WAKONDA CLUB, Appellant, vs. SELECTIVE INSURANCE COMPANY OF AMERICA, Appellee.
No. 21–0374
IN THE SUPREME COURT OF IOWA
Submitted February 21, 2022—Filed April 22, 2022
A business that temporarily suspended its operations in accordance with a COVID-19 disaster proclamation in March 2020 and was denied coverage under its business interruption insurance policy appeals a district court order granting summary judgment for its insurer. AFFIRMED.
Oxley, J., delivered the opinion of the court, in which all justices joined.
James W. Carney (argued), Nicholas J. Mauro, and Jasper P. Verhofste of Carney & Appleby, P.L.C., Des Moines, for appellant.
Wakonda Club operates a private golf and country club in Des Moines. After Governor Kim Reynolds issued a proclamation restricting in-person services at bars and restaurants in response to the COVID-19 pandemic in 2020, Wakonda Club made a claim under its all-risk commercial property insurance policy for income it lost during the time it temporarily closed its facilities in compliance with the Governor‘s proclamation. Wakonda Club denied having any coronavirus contamination on its property or among its employees or members, asserting that its lost profits were caused solely by the loss of its ability to fully use its premises. The claim was denied, Wakonda Club sued, and the district court granted summary judgment in favor of the insurer. Wakonda Club now appeals.
This case is one of hundreds around the country addressing business interruption insurance coverage for businesses impacted by similar government proclamations and orders stemming from the COVID-19 pandemic. This case presents our first opportunity to address whether the mere loss of use of business property constitutes “direct physical loss of or damage to property” to trigger coverage under the business interruption endorsement to an all-risk commercial property insurance policy like the one involved here. For the reasons provided below, we conclude the language “direct physical loss of” property requires a physical aspect to the loss of the property before coverage is triggered. We reject Wakonda Club‘s argument that loss of use, without something more,
I.
On March 17, 2020, Governor Reynolds issued a proclamation closing all bars and restaurants from dine-in or in-person service in response to the COVID-19 pandemic. Section 3(A) of the proclamation provides:
Restaurants and Bars: All Restaurants and Bars are hereby closed to the general public except that to the extent permitted by applicable law, and in accordance with any recommendations of the Iowa Department of Public Health, food and beverages may be sold if such food or beverages are promptly taken from the premises, such as on a carry-out or drive-through basis, or if the food or beverage is delivered to customers off the premises.
In compliance with the proclamation, Wakonda Club completely closed down its business from March 17 through March 28, when it re-opened enough to allow carryout food sales. It resumed some in-person operations on May 22, with restrictions for both its golf course and restaurant operations.
Wakonda Club submitted a claim to its insurer, Selective Insurance Company of America (Selective), for losses it suffered as a result of the Governor‘s proclamation. Selective provided Commercial Insurance Coverage to Wakonda Club, including Commercial Property Coverage. The Commercial Property Coverage Part was an all-risk policy, extending coverage to all losses other than those that were excluded. The Commercial Property Coverage Part included a Business Income (and Extra Expense) Coverage Form endorsement. As relevant here, the Business Income endorsement provides coverage as follows:
We will pay for the actual loss of Business Income you sustain due to the necessary “suspension” of your “operations” during the
“period of restoration.” The “suspension” must be caused by direct physical loss of or damage to property at premises which are described in the Declarations and for which a Business Income Limit Of Insurance is shown in the Declarations. The loss or damage must be caused by or result from a Covered Cause of Loss.
“Suspension” is specifically defined to mean “[t]he slowdown or cessation of your business activities.” “Period of restoration” is also a defined term, meaning the period that:
- Begins:
- 72 hours after the time of direct physical loss or damage for Business Income Coverage; or
- Immediately after the time of direct physical loss or damage for Extra Expense Coverage;
- Ends on the earlier of:
- The date when the property at the described premises should be repaired, rebuilt or replaced with reasonable speed and similar quality; or
- The date when business is resumed at a new permanent location.
“Covered Causes of Loss means direct physical loss unless the loss is excluded or limited in this policy.” The parties agree that Wakonda Club‘s clubhouse and golf course are included in the premises described in the Declarations and include a Business Income Limit of Insurance.
The Business Income Coverage Form also provided coverage for “Extra Expenses.” Extra Expense was defined in the policy to “mean[] necessary expenses you incur during the ‘period of restoration’ that you would not have
We will pay Extra Expense . . . to:
(1) Avoid or minimize the ‘suspension’ of business and to continue operations at the described premises or at replacement premises or temporary locations, including relocation expenses and costs to equip and operate the replacement location or temporary location.
