FRONTIER DEVELOPMENT, LLC
v.
ENDURANCE AMERICAN SPECIALTY INSURANCE COMPANY
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The court held that the plaintiff failed to allege direct physical loss or damage to its properties, which is a prerequisite for coverage under the insurance policy.
Plaintiff sought insurance coverage for business losses due to the COVID-19 pandemic, alleging the virus caused physical loss and made its properties …
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THIS CAUSE comes before the Court on Defendant Endurance American Specialty Insurance Company’s Amended Motion to Dismiss (the “Motion”) [ECF No. 8]. The Court has reviewed the Motion and the record and is otherwise fully advised. For the reasons that follow, the Motion is granted in part.
BACKGROUND1
Plaintiff filed this action seeking coverage for business losses it incurred due to the COVID-19 pandemic. Plaintiff owns and leases several commercial properties throughout the United States. When local and state officials issued orders restricting public access to non-essential businesses and facilities, Plaintiff, like countless other businesses, lost revenue, including revenue generated from its tenants. As a result, on March 26, 2020, Plaintiff made a claim under its commercial insurance policy (the “Policy”) issued by Defendant. To date, Defendant has not paid
LEGAL STANDARD
To survive a motion to dismiss brought pursuant to Federal Rule of Civil Procedure 12(b)(6), a claim “must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face,’” meaning that it must contain “factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). While a court must accept well-pleaded factual allegations as true, “conclusory allegations . . . are not entitled to an assumption of truth—legal conclusions must be supported by factual allegations.” Randall v. Scott, 610 F. 3d 701, 709–10 (11th Cir. 2010). “[T]he pleadings are construed broadly,” Levine v. World Fin. Network Nat’l Bank, 437 F. 3d 1118, 1120 (11th Cir. 2006), and the allegations in the complaint are viewed in the light most favorable to the plaintiff, Bishop v. Ross Earle & Bonan, P.A., 817 F. 3d 1268, 1270 (11th Cir. 2016). At bottom, the question is not whether the claimant “will ultimately prevail . . . but whether his complaint [is] sufficient to cross the federal court’s threshold.” Skinner v. Switzer, 562 U.S. 521, 530 (2011).
DISCUSSION
Defendant argues that Plaintiff fails to sufficiently allege “direct physical loss or damage” to its properties as to trigger coverage under the Policy. The Court agrees.2 “In insurance coverage cases under Florida law, courts look at the insurance policy as a whole and give every provision its ‘full meaning and operative effect.’” State Farm Fire & Cas. Co. v. Steinberg, 393 F. 3d 1226, 1230 (11th Cir. 2004). “[I]nsurance contracts are construed according to their plain meaning,” Garcia v. Fed. Ins. Co., 473 F. 3d 1131, 1135 (11th Cir. 2006) (citation omitted); that is, courts begin their analysis by looking at the “plain language of the policy, as bargained for by the parties,” Hyman v. Nationwide Mut. Fire Ins. Co., 304 F. 3d 1179, 1186 (11th Cir. 2002) (citation omitted). Where coverage is in dispute, “an insured claiming under an all-risks policy has the burden of proving that the insured property suffered a loss while the policy was in effect.” Jones v. Federated Nat’l Ins. Co., 235 So. 3d 936, 941 (Fla. 4th DCA 2018). If the insured satisfies its burden, “[t]he burden then shifts to the insurer to prove that the cause of the loss was excluded from coverage under the policy’s terms.” Id. (citations omitted).
On its face, the Complaint fails to allege coverage under the plain language of the Policy. Plaintiff alleges suspension of its or its tenants’ operations, restricted access to its properties, and loss of income, but fails to allege a threshold requirement for coverage under the Policy: physical loss or damage to any of its properties. Stated differently, the Complaint fails to clearly articulate any actual physical loss. While Plaintiff argues that the presence of the COVID-19 virus in its properties constitutes physical loss or damage, this argument is not supported by the plain language of the Policy or Florida law.
Plaintiff’s allegations, like those in Gilreath, provide the Court no reason to deviate from the prevailing consensus in this Circuit and others regarding business interruption claims arising from the COVID-19 pandemic. See, e.g., Café La Trova, 2021 WL 602585, at *9 (the “virus’s mere presence is insufficient to trigger coverage.”); Carrot Love, LLC v. Aspen Specialty Ins. Co., NO. 20-23586, 2021 124416, at *2 (S.D. Fla. Jan. 13, 2021) (adopting “the nearly unanimous view that COVID-19 does not cause direct physical loss or damage to property sufficient to trigger coverage” under insurance policy); Hillcrest Optical, Inc. v. Cont’l Cas. Co., No. 1:20-CV-275- JB-B, 2020 WL 6163142, at *7 (S.D. Ala. Oct. 21, 2020) (dismissing the plaintiff’s complaint because “Plaintiff’s loss of usability did not result from an immediate occurrence which tangibly altered its property–the [statewide] Order [postponing all medical procedures] did not immediately cause some sort of tangible alteration to Plaintiff’s office” and therefore did not constitute direct physical loss). Accordingly, Plaintiff’s allegations, even if taken as true, do not plausibly show direct physical loss or damage to property sufficient to trigger coverage under the Policy.
CONCLUSION
Based on the foregoing, it is ORDERED AND ADJUDGED as follows: 1. Defendant Endurance American Specialty Insurance Company’s Amended Motion to Dismiss (the “Motion”) [ECF No. 8] is GRANTED in part. 2. Plaintiff’s Complaint, [ECF No. 1-1], is DISMISSED without prejudice.
3. This action is CLOSED for administrative purposes.
DONE AND ORDERED in Chambers at Miami, Florida this 8th day of September, 2021.
Df
DARRIN P. GAYLES
UNITED STATES DISTRICT JUDGE
Cases With Similar Vibessemantic neighbors from the corpus
Citator
Authorities Cited (11 total)
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (U.S. 2007)
- Ashcroft v. Iqbal, 556 U.S. 662 (U.S. 2009)
- Brooks v. Blue Cross & Blue Shield OF Fla., Inc., 116 F.3d 1364 (11th Cir. 1997)
- Randall v. Jewel Scott, 610 F.3d 701 (11th Cir. 2010)
- Skinner v. Switzer, 562 U.S. 521 (U.S. 2011)
- Levine v. World Fin. Network Nat'l Bank, 437 F.3d 1118 (11th Cir. 2006)
- State Farm Fire & Cas. Co. v. Steinberg, 393 F.3d 1226 (11th Cir. 2004)
- Bishop v. Ross Earle & Bonan, P.A., 817 F.3d 1268 (11th Cir. 2016)
- Hyman v. Nationwide Mut. Fire Ins. Co., 304 F.3d 1179 (11th Cir. 2002)
- Jones v. Federated Nat'l Ins. Co., 235 So. 3d 936 (Fla. 4th DCA 2018)