Exceptional Dental of Louisiana, LLC v. Bankers Insurance Company

CourtDistrict Court, E.D. Louisiana
DecidedOctober 3, 2022
Docket2:22-cv-00003
StatusUnknown

This text of Exceptional Dental of Louisiana, LLC v. Bankers Insurance Company (Exceptional Dental of Louisiana, LLC v. Bankers Insurance Company) is published on Counsel Stack Legal Research, covering District Court, E.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Exceptional Dental of Louisiana, LLC v. Bankers Insurance Company, (E.D. La. 2022).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA

EXCEPTIONAL DENTAL OF CIVIL ACTION LOUISIANA, LLC, et al. NO. 22-3 VERSUS SECTION M (1) BANKERS INSURANCE COMPANY

ORDER & REASONS Before the Court is a motion for summary judgment filed by defendant Bankers Insurance Company (“Bankers”).1 Plaintiffs Exceptional Dental of Louisiana, LLC, Bam Management Group, LLC, Affordable Smiles of Baton Rouge, LLC, and Affordable Smiles of Hammond, LLC (collectively, “Plaintiffs”) respond in opposition.2 The parties also submit supplemental memoranda3 in support of their respective positions pursuant to the Court’s July 25, 2022 order.4 Having considered the parties’ memoranda, the record, and the applicable law, the Court issues this Order & Reasons granting Bankers’ motion and dismissing Plaintiffs’ claims. I. BACKGROUND This is an insurance coverage dispute involving Plaintiffs’ claims for business interruption losses resulting from the closure of their dental clinics due to the COVID-19 pandemic. Plaintiffs own and operate a number of dental clinics throughout southeast Louisiana.5 Each of the Plaintiffs was covered under an all-risk commercial property insurance policy issued by Bankers and in effect at all times relevant to the action; the terms of the policies are identical in all material

1 R. Doc. 10. 2 R. Doc. 11. 3R. Docs. 13; 14; 15; 16.

4 R. Doc. 12 (establishing briefing schedule for the parties to submit supplemental memoranda addressing an intervening decision of a Louisiana intermediate appellate court). 5 R. Doc. 1 at 1-3. respects.6 The policies contain both business income (“BI”) and extra expense (“EE”) provisions, providing additional coverage for lost business income and associated expenses when a covered property must suspend operations because of a “direct physical loss of or damage to property ... caused by or resulting from any Covered Cause of Loss.”7 On March 11, 2020, the World Health Organization declared COVID-19 to be a global

pandemic.8 On March 17, 2020, the Louisiana Department of Health ordered dental clinics to suspend all operations, with the exception of emergency procedures.9 Plaintiffs subsequently closed their clinics to conform to the order and submitted business interruption claims to Bankers on March 20, 2020, under the all-risk policies.10 The claims sought coverage for lost business income and extra expense resulting from the closure of the clinics due to the pandemic.11 On March 28, 2020, Bankers denied Plaintiffs’ claims, for the stated reason that they did not suffer “direct physical loss of or damage to” the dental clinics and corporate headquarters covered by the policies.12 Between March 12, 2020, and March 16, 2020, Dr. Darrell Bourg, a dentist and managing

member of the entities that own and control the clinics and headquarters insured by Bankers’ policies, visited all of the covered properties while exhibiting symptoms of COVID-19.13 Bourg later tested positive for COVID-19.14 Upon learning of Bourg’s diagnosis, Plaintiffs urged Bankers to reconsider its denial of their business interruption claims, prompting Bankers to request

6 See R. Docs. 10-1 at 1-3; 10-4; 10-5; 10-6. 7 See, e.g., R. Doc. 10-4 at 24. 8 R. Doc. 1 at 6. 9 Id. at 7. 10 Id. 11 Id. 12 Id. at 8. 13 Id. at 6-7. 14 Id. at 7-8 (alleging that he learned of the positive test result on March 28, 2020, five days after he tested). proof of Bourg’s illness and information regarding clinic operations following the diagnosis.15 On April 9, 2020, Plaintiffs provided Bankers with proof of Bourg’s diagnosis and advised Bankers that Bourg had visited the clinics and corporate headquarters while infected with COVID-19.16 Following a nearly year-long investigation, Bankers again denied Plaintiffs’ business interruption claims on May 13, 2021.17

