February 11, 2019 A few weeks ago the US Court of Appeals for the Second Circuit delivered a decision that suggested that there is insurance coverage for an insured's loss caused by a storm surge due to Superstorm Sandy. The case is Madelaine Chocolate Novelties, Inc. v. Great N. Ins. Co., No. 17-3396-cv, 2018 U.S. App. LEXIS 29821 (2d Cir. Oct. 21, 2018).
When Superstorm Sandy hit the eastern United States in October of 2012, hundreds of thousands of businesses suffered significant damage to their premises due to the storm surges. Madelaine Chocolate Novelties Inc. (Madelaine Chocolate) was one of those businesses. Madelaine Chocolate held an “all-risks” policy from Great Northern Insurance Company (Great Northern). Madelaine Chocolate filed timely proof of loss for property damage that amounted to approximately $40 million, plus business income losses and extra operational expenses of $13.5 million. Using the flood exclusion in the policy as its reasoning, Great Northern refused to pay the majority of the amount that Madelaine Chocolates claimed. The policy in place provided that “windstorm” is a covered peril, and the windstorm endorsement had an anti-causation concurrent clause which provided that “windstorm means: wind. . . regardless of any other cause or event that directly or indirectly: contributes concurrently to; or contributed in any sequence to, the loss or damage. . .
Madelaine Chocolate argued that the anti-concurrent causation clause in the policy's windstorm endorsement should be interpreted to encompass losses caused by a storm surge, which is classified as a wind peril.
Madelaine Chocolate sued Great Northern. The court granted summary judgment to Great Northern, reasoning that the flood exclusion excluded storm surge damage from coverage under the policy unambiguously.
Madelaine Chocolate appealed this decision to the Second Circuit.
The Second Circuit found that the cases the district court relied upon to make its decision did not apply to this case because those cases “did not involve endorsements that explicitly added to the definition of a covered peril.” The policy in the Madelaine Chocolate case contained the windstorm endorsement that added an anti-concurrent causation clause to the definition of a covered peril for the entire policy, which broadened the coverage.
The circuit ruled that the district court, on remand, should assess whether the windstorm endorsement's anti-concurrent causation clause conflicted with, or otherwise created an ambiguity next to the policies flood exclusion. The court stated the district court could consider allowing discovery into interpretive materials relating to the windstorm endorsement and its relationship with the policies coverage provisions.
The circuit court concluded that the district court should “continue to be mindful of well-established precedents requiring exclusions to be set out” in “clear and unmistakable language” and to be accorded a “strict and narrow construction.”
Editors Note: Although the policy initially excluded flood damage, because Madelaine Chocolate had the windstorm endorsement on the policy, and the windstorm endorsement contained the anti-concurrent causation clause that provided coverage for wind “regardless of any other cause or event that directly or indirectly contributes concurrently or in any sequence to the loss or damage.” Flood would not normally be covered under a policy, but the decision of the second circuit seems to indicate that in this case a flood caused by a storm surge could be covered.
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