LNY 5003 v. Zurich American Ins ( 2023 )

Case: 22-20573 Document: 00516928294 Page: 1 Date Filed: 10/11/2023
United States Court of Appeals
for the Fifth Circuit United States Court of Appeals
Fifth Circuit
____________ FILED
October 11, 2023
No. 22-20573 Lyle W. Cayce
____________ Clerk
LNY 5003, L.L.C.; Fertitta Entertainment,
Incorporated; Fertitta Hospitality, L.L.C.,
Plaintiffs—Appellants,
versus
Zurich American Insurance Company,
Defendant—Appellee.
______________________________
Appeal from the United States District Court
for the Southern District of Texas
USDC No. 4:20-CV-2992
______________________________
Before Wiener, Graves, and Douglas, Circuit Judges.
Per Curiam: *
Following the onset of the COVID-19 pandemic, Zurich American
Insurance Company (“Zurich”) denied coverage to seventeen covered
restaurants owned by subsidiaries of Fertitta Entertainment, Inc. and Fertitta
Hospitality, LLC (the “Fertitta Entities”), both Texas entities. Shortly
after, the Fertitta Entities attempted to assign all “claims and causes of
_____________________
*
This opinion is not designated for publication. See 5th Cir. R. 47.5.
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action” to LNY 5003, an entity that shared Illinois citizenship with Zurich,
to bring claims of breach of contract and violations of the Texas Insurance
Code in Texas state court. Zurich removed the case to federal court in Texas,
and the district court subsequently denied a motion to remand and granted a
motion to dismiss all claims.
Finding the assignment invalid, we hold that diversity jurisdiction
exists between the Fertitta Entities and Zurich, as citizens of Texas and
Illinois. We therefore AFFIRM the district court’s finding that it retained
subject matter jurisdiction over the dispute in denying the motion to remand.
As to the merits, despite the Fertitta Entities’ best attempts, they
needed to plausibly plead that the COVID-19 virus caused direct physical
damage to their property. They cannot do so. Accordingly, we also
AFFIRM the district court’s decision to grant Zurich’s motion to dismiss.
I.
A.
In 2019, Zurich issued a commercial insurance policy (the “Policy”)
to two insureds, the Fertitta Entities, to cover 17 international restaurants
owned by subsidiaries of the Fertitta Entities. The majority of those 17
restaurants are owned by a subsidiary, Morton’s of Chicago, Inc.
(“Morton’s”), and are located throughout Asia and North America.
Relevant to this appeal, Zurich is a New York corporation with a principal
place of business in Illinois. The Fertitta Entities are citizens of Texas.
Morton’s is an Illinois corporation with a principal place of business in
Illinois.
The Policy incorporates coverages for various losses between May 31,
2019 to May 31, 2020. In 2020, the onset of the COVID-19 pandemic
resulted in significant business losses to the 17 covered restaurants.
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According to the operative complaint, these losses were due to the presence
of COVID-19 on the premises, the ensuing public panic, and related local
government lockdown orders. The Fertitta Entities specifically alleged that
“[t]he presence of individuals infected with COVID-19 led to the covered
properties becoming contaminated with the virus, rendered the premises,
including property located at the premises unsafe, and resulting [sic] in direct
physical loss of and damage to the covered properties.”
In April 2020, the Fertitta Entities submitted a notice of loss to
Zurich. Zurich indicated that it would deny all COVID-19 related claims
under the Policy. Shortly after Zurich’s denial, in July 2020, for the nominal
price of $10, the Fertitta Entities assigned “all right, title, and interest” they
had “in any and all claims” against Zurich under the Policy to LNY 5003,
LLC (“LNY”), a Texas LLC formed in early 2020.
The Policy, however, includes an “anti-assignment clause” that
expressly precluded the Fertitta Entities from making assignments without
Zurich’s consent. It states: “Your rights and duties under this policy may
not be transferred without our written consent except in the case of death of
an individual Named Insured.” In making the assignment, the Fertitta
Entities retained “no interest in the Assigned Claims whatsoever,” and any
recovery from the assigned claims belonged to LNY. However, LNY
confirmed before the district court that the Fertitta Entities retained a
financial interest in LNY.
