Baylor College of Medicine v. XL Insurance America, Inc. and ACE American Insurance Company

CourtCourt of Appeals of Texas
DecidedFebruary 6, 2024
Docket14-22-00145-CV
StatusPublished

This text of Baylor College of Medicine v. XL Insurance America, Inc. and ACE American Insurance Company (Baylor College of Medicine v. XL Insurance America, Inc. and ACE American Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baylor College of Medicine v. XL Insurance America, Inc. and ACE American Insurance Company, (Tex. Ct. App. 2024).

Opinion

Affirmed and Memorandum Opinion filed February 6, 2024.

In The

Fourteenth Court of Appeals

NO. 14-22-00145-CV

BAYLOR COLLEGE OF MEDICINE, Appellant

V. XL INSURANCE AMERICA, INC. AND ACE AMERICAN INSURANCE COMPANY, Appellees

On Appeal from the 295th District Court Harris County, Texas Trial Court Cause No. 2020-53316-A

MEMORANDUM OPINION

Appellees are insurance companies that denied coverage to appellant, Baylor College of Medicine, for losses caused by the presence of the virus that causes COVID-19 on Baylor’s properties. The trial court granted appellees’ motion for summary judgment, ruling that Baylor’s losses fall within the scope of a Pollution and Contamination Exclusion in each policy. Baylor challenges the trial court’s summary judgment on this ground. We affirm. I. BACKGROUND

Baylor and appellees entered into all-risks insurance policies that covered “direct physical loss of or damage to property.” The policies included a Pollution and Contamination Exclusion (the Exclusion):

This Policy does not cover loss or damage caused by, resulting from, contributed to or made worse by actual, alleged or threatened release, discharge, escape or dispersal of Contaminants or Pollutants, all whether direct or indirect, proximate or remote or in whole or in part caused by, contributed to or aggravated by any physical damage insured by this Policy. .... Contaminants or Pollutants means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste, which after its release can cause or threaten damage to human health or human welfare or causes or threatens damage, deterioration, loss of value, marketability or loss of use to property insured hereunder, including, but not limited to, bacteria, virus, or hazardous substances listed in the Federal Water, Pollution Control Act, Clean Air Act, Resource Conservation and Recovery Act of 1976, and Toxic Substances Control Act or as designated by the U.S. Environmental Protection Agency. . . .

Baylor alleges in its petition that it suffered direct physical loss of or damage to property due to the COVID-19 pandemic. Baylor alleges that it was required to close some of its operations and dramatically reduce other operations when COVID-19 “persisted and continued to spread in the community.” Baylor claims damages resulting from “the physical presence of the virus on [Baylor]’s insured property and rapid community spread.”

When Baylor submitted a claim to appellees for business interruption caused by the pandemic, appellees denied the claim, contending (1) there was no direct physical loss or damage to covered property; and (2) the Exclusion applied.

2 Baylor sued appellees, among others, for various claims related to the denial of coverage.

Appellees filed a motion for summary judgment, urging the same grounds it had relied upon in denying Baylor’s claims. The trial court granted the motion and rendered a judgment for appellees, ruling that “any loss or damage caused by, resulting from, contributed to, or made worse by COVID-19 falls within the scope of the [Exclusion].” The court dismissed Baylor’s claims with prejudice. After the trial court severed Baylor’s claims against appellees, the judgment became final, and Baylor appealed.

II. ANALYSIS

In its second issue,1 Baylor contends that the trial court erred by granting summary judgment based on the Exclusion. Baylor contends that the Exclusion is ambiguous because a virus is not a “pollutant or contaminant,” as the phrase is used in the Exclusion, and the ambiguity must be resolved in favor of coverage.

A. Legal Principles

Courts interpret insurance policies like any contract, and the primary concern is to ascertain the intentions of the parties as expressed in the document. See RSUI Indem. Co. v. The Lynd Co., 466 S.W.3d 113, 118 (Tex. 2015). The language of the contract is the best representation of what the parties intended. Id. Unless the policy dictates otherwise, we give words and phrases their ordinary and generally accepted meaning, reading them in context and in light of the rules of grammar and common usage. Id.

1 Baylor contends in its first issue that the trial court “correctly denied summary judgment on the ‘direct physical loss’ ground.” We do not reach this issue because of the disposition of Baylor’s second issue. See Tex. R. App. P. 47.1.

3 If an insurance contract is ambiguous, we must resolve the uncertainty by adopting the construction that most favors the insured. Id. Whether a contract is ambiguous is a question of law. Am. Mfrs. Mut. Ins. Co. v. Schaefer, 124 S.W.3d 154, 157 (Tex. 2003).

An ambiguity does not arise merely because of a lack of clarity in language or because the parties offer conflicting interpretations. RSUI, 466 S.W.3d at 119. A contract is ambiguous only if it is subject to two or more reasonable interpretations. Id. Thus, we must determine whether Baylor’s construction of the contract is a reasonable one. See id.

B. Application

Baylor’s interpretation of the Exclusion is that “bacteria, virus, or other hazardous substances” are not examples or types of “Contaminants or Pollutants,” as that term is defined in the policy. Baylor contends that the phrase “bacteria, virus, or other hazardous substances” is intended to list “examples only of the types of damage to human health or property that could be occasioned by the release of an excluded pollutant or contaminant.”

The ninety-eight-word sentence defining “Contaminants or Pollutants” is not a model of clarity. But the lack of clarity alone does not create an ambiguity. See RSUI, 466 S.W.3d at 119. The initial list of examples of contaminants or pollutants (“including smoke, vapor, soot” etc.) is interrupted by a clause (beginning with “which can cause”) that adds additional information about the types of contaminants or pollutants that are included in the definition. Although the structure of this sentence indicates the clause is nonrestrictive because it is preceded by a comma, reading the clause in context suggests a restriction is intended—that is, an excluded contaminant or pollutant must be capable of causing or threatening “damage to human health or human welfare or . . . damage, 4 deterioration, loss of value, marketability or loss of use to property insured hereunder.” Compare The Chicago Manual of Style 5.202, at 230 (15th ed. 2003) (“[W]hich is used nonrestrictively—not to narrow a class or identify a particular item but to add something about an item already identified. Which should be used restrictively only when it is preceded by a preposition. Otherwise it is almost always preceded by a comma, a parenthesis, or a dash.” (examples omitted)), with Stewman Ranch, Inc. v. Double M. Ranch, Ltd., 192 S.W.3d 808, 812–13 (Tex. App.—Eastland 2006, pet. denied) (reasoning that a clause beginning with “which” was restrictive because it would be superfluous otherwise).

Following this clause, the sentence continues, “including, but not limited to, bacteria, virus, or hazardous substances” listed in various federal statutes. This phrase indicates a non-exhaustive list. Cf. Tex. Gov’t Code § 311.005 (regarding statutory interpretation, “including” is a “term[] of enlargement and not of limitation nor exclusive enumeration”).2

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Related

American Manufacturers Mutual Insurance Co. v. Schaefer
124 S.W.3d 154 (Texas Supreme Court, 2003)
Stewman Ranch, Inc. v. Double M. Ranch, Ltd.
192 S.W.3d 808 (Court of Appeals of Texas, 2006)
Rsui Indemnity Company v. the Lynd Company
466 S.W.3d 113 (Texas Supreme Court, 2015)
Uri, Inc. v. Kleberg Cnty.
543 S.W.3d 755 (Texas Supreme Court, 2018)

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Bluebook (online)
Baylor College of Medicine v. XL Insurance America, Inc. and ACE American Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baylor-college-of-medicine-v-xl-insurance-america-inc-and-ace-american-texapp-2024.