The insureds brought a lawsuit against the insurer following its denial of coverage for losses incurred when the insured was unable to conduct business during a mandatory evacuation. This case is Dickie Brennan & Company v. Lexington Insurance Company, 636 F.3d 683 (2011).
As Hurricane Gustav approached Louisiana in 2008, the mayor of New Orleans issued a mandatory evacuation order. This was based on the government's anticipation of high lake and marsh tides due to a tidal surge combined with the possibility of intense thunderstorms, hurricane force winds, and widespread severe flooding. The Brennans operated New Orleans restaurants that were insured by Lexington during the evacuation. The policy provided coverage for "the actual loss of business income you sustain and necessary extra expense caused by action of civil authority that prohibits access to the described premises due to direct physical loss of or damage to property, other than at the described premises, caused by any covered cause of loss".
The insured, reasoning that the damage Hurricane Gustav caused in the Caribbean area qualified as "damage to property, other than at the described premises", applied for coverage. The insurer denied the claim and the Brennans filed a lawsuit. The district court dismissed the lawsuit and this appeal followed.
The Fifth Circuit Court of Appeals, applying Louisiana law to the interpretation of the policy, stated that, in order to prove coverage under the civil authority provision, the insured must establish a loss of business income: caused by an action of civil authority; the action must prohibit access to the described premises of the insured; and the action must be caused by direct physical loss of or damage to property other than at the described premises. The area of dispute between the insured and the insurer was whether the mandatory evacuation order fulfilled the third element.
Brennans argued that the damage to the Caribbean area fulfilled that element. Lexington countered that the policy requires a causal link between the prior damage and the civil authority action and that the damage must be near the insured premises to satisfy that third element. The court said that nothing in the record shows that the issuance of the evacuation order was due to physical damage to property, either distant property in the Caribbean or property in Louisiana. Therefore, the court said, it found no nexus between any prior property damage and the evacuation order.
The court said that the "due to" language in the Lexington policy requires a close causal link by its plain terms. The civil authority order in this instance was based on fears of future damage, not on prior physical damage and so, there is no necessary causal link between prior property damage and the civil authority order. The ruling of the district court was affirmed.
Editor's Note: The court noted the general rule is that civil authority coverage is intended to apply to situations where access to an insured's property is prevented or prohibited by an order of civil authority issued as a direct result of physical damage to other premises IN THE PROXIMITY OF the insured's property. But, it based its ruling here mainly on the point that the mandatory evacuation order was issued because of the government's fear of possible future damage; the order was not issued due to any direct physical damage to property, and this is what the policy language required.
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