Case Information
UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA FRANKLIN EWC, INC., et al., Case No. 20-cv-04434-JSC Plaintiffs, ORDER RE: MOTIONS TO DISMISS v. Re: Dkt. Nos. 32 & 33 THE HARTFORD FINANCIAL SERVICES GROUP, INC., et al., Defendants.
no coverage for Plaintiffs’ economic losses as a matter of law. (“Franklin EWC’s”) amended complaint on the grounds that Plaintiffs’ insurance policy provides Services Financial Group (“HFSG”) move to dismiss Kathy Franklin and Franklin EWC, Inc.’s
orders issued to stem its spread. Sentinel Insurance Company, Ltd. (“Sentinel”) and Hartford After considering Plaintiffs’ amended complaint, the parties’ written submissions, developments in the legal landscape [1] This insurance dispute arises from the COVID-19 pandemic and government closure involving COVID-19 business interruption coverage, and having had the benefit of oral argument on December 10, 2020, the Court GRANTS Defendants’ motions to dismiss Plaintiffs’ amended complaint.
BACKGROUND
The factual background and procedural history of this case are set forth in the Court’s September 22, 2020 Order granting Defendants’ first motions to dismiss with leave to amend. (Dkt. No. 27.) [2] At issue are provisions from the “Spectrum Business Owner’s Policy No. 21 SBA RS4714” (the “Policy”) Franklin EWC entered into with Sentinel. (Dkt. No. 30 (“FAC”) ¶ 3.) Following this Court’s order on Defendants’ first motion to dismiss, Plaintiffs filed an amended complaint. (Dkt. No. 30.) Defendants subsequently filed the instant motions to dismiss, and the motions are fully briefed. (Dkt. Nos. 32-33, 35-38.)
DISCUSSION
Sentinel moves to dismiss Plaintiffs’ claims on the grounds that the Policy’s Virus Exclusion bars coverage for Plaintiffs’ business losses and that Plaintiffs fail to otherwise state plausible claims for relief.
A. The Virus Exclusion The Policy’s Special Property Coverage Form provides that the insurer “will pay for direct physical loss of or physical damage to Covered Property at the premises . . . caused by or resulting from a Covered Cause of Loss.” (Dkt. No. 10-1 at 31.) [3] A “Covered Cause of Loss” is defined as a “RISK[] OF DIRECT PHYSICAL LOSS” unless the loss is excluded by the Policy’s “Exclusions” section. ( Id . at 32.) The FAC alleges that the proliferation of coronavirus causes “direct physical damage and loss” triggering coverage under the Policy. (FAC ¶ 8). According to Plaintiffs, recent business closure orders issued pursuant to the State of California’s Executive Order N-33-20 and other public health orders (the “Closure Orders”) were issued because “the [c]oronavirus was proliferating onto virtually every surface and object in, on, and around commercial premises such as [EWC Fresno], and thereby causing direct physical damage and loss in and to the immediate area of such commercial premises[.]” ( (emphasis in original) (citing Orders of Napa and Sonoma County Health Officers).)
Sentinel contends that the Policy excludes from its coverage losses caused directly or indirectly by a virus:
(Dkt. No. 10-1 at 127.)
Sentinel has met its burden of showing that the Virus Exclusion applies to the FAC’s
coverage allegations.
See State Farm Fire & Cas. Co. v. Martin
,
Plaintiff’s favor,
see Davis v. HSBC Bank Nev., N.A.
,
The caselaw addressing COVID-19 business interruption coverage following this Court’s
prior Order is consistent with the Court’s reasoning. Confronted with the same or similar virus
exclusion provisions, numerous courts have determined that these provisions exclude coverage for
business losses related to COVID-19.
See, e.g.
,
Founder Inst. Inc. v. Hartford Fire Ins. Co
., No.
20-CV-04466-VC,
The Court finds this reasoning persuasive. Contract interpretation is a matter of law, and
“[c]ourts [should] not strain to create an ambiguity where none exists.”
Waller
,
Plaintiffs allege that the doctrine of regulatory estoppel bars enforcement of the Virus Exclusion. (FAC ¶¶ 79-89.) Fundamentally, Plaintiffs contend that two industry trade groups made false representations to state insurance regulators in 2006 when seeking approval for the Virus Exclusion, and that HFSG represented itself and Sentinel in this effort. (FAC ¶ 80.) According to Plaintiffs, these trade groups, the Insurance Service Office (“ISO”) and American Association of Insurance Services (“AAIS”), represented to regulators that the Virus Exclusion was only meant to “clarify” that coverage for “disease-causing agents” had never been in effect and was never intended to be included in policies such as the one between Sentinel and Plaintiffs—that, fundamentally, adopting the Virus Exclusion would not change a policy’s scope of coverage. (FAC ¶¶ 80-81, 83, 88.) Plaintiffs allege that state insurance departments relied on these misrepresentations in approving the Virus Exclusion for inclusion in “standard comprehensive policies.” ( ¶ 86.)
