520 F.Supp.3d 949
N.D. Ohio2021Background
- Plaintiff Ceres Enterprises, LLC owns and operates hotels in Ohio, Indiana, and Minnesota and filed claims for COVID-19–related business-income losses under a commercial policy issued by Travelers.
- The policy covers "direct physical loss of or damage to property" and includes Business Income/Extra Expense and Civil Authority coverages, but also contains a broad virus exclusion and other exclusions (ordinance/law, governmental action, loss of use).
- Ceres alleges loss from the pandemic and state "stay-at-home" orders, and that SARS‑CoV‑2 was likely present at or near its properties, causing them to be unusable for intended purposes.
- Travelers denied coverage and moved to dismiss, arguing (1) no covered "direct physical loss or damage" occurred, (2) Civil Authority coverage is inapplicable, and (3) exclusions—including the virus exclusion—bar recovery.
- The district court applied Ohio law, concluded the policy language unambiguously requires tangible/material physical harm (not mere loss of use), found Civil Authority conditions unmet, held the virus exclusion applied, and granted Travelers' motion to dismiss all claims.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Meaning of "direct physical loss of or damage to" property | "Physical loss" includes loss of use or being rendered unfit for intended use by virus/government orders | Requires tangible, material, perceptible destruction or harm to property | Court: phrase unambiguous; requires material/tangible physical loss or damage; loss of use alone is not covered |
| Civil Authority coverage trigger | Shutdown orders that barred normal operations trigger Civil Authority coverage | Coverage requires damage to "property other than the described premises" and prohibition of access to area due to physical damage | Court: not triggered—no alleged damage to other property and access was not completely prohibited as required |
| Application of virus exclusion | Pandemic-related economic losses are not barred because exclusion ambiguous or COVID-19 is distinct from governmental responses | Policy expressly excludes loss caused directly or indirectly by any virus | Court: exclusion unambiguous; SARS‑CoV‑2 is a virus that induces disease; exclusion bars coverage, including indirect losses |
| Viability of claims (declaratory, breach, bad faith) | Policy ambiguity and factual disputes preclude dismissal | No covered loss; denial reasonable; no bad faith | Court: all claims dismissed as a matter of law—no covered loss and denial was reasonable |
Key Cases Cited
- Ashcroft v. Iqbal, 556 U.S. 662 (establishes pleading standard for plausibility)
- Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (pleading must state a plausible claim)
- In re Fifth Third Early Access Cash Advance Litig., 925 F.3d 265 (contract interpretation principles under Ohio law)
- Perry v. Allstate Indemn. Co., 953 F.3d 417 (apply Ohio substantive law in diversity cases)
- Mastellone v. Lightning Rod Mut. Ins. Co., 884 N.E.2d 1130 (Ohio appellate discussion that "physical injury" requires harm affecting structural integrity)
- Universal Image Prods. v. Federal Ins. Co., [citation="475 F. App'x 569"] (6th Cir. discussion distinguishing tangible physical loss from economic loss)
- Sharonville v. American Employers Ins. Co., 846 N.E.2d 833 (insurance-policy interpretation is a matter of law)
