), an 11-story office building in Seattle was vacated because it was determined by King County to be unsafe in the event of an earthquake. Following the insurer’s denial of Kilroy Industries’ claim, a district court in California found that the Kilroy’s business interruption was compensable under its all-risk insurance policy, which contained a special endorsement for “loss from earthquake,” even though no earthquake had actually occurred.
Given the nature of the coronavirus, it will likely be difficult for many businesses to prove whether their premises were actually contaminated by the virus. However, as Kilroy Industries shows, a government-ordered shut down due to concerns over physical safety may still trigger insurance coverage.
Jurisdictions with active cases
The following is a brief survey of some of the cases which have been filed related to this issue, including both class actions and individual suits. It is likely that dozens of similar cases will be filed in the coming weeks as covered business owners face further denials.
In Alabama, a shoe retailer, Wagner Shoes, filed suit against its insurer for denial of coverage for losses caused by mandated retail closures. See Wagner Shoes, LLC v. Auto-Owners Insurance Company, No. 7-20-v-00465-GMB (N.D. Ala. Apr. 7, 2020. Wagner Shoes’ complaint argues, among other things that that, “direct physical loss can exist without actual destruction of property or structural damage to property: in analogous circumstances to the COVID-19 agent, the presence of harmful substances on a property can constitute ‘property damage’ or ‘direct physical loss’ that triggers first party property coverage.”
In California, world-renowned, owners of the three-Michelin-starred restaurant The French Laundry filed suit against its insurers in California Superior Court, seeking a declaratory judgment that its policy provides coverage for civil authority closures of restaurants in Napa County due to “physical loss or damage from the Coronavirus.” See French Laundry Partners LP et al. v. Hartford Fire Insurance Co. et al. (Calif. Super., Napa County). This case is especially noteworthy because The French Laundry’s policy contained no “viral pandemic” exclusion – and in fact contained a “property choice deluxe form” which specifically included coverage for loss or damage caused by a virus.
District of Columbia
A DC sports bar, Proper 21, sued its insurance carrier Seneca Insurance Company seeking a declaration that its business losses were covered by its all-risk insurance policy. See Proper Ventures, LLC v. Seneca Insurance Co., Inc. et al., No. 2020-CA-002194-B (District of Columbia Super. Ct.).
Proper 21’s complaint notes that its policy provides coverage for actual loss of business due to suspension of operations caused by “direct physical loss of or damage to property.” The complaint argues that because its business premises are unusable and uninhabitable by employees; it has suffered a physical loss of property – and should therefore be offered coverage for its damages.
In Mace Marine Inc. v. Tokio Marine Specialty Insurance Company (Fla. Cir. Ct., Monroe County), a Florida Dive Shop filed suit against its insurer, Tokio Marine, which denied the shop’s claim for losses under its business income insurance coverage. The complaint notes that although its business property is “structurally unaltered” it will be unable to use such property until it has been sanitized – a physical process which cost Mace Marine time and money. Mace Marine’s complaint seeks a declaratory judgment that “the inability to use property because of the risk of contamination from COVID-19 is tantamount to direct physical loss of that property” and that “acts of Civil Authority [related to Covid-19] are tantamount to a direct physical loss or damage to property.”
On April 6th, an Illinois dental office, Sandy Point Dental, filed a suit against its insurer, the Cincinnati Insurance Co., for losses caused by closure of its offices due to a state order deeming elective dental procedures “non-essential” business during the pandemic. See Sandy Point Dental v. The Cincinnati Ins. Co. et al., No. 1:20-cv-02160 (N.D. Ill., Apr. 6, 2020).
Sandy Point brought an action for declaratory judgment, breach of contract,, and statutory claims, arguing that the insurance policy that Sandy Point purchased covered “business losses incurred as a result of the government orders forcing [Sandy Point] to close their business.” (Sandy Point Complaint at ¶ 49).
