Sherif Albert DDS, P.C., d/b/a Esplanade Dental Care v. The Cincinnati Insurance Companies

CourtDistrict Court, N.D. Illinois
DecidedMarch 28, 2023
Docket1:21-cv-04672
StatusUnknown

This text of Sherif Albert DDS, P.C., d/b/a Esplanade Dental Care v. The Cincinnati Insurance Companies (Sherif Albert DDS, P.C., d/b/a Esplanade Dental Care v. The Cincinnati Insurance Companies) 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
Sherif Albert DDS, P.C., d/b/a Esplanade Dental Care v. The Cincinnati Insurance Companies, (N.D. Ill. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS

Sherif Albert DDS, P.C., d/b/a Esplanade Dental Care, et al.,

No. 21 CV 04672 Plaintiffs, Honorable Nancy L. Maldonado v.

The Cincinnati Insurance Company,

Defendant.

MEMORANDUM OPINION AND ORDER

This case involves commercial insurance coverage for businesses affected by the COVID- 19 pandemic. Plaintiffs are owners and operators of three dental practices in Illinois, each of which was forced to suspend its operations due to pandemic-related government closure orders. Plaintiffs allege that Defendant, the Cincinnati Insurance Company (“Cincinnati”), wrongfully denied their insurance claims for lost business income they incurred as a result of the closure orders. Cincinnati has moved to dismiss, primarily arguing that Plaintiffs have failed to allege a “direct physical loss” to their properties as required by their insurance policies. (Dkt. 17.)1 For the reasons stated in this opinion, in light of controlling Seventh Circuit precedent, Cincinnati’s motion to dismiss is granted and the complaint is dismissed without prejudice. Plaintiffs shall have 28 days from the date of this order to file a motion for leave to file an amended complaint, if they believe they can remedy the deficiencies in their complaint outlined herein.

Background

Plaintiffs are three Illinois-based entities that own and operate dental practices in Downers Grove, New Lenox, and Hinsdale, Illinois. (Dkt. 1 at ¶ 1.)2 Defendant Cincinnati is an Ohio-based corporation engaged in the business of selling insurance policies to commercial entities, including those providing professional dental services, such as Plaintiffs.3 Cincinnati issued two policies to

1 Referenced page numbers are taken from the CM/ECF header. 2 Specifically, Plaintiff Sherif Albert DDS, P.C, d/b/a Esplanade Dental Care (“Esplanade Dental Care”) is an Illinois professional corporation with its principal place of business in Downers Grove, Illinois; Plaintiff Albert Dental Professionals, P.C., d/b/a Atrium Family Dental (“Atrium Family Dental”) is an Illinois professional corporation with its principal place of business in New Lenox, Illinois; and Albert and Albert Dental Health Associates, Ltd., d/b/a Brush Pediatric Dentistry (“Brush Pediatric Dentistry”) is an Illinois professional corporation with its principal place of business in Hinsdale, Illinois. Id. at ¶19. 3 The complaint originally named several other defendants, each of which has been voluntarily dismissed by Plaintiffs. (Dkts. 15, 16.) 1 Plaintiffs, one covering Plaintiff Brush Pediatric Dentistry from May 9, 2017, to May 9, 2020 (Policy No. ECP 024 93 62, hereafter the “2017 Brush Pediatric Policy”), which was subsequently renewed for a period through May 9, 2023 (hereafter the “2020 Brush Pediatric Renewal”); and one policy covering both Plaintiffs Esplanade Dental Care and Atrium Family Dental for the period February 1, 2020, to February 1, 2023 (No. ECP 022 69 42, hereafter the “2020 Esplanade and Atrium Policy”).4

The insurance policies provide Plaintiffs’ businesses with Building and Personal Property Coverage, as well as “Business Income,” “Extra Expense,” and “Civil Authority” coverage. (Dkt. 1 at ¶¶ 29, 41.) The language in the 2017 Brush Pediatric Policy varies slightly from the language in the 2020 Brush Pediatric Renewal and 2020 Esplanade and Atrium Policy, so the Court will set out the relevant policy provisions separately.

