IMPORTANCE In an effort to reduce the spread of COVID-19, many states and municipalities across the U.S. undertook
various actions which resulted in businesses limiting or ceasing operations. While initial evidence suggests that these
measures may have had the intended effect of slowing the spread of the virus, they also had a significant negative
impact on the net income of firms across a wide-array of industries. Whether or not business interruption insurance
should cover losses attributed to pandemics is being debated and legislative responses have been proposed, some of
which would require involuntary coverage on a retroactive basis. Industry trade associations estimate that the outcome
of these discussions and proposals could cost property-casualty insurers hundreds of billions of dollars.
OBJECTIVES Our study provides a discussion of the impact of COVID-19 on business interruption losses in the U.S. as
well as an overview of the commonly relied upon ISO Business Income and Extra Expense (BIEE) insurance policy. We
offer an analysis of the language contained in the unendorsed BIEE and summarize the arguments as to why business
interruption insurance should or should not cover pandemic-related losses. Finally, we provide an overview of proposed
approaches to address business interruption losses attributed to current and future pandemics.
EVIDENCE Although COVID-19 losses generally appear to be excluded from coverage, either by way of language that is
present in the policy or through endorsements, some ambiguity exists as to whether the presence of the virus
constitutes physical damage to or alteration of the property and whether coverage for losses due to civil authority
should apply.
FIN
DINGS Business interruption losses due to COVID-19 are estimated to potentially exceed $300 billion per month for
small businesses. Many business owners have sought coverage for declines in net income through their business
interruption insurance policies. In response, carriers and industry groups have stated that pandemic losses are not
intended to be covered under the business interruption insurance policy and that the policies do not include, or even
specifically exclude, pandemic coverage. Some businesses have responded by initiating lawsuits against their insurers.
In addition to these private actions, both state and federal governments have proposed legislation regarding indemnity
for businesses impacted by pandemic losses. Several states proposed legislation to apply retroactive coverage for
COVID-19 business interruption losses, although in some cases the legislation has already been withdrawn. Additionally,
there has been a proposal for the federal government to provide a coverage backstop for catastrophic pandemic losses
similar to the Terrorism Risk Insurance Act while some have proposed that only the public sector is capable of covering
pandemic-related losses.
C
O
NCLUSION & RELEVANCE Whether or not insurance will cover COVID-19 losses remains an open question and the
answer to that question will ultimately have significant consequences for insurers as well as business owners. It is expected
that even if insurers are successful in arguing that coverage does not exist for these losses, there will likely be significant
legal expenses involved in defending denial-of-coverage and bad-faith lawsuits brought by policyholders while
impending legislation will alter the insurance landscape as it relates to pandemics. We believe that regardless of the
outcome, carriers as well as the ISO are likely to modify their business interruption policies and future demand for this
coverage could be affected.
1 Chiglinsky, K., 2020, “Insurers Worry Virus-Linked Costs May Reach $383 Billion a Month”, Bloomberg, accessed online at
https://www.bloomberg.com/news/articles/2020-03-30/insurers-worry-virus-linked-costs-may-reach-383-billion-a-month.
BUSINESS INTERRUPTION INSURANCE AND
COVID-19: COVERAGE
ISSUES AND PUBLIC
POLICY IMPLICATIONS
JILL M. BISCO, PH.D. | STEPHEN G. FIER, PH.D. | DAVID M. POOSER, PH.D.
Journal of Insurance Regulation, 2020 V. 1
Journal of Insurance Regulation
Cassandra Cole and Kathleen McCullough
Co-Editors
Vol. 39, No. 5
Business Interruption Insurance
and COVID-19: Coverage and Issues
and Public Policy Implications
Jill M. Bisco, Ph.D.
Stephen G. Fier, Ph.D.
David M. Pooser, Ph.D.
JIR-ZA-39-05
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Co-Editors Case Law Review Editor
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Editorial Review Board
Cassandra Cole
Florida State University
Tallahassee, FL
Lee Covington
Insured Retirement Institute
Arlington, VA
Brenda Cude
University of Georgia
Athens, GA
Jeffrey Czajkowski
Director, NAIC Center for
Insurance Policy
& Research
Kansas City, MO
Robert Detlefsen
National Association
of Mutual Insurance
Companies
Indianapolis, IN
Bruce Ferguson
American Council of Life
Insurers
Washington, DC
Stephen Fier
University of Mississippi
University, MS
Kevin Fitzgerald
Foley & Lardner
Milwaukee, WI
Robert Hoyt
University of Georgia
Athens, GA
Alessandro Iuppa
Zurich North America
Washington, DC
Steven I. Jackson
American Academy of
Actuaries
Washington, DC
Robert Klein
Georgia State University
Atlanta, GA
J. Tyler Leverty
University of Wisconsin-
Madison
Madison, WI
Andre Liebenberg
University of Mississippi
Oxford, MS
David Marlett
Appalachian State
University
Boone, NC
Kathleen McCullough
Florida State University
Tallahassee, FL
Charles Nyce
Florida State University
Tallahassee, FL
Mike Pickens
The Goldwater Taplin
Group
Little Rock, AR
David Sommer
St. Mary’s University
San Antonio, TX
Sharon Tennyson
Cornell University
Ithaca, NY
Charles C. Yang
Florida Atlantic University
Boca Raton, FL
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* Assistant Professor of Finance, University of Akron; 330-972-5436; [email protected].
** Associate Professor of Finance, University of Mississippi; 662-205-0767;
*** Associate Professor of Risk Management and Insurance, St. John’s University; 212-284-7010;
© 2020 National Association of Insurance Commissioners
Business Interruption
Insurance and COVID-19:
Coverage and Issues
and Public Policy
Implications
Jill M. Bisco, Ph.D.*
Stephen G. Fier, Ph.D.**
David M. Pooser, Ph.D.***
Abstract
In an effort to slow the spread of the novel coronavirus (COVID-19) and to
lessen its impact on human health and safety in the U.S., many states and
municipalities required “non-essential” businesses to cease or limit their operations.
These actions had a significant negative impact on the income of firms across many
industries, and some businesses are seeking payment for their losses from their
business interruption insurance policies. Insurers and insurance industry trade
associations claim that these policies were not designed or intended to cover
pandemic losses and that policy features preclude coverage for COVID-19 losses.
However, some businesses, attorneys and government officials disagree with this
stance and contend that insurers should pay COVID-19 business interruption losses,
either voluntarily or involuntarily. In this paper, we discuss provisions contained in
the commonly used Insurance Services Office (ISO) business income insurance
policy, the different ways in which courts have interpreted the policy’s language,
and how these interpretations can affect whether COVID-19 losses are ultimately
covered. We further discuss the response of government officials, the insurance
industry and policyholders to the issue of coverage, as well as proposed actions that
Journal of Insurance Regulation
© 2020 National Association of Insurance Commissioners
may result in the payment of claims stemming from both COVID-19 and future
pandemic-related losses.
Introduction
On Dec. 31, 2019, the Chinese government reported a cluster of pneumonia
cases in Wuhan, China. Days later, it was determined that these cases were the result
of a new virus named SARS-CoV-2 (also referred to as the novel coronavirus or the
COVID-19 virus). This new virus began to spread to countries around the world,
infecting more than 7 million individuals in at least 177 countries and resulting in
more than 400,000 deaths as of early June 2020 (Calfas, 2020). As the virus spread,
it began to take hold in the U.S., where the first reported case appeared Jan. 21, 2020
(Taylor, 2020), with some estimating potential U.S. deaths in the thousands or even
millions (Fink, 2020). In an effort to reduce the spread of the virus, cities and states
across the U.S. put shelter-in-place orders into effect, closing or limiting the
operations of public and private businesses and locations.
1
The goal of these orders
was to reduce the number of individuals in groups or gatherings, thereby reducing
individuals’ exposure to the virus. As of April 9, 2020, only eight states did not have
shelter-in-place mandates in effect (Ortiz and Hauck, 2020). While the objective of
these orders was to limit the spread of the virus and reduce associated deaths, they
also had severe economic ramifications, as “non-essential” businesses were forced
to close and others were forced to limit the hours or extent of their operations.
2
A survey by MetLife and the U.S. Chamber of Commerce dated April 3, 2020,
reported that 25% of small businesses had temporarily shut down during the
pandemic, while 40% of those that had not shut down anticipated doing so
temporarily within two weeks of the survey being taken (MetLife, 2020a).
A May 5, 2020, update to the survey found that 29% of small businesses had
temporarily closed during the prior two-week period and that 22% believed they
were less than two months from permanent closure (MetLife, 2020b). Furthermore,
the April survey found that nearly 50% of small businesses expected it would take
anywhere from six months to one year before the U.S. economy recovered from the
shutdowns.
