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Mareik v. State Farm Fire & Cas. Co.

UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA
May 5, 2021
537 F. Supp. 3d 818 (E.D. Pa. 2021)

Summary

granting motion to dismiss based on interpretation of an insurance contract

Summary of this case from IS BBFP LLC v. Ctr. City Healthcare, LLC (In re Ctr. City Healthcare, LLC)

Opinion

CIVIL ACTION NO. 20-2744

05-05-2021

MAREIK INC. d/b/a Nicole Miller Philadelphia, Plaintiff v. STATE FARM FIRE AND CASUALTY COMPANY, Defendant

Daniel C. Levin, Arnold Levin, Fred S. Longer, Laurence S. Berman, Levin Sedran & Berman, Kenneth J. Grunfeld, Richard M. Golomb, Golomb & Honik PC, Philadelphia, PA, for Plaintiff. Nicholas A. Cummins, Pamela A. Carlos, Bennett, Bricklin & Saltzburg LLC, Philadelphia, PA, for Defendant.


Daniel C. Levin, Arnold Levin, Fred S. Longer, Laurence S. Berman, Levin Sedran & Berman, Kenneth J. Grunfeld, Richard M. Golomb, Golomb & Honik PC, Philadelphia, PA, for Plaintiff.

Nicholas A. Cummins, Pamela A. Carlos, Bennett, Bricklin & Saltzburg LLC, Philadelphia, PA, for Defendant.

MEMORANDUM OPINION

NITZA I. QUIÑONES ALEJANDRO, District Judge

INTRODUCTION

Plaintiff Mareik Inc., a fashion boutique, filed an amended complaint against Defendant State Farm Fire and Casualty Company ("State Farm"), pursuant to the Declaratory Judgment Act, 28 U.S.C. §§ 2201 - 2202, seeking a determination of the rights and duties arising from an "all-risk" Businessowners Coverage insurance policy issued by State Farm (the "Policy"). [ECF 16]. In the amended complaint, Plaintiff avers that it was forced to temporarily suspend its normal business operations to comply with local COVID-19-related shutdown orders, which resulted in a loss of business income. Plaintiff filed a claim under the Policy for this loss, which State Farm denied. Thereafter, Plaintiff commenced this action seeking declaratory relief.

Before this Court is State Farm's motion to dismiss for failure to state a claim upon which relief can be granted, filed pursuant to Federal Rule of Civil Procedure ("Rule") 12(b)(6). [ECF 19]. In its motion, State Farm argues that its Policy does not provide coverage for the type of economic loss Plaintiff alleges to have suffered. Plaintiff opposes the motion. [ECF 21]. For the reasons set forth herein, State Farm's motion to dismiss is granted.

This Court has also considered State Farm's reply, [ECF 24], and its notices of supplemental authority. [ECF 25-29].

BACKGROUND

When considering a Rule 12(b)(6) motion, a court must accept as true all factual allegations in the amended complaint and all reasonable inferences that can be drawn therefrom, viewed in the light most favorable to the non-moving party. Fowler v. UPMC Shadyside , 578 F.3d 203, 210-11 (2009) (citing Ashcroft v. Iqbal , 556 U.S. 662, 667, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009) ). The relevant factual allegations are summarized as follows:

The alleged facts set forth herein are drawn from the amended complaint, the Policy, and the "Loss of Income and Extra Expense" endorsement.

Plaintiff is a retail fashion boutique in Philadelphia, Pennsylvania. In March 2020, the Mayor of the City of Philadelphia ordered the temporary closure of nonessential businesses due to the COVID-19 pandemic (the "Shutdown Order"). Plaintiff ceased operations in compliance with the Shutdown Order. In June 2020, the City of Philadelphia entered a "yellow phase" of reopening, allowing some nonessential businesses to resume operations under certain safety requirements. Plaintiff reopened in accordance with these requirements. However, due to the Shutdown Order and business operation restrictions, Plaintiff sustained a substantial loss of business income.

Prior to the COVID-19 Pandemic, State Farm had issued Plaintiff an "all-risk" Businessowners Coverage insurance policy (the "Policy"). Shortly after the Shutdown Order was issued, Plaintiff, on March 21, 2020, submitted a claim for its business losses under the Policy's "Civil Authority" provision within the "Loss of Income and Extra Expense" endorsement (the "Endorsement"). State Farm denied the claim on the basis that Plaintiff did not suffer an "accidental direct physical loss to" its property, and because Plaintiff's reported loss fell within the Policy's enumerated exclusions.

