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©Bradley Arant Boult Cummings LLP
Insurance Coverage for COVID-19:Steps for Risk ManagersApril 1, 2020
Presented by:
Katherine Henry, Chair of Policyholder Insurance Coverage Team
Bradley Arant Boult Cummings LLP | bradley.com | © 2019 2
Third-Party Liability PoliciesEvent Cancellation Policies
Commercial Property Policies
Proposed ISO Business
Interruption Forms
Other First-Party Policies
Recent Developments
Parting Thoughts
Questions
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©Bradley Arant Boult Cummings LLP
Event Cancellation Policies
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Event Cancellation Triggers
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Event Cancellation Triggers
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Event Cancellation Loss Calculations
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CALCULATION OF LOSS:
Subject to the limit of insurance, we will indemnify you for the greater of:
The total of expenses incurred, less any recoveries obtained, and less gross
revenue retained after refunds, whether such refunds are contractual or
voluntary; or
The loss of gross revenue (including gross revenue returned, whether
contractual or voluntary) that would have been received had the insured
event taken place as originally scheduled, less any recoveries made and
expenses not incurred.
Bradley Arant Boult Cummings LLP | bradley.com | © 2019
▪ War and Military Action
▪ Nuclear Hazard
▪ Terrorism
▪ Biological/Chemical/Nuclear
▪ Fraudulent, Dishonest or Criminal Acts
▪ Financial Failure
▪ Lack of Support
▪ Failure to Make Necessary Arrangement
▪ Pre-existing Circumstances
▪ Adverse Weather
▪ Non-appearance
▪ Breach of Duty of Care
▪ Contract Disputes
▪ Material Alterations
▪ Governmental/Regulatory Violations
▪ Seepage, Pollution, and/or Contamination
▪ Government Shutdown
Event Cancellation Exclusions
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▪ Notice
▪ Cooperation
▪ Documentation
▪ Proof of loss
▪ Audits
▪ EOUs
▪ Denials
Event Cancellation Claims
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©Bradley Arant Boult Cummings LLP
Commercial Property Policies
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▪ “Direct physical loss or damage to
property.”
▪ “Loss” and “damage” not synonymous.
▪ Loss of use, functionality, or reliability can
constitute physical loss or damage.
Physical Loss or Damage
11BY-NC-ND
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▪ Presence of contaminants may constitute “physical
loss.”
– Ammonia discharge in building causing shutdown and
remediation constituted direct physical loss or damage.
Gregory Packaging, Inc. v. Travelers Property Casualty
Company of America (N.J.).
– E. coli bacteria contamination in home’s well could
constitute physical loss when “property was made
useless or uninhabitable.” Motorists Mutual Ins. Co. v.
Hardinger (3rd Circuit).
COVID-19 as Direct Physical Loss
or Damage
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
ISO Bacteria Exclusion in Causes of Loss
– Special Form
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CP 00 10 10 12 - Pollution
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▪ Fear
– Airline sought coverage for losses from
government shutdown of air travel on 9/11.
Shutdown based on fears of future attacks not
covered. United Air Lines, Inc. v. Insurance Co. of
State of Pennsylvania.
▪ Threat
– Clinic sought coverage for losses caused by a
hurricane evacuation order. Threat of damage
not enough. South Texas Medical Clinics, P.A. v.
CNA Financial Corp.
Fear or Threat of
Physical Loss or Damage
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▪ Included in many business income and extra expense coverages.
▪ Covers business losses caused by government prohibiting access
to property.
▪ Requirements:
– Physical loss or damage
– Order direct result of physical loss or damage
▪ Cannot be voluntary or “requested.”
▪ Need not be damage to insured’s property.
▪ Influx of suits seeking this coverage (will discuss more later).
Civil Authority Coverage
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Civil Authority in CP 00 30 10 12
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▪ “Reasonable Expectation Doctrine”: policyholder’s
objective reasonable expectations.
▪ May apply, but could require ambiguity finding.
Policy Interpretation: Coverage for
Pandemic?
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©Bradley Arant Boult Cummings LLP
Proposed ISO Business Interruption Forms
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©Bradley Arant Boult Cummings LLP
Other First-Party Policies
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▪ Increased remote work due to COVID-19 pandemic,
causing growth in cybersecurity exposures.
▪ Cybercriminals targeting companies using COVID-19
related phishing emails.
▪ Can include coverage for cyber incident resulting from
physical loss or damage.
Cyber Policies
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▪ Coverage often found in technology errors and
omissions, internet, and liability insurance policies.
▪ Sublimited.
▪ Reimburses expenses incurred to restore confidence.
▪ Often requires immediate notice.
▪ Scope of coverage varies widely.
▪ Primary or excess.
Crisis Management Coverage
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Crisis Management Coverage
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▪ Coverage varies.
▪ Fills coverage gaps created by pollution, mold, and
microbial matter exclusions in property and liability
insurance policies.
▪ No standard form.
▪ Exclusions key.
▪ Can cover clean-up costs.
Environmental Insurance Policies
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▪ Covers risk that company’s customers cannot pay for
goods or services bought on credit.
▪ Typically triggered by insolvency.
▪ Specific policy language governs other triggers.
▪ Recovery potentially offset by government relief.
Trade Credit Insurance
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©Bradley Arant Boult Cummings LLP
Third-Party Liability Policies
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▪ Bodily injury or property damage
– Class action filed against ski resort in Austria by tourists
for knowingly exposing them to the coronavirus.
▪ Total pollution exclusion
▪ Communicable disease exclusion
Commercial General Liability Policies
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▪ Stock drop could lead to securities class actions
– Securities action filed March 12, 2020 against Norwegian Cruise Lines
alleging false and misleading statements in 8-K and 10-K in February
2020.
