2022 Ohio 4379
Ohio2022Background
- In March 2020 Ohio issued emergency and public‑health Shutdown Orders (notably March 17 and March 22) that required nonessential businesses to cease in‑person activities.
- Neuro‑Communication Services (an audiology practice) closed almost all operations March 23–May 4, 2020 and submitted a business‑income claim to its all‑risk commercial property insurer, Cincinnati Insurance.
- The policy covered loss for a “direct ‘loss’ ” defined as “accidental physical loss or accidental physical damage,” and its Business Income Extension required a suspension caused by direct loss to Covered Property.
- Cincinnati denied coverage, saying Neuro’s losses were a nonphysical loss of use, not physical loss or damage to Covered Property.
- The federal district court certified the question whether (1) community presence of SARS‑CoV‑2, (2) presence of the virus on surfaces at a premises, or (3) presence of an infected person on premises, constitutes “direct physical loss or damage to property.”
- The Ohio Supreme Court answered: no — the policy’s “direct ‘loss’ ” requires physical loss or damage; mere loss of use, community presence, surface presence, or presence of an infected person do not qualify.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Scope of “direct ‘loss’ / physical loss” | “Physical loss” includes deprivation or loss of use of premises (no tangible alteration required). | Requires an actual, tangible physical alteration or damage to Covered Property. | “Direct ‘loss’ ” means physical loss or damage; loss of use alone is not covered. |
| General presence of COVID‑19 in community | Community prevalence of virus caused the shutdown and thus physical loss. | Community presence effects do not alter property physically. | General community presence does not constitute physical loss. |
| Presence of virus on surfaces at a premises | Virus on surfaces is contamination that physically impairs property and use. | Mere transient presence/contamination does not physically alter property’s structure. | Presence of virus on surfaces does not, by itself, constitute physical loss or damage. |
| Presence of an infected person on premises | An infected person on-site makes premises effectively contaminated and unusable. | A person’s presence does not physically change covered property. | Presence of an infected person does not constitute physical loss or damage. |
Key Cases Cited
- Westfield Ins. Co. v. Galatis, 100 Ohio St.3d 216 (Ohio 2003) (governing principles of contract interpretation; enforce parties’ intent)
- Cincinnati Ins. Co. v. CPS Holdings, Inc., 115 Ohio St.3d 306 (Ohio 2007) (insurance contract must be read as a whole)
- Santo’s Italian Café, L.L.C. v. Acuity Ins. Co., 15 F.4th 398 (6th Cir. 2021) (loss of use is not the same as physical loss)
- Mastellone v. Lightning Rod Mut. Ins. Co., 175 Ohio App.3d 23 (Ohio Ct. App. 2008) (temporary surface contamination does not necessarily constitute direct physical loss)
- TRAVCO Ins. Co. v. Ward, 715 F. Supp.2d 699 (E.D. Va. 2010) (toxic drywall rendered property uninhabitable; contrasting hazardous conditions may constitute physical loss)
- Essex Ins. Co. v. BloomSouth Flooring Corp., 562 F.3d 399 (1st Cir. 2009) (chemical odors caused physical injury to tangible property requiring replacement)
- Verveine Corp. v. Strathmore Ins. Co., 184 N.E.3d 1266 (Mass. 2022) (the mere presence of the virus does not amount to loss or damage to property)