(2) Minimize the ‘suspension’ of business if you cannot continue ‘operations‘.
The final provision of the Commercial Property Coverage Part relevant to this appeal is an endorsement titled “Exclusion of Loss Due to Virus or Bacteria,” which provided: “We will not pay for loss or damage caused by or resulting from any virus, bacterium or other microorganism that induces or is capable of inducing physical distress, illness or disease.”
Selective denied Wakonda Club‘s claim, responding that the policy did not afford coverage because there was no direct physical loss of or damage to Wakonda Club‘s property, and even if there was direct physical loss of or damage to Wakonda Club‘s property, the claim would be excluded under the virus exclusion.
Wakonda Club sued Selective, asserting claims for breach of contract and bad-faith denial of insurance coverage. Wakonda Club claimed that the policy provides coverage for income losses stemming from Governor Reynolds‘s proclamation. In its petition, Wakonda Club alleged that to its knowledge, no coronavirus was present on its premises or infected any of its employees or members at the club at any time prior or subsequent to the Governor‘s
II.
Wakonda Club raises three issues on appeal: (1) that the policy‘s “direct physical loss of or damage to property” language in the Business Income and Extra Expense provisions covers its economic losses, (2) the policy‘s virus exclusion does not apply to its claim because Wakonda Club‘s losses stemmed from Governor Reynolds‘s proclamation, not the COVID-19 virus, and (3) it reasonably expected its policy to provide coverage for its business interruption losses. We conclude Selective was entitled to summary judgment because there was no “direct physical loss of” Wakonda Club‘s property, so Wakonda Club‘s losses are not covered under the policy. Without coverage, there is no need for us to address whether the virus exclusion would have excluded coverage. Our holding is premised on our pre-COVID-19 insurance law and is consistent with the vast majority of other courts around the country construing similar policy language involving business interruption coverage during the COVID-19 pandemic.
A.
“We review a district court‘s summary judgment ruling that interprets an insurance policy for correction of errors at law.” Amish Connection, Inc. v. State Farm Fire & Cas. Co., 861 N.W.2d 230, 235 (Iowa 2015). Summary judgment is proper when “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.”
We follow well-established rules when determining the meaning of insurance policy provisions. Greenfield v. Cincinnati Ins., 737 N.W.2d 112, 118–19 (Iowa 2007). We construe unambiguous insurance contracts as written. Kimball Bros. v. Palatine Ins. Co., Ltd., of London, England, 195 N.W. 987, 988 (Iowa 1923). If a policy does not define a term, we must give the words their ordinary meaning, see Boelman v. Grinnell Mut. Reins., 826 N.W.2d 494, 501 (Iowa 2013), which is considered from the “viewpoint of an ordinary person, not a specialist or expert,” Grinnell Mut. Reins. v. Jungling, 654 N.W.2d 530, 536 (Iowa 2002). We interpret ambiguous policy provisions in favor of the insured, so we first determine if the relevant policy provisions are ambiguous. A.Y. McDonald Indus., Inc. v. Ins. Co. of N. Am., 475 N.W.2d 607, 618–19 (Iowa 1991) (en banc). Ambiguity exists only when the language of the insurance policy is capable of more than one reasonable interpretation. Farm Bureau Life Ins. v. Holmes Murphy & Assoc., Inc., 831 N.W.2d 129, 134 (Iowa 2013). However, simple
B.
Wakonda Club has the initial burden of showing its claim falls within the policy‘s coverage. Am. Guar. & Liab. Ins. v. Chandler Mfg. Co., 467 N.W.2d 226, 228 (Iowa 1991). We begin our analysis by looking at the policy‘s Business Income and Extra Expense provisions. See Greenfield, 737 N.W.2d at 118. The fighting issue in this case is the requirement in the Business Income provision that a suspension of operations must be “caused by direct physical loss of or damage to property“.1 Wakonda Club does not dispute that its physical property was not damaged but argues “loss of” or “damage to” must be read to mean different things and that the loss of its ability to use its premises due to the shutdown order constitutes “direct physical loss of” its property.