The "Civil Authority" provision in the Policy's Endorsement provides:

(a) 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 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 within 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 access to the damaged property.

(Endorsement, ECF 19-1, Ex. A at SFFC 25) (internal quotations omitted).

Under the Covered Causes Of Loss section, the Policy provides that it "insures for accidental direct physical loss to Covered Property unless the loss is [subject to an exclusion]." (Policy, ECF 19-1, Ex. A at SFFC 45). "Covered Property" is defined to include "buildings, meaning the buildings and structures at the described premises" and "Business Personal Property located in or on the buildings at the described premises[.]" (Policy at 44).

Relevant here, "Section 1–Exclusions" provides:

1. We do not insure under any coverage for any loss which would not have occurred in the absence of one or more of the following excluded events. We do not insure for such loss regardless of: (a) the cause of the excluded event; or (b) other causes of the loss; or (c) whether other causes acted concurrently or in any sequence with the excluded event to produce the loss; or (d) whether the event occurs suddenly or gradually, involves isolated or widespread damage, arises from natural or external forces, or occurs as a result of any combination of these:

...

j. Fungi, Virus Or Bacteria

(1) Growth, proliferation, spread or presence of "fungi" or wet or dry rot; or

(2) Virus, bacteria or other microorganism that induces or is capable of inducing physical distress, illness or disease; [...]

(Id. at 47).

LEGAL STANDARD

To survive a Rule 12(b)(6) motion to dismiss, a plaintiff must allege facts sufficient to "nudge[ ] [his or her] claims across the line from conceivable to plausible." Bell Atl. Corp. v. Twombly , 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007). The complaint may not merely allege a plaintiff's entitlement to relief—it must "show such an entitlement with its facts." Fowler , 578 F.3d at 211 (internal quotations omitted). Mere "labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do." Twombly , 550 U.S. at 555, 127 S.Ct. 1955. A claim will not survive a motion to dismiss if, after construing the factual allegations in the light most favorable to the plaintiff, the court finds the plaintiff could not be entitled to relief. Fowler , 578 F.3d at 210. Although a plaintiff is entitled to all reasonable inferences from the facts alleged, a plaintiff's legal conclusions are not entitled to deference, and the court is "not bound to accept as true a legal conclusion couched as a factual allegation." Papasan v. Allain , 478 U.S. 265, 286, 106 S.Ct. 2932, 92 L.Ed.2d 209 (1986). Under Pennsylvania law, "[c]ontract interpretation is a question of law" for a court to decide. 4431, Inc. v. Cincinnati Insurance Companies , 504 F.Supp.3d 368, 381 (E.D. Pa. 2020) (granting motion to dismiss based on insurance contract interpretation).

In deciding a Rule 12(b)(6) motion, a court must limit its inquiry to the facts alleged in the complaint and its attachments, matters of public record, and "undisputedly authentic document[s] that a defendant attaches as an exhibit to a motion to dismiss," if the plaintiff's claims are based on those documents. Pension Benefit Guar. Corp. v. White Consol. Indus., Inc. , 998 F.2d 1192, 1196 (3d Cir. 1993). Here, Plaintiff's claims are based on the Policy and Endorsement which were attached as an exhibit to State Farm's motion to dismiss. Plaintiff does not dispute the authenticity of these documents. Accordingly, this Court will consider the Policy and Endorsement.

DISCUSSION

The issue before this Court is whether the Policy provides coverage for the type of economic loss Plaintiff suffered. In the amended complaint, Plaintiff seeks declaratory judgment that its economic loss, caused by the Shutdown Order's restrictions on its business operations, constitutes "direct physical loss to Covered Property" and, thus, entitles Plaintiff to coverage under the Policy. Specifically, Plaintiff relies on the "Civil Authority" provision of the Policy Endorsement for coverage. This provision provides that State Farm must pay the "actual Loss Of Income" sustained when "a Covered Cause Of Loss causes damage to property other than property at the described premises," provided that "[a]ccess to the area immediately surrounding the damaged property is prohibited by civil authority as a result of the damage" and "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...." (Endorsement at 25). The "Covered Causes of Loss" provision specifies that State Farm "insure[s] for accidental direct physical loss to Covered Property" unless the loss is excluded. (Policy at 45). The Policy defines "Covered Property" as "buildings, meaning the buildings and structures at the described premises" and "Business Personal Property located in or on the buildings at the described premises[.]" (Policy at 44).

