Dr. Jeffrey Milton, DDS, Inc. v. Hartford Casualty Insurance Company

CourtDistrict Court, D. Connecticut
DecidedMarch 1, 2022
Docket3:20-cv-00640
StatusUnknown

This text of Dr. Jeffrey Milton, DDS, Inc. v. Hartford Casualty Insurance Company (Dr. Jeffrey Milton, DDS, Inc. v. Hartford Casualty Insurance Company) 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
Dr. Jeffrey Milton, DDS, Inc. v. Hartford Casualty Insurance Company, (D. Conn. 2022).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

------------------------------x : DR. JEFFREY MILTON, DDS, INC. : Civ. No. 3:20CV00640(SALM) : v. : : HARTFORD CASUALTY INSURANCE : COMPANY : March 1, 2022 : ------------------------------x

RULING ON MOTION TO DISMISS [Doc. #39] Defendant Hartford Casualty Insurance Company (hereinafter “The Hartford”) has filed a motion pursuant to Federal Rule of Civil Procedure 12(b)(6) seeking to dismiss the Amended Complaint in its entirety. [Doc. #39]. Plaintiff Dr. Jeffrey Milton, DDS, Inc. d/b/a Olentangy Pediatric Dentistry (hereinafter “plaintiff”) has filed a memorandum in opposition to the motion to dismiss [Doc. #40], to which The Hartford has filed a reply [Doc. #41]. For the reasons stated herein, the Motion to Dismiss [Doc. #39] is GRANTED. I. PROCEDURAL BACKGROUND Plaintiff brought this action on May 8, 2020, against The Hartford. See Doc. #1 at 4.1 On October 30, 2020, The Hartford answered the Complaint. [Doc. #23]. Plaintiff filed an Amended

1 Throughout this Ruling, the Court cites to the page numbers reflected in each document’s ECF header, rather than any numbering applied by the filing party. Complaint on April 19, 2021. [Doc. #32]. The Hartford sought a pre-filing conference with Judge Janet Bond Arterton, then the presiding judge, asserting that it had grounds to dismiss the

claims against it. See Doc. #33. After a conference with the parties, Judge Arterton entered an order permitting plaintiff to file a Second Amended Complaint, and setting a briefing schedule for The Hartford’s motion to dismiss. See Doc. #36. No Second Amended Complaint was filed. The Hartford filed the instant Motion to Dismiss on June 25, 2021. See Doc. #39. This matter was transferred to the undersigned on November 1, 2021. See Doc. #44. Plaintiff seeks to proceed with this matter as a Class Action. See Doc. #32 at 25-29. Because the Court finds the Complaint fails to state a claim, the Court need not address the class allegations. II. FACTUAL BACKGROUND

Plaintiff “owns and operates Olentangy Pediatric Dentistry, located in Powell, Ohio.” Doc. #32 at 1. Defendant “issued Policy No. 40 SBA PI2050 to Plaintiff Olentangy for a policy period of July 28, 2019 to July 28, 2020, including a Specialty Property Coverage Form[,]” id. at 11, which provides coverage for “actual loss of Business Income sustained due to the necessary suspension of its operations during the ‘period of restoration’ caused by direct physical loss or damage.” Id. at 12. In March 2020, the State of Ohio issued orders in response

to the spread of COVID-19 “requiring the cancellation of non- essential or elective surgeries[]” and “the closure of non- essential businesses.” Id. at 21. As a result of these orders and the spread of COVID-19, “Plaintiff was required to drastically reduce operations at its office, and even to close entirely.” Id. at 9. Plaintiff further contends: “On information and belief, persons who were pre-symptomatic or asymptomatic and unknowingly carrying the coronavirus, including but not limited to employees, customers, and other business visitors, were present at insured property on various dates during 2020.” Id. at 23. Plaintiff alleges that:

The presence of COVID-19 caused “direct physical loss of or physical damage to” covered property under Plaintiff’s policy, and the policies of the other Class members, by: (i) structurally altering and diminishing functional space of covered property; (ii) denying use of and damaging the covered property; (iii) requiring physical repair and/or alterations to the covered property; and/or (iv) by causing a necessary suspension of operations during a period of restoration.

Id. at 24. The Policy, by its terms, provides coverage “for direct physical loss of or physical damage to Covered Property ... caused by or resulting from a Covered Cause of Loss.” Doc. #1-1 at 27.2 The Policy covers “Business Income” losses 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 physical damage to property at the ‘scheduled premises’.” Id. at 36. The Policy also provides “Civil Authority” coverage as an extension of the “Business Income” coverage. See id. at 37. The “Civil Authority” provision provides: This insurance is extended to apply to the actual loss of Business Income you sustain when access to your “scheduled premises” is specifically prohibited by order of a civil authority as the direct result of a Covered

2 “‘When deciding a motion to dismiss, a district court may consider documents attached to the complaint or incorporated by reference into the complaint[,]’ including an insurance policy referenced in the complaint.” Harvey B. Pats, M.D., P.A. v. Hartford Fire Ins. Co., No. 3:20CV00697(SALM), 2021 WL 5988571, at *3 (D. Conn. Dec. 17, 2021) (quoting New Image Roller Dome, Inc. v. Travelers Indem. Co. of Ill., 310 F. App’x 431, 432 (2d Cir. 2009)). “Even where a document is not incorporated by reference, the court may nevertheless consider it where the complaint ‘relies heavily upon its terms and effect,’ which renders the document ‘integral’ to the complaint.” Chambers v. Time Warner, 282 F.3d 147, 152 (2d. Cir 2002) (quoting Int’l Audiotext Network v. American Tel. & Tel. Co., 62 F.3d 69, 72 (2d Cir. 1995) (per curiam)). This generally occurs when the document is “a contract or other legal document containing obligations upon which the plaintiff’s complaint stands or falls[.]” Glob. Network Commc’ns, Inc. v. City of New York, 458 F.3d 150, 157 (2d Cir. 2006). Here, plaintiff attached a copy of the Policy in its entirety to the Complaint but did not attach a copy to the Amended Complaint, the operative pleading. Nonetheless, the Court may consider this document in its ruling on defendant’s Motion to Dismiss because it is referred to in plaintiff’s Amended Complaint and is central to plaintiff’s claims. Cause of Loss to property in the immediate area of your “scheduled premises”.

Id. The Policy also includes “Extra Expense” coverage, which provides that The Hartford “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 physical damage to property at the ‘scheduled premises’ ... caused by or resulting from a Covered Cause of Loss.” Id. at 36. The Policy includes an endorsement titled “Limited Fungi, Bacteria or Virus Coverage” (hereinafter “Virus Endorsement”) which contains the following exclusionary language (hereinafter “Virus Exclusion”): We will not pay for loss or damage caused directly or indirectly by any of the following. Such loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss: (1) Presence, growth, proliferation, spread or any activity of ‘fungi’, wet rot, dry rot, bacteria or virus.

Id. at 126. The endorsement also contains the following “Time Element Coverage”: If the loss which resulted in “fungi”, wet or dry rot, bacteria or virus does not in itself necessitate a suspension of “operations”, but such suspension is necessary due to loss or damage to property caused by “fungi”, wet or dry rot, bacteria or virus, then our payment under the Time Element Coverage is limited to the amount of loss and expense sustained in a period of not more than 30 days unless another number of days is indicated in the Declarations. The days need not be consecutive.

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