Tulalip Tribes Of Washington Et Ano, V. Lexington Insurance Company

Court of Appeals of Washington·Decided March 31, 2025·No. 86115-8·Published

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

TULALIP TRIBES OF WASHINGTON, federally recognized Indian Tribes and No. 86115-8-I TULALIP GAMING ORGANIZATION, an instrumentality and enterprise of Tulalip Tribes of Washington, DIVISION ONE

Appellants,

PUBLISHED OPINION

v.

LEXINGTON INSURANCE COMPANY; ALLIANT SPECIALTY INSURANCE SERVICES, INC., and ALLIANT INSURANCE SERVICES, INC., d/b/a TRIBAL FIRST,

Respondents,

SUBSCRIBING UNDERWRITERS AT LLOYD’S-SYNDICATES: ASC 1414, XLC 2003, TAL 1183, MSP 318, ATL 1861, KLN 510, AGR 3268; UNDERWRITERS AT LLOYD’S SYNDICATE: CNP4444; UNDERWRITERS AT LLOYD’S - ASPEN SPECIAL TY INSURANCE COMPANY; HOMELAND INSURANCE COMPANY OF NY (ONE BEACON); HALLMARK SPECIALTY INSURANCE COMPANY; UNDERWRITERS AT LLOYD’S SYNDICATES: KLN 0510, ATL 1861, ASC 1414, QBE 1886, MSP 0318, APL 1969, CHN 2015, XLC 2003; UNDERWRITERS AT LLOYD’S - SYNDICATE: BRT 2987; ENDURANCE WORLDWIDE INSURANCE LTD t/as SOMPO INTERNATIONAL; UNDERWRITERS AT LLOYD’S-SYNDICATES: KLN

0510, TMK 1880, BRT 2987, BRT 2988, CNP 4444, ATL 1861, NEON WORLDWIDE PROPERTY CONSORTIUM, AUW 0609, TAL 1183, AUL 1274; ARCH SPECIALTY INSURANCE COMPANY; EVANSTON INSURANCE COMPANY; ALLIED WORLD NATIONAL ASSURANCE COMPANY; and LIBERTY MUTUAL FIRE INSURANCE COMPANY,

Defendants.

CHUNG, J. — The Tulalip Tribes of Washington maintained “All Risk”

insurance coverage for its businesses. The Tulalip Tribes sought coverage after government orders relating to COVID-19 required temporary closures of their businesses, causing significant monetary losses. The relevant policy provisions predicated coverage on “direct physical loss or damage.” After the insurers denied coverage the Tribes sued. Defendants filed CR 12(b)(6) motions claiming COVID-19 cannot cause direct physical loss or damage. The court granted the motions, and the Tribes appealed. We hold that the Tribes failed to state a claim that COVID-19 caused “direct physical loss or damage” to its properties. Therefore, we affirm the dismissal of their Complaint.

FACTS

The Tulalip Tribes of Washington (TTW) are a federally recognized Indian tribe, and the Tulalip Gaming Organization (TGO) is the Tribes’ corporate arm, which operates businesses, including casinos, in Tulalip, Washington. In early 2020, state, local, and tribal governments across the country ordered businesses to suspend or limit their operations in an effort to slow the spread of COVID-19.

TTW did the same, issuing an “Emergency Order; Stay Home & Stay Healthy,” requiring “residents and others who visit or recreate within the boundaries of the Tulalip Reservation” to stay home except for certain essential activities effective March 26, 2020. Due to these temporary closures, TTW and TGO (collectively, “the Tribes”) lost business income.

On May 5, 2020, on behalf of the business interests of TGO, the Tribes submitted a claim under their commercial property insurance policies from Lexington Insurance Company and various other excess insurers (collectively, Insurers), 1 purchased through the Tribal First Insurance Program. The policies at issue here were “All Risk” insurance policies (“Policies”) for the period July 1, 2019, through July 1, 2020. The “Perils Covered” provision states that “[s]ubject to the terms, conditions and exclusions stated elsewhere herein, this Policy provides insurance against all risk of direct physical loss or damage occurring during the period of this Policy.” During the applicable period, the Policies did not contain a virus exclusion.

Before the investigations of the Tribes’ claims were complete, on July 2020, the Tribes sued the Insurers for coverage under the Policies, as well as for breach of the duty of good faith and fair dealing and violations of the Washington Consumer Protection Act (CPA), ch. 19.86 RCW, and the Washington Insurance

1 The insurer Respondents are Lexington Insurance Company, Aspen Specialty

Insurance Company, Aspen Insurance UK, LTD, and Hallmark Specialty Insurance Co., Allied World National Assurance Co. Arch Specialty Ins. Co., Homeland Ins. Co. of New York, Allied World National Assurance Co., Arch Specialty Ins. Co. and Homeland Insurance Co., Certain Underwriters at Lloyd's, London, and Certain London Market Insurance Companies; Endurance Worldwide Insurance Limited, and Evanston Insurance Co.

Fair Conduct Act (IFCA), RCW 48.30.010-.015. The Insurers later denied the Tribes’ coverage claims.

The parties agreed to stay the case pending the Washington Supreme Court’s decision in Hill & Stout, PLLC v. Mutual of Enumclaw Ins. Co., which addressed the issue of insurance coverage for business interruption losses arising out of COVID-19. 200 Wn.2d 208, 515 P.3d 525 (2022). Thereafter, in July 2023, the Tulalip Tribes filed their Third Amended Complaint (“Complaint”).