Despite being formed in Texas by Texan entities, LNY’s sole member
is Morton’s, a corporation with Illinois citizenship, as noted. Morton’s is
both the sole member of LNY and a direct subsidiary of Fertitta
Entertainment, Inc. The creation and assignment of claims to LNY was an
attempt to destroy complete diversity between the parties because of its
common citizenship with Zurich.
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B.
Eighteen days after the assignment, LNY sued Zurich in Harris
County state court, asserting claims for breach of contract and violations of
the Texas Insurance Code. LNY filed the action without pleading its
relationship to Fertitta or alleging the existence of the assignment, instead
bringing the action as though it were the insured under the Policy. Zurich
filed an answer and removed the case to federal court, asserting diversity
jurisdiction. Zurich claimed that LNY’s Illinois citizenship (through its sole
member, Morton’s) should be disregarded because LNY was not an insured.
Because the insured Fertitta Entities were citizens of Texas, Zurich argued,
there was complete diversity.
LNY sought remand under the United States Supreme Court’s
decision in Provident Savings Life Assurance Society of New York v. Ford, 114
U.S. 635 (1885) and its progeny. Zurich countered that LNY’s assignment
was not complete or valid and should be disregarded. The parties also
disagreed regarding whether the anti-assignment provision in the Policy
prohibited the transfer of the insureds’ “rights or duties under this policy”
without Zurich’s written consent. After briefing and a hearing, the district
court denied LNY’s motion to remand. In response to this ruling, the
Fertitta Entities—the insured and assignors—were added as plaintiffs.
Zurich then moved to dismiss the claims under Federal Rule of Civil
Procedure 12(b)(6) and 12(b)(1). The district court granted the motion to
dismiss on both grounds. This appeal of both the order denying the motion
to remand and granting the motion to dismiss for failure to state a claim
followed. 1
_____________________
1
Appellants do not challenge the dismissal of LNY for lack of subject matter
jurisdiction under Fed. R. Civ. P. 12(b)(1).
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II.
We review both issues presented in this appeal de novo. Gilmore v.
Miss., 905 F.3d 781, 784 (5th Cir. 2018) (denial of motion to remand is
reviewed de novo); Calogero v. Shows, Cali & Walsh, LLP, 970 F.3d 576, 580
(5th Cir. 2020) (grant of motion to dismiss is reviewed de novo). In
considering the motion to dismiss, we accept all well-pleaded facts as true
and view them in the light most favorable to the plaintiff. See Guidry v. Am.
Pub. Life Ins. Co., 512 F.3d 177, 180 (5th Cir. 2007).
III.
A. Motion to Remand
Beginning first with jurisdiction, 28 U.S.C. § 1332(a)(1) establishes
diversity jurisdiction over controversies between citizens of different states
with an amount in controversy exceeding $75,000. Section 1441(a) permits
a defendant to remove an action from state court to federal court if diversity
jurisdiction exists. 28 U.S.C. § 1441(a). But the action must be remanded
under 28 U.S.C. § 1447(c) if “at any time before final judgment it appears
that the district court lacks subject matter jurisdiction.”
The removing party bears the burden of proving by a preponderance
of the evidence that subject matter jurisdiction exists. New Orleans & Gulf
Coast Ry. Co. v. Barrois, 533 F.3d 321, 327 (5th Cir. 2008) (citations omitted).
The existence of subject matter jurisdiction is determined at the time of
removal. Manguno v. Prudential Prop. & Cas. Ins., 276 F.3d 720, 723 (5th Cir.
2002). This includes consideration of “the claims in the state court petition
as they existed at the time of removal.” Id. (citation omitted).
The Supreme Court has held that “the citizens upon whose diversity
a plaintiff grounds jurisdiction must be real and substantial parties to the
controversy.” Navarro Sav. Assoc. v. Lee, 446 U.S. 458, 460 (1980) (internal
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marks and citation omitted). Federal courts “must disregard nominal or
formal parties and rest jurisdiction only upon the citizenship of real parties to
the controversy.” Id. at 461 (citation omitted). Further, federal courts “may
and should take such action as will defeat attempts to wrongfully deprive
parties entitled to sue in the Federal courts of the protection of their rights in
those tribunals.” Ala. Great S. Ry. Co. v. Thompson, 200 U.S. 206, 218 (1906).