It appears we have never addressed the meaning of the phrase “direct physical loss of or damage to property” in the context of a commercial property insurance policy. We agree with Wakonda Club‘s interpretation giving meaning to the disjunctive “loss of or damage to property” such that the policy provides business interruption coverage if Wakonda Club suffers either a “loss of” its property or “damage to” its property. See Amish Connection, Inc., 861 N.W.2d at 240–41 (explaining that “[t]he ‘or’ in this [exclusion] provision is disjunctive,” so that coverage was properly denied if either of the two triggering circumstances
Given the dearth of Iowa caselaw, Selective relies heavily on Milligan v. Grinnell Mutual Reinsurance to support its position that the loss of use of an insured‘s property, without physical loss of or damage to the insured‘s covered property, does not satisfy the coverage provision. No. 00–1452, 2001 WL 427642, at *2 (Iowa Ct. Ap. April 27, 2001). In Milligan, the Iowa Court of Appeals dealt with a policy provision prohibiting a party from bringing a legal challenge to a coverage determination unless it was brought “within 2 years after the date on which the direct physical loss or damage occurred.” Id. at *1. The insured, who brought a claim more than two years after its building was damaged by a fire, argued the phrase “direct physical loss or damage” triggering the two-year period was ambiguous and could mean “the date they received their repair estimates, the date the building was gutted[,] or the date the repairs commenced.” Id. at *2. Our court of appeals agreed with the insurer, explaining:
[T]he dictionary gives the word loss its commonly understood meaning of damage or destruction. Damage is in turn defined as injury to property. Given the foregoing, it appears that loss or damage as used in the suit-limitation provision unambiguously referred to injury to or destruction of the realty owned by the Insureds. This conclusion finds further support in the fact that the loss or destruction must be physical in nature . . . .
Id. (citations omitted). Milligan involved the very different context of determining when a contractual time limit was triggered, not whether the phrase provided coverage. See id. at *1. The court was not asked to consider whether the disjunctive use of “loss of or damage to” meant the terms necessarily had different meanings such that “loss of” property could include loss of use of the property. Finally, the case involved a building damaged by fire, such that “physical” was not critical to the court‘s determination, although it did play a part. See id. at *2. Milligan nonetheless does interpret the same policy language and recognizes that the policy language required the loss to be physical in nature.2 See id.
Another Iowa court of appeals case sheds light on the meaning of the word “physical” as used in a liability policy defining “property damage” to include “[p]hysical injury to or destruction of tangible property.” Kartridg Pak Co. v. Travelers Indem. Co., 425 N.W.2d 687, 688 (Iowa Ct. App. 1988). Although the case involves a liability policy rather than an all-risk commercial property
Although no Iowa state court has construed the phrase “direct physical loss of or damage to property” in the context of this case, a federal district court applied Iowa law in construing a very similar provision in The Phoenix Insurance Company v. Infogroup, Inc., 147 F. Supp. 3d 815 (S.D. Iowa 2015). Infogroup was a data provider located in Carter Lake that moved some of its business operations in response to a threat of flooding from the Missouri River. Id. at 820. It filed an insurance claim seeking coverage for its relocation expenses under an Extra Expense provision covering “reasonable and necessary expenses you incur . . .
“Physical” has to mean something. See Boelman, 826 N.W.2d at 502 (“We will not interpret an insurance policy to render any part superfluous, unless doing so is reasonable and necessary to preserve the structure and format of the provision.“). Based on our prior cases addressing the meaning of “physical” in the context of property damage or loss, we agree with the conclusion reached in
The mere loss of use of property, without more, does not meet the requirement for a direct physical loss of property. See Source Food Tech., Inc. v. U.S. Fid. & Guar. Co., 465 F.3d 834, 838 (8th Cir. 2006) (rejecting claim for loss of use of beef cattle that could not be transported from Canada due to border closing following an outbreak of mad cow disease where insured‘s property—the cattle—were not infected and explaining that interpreting Source Food‘s inability to transport its beef product across the border as direct physical loss would “render the word ‘physical’ meaningless“); Pentair, Inc. v. Am. Guarantee & Liab. Ins., 400 F.3d 613, 615–18 (8th Cir. 2005) (rejecting argument that a manufacturer‘s supplier suffered a “physical loss of use” of its factory from a power outage that had no physical impact other than to prevent its operation and distinguishing Sentinel and General Mills, where the insureds’ respective properties were physically contaminated by a release of asbestos fibers or by application of a pesticide); see also Universal Image Prod., Inc. v. Chubb Corp., 703 F. Supp. 2d 705, 710 (E.D. Mich 2010) (finding no direct physical loss when the insured party failed to demonstrate any “structural or any other tangible damage to the insured property” but instead relied on intangible harms); cf. Newman Myers Kreines Gross Harris, P.C. v. Great N. Ins., 17 F. Supp. 3d 323, 330 (S.D.N.Y. 2014) (finding that physical damage need not be “tangible, structural, or even visible” but instead requires a physical element in the form
