The Scranton Club v. Tuscarora Wayne Mutual Group

Superior Court of Pennsylvania·Decided September 12, 2023·No. 238 MDA 2021·Unpublished

Opinion

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT OP 65.37

THE SCRANTON CLUB : IN THE SUPERIOR COURT OF : PENNSYLVANIA

Appellant :

:

v. :

:

TUSCARORA WAYNE MUTUAL : GROUP, INC., SUSQUEHANNA : CAPITAL CORP., TUSCARORA WAYNE : INSURANCE COMPANY, TUSCARORA : WAYNE MUTUAL INSURANCE : COMPANY : No. 238 MDA 2021

Appeal from the Order Entered January 25, 2021, in the Court of Common Pleas of Lackawanna County, Civil Division at No(s): 20 CV 2469.

BEFORE: PANELLA, P.J., OLSON, J., and KUNSELMAN, J. MEMORANDUM BY KUNSELMAN: FILED: SEPTEMBER 12, 2023

The Scranton Club appeals from the order sustaining the preliminary objections filed by Tuscarora Wayne Mutual Group, Inc., et al. and dismissing this action. The Scranton Club was seeking a declaration that its insurance policy provided coverage for losses sustained, including business income, during the pandemic. Upon review, we reverse in part and affirm in part.

The trial court set forth the following relevant facts:

The Scranton Club operates a private social club, limited to selling alcoholic beverages and food to its members and to the members’

guests, at its premises located at 404 North Washington Avenue, Scranton, and “also has a catering license and hosts various events on a regular basis, including but not limited to private parties, showers, and receptions,” at those premises. [I]t purchased a commercial insurance policy from defendant,

Tuscarora Wayne Insurance Company (“Tuscarora”), which afforded all risk coverage for the time period of January 19, 2020, through January 19, 2021. The Scranton Club maintains that the commercial policy provided property, business, personal property, business income, extra expense, as well as additional coverages, as reflected by the 118 page policy that is attached as an exhibit to the complaint.

The declaration pages set forth the various coverages, forms, endorsements, and monetary limits of insurance for [T]he Scranton Club’s Commercial Package Policy.

Trial Court Opinion, 1/25/21, at 3-4 (quotations omitted).

Specifically, relevant provisions of the insurance policy regarding coverage and exclusions provided as follow:

Building and Personal Property Coverage A. Coverage

Will pay for direct physical loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.

***

Business Income (and Extra Expense) Coverage A. Coverage 1. Business Income

***

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

2. Extra Expense

***

b. Extra Expense means necessary expenses you incur during the “period of restoration” that you would not have incurred if there had been no direct physical loss or damage to property caused by or resulting from a Covered Cause of Loss.

We will pay Extra Expense (other than the expense to repair or replace property) to:

(1) Avoid or minimize the “suspension” of business and to continue operation at the described premises or at replacement premises or temporary location including relocation expenses and costs to equip and operate the replacement location.

(2) Minimize the “suspension” of business if you cannot continue “operation.”

We will also pay Extra Expense to repair or replace property, but only to the extent it reduces the amount of loss that otherwise would have been payable under this Coverage Form.

***

5. Additional Coverages a. Civil Authority

***

When a Covered Cause of Loss causes damage to property other than property at the described premises, we will pay for the actual loss of Business Income you sustain and necessary Extra Expense caused by action of civil authority that prohibits access to the described premises, provided that both of the following apply:

(1) Access to the area immediately surrounding the damaged property is prohibited by civil authority as a result of the damage, and the described premises are within that area but

are not more than one mile from the damaged property; and

(2) The action of civil authority is taken in response to dangerous physical conditions resulting from the damage or continuation of the Covered Cause of Loss that caused the damage, or the action is taken to enable a civil authority to have unimpeded access to the damaged property.

As additional coverage, the policy also covers “Extended Business Income” after operations resume and while working on generating business income to the level before the loss.

For purposes of Business Income (and Extra Expense) Coverage, the policy set forth the following relevant definitions:

3. “Period of restoration” means the period of time that:

a. Begins:

(1) 72 hours after the time of direct physical loss or damage for Business Income Coverage; or

(2) Immediately after the time of direct physical loss or damage for Extra Expense Coverage;

caused by or resulting from any Covered Cause of Loss at the described premises; and

b. Ends on the earlier of:

(1) The date when the property at the described premises should be repaired, rebuilt or replaced with reasonable speed and similar quality; or

(2) The date when business is resumed at a new permanent location.

***

6. “Suspension” means:

a. The slowdown or cessation of your business activities; or

b. That a part or all of described premises is rendered untenantable if coverage for Business Income Including “Rental Value” or “Rental Value” applies.”

Both the “Building and Personal Property Coverage” and the “Business Income (and Extra Expense) Coverage” apply where there is a “Covered Cause of Loss,” which the policy states as follows:

Causes of Loss – Special Form A. Covered Causes of Loss

When Special is shown in the declarations, Covered Causes of Loss means Risks of Direct Physical Loss unless the loss is:

1. Excluded in Section B., Exclusions; or 2. Limited in Section C., Limitations;

One such Exclusion provided:

Exclusion of Loss Due to Virus or Bacteria

A. The exclusion set forth in Paragraph B, applies to all coverage under all forms and endorsements that comprise this Coverage Part or Policy, including but not limited to forms or endorsements that cover property damage to buildings or personal property and forms or endorsements that cover business income, extra expense or action of civil authority.

B. We will not pay for loss or damage caused by or resulting from any virus, bacterium or other micro-organism that induces or is capable of inducing physical distress, illness or disease.

R.R. at 32a, 75a, 82a-105a.

In the spring of 2020, Governor Wolf issued a stay-at-home order due to the COVID-19 pandemic. As a result, The Scranton Club was required to cease its normal operations and close its business. It sustained a “substantial

loss [in] revenues” and was forced to “furlough or layoff [] the majority of its employees.”

The Scranton Club filed an insurance claim with Tuscarora based upon the foregoing insurance policy provisions. Tuscarora denied these claims because The Scranton Club did not suffer any “direct physical loss of or damage to” the insured premises as required under the Building and Personal Property Coverage and Business Income (and Extra Expense) Coverage. Additionally, Tuscarora cited the policy’s Virus Exclusion as a basis for denial of coverage.

The Scranton Club filed this lawsuit seeking a declaration that its losses in connection with the closure orders and interruption of its business stemming from the pandemic were insured losses under the policy. Additionally, The Scranton Club filed a breach of contract claim alleging that Tuscarora’s denial of coverage constituted a breach of its obligations under the insurance policy. Lastly, The Scranton Club claimed that Tuscarora acted in bad faith when it denied coverage under the policy.

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The Scranton Club v. Tuscarora Wayne Mutual Group, (Pa. Ct. App. 2023).

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