Plaintiffs filed this suit against Bankers on January 3, 2022, seeking a declaration of coverage, damages for breach of contract, and damages under Louisiana Revised Statutes 22:1973 and 22:1892.18 Thereafter, Bankers filed the instant motion for summary judgment, maintaining that Plaintiffs cannot establish coverage under the terms of the policies.19 While the motion was pending, a Louisiana appellate court handed down its decision in Cajun Conti LLC v. Certain Underwriters at Lloyd’s, London, 2022 WL 2154863, at *5-6 (La. App. June 15, 2022), holding that an all-risk commercial property insurance policy with similar BI and EE provisions affords coverage for COVID-19-related business closures, reasoning that the “direct physical loss of or damage to property” language of the provisions was ambiguous. This Court then ordered the

parties to submit supplemental memoranda addressing the applicability of Cajun Conti and its effect on the pending motion.20 II. PENDING MOTION Bankers argues that Plaintiffs fail to satisfy their burden of establishing coverage under the all-risk policies because they cannot demonstrate that the COVID-19-related clinic closures resulted from “direct physical loss of or damage to” the covered properties, as required by the

15 Id. 16 Id. at 8-9. 17 Id. at 9-11. 18 Id. at 11-15. 19 R. Doc. 10. 20 R. Doc. 12. terms of the policies.21 In its supplemental briefing, Bankers contends that the decision in Cajun Conti fails to justify a departure from the Fifth Circuit’s controlling Erie analysis “because it is neither a decision of the Louisiana Supreme Court, nor consistent [with] state circuit authority” constituting a majority view.22 Bankers emphasizes that the Erie analysis detailed by the Fifth Circuit has been reaffirmed by subsequent panels of the court after Cajun Conti.23

In opposition, Plaintiffs argue that Bankers’ policies provide coverage for a suspension of operations precipitated by the COVID-19-related closures of the covered properties.24 Plaintiffs maintain that damage to the properties occurred when Dr. Bourg contaminated the clinics by visiting them while infected with COVID-19.25 Plaintiffs insist that actual physical damage to the covered properties is not a necessary predicate to receiving business interruption coverage under the policies, arguing that the wording of the BI and EE provisions gives rise to coverage when the insured simply loses the use of the property.26 Plaintiffs contend that their loss of use of the properties resulted both from Dr. Bourg’s contamination of the clinics and from the government- ordered suspension of operations.27 In their supplemental briefing, Plaintiffs assert that Cajun

Conti controls the Court’s Erie analysis in the absence of guidance from the Louisiana supreme court.28 With Cajun Conti controlling, Plaintiffs argue that all-risk policies with similar BI and EE provisions extend coverage to losses resulting from COVID-19-related closures.29 Plaintiffs posit that Bankers has not carried its burden of showing that the Louisiana supreme court would

21 R. Doc. 10 at 1. 22 R. Doc. 13 at 14. 23 R. Doc. 16 at 1-4. 24 R. Doc. 11 at 3. 25 Id. at 7. 26 Id. at 8-9. 27 Id. at 9. 28 R. Doc. 14 at 3-7. 29 Id. at 3. decide the issue differently than did the intermediate appellate court in Cajun Conti.30 In the alternative, Plaintiffs ask the Court to stay the proceedings until the Louisiana supreme court acts upon the writ application filed in Cajun Conti.31 III. LAW & ANALYSIS A. Summary Judgment Standard32

Summary judgment is proper “if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986) (quoting Fed. R. Civ. P.

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Exceptional Dental of Louisiana, LLC v. Bankers Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/exceptional-dental-of-louisiana-llc-v-bankers-insurance-company-laed-2022.