40 F.4th 868
8th Cir.2022Background
- Rock Dental Arkansas PLLC and Rock Dental Missouri LLC operated dental clinics and sued Cincinnati Insurance after the insurer denied pandemic-related loss claims.
- Policy provisions at issue: Business Income coverage (covers actual loss of business income due to "suspension" of operations caused by direct "loss" to property from a Covered Cause of Loss) and Civil Authority coverage (covers business income loss when civil authority prohibits access due to damage to other property).
- The policy defines "Loss" as "accidental physical loss or accidental physical damage," and "Covered Causes of Loss" as direct loss unless excluded.
- Rock Dental alleged COVID-19 presence physically damaged or deprived use of its properties, forcing suspension of operations under government orders.
- The district court dismissed under Rule 12(b)(6) for failure to state a claim; the Eighth Circuit reviewed the dismissal and contract interpretation de novo and affirmed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Business Income coverage applies absent physical alteration | COVID-19 presence or inference of presence caused direct physical loss or damage to property, so coverage applies | Policy requires accidental physical loss or damage; loss of use without physical alteration not covered | Denied — policy requires physicality; allegations were conclusory and insufficient |
| Whether allegations that virus was present plausibly plead physical loss | Presence/inference of virus at premises suffices to show physical contamination/damage | Complaint contains threadbare recitals and conclusory assertions without factual detail of physical alteration or need for decontamination | Denied — allegations were conclusory; no plausible factual showing of physical alteration or contamination |
| Whether Civil Authority coverage is triggered by government orders | Government-mandated closures caused by COVID-19 should trigger civil authority coverage | Coverage requires damage to other property and prohibition of access to area surrounding that damaged property; no such other-property damage alleged | Denied — no allegations of physical damage to other property required by the provision |
Key Cases Cited
- Oral Surgeons, P.C. v. Cincinnati Ins. Co., 2 F.4th 1141 (8th Cir.) (policy requires some physicality to constitute "physical loss or damage")
- Planet Sub Holdings, Inc. v. State Auto Prop. & Cas. Ins. Co., 36 F.4th 772 (8th Cir.) (complaint must plausibly allege physical loss or damage from virus)
- Brown Jug, Inc. v. Cincinnati Ins. Co., 27 F.4th 398 (6th Cir.) (conclusory allegations of virus presence insufficient)
- Braden v. Wal-Mart Stores, Inc., 588 F.3d 585 (8th Cir.) (Rule 12(b)(6) plausibility standard)
- Ashcroft v. Iqbal, 556 U.S. 662 (Supreme Court) (pleading must contain factual allegations, not conclusory recitals)
- Phila. Indem. Ins. Co. v. Austin, 383 S.W.3d 815 (Ark.) (under Arkansas law, policy language is construed according to plain meaning)
- Pentair, Inc. v. American Guaranty & Liability Ins. Co., 400 F.3d 613 (8th Cir.) (policy does not cover mere loss of use absent physical damage)
- Sandy Point Dental, P.C. v. Cincinnati Ins. Co., 20 F.4th 327 (7th Cir.) (loss of intended use alone is insufficient for physical loss or damage)
