Sharde Harvey DDS PLLC v. The Hartford Financial Services Group Inc.

CourtDistrict Court, S.D. New York
DecidedFebruary 24, 2022
Docket1:20-cv-03350
StatusUnknown

This text of Sharde Harvey DDS PLLC v. The Hartford Financial Services Group Inc. (Sharde Harvey DDS PLLC v. The Hartford Financial Services Group Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sharde Harvey DDS PLLC v. The Hartford Financial Services Group Inc., (S.D.N.Y. 2022).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK

SHARDE HARVEY DDS PLLC,

Plaintiff, ORDER - against - 20 Civ. 3350 (PGG) (RWL) SENTINEL INSURANCE COMPANY LTD.,

Defendant.

PAUL G. GARDEPHE, U.S.D.J.: In this action, Plaintiff Sharde Harvey D.D.S., PLLC seeks a declaratory judgment concerning certain provisions in an insurance policy issued by Defendant Sentinel Insurance Company, Ltd. (Third Am. Cmplt. (Dkt. No. 35) at 21-22)1 Defendant moved to dismiss the Third Amended Complaint (“TAC”), pursuant to Fed. R. Civ. P. 12(b)(6). (Def. MTD (Dkt. No. 37)) This Court referred Defendant’s motion to Magistrate Judge Robert Lehrburger for a Report and Recommendation (“R&R”). (Dkt. No. 45) Judge Lehrburger has issued an R&R recommending that Defendant’s motion to dismiss be granted. (R&R (Dkt. No. 50) at 1) Plaintiff has filed objections to the R&R. (Pltf. Obj. (Dkt. No. 51)) For the reasons stated below, Sharde Harvey’s objections will be overruled, and the R&R will be adopted in its entirety.

1 The page numbers of documents referenced in this order correspond to the page numbers designated by this District’s Electronic Case Files (“ECF”) system. BACKGROUND I. FACTS A. The Insurance Policy Sharde Harvey is a dental practice located in New York City. (TAC (Dkt. No. 35) ¶¶ 2, 20) Sentinel is an insurance company headquartered in Hartford, Connecticut. (Id. ¶ 21)

Sentinel issued an insurance policy to Sharde Harvey covering its dental offices (the “Policy”), which was effective from December 16, 2019 to December 16, 2020. (Id. ¶ 22; see also Policy (Dkt. No. 39-1) at 2)2 The parties’ dispute implicates the “Business Income,” “Extra Expense,” and “Civil Authority” provisions of the Policy. The “Business Income” provision provides that [Sentinel] will pay for the actual loss of Business Income [Sharde Harvey] sustain[s] due to the necessary suspension of [Sharde Harvey’s] “operations” during the “period of restoration.” The suspension must be caused by direct physical loss of or physical damage to property at the “scheduled premises” . . . caused by or resulting from a Covered Cause of Loss.

(Policy (Dkt. No. 39-1) at 42, § A.5.o.(1))

