Insurance Companies and COVID-19 Lawsuits

Photo courtesy of Centers for Disease Control and Prevention

Date: April 13, 2021

Lawsuits demanding insurance companies cover COVID-19-related business losses are under review in numerous Federal courts across the country, including one filed on behalf of Augusta University Health.

U.S. District Court for the South District of Georgia has granted a request to delay until the end of the month the requirement AU (and its Rhode Island-based Affiliated FM Insurance Company) share evidence each side plans to present during hearings.

MORE: AU Health Files $9 Million Lawsuit: Sues AFM Insurance for COVID-19 Related Businesses Losses

The AU lawsuit, filed in February 2021, accuses AFM of acting in bad faith and breach of contract and demands $9 million dollars.

AFM filed its response in early March and cited a clause excluding coverage due to contamination from, “the actual or suspected presence of any foreign substance.”

The list of exclusions includes virus among the hazards.

However, AU court documents state that AFM filed with the Georgia Department of Insurance two “Healthcare Endorsement” updates. One in 2015 said, “For the purpose of this coverage, the presence and spread of communicable disease will be considered direct physical damage and the expenses listed above will be considered expenses to repair such damage.” In the second, filed in 2016, AFM expanded this coverage again, adding it to the Core All-Risk Policy, which AU says it has.

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Similar lawsuits were filed last year by several law firms on behalf of more than 20 Minor League Baseball teams, including the Augusta GreenJackets.

The teams suffered financial losses when the league decided to suspend the 2020 season because of COVID-19 concerns.

MORE: FEMA to Assist with Funeral Costs Brought by COVID-19

Those lawsuits were dismissed in September 2020 because the contracts each team had with its individual insurance provider included an exclusion clause: “We 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.”

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Appeals have been filed with the U.S. Court of Appeals Ninth Circuit. A hearing could be scheduled in San Francisco, Calif. in early August.

Dana Lynn McIntyre is a Staff Reporter with The Augusta Press. You can reach her at dana@theaugustapress.com.

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The Author

Dana Lynn McIntyre is an award-winning reporter who began working in radio news in her hometown of Johnstown, Pennsylvania. She also worked as a television news photographer for a station in Altoona, Pennsylvania. Dana moved to Savannah, Ga. in 1984 to join the news team at WIXV-FM/I95 Radio. In early 1986, WBBQ Radio in Augusta invited her to interview for a position with the news department. Within three weeks, Dana was living in Olde Town and working at a legendary radio station. Dana left WBBQ in 1996 to join WJBF NewsChannel 6 as assignment manager. In 1998 she became a reporter/anchor covering law enforcement, crime and courts as well as witnessing two executions, one in Georgia, the other in South Carolina. She also spent time as an assignment manager-editor in Atlanta, metro New York City, and back in Augusta at WRDW Television. Dana joined The Augusta Press team in April 2021. Among Dana’s awards from the Georgia Associated Press Broadcasters Association are for Excellence in General Assignment Reporting, Spot News and Specialized Reporting. Dana also received an award for Public Service Reporting from the West Augusta Rotary Club for a story with actor LeVar Burton on his PBS Television show “Reading Rainbow."

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