Court Opinion

ID: 9349410
Source: CourtListenerOpinion
Date Created: 2022-12-21 21:00:29.801199+00
Date Added: 2024-06-11T16:44:45.934619
License: Public Domain

NOT RECOMMENDED FOR PUBLICATION
                                File Name: 22a0530n.06

                                           No. 21-3229

                          UNITED STATES COURT OF APPEALS
                               FOR THE SIXTH CIRCUIT

                                                                                    FILED
                                                    )                         Dec 21, 2022
EQUITY PLANNING CORPORATION,                                              DEBORAH S. HUNT, Clerk
                                                    )
       Plaintiff-Appellant,                         )
                                                    )       ON APPEAL FROM THE UNITED
v.                                                  )       STATES DISTRICT COURT FOR
                                                    )       THE NORTHERN DISTRICT OF
WESTFIELD INSURANCE COMPANY,                        )       OHIO
       Defendant-Appellee.                          )                          OPINION
                                                    )

Before: MOORE, GRIFFIN, and MURPHY, Circuit Judges.

       MURPHY, Circuit Judge. Equity Planning Corporation leases commercial property to

tenants in Ohio and other states. Like many businesses, these tenants lost substantial income due

to the COVID-19 pandemic and the ensuing government orders that temporarily banned non-

essential business activities. They were thus unable to pay rent to Equity. Equity sought to recover

its own lost income under a commercial insurance policy that it had purchased from Westfield

Insurance Company. The policy obligates Westfield to pay for some amounts of lost income when

this economic loss grows out of a “direct physical loss of or damage to” Equity’s property. Policy,

R.5-3, PageID 118. The district court granted Westfield’s motion to dismiss because neither the

pandemic nor the government shutdown caused a “direct physical loss of or damage to” Equity’s

leased properties. In the meantime, another district court asked the Ohio Supreme Court to

consider a similar insurance-policy question. See Neuro-Commc’n Servs., Inc. v. Cincinnati Ins.
No. 21-3229, Equity Planning Corp. v. Westfield Ins. Co.

Co., __ N.E.3d __, 2022 WL 17573883, at *3 (Ohio Dec. 12, 2022). We held this case for the

Ohio Supreme Court’s answer. That court has now interpreted similar policy language to bar

coverage in these circumstances—consistent with our own prior answer to this question. See id.

at *4 (quoting Santo’s Italian Café LLC v. Acuity Ins. Co., 15 F.4th 398, 402 (6th Cir. 2021)).

Bound by Neuro-Communication, we affirm.

                                                 I

       Equity, a real-estate company, leases out commercial properties in Ohio and other states.

Like many other businesses in Ohio, Equity’s tenants were forced to close in part or in full due to

the combined effects of the COVID-19 pandemic and the follow-on government orders that

prohibited non-essential business activities. With its tenants unable to pay their rent, Equity

suffered significant economic losses.

       Before the pandemic, Equity had purchased an “all-risk” commercial insurance policy from

Westfield. This policy indicates generally that Westfield will cover “direct physical loss of or

damage to” Equity’s properties. Policy, R.5-3, PageID 176. Two other types of coverage are

relevant. The policy’s “Business Income Provision” allows Equity to seek certain lost income or

extra expenses from Westfield. Specifically, this provision permits Equity to recover for the

“actual loss of Business Income” resulting from a “suspension” of its operations if the suspension

is “caused by direct physical loss of or damage to” Equity’s properties. Id., PageID 118. The

provision also permits Equity to recover other “necessary expenses” that the company “would not

have incurred if there had been no direct physical loss or damage to” its property. Id.

       The policy’s “Civil Authority Provision” next allows Equity to seek lost income and extra

expenses incurred as a result of governmental responses to damage to neighboring property. The

policy provides that Equity may seek its income and expenses if an “action of civil authority” (that

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No. 21-3229, Equity Planning Corp. v. Westfield Ins. Co.

is, a government action) prohibits access to its properties because of “damage to” nearby property

that was caused by a “Covered Cause of Loss.” Id., PageID 119. The policy defines “Covered

Causes of Loss” to mean “direct physical loss unless the loss is excluded or limited in this policy.”

Id., PageID 165.

       The policy also contains many exclusions that prohibit coverage even if it would otherwise

insure certain losses. Among other exclusions, the policy notes that Westfield will not pay for

losses caused by a virus that can induce “physical distress, illness or disease.” Id., PageID 130.

