Vision Service Plan v. Illinois Union Ins. Co.

• Court: District Court, E.D. California
• Decided: October 28, 2022
• Docket: 2:22-cv-00743
• Status: Unknown

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 Vision Service Plan, No. 2:22-cv-00743-KJM-DB 12 Plaintiff, ORDER 13 v. Illinois Union Insurance Company, et al., 1S Defendants. 16 17 The plaintiff in this insurance coverage dispute (Vision Service Plan or “VSP”) alleges its 18 | insurer (Illinois Union Insurance Company) wrongly denied coverage for losses arising out of the 19 | COVID-19 pandemic. VSP argues the virus created an insured “pollution condition.” Illinois 20 | Union disagrees, and moves to dismiss for failure to state a clam. VSP has not shown that its 21 | claim fell within the basic scope of coverage. Its complaint is dismissed without leave to 22 | amend. 23 | I. ALLEGATIONS 24 VSP is the parent of several companies harmed by the coronavirus pandemic. Compl. 25 | 25-43, ECF No. 1-1. It alleges the pandemic and related public health orders interrupted its 26 | business and increased its cleaning and sanitation costs. See, e.g., id. Jf 18, 24, 36-39, 71-72. 27 | VSP has an insurance policy with Illinois Union and submitted a claim. See generally Policy, id. 28 | Ex. A, ECF No. 1-1; Compl. § 65. Under that policy, Illinois Union agreed to pay for loss

1 resulting from claims and first-party claims “arising out of . . . a ‘pollution condition’ on, at, 2 under or migrating from a ‘covered location’ . . . .” Policy at 1. The policy defines “pollution 3 condition” at length: 4 The discharge, dispersal, release, escape, migration, or seepage of 5 any solid, liquid, gaseous or thermal irritant, contaminant, or 6 pollutant, including soil, silt, sedimentation, smoke, soot, vapors, 7 fumes, acids, alkalis, chemicals, electromagnetic fields (EMFs), 8 hazardous substances, hazardous materials, waste materials, “low- 9 level radioactive waste”, “mixed waste” and medical, red bag, 10 infectious or pathological wastes, on, in, into, or upon land and 11 structures thereupon, the atmosphere, surface water, or groundwater. 12 Id. at 9–10. Illinois Union denied the claim because it determined a viral pandemic was not a 13 “pollution condition.” Compl. ¶ 66. 14 After Illinois Union denied the claim, VSP filed this action in California state court. See 15 generally id. VSP claims Illinois Union breached its obligations under the policy, id. ¶¶ 74–85, 16 and denied coverage in bad faith, id. ¶¶ 86–99. VSP also seeks declaratory relief and specific 17 performance. Id. ¶¶ 100–17. Illinois Union removed the case to this court, relying on this court’s 18 diversity jurisdiction. See Not. Removal, ECF No. 1. Illinois Union now moves to dismiss for 19 failure to state a claim under Rule 12(b)(6). See generally Mot., ECF No. 10; Mem., ECF No. 20 10-1. VSP opposes, ECF No. 12, and the court submitted the matter after full briefing and oral 21 argument. See Reply, ECF No. 13; Mins. (July 8, 2022), ECF No. 15. Cecilia Miller appeared at 22 argument for VSP, and Susan Sullivan appeared for Illinois Union. 23 After the motion was submitted, Illinois Union filed a notice of supplemental authority, 24 citing a brief decision by a New York State trial court about a similar claim and a similar Illinois 25 Union policy. ECF No. 16. VSP requested leave to file a response to that notice. ECF No. 17. 26 Illinois Union objects to that request. ECF No. 18. VSP’s request for leave to respond is 27 granted. The court has considered the supplemental filing. See ECF No. 17-1. 28 II. RULE 12 29 A motion to dismiss under Rule 12(b)(6) may be granted if the complaint lacks a 30 “cognizable legal theory” or if its factual allegations do not support a cognizable legal theory. 1 Godecke v. Kinetic Concepts, Inc., 937 F.3d 1201, 1208 (9th Cir. 2019) (quoting Balistreri v. 2 Pacifica Police Dep’t, 901 F.2d 696, 699 (9th Cir. 1988)). The court assumes all factual 3 allegations are true and construes “them in the light most favorable to the nonmoving party.” 