542 F.Supp.3d 874
D. Minnesota2021Background
- 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)