In determining that it retained subject matter jurisdiction over the
parties, the district court made six findings: (1) the at-issue assignment was
invalid under the plain terms of the Policy, (2) the Fertitta Entities and
Zurich are the “real parties” to this controversy, (3) complete diversity exists
among the parties, (4) Zurich met its burden of proving subject matter exists,
(5) LNY’s motion to remand must be denied, and (6) LNY cannot proceed
further in this action as plaintiff.
Before us, the Fertitta Entities argue that federal courts should not
look behind a complete assignment of claims that eliminates diversity, relying
on and claiming their “complete assignment of claims” fits squarely within
the Supreme Court’s decision in Provident, 114 U.S. 635. Zurich counters
that reliance on Provident is unavailing when an assignment is invalid or
incomplete, and that the assignment at issue was invalid under Texas law
because it violated the anti-assignment provision in the Policy.
We first turn to Provident. There, an individual judgment creditor (a
resident of Ohio) assigned his entire interest in a judgment against Provident
(a New York corporation) to the plaintiff (a resident of New York). The
assignee then sought to collect the judgment in New York state court,
diversity being destroyed. 114 U.S. 635, 636-37. Provident removed the
matter, arguing that diversity jurisdiction existed because the assignment was
fraudulent, and the assignor was the real party in interest. Id. at 637, 640.
The Supreme Court disagreed, acknowledging the fraudulent assignment but
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rejecting removal. “The plain answer to this position is that the action was
nevertheless [the assignee’s], and as against him there was no right of
removal. If he was a mere tool of [the assignor], and if the latter was the
person really interested in the cause, the action could not have been
sustained” because state law would provide adequate protections. Id. at 640.
Instead, the Court was satisfied that a fraudulent assignment may “be a good
defense to an action in a state court” but “not a ground of removing that
cause into the federal court.” Id. at 641.
Our court is no stranger to Provident, having grappled with it
previously in Grassi v. Ciba-Geigy, Ltd., 894 F.2d 181 (5th Cir. 1990). In
Grassi, which involved a partial assignment, we stated that Provident and its
progeny stand for two propositions: (1) “federal courts lack the power to look
beyond the pleadings in determining the existence of diversity jurisdiction”
absent specific statutory authorization and (2) “state law and the state court
systems will adequately defend a defendant’s right to removal jurisdiction
against devices designed to defeat it.” Id. at 183. But “[t]hese propositions
have not fared well since 1887.” Id.The first proposition has been “largely abandoned” in subsequent
decisions “recogniz[ing] that federal courts do possess some inherent
authority to look beyond the pleadings in order to protect a litigant’s right to
diversity jurisdiction.” Id. We went on to quote Wecker v. Nat’l Enamelling
& Stamping Co., 204 U.S. 176 (1907), in which the Court held that diversity
jurisdiction was not defeated by joinder of a nondiverse defendant who could
not conceivably be liable and declaring that federal courts “should not
sanction devices intended to prevent a removal to a Federal court where one
has the right, and should be equally vigilant to protect the right to proceed in
the Federal court as to permit the state courts, in proper cases, to retain their
own jurisdiction.” Id. (quoting Wecker, 204 U.S. at 185-86). Similarly, in In
the Matter of the State of Neb., 209 U.S. 436 (1908), the Supreme Court upheld
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a circuit court’s refusal to remand a case solely because Nebraska was listed
as a plaintiff, holding that it was the duty of the federal court to determine
whether Nebraska was an actual party plaintiff. Grassi, 894 F.3d at 183.