       Once the pandemic hit, Equity sought to recover its lost income under the Business Income

Provision and the Civil Authority Provision. Westfield denied its claim, so Equity sued Westfield

in state court. Equity sought a declaratory judgment that it was entitled to coverage and alleged

that Westfield’s denial of coverage breached both the policy and the covenant of good faith and

fair dealing. Equity also sought to certify several classes of businesses. Westfield removed the

case to federal court on the basis of the Class Action Fairness Act.

       Westfield then moved to dismiss the complaint for failure to state a claim. The district

court granted this motion. Equity Plan. Corp. v. Westfield Ins. Co., 522 F. Supp. 3d 308, 310 (N.D.

Ohio 2021). It reasoned that neither the pandemic nor the government shutdown orders qualified

as a “direct physical loss of or damage to” Equity’s property that could trigger coverage for lost

income under the Business Income Provision. Id. at 316–28. This reading, the court next noted,

also disqualified Equity from coverage under the Civil Authority Provision. Id. at 328–29. This

provision required the damage to nearby property to arise from a “Covered Cause of Loss,” a

phrase the policy defined as a “direct physical loss” that is not otherwise excluded. Id. (quoting

Policy, R.5-3, PageID 165). The court went on to hold, in the alternative, that Equity’s claim fell

within the exclusion for losses caused by a virus. Id. at 329–31.

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No. 21-3229, Equity Planning Corp. v. Westfield Ins. Co.

       Equity appealed. We review the district court’s dismissal of its complaint de novo. See

Wilkerson v. Am. Fam. Ins. Co., 997 F.3d 666, 668 (6th Cir. 2021).

                                                II

       We start by framing the narrow nature of the parties’ debate. They agree that Ohio contract

law governs. They also agree on the governing contract rules: Ohio courts interpret unambiguous

contract terms as written and they construe ambiguous terms in favor of the insured. See Neuro-

Commc’n, 2022 WL 17573883, at *3; Dominish v. Nationwide Ins. Co., 953 N.E.2d 820, 822

(Ohio 2011); Nationwide Mut. Fire Ins. Co. v. Guman Bros. Farm, 652 N.E.2d 684, 686 (Ohio

1995). The parties likewise agree that their dispute under the Business Income Provision turns on

whether Equity suffered a “direct physical loss of or damage to” its property. Policy, R.5-3,

PageID 118. And Equity does not challenge the district court’s further conclusion that the Civil

Authority Provision also requires a “direct physical loss” because it notes that the “damage to”

nearby property must result from a “Covered Cause of Loss.” Id., PageID 119, 165. Given these

points of agreement, this appeal turns on whether the spread of COVID-19 or the ensuing

government shutdown orders could qualify as a “direct physical loss of or damage to” Equity’s

properties (or nearby properties). Westfield says that this text is unambiguous and requires a

tangible harm to property. Equity responds that “direct physical loss” is ambiguous and could be

read to cover limits on the use of property.

       The Ohio Supreme Court decided to consider a similar question in Neuro-Communication.

2022 WL 17573883, at *3. In that case, the relevant insured business provided “hearing and

balance services to its patients[.]” Id. at *2. The Ohio government’s shutdown orders forced it to

close its operations for about six weeks, and it sought reimbursement for lost income under a

similar insurance policy issued by Cincinnati Insurance Company. Id. The Ohio Supreme Court

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No. 21-3229, Equity Planning Corp. v. Westfield Ins. Co.

rejected the business’s argument that the phrase “physical loss” could include a loss of use of its

property to serve customers. Id. at *4. It reasoned that a “physical loss” requires “loss or damage

to Covered Property that is physical in nature” and thus does not cover simply “a loss of the ability

to use Covered Property for business purposes.” Id.

       In the process, the Ohio Supreme Court agreed with our own prior decision in Santo’s. See

2022 WL 17573883, at *4. Santo’s concerned an Ohio restaurant owner seeking to recover

business losses caused by the pandemic and the Ohio government’s responses restricting in-person

dining. See 15 F.4th at 400. Like Westfield’s insurance policy in this case, the policy in Santo’s

covered the loss of business income resulting from a suspension of operations “caused by direct

physical loss of or damage to property” at the covered premises. Id. (citation omitted). Santo’s

held that this phrase (“direct physical loss of or damage to” property) unambiguously excluded

losses arising from COVID-19 or related government shutdown orders. Id. at 401–02. We

interpreted this language as covering only “tangible” deprivations of or “tangible” harms to

property, like those caused by a theft or fire. See id. at 403 (citing 10A Steven Plitt et al., Couch

on Insurance § 148:3 (2021)). The Ohio Supreme Court’s approval of Santo’s confirms that we

properly applied Ohio contract law. See Neuro-Commc’n, 2022 WL 17573883, at *4.