3
These orders resulted in many businesses experiencing dramatic
declines in net income, potentially leading to the generation of limited to no income
during the pandemic.
1. Some states also referred to these orders as “stay-at-home” orders. We use the term
“shelter-in-place” in this article to refer to both.
2. States and municipalities defined the terms “essential” and “non-essential” in different
ways, with some states describing most businesses as “non-essential” while others defined
“essential” in a much more liberal way.
3. Another April 2020 survey conducted by Facebook and the Small Business Roundtable
found that 31% of small businesses stopped operating and that more than 10% were facing
permanent closure due to the coronavirus. Additionally, many businesses report operating on a
reduced basis due to social distancing mandates, cessation of in-person activities and shutdowns in
related areas of the economy (Frier and Cheng, 2020).
2
Business Interruption Insurance and COVID-19
© 2020 National Association of Insurance Commissioners
Once cities and states in the U.S. began implementing shelter-in-place orders,
business owners and public policymakers began to question whether the loss of
income resulting from the COVID-19 shutdown should be covered under the
business interruption coverage forms that are commonly used in the U.S. As detailed
below, insurers have asserted that the policies were never intended to cover
pandemic claims and point to exclusionary language found in both the unendorsed
policies and policy endorsements, while policyholders and their attorneys have
begun filing suits against their insurers over what they argue is inclusive policy
language or ambiguities in an attempt to recoup some of their financial losses.
The purpose of this article is to provide an overview of some of the major issues
surrounding business interruption insurance and the COVID-19 pandemic, possible
coverages available and limitations under standard business income insurance
coverage forms, and the ways in which lawmakers at the state and federal levels, as
well as insurers, have proposed addressing these problems.
Issues Surrounding COVID-19
As shelter-in-place orders were mandated by state and local governments, and
with guidelines or requirements to engage in “social distancing,” businesses across
the country were required to close or change their business practices or distribution
structure.
4
In many states, non-essential businesses (e.g., beauty parlors, nail salons
and tattoo parlors) were ordered closed by governmental or regulatory bodies
(e.g., Alcorn, 2020), and other businesses, such as restaurants, were ordered to serve
their product either curbside or by delivery only.
5
Some businesses, such as grocery
stores, were permitted to continue normal operations but were encouraged or
ordered to limit the number of individuals permitted in the store at any given time
(e.g., Butler, 2020; Muccigrosso, 2020). These restrictions have had a significant
impact on the revenue and profits of many industries. According to
David A. Sampson, president and CEO of the American Property Casualty
Insurance Association (APCIA), the loss of business income for small enterprises
could be $220 billion to $383 billion per month.
6
It is possible that there are as many
as 30 million potential business interruption claims from small businesses that
suffered losses as a result of COVID-19 (Simpson, 2020a). Given the economic
significance of the lost income related to the COVID-19 pandemic, policyholders
4. The U.S. Centers for Disease Control and Prevention (CDC) (2020a) defines social
distancing as “keeping space between oneself and others outside the home.” The CDC
recommendation is to maintain a distance of at least 6 feet between any two individuals, avoid
group gatherings and avoid crowded locations.
5. Essential businesses typically include grocery stores, health care providers, pharmacies and
banks, as well as other entities deemed necessary by local or state governments (Snider, 2020).
6. An April 15, 2020, report by the U.S. Department of Commerce highlights that U.S. retail
trade sales were down 6.2% and clothing store sales were down 50.7% in March 2020 from
March 2019, while food and beverage sales were up by 28.0% (U.S. Census Bureau, 2020).
3
Journal of Insurance Regulation
© 2020 National Association of Insurance Commissioners
are looking for ways to cover such losses. While the U.S. government committed
to a $2 trillion economic relief plan (Shabad and Edelman, 2020), many businesses
are seeking payment for lost income under their business interruption
insurance policies.
7
For many states, the response to COVID-19 has shifted from slowing the spread
of the virus to a focus on economic reopening and recovery. Some of the first states
to reverse shelter-in-place mandates and reduce restrictions in March 2020 included
Georgia, South Carolina and Oklahoma.
8
As of early June 2020, all states and
U.S. territories had eased restrictions that were put in place (Elassar, 2020). It is
unclear how reopening will impact the spread of COVID-19; however, it is evident
that it will ease some of the economic impact placed on businesses during the
shutdown: unemployment figures improved significantly in May relative to the prior
two months’ job numbers and there is some evidence that many consumers wish to
resume at least some of their pre-pandemic activities (Mitchell, 2020).
Business Interruption Insurance
When businesses face a slowdown or cessation of business operations, the
financial losses associated with a reduction in net income are often addressed
through the use of a business interruption insurance policy.
9
These policies are
intended to cover instances where a covered loss leads to a decline in revenue, an
increase in expenses, or both. Insurers are not required to report financial data for
business interruption insurance on a separate line-item basis in their statutory filings,
which creates challenges in fully understanding the U.S. business interruption
insurance market.
10
While limited information regarding the market is available,
Cohn, Barlyn and Hussain (2020) report that McKinsey & Company estimate global
business interruption insurance premiums at roughly $40 billion. In the U.S.,
commercial property insurance premiums (which include business interruption
insurance) totaled approximately $4.5 billion on a monthly basis in 2019
(APCIA, 2020).
11
Although data are limited, a recent survey conducted by the
7. For example, The Council for Insurance Agents and Brokers (CIAB) found that 75% of
respondents experienced an increase in business interruption claims in the first quarter of 2020.
8. South Carolina reduced restrictions for furniture, clothing, department and sporting goods
stores (Smith et al., 2020), while Oklahoma allowed personal care businesses, restaurants, dining
rooms, movie theaters, sporting venues and gyms to reopen (Elassar, 2020). Georgia began
allowing gyms, bowling alleys, nail salons, movie theaters and restaurants to reopen
(Solomon, 2020).
9. Risk managers commonly identify business interruption as one of the most significant risks
their businesses face (e.g., Aon, 2019; Allianz, 2020)
10. Partly to address this issue, on May 11, 2020, the NAIC issued a business interruption
data call requiring insurers to disclose business interruption premium, claim and loss data
(NAIC, 2020a)
11. It is estimated that premium volume for business interruption insurance in 2020 will
decline by 7% to 13% in the U.S. and the U.K. (Hartwig, 2020).
4
Business Interruption Insurance and COVID-19
© 2020 National Association of Insurance Commissioners
Washington State Office of the Insurance Commissioner found that, as of
March 15, 2020, “more than 194,000 commercial policies had at least one type of
business interruption or civil authority coverage in effect” and estimated premiums
for these policies were $437 million (Sams, 2020a).
12
To put this value into
perspective, total commercial property (non-liability) insurance premiums in
Washington in 2018 were more than $523.2 million and total direct premiums
written for all property/casualty (P/C) business were approximately $12.85 billion
(NAIC, 2019).
13,14
In terms of pricing trends, as illustrated in Figure 1, quarterly reports issued by
The Council of Insurance Agents & Brokers (CIAB) suggest an upward trend in
business interruption insurance rate changes from the third quarter of 2017 to the
first quarter of 2020, where the average rate increase in 2020 was 6.70%
(CIAB, 2020).
15
While the average rate change was 6.7%, the CIAB reports
significant variation in the first quarter of 2020, with a high of a 28.8% rate increase
and minimum of a 4.5% rate decrease. For comparative purposes, the CIAB reports
that, on average, premiums increased by 12% for commercial property insurance,
9.6% for commercial auto insurance and 17.3% for umbrella coverage in the first
quarter of 2020.
Figure 1
Business Interruption Insurance Rate Changes, Q1 2009 to Q1 2020
Values reported on the y-axis represent business interruption insurance percentage rate changes.
Data used for the construction of this figure were obtained from quarterly surveys conducted by
The Council of Insurance Agents & Brokers (CIAB), which are available at
https://www.ciab.com/market-intel/pc-market-index-survey/historical-pc-market-index-surveys.
12. To our knowledge, this level of information is currently only publicly available for the
state of Washington.
13. As noted previously, premiums for business interruption insurance are not separately
reported by insurers and thus cannot be separated from the reported values.
14. Direct premiums written in Washington account for less than 2% of total premiums
reported by U.S. P/C insurers (NAIC, 2019).
15. Survey respondents are broker members of the CIAB.
5
Journal of Insurance Regulation
© 2020 National Association of Insurance Commissioners
Although relatively little is known about the size of the business interruption
insurance market or the primary writers of this line of business in the U.S., some
evidence exists regarding the demand for this important line of business. A survey
conducted by Nationwide in 2017 found that only 29% of small business owners
that were surveyed had business interruption insurance (Nationwide, 2017). This is
particularly significant as the U.S. Small Business Association’s (SBA) Office of
Advocacy reports that 99.99% of all business in the U.S. are “small businesses”
(SBA, 2019) and that small businesses “account for almost 44 percent of
U.S. economic activity” (SBA, 2018).