– On March 4, 2020, SEC advised companies to provide “investors with
insight regarding their assessment of, and plans for addressing,
material risks to their business and operations resulting from the
coronavirus to the fullest extent practicable to keep investors and
markets informed of material developments.”
▪ Other claims
– Affirmative acts of mismanagement
– Failure to disclose (must appropriately disclose known risks, trends,
and uncertainties)
– Breach of fiduciary duty (heightened oversight responsibilities during
crisis. Marchand v. Barnhill, 212 A.3d 805 (Del.))
– Breach of contract with suppliers
– Failure to protect business or third parties (person-to-person
transmission, property contamination, financial losses)
Directors & Officers & Entity Coverage
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▪ Compensates employees for work-related injuries and
illness.
– Claims more easily established in settings like hospitals.
– Illness generally must relate to unique nature of job.
▪ State law controls.
– Many state statutes exclude common cold and flu.
▪ Depends on whether state law identifies workers’
compensation as exclusive remedy for employees infected
by COVID-19.
Workers’ Compensation Policies
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©Bradley Arant Boult Cummings LLP
Recent Developments
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
▪ Cajun Conti LLC v. Certain Underwriters at Lloyd’s, London
– Filed March 16, 2020 in Louisiana state court.
– No virus exclusion.
– Alleges contamination as physical loss.
– Seeks declaration of coverage for COVID-19 business
interruption losses and cleaning costs under all-risk policy.
▪ French Laundry Partners LP v. Hartford Fire Insurance Co.
– Filed March 25, 2020 in California state court.
– All-risk policy covering loss of damage caused by a virus.
– Napa County Order “issued based on evidence of [] the
physical damage to property caused by the virus.”
– Seeks ruling that civil authority coverage includes losses from
COVID-19-related government-mandated closures.
Expect Litigation
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
▪ Chickasaw Nation Department of Commerce v.
Lexington Insurance Co.
– Filed on March 24, 2020 in Oklahoma state court.
– Seeks declaration that COVID-19 losses from closure of
casinos constitutes “direct physical loss or damage.”
– Chockataw Nation of Oklahoma v. Lexington Ins. Co. is
parallel case.
▪ Big Onion Tavern Group, LLC v. Society Insurance, Inc.
– Filed on March 27, 2020 in Illinois.
– Group of Chicago-area restaurant and theater owners
sued after insurer denied request for business interruption
coverage following Illinois’ Governor’s COVID-19
shutdown order.
Expect Litigation
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
– New Jersey bill would require policies to cover
business interruption losses even if policies
expressly exclude viruses for businesses with less
than 100 full-time employees in New Jersey.
– Ohio, Massachusetts, and New York followed New
Jersey with similar bills to cover COVID-19 losses.
– These establish funds from which insurers
complying bill can seek reimbursement for these
indemnity payments to policyholders.
– New Jersey bill on hold after insurance companies
raised legal and constitutional objections.
State Government Intervention?
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▪ Issued March 26, 2020.
▪ Opined that most policies do not cover COVID-19.
▪ Opined that retroactively rewriting policies destabilizes
industry and risks coverage for everyday losses.
APCIA Statement
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
▪ Fitch
– Rating outlook for U.S. P&C insurance and global
reinsurance remains stable
– Revised outlook for P&C insurance sector to negative
from stable due to increased concerns over COVID-19.
▪ APCIA
– COVID-19 business interruption losses for businesses
with 100 or fewer employees between $220-383 billion
per month.
– Potential for 30 million or more small business claims.
Economic Impacts
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
▪ Federal government could increase insurers’ coverage
obligations for COVID-19 business interruption losses.
▪ On March 18, 2020, U.S. House members sent letter
to four major insurance trade organizations urging
coverage of COVID-19 business interruption claims to
“help sustain America’s businesses through these
turbulent times, keep their doors open, and retain
employees on the payroll.”
▪ Expect federal and state constitutional challenges.
Federal Government Intervention?
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
▪ Today:
– Know your coverage
– Give notice
– Track your losses
– Don’t accept denial
without professional
advice
▪ Renewals:
– Expect exclusions
– Expect harder market
Parting Thoughts
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
It Pays to Be Covered™Developments and Trends in Insurance Coverage
for Commercial Policyholders
44
Visit Bradley’s insurance coverage blog at ItPaysToBeCovered.com
▪ Legal developments
▪ Industry trends
▪ Coverage for Covid-19
▪ Insurance placement and renewals
▪ Practical risk management strategies
▪ Claims management and resolution
Bradley Arant Boult Cummings LLP | bradley.com | © 2019
It Pays to Be Covered™Developments and Trends in Insurance Coverage
for Commercial Policyholders
45
Read more at ItPaysToBeCovered.com
Our recent blog posts:
Bradley Arant Boult Cummings LLP | bradley.com | © 2019
Questions?
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Bradley Arant Boult Cummings LLP | bradley.com | © 2019
Meet the Speaker
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Katherine Henry is Chair of Bradley’s
Policyholder Coverage Team. Her practice
covers every type of property and casualty
insurance policy available in the market
today, including those potentially
responsive to COVID-19 such as event
cancellation, commercial property
(including business interruption and
contingent business interruption), cyber,
commercial general liability, directors and
officers, professional liability, errors and
omissions, and others that may provide
relief to policyholders. Katherine’s practice
ranges from insurance procurement and
renewal, to claims submission and
management, to mediation, arbitration, and
litigation of insurance coverage disputes.
Bradley Arant Boult Cummings LLP | bradley.com | © 2019 48