495 F.Supp.3d 747
D. Minnesota2020Background:
- Plaintiff Kenneth Seifert owns two businesses (a hair salon and a barbershop) that were closed after Minnesota COVID-19 emergency orders, and he sued IMT for lost business income under two Businessowners policies.
- Policies cover "direct physical loss of or damage to Covered Property" and provide Business Income and Civil Authority coverages tied to such physical loss or damage.
- Policies contain a Virus or Bacteria Exclusion and an anti-concurrent-causation prefatory clause excluding losses "directly or indirectly" caused by excluded events.
- Seifert alleged economic losses due to government closure orders and that he timely reported a claim via an authorized agent; IMT denied coverage and moved to dismiss under Rule 12(b)(6).
- The court held Seifert failed to plausibly allege direct physical loss or contamination of the insured premises or neighboring property, and that the virus exclusion would bar coverage if a virus was part of the causal chain; dismissal granted without prejudice with 20 days to amend.
Issues:
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Business Income coverage: whether COVID-19–related closure triggers coverage | Seifert: loss of use/economic loss from shutdown equals "direct physical loss" | IMT: policies require actual physical loss or contamination of premises | Court: dismissed — plaintiff failed to plead physical contamination or loss; mere inability to use property is insufficient |
| Civil Authority coverage: whether executive orders triggered coverage | Seifert: government prohibition on use qualifies under Civil Authority coverage | IMT: Civil Authority requires physical damage to nearby property causing the order | Court: dismissed — no plausible allegation that nearby properties were contaminated/damaged leading to an access prohibition |
| Virus/Bacteria Exclusion: whether the exclusion precludes coverage | Seifert: losses caused by orders, not presence of virus, so exclusion shouldn't apply | IMT: exclusion (with anti-concurrent clause) bars any loss to which a virus contributed | Held: exclusion applies if virus is part of the causal chain; court granted dismissal on this ground |
| Procedural defenses (failure to file formal claim; known-loss doctrine) | Seifert: timely contacted authorized broker and followed reporting procedures; no fraud alleged | IMT: plaintiff didn’t satisfy policy condition precedent; known-loss bars claim | Court: rejected IMT’s procedural defenses — contact with agent sufficed; known-loss inapplicable absent fraud |
Key Cases Cited
- Ashcroft v. Iqbal, 556 U.S. 662 (2009) (plausibility pleading standard)
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (2007) (pleading must state a plausible claim)
- Braden v. Wal-Mart Stores, Inc., 588 F.3d 585 (8th Cir. 2009) (application of Iqbal/Twombly in the Eighth Circuit)
- Pentair, Inc. v. Am. Guarantee & Liability Ins. Co., 400 F.3d 613 (8th Cir. 2005) (mere loss of use is insufficient; actual physical contamination required)
- Source Food Tech., Inc. v. U.S. Fid. & Guar. Co., 465 F.3d 834 (8th Cir. 2006) (physical contamination required to show direct physical loss)
- Gen. Mills, Inc. v. Gold Medal Ins. Co., 622 N.W.2d 147 (Minn. Ct. App. 2001) (coverage where smoke contaminated premises)
- Sentinel Mgmt. Co. v. New Hampshire Ins. Co., 563 N.W.2d 296 (Minn. Ct. App. 1997) (contamination can constitute physical loss)
- Cedar Bluff Townhome Condo. Ass'n v. Am. Family Mut. Ins. Co., 857 N.W.2d 290 (Minn. 2014) (physical loss existed where undamaged sections were affected by adjacent damage)
- Meadowbrook, Inc. v. Tower Ins. Co., 559 N.W.2d 411 (Minn. 1997) (court compares complaint allegations to policy language)
- Travelers Indem. Co. v. Bloomington Steel & Supply Co., 718 N.W.2d 888 (Minn. 2006) (insurer bears burden to prove applicability of exclusions)