16
While not used by all businesses, Wilson (2020) states that the ISO Business
Income (and Extra Expense) (BIEE) Coverage Form (CP 00 30 10 12) is “probably
the most common business income coverage policy found in the insurance
marketplace.”
17
The business income insuring agreement located in the unendorsed
BIEE states the following:
“We will pay for the actual loss of Business Income you sustain
due to the necessary ‘suspension’ of your ‘operations’ during the
“period of restoration”. The ‘suspension’ must be caused by direct
physical loss of or damage to property at premises which are
described in the Declarations and for which a Business Income
Limit of Insurance is shown in the Declarations. The loss
or damage must be caused by or result from a Covered Cause
of Loss.”
In addition to providing coverage for loss of income, the BIEE can also cover
additional expenses that are incurred in order to continue operations following the
occurrence of a covered loss. Furthermore, coverage is also available for instances
where net income declines due to civil authorities’ prohibiting access to the
insured’s premises as a result of a covered loss at property not owned or used by the
insured. However, as we discuss below, differing interpretations of key terms found
in the BIEE result in significant disagreement as to whether the policy should in fact
cover business interruption claims stemming from the COVID-19 pandemic.
16. The SBA’s Office of Advocacy defines a business as “small” if it has fewer than
500 employees (SBA, 2019), while the Nationwide survey classifies a business as “small” if it has
fewer than 300 employees.
17. It should be noted that not all insurers use the ISO form discussed in this article and some
have their own coverage forms that may offer broader or more restrictive coverage. Furthermore,
smaller businesses frequently use the ISO Business Owners Policy (BOP), which contains
coverage for property damage, liability and business interruption.
6
Business Interruption Insurance and COVID-19
© 2020 National Association of Insurance Commissioners
Interpretation of the Business Income
Insurance Policy
Insurers have consistently asserted that business interruption claims stemming
from COVID-19 were never intended to be covered under the business income
policy, while policyholders and their attorneys argue that the language in the policy
provides coverage.
18
In this section, we discuss the various provisions of the BIEE
policy that have created questions regarding coverages and exclusions.
These include whether the suspension of operations
19
is the result of direct physical
loss or damage to property, whether the loss is in fact a covered loss, whether
COVID-19 should fall under the definition of “pollutants” and, finally, whether the
additional civil authority coverage should apply.
At the time of this writing, the insurance industry has asserted that the BIEE
coverage does not apply to COVID-19 related losses because the slowdown or
cessation of business operations has not been the result of direct physical loss, is not
a covered loss and may even be excluded under the policy. Each of these issues are
discussed below. The NAIC has further stated that “Business interruption policies
were generally not designed or priced to provide coverage against communicable
diseases, such as COVID-19, and therefore include exclusions for that risk”
(NAIC, 2020b).
Direct Physical Loss or Damage to Property
One of the points that is frequently made by insurers is that the BIEE insuring
agreement requires that a suspension of operations must be the result of “direct
physical loss” or “damage to property at premises.” The policy does not provide a
definition for the term “direct physical loss,” nor is there a further discussion
regarding what is meant by “damage to property at premises.” This is potentially
problematic for insurers, as it is often argued that when ambiguities in language
exist in a policy, the court should find in favor of the insured.
20
While the term
18. This appears to be a longstanding stance that has been held by the industry. For example,
in 2006, the director of inland marine for the AAIS stated that “Property policies were never
intended to be a source of recovery for losses arising from organisms that cause disease” (Insurance
Journal, 2006). Additionally, even before U.S. business closures due to COVID-19, a Wall Street
Journal article discussed the common exclusion of epidemics by business interruption policies
following the 2002 SARS outbreak (Yang, 2020).
19. The unendorsed BIEE defines suspension as “a. The slowdown or cessation of your
business activities; or b. That a part of all of the described premises is rendered untenantable, if
coverage for Business Income Including ‘Rental Value’ or ‘Rental Value’ applies.”
20. As noted by Henry (2017), “One common alternative to traditional contract law is strict
contra proferentem, which interprets ambiguous terms against the drafter without reviewing
extrinsic or parol evidence.” However, the author also notes that an alternative to contra
proferentem is the use of the reasonable expectations doctrine, in which the policy’s language is
interpreted using the “reasonable person standard.”
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Journal of Insurance Regulation
© 2020 National Association of Insurance Commissioners
“physical damage” is not defined in the policy, many courts have interpreted the
term to mean a “distinct, demonstrable, physical alteration of the property”
(Plitt, 2013). Using this definition of “physical damage,” it would appear that the
BIEE should not cover virus-related losses, as the loss did not result in the “physical
alteration of the property.”
While some courts have argued that physical alteration of the property is
necessary to show physical damage occurred, others have begun to use more liberal
interpretations of physical damage to include loss of use (Plitt, 2013). For instance,
in the case of Gregory Packaging, Inc. (GPI) v. Travelers Property Casualty
Company of America, a New Jersey court determined that the release of ammonia
in a GPI facility in 2010 still constituted “direct physical loss of or damage to” the
property. Gregory Packaging argued that the release of the ammonia “physically
incapacitated its facility,” that government authorities prohibited access to the
facility, and that no one could enter the facility following the release (Gregory
Packaging, Inc. v. Travelers Property Casualty Company of America, 2014).
While this interpretation may seem inconsistent with the commonly accepted
definition requiring “distinct, demonstrable, physical alteration of the property,” in
the case of Port Authority of New York and New Jersey v. Affiliated FM Insurance
Company (2001), the court stated that “To be sure, there are circumstances in which
the actual release of asbestos from building materials can constitute physical
damage or loss. When this has been the case, however, the courts have described
the level of asbestos release that will constitute physical damage in terms requiring
the magnitude and extent of asbestos release to be relatively substantial.”
However, in the case of COVID-19, the issue is further complicated by the fact
that the CDC has stated that the virus can be spread both person-to-person and with
“contact with contaminated surfaces or objects” (CDC, 2020b). That the virus can
be spread by way of contact with property may support the argument that the loss is
attributed to physical damage to property. Using the interpretation offered by
Gregory Packaging, Inc. v. Travelers Property Casualty Company of America, one
could argue that business interruption claims should be covered even though
alteration to the property did not occur.
21
Insurers and courts may also consider that
some governmental orders to shut down businesses “have specifically cited property
damage from COVID-19” (Congressional Research Service, 2020).
Covered Causes of Loss and Exclusions
The unendorsed BIEE business income insuring agreement states that coverage
applies when the loss is due to a “Covered Cause of Loss.” The term “Covered
Cause of Loss” is linked to the cause of loss form that applies to the policy, which
may either be a named perils form (i.e., the “Basic” and “Broad” forms) or an open
perils form (i.e., the “Special” form).
22
The named perils forms specifically list the
21. An issue related to the COVID-19 is that many business interruption losses are the result
of preemptive measures to avoid contamination and spread of the virus, rather than an actual
outbreak or contamination of the insured virus. Unlike cases with ammonia or asbestos
contamination, it may be impossible to determine if the virus was present within a business
(Lalor, 2020).
22. Open peril forms are sometimes referred to as “all risks” coverage.
8
Business Interruption Insurance and COVID-19
© 2020 National Association of Insurance Commissioners
perils that are covered, while the opens peril cause of loss forms are often interpreted
to cover perils that are not explicitly excluded in the form. Neither the Basic nor
Broad cause of loss forms list communicable diseases or “bacteria” as covered
causes of loss and both include exclusions related to “Fungus,” “Wet Rot,”
“Dry Rot” and “Bacteria.” While the term Fungus” is defined in the policy, the
term “bacteria” is not. A similar exclusion is also found in the ISO Special Cause of
Loss Form (CP 10 30 10 12), which would seem to eliminate coverage in the event
that the term “bacteria” were to include a virus. However, while the policy does
provide an exclusion for “bacteria,” it does not explicitly include exclusions related
to viruses, communicable diseases or pandemics. The lack of an explicit exclusion
in the unendorsed BIEE and cause of loss forms may then arguably afford a
policyholder with coverage.
23
Issues also arise as to whether a virus should be interpreted as a “pollutant.”
This is of importance, as the unendorsed BIEE does include some language
addressing “pollutants.” In particular, the policy states that the period of restoration:
“does not include any increased period required due to the
enforcement of or compliance with any ordinance or law
that…[r]equires any insured or others to test for, monitor, clean
up, remove, contain, treat, detoxify or neutralize, or in any way
responds to or assesses the effects of ‘pollutants.’”