4 Steinle v. City & Cnty. of San Francisco, 919 F.3d 1154, 1160 (9th Cir. 2019) (quoting Parks Sch. 5 of Bus., Inc. v. Symington, 51 F.3d 1480, 1484 (9th Cir. 1995)). If the complaint’s allegations do 6 not “plausibly give rise to an entitlement to relief,” the motion must be granted. Ashcroft v. Iqbal, 7 556 U.S. 662, 679 (2009). 8 The court begins with the contract claim, which is governed by California law. See Mem. 9 at 12 n.4; see also Ins. Co. of State of Pa. v. Associated Int’l Ins. Co., 922 F.2d 516, 520 (9th Cir. 10 1990). Under California law, the party asserting coverage bears the burden to establish a claim 11 “is within the basic scope of coverage.” MacKinnon v. Truck Ins. Exch., 31 Cal. 4th 635, 648 12 (2003). In this case, coverage is a straightforward question of contract interpretation: did the 13 claimed losses arise out of a “pollution condition” as defined? 14 “Interpretation of an insurance policy is a question of law and follows the general rules of 15 contract interpretation.” Id. at 647. Contract interpretation seeks out the parties’ “mutual 16 intention” at the time the contract was formed. Waller v. Truck Ins. Exch., Inc., 11 Cal. 4th 1, 18 17 (1995) (citing Cal. Civ. Code § 1636). If possible, the parties’ intent is inferred solely from the 18 policy’s written terms as a whole. Id. (citing Cal. Civ. Code § 1639). The policy’s words are 19 therefore the place to start. Id. Unless the parties intended to use words in a technical or special 20 sense, a court reads a policy’s language to understand its plain meaning as a layperson ordinarily 21 would. Id. (citing Cal. Civ. Code §§ 1638, 1644). 22 Perhaps if read in isolation, with a forgiving eye, the policy’s definition of “pollution 23 condition” might encompass the coronavirus pandemic or its effects. The definition describes, 24 among many other types of pollution conditions, the “release” of “any” “contaminant” or 25 “irritant” into “structures,” and it offers “infectious or pathological wastes” as examples. Policy 26 at 9–10. As VSP alleges, the virus that causes COVID-19 is transmitted when saliva and 27 respiratory secretions are expelled into the air and onto surfaces by coughs, sneezes, and speech. 28 Compl. ¶ 13. These droplets might count as “infectious waste” under the policy, and when they 1 are expelled from the lungs of a coughing visitor and “contaminate” a “structure,” perhaps they 2 could become a “pollution condition” under the policy’s expansive terms. Policy at 9–10. 3 But California courts do not interpret disputed contract terms in isolation. Language 4 “must be interpreted as a whole.” Waller, 11 Cal. 4th at 18. Here, the policy covers more than 5 just pollution conditions. It also covers losses arisings from an “indoor environmental condition.” 6 Id. at 1. An “indoor environmental condition” is defined as: 7 1. The presence of “fungi” in a building or structure, or the ambient 8 air within such building or structure; or 9 2. The discharge, dispersal, release, escape, migration or seepage of 10 legionella pneumophila in a building or structure, or the ambient air 11 within such building or structure, provided that such “fungi” or 12 legionella pneumophila are not naturally occurring in the 13 environment in the amounts and concentrations found within such 14 building or structure. 15 Id. at 7 (emphasis omitted). The policy defines “fungi,” in turn, as “any type or form of fungus, 16 including mold or mildew, and any mycotoxins, spores, scents, or byproducts produced or 17 released by ‘fungi’.” Id. Legionella pneumophila is a species of bacteria that causes 18 Legionnaire’s disease. See 6 Attorneys Medical Advisor § 54:13 (2022). It can be found in 19 plumbing, air conditioning systems, and similar places. Id. 20 The meaning of “pollution condition” comes into clearer focus with the benefit of the 21 broader context provided by these other policy provisions. If the definition of “pollution 22 condition” included viruses as “contaminants” or “irritants,” it would also include bacteria, fungi, 23 and other microorganisms that might contaminate the air and water in a building. The pollution 24 condition coverage would then eclipse the policy’s narrower coverage for indoor environmental 25 conditions. It is more appropriate to read these provisions separately, however. A contract 26 should be interpreted as a whole “so as to give effect to every part, if reasonably practicable, each 27 clause helping to interpret the other.” Cal. Civ. Code § 1641. “[A]n interpretation that gives 28 effect to every clause is preferred over one that would render other policy terms meaningless.” 