The second proposition under Provident and its progeny “has proved
untrue in practice.” Id. We found that “[r]eliance upon state law for the
determination of federal court jurisdiction was ultimately rejected by the
Supreme Court in Kramer.” Id. at 184. In Kramer v. Caribbean Mills, Inc.,
also involving a partial assignment, the Supreme Court rejected the argument
that because the assignment was valid under state law, federal courts were
bound to respect it. 394 U.S. 823, 824-25 (1969). “The existence of federal
jurisdiction is a matter of federal, not state law.” Id. at 829. Finding the
assignment collusive, the Supreme Court disregarded the assignment for
determining jurisdiction. Id. at 828-29. Noting our own holdings that
recognize the authority of federal courts to protect their own jurisdiction,
Grassi held that “federal district courts have both the authority and the
responsibility, under 28 U.S.C. §§ 1332 and 1441, to examine the motives
underlying a partial assignment which destroys diversity and to disregard the
assignment in determining jurisdiction if it be found to have been made
principally to defeat removal.” Id. at 185.
Provident remains binding law, despite it not being revisited by the
Supreme Court in almost 150 years. “Although the basic propositions for
which Provident and its progeny stand have been abandoned, the Supreme
Court has not had formal occasion to reexamine the ruling since 1887.”
Grassi, 894 F.2d at 184. In Grassi, we opted not to extend Provident’s holding
to cases involving partial assignments, empowering federal courts to examine
the motives underlying a partial assignment. See id. at 185.
Here, again, we decline to extend Provident’s holding to cases where
the claims at issue derive from a contractual relationship that specifically
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includes an anti-assignment clause. When an anti-assignment clause renders
an assignment invalid, federal courts have the authority and responsibility to
examine the validity of those assignments for purposes of diversity
jurisdiction.
Provident and its progeny control “where assignments of a complete
cause are concerned.” Grassi, 894 F.2d 181, 183 (5th Cir. 1990). More
precisely, as the district court noted, Provident applies “where what’s before
the court is indisputably a complete assignment,” as this was the precise
scenario presented in Provident. Here, the claims at issue derive from a
contractual relationship that expressly forbid assignments without Zurich’s
written consent. Whether the assignment is complete depends on whether
the assignment itself is valid under the contract. As aptly stated by the
district court, “if invalid, the assignment didn’t actually happen at all—much
less in the sense of being complete.”
Here, the Fertitta Entities’ attempted assignment to LNY was invalid.
This conclusion is supported by both Texas law and our own. “Texas law
permits the enforcement of no-assignment clauses in insurance policies.”
Conoco, Inc. v. Republic Ins. Co., 819 F.2d 120, 124 (5th Cir. 1987). Moreover,
violations of the Texas Insurance Code are not assignable under Texas law.
PPG Indus., Inc. v. JMB/Houston Ctrs. Partners Ltd., 146 S.W.3d 79, 87 (Tex.
2004). Accordingly, Texas law supports the validity of the anti-assignment
clause, and specifically rejects the assignment of the exact claims at issue in
the instant matter.
This holding also tracks our prior decision in Keller Found., Inc. v.
Wausau Underwriters Ins. Co., 626 F.3d 871 (5th Cir. 2010). There, a
purchase agreement transferred nearly all assets of an insured to the plaintiff.
Id. at 872-73. An anti-assignment clause in the insurance policy barred the
transfer of “rights and duties” of the insured. Id. at 873. The plaintiff was
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later sued for harm arising from work done by the insured prior to the
purchase and transfer. Id. The insurance company refused to provide
coverage and the plaintiff brought an action alleging breach of contract,
violations of the Texas Insurance Code, and breach of the duty of good faith
and fair dealing. Id. We first noted that Texas courts “enforce non-
assignment clauses even for assignments made post-loss.” Id. at 874. We
then held that the assignment was barred by the policy’s anti-assignment
clause because the plaintiff was trying to obtain coverage under the policy.
Id. at 875. We specifically stated that the plaintiffs could not “circumvent
the non-assignment clause by casting the transfer of the insurance coverage
as the transfer of a chose in action.” Id. (internal marks omitted).
The Fertitta Entities attempt to differentiate “rights and duties” from
“claims and causes of actions” is unavailing. Our court has categorized such
distinctions as “specious.” See Conoco, 819 F.2d at 124 (rejecting plaintiff’s
argument that it was not assigned a “claim or demand” but “proceeds”). As
in Keller, plaintiffs here are attempting to obtain coverage under the Policy.