In its motion to dismiss, State Farm argues that Plaintiff's loss of business income does not constitute a "direct physical loss" within the meaning of the Policy and that, even if it did, the Policy exclusions preclude coverage. This Court will address these arguments in turn.

Direct Physical Loss Coverage

Pennsylvania courts apply "traditional principles of contract interpretation" to insurance contracts. Kurach v. Truck Ins. Exchange , 235 A.3d 1106, 1116 (Pa. 2020). As such, courts are "to ascertain and give effect to the intent of the contracting parties as embodied in the written agreement." Wilson v. Hartford Casualty Co. , 492 F.Supp.3d 417, 426 (E.D. Pa. 2020). An insurance policy must be "read as a whole and construed in accordance with the plain meaning of its terms." American Auto Ins. Co. v. Murray , 658 F.3d 311, 320 (3d Cir. 2011) (internal citation omitted). When evaluating a denial of insurance coverage, a court determines: (1) whether the plaintiff's claim falls within the scope of coverage; (2) whether the defendant has asserted any affirmative defenses, such as a policy exclusion; and (3) whether there any applicable exemptions from the exclusion. Wilson , 492 F.Supp.3d at 426.

Here, State Farm moves to dismiss the amended complaint on the basis that Plaintiff's financial loss as a result of its COVID-19-related suspension of operations, due to the Shutdown Order, does not constitute "direct physical loss to Covered Property" as defined in the Policy. Plaintiff counters that its "inability to use the business" constitutes a direct physical loss. (Pl.’s Response, ECF 21, at 24). Applying traditional principles of contract interpretation to the Policy, this Court finds that Plaintiff's proffered interpretation of the insurance provision is contrary to the plain and ordinary meaning of "direct physical loss." The term "direct physical loss" is not specifically defined in the Policy. Therefore, it must be construed in accordance with the plain meaning of the words. "Direct" means "stemming immediately from a source," without "an intervening agency, instrumentality, or influence." "Direct," Merriam-Webster (2021), available at https://www.merriam-webster.com/dictionary/direct. "Physical" means "having material existence; perceptible especially through the senses and subject to the laws of nature." "Physical," Merriam-Webster (2021), available at https://www.merriam-webster.com/dictionary/physical; see also Kahn v. Pennsylvania National Mutual Casualty Insurance Company , 517 F.Supp.3d 315, 322 (M.D. Pa. Feb. 8, 2021) ("Physical" means "[o]f, relating to, or involving material things; pertaining to real, tangible objects") (citing Black's Law Dictionary (11th ed. 2019)) (emphasis added). In contrast, the term "Covered Property" is defined in the Policy as "the buildings and structures at the described premises" and "Business Personal Property located in or on the buildings at the described premises[.]" (Policy at 44). Thus, examining the contested phrase as a whole, this Court finds that "direct physical loss to Covered Property" means an immediate, actual, identifiable, and material impact to the structure of a building or to tangible items located therein. Further, relying on the ordinary meaning of "physical loss" as it relates to property, courts have "widely held [the term] to ... preclude any claim against the property insurer when the insured merely suffers a detrimental economic impact unaccompanied by a distinct, demonstrable, physical alteration of the property." Kahn , 517 F.Supp.3d at 322 (quoting 10A Couch on Ins. § 148:46 (3d ed. 2020) ) (internal quotations omitted). Therefore, this Court concludes, as other courts have, that the term "direct physical loss to Covered Property" unambiguously requires some immediate impact on the actual, material premises. See, e.g., Kahn , 517 F.Supp.3d at 321–23.

