Alisha DePasquale v. Nationwide Mutual Ins.

Court of Appeals for the Sixth Circuit·Decided April 5, 2022·No. 21-3467·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 22a0143n.06

No. 21-3467

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

FILED

) Apr 05, 2022 ALISHA DEPASQUALE, et al., DEBORAH S. HUNT, Clerk )

)

Plaintiffs-Appellants, ) ON APPEAL FROM UNITED ) STATES DISTRICT COURT FOR v.

) THE SOUTHERN DISTRICT OF ) OHIO

NATIONWIDE MUTUAL INSURANCE )

COMPANY, )

)

Defendant-Appellee.

)

Before: SILER, COLE, and NALBANDIAN, Circuit Judges.

SILER, Circuit Judge. Plaintiffs Alisha DePasquale and Trayton Cox appeal the district court’s order granting Nationwide Mutual Insurance Company’s (“Nationwide”) Rule 12(b)(6) motion to dismiss. For the following reasons we AFFIRM.

I.

In January 2020, Plaintiffs purchased a trip to Los Cabos, Mexico and insured the vacation with Nationwide (the “Policy”). Plaintiffs were scheduled to fly from their residence in Portland, Oregon on April 3, 2020, and return on April 7, 2020. But in late January, the first case of COVID- 19 was confirmed in the United States, and by late February, Oregon reported its first case. By early March, the World Health Organization declared COVID-19 a worldwide pandemic, and the President of the United States declared the pandemic a national emergency. The federal Centers for Disease Control recommended Americans stay home and avoid gatherings of more than ten people, warning that congregate environments increased exposure to COVID-19, and the President

recommended Americans avoid all discretionary travel (collectively the “Federal Advisories”). At the same time, the Governor of Oregon declared a state of emergency. In late March, the Governor issued an executive order to address the pandemic, colloquially called a “stay-at-home order.” The stay-at-home order directed residents to, among other things, stay home to the “maximum extent possible,” and incorporated Or. Rev. Stat. § 401.990, which imposed criminal fines and imprisonment for failing to comply. See O. Rev. Stat. §§ 401.990, 161.615, 161.635.

In response to this changing landscape, Plaintiffs contacted their travel agency to cancel their vacation and requested Nationwide process their claim for reimbursement. Nationwide is obligated under the Policy to extend coverage if Plaintiffs were “prevented” from taking the trip for several reasons; pertinent here are the following perils:

You or a Traveling Companion being hijacked, quarantined, required to serve on a jury, subpoenaed, the victim of felonious assault within 10 days of departure; or having Your principal place of residence made uninhabitable by fire, flood or other natural disaster; or burglary of Your principal place of residence within 30 days of departure . . . .

Plaintiffs claimed they were prevented from taking their vacation because they were “quarantined” under both the Federal Advisories and stay-at-home order. The Policy, however, does not define quarantine. Nonetheless, Nationwide requested Plaintiffs provide proof that they were quarantined and advised: “[p]lease note that stay at home orders [are] not considered a quarantine under this plan.” The claims administrator requested documentation that showed a “physician or other government agency asked you specifically to quarantine[,]” and explained that “a stay at home order issued from a governor is not a quarantine as it is not specific to you or your Traveling Companion.” Plaintiffs maintained the Federal Advisories and stay-at-home order prevented them from taking their trip, but Nationwide eventually denied their claim.

Plaintiffs sued Nationwide, individually and on behalf of a purported class, requesting a declaratory judgment and damages for breach of contract. Plaintiffs argued the term quarantine was ambiguous and should be construed in their favor. Nationwide moved to dismiss and strike the class allegations. After considering numerous dictionary definitions of “quarantine,” and Oregon’s public-health statutes, the district court rejected Plaintiffs’ argument and held the term unambiguously required “imposed isolation,” which it held was lacking in the Federal Advisories and stay-at-home order. The district court dismissed with prejudice Plaintiffs’ breach of contract claim and denied as moot Nationwide’s motion to strike class allegations.

