224 Conn.App. 429
Conn. App. Ct.2024Background
- The Mashantucket Pequot Tribal Nation (“Tribe”) owns and operates Foxwoods Resort Casino and related properties.
- The Tribe purchased an “all risk” insurance policy from Factory Mutual Insurance Co., covering physical loss/damage to property and business interruption, but subject to certain exclusions, including for virus contamination.
- Due to the COVID-19 pandemic, the Tribe claimed over $76 million in losses, arguing that COVID-19 caused physical loss/damage and business interruption, and that the virus exclusion did not apply to communicable disease.
- Factory Mutual denied coverage, citing the contamination (virus) exclusion.
- The trial court granted Factory Mutual's motion to strike most claims, finding the contamination exclusion applied, but allowed limited claims for communicable disease response/business interruption up to a $1 million sublimit.
- On appeal, the Tribe argued that it adequately alleged physical alteration of property and that the policy recognized communicable disease as physical loss or damage.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does COVID-19 cause "physical loss or damage" under policy? | Presence of COVID-19 physically altered property; thus, coverage is triggered. | COVID-19 did not cause tangible, physical alteration; mere presence does not trigger coverage. | No physical/tangible alteration alleged; mere conclusory assertions insufficient; coverage not triggered. |
| Does the contamination (virus) exclusion bar coverage? | Exclusion does not apply to communicable diseases like COVID-19. | Exclusion expressly bars costs from viruses, including COVID-19. | Exclusion applies; clear policy language unambiguously bars coverage for losses due to virus, including COVID-19. |
| Does policy’s communicable disease coverage override exclusion? | Policy language equates communicable disease with physical loss/damage for coverage. | Communicable disease coverage is separate, limited, and does not equate to physical damage. | Communicable disease coverage is distinct, capped, does not abrogate virus exclusion for other policy sections. |
| Can the question of physical alteration be resolved on pleadings? | Sufficient allegations of alteration require fact-finding beyond pleadings. | No facts pleaded showing specific physical alteration; only conclusions stated. | Legal precedent allows resolving at pleading stage; plaintiff only pleaded conclusions, not facts of physical alteration. |
Key Cases Cited
- Connecticut Dermatology Group, PC v. Twin City Fire Ins. Co., 346 Conn. 33 (Conn. 2023) (no coverage for COVID-19 business interruption without physical/tangible alteration)
- Hartford Fire Ins. Co. v. Moda, LLC, 346 Conn. 64 (Conn. 2023) (COVID-19 contamination, even if proved, is not physical loss/damage under insurance policies)
- Capstone Building Corp. v. American Motorists Ins. Co., 308 Conn. 760 (Conn. 2013) (defining "physical damage" as physical, tangible alteration to property)