While the number of definitions found in the unendorsed BIEE is fairly limited
relative to many commercial insurance policies, the term “pollutants” is defined in
the policy. The policy defines “pollutants” as:
“any solid, liquid, gaseous or thermal irritant or contaminant,
including smoke, vapor, soot, fumes, acids, alkalis, chemicals and
waste. Waste includes materials to be recycled, reconditions
or reclaimed.”
Similar to the issue of “direct physical damage,” some courts have ruled that a
virus may not be a pollutant and may thus be covered. Boggs (2020) argues that the
term “contaminant” includes a virus, resulting in the exclusion of these losses.
However, as noted by Kroeger and Park (2020), some courts have found that viruses
are not pollutants, so this is an issue that will likely be resolved in the courts.
Although debate exists regarding whether an exclusion will allow insurers to
avoid coverage or if any coverage resides in the unendorsed forms, an endorsement
23. While this is commonly the case, Berry (2020) notes that requiring interpretation of policy
language does not necessarily mean an ambiguity exists. This is illustrated in the case of
Blue Shield of Florida, Inc. v. Woodlief (1978), in which the court stated, “ambiguity is not
invariably present when analysis is necessary to interpret the policy.”
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does exist which explicitly excludes losses due to virus or bacteria.
24
This
endorsement, titled “Exclusion of Loss Due to Virus or Bacteria” (CP 01 40 07 06),
states that the insurer “will not pay for loss or damage caused by or resulting from
any virus, bacterium or other microorganism that induces or is capable of inducing
physical distress, illness or disease.” The endorsement further states that the
exclusion applies to forms associated with the commercial coverage, including
“business income, extra expense or action of civil authority.” In the event this
endorsement is attached to the policy, it would seem that coverage under the BIEE
for COVID-19-related claims should not apply. While it is not known what
proportion of commercial policies include this exclusion, Ayers (2020a) states that
“the vast majority…contain exclusions for viral/bacterial contamination.”
25
This is
further supported by Robinson (2020), who notes that most states require the
attachment of the CP 01 40 07 06 endorsement.
Civil Authority
An important additional coverage that resides in the unendorsed BIEE is
coverage for loss due to the actions of civil authorities. Specifically, the policy states
that coverage exists when civil authorities “prohibit access to the described
premises” as a result of physical damage caused by a covered cause of loss at a
property that is not the insured’s property (emphasis by the authors). However,
coverage for civil action would require several concurrent facts. First, that the courts
employ an interpretation of physical damage which does not require the actual
alteration of property (as discussed above). Second, as noted by Schiffer, Garavaglia
and Mihocik (2020), that access was in fact prohibited due to physical damage and
that there is a “nexus to a direct physical loss.” Third, the action taken by the civil
authorities must be due to a covered cause of loss.
26
Additional issues that arise are whether civil authority actually “prohibited”
access to the property and whether the civil authority’s order occurred prior to the
occurrence of a physical loss. In the case of the former, while some businesses were
in fact mandated to cease operations, “frequently, the “order” of civil authority is
the nature of an “advisory” or “voluntary” evacuation” (Berry, 2020). If a business
chose to suspend operations in the best interest of its customers and/or employees,
the question then arises as to whether the suspension of operations was in fact due
to civil authorities prohibiting access to the premises. In the case of the latter,
according to Schiffer, et al. (2020), in prior cases of business interruption due to
catastrophe evacuations, if the evacuation order was created prior to physical
24. A.M. Best notes that insurers introduced exclusions related to communicable diseases as
a result of the severe acute respiratory syndrome (SARS) outbreak in the early 2000s
(Simpson, 2020b).
25. A similar endorsement exists for the Businessowners Coverage Form (BP 06 01 01 07).
26. The provision also requires that the damaged premises be located within one mile of the
insured property.
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damage occurring, courts have not required insurers to pay for these business
interruption events.
Given the set of requirements that must be met in order to successfully
demonstrate that the civil authority additional coverage should apply to a given
claim and the unique circumstances surrounding the suspension of operations during
the COVID-19 pandemic, claimants may find it difficult to recover business
interruption losses through this additional coverage in the unendorsed BIEE.
State and Federal Responses to COVID-19
Claims
As discussed above, significant uncertainty exists regarding how courts will
interpret the language in the ISO BIEE coverage form or any attached endorsements.
However, a potentially more important source of uncertainty arises from proposed
state-level legislation. In response to questions regarding whether BIEE policies
were intended to cover business interruption due to communicable diseases or
viruses, state lawmakers in at least nine U.S. states and the District of Columbia
initially proposed bills that would require insurers to cover these losses on a
retroactive basis.
27
In general, the bills would require insurers to offer retroactive
coverage for business interruption losses stemming from the coronavirus and
pandemics (e.g., Adriano, 2020; Wilkinson, 2020a). The bills typically focus
on providing this retroactive coverage for small business (i.e., those with fewer
than 100 to 150 full-time employees); some bills would allow those insurers paying
these claims to apply for reimbursement from the state, with reimbursement funds
coming from an assessment on insurers writing P/C business in the state.
28
However,
several proposed bills have already been withdrawn or amended to remove wording
related to retroactive coverage for BIEE. For instance, Louisiana SB 477—which
originally called for insurers doing business in the state to retroactively cover BIEE
claims—is being amended to remove the retroactive coverage. The proposed
amended bill would require insurers to clarify exclusions on BIEE policies
(Wilkinson, 2020c). The District of Columbia City Council also decided not to move
forward with a retroactive insurance coverage mandate (Weinberger, 2020).
Louisiana proposed an alternative approach that differs from those discussed
above. Under SB 495, insurers would have the option to contribute to a “Business
Compensation Fund.” Insurers that choose to contribute to this fund would receive
27. These states include Louisiana, Massachusetts, Michigan, New Jersey, New York, Ohio,
Pennsylvania, Rhode Island and South Carolina (Giordano et al., 2020; National Association
of Mutual Insurance Companies (NAMIC), 2020).
28. Although the passage of laws requiring retroactive business interruption coverage has
been discussed in a number of states, questions remain as to whether the U.S. Constitution would
prohibit this type of action (e.g., Nevins and Lewin, 2020a; Pierson and Gallagher, 2020;
Tager, White and Hamilton, 2020).
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immunity from COVID-19 bad-faith claims, while insurers that choose not to
contribute would not receive this immunity. Under the terms of the proposed bill,
insurers writing business in Louisiana could participate by contributing “the greater
of $50 million or 80% of the aggregate policy limits for “all commercial policies”
that the insurer has in force in Louisiana on March 11, 2020, or anytime thereafter
during the state of emergency” (White and Breen, 2020).
In addition to the various bills that have been proposed at the state-level, the
U.S. Congress has also encouraged the insurance industry to cover business
interruption claims stemming from COVID-19. On March 18, a group of lawmakers
in the U.S. House of Representatives (House) wrote, “As the world community
continues to navigate the impact and response of the declared global health
emergency caused by COVID-19, we urge your member companies and brokers to
make financial losses related to COVID-19 and other infectious disease-related
losses part of their commercial business interruption coverage for policyholders”
(Ayers, 2020a). In response to this request, four insurance industry trade groups
responded by noting that the policies were never intended to cover these types
of losses and that the federal government is best suited to address the large economic
losses associated with the pandemic.
29
Beyond the federal government simply encouraging insurers to voluntarily
cover these losses, a caucus of Republicans and Democrats in the House referred to
as the “Problem Solvers Caucus” has proposed the Health Crisis and Economic
Revival Package, which includes the declaration of the pandemic as a public health
crisis that would be a “qualifying event” for business interruption policies. Similar
to the aforementioned state proposals, this would have the effect of requiring
insurers to pay for business income losses attributed to the coronavirus
(Grande, Symington and Wienecke, 2020).
During a press conference held April 11, 2020, President Donald J. Trump also
encouraged insurers to cover the loss of income resulting from COVID-19. The
president acknowledged that some policies may exclude pandemics, but went on to
state that many small businesses have been paying for business interruption
coverage “for a lot of years” but have never filed a claim and now, “all of a sudden
they need it.” The president stated that he would like insurers to pay the pandemic
losses “if it’s fair” (Vazquez, 2020). However, in response to the president’s
comments, several Republican senators cautioned about the impact on the insurance
industry over requiring this retroactive coverage, stating that such an action “would
undoubtedly undermine our insurance system and create major unintended
consequences for new contractual relationships going forward (Ayers, 2020b;
Scism, 2020).
Looking to the future, the House Financial Services Committee has proposed
another solution in the form of the Pandemic Risk Insurance Act (PRIA) of 2020.
The PRIA would operate in a manner similar to the Terrorism Risk Insurance Act
(TRIA), where insurers would provide coverage for pandemics and a federal
29. The four trade groups are the APCIA, NAMIC, the CIAB and the Independent Insurance
Agents & Brokers of America (IIABA).
