Dotexamdr PLLC v. Hartford Fire Ins Co

CourtDistrict Court, D. Connecticut
DecidedAugust 4, 2021
Docket3:20-cv-00698
StatusUnknown

This text of Dotexamdr PLLC v. Hartford Fire Ins Co (Dotexamdr PLLC v. Hartford Fire Ins Co) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dotexamdr PLLC v. Hartford Fire Ins Co, (D. Conn. 2021).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

DOTEXAMDR, PLLC, Plaintiff,

v. No. 3:20cv698(MPS)

HARTFORD UNDERWRITERS INSURANCE COMPANY, Defendant.

RULING ON MOTION TO DISMISS In this diversity action, Dotexamdr, PLLC seeks a declaratory judgment that its insurance policy with Hartford Underwriters Insurance Company provides coverage for business interruption losses it sustained as a result of the COVID-19 pandemic. The Defendant moves to dismiss the complaint under Fed. R. Civ. P. 12(b)(6).1 ECF No. 50. For the reasons that follow, the motion is granted. I. FACTUAL ALLEGATIONS Plaintiff makes the following factual allegations in the operative Third Amended Complaint, ECF No. 47, which I assume to be true for the purpose of this motion. Plaintiff owns and operates a chiropractic practice in Dallas, Texas. ECF No. 47 at ¶ 8. It obtained a business owner's insurance policy from the Defendant, which provided coverage from November 21, 2019 through November 21, 2020. Id. at ¶ 10. On March 22, 2020, in response to the COVID-19 pandemic, Dallas County issued a Shelter-in-Place order. Id. at ¶ 61. On March 31, 2020, the State of Texas issued an order "that no one was entitled to leave their house except for essential activities." Id. at ¶ 62. "Plaintiff's business was unable to operate due to the stay-at-

1 Although the parties have requested oral argument, the Court has determined that oral argument is not necessary to resolve the motion. home orders[.]" Id. at ¶ 64. "As a direct consequence of the stay-at-home orders" issued by the State of Texas, Plaintiff's practice "suffered business losses." Id. at ¶ 65. "Plaintiff's business loss occurred when Dallas County issued its March 22, 2020 Shelter-in-Place Order, directing all 'non- essential' businesses to cease operations at physical locations and prohibiting the gathering of 'non- essential' individuals. Id. at ¶ 71. "Plaintiff has suffered 'direct physical loss of or damage' to its

property due to the COVID-19 Pandemic." Id. at ¶ 77. "COVID-19 made the [Plaintiff's] property unusable in the way that it had been used before the Pandemic, rendered the property substantially unusable and uninhabitable, intruded upon the property, damaged the property, prevented physical access to and use of the property, and caused a suspension of business operations at the property." Id. at ¶ 77. "The COVID-19 pandemic also caused physical loss and damage to property near Plaintiff's Insured Property." Id. at ¶ 78. "Instead of being able to operate Plaintiff's business normally, the Insured Property was required to physically alter and drastically reduce operations, and even to close entirely." Id. at ¶ 79. "The high probability of illness and contamination prevents the full physical use of the property." Id. Because people "constantly cycle in and out of the

practice," there "is an ever-present risk that the Insured Properties are contaminated and would continue to be contaminated." Id. at ¶ 80. "As a consequence of the orders [issued by the County and the State], Plaintiff's property was physically impacted, such that it could not be used for its intended purpose." Id. at ¶ 81. Plaintiff submitted a claim to Defendant for its losses but the Defendant denied coverage on the grounds that, among other reasons, (1) the Plaintiff's claimed losses were precluded from coverage due to the policy's “virus exclusion” and (2) the Plaintiff had not suffered "direct physical loss of or direct physical damage" to its property, as required to trigger coverage. Id. at ¶¶ 12, 64. In turn, Plaintiff filed suit, seeking a declaratory judgment that it is entitled to coverage under the policy. II. PERTINENT POLICY LANGUAGE2 The policy provides: A. COVERAGE We will pay for direct physical loss of or direct physical damage to Covered Property at the premises described in the Declarations . . . caused by or resulting from a Covered Cause of Loss.

ECF No. 51-1 at 20. "Covered property" includes buildings, fixtures, and business personal property. Id. A Covered Cause of Loss "means direct physical loss or direct physical damage unless the loss or damage is excluded or limited in this Coverage Part." Id. at 21. Additional key policy provisions are set forth below. Business Income Under Business Income and Extra Expense, the policy states: Business Income (1) 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 or direct physical damage to property at the "scheduled premises" . . . caused by or resulting from a Covered Cause of Loss. * * *

(3) Business Income means the: (a) Net Income (Net Profit or Loss before income taxes) that would have been earned or incurred if no direct physical loss or direct physical damage had occurred, but not including any Net Income that would likely have been earned as a result of an increase in the volume of business due to favorable business conditions caused by the impact of the Covered Cause of Loss on customers or on other businesses; and

2 Defendant attached to its motion to dismiss the Business Owner's policy at issue. ECF No. 51-1 at 8 – 168. Because Plaintiff had actual notice of this document, relies upon it in framing its complaint, and does not contest its authenticity in its opposition, I rely upon the document in adjudicating the motion to dismiss. See Ainsworth v. Amica Mut. Ins. Co., No. 3:16CV1139, 2018 WL 4425991, at *3 (D. Conn. Sept. 17, 2018). (b) Continuing normal operating expenses incurred, including payroll expenses.

* * * Extra Expense (1) We will pay reasonable and necessary Extra Expense you incur during the "period of restoration" that you would not have incurred if there had been no direct physical loss or direct physical damage to property at the "scheduled premises", including personal property in the open (or in a vehicle) within 1,000 feet, caused by or resulting from a Covered Cause of Loss.

Id. at 65, 66.

Business Income for Civil Authority Actions

Under this provision, the policy states:

Business Income for Civil Authority Actions (1) When a Covered Cause of Loss causes direct physical loss or direct physical damage to property other than at the “scheduled premises”, we will pay for the actual loss of Business Income you sustain and necessary Extra Expense you incur during the “civil authority period of restoration” caused by action of civil authority that prohibits access to the “scheduled premises” provided that both of the following apply: (a) Access to the area immediately surrounding the damaged property is prohibited by civil authority as a result of the damage, and the “scheduled premises” are within that area but are not more than one mile from the damaged property; and (b) The action of civil authority is taken in response to dangerous physical conditions resulting from the damage or continuation of the Covered Cause of Loss that caused the damage, or the action is taken to enable a civil authority to have unimpeded access to the damaged property.

Id. at 76.

Limited Fungi, Bacteria or Virus Coverage

This provision states: Limited Coverage For "Fungi", Wet Rot, Dry Rot, Bacteria and Virus (1) The coverage described in Paragraph (2) below only applies when the "fungi", wet or dry rot, bacteria or virus is the result of one or more of the following causes that occurs during the policy period and only if all reasonable means were used to save and preserve the property from further damage at the time of and after that occurrence.

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Bluebook (online)
Dotexamdr PLLC v. Hartford Fire Ins Co, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dotexamdr-pllc-v-hartford-fire-ins-co-ctd-2021.