Should You File a Business Interruption Claim for COVID-19 Losses?

Posted on June 30th, by Hoberman & Lesser in Timely Articles, Uncategorized.

With much of the country currently coming out of lockdown due to the novel coronavirus (COVID-19) crisis, many nonessential businesses have suffered. As a result, millions of small business owners find themselves on the brink of financial disaster. For those with business interruption insurance policies in place, now may seem like the ideal time to submit a claim.

However, as it stands currently, there’s much disagreement regarding whether business interruption insurance policies should cover loss of income triggered by the pandemic.

How Insurance Companies View the Pandemic 

Some insurance companies are claiming the legal defense of “force majeure.” This refers to a situation where unexpected external circumstances prevent a party to a contract, in this case, this insurance company from meeting their obligations.

In addition, many insurance companies note that business interruption policies provide coverage when a policyholder suffers a loss of income as a result of physical loss or damage to covered property. According to their interpretation, COVID-19 doesn’t qualify as a physical loss.

Insurers also highlight the fact that policies don’t cover loss of income due to market conditions, and economic slowdown or concerns regarding contamination. They claim that policies don’t provide coverage for government actions designed to limit the spread of COVID-19.

Policyholders Object

On the flipside, attorneys representing business owners in a growing number of lawsuits against insurance companies state that the existence of SARS, MERS, and the Avian flu have given insurance companies ample opportunity to predict a subsequent global pandemic involving another virus.

As it relates to need for a physical loss to occur to trigger payments under the policy, plaintiffs note that the virus can attach itself to physical surfaces. Therefore, viruses cause physical loss that would require cleaning to remove.

To complicate matters further, lawmakers in several jurisdictions are considering passing bills to force insurance companies to pay for COVID-19 related losses under business interruption insurance policies.

Proactive Measures

While courts and lawmakers are addressing these issues, companies that have a business interruption policy in place should consider taking the following steps:

Review your policy in detail. Contact your insurance company and ask for a complete copy of your policy, if you don’t have one.

Determine the notification period. To ensure timely claims submission, many policies require policyholders to notify their insurance company of a loss within a certain time period. Make sure you comply within the prescribed time frame. Document compliance in your business records and send an email or letter to your insurance company.

Build your case. The success of a business interruption claim depends on your ability to document the impact of COVID-19 on your business. Prepare a file that documents the financial impact of the pandemic. Be sure to include the loss of income (as defined by your policy), customer attrition rates and incremental expenses incurred (such as site security or cleaning services).

As litigation winds its way through the court system and legislators consider steps to compel insurance companies to honor claims, your insurance company will probably deny your COVID-19-related claim. But filing it now established your company’s rights to contest the claim as the legal landscape evolves.

Need Help?

The stress of paying bills and managing daily operations in today’s unprecedented market conditions is overwhelming for many business owners. Few have time to pull together a detailed business interruption claim, especially if they’ve never filed one before. Your CPA firm stays on top of the latest developments in business interruption insurance and can help document your losses.

If you would like to review answers to commonly asked tax questions, please visit our Year End Tax Guide here.