The first business to file suit against an insurer for business interruption due to COVID-19 was the Oceana Grill, located in the heart of New Orleans’ French Quarter. In that case, Cajun Conti, LLC et al. v. Certain Underwriters at Lloyd’s of London, et al., No. 2020-02558 (La. Dist. Court, Orleans Parish), plaintiff Oceana Grill seeks a two-part declaratory judgment that its “all-risk” insurance policy (1) provides coverage for physical loss from shutdowns coronavirus contamination, and (2) that the local shutdown orders trigger the civil authority provision within its policy.
In Oklahoma, both the Chickasaw and Choctaw nations have filed suits against their insurers in Oklahoma state court, seeking coverage for ongoing COVID-19 related losses. See Chicksaw Nation Dep’t of Commerce v. Lexington Insurance Co. et al., No. CV-20-35, (Okla. Dist. Ct., Pontotoc County); Chocktaw Nation of Oklahoma v. Lexington Insurance Co. et al., No. CV-20-42 (Okla. Dist. Ct., Bryan County). Both complaints allege that commercial properties belonging to the respective nations have been physically damaged by coronavirus because they can no longer be used for their intended purposes. Additionally, each complaint invokes the civil authority clauses within their policies, which provides coverage where a civil order prohibits access to the insured property.
In Texas, Star Cinema Grill filed a complaint against its insurer, Certain Underwriters at Lloyds, alleging that it had denied Star Cinema coverage despite a specific “Pandemic Event Endorsement” within the policy that had promised to “cover business interruption along with extra expenses with crisis management that is crucial during pandemic events.” See SCGM, Inc. d/b/a Star Cinema Grill, et al. v. Certain Underwriters at Lloyd’s, No. 4:20-cv-01199 (S.D. Tex. Apr. 3, 2020). Per the complaint, Lloyd’s denied coverage under the Pandemic Event Endorsement because COVID-19 “is not a named disease on that endorsement.” In addition to a claim for declaratory relief, Star Cinema brought claims for breach of duty of good faith and fair dealing, negligence, and breach of contract.
On April 17, 2020, a series of six class-action suits were filed against insurers in federal courts across the country; including in California (against Topa Ins. Co.), New York (against Certain Underwriters at Lloyd’s), Ohio (against Owners Ins. Co.), Oregon, Texas (against Aspen American Ins. Co.), and Wisconsin (against Society Insurance). The series of complaints, each against separate insurers, are generally similar. First, the complaints allege that the insurers have uniformly denied their insureds coverage under various provisions of their business interruption policies. See e.g., Caribe Restaurant & Nightclub, Inc. et al., v. Topa Ins. Co., No. 20-cv-03570 (W.D. Calif. April 17, 2020) (alleging that “Topa has, on a widescale and uniform basis, refused to pay its insureds under its Business Income, Civil Authority, Extra Expense, and Sue and Labor coverages for losses suffered due to COVID-19.”). The complaints seek damages for breach of contract, in addition to a declaratory judgment that the insurers are obligated to provide coverage for certain COVID-19 related claims. These class-actions add a new layer to the current COVID-19 insurance litigation and increase the rate at which these claims are likely to grow.
Although it remains unclear whether – and to what extent – insurers will ultimately be responsible for business interruption related COVID-19, business owners should not take insurers’ initial denials of coverage at face value. Because this issue will likely take months, if not years, to work its way through the courts – current policy holders should act now to document losses and submit their claims. If the current lawsuits or legislative efforts prove to be successful, the last place an insured businesses owner wants to be is at the back of the line or trying to file an untimely claim.
Angelia Wesch, Partner, 206.467.5628
Wiley Cason, Attorney, 206.623.3427
This document is intended to provide you with general information regarding the impact of the novel coronavirus pandemic. The contents of this document are not intended to provide specific legal advice. If you have any questions about the contents of this document or if you need legal advice as to an issue, please contact your regular Oles Morrison Rinker & Baker LLP attorney.