Josephson, LLC d/b/a The Moinian Group v. Affiliated FM Insurance Company

CourtSupreme Court of Rhode Island
DecidedMay 31, 2024
Docket2023-0022-Appeal.
StatusPublished

This text of Josephson, LLC d/b/a The Moinian Group v. Affiliated FM Insurance Company (Josephson, LLC d/b/a The Moinian Group v. Affiliated FM Insurance Company) is published on Counsel Stack Legal Research, covering Supreme Court of Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Josephson, LLC d/b/a The Moinian Group v. Affiliated FM Insurance Company, (R.I. 2024).

Opinion

Supreme Court

No. 2023-22-Appeal. (PC 21-3708)

Josephson, LLC d/b/a The Moinian : Group

v. :

Affiliated FM Insurance Company. :

NOTICE: This opinion is subject to formal revision before publication in the Rhode Island Reporter. Readers are requested to notify the Opinion Analyst, Supreme Court of Rhode Island, 250 Benefit Street, Providence, Rhode Island 02903, at Telephone (401) 222-3258 or Email: opinionanalyst@courts.ri.gov, of any typographical or other formal errors in order that corrections may be made before the opinion is published. Supreme Court

Present: Suttell, C.J., Goldberg, Robinson, Lynch Prata, and Long, JJ.

OPINION

Justice Goldberg, for the Court. In early 2020, confirmed cases of the

SARS-CoV-2 virus, commonly referred to and referenced herein as COVID-19,

were reported throughout the United States. Thereafter, Josephson, LLC d/b/a The

Moinian Group (Moinian or plaintiff) brought this action against its insurance

company, Affiliated FM Insurance Company (AFM or defendant) seeking coverage

for losses sustained due to the COVID-19 pandemic. After reviewing AFM’s

insurance policy, the trial justice determined that the presence of COVID-19 at

Moinian’s insured properties—standing alone—did not constitute “physical loss or

damage” sufficient to implicate the coverage provisions. The trial justice also

concluded that the presence of individuals infected with COVID-19 (or suspected to -1- be infected with COVID-19) at Moinian’s insured properties—standing alone—was

insufficient as a matter of law to establish a “physical loss or damage.”

Alternatively, in reviewing the insurance policy, the trial justice concluded

that one of the exclusions—the Contamination Exclusion—unambiguously barred

coverage because contamination, such as COVID-19, was expressly excluded under

the terms of the insurance policy. For the reasons explained below, we assume

without deciding that the presence of COVID-19 at Moinian’s insured properties

constitutes “physical loss or damage” and affirm the trial justice’s determination that

coverage is barred by the Contamination Exclusion.1

Background

The plaintiff avers that it is one of the largest privately held real estate

investment companies in the country, with a portfolio exceeding twenty million

square feet. Moinian’s portfolio includes residential real estate holdings,

commercial property, and hospitality locations. The defendant is a corporation

authorized to issue insurance policies with its principal place of business in Johnston,

Rhode Island.

1 We express our gratitude for the insightful amici briefs filed in this case by United Policyholders, California Pizza Kitchen, Inc., Destination XL Group, Inc., and Lerner Corporation; 5.11 ABR, Corp.; and American Property Casualty Insurance Association and National Association of Mutual Insurance Companies. -2- In September 2019, Moinian purchased an all-risk commercial property

insurance policy (Policy) from AFM, effective from September 12, 2019, to

September 12, 2020. The Policy begins with a general grant of coverage that

protects Moinian’s insured property, both real and personal, against physical loss or

damage, and it also provides coverage against physical loss or damage resulting from

an event that qualifies as a “Business Interruption.” The Policy also contains an

“Exclusions” section, which delineates various provisions that preclude coverage

from the general grant of coverage. Lastly, the Policy identifies “Additional

Coverages.” According to Moinian, in exchange for a “substantial premium

payment,” it was insured “with up to $750 million in per-occurrence coverage for

Moinian’s losses resulting from physical loss or damage at certain real and other

property located throughout the United States.”

It is undisputed that in early 2020, confirmed cases of COVID-19 were

reported throughout the country, including states where Moinian maintained

property insured by AFM. Moinian contends that, due to the COVID-19 pandemic,

it “lost millions in bookings at hotel properties, non-payment of rent at residential

and commercial properties, and failure to secure reasonably expected new rental

income at residential and commercial properties.” Moinian pursued a claim on its

Policy.

-3- By letter dated June 10, 2020, Moinian advised AFM that under its Policy it

had sustained a “loss, expense, and/or damage * * * as a result of the [COVID-19]

outbreak.” The notice included a spreadsheet listing forty properties located in Los

Angeles, Dallas, Newark, and New York, which Moinian claimed were covered

under its Policy. On June 22, 2020, AFM responded and indicated, inter alia, that

the Policy contained “Additional Coverages for Communicable Disease – Property

Damage and Communicable Disease – Business Interruption, subject to all policy

terms and conditions.” AFM requested that Moinian respond to twelve requests for

additional information so that it could determine whether coverage was appropriate.

On or about May 27, 2021, Moinian replied and advised AFM, inter alia, that

when it became aware of individuals infected with COVID-19 at an insured location,

it “took steps to disinfect all surfaces in any area where the individual had been

present.” Moinian explained that these steps included disinfecting an entire unit (and

sometimes the entire floor) by using cleaning supplies purchased in connection with

COVID-19 response measures. Moinian also responded that it “temporarily closed

or limited access to common spaces including but not limited to leasing offices,

fitness clubs, elevators, and hallways.” The May 27, 2021 correspondence requested

that AFM confirm (by June 9, 2021) that it would honor its obligations under the

Policy’s “Communicable Disease – Property Damage” and “Communicable Disease

-4- – Business Interruption” coverages and reserved the right to pursue “coverage for its

COVID-19-related losses under all other coverages in the Policy.”

On June 2, 2021, Moinian filed this action, claiming financial losses as a result

of the COVID-19 pandemic. The complaint averred that the Policy covered “losses

from physical loss or damage to property,” and Moinian estimated that its losses

totaled “at least $90 million and could increase substantially.” The complaint

identified two counts: (1) Breach of Contract and/or Anticipatory Breach of

Contract, seeking damages stemming from AFM’s failure to provide coverage

outside the “Additional” Communicable Disease provisions, and (2) a Declaratory

Judgment that Moinian is entitled to full coverage under the Policy.

Following the filing of this civil action, AFM responded to the May 27, 2021

missive and indicated that the Policy excluded coverage for “contamination.” AFM

further explained that “[t]he presence of a virus, pathogen or disease causing or

illness causing agent such as COVID-19 is a form of contamination as defined in the

Policy, which is excluded.” AFM’s correspondence concluded:

“The presence of COVID-19 at an insured location does not constitute ‘physical damage of the type insured’ as required under this provision. * * * Consequently, based on the limited information provided at this time, the coverage that appears potentially available under our Policy for losses arising from COVID-19 is found in our Communicable Disease coverages, assuming the conditions of those coverages are satisfied.”

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Josephson, LLC d/b/a The Moinian Group v. Affiliated FM Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/josephson-llc-dba-the-moinian-group-v-affiliated-fm-insurance-company-ri-2024.