FUEL UNIVERSITY CITY, LLC D/B/A FUEL RECHARGE v. AMCO INSURANCE COMPANY
2:20-cv-04478
| E.D. Pa. | Sep 9, 2021Background
- Plaintiff Fuel University City, LLC (a Philadelphia delicatessen) purchased an "all-risk" commercial policy covering Business Income, Extra Expense, and Civil Authority losses for "direct physical loss of or damage to" covered property.
- COVID-19 pandemic and Pennsylvania closure orders in March 2020 caused Plaintiff to suspend or reduce operations; Plaintiff claimed substantial business losses and submitted a claim.
- Defendants Allied/Nationwide denied the claim, asserting COVID-19 and the closure orders are not a "Covered Cause of Loss" and that a Virus or Bacteria exclusion bars coverage.
- Plaintiff sued for declaratory relief and breach of contract; Defendants moved to dismiss under Rule 12(b)(6).
- The court applied Pennsylvania insurance-contract principles and federal pleading standards, found Plaintiff failed to plead covered "direct physical loss of or damage to" property and that the Virus or Bacteria exclusion unambiguously barred coverage.
- The amended complaint was dismissed with prejudice as amendment would be futile.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether COVID-19/closure orders caused "direct physical loss of or damage to" the insured property (Business Income/Extra Expense) | COVID-19 contaminated surfaces and made property unsafe/uninhabitable, eliminating use | No distinct, demonstrable physical alteration; loss from community contagion not remediable by repair or replacement | Dismissed — allegations insufficient: no direct physical alteration and loss not the sort remedied during the policy's "period of restoration" |
| Whether Civil Authority coverage applies to governor's closure orders | Orders prohibited access and thus triggered civil authority coverage | Orders were issued to address community spread, not in response to damage to a nearby property | Dismissed — orders not taken "in response to" damage to nearby property; no coverage |
| Whether the Virus or Bacteria exclusion bars coverage | Exclusion should not apply (regulatory estoppel); exclusion limited to "loss or damage," so extra expenses may survive | SARS-CoV-2 is a virus causing the loss; exclusion expressly bars loss caused by viruses | Held — exclusion unambiguous and bars Plaintiff's claims; regulatory estoppel fails; extra expenses are financial losses caused by the virus and excluded |
| Whether dismissal should be with prejudice / leave to amend | Plaintiff implicitly sought leave to amend | Defendants argued amendment would be futile | Held — dismissal with prejudice; amendment would be futile |
Key Cases Cited
- Ashcroft v. Iqbal, 556 U.S. 662 (U.S. 2009) (standard for pleading factual plausibility)
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (U.S. 2007) (pleading must allege enough facts to state a plausible claim)
- Port Auth. of N.Y. & N.J. v. Affiliated FM Ins. Co., 311 F.3d 226 (3d Cir. 2002) ("direct damage to" requires distinct, demonstrable physical alteration)
- Motorists Mut. Ins. Co. v. Hardinger, [citation="131 F. App'x 823"] (3d Cir. 2005) (contamination can cause physical loss where property is rendered unusable)
- 401 Fourth St. v. Inv. Ins. Co., 879 A.2d 166 (Pa. 2005) (policy interpretation and insured's reasonable expectations)
- Ramara, Inc. v. Westfield Ins. Co., 814 F.3d 660 (3d Cir. 2016) (ambiguities in policy language construed for the insured)
- Toppers Salon & Health Spa, Inc. v. Travelers Prop. Cas. Co. of Am., 503 F. Supp. 3d 251 (E.D. Pa. 2020) (definition of "loss" as financial detriment caused by property damage)