They may not “circumvent the non-assignment clause” by arguing that its
prohibition on the assignment of “rights and duties” does not preclude an
assignment of “claims or cause of action.” This is especially true when their
own state court petition makes clear that LNY is pursuing its own claims as if
it were itself insured under the Policy.
Because the assignment was invalid, diversity jurisdiction exists
between the Fertitta Entities and Zurich, as citizens of Texas and Illinois
respectively. We therefore affirm the district court’s holding that it retained
subject matter jurisdiction over the dispute in denying the motion to remand.
B. Motion to Dismiss
Turning to the motion to dismiss, in the complaint, the Fertitta
Entities alleged that they suffered “direct physical loss of and damage to the
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seventeen covered restaurants as a result of the COVID-19 pandemic, the
public’s fear of the coronavirus, and the resulting civil unrest and
government lockdown orders.” Specifically, “[t]he presence of individuals
infected with COVID-19 led to the covered properties becoming
contaminated with the virus, rendered the premises, including property
located at the premises unsafe, and resulting in direct physical loss of and
damage to the covered properties.” Further, the “presence of COVID-19
physically altered the covered properties” by “rendering those properties
unsafe, and thereby depriving Plaintiffs of their possession and use of the
covered properties.” Because the pandemic required the restaurants “to
suspend operations and customers were not permitted to dine inside,”
Fertitta alleged its restaurants could not generate revenue.
The Fertitta Entities now argue that the district court erred in
granting Zurich’s motion to dismiss after finding that the presence of
COVID-19 could not cause a physical loss or damage to property. Zurich
counters that the district court properly dismissed the complaint because
Fertitta failed to plead direct physical loss of or damage to property as
required under the Policy. The limited coverages for “microorganisms” do
not alter the meaning of “direct physical loss of or damage to” property.
Instead, the microorganism exclusion bars coverage because it
unambiguously excludes losses directly or indirectly caused by the virus.
Texas law governs our interpretation of the insurance policy. “Texas
law provides that insurance policies are construed according to common
principles governing the construction of contracts, and the interpretation of
an insurance policy is a question of law for a court to determine.” Am. Intern.
Specialty Lines Ins. Co., 620 F.3d at 562 (citing New York Life Ins. Co. v.
Travelers Ins. Co., 92 F.3d 336, 338 (5th Cir. 1996)). We limit our inquiry to
the four corners of the underlying complaint and the four corners of the
Policy, and “interpret the contract to discern the intention of the parties from
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the language expressed in the policy.” Id. All the provisions must be
considered with reference to the whole instrument. Id. (citing Coker v. Coker,
650 S.W.2d 391, 393 (Tex. 1983)). “The policy’s terms are given their
ordinary and generally-accepted meaning unless the policy shows the words
were meant in a technical or different sense.” Gilbert Tex. Const., LP v.
Underwriters at Lloyd’s London, 327 S.W.3d 118, 126 (Tex. 2010).
If a policy is subject to more than one reasonable interpretation, it is
ambiguous. See Nat’l Union Fire Ins. Co. of Pittsburgh v. CBI Indus. Inc., 907
S.W.2d 517, 520 (Tex. 1995). “Only where a contract is first determined to
be ambiguous may the courts consider the parties’ interpretation.” Id.(citation omitted). When an insurance policy is ambiguous, and the parties
offer conflicting reasonable interpretations of the policy, Texas law favors
adopting the interpretation in favor of the insured. RSUI Indem. Co. v. The
Lynd Co., 466 S.W.3d 113, 118 (Tex. 2015). But a policy is only ambiguous
“if, after applying the rules of construction, it remains subject to two or more
reasonable interpretations.” Id. at 119 (internal quotation marks and citation
omitted).
