Insurers have so far seen widespread success in arguing that COVID did not result in physical damage to premises, though there have been outliers that have threatened to upset the balance.
Read more: Insurers are winning most COVID-19 business interruption lawsuits
In July, a Louisiana appeal court reversed a trial court judgment in favor of restaurant operator Oceana Grill, which is pursuing certain underwriters at Lloydâs for BI losses.
The appeals court went so far as to set out that the trial court had âcommitted legal errorâ and had âabused its discretionâ in denying a declaratory judgment.
âFor the foregoing reasons, we reverse the judgment of the trial court and hold that coverage exists for loss or damage caused by âdirect physical loss of or damage toâ the appellantsâ insured premises as a result of contamination by COVID-19,â the appellate court set out.
Also in July, Marina Pacific Hotel Suites saw some success in its case against Firemanâs Fund by arguing that COVID could physically bond with and alter surfaces it touched. The California Second District Court reversed a demurrer, finding that the claimants had âunquestionably pleaded direct physical loss or damage to covered propertyâ.Â
These are not the only cases where the courts have gone against the grain, but some earlier âbrushfiresâ â as William Stewart, attorney and shareholder at Stewart Smith described them â have already been put out.
âWhat initially occurred is there were several cases, sort of like sort of popcorn popping,â Stewart said.
âYou hear that one pop, and then another pop, and then all sudden you hear pop, pop, pop, pop, pop âthatâs sort of what was happening with these decisions, and they were all going the insurersâ way.â
At times, cases in North Carolina, Virginia, Missouri, and Illinois looked like they were moving in policyholdersâ favor. However, according to Stewart, âthese brushfires were sort of quickly extinguished, when either the appellate courts or a large majority of other courts within that same jurisdiction went along with what was quickly becoming the overwhelming majority view that this was not direct physical loss or damage.â
âAs it stands now, the first and most dangerous wave of all this seems to be passing,â Stewart said.
Stewartâs firm has represented insurers in multiple cases â he estimated in the âdozensâ. Earlier this week, it saw success in Pennsylvania, where the First District court ruled that a virus exclusion was âunambiguousâ in the case of V&S Elmwood Lanes v Everest National Insurance.
US businesses could have lost out on $606 billion in revenue per month under strict COVID confinement measures, according to estimates by the OECD. This is equivalent to 85% of US total annual property and casualty (P&C) net premiums written in 2021 ($715.9 billion according to the Insurance Information Institute).
The worst affected businesses have been those in the service industry and where a physical presence is required, for example in construction.
At the time of writing, the University of Pennsylvania had tracked 751 COVID BI court cases brought by businesses in the food and services industry. A further 253 were filed by ambulatory health care services, while 153 came from the accommodation industry.
Plaintiffs are typically seeking sums in the hundreds of thousands of dollars or above, according to Stewart.
âMost of the cases weâve seen are in the high six figures up and that goes all the way up [to] cases where insureds are seeking a quarter of a billion dollars,â Stewart said.
â[You have to] accept the proposition that these cases were a long shot to begin with from the policyholdersâ perspective,â Stewart explained.
âIt would have to be a pretty high value case for them to decide itâs worth pursuing, so that weeds out a lot of the truly smaller cases.â
Read more: A plaintiff attorneyâs view on COVID-19 business interruption claims
When the virus hit and shutdown measures were imposed, the insurance industry faced up to an âexistential crisisâ not seen since the asbestos crunch, Stewart said.
While the situation has largely played out in insurersâ favor thus far, causes for concern may remain for some.
âThe cases that are left are, to a large degree, cases involving large insureds who had policies that have special conditions,â Stewart said.
âThese other policies that have potentially different conditions will have to be litigated separately in earnest on their own merits.â