520 F.Supp.3d 965
N.D. Ohio2021Background
- Plaintiffs Brunswick Panini’s, LLC and Kent Entertainment Group operated restaurants in Ohio and held a Zurich Property Portfolio Protection policy for May 10, 2019–May 10, 2020.
- Plaintiffs ceased in-person dining after Ohio Department of Health and stay-at-home orders in March 2020 and claimed Business Income, Extra Expense, and Civil Authority coverage for COVID-19 losses; Zurich denied the claims.
- The Policy covers losses caused by "direct physical loss of or damage to" property, contains a Civil Authority provision triggered by orders issued in response to physical loss within one mile, and includes a Microorganism Exclusion (which expressly excludes loss caused by viruses and expenses to respond to microorganisms).
- Plaintiffs alleged SARS-CoV-2 presence and loss of use of their premises and argued the virus or government orders constituted a covered "direct physical loss"; they sought declaratory relief, breach of contract, and bad faith claims and proposed a nationwide class.
- Zurich moved to dismiss under Rule 12(b)(6), arguing plaintiffs failed to plausibly allege direct physical loss or damage and that the Microorganism Exclusion bars coverage; Zurich also argued bad-faith claim fails if coverage is absent or denial was reasonable.
- The court granted Zurich’s motion, finding no plausible allegation of direct physical loss or damage, that loss-of-use and government orders do not satisfy the policy’s physical-loss requirement, and that the Microorganism Exclusion independently defeats coverage; it dismissed all counts and denied remand and a stay.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether plaintiffs plausibly alleged "direct physical loss of or damage to" insured property | Virus presence and government orders caused deprivation/loss of use of premises—loss of use qualifies as direct physical loss | Policy requires tangible, physical alteration or loss; plaintiffs allege only economic loss or restricted use | Court: no; allegations insufficient—"direct physical loss or damage" requires physical/tangible loss and plaintiffs pleaded only loss of use/economic injury |
| Whether "loss of use" (deprivation of enjoyment/access) satisfies the policy threshold | Loss of use is a deprivation akin to physical loss and should be covered | Loss-of-use is excluded elsewhere in policy and does not equate to physical alteration | Court: loss of use does not meet the policy’s "direct physical" requirement and is inconsistent with policy language (including Loss of Market/Delay exclusion) |
| Applicability of the Microorganism Exclusion | Even if a covered loss existed, exclusion should not bar claims where government orders—not virus contamination—caused the loss | COVID-19 is a "microorganism"; exclusion bars losses caused directly or indirectly by viruses and also excludes costs from orders to respond to microorganisms | Court: exclusion applies—COVID-19 is a microorganism and the orders/claimed losses were caused or induced by the microorganism, so coverage is precluded |
| Viability of bad-faith claim | Zurich acted unreasonably by denying coverage and refused reasonable interpretation | Denial was reasonable given (1) lack of alleged physical loss and (2) applicable Microorganism Exclusion; no coverage, so no bad faith | Court: dismissed bad-faith claim—denial was reasonably justified and no coverage exists |
Key Cases Cited
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (2007) (establishes the plausibility standard for pleading)
- Ashcroft v. Iqbal, 556 U.S. 662 (2009) (clarifies Twombly and limits conclusory allegations at pleading stage)
- Mastellone v. Lightning Rod Mut. Ins. Co., 175 Ohio App.3d 23 (2008) (mold/"physical injury" analysis: intangible or temporary effects do not constitute physical injury)
- Universal Image Prods., Inc. v. Federal Ins. Co., [citation="475 F. App'x 569"] (6th Cir. 2012) (business interruption claim failed where losses were economic/odor-based, not tangible physical loss)
- Nationwide Mut. Fire Ins. Co. v. Guman Bros. Farm, 73 Ohio St.3d 107 (1995) (undefined policy terms are given ordinary meaning)
- Zoppo v. Homestead Ins. Co., 71 Ohio St.3d 552 (1994) (bad-faith claim requires insurer acted without reasonable justification)