Plaintiffs’ regulatory estoppel argument does not save their coverage claim from the Virus
Exclusion. California courts reject the regulatory estoppel doctrine.
See ACL Techs., Inc. v.
Northbrook Prop. & Cas. Ins. Co
.,
The
Boxed Foods
court rejected a similar argument that ISO misled state regulators
regarding the scope of its virus exclusion provision to secure the exclusion’s approval—and that
these alleged misrepresentations evinced the virus exclusion at issue did not bar recovery for the
plaintiffs’ economic losses—because “[e]ven if ISO mispresented the purpose and scope of its
[v]irus [e]xclusion [provision], [p]laintiffs’ theory [would] require[] the [c]ourt to construe [the
defendant’s] plain, unambiguous Virus Exclusion to mean the exact opposite of its ordinary
meaning.”
Boxed Foods
,
C. Limited Virus Provision
Plaintiffs argue in the alternative that, even if the Virus Exclusion bars their claims, they
are entitled to coverage under the Policy's Limited Virus exception to the Virus Exclusion. The
Policy provides “LIMITED FUNGI, BACTERIA, OR VIRUS COVERAGE” up to $50,000 that
applies where fungi, wet and dry rot, bacteria or a virus is the result of one or more “specified
cause of loss” elsewhere defined as: “Fire; lightning; explosion, windstorm or hail; smoke; aircraft
or vehicles; riot or civil commotion; vandalism; leakage from fire extinguishing equipment;
sinkhole collapse; volcanic action; falling objects; weight of snow, ice or sleet; water damage.”
(Dkt. No. 10-1 at 55, 128).
Plaintiffs have not met their burden of showing that their business losses are covered under
the Policy’s Limited Virus provision.
See Aydin Corp. v. First State Ins. Co
.,
Plaintiffs’ assertion that a virus could never be caused directly or indirectly by any of the
specified causes of loss is not plausible.
Curtis O. Griees & Sons, Inc. v. Farm Bureau Ins. Co. of
Nebraska
,
As such, Plaintiffs have not met their burden of showing the Limited Virus provision
affords no possibility of coverage,
see Secard Pools
,
However, “courts do not evaluate the reasonable expectations doctrine when a policy's
language is clear and unambiguous.”
Boxed Foods Co., LLC
,
likewise dismissed. Because the unambiguous Virus Exclusion applies, the FAC’s claim for
declaratory relief must be dismissed with prejudice.
See Osseous Techs. of Am., Inc. v.
DiscoveryOrtho Partners LLC
,
C. Fraud-Based Claims
Plaintiffs’ claim for fraudulent misrepresentation fails the heightened pleading standard for
fraud claims.
See Vess v. Ciba–Geigy Corp. USA
,
Plaintiffs’ constructive fraud claim fails for substantially the same reason. Constructive
fraud claims are subject to the particularity requirement under Federal Rule of Civil Procedure
9(b).
See Depot, Inc. v. Caring for Montanans, Inc.
,
The FAC’s allegations are insufficient to support Plaintiffs’ fraud-based claims. For this reason, and given Plaintiffs’ statements at oral argument, the fraud-based claims are dismissed with prejudice as to both defendants.
CONCLUSION
For the reasons set forth above, the Court GRANTS Sentinel’s and HFSG’s motions to dismiss. Plaintiffs’ claims against Sentinel and HFSG for breach of contract, breach of covenant of good faith and fair dealing, bad faith denial of an insurance claim, violations of the UCL, and declaratory relief are dismissed with prejudice. Given the Virus Exclusion’s and Limited Virus provision’s plain and unambiguous language, leave to amend would be futile. Because at oral argument Plaintiffs failed to articulate any facts on which the fraud-based claims could satisfy the heightened pleading standard, Plaintiffs’ fraud-based claims are likewise dismissed with prejudice. Judgment must be entered in favor of Defendants and against Plaintiff. This Order disposes of Dkt. Nos. 32 & 33. IT IS SO ORDERED. Dated: December 14, 2020 JACQUELINE SCOTT CORLEY United States Magistrate Judge
Notes
[1] All parties have consented to the jurisdiction of a magistrate judge pursuant to 28 U.S.C. § 27 636(c). (Dkt. Nos. 8 & 12.)
[2] Record citations are to material in the Electronic Case File (“ECF”); pinpoint citations are to the ECF-generated page numbers placed at the top of the documents.
[3] The Court may consider the Policy’s content under the incorporation by reference doctrine.
27
Biltmore Assocs., LLC v. TwinCity Fire Ins. Co
.,
[4] Plaintiffs aver that the Limited Virus provision is unenforceable under California law because it
21
is “virtually illusory.” (Dkt. No. 36 at 16.) Plaintiffs’ cases cited in support of this proposition,
however, are inapposite.
Julian v. Hartford Underwriters Ins. Co
.,
