{"id":365,"date":"2020-12-01T12:15:36","date_gmt":"2020-12-01T16:15:36","guid":{"rendered":"http:\/\/blogs.duanemorris.com\/insurancelaw\/?p=365"},"modified":"2020-12-01T12:17:35","modified_gmt":"2020-12-01T16:17:35","slug":"business-interruption-insurance-lawsuit-and-the-virus-exclusion-related-to-covid-19","status":"publish","type":"post","link":"https:\/\/blogs.duanemorris.com\/insurancelaw\/2020\/12\/01\/business-interruption-insurance-lawsuit-and-the-virus-exclusion-related-to-covid-19\/","title":{"rendered":"Business Interruption Insurance Lawsuit and the Virus Exclusion Related to COVID-19"},"content":{"rendered":"

By Sheila Raftery Wiggins<\/a><\/em><\/strong><\/p>\n

The District of New Jersey granted a motion to dismiss a restaurant owner\u2019s purported class action lawsuit seeking business interruption coverage by analyzing: (1) the New Jersey Governor\u2019s Executive Order and (2) the policy language, in a commercial all-risk property damage policy, that excluded coverage for losses covered by viruses.<\/p>\n

In N&S Restaurant LLC v. Cumberland Mutual Fire Insurance Company<\/em>, No. 20-05289 (RBK\/KMW), plaintiff filed a claim for loss of business income caused by the New Jersey Governor\u2019s Executive Order which suspended the operation of non-essential retail businesses in response to the ongoing COVID-19 pandemic.\u00a0 The insurance policy provides coverage for \u201cdirect physical loss of or damage to Covered Property at the described premises . . . caused by or result[ing] from any Covered Cause of Loss.\u201d\u00a0 Plaintiff requested coverage under three separate policy provisions: (1) the \u201cBusiness Income\u201d provision; (2) the \u201cExtra Expense\u201d provision; and (3) the \u201cCivil Authority\u201d provision.<\/p>\n

The \u201cBusiness Income\u201d provision provides as follows:<\/p>\n

We will pay for the actual loss of Business Income you sustain due to the necessary suspension of your \u201coperations\u201d during the \u201cperiod of restoration\u201d. The suspension must be caused by direct physical loss of or damage to property at the described premises. The loss or damage must be caused by or result from a Covered Cause of Loss.\u00a0With respect to loss of or damage to personal property in the open or personal property in a vehicle, the described premises include the area within 100 feet of such premises.<\/p>\n

The \u201cExtra Expense\u201d provision provides as follows:<\/p>\n

We will pay necessary Extra Expense you incur during the “period of restoration” that you would not have incurred if there had been no direct physical loss or damage to property at the described premises. The loss or damage must be caused by or result from a Covered Cause of Loss.<\/p>\n

The \u201cCivil Authority\u201d provision provides as follows:<\/p>\n

When a Covered Cause of Loss causes damage to property other than property at the described premises, we will pay for the actual loss of Business Income you sustain and necessary Extra Expense caused by action of civil authority that prohibits access to the described premises<\/p>\n

The policy also denies coverage under several enumerated exclusions.\u00a0Under the Virus Exclusion, Defendant \u201cwill not pay for loss or damage caused directly or indirectly by\u201d any \u201cVirus or Bacteria,\u201d which is any \u201cvirus, bacterium or other microorganism that induces or is capable of inducing physical distress, illness or disease.\u201d\u00a0 The Virus Exclusion includes an anti-concurrent causation preamble, which states that \u201c[s]uch loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss[.]\u201d<\/p>\n

Defendant denied Plaintiff\u2019s request for coverage, citing two primary reasons: (1) the claim was barred by the Virus Exclusion, and (2) the claim did not arise out of physical loss or damage as required by each of the applicable provisions.\u00a0 Defendant asserted that because COVID-19 caused the Executive Order mandating closure of all non-essential businesses, the Virus Exclusion applies.<\/p>\n

Plaintiff asserted that the Virus Exclusion does not apply because the \u201ccause of Plaintiff\u2019s loss was the Closure Orders, not the coronavirus.\u201d Plaintiff supports this point by asserting that its claimed loss is not for decontaminating its premises as a result of a coronavirus infestation.<\/p>\n

When analyzing Defendant\u2019s motion to dismiss, the District Court focused on the anti-concurrent causation clause of the Virus Exclusion which specifically states that loss caused directly or indirectly <\/em>by a virus is excluded.\u00a0The District Court concluded that there is no doubt that COVID-19, a virus, caused New Jersey\u2019s Governor to issue the Executive Order mandating closure of Plaintiff\u2019s restaurant. Therefore, COVID-19 is still a cause of the closure because the Virus Exclusion specifically provides for such indirect causation<\/em>.\u00a0 The District Court further stated that there is no requirement, as Plaintiff suggests, for the virus to have physically caused the loss, such as via contamination of the property. The District Court analyzed that although costs for decontamination would certainly be a direct loss caused by the virus, this is not the only possible loss that would trigger the Virus Exclusion.\u00a0The District Court ruled that by its plain language, the Virus Exclusion applies, barring coverage<\/p>\n

This District Court case is one of a growing number of rulings which dismiss similar cases.\u00a0We expect that this body of law will continue to develop.<\/p>\n","protected":false},"excerpt":{"rendered":"

By Sheila Raftery Wiggins The District of New Jersey granted a motion to dismiss a restaurant owner\u2019s purported class action lawsuit seeking business interruption coverage by analyzing: (1) the New Jersey Governor\u2019s Executive Order and (2) the policy language, in a commercial all-risk property damage policy, that excluded coverage for losses covered by viruses. In … <\/p>\n

Continue reading “Business Interruption Insurance Lawsuit and the Virus Exclusion Related to COVID-19”<\/span><\/a><\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[390,407,408],"ppma_author":[417],"class_list":["post-365","post","type-post","status-publish","format-standard","hentry","category-general","tag-business-interruption-insurance","tag-covid19","tag-restaura"],"authors":[{"term_id":417,"user_id":6,"is_guest":0,"slug":"duanemorris3","display_name":"Duane Morris","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/843ff6e7a8fe5fc92109b47a45f34b6cf0ea499e6e788db23456c838b0ae6747?s=96&d=blank&r=g","0":null,"1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"_links":{"self":[{"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/posts\/365","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/comments?post=365"}],"version-history":[{"count":0,"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/posts\/365\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/media?parent=365"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/categories?post=365"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/tags?post=365"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/blogs.duanemorris.com\/insurancelaw\/wp-json\/wp\/v2\/ppma_author?post=365"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}