Due to lack of "direct physical loss or damage"

New Jersey Supreme Court rules Ocean Casino not entitled to insurance coverage over losses during Covid

Reading time 1:50 min

On Wednesday, New Jersey’s Supreme Court ruled that Ocean Casino Resort in Atlantic City is not entitled to payouts from business interruption insurance for losses during the COVID-19 outbreak. The high court determined that the presence of the virus did not constitute the kind of "direct physical loss or damage" required for such a payout.

The case involved the casino's claims against three insurance companies, including AIG Specialty Insurance Co., American Guarantee & Liability Insurance Co., and Interstate Fire & Casualty Co. The insurers largely denied payouts to the casino, saying it did not suffer direct physical loss or damage because of the virus.

The casino sued and defeated an attempt by the insurers to dismiss the case. However, that decision was reversed by an appellate court. The high court then agreed to take the case to resolve the legal question of what constituted loss or damage.

"Based on the plain terms of the policies, we conclude that to show a 'direct physical loss' of its property or 'direct physical . . . damage' to its property under the policy language at issue, (parent company AC Ocean Walk LLC) was required to demonstrate that its property was destroyed or altered in a manner that rendered it unusable or uninhabitable," the court wrote in a unanimous decision, as reported by the Associated Press.

"At most, it has alleged that it sustained a loss of business during the COVID-19 government-mandated suspension of business operations because it was not permitted to use its property as it would otherwise have done," the opinion read.

The statement by the court concluded that the casino’s pleadings "do not support a finding that it is entitled to insurance coverage."

The decision aligns with other similar rulings in various state and federal courts nationwide, where compensation claims were rejected for a California movie theater chain, a Los Angeles real estate company, a group of hotels in Pennsylvania, a group of hostels, and a law firm in New Jersey.

During arguments in September before the Supreme Court, Stephen Orlofsky, a lawyer for Ocean, said the casino took several steps to respond to the virus, including employing air filtration systems and using "industrial-strength" cleaning supplies.

However, David Roth, a lawyer for American Guarantee, said the policies require there to be physical damage to the property, which he said did not occur at the casino. He said 14 state Supreme Courts around the nation have held that the mere interruption of business activity during the pandemic does not constitute physical losses.

Ocean maintained that in addition to an order by Democratic Gov. Phil Murphy to close the casinos for 3 1/2 months in 2020, it also shut down because of "the concern that the virus was having on the physical surfaces and the air" inside the casino.

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