In August 2023, defendant Lexington Insurance Company filed a CR 12(b)(6) motion to dismiss the Tribes’ Complaint, joined by the other defendants, except for Alliant, which disputed its characterization as an insurer. Alliant separately filed a motion to dismiss, but on nearly identical grounds as in Lexington’s motion to dismiss.

In fall 2023, the trial court granted Lexington’s and Alliant’s motions, dismissing the claims against them and the other Insurers. The court agreed with the Insurers that COVID-19 does not cause “direct physical loss or damage” to property as contemplated under the Tribes’ Policies. While the court recognized that the virus clearly impacts people, in its oral ruling, it explained that there was nothing within the Complaint—even when everything is taken as true—that showed COVID-19 caused “direct physical damage, that doesn’t dissipate, that is permanent in nature” to the covered properties, which is necessary to trigger coverage.

The Tribes timely appealed. 2 United Policyholders submitted an amicus brief supporting the Insurers.

DISCUSSION

On appeal, the Tribes contend they have pleaded sufficient facts to show that they could be entitled to coverage for damages caused by COVID-19. The Respondent Insurers maintain that COVID-19 does not cause a “direct physical loss or damage” to property. 3 We agree with the Insurers.

A. Standard of Review This court applies the de novo standard of review to a trial court’s decision to dismiss pursuant to CR 12(b)(6). FutureSelect Portfolio Mgmt., Inc. v. Tremont Grp. Holdings, Inc., 175 Wn. App. 840, 865, 309 P.3d 555 (2013). A defendant may move to dismiss a complaint for “failure to state a claim upon which relief can be granted.” CR 12(b)(6). A CR 12(b)(6) motion “questions only the legal sufficiency of the allegations in a pleading, asking whether there is an insuperable bar to relief.” Alexander v. Sanford, 181 Wn. App. 135, 142, 325 P.3d 341 (2014).

When deciding a CR 12(b)(6) motion, the court should regard the plaintiff’s allegations in the Complaint as true and consider hypothetical facts outside the

2 Although Alliant filed a response to the appeal, it primarily maintains its previous

argument—that it is not an insurer but a policy administrator—and otherwise relies on Lexington’s briefing for the substantive arguments.

3 Lexington’s brief contains the substantive coverage arguments. All involved insurers

joined Lexington’s response brief, except for Alliant. Alliant did file a separate brief to maintain its argument at the trial court, i.e., it does not qualify as an insurer with respect to the relevant policies of insurance or is an agent on behalf of such an insurer, even though it recognizes that in the current posture of a CR 12(b)(6) motion, all facts alleged in the Complaint are true. Otherwise, it refers this court to Lexington’s brief for the substantive arguments regarding coverage. Thus, for purposes of this appeal, we include Alliant among the collective Respondent Insurers.

Free access — add to your briefcase to read the full text and ask questions with AI

Tulalip Tribes Of Washington Et Ano, V. Lexington Insurance Company, (Wash. Ct. App. 2025).

Tulalip Tribes Of Washington Et Ano, V. Lexington Insurance Company (Tulalip Tribes Of Washington Et Ano, V. Lexington Insurance Company) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Western Fire Insurance v. First Presbyterian Church
437 P.2d 52 (Supreme Court of Colorado, 1968)
Queen City Farms, Inc. v. Central Nat'l Ins. Co. of Omaha
882 P.2d 703 (Washington Supreme Court, 1995)
Bravo v. Dolsen Companies
888 P.2d 147 (Washington Supreme Court, 1995)
General Mills, Inc. v. Gold Medal Insurance Co.
622 N.W.2d 147 (Court of Appeals of Minnesota, 2001)
Haberman v. Washington Public Power Supply System
750 P.2d 254 (Washington Supreme Court, 1988)
Boeing Co. v. Aetna Casualty & Surety Co.
784 P.2d 507 (Washington Supreme Court, 1990)
Berg v. Hudesman
801 P.2d 222 (Washington Supreme Court, 1990)
PUD DISTRICT NO. 1, KLICKITAT COUNTY v. International Insurance Co.
881 P.2d 1020 (Washington Supreme Court, 1994)
Sentinel Management Co. v. New Hampshire Insurance Co.
563 N.W.2d 296 (Court of Appeals of Minnesota, 1997)
Holden v. Farmers Ins. Co. of Washington
239 P.3d 344 (Washington Supreme Court, 2010)
Graff v. Allstate Ins. Co.
54 P.3d 1266 (Court of Appeals of Washington, 2002)
Hearst Communications v. Seattle Times Co.
115 P.3d 262 (Washington Supreme Court, 2005)
Bordeaux, Inc. v. American Safety Ins. Co.
186 P.3d 1188 (Court of Appeals of Washington, 2008)
Mutual of Enumclaw Insurance Co. v. T & G CONST., INC.
199 P.3d 376 (Washington Supreme Court, 2008)
Kitsap County v. Allstate Ins. Co.
964 P.2d 1173 (Washington Supreme Court, 1998)
American National Fire Insurance v. B&L Trucking & Construction Co.
134 Wash. 2d 413 (Washington Supreme Court, 1998)
Kitsap County v. Allstate Insurance
964 P.2d 1173 (Washington Supreme Court, 1998)