Our conclusion that there must be a physical element to trigger the Business Interruption coverage is further supported by reviewing the Coverage Part as a whole. See Boelman, 826 N.W.2d at 501 (“We read the policy as a whole when determining whether the contract has two equally plausible interpretations, not seriatim by clauses.“). The Business Interruption coverage is provided for a specific timeframe: during “the period of restoration.” The “period of restoration” begins seventy-two hours after the “direct physical loss or damage” or “[i]mmediately after the time of direct physical loss or damage for Extra Expense Coverage” and ends on “[t]he date when the property at the described premises should be repaired, rebuilt or replaced with reasonable speed and similar quality” or “[t]he date when business is resumed at a new permanent location.” As the United States Court of Appeals for the Eighth Circuit explained in Oral Surgeons, P.C., v. Cincinnati Insurance Company, “[t]hat the policy provides coverage until property ‘should be repaired, rebuilt or replaced’ or until
We return to Wakonda Club‘s allegation of the facts, construing them in the light most favorable to Wakonda Club, to determine whether Wakonda Club has provided evidence that its operations were suspended due to a “direct physical loss of” its property, specifically looking for a physical element to Wakonda Club‘s claimed loss of its property. Wakonda Club affirmatively disavowed any knowledge that the COVID-19 virus was ever on its premises or carried by any of its employees or members. While Wakonda Club may be in a catch-22 on this point—trying to avoid the virus exclusion in its policy—its concession removes even any potential physical element to the loss of the use of its property, distinguishing its claim from those in the cases it relies on. Cf. Studio 417, Inc. v. Cincinnati Ins., 478 F. Supp. 3d 794, 802 (W.D. Mo. 2020) (denying motion to dismiss, explaining that “the presence of COVID-19 on premises, as is alleged here, is not a benign condition” and stating that “[r]egardless of the allegations in . . . other cases, Plaintiffs here have plausibly alleged that COVID-19 particles attached to and damaged their property, which made their premises unsafe and unusable” (emphasis added)); Knutsen & Stempel, 27 Conn. Ins. L.J. at 247 (describing cases allowing business interruption claims to go forward as relying on allegation of physical presence of the virus to make the “analytical difference in proving coverage through a ‘direct physical loss’ “).
While our decision today rests upon our interpretation of Iowa law and the specific language of the provisions at issue, we note that every federal appellate court that has addressed the same or very similar language has likewise held that the mere loss of use of property due to government orders made in response to the COVID-19 pandemic does not constitute “direct physical loss” of the
B.
Wakonda Club also argues it maintained a reasonable expectation of coverage under the circumstances. We recognize the doctrine of reasonable expectations for insured parties. Clark-Peterson Co. v. Indep. Ins. Assoc., 492 N.W.2d 675, 677 (Iowa 1992) (en banc). Applicability of this doctrine turns on proof that (1) an ordinary layperson would misunderstand the policy‘s coverage or (2) circumstances attributable to the insurer fostered coverage expectations. Id. We may also apply the doctrine if the provision “(1) is bizarre or oppressive, (2) eviscerates terms explicitly agreed to, or (3) eliminates the dominant purpose of the transaction.” Id. (quoting Aid (Mut.) Ins. v. Steffen, 423 N.W.2d 189, 192 (Iowa 1988)). We do not need to find ambiguity in the insurance policy before applying this doctrine. See C & J Fertilizer, Inc. v. Allied Mut. Ins., 227 N.W.2d 169, 176 (Iowa 1975) (en banc).
Wakonda Club maintains that it purchased coverage for the explicit purpose of insuring its loss of profits in the event of the suspension of the business operations. According to Wakonda Club, an ordinary layperson would not easily understand the “loss” versus “damage” language. As the district court recognized, this is nothing more than a rehash of Wakonda Club‘s arguments on the merits of the coverage provisions. Whether or not a layperson would
III.
For the reasons stated, we affirm the district court‘s order granting summary judgment in Selective‘s favor.
AFFIRMED.
