Connecticut Dermatology Group, PC v. Twin City Fire Ins. Co.

Supreme Court of Connecticut·Decided January 27, 2023·No. SC20695·Published

Opinion

*********************************************** The “officially released” date that appears near the be- ginning of each opinion is the date the opinion will be pub- lished in the Connecticut Law Journal or the date it was released as a slip opinion. The operative date for the be- ginning of all time periods for filing postopinion motions and petitions for certification is the “officially released” date appearing in the opinion.

All opinions are subject to modification and technical correction prior to official publication in the Connecticut Reports and Connecticut Appellate Reports. In the event of discrepancies between the advance release version of an opinion and the latest version appearing in the Connecticut Law Journal and subsequently in the Connecticut Reports or Connecticut Appellate Reports, the latest version is to be considered authoritative.

The syllabus and procedural history accompanying the opinion as it appears in the Connecticut Law Journal and bound volumes of official reports are copyrighted by the Secretary of the State, State of Connecticut, and may not be reproduced and distributed without the express written permission of the Commission on Official Legal Publica- tions, Judicial Branch, State of Connecticut. *********************************************** CONNECTICUT DERMATOLOGY GROUP, PC, ET AL. v. TWIN CITY FIRE INSURANCE COMPANY ET AL. (SC 20695) Robinson, C. J., and McDonald, D’Auria, Mullins, Ecker, Alexander and Keller, Js.

The plaintiffs, which own and operate healthcare facilities in Connecticut, sought, inter alia, a judgment declaring that the defendant insurers were required to provide coverage under certain commercial insurance policies for losses the plaintiffs sustained as a result of their suspension of business operations during the COVID-19 pandemic. The defendants insured the plaintiffs under separate but virtually identical insurance policies, which provided that the defendants would ‘‘pay for direct physi- cal loss of or physical damage to’’ covered property caused by or resulting from a covered cause of loss. The policies included a business income provision providing that the defendants would pay for the actual loss of business income they sustained ‘‘due to the necessary suspension of’’ their operations during the ‘‘period of restoration,’’ which the policies defined in relevant part as beginning ‘‘with the date of direct physical loss . . . caused by or resulting from a [c]overed . . . [l]oss’’ and ending on the date when the property ‘‘should be repaired, rebuilt or replaced . . . .’’ The policies also contained an exclusion for loss or damage caused by the presence, growth, proliferation, or spread of a virus. In response to the COVID-19 pandemic, various government officials and agencies had issued orders, recommendations and guidelines intended to prevent or slow the spread of the disease. In light of this response, the plaintiffs suspended their business operations and, as a result, lost business income and incurred costs in connection with sanitation and the erection of physical barriers, for which they submitted claims to the defendants. The defendants denied the plaintiffs’ claims on the ground that, because the coronavirus did not cause property damage at the plaintiffs’ respective places of business, the claimed losses were not covered. The parties filed separate motions for summary judgment. The plaintiffs and the defendants disputed whether the policies cover the claimed losses, which depended on whether there was a ‘‘direct physical loss’’ of covered property. The defendants alternatively claimed that any loss that otherwise would have been covered was subject to the virus exclusion. The trial court concluded that the plaintiffs’ claims were subject to the virus exclusion, granted the defendants’ motion for summary judgment, and rendered judgment thereon, from which the plaintiffs appealed. On appeal, the plaintiffs claimed that the trial court incorrectly had concluded that their claims were subject to the virus exclusion.

Held that this court affirmed the trial court’s judgment on the alternative ground that there was no genuine issue of material fact as to whether the policies did not cover the plaintiffs’ claims, as the plaintiffs did not suffer a direct physical loss to their covered property:

The plain meaning of the phrase ‘‘direct physical loss’’ of property in the insurance policies did not include the suspension of business opera- tions on a physically unaltered property in order to prevent the transmis- sion of the coronavirus, as the ordinary usage of that phrase clearly and unambiguously required some physical, tangible alteration to or deprivation of the property that renders it physically unusable or inacces- sible, and that interpretation was supported by Connecticut case law and the overwhelming majority of federal and sister state courts construing similar or identical policy language, as well as the dictionary definitions of the words ‘‘direct,’’ ‘‘loss,’’ and ‘‘physical.’’

Viewing the phrase ‘‘direct physical loss’’ in the context of the business income provisions in the insurance policies further supported this inter- pretation because the policies expressly distinguish between a loss resulting from ‘‘the necessary suspension of’’ an insured’s operations and the ‘‘direct physical loss’’ of property and make payment for the former conditional on the latter, and, if ‘‘the necessary suspension of’’ operations were, itself, a ‘‘direct physical loss,’’ that distinction would serve no purpose.

The provision in the insurance policies defining ‘‘period of restoration’’ to provide that the loss of business income is covered while the property is being ‘‘repaired, rebuilt or replaced’’ also strongly suggested that a ‘‘direct physical loss,’’ unlike a loss resulting from the necessary suspen- sion of business operations to avoid the transmission of a communicable disease, involves a physical alteration of the property such that the property is susceptible to being restored to its original condition.

Moreover, this court rejected the plaintiffs’ argument that the COVID- 19 pandemic physically transformed their properties from ordinary busi- nesses into ‘‘potential viral incubators,’’ as the record lacked any indica- tion that the plaintiffs’ properties underwent any physical transformation; rather, the pandemic caused a transformation in governmental and soci- etal expectations and behavior that had a seriously negative impact on the plaintiffs’ businesses.

Likewise, this court rejected the plaintiffs’ argument that an insured necessarily suffers a physical loss of a property whenever it loses the productive use of the property, as ‘‘use of property’’ and ‘‘property’’ are not the same thing because the loss of the former does not necessarily imply the loss of the latter, and also rejected their argument that their efforts to achieve and maintain a safe environment, including erecting physical barriers, supported their claim that they suffered a direct physi- cal loss, as those activities were designed to prevent the transmission of the coronavirus on the properties and were not, as the plaintiffs claimed, ‘‘repairs’’ in any ordinary sense of the word.

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Connecticut Dermatology Group, PC v. Twin City Fire Ins. Co., (Colo. 2023).

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