This Court notes recent decisions of its sister courts in other circuits which have interpreted the same Policy at issue and have reached the same conclusion. See Turek Enterprises, Inc. v. State Farm Mutual Automobile Insurance Company , 484 F.Supp.3d 492, 502 (E.D. Mich. 2020) (" ‘[D]irect physical loss to Covered Property’ is an unambiguous term that plainly requires Plaintiff to demonstrate some tangible damage to Covered Property."); Diesel Barbershop, LLC v. State Farm Lloyds , 479 F. Supp. 3d 353, 359 (W.D. Tex. 2020) ("... Plaintiffs fail to plead a direct physical loss.").
Courts interpreting similar policy language within the United States Court of Appeals for the Third Circuit ("Third Circuit") have also held the same. For example, in Port Authority of New York & New Jersey v. Affiliated Insurance Co. , 311 F.3d 226, 236 (3d Cir. 2002), the Third Circuit held that "physical loss" under an "all-risk" insurance policy occurred when "the presence of large quantities of asbestos in the air of a building is such as to make the structure uninhabitable and unusable .... However, if asbestos is present in components of a structure , but is not in such form or quantity as to make the building unusable, the owner has not suffered a loss." 311 F.3d at 236 (emphasis added). While Port Authority applied New York and New Jersey law, a subsequent panel of the Third Circuit predicted that the Pennsylvania Supreme Court would adopt similar reasoning to the question of whether loss of use may constitute "physical loss." See Motorists Mutual Insurance Co. v. Hardinger , 131 F. App'x 823, 826 (3d Cir. 2005) ("We predict that the Pennsylvania Supreme Court would adopt a similar principle as we did in Port Authority."). Port Authority supports the conclusion that a physical loss requires some actual, material effect to the structure of a building. See Kahn , 517 F.Supp.3d at 324 ("The key terms in Port Authority are ‘building’ and ‘structure’ ...Port Authority clearly distinguished between a building (not a business) that was physically unusable and one that was contaminated but still physically safe to inhabit"); see also, e.g., Humans and Resources, LLC v. Firstline National Insurance Company , 512 F.Supp.3d 588, 600 (E.D. Pa. Jan. 8, 2021) ("... the loss and the bar to operation from which it results must bear a causal relationship to some physical condition of or on the premises and that the premises must be uninhabitable and unusable.") (emphasis in original); Kessler Dental Associates, P.C. v. Dentists Insurance Company , 505 F.Supp.3d 474, 480 (E.D. Pa. 2020) ("These provisions make clear that there must be some sort of physical damage to the property."); Newchops Restaurant Comcast, LLC v. Admiral Indemnity Company , 507 F.Supp.3d 616, 624 (E.D. Pa. 2020) ("Loss of utility is not structural or physical."); 4431, Inc. v. Cincinnati Insurance Companies , 504 F.Supp.3d 368, 385 (E.D. Pa. 2020) ("... there is no physical component to Plaintiffs’ loss; there are no allegations that any physical conditions of or on the covered premises have been altered in a way that has resulted in or affected Plaintiffs’ loss."). This Court agrees with these courts that "physical loss" requires some kind of actual, identifiable, material impact on the physical structure of a building or items contained therein.

As such, the term "direct physical loss to Covered Property" is unambiguous within the context of the Policy and can only be interpreted to mean an immediate, actual, identifiable, and material impact to the structure of a building or to tangible items located therein. Plaintiff does not, however, claim this type of covered loss. Though Plaintiff's claim is for loss of business income, the alleged loss is not in any way connected to any alleged immediate, actual, identifiable, and material impact to any Covered Property. Clearly, the "Civil Authority" provision only insures for business losses caused by a "Covered Cause Of Loss," defined as a "direct physical loss to Covered Property." Consistent with this reading, Plaintiff's loss is not, and cannot be, a "direct physical loss" within the provisions of the Policy.

Despite the aforementioned plain and ordinary meaning of the term "direct physical loss," Plaintiff also argues that the damage need not be visible or tangible to constitute a covered "direct physical loss." To support this contention, Plaintiff relies on a series of cases, including: Essex v. BloomSouth Flooring Corp. , 562 F.3d 399, 406 (1st Cir. 2009) (finding unpleasant odor constituted physical damage); Motorists Mutual Ins. Co. , 131 F. App'x. at 825-27 (finding water contamination constituted physical damage); Gregory Packaging, Inc. v. Travelers Prop. Cas. Co. of Am. , 2014 WL 6675934 (D.N.J. Nov. 25, 2014) (finding ammonia damage constituted physical damage). Plaintiff's reliance on these cases is misplaced, as they are clearly distinguishable from the facts presented here. Notably, in each case Plaintiff cites, the insured sought coverage for losses caused by actual, physical contaminants in the air or water that were expressly alleged to have caused the suspension of the insured's business operations (i.e. , water, ammonia, and odor). Here, Plaintiff expressly does not attribute any loss to an actual contaminant in the air or water but, rather, attributes its loss to the city's Shutdown Order requiring the temporary suspension of non-essential business operations. Plaintiff could not be any clearer in this regard, specifically contending that "[g]overnment orders and not a virus is (sic ) what caused Plaintiff's business losses." (Pl.’s Response, ECF 21, at 17) (emphasis added). Therefore, this Court finds that Plaintiff's financial loss is not resulting from or due to any "direct physical loss" under the Policy.