29 Union Oil Co. v. Int’l Ins. Co., 37 Cal. App. 4th 930, 935 (1995). The policy offers coverage for 30 contamination by infectious diseases, to the extent it offers that coverage at all, in the provisions 1 related to “indoor environmental conditions.” Otherwise those provisions would serve no 2 purpose. 3 A federal district court in Minnesota recently interpreted similar policy provisions the 4 same way. See Essentia Health v. ACE Am. Ins. Co., 541 F. Supp. 3d 943, 949–50 (D. Minn. 5 2021). In Minnesota, as in California, “a court must interpret a policy to give effect to all of its 6 provisions.” Id. at 951 (citing King’s Cove Marina, LLC v. Lambert Com. Constr. LLC, 7 958 N.W.2d 310, 316 (Minn. 2021)). Although the Minnesota district court acknowledged the 8 novel coronavirus might create a “pollution condition” because it is a “‘solid, liquid, gaseous or 9 thermal thing that ‘produces irritation,’” the policy in that case also included “indoor 10 environmental condition” coverage for viruses and bacteria. Id. at 949–51. If the policy’s 11 “pollution condition” coverage covered viruses, then “there would be no need for the narrower 12 form of coverage” in the “indoor environmental conditions” portion of the policy. Id. at 951. 13 The court reached the same conclusion in another recent case against Illinois Union in a 14 Virginia federal district court. See generally Central Laundry, LLC v. Ill. Union Ins. Co., 15 578 F. Supp. 3d 781 (E.D. Va. 2022), appeal filed, No. 22-1075 (4th Cir. Jan. 21, 2022). Again 16 applying the rule that contracts are interpreted as a whole and “the various provisions 17 harmonized,” id. at 790 (quoting Schuiling v. Harris, 286 Va. 187, 193 (2013)), that court found 18 it “telling” that the policy “creates a separate category for ‘indoor environmental conditions,’” id. 19 at 791. The decision to separate “indoor environmental conditions” from “pollution conditions” 20 showed that “pollution conditions” “was not to be read liberally.” Id. at 793 (citing Essentia 21 Health, 541 F. Supp. 3d at 948–53 and collecting other similar authority); see also Northwell 22 Health, Inc. v. Illinois Union Ins. Co., No. 20-6893, 2022 WL 912929, at *5 (S.D.N.Y. Mar. 29, 23 2022) (following Essentia Health and Central Laundry); cf. Crescent Land Dev. Ass’n LLC v. 24 Illinois Union Ins. Co., No. 657152/2021 (N.Y. Sup. Ct. N.Y Cty. Sept. 7, 2022) (dismissing 25 similar claims based on similar interpretation of same policy definition). 26 Although California courts appear not to have confronted the definition in dispute in this 27 case, they have directly and thoroughly interpreted the word “pollutants” when it has been used in 28 an exclusion. See Essex Walnut Owner L.P. v. Aspen Specialty Ins. Co., 335 F. Supp. 3d 1146, 1 1152 (N.D. Cal. 2018) (citing MacKinnon, 31 Cal. 4th 635). Unlike coverage provisions, which 2 are “interpreted broadly . . . , exclusionary clauses are interpreted narrowly against the insurer.” 3 MacKinnon, 31 Cal. 4th at 648 (quoting White v. W. Title Ins. Co., 40 Cal.3d 870, 881 (1985)). 4 Despite that crucial difference, the California Supreme Court’s reasoning in MacKinnon applies 5 just as well to this case, as the district court persuasively explained in Essex Walnut. 6 Indeed, “absurd results” are inevitable when “pollution” and “pollutant” are interpreted as 7 broadly as VSP proposes. See 335 F. Supp. 3d at 1152 (quoting MacKinnon, 31 Cal. 4th at 652). 8 Almost anything can irritate in the wrong circumstances. See id. (citing MacKinnon, 31 Cal. 4th 9 at 650). So in the case of a pollution exclusion, nothing would be covered if “pollutant” is 10 interpreted too broadly; by the same token, a broad coverage provision would reach “just about 11 everything.” Id. In this case, for example, if “pollution condition” is interpreted broadly, a sick 12 person’s cough would create a “pollution condition” in any business or home, and the pandemic 13 may very well have “polluted” most public places. 