Here, we find no ambiguity in the Policy, and our caselaw firmly
forecloses the arguments offered by the Fertitta Entities. The six coverages
at issue in this appeal require “direct physical loss of or damage to” covered
property. We have held that under Texas law, “direct physical loss of
property” means “a tangible alteration or deprivation of property.” Terry
Black’s Barbecue v. State Auto. Mut. Ins. Co., 22 F.4th 450, 458 (5th Cir.
2022). And a restaurant does not suffer a “direct physical loss of property”
when it must suspend dine-in services because of local, state, or national
COVID-19 regulations. See id. at 455. That would seemingly end the
argument as to these six coverage provisions.
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Fertitta appears to argue that this case is different from the several we
have already considered and rejected because the virus itself, rather than the
closure orders, tangibly altered the properties, and that the Policy expressly
contemplates that microorganisms, including viruses, can physically damage
property. 2 This is akin to the argument made in Am. Liberty Hosp., Inc. v.
Cont’l Cas. Co., 2022 WL 2669465 (S.D. Tex. July 11, 2022), when the
plaintiff argued that COVID-19 “became affixed to the Covered Properties
after infected persons were present,” thereby “damag[ing] the insured
properties” and “render[ing] them unusable and dangerous to the public.”
Id. at *2. To the extent Appellants contend that its properties were
“physically contaminated,” this distinction is unavailing. As the district
court noted in Am. Liberty Hosp., “contamination of objects or properties”
by COVID-19 “is transient and does not physically alter them.” Id.
Our court has spoken to variations of this argument numerous times
and each time flatly rejected it. In PS Bus. Mgmt., LLC v. Fireman’s Fund Ins.
Co., No. 21-30723, 2022 WL 2462065 (5th Cir. July 6, 2022) (unpublished),
we stated that “COVID-19 is a virus that injures people, not property.” Id.
at *3 (internal marks and citation omitted). In Ferrer & Poirot, GP v.
Cincinnati Ins. Co., 36 F.4th 656, 658 (5th Cir. 2022), we stated that COVID-
19 did not cause “physical loss or damage to insured property” because
“[w]hile COVID-19 has wrought great physical harm to people, it does not
physically damage property within the plain meaning of ‘physical.’”
_____________________
2
This provision is not superfluous simply because it is inapplicable to the
coronavirus. Zurich provides an example of when a virus might cause direct physical loss
or damage by pointing to living things like livestock, which can be a type of property. See
also Curtis O. Griess & Sons, Inc. v. Farm Bureau Ins. Co., 528 N.W.2d 329, 331 (Neb. 1995)
(pseudorabies virus carried by windstorm infected and killed swine). It also notes that
“some microorganisms can cause direct physical loss or damage when they tangibly alter
property, such as if mold infiltrated a property’s walls after a water pipe bursts.”
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(citations omitted). Significantly, Fertitta “was not deprived of its property
nor was there a tangible alteration to its property,” so there was no direct loss
to trigger coverage. Id. In Aggie Invs. LLC v. Cont’l Cas. Co., 2022 WL
257439 (5th Cir. 2022), we discussed in detail why physical loss of property
cannot reasonably be interpreted to mean loss of use. Id. at *2. First, we
noted that by including the term “physical,” the policy necessarily
contemplated a loss that is nonphysical and thus excluded. Id. Further, as
here, the policy provides for a “period of restoration” which contemplated
that the loss suffered requires a period for repair. Id. We found no ambiguity
in the “direct physical loss of property” language. Id. at *3. As stated in
Terry Black’s Barbecue, this conclusion is consistent with every other circuit
court to interpret this language in the context of losses caused by civil
authority orders closing nonessential businesses during the COVID-19
pandemic. See 22 F.4th at 457 (collecting cases).
Despite Fertitta’s best attempts, it needed to plausibly plead that the
COVID-19 virus caused physical damage to its property. It cannot do so.
When the plaintiff seeks insurance coverage, if the insurance policy
“precludes recovery under its very terms, dismissal is proper.” IberiaBank
Corp. v. Ill. Union Ins. Co., 953 F.3d 339, 345 (5th Cir. 2020) (citation
omitted). The district court correctly dismissed these claims, as the
arguments raised by the Fertitta Entities are solidly foreclosed by precedent.
AFFIRMED.
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