Massachusetts
Massachusetts High Court Reheats Recipe in Restaurants' COVID-19 Insurance Denial
In a ruling against an upscale restaurant chain, the Massachusetts Supreme Judicial Court has affirmed its 2022 ruling that the COVID-19 virus does not trigger business interruption insurance because it does not cause “direct physical loss or damage.”
Davio’s restaurant chain sought to recover under its all-risk business policy issued by Strathmore Insurance Co. for businesses losses it suffered due to service restrictions and remediation efforts necessitated by the COVID-19 pandemic
Strathmore, a subsidiary of Greater New York Mutual Insurance Co., denied Davio’s claims on the basis that the loss of business income was not “caused by direct physical loss of or damage to property,” as required under the policy. Davio’s filed suit and a Superior Court judge granted Strathmore’s motion to dismiss. The restaurants then appealed from the judgment of dismissal.
Strathmore was the defendant in the precedent-setting 2022 case in which it was sued by a different Boston-area restaurant group, Verveine Corp. The Verveine ruling was the first by a state supreme court on COVID-19-related business interruption claims filed against insurers across the country, the majority of which insurers have won.
Noting the similarities between the Verveine and Davio’s cases, the Supreme Judicial Court said it discerned “no reason to distinguish ” the Davio’s case from the Verveine case two years ago and affirmed that ruling.
Massachusetts: First State Top Court Gives Industry a Win in Covid-19 Claims Case
Davio’s claimed that the virus became physically present at its restaurants and the presence of the virus caused it to take “extraordinary measures,” which included “closing certain operations and services, substantially modifying others, restricting access to many of the properties, enforcing physical distancing, and undertaking extensive active efforts to repair, restore, and remediate the facilities.”
The restaurant firm also maintained that some surfaces and objects retained residual infectious virus even after cleaning, and “no amount of cleaning could prevent aerosolized infectious particles from attaching to surfaces after cleaning.”
However, the restaurants were able to continue operating “at reduced levels” during the COVID-19 pandemic. Davio’s locations include Boston’s Seaport, Foxboro, Lynnfield, Braintree and Chestnut Hill.
The high court faced the same question as it had addressed in Verveine — whether there was any “direct physical loss of or damage to” property — and again concluded that those words from the insurance policy require a physical alteration of the property and the COVID-19 virus did not physically alter or affect any of the insured property.
On the question of what constitutes a physical alteration of property, Verveine again provided the guidance that “property has not experienced physical loss or damage in the first place unless there needs to be active repair or remediation measures to correct the claimed damage or the business must move to a new location.”
Thus, the “evanescent presence of a harmful airborne substance that will quickly dissipate on its own, or surface-level contamination that can be removed by simple cleaning, does not physically alter or affect property.” In contrast, the “saturation, ingraining, or infiltration of a substance into the materials of a building or persistent pollution of a premises requiring active remediation efforts” does constitute a physical alteration.
The court noted that similar distinctions have been noted in COVID-19 insurance cases across the country and courts have reached the same conclusion “even when presented with detailed allegations regarding how the COVID-19 virus affects the air and surfaces around it.”
In Verveine, the Supreme Judicial Court assumed that the virus was physically present in the restaurants but explained that the suspension of business at the restaurants was “not in any way attributable to a direct physical effect on the plaintiffs’ property that can be described as loss or damage. As demonstrated by the restaurants’ continuing ability to provide takeout and other services, there were not physical effects on the property itself.”
Davio’s specifically alleged that “there have been hundreds (if not thousands) of infected guests on-site since the pandemic’s outset.” But the high court found that these allegations do not show that the virus physically altered or affected the insured property in any way. Rather, they show the “evanescent presence of a harmful airborne substance,” and that there was no direct physical loss or damage to property.
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Massachusetts
Smoke from North Attleborough fire visible for miles
Fire broke out at an apartment building in North Attleborough, Massachusetts, on Monday afternoon, sending a column of smoke high into the air.
NBC affiliate WJAR-TV reports the smoke was visible from miles away from the building on Juniper Road.
More details were not immediately available.
This is a developing story. Check back for updates.
Massachusetts
Life Care Center of Raynham earns deficiency‑free state inspection
Life Care Center of Raynham has received a deficiency‑free inspection result from the Massachusetts Department of Public Health, a distinction awarded to a small share of the state’s licensed nursing homes, according to a community announcement.
The inspection was conducted as part of the state’s routine, unannounced nursing home survey process overseen by the Massachusetts Department of Public Health. These comprehensive, multi‑day inspections evaluate multiple aspects of facility operations, including staffing levels, quality of care, medication management, cleanliness, food service and resident rights.
State survey records show that Life Care Center of Raynham met required standards during its most recent standard survey, with no deficiencies cited, based on publicly available state data.
The announcement states that fewer than 8% of Massachusetts nursing homes achieve deficiency‑free survey results. That figure could not be independently verified through state or federal data and is attributed to the announcement.
In addition to the state survey outcome, the facility is listed as a five‑star provider for quality measures on the federal Medicare Care Compare website. The five‑star quality measure rating reflects above‑average performance compared with other nursing homes nationwide, according to federal rating methodology.
Officials said the inspection results reflect ongoing compliance with state and federal standards designed to protect resident health and safety. According to the announcement, the outcome is attributed to staff performance and internal quality practices.
This story was created by Dave DeMille, ddemille@gannett.com, with the assistance of Artificial Intelligence (AI). Journalists were involved in every step of the information gathering, review, editing and publishing process. Learn more at cm.usatoday.com/ethical-conduct.
Massachusetts
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