2 Sharde Harvey has attached excerpts of the Policy to the TAC, and references other Policy provisions in the TAC without quoting them directly. (See, e.g., TAC (Dkt. No. 35) ¶ 23; see also TAC, Ex. 1 (Dkt. No. 35-1)) Sentinel has submitted the full Policy. (See Dkt. No. 39-1) Judge Lehrburger considered the full Policy in issuing the R&R (R&R (Dkt. No. 50) at 2 n.3, 6- 7), and Sharde Harvey does the same in its objections. (See Pltf. Obj. (Dkt. No. 51) at 6 n.2). Given these circumstances, this Court has considered the full Policy in resolving Defendant’s motion to dismiss. See, e.g., Svensson v. Securian Life Ins. Co., 706 F. Supp. 2d 521, 525 (S.D.N.Y. 2010) (considering full insurance policy where complaint “explicitly refers to, and relies on, the [p]olicy”); Jurupa Valley Spectrum, LLC v. Nat’l Indem. Co., No. 06 Civ. 4023 (DLC), 2007 WL 1862162, at *5-6 (S.D.N.Y. June 29, 2007) (considering amendment to reinsurance agreement where portions of agreement were attached to the complaint), aff’d, 555 F.3d 87 (2d Cir. 2009); see also Cortec Indus., Inc. v. Sum Holdings, L.P., 949 F.2d 42, 48 (2d Cir. 1991) (“Where plaintiff has actual notice of all the information in the movant’s papers and has relied upon these documents in framing the complaint[,] the necessity of translating a Rule 12(b)(6) motion into one under Rule 56 is largely dissipated.”). The following definitions apply to terms used in the Business Income provision: • “Business Income” means the “Net Profit or Loss before income taxes . . . that would have been earned . . . if no direct physical loss or physical damage had occurred; and . . . [c]ontinuing normal operating expenses incurred, including payroll” (id. at 42, § A.5.o.(4)); • “suspension” means “[t]he partial slowdown or complete cessation of [Sharde Harvey’s] business activities; or . . . [t]hat part or all of the ‘scheduled premises’ is rendered untenantable as a result of a Covered Cause of Loss if coverage for Business Income applies to the policy” (id. at 42, § A.5.o.(5)); • “‘operations’” means “[Sharde Harvey’s] business activities occurring at the ‘scheduled premises’ and tenantability of the ‘scheduled premises’” (id. at 56, § G.11.); • “‘period of restoration’” means “the period of time . . . begin[ning] with the date of direct physical loss or physical damage caused by or resulting from a Covered Cause of Loss at the ‘scheduled premises’, and . . . [e]nd[ing] on the date when . . . [t]he property at the ‘scheduled premises’ should be repaired, rebuilt or replaced with reasonable speed and similar quality; [or] [t]he date when [Sharde Harvey’s] business is resumed at a new, permanent location” (id. at 56, § G.12.); • “‘scheduled premises’” means “any premises listed by location address in the Scheduled Premises section of the Declarations” (id. at 57, § G.16.); and • “Covered Cause[] of Loss” means “RISKS OF DIRECT PHYSICAL LOSS,” subject to certain exclusions and limitations. (Id. at 34, § A.3. (emphasis in original)). “[D]irect physical loss” and “physical damage” are not defined in the Policy. The Policy’s “Extra Expense” provision provides as follows: [Sentinel] will pay reasonable and necessary Extra Expense [Sharde Harvey] incur[s] during the “period of restoration” that [Sharde Harvey] would not have incurred if there had been no direct physical loss or physical damage to property at the “scheduled premises” . . . caused by or resulting from a Covered Cause of Loss. (Id. at 42, § A.5.p.(1)) “Extra Expense” is defined as “expense incurred . . . [t]o avoid or minimize the suspension of business and to continue ‘operations’[;] . . . [t]o minimize the suspension of business if [Sharde Harvey] cannot continue ‘operations’[; or] . . . [t]o repair or replace any property . . . .” (Id. at 42, § A.5.p.(3)(a)-(c)) The Policy’s “Civil Authority” provision provides as follows: This insurance is extended to apply to the actual loss of Business Income [Sharde Harvey] sustain[s] when access to [Sharde Harvey’s] “scheduled premises” is specifically prohibited by order of a civil authority as the direct result of a Covered Cause of Loss to property in the immediate area of [Sharde Harvey’s] “scheduled premises”.

(Id. at 43, § A.5.q.(1)) B. Disruption of Sharde Harvey’s Business On March 7, 2020, due to the COVID-19 pandemic, New York Governor Andrew Cuomo declared a State of Emergency and issued a stay-at-home order. (TAC (Dkt. No. 35) ¶ 67) “On April 29, 2020, Governor Cuomo issued an order allowing general hospitals to resume elective surgeries and procedures,” but “[d]ental offices not within hospital facilities were unable to fit the criteria.” (Id. ¶ 68) “On June 1, 2020, Governor Cuomo loosened restrictions, allowing New York dentists to reopen,” but “subject to state guidance on best practices for safety and social distancing to avoid spreading the coronavirus.” (Id. ¶ 69) During this same time period, the Centers for Disease Control and Prevention (the “CDC”) issued recommendations for reducing the spread of COVID-19, including social distancing, routinely cleaning and disinfecting touched surfaces, and using face coverings when around others. (Id. ¶¶ 60-62) Sharde Harvey alleges that, at some point while the Policy was in effect, some of its “patients contracted the coronavirus, confirming [the] presence of the virus at [Sharde Harvey’s] property.” (Id.

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Sharde Harvey DDS PLLC v. The Hartford Financial Services Group Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/sharde-harvey-dds-pllc-v-the-hartford-financial-services-group-inc-nysd-2022.