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Ryan Estes v. Cincinnati Ins. Co.
23 F.4th 695
6th Cir.
2022
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Background

  • Ryan P. Estes, D.M.D., P.S.C. (Estes) operates two dental offices in Kentucky and was barred from providing nonemergency care for about six weeks in spring 2020 by Kentucky COVID-19 orders; emergency care remained permitted.
  • Estes held a Cincinnati Insurance commercial property policy that covered losses caused by a “direct ‘loss’” defined as “accidental physical loss or accidental physical damage,” and included Business Income, Extra Expense, Civil Authority, Ingress/Egress, and Dependent Properties provisions tied to such a “direct ‘loss.’”
  • Estes sought coverage for lost business income and extra expenses arising from the pandemic and shutdown orders; Cincinnati denied coverage and Estes sued for breach of contract and bad-faith denial.
  • The district court dismissed Estes’s complaint; Estes appealed to the Sixth Circuit, which reviews the policy interpretation de novo under Kentucky law.
  • The Sixth Circuit held that under Kentucky law the phrase “direct physical loss” requires tangible physical destruction or deprivation of property, not mere economic loss or loss of use; COVID-19 and the shutdown orders caused only economic harms and did not physically damage or deprive Estes of its property.
  • The court affirmed dismissal, explaining dictionary usage, policy context (e.g., “period of restoration”), and reliance on a broad circuit consensus construing similar policy language.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether COVID-19 pandemic or Kentucky shutdown orders caused a “direct physical loss” under the policy Estes: “direct physical loss” includes loss of use/economic loss from forced suspension of nonemergency services Cincinnati: “direct physical loss” unambiguously requires tangible physical damage or deprivation of property Court: Rejects Estes — term requires tangible destruction or loss of possession; economic loss/temporary inability to use property is not enough

Key Cases Cited

  • Foreman v. Auto Club Prop.-Cas. Ins. Co., 617 S.W.3d 345 (Ky. 2021) (Kentucky rules on contract interpretation; ordinary meaning controls)
  • Thiele v. Ky. Growers Ins. Co., 522 S.W.3d 198 (Ky. 2017) (ordinary-meaning approach to insurance terms)
  • Aetna Cas. & Sur. Co. v. Commonwealth, 179 S.W.3d 830 (Ky. 2005) (use of dictionaries to discern ordinary meaning)
  • Santo’s Italian Café LLC v. Acuity Ins. Co., 15 F.4th 398 (6th Cir. 2021) ("direct physical loss" requires tangible destruction/deprivation in COVID context)
  • Mudpie, Inc. v. Travelers Cas. Ins. Co. of Am., 15 F.4th 885 (9th Cir. 2021) (similar rejection of pandemic business-interruption claims)
  • Sandy Point Dental, P.C. v. Cincinnati Ins. Co., 20 F.4th 327 (7th Cir. 2021) (similar construction of policy language)
  • Oral Surgeons, P.C. v. Cincinnati Ins. Co., 2 F.4th 1141 (8th Cir. 2021) (similar ruling on physical-loss requirement)
  • Wilkerson v. Am. Fam. Ins. Co., 997 F.3d 666 (6th Cir. 2021) (standard of review for dismissal)
  • State Farm Fire & Cas. Ins. Co. v. Aulick, 781 S.W.2d 531 (Ky. Ct. App. 1989) (state appellate case distinguishing tangible property loss by odor contamination)
Read the full case

Case Details

Case Name: Ryan Estes v. Cincinnati Ins. Co.
Court Name: Court of Appeals for the Sixth Circuit
Date Published: Jan 12, 2022
Citation: 23 F.4th 695
Docket Number: 21-5587
Court Abbreviation: 6th Cir.