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reinsurance backstop would be available that would have the effect of limiting total
insurer losses. According to H.R. 7011, a bill proposed by U.S. Rep.
Carolyn Maloney (D-NY), the PRIA program would be voluntary and the federal
government would begin participating once aggregate industry losses exceed
$250 million. Once triggered, the federal government would be responsible for
95% of losses in excess of an insurer-specific deductible (equal to 5% of the
insurer’s prior-year direct premiums earned) and aggregate losses would be capped
at $750 billion annually (Sclafane, 2020).
30
In April 2020, two additional bills were introduced in the House, both of which
would provide small businesses with business interruption insurance during future
national emergencies. H.R. 6497, called the Never Again Small Business Protection
Act, was introduced April 24 (Fitzpatrick, 2020). This bill would require that
BIEE coverage be provided for business and nonprofits for BIEE losses that result
from any federal, state or local government-ordered business shutdown after the
declaration of a national emergency. The bill calls for the coverage to apply when
the business is interrupted for at least 30 days, requires that the business not
terminate any employees’ employment during the national emergency, and requires
that the employer maintains employees’ health coverage during the national
emergency. The bill does allow the policyholder to waive the coverage via a written
statement and insurers would also be permitted to exclude coverage if the
policyholder fails to pay premiums associated with the coverage. As part of the bill,
the government would put into place a federal backstop that would cover the costs
to insurers in order to help ensure the stability of the insurance industry
(Fitzpatrick, 2020).
The second bill proposed by the House, H.R. 6494, is called the Business
Interruption Insurance Coverage Act of 2020. This act would “ensure that
businesses who purchase interruption insurance won’t get their claims denied
because of major events, such as viral pandemics, forced closure of businesses,
mandatory evacuations, and public safety power shutoffs” (Fitzpatrick, 2020).
Similar to H.R. 6497, this bill would allow insurers to deny coverage if premiums
are not paid; however, it does not require policyholders to retain employees or
maintain their health coverage for the business interruption coverage to apply.
Insurer Responses to COVID-19 Claims
The APCIA has estimated that the COVID-19 shutdown could cost insurers up
to $383 billion for one month of business interruption claims to small businesses
(Chiglinsky, 2020). To put this cost in context, the Insurance Information Institute
(III) (2019) states that total insured losses associated with the 9/11 terrorist attacks
were $47.1 billion, while insurers in the U.S. P/C market had approximately
30. As of 2020, federal participation for terrorism losses under TRIA begins after insured
losses exceed $200 million and the program is capped at $100 billion (III, 2019).
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$812 billion in policyholders’ surplus in the third quarter of 2019
(Insurance Journal, 2020a).
31
Industry advocates argue that the policies were not
priced to include coverage for communicable diseases such as the COVID-19 virus,
so paying these claims would not only result in significant loss payments, but could
also reduce the ability of some insurers to pay for other covered claims and
ultimately increase insolvency risk for some insurers.
32,33
Additional claim costs
would also have the effect of reducing insurers’ available investable funds, which
are an important source of insurer profit.
Rather than the industry bearing the large costs associated with these claims,
insurers have supported the “COVID-19 Business and Employee Continuity and
Recovery Fund,” which would be responsible for providing federal assistance to
businesses and workers that are adversely affected by the pandemic. In particular,
the fund would “help businesses retain and rehire employees, maintain worker
benefits, and help cover operating expenses such as rent. It may also provide funds
for payroll, lost income of sick employees, and lost business revenues but not
profits” (Simpson, 2020c). This particular approach would be similar to the
September 11th Victim Compensation Fund that was created to address losses
associated with the 9/11 terrorist attacks.
34
While insurers (as well as agents and
brokers) may be involved in the process of handling application filings and
reviewing those filings, they would not actually be financially responsible for the
loss payments (Wilkinson, 2020b). Another proposal offered by P/C trade
organizations is the Business Continuity Protection Program (BCPP). This program
would operate similar to the National Flood Insurance Program (NFIP) and would
provide businesses with the option to purchase “revenue replacement coverage”
which would provide coverage for up to 80% of the business’s payroll and other
expenses. Under this arrangement, loss payments would be made by the federal
government through the Federal Emergency Management Agency
(Insurance Journal, 2020b).
35
Just as with the NFIP, while losses would be paid by
the federal government, businesses would have the ability to purchase coverage
through agents and carriers.
31. It is unclear how much of the $812 billion would be applied toward business interruption
claims. Not all insurers offer business income insurance coverage or commercial insurance, which
means some portion of surplus would not be available for these claims. According to a 2018 Federal
Insurance Office report, commercial insurance premiums made up about 46% of P/C sector
revenue in 2018.
32. For example, the president of the Ohio Insurance Institute stated that such retroactive
coverage “would likely wipe-out a number of Ohio insurance companies” (Jones, 2020).
33. Two of the central tenets of insurance are that insurable risks should not be catastrophic
and they should be diversifiable (Böhme, Laube and Riek, 2019). To some degree, the industry’s
argument that these types of losses were never intended to be covered by the issued policies is
supported by the fact that both of these tenets are clearly violated.
34. The purpose of the September 11th Victim Compensation Fund is to compensate
individuals who were injured or killed as a result of the 9/11 terrorist attacks or during the process
of removing debris (September 11th Victim Compensation Fund, 2020).
35. Under this proposed program, businesses opting to purchase this coverage would receive
aid “…once there is a presidential viral emergency declaration” (Insurance Journal, 2020b).
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Although carriers and industry trade groups have responded to proposed
legislation and offered alternative approaches to addressing future pandemic-related
business interruption losses, there is currently little publicly available evidence
suggesting that either insurers or the ISO are revising policy language. While it is
unclear whether insurers will eventually make such changes, the ISO did issue two
non-filed advisory endorsements in February 2020 that allowed for business income
and extra expense coverage for civil authority losses attributed to the coronavirus
pandemic (IRMI, 2020).
36
As noted by IRMI (2020), these endorsements are similar
to advisory endorsements that were created in 2014 in response to the Ebola virus,
and Wilson (2020) argues that the purpose of these new endorsements is to
effectively restate the fact that the unendorsed ISO forms were never intended to
provide coverage for these types of losses. Finally, Nevins and Lewin (2020b) point
out that even if insurers or the ISO have not made additional changes to policies, in
the future “there may be further responses, including specific exclusions
for coronavirus.”
Policyholder Responses to COVID-19 Claims
The aforementioned discussions address the issue of legislative and insurer
responses to these events, as well as proposed solutions to similar losses in the
future. However, another looming question is how insured businesses will respond.
The response by insureds will largely be dependent on how insurers choose to
interpret the policies and whether some will voluntarily cover pandemic-related
business interruption claims. At the time of this writing, it appears that insurers
intend to deny business interruption claims stemming from COVID-19, with some
insurers publicly stating this fact. For example, Travelers, Hartford and Chubb have
each signaled that they intend to deny COVID-19 business interruption claims.
37
36. The two new forms are titled “Business Interruption: Limited Coverage for Certain Civil
Authority Orders Relating to Coronavirus” and “Business Interruption: Limited Coverage for
Certain Civil Authority Orders Relating to Coronavirus (Including Orders Restricting Some Modes
of Public Transportation).”
37. Travelers (2020) has stated the following: “Insurance for business interruption can
provide coverage when a policy holder suffers a loss of income due to direct physical loss or
damage to covered property at its location or another location. It does not cover loss of income due
to market conditions, a slowdown of economic activity or a general fear of contamination. Nor
does the policy provide coverage for cancellations, suspensions and shutdowns that are
implemented to limit the spread of the coronavirus. These are not a result of direct physical loss or
damage. Accordingly, business interruption losses resulting from these types of events do not
present covered losses under our property coverage forms.” The Hartford (2020) has also issued
the following statement: “Most property insurance includes business interruption coverage, which
often includes civil authority and dependent property coverage. This is generally designed to cover
losses that result from direct physical loss or damage to property caused by hurricanes, fires, wind
damage or theft and is not designed to apply in the case of a virus.” Finally, Chubb’s CEO said
that business interruption insurance would not cover COVID-19-related claims because coverage
requires physical damage (Stempel, 2020).
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© 2020 National Association of Insurance Commissioners
Not surprisingly, the denial of these claims has resulted in a significant number of
lawsuits against carriers that have issued BIEE coverage.
38
The suits brought by
insured businesses commonly assert that their claims have been wrongfully denied,
there is a breach of contract and/or request declaratory judgment that the plaintiff’s
business interruption policy should cover COVID-19 claims.
39
The outcomes of
these suits remain unclear, but they will ultimately dictate whether insurers will be
responsible for covering business interruption claims stemming from pandemic-
related losses outside of any legislative actions.
