Peony Fine Clothing, LLC v. State Farm Fire and Casualty Company

CourtDistrict Court, E.D. Louisiana
DecidedMarch 11, 2022
Docket2:21-cv-01650
StatusUnknown

This text of Peony Fine Clothing, LLC v. State Farm Fire and Casualty Company (Peony Fine Clothing, LLC v. State Farm Fire and Casualty 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
Peony Fine Clothing, LLC v. State Farm Fire and Casualty Company, (E.D. La. 2022).

Opinion

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF LOUISIANA

PEONY FINE CLOTHING, LLC CIVIL ACTION

VERSUS NO. 21-1650-WBV-MBN

STATE FARM FIRE AND SECTION: D (5) CASUALTY COMPANY

ORDER AND REASONS Before the Court is State Farm’s Motion to Dismiss.1 Plaintiff opposes the Motion,2 and State Farm has filed a Reply.3 After careful consideration of the parties’ memoranda and the applicable law, the Motion is DENIED without prejudice. I. FACTUAL AND PROCEDURAL BACKGROUND This case involves a claim for insurance coverage for business losses resulting from the government-mandated business closures caused by the COVID-19 global pandemic.4 Peony Fine Clothing, LLC (“Peony”) alleges that it entered into a contract with State Farm Fire and Casualty Company (“State Farm”) for insurance coverage of its retail location at 2240 Magazine Street, Suite 102 in New Orleans, Louisiana, which was effective June 4, 2015.5 Peony asserts that the policy was in full force and effect as of March 10, 2020, when it reported losses sustained at its insured premises as a result of ceasing its operations in response to the stay-at-home mandate issued

1 R. Doc. 19. 2 R. Doc. 27. 3 R. Doc. 30. 4 See, R. Doc. 1-2. 5 Id. at ¶¶ 7-11. by local political leaders in response to the deadly effects of the global COVID-19 pandemic.6 Peony’s insurance policy includes a Businessowners Coverage Form7 and

several endorsements, including “CMP-4705.2 Loss of Income and Extra Expense.”8 The “Loss of Income and Extra Expense” endorsement provides coverage for lost income caused by the necessary suspension of operations during a “period of restoration,” which is when the suspension is caused by “accidental direct physical loss to the property at the described premises.”9 The policy further provides that the loss must be caused by a “Covered Cause of Loss.”10 Peony claims that it made a timely demand on State Farm for losses under the

“Loss of Income and Extra Expense” endorsement because it “was forced to suspend its operations during a period of restoration lasting from March 1, 2020 through May 16, 2020, due to an accidental direct physical loss to property.”11 Peony asserts that, “The executive orders resulting in the closure of Plaintiff’s retail operations were issued to prevent the spread of a highly contagious pathogen present in the New Orleans area.”12 On April 16, 2020, State Farm denied Peony’s claim, asserting that

there was no coverage for loss of income due to business closure caused by the COVID- 19 virus.13

6 Id. at ¶¶ 8 & 11-13. 7 R. Doc. 19-3 at pp. 18-57. 8 Id. at pp. 72-75. 9 Id. at pp. 72-75. 10 Id. 11 R. Doc. 1-2 at ¶¶ 15-16. 12 Id. at ¶ 17. 13 Id. at ¶ 26. On or about April 16, 2021, Peony filed a Petition for Business Interruption Insurance, Bad Faith Penalties, Attorneys’ Fees, and Declaratory Judgment against State Farm, seeking insurance proceeds, damages, and attorney’s fees based upon

State Farm’s denial of coverage, as well as a declaratory judgment that, “the policy of insurance extends coverage from direct physical loss and/or from a civil authority shutdown due to a global pandemic virus.”14 State Farm removed the case to this Court on August 30, 2021, asserting that the Court has diversity jurisdiction over Peony’s claims under 28 U.S.C. § 1332.15 On September 27, 2021, State Farm filed the instant Motion, seeking the dismissal of Peony’s claims for failure to state a claim under Fed. R. Civ. P. 12(b)(6).16

