Among the most valuable educational tools you can have are court case decisions. I subscribe to 4-5 attorney email newsletters that highlight important cases from around the country. One such newsletter is published as a daily blog by the Merlin Law Group which is a plaintiff’s law firm but I find that most of the time their posts are reasonably even-handed and they publish court decision that are held both for and against insureds. Recently, they blogged about a Katrina claim involving windstorm damage at a golf course:

Golf Course Business Interruption Claims

The case is:

Ormond Country Club v. James River Ins. Co., No. CIV.A. 06-11376, 2008 WL 859482 (E.D. La. Mar. 27, 2008)

One problem with reviewing decisions like this is that we do not have a copy of the Declarations page nor a full copy of the policy forms in question. Assuming ISO language (which the cited form language includes), business income coverage hinges on “direct physical loss of or damage to property at premises which are described in the Declarations and for which a Business Limit of insurance is shown in the Declarations.”

If the premises on the Declarations page consists of an address and that address is legally associated with the entire property, then it probably follows that the golf course is included as part of the premises. In addition, a business income limit was indicated…normally such a limit is not restricted to a particular building or type of property. If this is the case, then all that is needed to trigger coverage is (1) direct physical loss at the premises to (2) property by (3) a covered peril. Presumably windstorm is a covered peril for business income coverage.

The court seems to confuse “Covered Property,” a defined term, with the undefined term “property” that is in the insuring agreement for business income coverage. Using ISO forms as the model, the coverage form for direct damage to Covered Property (e.g., ISO CP 00 10) is a separate insurance contract from the business income coverage form (e.g., ISO CP 00 30). The business income form only requires direct damage by a covered peril to “property,” not necessarily “Covered Property.”

To illustrate, I’ve been involved in two golf course claims (this article requires a login). In one, the golf course was shut down for several months due to windstorm damage to huge trees all over the golf course. Trees are “property” and damage to them by the covered peril of windstorm was sufficient to trigger business income coverage. It did not matter that trees were listed as Property Not Covered with a limited Coverage Extension for a handful of perils, none of which included windstorm. The policy provisions in the CP 00 10 Building and Personal Property Coverage Form had no bearing on the coverage provided by the CP 00 30 Business Income With Extra Expense form.

In the other claim, the golf course was shut down due to damage to the greens caused by high temperatures and dryness. The insurer cited exclusions for this in the policy, but the exclusions cited only applied to direct damage to personal property, not nonexcluded damage to real property under the business income form. Even though the green were not Covered Property under the property form, that language had no bearing on the business income form which contained its own insuring agreement.

So, without examining the Declarations page and policy forms in their entirety, it’s impossible to say for sure if this decision was incorrect. But it does seem clear that the court likely misunderstands that the business income coverage applies to damage to any kind of property whether it’s Covered Property or not. In addition, the cases cited by the court appear to have no real bearing on the governing issues of this case.

RTFP!

Photo by jeremySO

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Bill Wilson

Founder at InsuranceCommentary.com
One of the premier insurance educators in America on form, coverage, and technical issues; Founder and director of the Big “I” Virtual University; Retired Assoc. VP of Education and Research from Independent Insurance Agents & Brokers of America. Reprint Request Information