Virus Exclusion

State Farm also moves to dismiss the amended complaint on the basis that Plaintiff's loss is excluded by the Policy's Virus Exclusion. As the insurer, State Farm "bears the burden of demonstrating that a policy exclusion excuses the insurer from providing coverage[.]" State Farm Fire & Casualty Co. v. Estate of Mehlman , 589 F.3d 105, 111 (3d Cir. 2009) (citation omitted). The Virus Exclusion excludes coverage for losses:

which would not have occurred in the absence of ... [g]rowth, proliferation, spread or presence of ... virus ..., bacteria or other microorganism that induces or is capable of inducing physical distress, illness or disease ... regardless of: (a) the cause of the excluded event; or (b) other causes of the loss; or (c) whether other causes acted concurrently or in any sequence with the excluded event to produce the loss; or (d) whether the event occurs suddenly or gradually, involves isolated or widespread damage, arises from natural or external forces.

(Policy at 46-47). Plaintiff argues that the Virus Exclusion is ambiguous and not clearly meant to apply to pandemic-related shutdowns.

Under Pennsylvania law, when policy language is "clear and unambiguous, a court must give effect to its language." Toppers Salon & Health Spa, Inc. v. Travelers Property Casualty Co. of America , 503 F.Supp.3d 251, 255 (E.D. Pa. 2020) (citing Kvaerner Metals Div. of Kvaerner, U.S. v. Commercial Union Ins. Co. , 589 Pa. 317, 908 A.2d 888, 897 (2006) ). A policy's language is ambiguous "if it is reasonably susceptible of different constructions and capable of being understood in more than one sense[.]" Id. (quoting Madison Construction Co. v. Harleysville Mutual Ins. Co. , 557 Pa. 595, 735 A.2d 100, 106 (1999) ). Courts, however, should not "distort the meaning of the language or resort to a strained contrivance in order to find an ambiguity." Madison Construction Co. , 735 A.2d at 106. A provision is not ambiguous "simply because the parties do not agree on construction of the provision." Brian Handel D.M.D., P.C. v. Allstate Insurance Co. , 499 F.Supp.3d 95, 99 (E.D. Pa. 2020) (citing Weisman v. Green Tree Ins. Co. , 447 Pa.Super. 549, 670 A.2d 160, 161 (1996) ). If a provision is ambiguous, it should be "construed in favor of the insured to further the contract's prime purpose of indemnification and against the insurer, as the insurer drafts the policy, and controls coverage." 401 Fourth St., Inc. v. Inv'rs Ins. Grp. , 583 Pa. 445, 879 A.2d 166, 171 (2005).

Plaintiff argues that the Virus Exclusion is ambiguous because it does not specifically include the word "pandemic" and, therefore, can be interpreted to exclude pandemics. Under the plain language of the exclusion, Plaintiff's argument fails. The Virus Exclusion precludes coverage for losses caused by "[v]irus, bacteria or other microorganism that induces or is capable of inducing physical distress, illness or disease." (Policy at 47). The coronavirus that has caused the COVID-19 Pandemic is plainly a virus that induces physical distress, illness, or disease. Though the word "pandemic" is not used in the Policy, there is no reasonable basis to find a "pandemic exception" within the plain meaning of this express exclusion. See Lang v. Meske , 850 A.2d 737, 740 (Pa. Super. Ct. 2004) (holding that when "the terms of a written contract are clear, this Court will not rewrite it or give it a construction in conflict with the accepted and plain meaning of the language used").

Plaintiff also argues that because its financial loss was caused by the Shutdown Order, rather than the coronavirus itself, the Virus Exclusion cannot apply. This argument, too, is incorrect. The Virus Exclusion expressly provides that a loss is not covered if it "would not have occurred in the absence of" the "virus ... regardless of ... whether other causes acted concurrently or in any sequence with the excluded event to produce the loss ...." (Policy at 46-47). Here, even if Plaintiff's financial loss resulted in part due to the Shutdown Order, it is clear that the loss would not have occurred in the absence of the coronavirus. As such, Plaintiff's loss is excluded by the clear, unambiguous language of the Virus Exclusion.