State Farm asserts that Peony’s claims fail as a matter of law because they are excluded by a provision in the insurance policy barring coverage for “any loss which would not have occurred in the absence of . . . Virus” (the “Virus Exclusion”), and because Peony has failed to allege sufficient facts to establish an “accidental direct physical loss to” the property.17 Relying extensively on jurisprudence from both within and outside the Fifth Circuit, State Farm argues that courts have repeatedly

held that restrictions imposed by government orders and COVID-19 contamination of the insured premises do not cause the direct physical loss to property required to trigger coverage, and that Peony’s alleged business losses amount only to economic

14 Id. at ¶ 30. 15 R. Doc. 1. 16 R. Doc. 19. 17 R. Doc. 19 at pp. 1 & 3; R. Doc. 19-1 at pp. 1, 4-5, & 7-19. losses unrelated to accidental direct physical loss.18 State Farm also argues that several federal courts, including this one, have concluded that State Farm’s Virus Exclusion, or one similar thereto, is unambiguous.19 State Farm further asserts that

the “Loss of Income and Extra Expense” endorsement does not apply because coverage is only available where there has been an accidental direct physical loss to property.20 State Farm likewise contends that the civil authority provision contained in the “Loss of Income and Extra Expense” endorsement is inapplicable because it provides coverage for loss of income caused where damage to other property caused by a covered risk causes a civil authority to prohibit access to the insured property, which Peony has not alleged.21 State Farm further asserts that other policy

exclusions bar Peony’s claims, including the “Ordinance or Law,” the “Acts or Decisions,” and the “Consequential Loss” exclusions.22 Peony concedes that coverage under the policy is triggered by an accidental direct physical loss to the covered property, but argues that it has properly alleged physical loss or damage to its insured premises “because the expected presence of COVID-19 directly caused Plaintiff to lose the use of its insured premises.”23 Peony

asserts that courts have determined that various types of contamination or the physical presence of substances, even at the microscopic level, can constitute physical loss or damage if it leads to the loss of use of the building.24 According to Peony, “That

18 R. Doc. 19-1 at pp. 1-5 & 12-19. 19 Id. at pp. 7-12. 20 Id. at pp. 19-20. 21 Id. at pp. 20-24. 22 Id. at pp. 24-25 (citing R. Doc. 19-3 at pp. 23, 24, & 26). 23 R. Doc. 27 at p. 9. 24 Id. (citing authority). is exactly what occurred here, for the executive orders resulting in closure of Peony’s retail operations were issued to prevent the spread of a highly contagious pathogen present in the New Orleans area.”25 Peony points out that State Farm’s policy uses

the term “physical loss” rather than “physical damage,” and that Louisiana courts have acknowledged that physical damage to property is not required to sustain a loss.26 Peony further asserts that the term “accidental direct physical loss” in the “Loss of Income and Extra Expense” endorsement form is not defined and, as such, is ambiguous such that the plain and ordinary meaning of “loss” should be used in determining whether accidental direct physical loss has occurred.27 Peony then seems to assert that its claim has facial plausibility because the Court can draw the

reasonable inference that the forced shutdown of its retail premises due to the expected presence of COVID-19 constitutes a “direct physical loss.”28 Peony further asserts that the Virus Exclusion is inapplicable to the “Loss of Income and Extra Expense” endorsement because the endorsement sets forth its own definitions and exclusions applicable to loss of income and extra expense coverage claims, and does not reference or cross-reference the Virus Exclusion.29 Peony

contends that if State Farm intended for the Virus Exclusion to apply to loss of income and extra expense claims, “it knew how to make that intention manifest.”30 Peony claims that, at the very least, an ambiguity exists regarding whether State Farm’s

25 Id. 26 Id. at pp.

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