Image Dental, LLC v. Citizens Insurance Company of America

CourtDistrict Court, N.D. Illinois
DecidedJune 11, 2021
Docket1:20-cv-02759
StatusUnknown

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

Bluebook
Image Dental, LLC v. Citizens Insurance Company of America, (N.D. Ill. 2021).

Opinion

UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

IMAGE DENTAL, LLC, ) ) Plaintiff, ) Case No. 20-cv-02759 ) v. ) Hon. Steven C. Seeger ) CITIZENS INSURANCE ) COMPANY OF AMERICA, ) ) Defendant. ) __________________________________________)

MEMORANDUM OPINION AND ORDER Plaintiff Image Dental, LLC lost business during the COVID-19 pandemic, when people largely stopped going to the dentist. It submitted a claim for coverage to its insurance carrier, Defendant Citizens Insurance Company of America, under a policy that covers certain types of losses of business income. The insurer denied the claim, prompting Image Dental to file suit. Citizens filed a motion to dismiss, arguing that the policy in question does not cover business losses caused by the pandemic. For the reasons stated below, the motion to dismiss is granted. Background Image Dental owns and operates dental offices in the Chicagoland area. See Second Am. Cplt., at ¶ 1 (Dckt. No. 32). Image Dental mostly provides elective procedures, such as routine check-ups and teeth cleanings, to its patients. Id. Like so many businesses, Image Dental suffered losses during the coronavirus pandemic. Elective dental work was deemed “non-essential” during the shutdown. Id. So, when the Governor of Illinois prohibited non-essential health procedures to curb the spread of the virus, Image Dental stopped its in-person operations. Id. at ¶¶ 1, 35; see also Executive Order 2020-10 (Dckt. No. 42-3). And needless to say, dental procedures take place in person. Image Dental had an insurance policy issued by Citizens. See Second Am. Cplt., at ¶ 6 (Dckt. No. 32); Policy No. OBC-H180952-00 (“Policy”)1 (Dckt. No. 42-1). The policy provided coverage for the “direct physical loss of or damage to” property:

SECTION I – PROPERTY

A. Coverage

We will pay for direct physical loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.

See Policy, at 49 of 282 (Dckt. No. 42-1). The phrase “Covered Cause of Loss” means “[r]isks of direct physical loss,” unless an exclusion or limitation applies. Id. at 51. The policy defined “Covered Property” to include “Buildings” and “Business Personal Property.” Id. at 49. “Buildings,” in turn, means “the buildings and structures at the premises,” plus completed additions, fixtures, permanently installed machinery and equipment, and so on. Id. “Business Personal Property” includes things like property used to run the business. Id. The policy also included a section entitled “Additional Coverage,” which covered losses relating to debris removal, water damage, the collapse of a building, and so forth. Id. at 55 of 282. One of the “Addition[s]” is Business Income Coverage. Id. The policy covered business losses caused by direct physical loss of or damage to the premises:

1 While Image Dental did not attach a copy of the policy to its Second Amended Complaint, the document is clearly central to the complaint and referred to in it, so the Court may consider the Policy when ruling on a motion to dismiss. See Amin Ijbara Equity Corp. v. Vill. of Oak Lawn, 860 F.3d 489, 493 n.2 (7th Cir. 2017) (“When ruling on a motion to dismiss, the court may consider ‘documents . . . attached to the complaint, documents . . . central to the complaint and . . . referred to in it, and information that is properly subject to judicial notice.’”) (quoting Williamson v. Curran, 714 F.3d 432, 436 (7th Cir. 2013)). There is no dispute that the copy of the policy that Citizens provided to the Court is authentic. 5. Additional Coverages

. . .

f. Business Income

When Business Income Coverage is provided under this policy:

(a) 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 damage to a described premises shown in the Declarations and for which a Business Income Limit of Insurance is shown in the Declarations. The loss or damage must be caused by or result from a Covered Cause of Loss.

Id. The Business Income Coverage included extra expenses incurred as a result of direct physical loss or damage to the property. But as before, a “physical loss or damage to property” was a necessary hook for coverage: g. Extra Expense

When Business Income Coverage is provided under this Coverage Form:

(1) We will pay the 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 damage to property at the described premises. The loss or damage must be caused by or result from a Covered Cause of Loss.

Id. at 57 of 282. The Business Income Coverage also applied to business losses caused by government authorities that limit access to the property. Once again, a “direct physical loss or damage” to property – here, property within one mile of the dental office – was a necessary element for coverage: i. Civil Authority

When Business Income Coverage is provided under this Coverage Form:

(1) When a Covered Cause of Loss causes damage to property other than property at the described premises, we will pay for the actual loss of Business Income you sustain and necessary Extra Expense caused by action of civil authority that prohibits access to the described premises due to direct physical loss or damage to the property within one mile of the described 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 . . .

(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 58 of 282. The policy also included a number of exclusions for things like war, volcanoes, nuclear radiation, and so on. Id. at 85 (“We will not pay for loss or damage caused directly or indirectly by any of the following.”). Two of the exclusions are in play here. One of the exclusions was the “Ordinance or Law” exclusion. There is no coverage for losses from the “enforcement of or compliance with any ordinance or law: (a) Regulating the construction, use or repair of any property; or (b) Requiring the tearing down of any property, including the cost of removing its debris.” Id. The policy contained a “Virus” exclusion, too. The policy does not cover loss or damage “caused directly or indirectly” by “[a]ny virus, bacterium or other microorganism that induces or is capable of inducing physical distress, illness or disease.” Id. at 87. Image Dental “cease[d] most of its operations” during the pandemic as a result of the shutdown orders, and thus suffered a significant loss of business. See Second Am. Cplt., at ¶¶ 1, 48 (Dckt. No. 32). Image Dental turned to its insurance carrier to recoup its losses. Citizens, in turn, denied the claim. An insurance agent offered the following explanation: “Your Business Owners Policy does not extend coverage for the [loss of] business income due to

the Coronavirus. We are not aware of any insurance policy that would provide coverage, this is an industry wide standard. Business or BI is covered within the BOP, but only when it’s triggered by a direct physical loss to the insured property.” Id. at ¶ 49 (emphasis in original letter); see also 3/17/20 Email (Dckt. No. 31). This suit followed.

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Bluebook (online)
Image Dental, LLC v. Citizens Insurance Company of America, Counsel Stack Legal Research, https://law.counselstack.com/opinion/image-dental-llc-v-citizens-insurance-company-of-america-ilnd-2021.