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542 F.Supp.3d 874
D. Minnesota
2021
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Background

  • Seifert owned two businesses (a hair salon and a barbershop) that were closed by Minnesota executive orders responding to COVID-19; he filed an insurance claim for lost business income under four IMT policies.
  • The policies provide business income coverage for loss "caused by direct physical loss of or damage to property," a civil authority extension (triggered only when other property is damaged and access is prohibited), and a virus exclusion excluding loss caused by any virus contamination.
  • Seifert alleges the executive orders deprived him of the ability to occupy and control the premises and suspended operations; he does not allege any contamination of his properties.
  • IMT denied coverage and moved to dismiss, arguing the policies do not cover government-ordered closures and that the virus exclusion bars recovery; Seifert amended his complaint after an earlier dismissal without prejudice.
  • The district court evaluated whether Seifert plausibly alleged (1) a direct physical loss of property under the business income provision, (2) whether the virus exclusion applies, (3) civil authority coverage, and (4) whether regulatory estoppel saves coverage.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether closures satisfy "direct physical loss of" property for business income coverage Seifert: Executive orders deprived him of possession/control and impaired the property's function/value, amounting to a direct physical loss of property IMT: "Direct physical loss" requires tangible, physical alteration or damage; government orders do not create physical loss Held: Plausibly alleged. Court adopted plain-meaning approach: "loss of" can mean deprivation of possession/control and impairment of use; dismissal denied as to business income claim
Whether the virus exclusion bars coverage for EO-driven closures Seifert: Losses were caused by the executive orders, not by contamination of the premises; no facts allege on-site viral contamination IMT: COVID-19 caused the chain of events; the virus exclusion forecloses coverage for virus-related losses Held: Exclusion inapplicable as pleaded. It applies to losses from virus contamination of premises; Seifert alleges closure-by-order without contamination, so dismissal denied on this ground
Whether civil authority provision covers losses from the executive orders Seifert: Civil-authority clause covers loss when government prohibits access as a result of dangerous conditions IMT: Civil-authority coverage requires damage to other property and a prohibiting order tied to that damage Held: Civil-authority coverage unavailable. Plaintiff did not allege damage to other property, so dismissal granted as to civil-authority theory
Whether regulatory estoppel prevents IMT from invoking the virus exclusion Seifert: Industry statements when drafting the exclusion should estop insurers from applying it broadly IMT: Exclusion text is clear and unambiguous; estoppel is improper Held: Regulatory estoppel rejected. Minnesota law bars estoppel when exclusion language is clear; dismissal granted as to estoppel claim

Key Cases Cited

  • Source Food Tech., Inc. v. U.S. Fid. & Guar. Co., 465 F.3d 834 (8th Cir. 2006) (distinguishes significance of the words "to" and "of" in loss language)
  • Pentair, Inc. v. Am. Guarantee & Liab. Ins. Co., 400 F.3d 613 (8th Cir. 2005) (interpreted loss-of wording as if it read loss-to in earlier contexts)
  • General Mills, Inc. v. Gold Medal Ins. Co., 622 N.W.2d 147 (Minn. Ct. App. 2001) (physical loss can exist without structural damage; impairment of function suffices)
  • Sentinel Mgmt. Co. v. New Hampshire Ins. Co., 563 N.W.2d 296 (Minn. Ct. App. 1997) (intangible contamination can constitute physical loss)
  • Anderson v. Minnesota Ins. Guar. Ass'n, 534 N.W.2d 706 (Minn. 1995) (regulatory estoppel unavailable where exclusion is clear and unambiguous)
  • Harleysville Ins. Co. v. Physical Distribution Servs., Inc., 716 F.3d 451 (8th Cir. 2013) (federal court guidance on predicting state supreme court rulings)
  • Ashcroft v. Iqbal, 556 U.S. 662 (2009) (pleading standard: complaint must state a plausible claim)
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Case Details

Case Name: Seifert v. IMT Insurance Company
Court Name: District Court, D. Minnesota
Date Published: Jun 2, 2021
Citations: 542 F.Supp.3d 874; 0:20-cv-01102
Docket Number: 0:20-cv-01102
Court Abbreviation: D. Minnesota
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