14 The more natural way to read both the coverage provision and the exclusion is using the 15 everyday meaning of “pollution” as “environmental pollution.” Id. The policy’s language 16 weighs in favor of this conclusion as well. It refers to “seepage” and “migration” of “acids,” 17 “chemicals,” “hazardous substances,” “hazardous materials” and “wastes” into “the atmosphere, 18 surface water, or groundwater.” Policy at 9–10; see also London Bridge Resort LLC v. Illinois 19 Union Ins. Co. Inc., 505 F. Supp. 3d 956, 958–59 (D. Ariz. 2020) (reasoning similarly in case 20 addressing same policy language). 21 To defend its broader interpretation of “pollution condition,” VSP points out the policy 22 makes no exclusions for viruses and pandemics. See Opp’n at 21–22. But, as in another recent 23 state court case, “[t]his contention is flawed because it improperly attempts to rely on the absence 24 of an exclusion to create an ambiguity in an otherwise unambiguous insuring clause.” Inns-by- 25 the-Sea v. Cal. Mut. Ins. Co., 71 Cal. App. 5th 688, 709 (2021), review denied (Mar. 9, 2022). 26 “There is no need to look to the exclusions because they cannot expand the basic coverage 27 granted in the insuring agreement.” Stanford Ranch, Inc. v. Md. Cas. Co., 89 F.3d 618, 627 (9th 28 Cir. 1996) (applying California law). 1 VSP cannot show its claims fall within the basic scope of coverage, so it cannot state a 2 claim for breach of contract. Nor can it prevail in its claim that Illinois Union denied coverage in 3 bad faith. “[A] bad faith claim cannot be maintained unless policy benefits are due . . . .” Waller, 4 11 Cal. 4th at 36 (citation and quotation marks omitted)). The declaratory judgment claim is also 5 duplicative of the contract claim. See United Safeguard Distributors Ass’n, Inc. v. Safeguard 6 Bus. Sys., Inc., 145 F. Supp. 3d 932, 961 (C.D. Cal. 2015). The same is true of VSP’s derivative 7 request for specific performance. Griffin v. Green Tree Servicing, LLC, 166 F. Supp. 3d 1030, 8 1055 (C.D. Cal. 2015). These claims are dismissed as well. 9 III. DISCOVERY AND AMENDMENT 10 What remains, then, are VSP’s requests for discovery and leave to amend. See Opp’n at 11 24–25. It requests discovery in the hope of uncovering an ambiguity. See id. It does not explain 12 its request for leave to amend. See id. 13 First, “[c]ontract law allows admission of extrinsic evidence ‘to resolve an ambiguity,’ 14 even when the contract is an integrated agreement.” Lennar Mare Island, LLC v. Steadfast Ins. 15 Co., 176 F. Supp. 3d 949, 963 (E.D. Cal. 2016) (quoting WYDA Assocs. v. Merner, 16 42 Cal. App. 4th 1702, 1710 (1996)). “Extrinsic evidence may be offered both to explain an 17 obviously ambiguous term and to reveal a latent ambiguity.” Id. (citing Pac. Gas & E. Co. v. 18 G.W. Thomas Drayage etc. Co., 69 Cal.2d 33, 37 (1968) and Emp’rs Reinsurance Co. v. Superior 19 Court, 161 Cal. App. 4th 906, 920 (2008)). But extrinsic evidence “may not flatly contradict the 20 written contract or support an unreasonable interpretation of it.” Id. at 967. VSP’s proposed 21 interpretation of “pollution conditions” is not reasonable, as explained above, so discovery is not 22 warranted. 23 Finally, the court declines VSP’s request for leave to amend. In the unusual circumstances 24 of this case, in which the complaint’s deficiencies are legal and plain, amendment would be an 25 exercise in futility. See, e.g., Essentia Health, 541 F. Supp. 3d at 953 (denying leave to amend 26 because “the problem with [the] Complaint [was] a legal one, not a factual one”); Winebarger v. 27 Pa. Higher Educ. Assistance Agency, 411 F. Supp. 3d 1070, 1092 (C.D. Cal. 2019) (denying leave 28 to amend contract claim based on legal shortcomings). 1 IV. CONCLUSION 2 The request for leave to file a response (ECF No. 17) and the motion to dismiss (ECF No. 3 10) are granted. The complaint is dismissed without leave to amend, and the case is closed. 4 IT IS SO ORDERED. 5 DATED: October 27, 2022.