Regulatory Estoppel

Plaintiff further contends that the motion to dismiss should be denied because Plaintiff is entitled to discovery before dismissal, under the doctrine of regulatory estoppel. In Pennsylvania, the doctrine of regulatory estoppel is intended to "protect the integrity of the courts by preventing litigants from playing fast and loose with the judicial system by adopting whatever position suits the moment." Sunbeam Corp. v. Liberty Mut. Ins. Co. , 566 Pa. 494, 781 A.2d 1189, 1192 (2001) (internal citation and quotations omitted). In Sunbeam Corp. , an insurer represented to a regulatory agency that a change in policy language would not result in a significant decrease in coverage from the prior policy language, then argued the opposite position when sued for coverage by a policyholder. Id. The Pennsylvania Supreme Court held the insurer could not "switch[ ] legal positions to suit [its] own ends." Id. at 1192-93. Thus, a party invoking regulatory estoppel must show "that the opposing party made a statement to a regulatory agency and later adopted a position contrary to the one presented to the regulatory agency." Newchops Restaurant Comcast LLC , 507 F.Supp.3d at 628 (citing Simon Wrecking Co. v. AIU Ins. Co. , 541 F. Supp. 2d 714, 717 (E.D. Pa. 2008) ).

As evidence of State Farm's allegedly inconsistent position, Plaintiff cites a 2006 Insurance Services Office, Inc. ("ISO") circular entitled "New Endorsements Filed to Address Exclusion of Loss Due to Virus or Bacteria." The circular reads, in relevant part:

While property policies have not been a source of recovery for losses involving contamination by disease-causing agents, the specter of pandemic or hitherto unorthodox transmission of infectious material raises the concern that insurers employing such policies may face claims in which there are efforts to expand coverage and to create sources of recovery for such losses, contrary to policy intent.

In light of these concerns, we are presenting an exclusion relating to contamination by disease-causing viruses or bacteria or other disease-causing microorganisms.

(ISO Circular LI-CF-2006-175, New Endorsements Filed to Address Exclusion of Loss Due to Virus or Bacteria, ISO (July 6, 2006), at 6, available at https://www.propertyinsurancecoveragelaw.com/files/2020/03/ISO-Circular-LI-CF-2006-175-Virus.pdf).

Plaintiff argues that insurers, including State Farm, presented this circular to state regulatory agencies in an attempt to hide the insurers’ true intent of reducing coverage. However, the language of the ISO circular does not support Plaintiff's contention. To the contrary, the ISO indicates that "the specter of pandemic" led them to present "an exclusion relating to contamination by disease-causing viruses or bacteria or other disease-causing microorganisms." (ISO Circular at 6). Even assuming that State Farm presented this circular to regulatory agencies, State Farm's present argument is directly aligned with the circular's position that pandemic-related losses were not intended to be covered. Because the ISO circular does not support Plaintiff's contention that State Farm changed its position, as required by the doctrine of regulatory estoppel, Plaintiff is not entitled to discovery prior to dismissal.

Other courts considering Plaintiff's same regulatory estoppel argument have also found insurers’ virus exclusions to be aligned with the ISO's position. See, e.g., Brian Handel , 499 F.Supp.3d at 101 ("Since defendant does not take a contradictory position to the one made to regulatory agencies, the doctrine of regulatory estoppel does not apply to this action."); Fuel Recharge Yourself, Inc. v. Amco Insurance Company , 2021 WL 510170, *3 (E.D. Pa. Feb. 11, 2021) ("The fatal flaw in this argument is that Defendant's litigation position does not diverge from the representations made by the insurance trade groups to regulators."); Humans & Resources, LLC , 512 F.Supp.3d at 602 ("In reading the foregoing statements, this Court is flatly unable to discern how they are contradictory or contrary to the position which Defendant takes here."); Newchops Restaurant Comcast, LLC , 507 F.Supp.3d at 628 ("... the insureds have not alleged that [the insurer] is now contradicting those statements. On the contrary, [the insurer's] position here is consistent with the ISO's statement.").

CONCLUSION

For the reasons set forth herein, this Court finds that Plaintiff has failed to state a claim upon which relief or declaratory judgment can be granted. Therefore, State Farm's motion to dismiss is granted and Plaintiff's claims are dismissed. An appropriate Order follows.


Summaries of

Mareik v. State Farm Fire & Cas. Co.

UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA
May 5, 2021
537 F. Supp. 3d 818 (E.D. Pa. 2021)

granting motion to dismiss based on interpretation of an insurance contract

Summary of this case from IS BBFP LLC v. Ctr. City Healthcare, LLC (In re Ctr. City Healthcare, LLC)
Case details for

Mareik v. State Farm Fire & Cas. Co.

Case Details

Full title:MAREIK INC. d/b/a NICOLE MILLER PHILADELPHIA Plaintiff v. STATE FARM FIRE…

Court:UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

Date published: May 5, 2021

Citations

537 F. Supp. 3d 818 (E.D. Pa. 2021)

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