Farmington Village Dental Associates, LLC v. Cincinnati Insurance Company

District Court, D. Connecticut·Decided July 19, 2021·No. 3:20-cv-01647·Unknown

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

FARMINGTON VILLAGE DENTAL ASSOCIATES, LLC, Plaintiff, No. 3:20-cv-01647 (VAB) v.

CINCINNATI INSURANCE COMPANY, Defendant.

RULING AND ORDER ON MOTION TO DISMISS Farmington Village Dental Associates, LLC (“Farmington” or “Plaintiff”) has sued Cincinnati Insurance Company (“Cincinnati” or “Defendant”) for Cincinnati’s alleged refusal to pay Farmington for losses suffered due to the COVID-19 Pandemic. Compl., ECF No. 1 (Oct. 30, 2020). Cincinnati has moved to dismiss the Complaint in its entirety. Def. the Cincinnati Ins. Co.’s Mot. to Dismiss, ECF No. 13 (Dec. 18, 2020) (“Def. Mot.”). For the reasons stated below, Defendant’s motion to dismiss is GRANTED. To the extent something more than the presence of COVID-19 alone can be alleged as a loss and a basis for insurance coverage, Farmington may file an Amended Complaint by August 20, 2021. If they cannot do so by this date, the dismissal of this Complaint will be with prejudice. I. FACTUAL AND PROCEDURAL BACKGROUND A. Factual Allegations On or around March 22, 2018, “Cincinnati [allegedly] issued Policy No. ECPCP 047 90 05 to [Farmington], for a policy period of March 22, 2018 to March 22, 2021,” “[i]n return of the payment of a premium.” Compl. ¶ 14; see Policy No. ECPCP 047 90 05, Ex. A to Compl., ECF No. 1-1 (Oct. 30, 2020) (the “Policy”). “SARS-CoV-2 [or “COVID-19”] is [allegedly] a highly contagious virus that has rapidly spread and continues to spread across the United States.” Compl. ¶ 35. “The presence of any SARS-CoV-2 particles [allegedly] renders items of physical property unsafe and the premises

unsafe[, and] . . . impairs value, usefulness and/or normal function.” Id. ¶¶ 42-43. “The [alleged] imminent threat of SARS-CoV-2 particles on physical property [allegedly] impairs value, usefulness and/or normal function.” Id. ¶ 44. Furthermore, the “presence” and alleged “imminent threat of particles of SARS-CoV-2 particles [allegedly] causes direct physical harm, direct physical damage, and direct physical loss to property.” Id. ¶¶ 45-46. “The effects of COVID-19 have resulted in the World Health Organization declaring the existence of a Pandemic. The Pandemic is a public health crisis that has [allegedly] profoundly impacted American society, [allegedly] including the public’s ability to safely obtain dental care.” Id. ¶¶ 50-51.

Farmington allegedly “suffered direct loss from the probable presence of a deadly virus that also damages property; or the imminent risk of such on-site contamination; or government orders limiting the use of Plaintiff’s property; and stay at home orders or some combination of the foregoing.” Id. ¶ 20. The Policy allegedly “require[s,] in the event of a loss[,] that the policyholder take all reasonable steps to protect the Covered Property from further covered damages, and keep a record of the expenses necessary to protect the Covered Property, for consideration in the settlement of the claim.” Id. ¶ 33. Farmington allegedly “submitted a notice of loss to [Cincinnati] under the Policy due to the probable presence of SARS-CoV-2 and the COVID-19 Pandemic,” and Cincinnati allegedly “denied those claims by letter dated April 27, 2020.” Id. ¶ 70. This dispute stems from the parties’ interpretations of the “Business Income, Extra Expense, Civil Authority, Ingress and Egress and Sue and Labor provisions” of the Policy. Id. ¶ 34. These clauses and their respective definitions are as follows.

i. Definitions Importantly, the Policy provides the following definitions for key terms: “‘Covered Causes of Loss’ means direct ‘loss’ unless the ‘loss’ is excluded or limited in this Coverage Part.” Policy, Building & Personal Property Coverage Form, at 5 § A(3)(a).1 “‘Business Income’ means the: a) Net Income (net profit or loss before income taxes) that would have been earned or incurred; and b) Continuing normal operating expenses sustained, including payroll.” Id. at 38 § G(2). “‘Loss’ means accidental physical loss or accidental physical damage.” Id. at 38 § G(8). “Period of restoration” means the period of time that: a) Begins at the time of direct “loss”. b) Ends on the earlier of: 1) The date when the property at the “premises” should be repaired, rebuilt or replaced with reasonable speed and similar quality; or 2) The date when business is resumed at a new permanent location. Id. at 38-39 § G(11). ii. The Business Income Provision According to the Policy, Cincinnati will pay for the actual loss of “Business Income” and “Rental Value” [the insured] sustain[s] due to the necessary “suspension” of [its] “operation” during the “period of restoration”. The “suspension” must be caused by direct “loss” to property at a “premises” caused by or resulting from any Covered Cause of Loss.

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Farmington Village Dental Associates, LLC v. Cincinnati Insurance Company, (D. Conn. 2021).

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