In addition to increased litigation activity surrounding COVID-19 claims,
there has also been a proposal put forth by the Business Interruption Group (BIG),
a restaurant and hospitality-focused organization that asserts business interruption
claims should be paid by the insurance industry. Under the proposed program, called
the “BIG Insurance Relief Act,” insurers that issued policies without a virus
exclusion could voluntarily pay business interruption claims stemming from the
COVID-19 pandemic and then receive reimbursement from the federal government
(Insurance Journal, 2020b). An attorney representing BIG described this proposal
as a “compromise” that would allow insureds to receive payments for their business
interruption losses while reducing the costs associated with future legal action.
Although the proposed program supports the use of federal subsidies to cover these
claims, details regarding how the program would be structured and administered are
currently limited.
The response by insureds over coverage for pandemic-related claims may
extend well beyond litigation. In particular, while it is anticipated that businesses
will continue to bring new lawsuits against insurers for claims, it is also predicted
that the demand for business interruption coverage will likely be affected.
For instance, respondents to a survey administered by the CIAB (2020) indicated
that there was a 47% increase in the demand for business interruption insurance in
the first quarter of 2020, while in the fourth quarter of 2019 there was only an
18% increase in demand. The CIAB notes that at least part of the increase was
“purely driven by companies looking for coverage that includes viruses/pandemics.”
In addition to the increase identified by the CIAB, Banham (2020) notes that recent
demand for pandemic-related parametric business interruption insurance has been
“soaring.” Though some evidence points to a potential increase in the demand for
business interruption coverage, the possibility also exists that demand could decline
if businesses question the value of the coverage, lose trust in their insurer’s ability
or willingness to cover claims, or decide that it is unclear as to the types of losses
that could be covered under the policy.
38. Sams (2020b) notes that more than 100 lawsuits were filed as of May 20, 2020.
39. Recent suits include Big Onion Tavern Group LLC et al. v. Society Insurance Company;
Cajun Conti, LLC et al. v. Certain Underwriters at Lloyd’s of London; French Laundry Partners,
LP dba The French Laundry, et al. v. Hartford Fire Insurance Company, et al.; Legal Sea Foods
LLC v Strathmore Insurance Co.; Mudpie, Inc. v. Travelers Casualty Insurance; Simon Wiesenthal
Center Inc. et al v. Chubb Group of Insurance Cos.
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Conclusion
The COVID-19 pandemic caused the states to place restrictions on the ability of
businesses to operate, which has resulted in substantial economic losses across the
country. As the states have begun either easing restrictions or completely
eliminating “shelter-in-place” mandates, there currently exists a debate over the
coverage of COVID-19 business interruption claims by U.S. insurers. In support of
coverage for these claims are arguments revolving around the interpretation of the
term “direct physical damage,” the definition of “pollutants,” the exclusion of
“bacteria” and whether the civil authority additional coverage should apply. From a
policy interpretation perspective, the existence of endorsements that specifically
prohibit coverage for losses stemming from viruses will likely be used to fend off
many of these claims. However, even with such language, it appears the most
significant risk facing insurers is not necessarily potential ambiguity that exists in
the policy, but rather uncertainty regarding government-required retroactive
coverage. In the event the states and/or the federal government do in fact pass laws
that require insurers to pay for these losses, which presumably were never intended
to be covered, it is anticipated that insurers will dig in for a prolonged legal battle
with the government and policyholders. Even without federal intervention, litigation
stemming from denied COVID-19 business interruption claims has been described
by one attorney as potentially “the largest civil litigation battle in human history”
(Ayers, 2020c).
While insurers moved to exclude viruses, pandemics and epidemics from
business interruption policies following the SARS outbreak in 2002–2003, it
appears that some of the language used in at least the ISO standard business
interruption policy remains open to some interpretation. Following the COVID-19
pandemic, it may be expected that the ISO and insurance carriers that provide their
own business interruption policies will revisit this policy language. Insurers that
continue to offer insurance against epidemic or pandemic business interruption will
likely want to provide precise wording about coverages and to consider an
appropriate premium for this coverage.
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References
Adriano, L., 2020. “State Looks at Legislation to Void Coronavirus Exclusion
Clauses,” Insurance Business America, March 30. Accessed April 11, 2020, at
https://www.insurancebusinessmag.com/us/news/breaking-news/state-looks-
at-legislation-to-void-coronavirus-exclusion-clauses-218342.aspx.
Alcorn, C., 2020. “Hair Salons, Tattoo Parlors and Other Beauty Shops Ordered to
Close Indefinitely in Four States,” CNN, March 20. Accessed April 15, 2020,
at https://www.cnn.com/2020/03/20/business/coronavirus-barbershops-
salons/index.html.
Allianz, 2020. “Allianz Risk Barometer.” Accessed May 31, 2020, at
https://www.agcs.allianz.com/content/dam/onemarketing/agcs/agcs/reports/Al
lianz-Risk-Barometer-2020.pdf.
American Property Casualty Insurance Association (APCIA), 2020. “APCIA
Releases Update to Business Interruption Analysis,” April 28.
Aon, 2019. “Global Risk Management Survey.” Accessed May 28, 2020, at
https://www.aon.com/getmedia/8d5ad510-1ae5-4d2b-a3d0-
e241181da882/2019-Aon-Global-Risk-Management-Survey-Report.aspx.
Ayers, E., 2020a. “Insurers Decline Congress’ Request to Pay All COVID-19
Business Interruption Losses,” Advisen, March 23.
Ayers, E., 2020b. “Insurers Should Pay Out on Pandemic Business Interruption
Claims, Trump Says,” Advisen, April 13.
Ayers, E., 2020c. “Business Interruption Group Proposes Voluntary ‘Compromise’
for Insurers,Advisen, May 26.
Banham, R., 2020. “This Insurance Would Have Helped in Coronavirus Crisis but
Nobody Bought It,” Insurance Journal, April 3.
Berry, D., 2020. “COVID-19 – When Civil Authorities Take Over, Are You
Covered?,” IRMI. Accessed April 10, 2020, at
https://www.irmi.com/articles/expert-commentary/when-civil-authorities-take-
over-are-you-covered.
Boggs, C.J., 2020. “Coronavirus (COVID-19): Does Business Interruption
Respond?,” Insurance Journal, March 24. Accessed April 16, 2020, at
https://www.insurancejournal.com/blogs/big-i-
insights/2020/03/24/562253.htm.
Böhme, R., S. Laube and M. Riek, 2019. “A Fundamental Approach to Cyber Risk
Analysis,” Variance Journal, 12(2): 161–185.
Butler, G., 2020. “More Portland-Area Grocery Stores Limit Number of Customers,
Reduce Store Hours Due to Coronavirus Crisis,” The Oregonian, April 8.
Accessed April 13, 2020, at
https://www.oregonlive.com/coronavirus/2020/04/more-portland-area-
grocery-stores-limit-number-of-customers-reduce-store-hours-due-to-
coronavirus-crisis.html.
Calfas, J., 2020. “U.S. Coronavirus Deaths Top 110,000; New York City Begins
Reopening; Cases Surge in India,” Wall Street Journal, June 8.
18
Business Interruption Insurance and COVID-19
© 2020 National Association of Insurance Commissioners
Chiglinsky, K., 2020. “Insurers Worry Virus-Linked Costs May Reach $383 Billion
a Month,” Bloomberg, March 30. Accessed April 10, 2020, at
https://www.bloomberg.com/news/articles/2020-03-30/insurers-worry-virus-
linked-costs-may-reach-383-billion-a-month.
Cohn, C., S. Barlyn and N.Z. Hussain, 2020. “Analysis: Insurers Feel Rising Legal
Heat for COVID-19 Business Interruption Exclusions,” Insurance Journal,
April 28.
Congressional Research Service, 2020. “Business Interruption Insurance and
COVID-19,” March 31.
Council of Insurance Agents & Brokers (CIAB), 2020. “Commercial
Property/Casualty Market Index, Q1/2020.” Accessed May 26, 2020, at
https://www.ciab.com/download/24523.
Elassar, A., 2020. “This is Where Each State is During Its Phased Reopening,” CNN.
Accessed May 25, 2020, at https://www.cnn.com/interactive/2020/us/states-
reopen-coronavirus-trnd.
Federal Insurance Office, U.S. Department of the Treasury, 2019. “Annual Report
on the Insurance Industry.” Accessed April 14, 2020, at
https://home.treasury.gov/system/files/311/2019_FIO_Annual_Report.pdf.
Fink, S., 2020. “Worst-Case Estimates for U.S. Coronavirus Deaths,The New York
Times, March 13.
Fitzpatrick, B., 2020. “Brian Fitzpatrick United States Representative (PA).”
Accessed May 30, 2020, at https://fitzpatrick.house.gov/media-center/in-the-
news/us-house-introduces-business-interruption-insurance-bills-small-
businesses.
