How An Ex-Mod Projection Can Help Control Work Comp CostsCOVID-19 is causing devastating business interruption and loss of income for countless companies. Many of these companies have business interruption insurance, but whether these policies will help cover COVID-19 business losses remains uncertain.
Stay-at-Home Orders Shut Down Businesses
First, state and local governments started ordering bars, clubs, and gyms to close. Then stay-at-home orders called for all non-essential businesses to close. According to Business Insider, 95 percent of Americans are under stay-at-home orders.
It’s unclear when these orders will be lifted. Some stay-at-home orders include end dates, but extensions are possible, and in some cases, they’ve already happened. In other states, the orders don’t include end dates. The governors of Washington, Oregon and California have announced that they will work together to reopen their economies. However, the timeline for this is not clear.
In the meantime, many businesses remain closed, and even businesses that are still open are seeing disruption. According to the U.S. Chamber of Commerce, a poll of small businesses released on April 3 found that 24 percent of businesses had already shut down temporarily and 40 percent of said they would probably shut down temporarily within the next two weeks. Almost half of small businesses thought it would take six months for the U.S. economy to recover.
Business Interruption Coverage for Communicable Diseases
Business interruption insurance is commonly used after disruptions caused by hurricanes, fires and other disasters that cause property damage. When a business experiences income loss after such a disaster, a business interruption claim can be filed.
Some business interruption policies specifically exclude losses caused by communicable diseases, but others are silent on the issue. Nevertheless, coverage was often assumed not to exist. This is because, as the Insurance Information Institute explains, policies typically require property damage to be the cause of income loss. A viral or bacterial infection would not qualify as property damage, so a business interruption claim could not be filed.
Or could it? The once common assumption that coverage does not exist for communicable diseases is now being called into question.
The Call for Coverage
According to the Insurance Journal, some lawsuits have already been filed against insurance companies denying business interruption claims related to COVID-19, and legal experts predict widespread litigation.
According to Claims Journal, President Trump spoke about the issue for about a minute and a half during one of the daily coronavirus briefings, indicating that insurers should pay in at least some situations. “I don’t see pandemic mentioned. Now, in some cases it is; it’s an exclusion. But in a lot of cases I don’t see it. I don’t see reference that they don’t want to pay up. I would like to see the insurance companies pay if they need to pay, if it’s fair.”
California Insurance Commissioner Ricardo Lara issued a notice requiring “insurance companies to fairly investigate all business interruption claims caused by COVID-19.”
The Case Against Coverage
While business owners impacted by COVID-19 would certainly benefit from coverage, not everyone agrees that coverage should extended.
In a letter to Trump, Senator Tim Scott expressed concern over calls to retroactively change business interruption insurance contracts to provide coverage for COVID-19. According to the letter, such actions could undermine the insurance system and lead to litigation that could last for years. “Because BI insurance typically does not cover pandemics absent an explicit rider, insureds under these policies were never charged premiums for that risk and insurers did not reserve for or hold capital against the potential future loss.”
The letter also includes a statement from the National Association of Insurance Commissioners explaining that insurance is not well suited for a global pandemic with almost every policyholder suffering significant and extended losses simultaneously. “While the U.S. insurance sector remains strong, if insurance companies are required to cover such claims, such an action would create substantial solvency risks for the sector, significantly undermine the ability of insurers to pay other types of claims, and potentially exacerbate the negative financial and economic impacts the country is currently experiencing.”
In other words, the insurance industry’s $800 billion in capital can only cover our country’s $20 trillion economy for a few days before the insurance industry is bankrupted. Then, there will be no reserves left to pay claims in the upcoming hurricane and wildfire seasons.
Only Time Will Tell
This is a developing issue with high stakes. While it is currently unclear whether business interruption claims for losses related to COVID-19 will be covered, it is certain that this issue will continue to receive significant attention from both sides of the debate.
If you have any questions about your commercial insurance coverage, be sure to contact your agent at Heffernan Insurance Brokers. We are here to help you navigate during these unprecedented times.