       This case raises the same question as Neuro-Communication (and Santo’s), so we must

reach the same answer. In cases governed by Ohio contract law, we “must follow the controlling

decisions of the Ohio Supreme Court.” Henry v. Wausau Bus. Ins. Co., 351 F.3d 710, 713 (6th

Cir. 2003). And we see no basis to distinguish the contract in this case from the one in Neuro-

Communication. Cf. SAS Int’l, Ltd. v. Gen. Star Indem. Co., 36 F.4th 23, 26–29 (1st Cir. 2022).

       To be sure, a phrase in one contract does not necessarily take the same meaning as the same

phrase in another contract if the context suggests that the parties intended a different meaning.

                                                 5
No. 21-3229, Equity Planning Corp. v. Westfield Ins. Co.

See Wilkerson, 997 F.3d at 669–70. But the context suggests that the parties meant for the same

meaning across these cases. To begin with, specialized trade usages can support an inference of

consistent meaning. Cf. Frigaliment Importing Co. v. B.N.S. Int’l Sales Corp., 190 F. Supp. 116,

119 (S.D.N.Y. 1960) (Friendly, J.). And, as Santo’s recognized, the phrases at issue in these cases

“are the general touchstones of coverage . . . for most commercial property insurance policies.”

15 F.4th at 402 (citing 10A Couch on Insurance § 148:46). That is perhaps why—as the Ohio

Supreme Court noted—the great weight of appellate authority to consider this question has

interpreted similar insurance policies in the same way (under other states’ laws). See Neuro-

Commc’n, 2022 WL 17573883, at *7; see, e.g., Ryan P. Estes, D.M.D., M.S., P.S.C. v. Cincinnati

Ins. Co., 23 F.4th 695, 699–702 (6th Cir. 2022) (Kentucky law); Mudpie, Inc. v. Travelers Cas.

Ins. Co. of Am., 15 F.4th 885, 890–91 (9th Cir. 2021) (California law); SAS Int’l, 36 F.4th at 26–

29 (1st Cir. 2022) (Massachusetts law); Q Clothier New Orleans, L.L.C. v. Twin City Fire Ins. Co.,

29 F.4th 252, 258–60 (5th Cir. 2022) (Louisiana law); Oral Surgeons, P.C. v. Cincinnati Ins. Co.,

2 F.4th 1141, 1143–44 (8th Cir. 2021) (Iowa law); see also Cherokee Nation v. Lexington Ins. Co.,

__ P.3d __, 2022 WL 4138429, *4 n.13 (Okla. Sept. 13, 2022) (citing cases).

       In addition, other provisions in Westfield’s policy confirm that the policy uses “direct

physical loss” in the same way to require tangible harm. Like the policy in Neuro-Communication,

the Business Income Provision permits an insured to recover income for business suspensions only

during the “period of restoration”—a defined period that ends when the property should have been

“repaired, rebuilt or replaced with reasonable speed and similar quality[.]” Policy, R.5-3, PageID

118, 126. This provision would make no sense if “direct physical loss” need not be tangible. See

Neuro-Commc’n, 2022 WL 17573883, at *4; see also Santo’s, 15 F.4th at 402–03. Likewise, the

Civil Authority Provision applies only if the government restricts access to Equity’s properties

                                                6
No. 21-3229, Equity Planning Corp. v. Westfield Ins. Co.

either because of the “dangerous physical conditions” of the nearby damaged property or because

the government needs “unimpeded access to the damaged property.” Policy, R.5-3, PageID 119.

This provision, too, contemplates tangible property damage.

       In sum, we are bound by Neuro-Communication’s interpretation. Under that analysis,

Equity has not adequately alleged the required “direct physical loss of or damage to” its property

or to nearby properties simply from its loss of use. Neuro-Commc’n, 2022 WL 17573883, at *4.

As we noted in Santo’s, therefore, we need not consider any other interpretive question, such as

whether the virus exclusion would otherwise have barred Equity’s claim. See 15 F.4th at 406–07.

       We affirm.

                                                7