Frier, S., and C. Cheng, 2020. “Facebook Survey Shows 31% of Small Businesses
Stopped Operating,” Bloomberg, May 18. Accessed June 2, 2020, at
https://www.bloomberg.com/news/articles/2020-05-18/facebook-survey-
shows-31-of-small-businesses-stopped-operating.
Giordano, F.J., S.P. Wright, C.J. Valente, M.R. Creta and R.E. Yammine, 2020.
“COVID-19: Congress, Pennsylvania, Michigan, and South Carolina Join
Other Jurisdictions Proposing Legislation Addressing Insurers’ Obligations to
Pay for Pandemic-Related Losses,” The National Law Review, May 6.
Grande, J., C.E. Symington, Jr., and N.F. Wienecke, 2020. “Open Letter to The
Honorable Josh Gottheimer and The Honorable Tom Reed Regarding the
Problem Solvers Caucus’ Health Crisis and Economic Revival Package.”
Gregory Packaging, Inc. v. Travelers Property Casualty Company of America, Civ.
No. 2:12-cv-04418 (D.N.J. 2014).
Hartwig, R., 2020. “The Global (Re)Insurance Industry and the Challenges of
Emerging from the COVID-19 Pandemic,” International Insurance Society
Leadership Series Webinar, June 2.
Henry, R.D., 2017. “An Analysis of Interpretation of Insurance Contracts: Common
Law Versus Strict Contra Proferentem,” Journal of Insurance Regulation,
36(1): 1–28.
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Journal of Insurance Regulation
© 2020 National Association of Insurance Commissioners
Insurance Information Institute (III), 2019. “Background On: Terrorism Risk and
Insurance,” Dec. 16. Accessed April 11, 2020, at
https://www.iii.org/article/background-on-terrorism-risk-and-insurance.
Insurance Journal, 2006. “Association Files to Exclude ‘Virus or Bacteria’ Related
Diseases,” Insurance Journal, Nov. 7, 2006. Accessed April 10, 2020, at
https://www.insurancejournal.com/news/national/2006/11/07/74032.htm.
Insurance Journal, 2020a. “P/C Insurers Boosted Underwriting Profit, Surplus in
2019’s First 9 Months,” Jan. 20.
Insurance Journal, 2020b. “Insurers, Agents Propose Pandemic Business Relief
Plan; Plaintiffs Offer BIG Compromise,” May 22.
IRMI, 2020. “ISO Nonfiled Advisory Endorsements for Coronavirus in
Commercial Property Insurance.” Accessed April 16, 2020, at
https://www.irmi.com/whats-new/product-update/iso-nonfiled-advisory-
endorsements-for-coronavirus-in-commercial-property-insurance.
Jones, S.K., 2020. “Ohio Bill Would Expand Business Interruption Coverage
During COVID-19 Emergency,” Insurance Journal, March 30. Accessed
April 9, 2020, at
https://www.insurancejournal.com/news/midwest/2020/03/30/562691.htm.
Kroeger, D., and E. Park, 2020. “Applying Commercial Property Insurance to
COVID-19 Losses,” Law360, March 12. Accessed April 15, 2020, at
https://www.law360.com/articles/1252792/applying-commercial-property-
insurance-to-covid-19-losses.
Lalor, W., 2020. “COVID-19 Business Interruption Coverage Concerns,” Risk
Management, March 11. Accessed April 13, 2020, at
http://www.rmmagazine.com/2020/03/11/covid-19-business-interruption-
coverage-concerns.
MetLife and U.S. Chamber of Commerce, 2020a. “Special Report on Coronavirus
and Small Business,” April 3. Accessed April 14, 2020, at
https://www.uschamber.com/sites/default/files/metlife_uscc_coronavirus_and
_small_business_report_april_3.pdf.
MetLife and U.S. Chamber of Commerce, 2020b. “Small Business Coronavirus
Impact Poll,” May 5. Accessed June 8, 2020, at
https://www.uschamber.com/sites/default/files/smallbusiness_economicimpact
_may2020_final.pdf.
Mitchell, J., 2020. “U.S. Unemployment Rate Fell to 13.3% in May,” Wall Street
Journal, June 6. Accessed June 8, 2020, at https://www.wsj.com/articles/may-
jobs-report-coronavirus-2020-11591310177.
Muccigrosso, C., 2020. “Here’s What New NC COVID-19 Restrictions Mean
for Charlotte Grocery, Retail Stores,” Charlotte Observer, April 9. Accessed
April 15, 2020, at
https://www.charlotteobserver.com/news/local/article241897951.html.
NAIC, 2019. Statistical Compilation of Annual Statement Information for
Property/Casualty Insurance Companies in 2018. Accessed May 25, 2020,
at https://www.naic.org/prod_serv/STA-PS-19.pdf.
20
Business Interruption Insurance and COVID-19
© 2020 National Association of Insurance Commissioners
NAIC, 2020a. “COVID-19 Property/Casualty Data Call.” Accessed May 20, 2020,
at https://content.naic.org/industry_property_casualty_data_call.htm.
NAIC, 2020b. “NAIC Statement on Congressional Action Relating to COVID-19.”
Accessed April 10, 2020, at
https://content.naic.org/article/statement_naic_statement_congressional_acti
on_relating_covid_19.htm.
National Association of Mutual Insurance Companies (NAMIC), 2020. “NAMIC
Special Report: Business Interruption, Workers’ Compensation in the States,”
April 8.
Nationwide, 2017. “Nationwide Warns of Widening Gap Between Disaster Risks
and Business Preparedness.” Accessed May 5, 2020, at
https://www.nationwide.com/personal/about-us/newsroom/press-
release?title=022817-disaster-recovery.
Nevins, J.E., and R. Lewin, 2020a. “The Constitutionality of Government Action
Mandating COVID-19 Business Interruption Coverage,” Stroock & Stroock &
Lavan. Accessed April 15, 2020, at https://www.stroock.com/publication/the-
constitutionality-of-government-action-mandating-covid-19-business-
interruption-coverage.
Nevins, J.E., and R. Lewin, 2020b. “Will Business Interruption Insurance Provide
Coverage for Coronavirus?,” The CPA Journal, April. Accessed May 21, 2020,
at https://www.cpajournal.com/2020/04/29/will-business-interruption-
insurance-provide-coverage-for-coronavirus-losses.
Ortiz, J.L., and G. Hauck, 2020. “Coronavirus in the US: How All 50 States are
Responding – And Why Eight Still Refuse to Order Stay-At-Home Orders,”
USA Today, March 30. Accessed April 10 at
https://www.usatoday.com/story/news/nation/2020/03/30/coronavirus-stay-
home-shelter-in-place-orders-by-state/5092413002.
Pierson, T., and K.V. Gallagher, 2020. “Proposed COVID-19 Legislation in New
Jersey,” Kennedys Law, March 19. Accessed April 14, 2020, at
https://www.kennedyslaw.com/thought-leadership/article/proposed-covid-19-
legislation-in-new-jersey.
Plitt, S., 2013. “Direct Physical Loss in All-Risk Policies: The Modern Trend Does
Not Required Specific Physical Damage, Alteration,” Claims Journal, April 15.
Accessed April 10, 2020, at https://www.claimsjournal.com/magazines/idea-
exchange/2013/04/15/226666.htm.
Port Authority of New York and New Jersey v. Affiliated FM Insurance Company,
245 F. Supp. 2d 563 (D.N.J. 2001).
Robinson, L.G., 2020. “Coronavirus (COVID-19) Business Income Losses – Are
They Covered?,” IRMI, March. Accessed June 5, 2020, at
https://www.irmi.com/articles/expert-commentary/coronavirus-COVID-19-
business-income-losses-are-they-covered.
Sams, J., 2020a. “Some Insurance Regulators Skeptical About Business
Interruption Claims,” Claims Journal, April 27. Accessed May 21, 2020, at
https://www.claimsjournal.com/news/national/2020/04/27/296741.htm.
21
Journal of Insurance Regulation
© 2020 National Association of Insurance Commissioners
Sams, J., 2020b. “Number of Federal COVID-19 Business Interruption Lawsuits at
101 and Rising,” Claims Journal, May 21. Accessed May 21, 2020, at
https://www.claimsjournal.com/news/national/2020/05/21/297180.htm.
Schiffer, L.P., A.C. Garavaglia and K. Mihocik, 2020. “Civil Authority Orders and
COVID-19 Coverage,” The National Law Review, March 20.
Scism, L., 2020. “Politicians Push Insurers to Resolve Mounting Disputes Over
COVID-19 Losses; President Trump, Rep. Jayapal Weigh in On Growing
Debate Over Denied ‘Business Interruption’ Claims,” Wall Street Journal,
April 13.
