An unanimous recent decision in Another Planet Entertainment, LLC v. Vigilant Insurance Company, the California Supreme Court ruled that commercial property insurance does not cover losses from COVID-19.
At the outset of the COVID-19 pandemic, and for some time thereafter, many businesses were forced to curtail their operations or close entirely. Some of these businesses sought coverage for their financial losses from their commercial property insurers under conventional first-party “all risk” or “open peril” insurance policies.
These policies generally predicate coverage on “direct physical loss or damage” to the insured property or nearby property.
State and federal courts across the country have considered whether conventional property insurance policies provide coverage for pandemic- related losses, including whether the COVID-19 virus satisfies the threshold requirement of direct physical loss or damage to property.
California courts have reached different conclusions on this issue, and in this case the Supreme Court accepted a request by the United States Court of Appeals for the Ninth Circuit to clarify California law in this area.
The Ninth Circuit posed the following question: “Can the actual or potential presence of the COVID-19 virus on an insured’s premises constitute ‘direct physical loss or damage to property’ for purposes of coverage under a commercial property insurance policy?”
The question arose in the context of a civil lawsuit filed by Another Planet Entertainment, LLC (Another Planet) against its property insurer, Vigilant Insurance Company (Vigilant). Another Planet operates venues for live entertainment. It suffered pandemic-related business losses when its venues closed, and Vigilant denied Another Planet’s subsequent claim for insurance coverage.
Another Planet filed suit in federal district court, alleging that the actual or potential presence of the COVID-19 virus at its venues or nearby properties caused direct physical loss or damage to property and triggered coverage under its insurance policy.
The district court granted Vigilant’s motion to dismiss for failure to state a claim, and Another Planet appealed. According to the Ninth Circuit, the issue on appeal is whether Another Planet’s allegations, if taken as true, were sufficient to show "direct physical loss or damage to property" as defined by California law.
The Supreme Court concluded, consistent with the vast majority of courts nationwide, that allegations of the actual or potential presence of COVID-19 on an insured’s premises do not, without more, establish direct physical loss or damage to property within the meaning of a commercial property insurance policy.
Under California law, direct physical loss or damage to property requires a distinct, demonstrable, physical alteration to property. The physical alteration need not be visible to the naked eye, nor must it be structural, but it must result in some injury to or impairment of the property as property.
The factual allegations of Another Planet’s complaint did not satisfy this standard.
While Another Planet alleged that the COVID-19 virus alters property by bonding or interacting with it on a microscopic level, Another Planet does not allege that any such alteration results in injury to or impairment of the property itself. Its relevant physical characteristics are unaffected by the presence of the COVID-19 virus.
Another Planet focuses on the virus’s risk to humans, and it alleges that the actual or potential presence of the virus rendered its properties unfit for their intended use.
But the mere fact that a property cannot be used as intended is insufficient on its own to establish direct physical loss to property.
Similarly, the fact that a business was forced to curtail its operations, in whole or in part, based on pandemic- related government public health orders is likewise insufficient. The restrictions of a government public health order are legal, i.e., intangible, in nature. They do not constitute direct physical loss or damage to property.
In rare situations, a property may suffer direct physical loss where it is not damaged in a conventional sense, including where a chemical contaminant or noxious odor infiltrates the property and renders it effectively unusable or uninhabitable.
In such a case, the contaminant or odor may cause direct physical loss, but only where the source of the property’s unusability or uninhabitability is sufficiently connected to the property itself.
This situation may arise when the effect of the contaminant or odor is so lasting and persistent that the risk of harm is inextricably linked or connected to the property. Another Planet’s allegations regarding the effect of the COVID- 19 virus on property failed to meet this standard as well.
While the Supreme Court concluded Another Planet’s allegations were insufficient, and it appeared that such allegations represented the most common allegations in support of pandemic-related property insurance coverage, it did not in the proceeding determine that the COVID-19 virus can never cause direct physical loss or damage to property.
Contemplation of the virus and the affected property is necessarily limited by Another Planet’s factual allegations.
Nonetheless, given the prevalence of similar circumstances, the Supreme Court answered the Ninth Circuit’s question as follows: No, the actual or potential presence of COVID-19 on an insured’s premises generally does not constitute direct physical loss or damage to property within the meaning of a commercial property insurance policy under California law.
Another Planet is an independent operator and promoter of live entertainment (including concerts, festivals, and events) at several venues in California and Nevada. It purchased a commercial property insurance policy from Vigilant. The policy provided for two main categories of coverage: (1) building and personal property coverage and (2) business income and extra expense coverage.
In early 2020, the COVID-19 virus became a widespread concern in the United States. The virus — technically SARS- CoV-2, which causes the COVID-19 respiratory illness — is highly contagious and potentially fatal. The virus is a physical substance. It primarily spreads from person to person via airborne respiratory droplets or aerosols containing the virus.
In May 2020, Another Planet submitted an insurance claim to Vigilant for direct physical loss or damage to its properties and consequent economic losses. Vigilant denied coverage. It maintained that Another Planet had not shown “physical loss or damage that would implicate coverage in this matter.”
As a leading treatise explains, the fundamental principle of a property insurance contract is to indemnify the owner against loss; that is to place the owner in the same position in which he or she would have been had no accident occurred.
Property insurance is an agreement, a contract, in which the insurer agrees to indemnify the insured in the event that the insured property suffers a covered loss. Coverage, in turn, is commonly provided by reference to causation, e.g., loss caused by certain enumerated perils.
Alternatively, the coverage grant may cover all perils not specifically excepted or excluded, as in an “all risks” policy.
The term “perils” in traditional property insurance parlance refers to fortuitous, active, physical forces such as lightning, wind, and explosion, which bring about the loss.
As with any insurance, property insurance coverage is "triggered" by some threshold concept of injury to the insured property. Under narrow coverages like theft, the theft is itself the trigger.
Under most coverages, however, the policy specifically ties the insurer’s liability to the covered peril having some specific effect on the property. In modern policies, especially of the all-risk type, this trigger is frequently ‘physical loss or damage.
The longstanding California view that direct physical loss to property requires a distinct, demonstrable, physical alteration of property is correct.
The Supreme Court agreed that an invisible substance or biological agent may, in some cases, be sufficiently harmful and persistent to cause a distinct, demonstrable, physical alteration to property.
The Ninth Circuit asked, “Can the actual or potential presence of the COVID-19 virus on an insured’s premises constitute ‘direct physical loss or damage to property’ for purposes of coverage under a commercial property insurance policy?”
As noted, while the Supreme Court cannot and did not decide whether the COVID-19 virus can ever constitute direct physical loss or damage to property, it concluded Another Planet’s allegations are insufficient to meet the definition of direct physical loss or damage to property under California law.
Moreover, Another Planet’s allegations regarding the COVID-19 virus and its effects appear typical of the allegations offered by many insureds in similar situations.
For the reasons stated, the Supreme Court answered the Ninth Circuit’s question as follows: No, the actual or potential presence of the COVID-19 virus on an insured’s premises generally does not constitute “direct physical loss or damage to property” for purposes of coverage under a commercial property insurance policy.
LESSONS:
1. Allegations of the actual or potential presence of COVID-19 on an insured’s premises do not, without more, establish direct physical loss or damage to property within the meaning of a commercial property insurance policy.
2. Under California law, direct physical loss or damage to property requires a distinct, demonstrable, physical alteration to property. The physical alteration need not be visible to the naked eye, nor must it be structural, but it must result in some injury to or impairment of the property as property.
3. The fundamental principle of a property insurance contract is to indemnify the owner against loss; that is to place the owner in the same position in which he or she would have been had no accident occurred.