Does COVID-19 Loss Qualify as Physical Damage in Insurance?

In the wake of the global health crisis that disrupted economies worldwide, businesses have grappled with unprecedented challenges, not least of which is securing insurance coverage for losses sustained during government-mandated shutdowns. A pivotal legal battle involving Tanger Properties Limited Partnership, a North Carolina-based operator of numerous outlet centers, has brought this issue into sharp focus. This company, with operations spanning 20 states, found itself at odds with insurers over claims related to business interruptions caused by the pandemic. The crux of the dispute lies in whether such losses, devoid of tangible property damage, fall under the umbrella of “all-risk” commercial property insurance policies. This case not only highlights the financial strain on businesses but also raises critical questions about the interpretation of insurance contracts in extraordinary circumstances, setting the stage for a broader examination of policy language and legal precedents.

Legal Battle and Policy Interpretation

Defining Physical Loss in Insurance Claims

The central contention in the lawsuit between Tanger Properties and its insurers, ACE American Insurance Company and Liberty Mutual Fire Insurance Company, revolves around the definition of “direct physical loss or damage.” Tanger asserts that government orders restricting operations at its 39 outlet centers constitute a covered loss under policies that protect against all risks of physical loss or damage to property. These mandates, which forced temporary closures, resulted in significant revenue drops, a scenario Tanger believes should trigger coverage. However, the insurers maintain that without evident physical damage to the properties themselves, the claims do not meet the necessary criteria for compensation. This disagreement mirrors a widespread debate in the insurance industry about whether loss of use due to external mandates equates to a physical loss, a question that has sparked numerous lawsuits since the onset of the crisis and continues to challenge traditional policy frameworks.

Insurers’ Stance on Coverage Exclusions

Contrasting with Tanger’s position, ACE and Liberty Mutual argue that the absence of tangible harm to the properties disqualifies the claims from coverage under the existing policy terms. Their defense hinges on a strict interpretation that physical loss must involve a material alteration to the insured property, a standard they believe Tanger has failed to meet. Additionally, the insurers point to potential exclusions within the policies that might apply to losses stemming from pandemics or government actions, further complicating the coverage landscape. This perspective reflects a broader trend among insurers to limit liability in the face of widespread claims triggered by non-physical disruptions. The outcome of this legal skirmish could influence how such exclusions are drafted and interpreted in future policies, especially as businesses and insurers alike seek clarity on managing risks associated with global crises of this nature.

State Law and Broader Implications

Impact of North Carolina Legal Precedent

A significant factor shaping the trajectory of Tanger’s case is the application of North Carolina law, as determined by a court ruling on October 27. This state stands out as one where judicial interpretations have previously favored coverage for business income losses resulting from government orders during the pandemic, particularly under all-risk policies without explicit virus exclusions. The decision to apply North Carolina law was based on Tanger’s headquarters in Greensboro and its substantial business presence in the state, providing a favorable legal backdrop for the claimant. This jurisdictional choice underscores how state-specific precedents can dramatically affect the outcome of insurance disputes, often tipping the scales in favor of policyholders in regions with more progressive interpretations of loss and damage. As such, the ruling offers a potential lifeline to Tanger, setting a benchmark that could resonate in similar cases across the country.

Wider Trends in Pandemic Litigation

Beyond the specifics of this case, the dispute illuminates a persistent tension between policyholders and insurers over the scope of coverage for pandemic-related losses. Many businesses nationwide have encountered similar denials, fueling a wave of litigation that tests the boundaries of traditional insurance frameworks. Insurers often adhere to a narrow view, insisting on explicit physical damage, while companies like Tanger advocate for recognition of operational losses caused by external mandates. This divergence has led to varied judicial outcomes, heavily influenced by policy wording and applicable state laws. The progression of Tanger’s lawsuit, especially the court’s refusal to dismiss the insurers’ motion, marks a critical juncture that could set precedents for future claims. It also highlights the urgent need for the insurance industry to adapt policy language to address non-physical disruptions, a lesson drawn from the economic upheaval of the past crisis.

Shaping Future Insurance Standards

Looking at the broader implications, the resolution of Tanger’s claims against ACE and Liberty Mutual holds the potential to redefine how business interruption claims are handled in the aftermath of widespread crises. The legal arguments, centered on breach of contract and unfair trade practices, reflect a deep frustration among businesses that felt abandoned by insurers during an unprecedented economic downturn. As the case moves forward, it is poised to influence not only the drafting of future “all-risk” policies but also the expectations of coverage in scenarios that defy conventional risk models. The insights gained from this litigation underscore the necessity for clearer definitions of loss and damage, ensuring that both insurers and policyholders can navigate future disruptions with greater certainty. Ultimately, the outcome serves as a reminder of the evolving nature of risk in a globally interconnected world, urging stakeholders to rethink and refine insurance mechanisms for the challenges that lie ahead.

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