Sclafane, S., 2020. “Lawmaker Details Federal Reinsurance for Pandemic Business
Interruption, Event Losses,” Insurance Journal, May 27.
September 11th Victim Compensation Fund, 2020. “About the Victim
Compensation Fund.” Accessed April 12, 2020, at https://www.vcf.gov/about.
Shabad, R., and A. Edelman, 2020. “Trump Signs $2 Trillion Coronavirus Stimulus
Bill,” NBC News, March 27. Accessed April 15, 2020, at
https://www.nbcnews.com/politics/congress/house-gives-final-passage-2-
trillion-coronavirus-stimulus-bill-n1170281.
Simpson, A.G., 2020a. “P/C Insurers Put a Price Tag on Uncovered Coronavirus
Business Interruption Losses,” Insurance Journal, March 30.
Simpson, A.G., 2020b. “How Social Inflation May Affect Coronavirus Business
Interruption Losses,” Insurance Journal, April 2.
Simpson, A.G., 2020c. “P/C Insurance Industry Backs New Government Fund to
Help Businesses, Workers Hurt by Coronavirus Shutdowns,” Insurance
Journal, March 31. Accessed April 10, 2020, at
https://www.insurancejournal.com/news/national/2020/03/31/562890.htm.
Smith, C., B. Miller and P. Taylor, 2020. “Reopening the Economy Under COVID-
19: States Plat a Way Back,” Governing, March 22. Accessed May 25, 2020, at
https://www.governing.com/now/Reopening-the-Economy-Under-COVID-19-
States-Plot-a-Way-Back.html.
Snider, M., 2020. “What is Essential and Non-Essential During a Pandemic,” USA
Today, March 21.
Solomon, A., 2020. “Some Georgia Mayors Bristle Over Governor’s Decision to
Lift Restrictions Amid Pandemic,” U.S. News & World Report, May 4.
Stempel, J., 2020. “Simon Wiesenthal Center Sues Chubb to Ensure Coronavirus
Insurance Coverage,” Reuters, April 29.
Tager, E.M., E.A. White and L.R. Hamilton, 2020. “Can They Do That? Possible
Constitutional Limitations on State Efforts to Require Business-Interruption
and Loss-of-Use Carriers to Cover Small Businesses’ Losses from COVID-19,”
Mayer Brown. Accessed April 15, 2020, at
https://www.mayerbrown.com/en/perspectives-
events/publications/2020/04/can-they-do-that--possible-constitutional-
limitations-on-state-efforts-to-require-business-interruption-and-loss-of-use-
carriers-to-cover-small-businesses-losses-from-covid19.
Taylor, D.B., 2020. “A Timeline of the Coronavirus Pandemic,” The New York
Times, April 7.
22
Business Interruption Insurance and COVID-19
© 2020 National Association of Insurance Commissioners
The Hartford, 2020. “COVID-19 – Business Insurance.” Accessed May 20, 2020,
at https://www.thehartford.com/coronavirus/businesses.
Travelers, 2020. “COVID-19: Business Interruption General Information –
Travelers Letter to New York Property Insurance Policyholders.” Accessed
May 21, 2020, at https://www.travelers.com/about-travelers/covid-19-
business-interruption.
U.S. Census Bureau, 2020. “Advance Monthly Sales for Retail and Food Services,
March 2020.” Accessed April 15, 2020, at
https://www.census.gov/retail/marts/www/marts_current.pdf.
U.S. Centers for Disease Control and Prevention (CDC), 2020a. “What is Social
Distancing?” Accessed April 11, 2020, at
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-
distancing.html.
U.S. Centers for Disease Control and Prevention (CDC), 2020b. “How COVID-19
Spreads.” Accessed April 11, 2020, at https://www.cdc.gov/coronavirus/2019-
n"cov/prevent-getting-sick/how-covid-
spreads.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronav
irus%2F2019-ncov%2Fprepare%2Ftransmission.html.
U.S. Small Business Administration (SBA) Office of Advocacy, 2018. “Research
Summary – Small Business GDP, 1998–2014.” Accessed May 19, 2020, at
https://cdn.advocacy.sba.gov/wp-content/uploads/2018/12/21102039/rs444-
Small-Business-GDP-1998-20141.pdf.
U.S. Small Business Administration (SBA) Office of Advocacy, 2019. “2019 Small
Business Profile.” Accessed May 27, 2020, at
https://cdn.advocacy.sba.gov/wp-content/uploads/2018/12/21102039/rs444-
Small-Business-GDP-1998-20141.pdf.
Vazquez, M., 2020. “Trump Says Business Interruption Should Get Paid Out for
Coronavirus Interruption Claims,” CNN, April 10. Accessed April 13, 2020,
at https://www.cnn.com/world/live-news/coronavirus-pandemic-04-10-
20/h_1f905ee7677f8024ad1670db650ad595.
Weinberger, E., 2020. “D.C. Decides Against Retroactive Virus Insurance
Coverage,” Bloomberg Law, May 5. Accessed May 25, 2020, at
https://news.bloomberglaw.com/coronavirus/d-c-decides-against-retroactive-
virus-insurance-coverage.
White, P.S., and S.A. Breen, 2020. “Update: Louisiana Joins States Proposing
Legislation to Require Insurers to Cover COVID-19,” The National Law
Review, April 8.
Wilkinson, C., 2020a. “N.Y. Introduces Bill on Pandemic-Related Business
Interruption Claims,” Business Insurance, March 30.
Wilkinson, C., 2020b. “Buyers, Insurers Call For 9/11-Type Fund to Relieve
COVID-19 Impact,” Business Insurance, March 31.
Wilkinson, C., 2020c. “La. Lawmakers Scrap Business Interruption Bill,” Business
Insurance, May 13.
23
Journal of Insurance Regulation
© 2020 National Association of Insurance Commissioners
Wilson, B., 2020. “Commentary: Does Business Income Insurance Cover
Coronavirus Shutdowns?,” Insurance Journal, March 24. Accessed April 10,
2020, at
https://www.insurancejournal.com/news/national/2020/03/24/562144.htm.
Yang, J., 2020. “Why Many Businesses Will Be on the Hook for Coronavirus
Losses; Burned by SARS, Insurers Across the Board Now Exclude Epidemics
in Standard Business-Interruption Policies,” Wall Street Journal, Feb. 21.
24
Journal of Insurance Regulation
Guidelines for Authors
Submissions should relate to the regulation of insurance. They may include
empirical work, theory, and institutional or policy analysis. We seek papers that
advance research or analytical techniques, particularly papers that make new
research more understandable to regulators.
Submissions must be original work and not being considered for publication
elsewhere; papers from presentations should note the meeting. Discussion,
opinions, and controversial matters are welcome, provided the paper clearly
documents the sources of information and distinguishes opinions or judgment
from empirical or factual information. The paper should recognize contrary views,
rebuttals, and opposing positions.
References to published literature should be inserted into the text using the
“author, date” format. Examples are: (1) “Manders et al. (1994) have shown. . .”
and (2) “Interstate compacts have been researched extensively (Manders et al.,
1994).” Cited literature should be shown in a “References” section, containing an
alphabetical list of authors as shown below.
Cummins, J. David and Richard A. Derrig, eds., 1989. Financial Models of
Insurance Solvency, Norwell, Mass.: Kluwer Academic Publishers.
Manders, John M., Therese M. Vaughan and Robert H. Myers, Jr., 1994.
“Insurance Regulation in the Public Interest: Where Do We Go from Here?”
Journal of Insurance Regulation, 12: 285.
National Association of Insurance Commissioners, 1992. An Update of the NAIC
Solvency Agenda, Jan. 7, Kansas City, Mo.: NAIC.
“Spreading Disaster Risk,” 1994. Business Insurance, Feb. 28, p. 1.
Footnotes should be used to supply useful background or technical
information that might distract or disinterest the general readership of insurance
professionals. Footnotes should not simply cite published literature — use instead
the “author, date” format above.
Tables and charts should be used only if needed to directly support the thesis
of the paper. They should have descriptive titles and helpful explanatory notes
included at the foot of the exhibit.
Journal of Insurance Regulation
Papers, including exhibits and appendices, should be limited to 45 double-
spaced pages. Manuscripts are sent to reviewers anonymously; author(s) and
affiliation(s) should appear only on a separate title page. The first page should
include an abstract of no more than 200 words. Manuscripts should be sent by
email in a Microsoft Word file to:
Cassandra Cole and Kathleen McCullough
The first named author will receive acknowledgement of receipt and the
editor’s decision on whether the document will be accepted for further review. If
declined for review, the manuscript will be destroyed. For reviewed manuscripts,
the process will generally be completed and the first named author notified in eight
to 10 weeks of receipt.
Published papers will become the copyrighted property of the Journal of
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