II.

We review the grant of a motion to dismiss de novo and may “affirm the district court’s dismissal of a plaintiff’s claims on any grounds, including grounds not relied upon by the district court.” Hensley Mfg., Inc. v. ProPride, Inc., 579 F.3d 603, 609 (6th Cir. 2009). We review the district court’s interpretation of an insurance policy de novo in accordance with state law. Bondex Int’l, Inc. v. Hartford Acc. & Indem. Co., 667 F.3d 669, 676 (6th Cir. 2011).

III.

On appeal, Plaintiffs argue the district court should have found the term “quarantine”

ambiguous, because the word is susceptible to a “narrow” reading and a “broad” reading. Under the “narrow” reading, proposed by Nationwide, quarantine is “imposed isolation.” Under the “broad” reading, proposed by Plaintiffs, quarantine is also “any government-imposed restriction intended to prevent the spread of disease.” Plaintiffs claim that although both readings were plausible, the district court merely accepted Nationwide’s as the most persuasive and failed to construe the term in their favor. Under their “broad” reading, Plaintiffs maintain that because the

Federal Advisories and stay-at-home order restrained them from flying to Mexico to limit the spread of COVID-19, they were prevented from taking their trip by “being . . . quarantined.”

To begin, we must choose which state law to apply. “In a diversity action involving an insurance contract, a federal court applies the substantive law of the forum state”—here, Ohio. Talley v. State Farm Fire & Cas. Co., 223 F.3d 323, 326 (6th Cir. 2000) (citing Erie R.R. Co. v. Tompkins, 304 U.S. 64 (1938)). The parties agree the outcome is the same under both Oregon and Ohio law, and, therefore, we will apply Ohio law. See Glidden Co. v. Lumbermens Mut. Cas. Co., 861 N.E.2d 109, 115 (Ohio 2006).

Under Ohio law, insurance contracts are treated like any other written contract. See Hybud Equip. Corp. v. Sphere Drake Ins. Co., 597 N.E.2d 1096, 1102 (Ohio 1992). “[T]he interpretation of an insurance contract is a question of law.” Fortney & Weygandt, Inc. v. Am. Mfrs. Mut. Ins. Co., 595 F.3d 308, 310 (6th Cir. 2010) (citing Leber v. Smith, 639 N.E.2d 1159, 1163 (1994)). The court’s role is to “give effect to the intent of the parties to the agreement.” Westfield Ins. Co. v. Galatis, 797 N.E.2d 1256, 1256 (Ohio 2003) (citations omitted). A court must “examine the insurance contract as a whole and presume that the intent of the parties is reflected in the language used in the policy” and rely on “the plain and ordinary meaning of the language used in the policy unless another meaning is clearly apparent from the contents of the policy.” Id. (citations omitted). The court may only abandon the ordinary meaning of a word when absurdity would ensue or when the parties clearly intended some other meaning. See Sunoco, Inc. (R & M) v. Toledo Edison Co., 953 N.E.2d 285, 292–93 (Ohio 2011) (citation omitted).

When the language of a contract is unambiguous, “a court may look no further than the writing itself to find the intent of the parties.” Westfield Ins. Co., 797 N.E.2d at 1261. “[L]anguage is unambiguous if, from reading only the four corners of the instrument, the language is clear,

definite, and subject to only one interpretation.” Beverly v. Parilla, 848 N.E.2d 881, 886 (Ohio Ct. App. 7th Dist. 2006). Conversely, “[t]he language is ambiguous if it is unclear, indefinite, and reasonably subject to dual interpretations or is of such doubtful meaning that reasonable minds could disagree as to its meaning.” Id. We declare a term ambiguous “only after our interpretive tools reveal no ‘definite legal meaning.’” Dakota Girls, LLC v. Phila. Indem. Ins. Co., 17 F.4th 645, 652 (6th Cir. 2021) (citation omitted) (applying Ohio law).

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