Oak Park Prosthodontics, Ltd. v. Twin City Fire Insurance Co.

2023 IL App (1st) 220563-U
CourtAppellate Court of Illinois
DecidedMarch 22, 2023
Docket1-22-0563
StatusUnpublished
Cited by1 cases

This text of 2023 IL App (1st) 220563-U (Oak Park Prosthodontics, Ltd. v. Twin City Fire Insurance Co.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Oak Park Prosthodontics, Ltd. v. Twin City Fire Insurance Co., 2023 IL App (1st) 220563-U (Ill. Ct. App. 2023).

Opinion

2023 IL App (1st) 220563-U

THIRD DIVISION March 22, 2023

NOTICE: This order was filed under Supreme Court Rule 23 and is not precedent except in the limited circumstances allowed under Rule 23(e)(1).

Nos. 1-22-0563, 1-22-0731 consolidated ______________________________________________________________________________

IN THE APPELLATE COURT OF ILLINOIS FIRST JUDICIAL DISTRICT ______________________________________________________________________________ OAK PARK PROSTHODONTICS, LTD and ) COLORADO PROSTHODONTICS, PLLC, ) Appeal from ) the Circuit Court Plaintiffs-Appellants, ) of Cook County ) v. ) 2020-L-009752 ) TWIN CITY FIRE INSURANCE COMPANY and ) Honorable CHERRY CREEK INSURANCE AGENCY, ) Jerry A. Esrig, ) Judge Presiding Defendants-Appellees. )

PRESIDING JUSTICE McBRIDE delivered the judgment of the court. Justices Reyes and Burke concurred in the judgment.

ORDER

¶1 Held: Insurer was entitled to judgment on the pleadings and insurance agent was entitled to dismissal of claims where prosthodontic offices which incurred business losses by complying with Illinois and Colorado executive orders to suspend elective dental procedures during initial outbreak of COVID-19 pandemic did not experience “direct physical loss of or damage to” property within the meaning of their commercial insurance policies.

¶2 Oak Park Prosthodontics, Ltd., of Oak Park, Illinois (Oak Park), and Colorado

Prosthodontics, PLLC, of Lakewood, Colorado (Lakewood), appeal the resolution of claims they

filed against their commercial property insurer, Twin City Fire Insurance Company (Twin City),

and insurance agent, Cherry Creek Insurance Agency (Cherry Creek) after the insurer refused to 1-22-0563 & 1-22-0731, cons. reimburse business interruption losses incurred in 2020 during the initial weeks of the COVID-19

pandemic. The two dental practices sought damages from their insurer for breach of contract and

violation of Illinois and Colorado statutes regarding bad-faith handling of claims; and,

alternatively, if no coverage existed, then damages from their insurance agent due to its negligence

and negligent misrepresentation in procuring a policy with a virus exclusion that was not in their

previous insurer’s contract. The circuit court granted the insurer’s section 2-615(e) motion for

judgment on the pleadings and the insurance agent’s section 2-615(a) motion to dismiss for failure

to state a claim. 735 ILCS 5/2-615(a), (e) (West 2020) (Code). The dental practices argue primarily

that the circuit court should not have followed intermediate appellate court opinions such as Sweet

Berry Café, Inc. v. Society Insurance, Inc., 2022 IL App (2d) 210088, that have rejected business

interruption claims on grounds that COVID-19 does not cause a direct physical loss to property.

They contend the courts have been misinterpreting Traveler’s Insurance Company v. Eljer

Manufacturing, Inc., 197 Ill. 2d 278, 301 (2001), in which the Illinois supreme court found that

“tangible property suffers a ‘physical’ injury when the property is altered in appearance, shape,

color or in other material dimension.” They contend they satisfied Eljer’s definition by alleging

prevalent COVID-19 cases within the immediate vicinity of their insured premises–similar to

asbestos contamination of a building–that made it unsafe and impossible to conduct business as

usual at their offices. With respect to the claims that are governed by Colorado law, the dentists

argue that their loss comes within the Colorado supreme court’s determination in Western Fire

Insurance Co. v. First Presbyterian Church, 165 Colo. 34, 39 (1968), that a building that was

saturated with gasoline to the extent that it was uninhabitable suffered a covered “direct physical

loss.”

-2- 1-22-0563 & 1-22-0731, cons. ¶3 The dentists filed two appeals which we have consolidated. The first, 1-22-0563, was filed

after the circuit court dismissed with prejudice all claims that COVID-19 related losses were

covered by the Twin City insurance policies, but indicated that the dentists could seek leave to

amend their complaint. The second, 1-22-0731, was filed after the dentists declined to amend and

the circuit court entered an order dismissing the pleading with prejudice, further specifying that

final judgment had been rendered.

¶4 The amended complaint indicates the following. The plaintiffs are specialized dental

practices which restore injured or missing teeth. Plaintiff Oak Park is an Illinois corporation.

Plaintiff Lakewood is a Colorado corporation. Defendant Cherry Creek is an insurance broker

licensed as an insurance producer with the Illinois Department of Insurance. Cherry Creek was the

insurance producer for the two insurance policies at issue. Defendant Twin City is a property and

insurance casualty company which is licensed to write insurance in Colorado and Illinois.

¶5 Oak Park’s previous insurer was Hanover Insurance Company. Oak Park asked Cherry

Creek how the proposed Spectrum Business Owner’s insurance policy from Twin City was

different from the Hanover policy that was lapsing and told Cherry Creek that the dental practice

needed business interruption coverage. Cherry Creek responded that the policy provided

equivalent “property coverage” and included “ ‘ Business Income for Interruption of Practice.’ ”

Cherry Creek failed to advise Oak Park that the Twin City policy “had an endorsement purporting

to exclude *** viruses, whereas the Hanover policy contained no such exclusion or limitation.”

Similarly, Lakewood emphasized its need for business interruption coverage and Cherry Creek

responded that the Twin City policy would give Lakewood business interruption coverage that was

equivalent to or greater than what Hanover had provided to Oak Park (sic). Cherry Creek did not

-3- 1-22-0563 & 1-22-0731, cons. tell Lakewood that the “Twin City [policy] provided significantly less business interruption

coverage than available from other carriers” and “did not recommend any insurance policies

without a limited virus endorsement and exclusion.” Oak Park and Lakewood relied on Cherry

Creek’s representations and purchased the proposed coverage. Twin City issued a Spectrum

Business Owner’s insurance policy to Oak Park effective August 26, 2019 to August 26, 2020,

and issued the same or substantially the same policy to Lakewood effective September 12, 2019

to September 12, 2020.

¶6 COVID-19 is an infectious disease that is caused by a virus that is spread by close contact

and respiratory droplets. “From March through April of 2020 and continuing thereafter, [the

SARS-CoV-2 virus that causes] COVID-19 was prevalent within Lakewood and Jefferson County,

Colorado, including on the surfaces of property and in respiratory droplets exhaled onto and within

buildings.” “During April and May of 2020, and continuing thereafter, [the virus that causes]

COVID-19 was prevalent within Oak Park and Cook County, Illinois, including on the surfaces of

property and in respiratory droplets exhaled onto and within buildings.” We note that although the

dental practices alleged that the SARS-CoV-2 virus was “prevalent” in their communities, they

did not allege that it was detected on any of their own properties or that they took any steps to

prevent or remediate its presence onsite.

¶7 The United States federal government declared on March 1, 2020 that there was a global

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