Rialto Pockets, Inc. v. Beazley Underwriting Limited
21-55196
| 9th Cir. | Apr 20, 2022Background
- Plaintiffs are 24 affiliated businesses (23 gentlemen’s clubs and a retail store) that seek business‑income coverage under a single insurance policy issued by Beazley to a nonparty affiliate.
- Plaintiffs allege their businesses were closed by California and local COVID‑19 governmental orders and that their Time Element losses were caused directly by those orders.
- The policy’s Time Element coverage applies only to losses directly resulting from direct physical loss or physical damage to insured property during the policy period.
- Beazley denied coverage; plaintiffs sued for breach of the policy; the district court granted Beazley’s motion to dismiss under Rule 12(b)(6).
- The Ninth Circuit reviewed the dismissal de novo and concluded plaintiffs’ theory of coverage is foreclosed by California intermediate appellate precedent.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether losses caused by COVID‑19 governmental closure orders constitute direct physical loss or physical damage triggering Time Element coverage | Losses directly resulted from or were caused by the governmental orders and thus are covered | Policy requires direct physical loss or damage to property; closure orders alone do not satisfy that requirement | Not covered; loss of use from orders without physical impact is not direct physical loss |
| Whether alleged presence of the virus on premises counts as physical damage and is causally connected to suspension of operations | Virus presence could be a physical impact that causes suspension | Even if virus was present, plaintiffs’ allegations show lack of causal connection because sterilization would not have prevented losses driven by the Orders | Even assuming virus presence, no causal link to the suspension; Orders, not physical damage, caused losses |
| Whether other policy provisions or exclusions expand coverage | Other provisions that define amounts payable or exclusions can be used to support coverage | Coverage must be established by the policy’s coverage provisions before exclusions or definitional provisions are applied | Court rejects attempts to expand coverage via other provisions; coverage analysis must begin with operative coverage language |
Key Cases Cited
- Inns by the Sea v. California Mut. Ins. Co., 286 Cal. Rptr. 3d 576 (Cal. Ct. App. 2021) (held losses from COVID‑19 governmental orders not covered absent physical damage)
- Mudpie, Inc. v. Travelers Cas. Ins. Co., 15 F.4th 885 (9th Cir. 2021) (standard of review for 12(b)(6) dismissal)
- Ryman v. Sears, Roebuck & Co., 505 F.3d 993 (9th Cir. 2007) (federal courts follow state intermediate appellate decisions absent convincing evidence the state supreme court would decide differently)