A. 2017 Brush Pediatric Policy language

The Building and Personal Property Coverage in the 2017 Brush Pediatric Policy states that Cincinnati “will pay for direct physical ‘loss’ to Covered Property at the ‘premises’ caused by or resulting from any Covered Cause of Loss.” (Dkt. 18-1 at 30.) “Covered Causes of Loss,” according to the policy, means “risks of direct physical loss unless the ‘loss’ is: (1) Excluded in Section A. Coverage, 3. Covered Causes of Loss, b. Exclusions; or (2) Limited in Section A. Coverage, 3. Covered Causes of Loss, c. Limitations.” Id. at 32. “Loss” in this policy means “accidental loss or damage.” Id. at 61.

As noted above, the policy also provides for Business Income and Extra Expense coverage:

We will pay for the actual loss of “Business Income” and “Rental Value” you sustain due to the necessary “suspension” of your “operations” during the “period of restoration”. The “suspension” must be caused by direct physical “loss” to property at a “premises” caused by or resulting from any Covered Cause of Loss.

Id. at 43. In terms of Extra Expense coverage, the policy states that Cincinnati will pay the “‘Extra Expense’ you incur during the ‘period of restoration’: (a) To avoid or minimize the ‘suspension’ of business and to continue ‘operations’ . . . or (b) To minimize the ‘suspension’ of business if you

4 Plaintiffs attach the 2017 Brush Pediatric Policy and the 2020 Esplanade and Atrium Policy to their complaint, (Dkts. 1-1, 1-2,) which makes the policies part of the pleading. See Fed. R. Civ. P. 10(c). Plaintiffs’ complaint does not attach the 2020 Brush Pediatric Renewal Policy, but cites to it. (See Dkt. 1 at ¶¶ 73, 77-79.) Cincinnati has attached copies of all three policies, including the renewal policy, to its motion to dismiss, and the Court may consider the renewal policy without converting Cincinnati’s motion into one for summary judgment. Wright v. Associated Ins. Cos., 29 F.3d 1244, 1248 (7th Cir. 1994) (“[D]ocuments attached to a motion to dismiss are considered part of the pleadings if they are referred to in the plaintiff’s complaint and are central to his claim.”) (citations omitted). The Court will cite to the versions of the policies attached to Cincinnati’s motion. (See Dkts. 18-1, 18-2, 18-3.) The versions of the 2017 Brush Pediatric Policy and the 2020 Esplanade and Atrium Policy attached to the motion to dismiss are identical to the versions of those policies attached to the complaint, except that Cincinnati has applied bates numbers. (Dkt. 18 at 4 n.3.) 2 cannot continue ‘operations.’” Id. at 44. “Period of restoration” is defined as “the period of time that . . . [b]egins at the time of direct physical ‘loss.’” Id. at 61.

Finally, the policy also provides for Civil Authority coverage:

We will pay for the actual loss of “Business Income” you sustain and “Extra Expense” you incur caused by action of civil authority that prohibits access to the “premises” due to direct physical “loss” to property, other than at the “premises”, caused by or resulting from any Covered Cause of Loss.

Id. at 44.

B. 2020 Brush Pediatric Renewal and 2020 Esplanade and Atrium Policy language

The Building and Personal Property Coverage in the 2020 Brush Pediatric Renewal and 2020 Esplanade and Atrium Policy states that Cincinnati “will pay for direct ‘loss’ to Covered Property at the ‘premises’ caused by or resulting from any Covered Cause of Loss.” (Dkts. 18-2 at 27; 18-3 at 39.) “Covered Causes of Loss,” according to the policy, means “direct ‘loss’ unless the ‘loss’ is excluded or limited in this Coverage Part.” (Dkts. 18-2 at 29; 18-3 at 41.) “Loss” in these policies is defined as “accidental physical loss or accidental physical damage.” (Dkts. 18-2 at 62; 18-3 at 74.)

Again the policies both provide for Business Income and Extra Expense coverage:

We will pay for the actual loss of “Business Income” and “Rental Value” you sustain due to the necessary “suspension” of your “operations” during the “period of restoration”. The “suspension” must be caused by direct “loss” to property at a “premises” caused by or resulting from any Covered Cause of Loss.

(Dkts.

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Sherif Albert DDS, P.C., d/b/a Esplanade Dental Care v. The Cincinnati Insurance Companies, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sherif-albert-dds-pc-dba-esplanade-dental-care-v-the-cincinnati-ilnd-2023.