More Insurance Coverage

  • January 05, 2024

    NY AG Seeks $370M From Trump After Valuation Fraud Trial

    New York Attorney General Letitia James asked a state judge Friday to claw back $370 million, plus interest, from former President Donald Trump for what she called an "outrageous" conspiracy to defraud banks and insurers by inflating his wealth on financial statements.

  • January 05, 2024

    Legal Insurance Co. Omits OT For Preshift Tasks, Court Told

    A legal insurance provider has not been paying its customer service workers for the time they spend booting up computers and software programs before their workday begins, a former customer service representative claimed in a proposed collective action in Ohio federal court.

  • January 04, 2024

    Insurer Escapes Benefits Suit By Law Firm Partner's Widow

    A North Dakota federal judge has dismissed Standard Insurance Co. from a lawsuit brought by a law firm partner's widow alleging it failed to pay out her deceased husband's life insurance benefits, saying his policy ended when he left the firm in 2014.

  • January 04, 2024

    House Panel To Hold Hearing On New DOL Fiduciary Rule

    House Republicans are expected to scrutinize a new rule proposed by the U.S. Department of Labor at a hearing scheduled next week, spotlighting a set of regulations that aim to broaden what kind of fiduciary investment advice falls under the purview of federal benefits law.

  • January 04, 2024

    3 Takeaways From Flood Of Comments On DOL Fiduciary Rule

    The U.S. Department of Labor fielded more than 19,000 comments on a proposal to expand the definition of who qualifies as a fiduciary under the Employee Retirement Income Security Act before the window for public comment closed Tuesday, a deadline management-side lawyers said came too quickly.

  • January 04, 2024

    Deals Rumor Mill: Cigna, Bain Capital, Amazon

    Cigna is seeking to unload its Medicare Advantage business for up to $4 billion, Bain Capital wants to sell antibodies manufacturer Centrient Pharmaceuticals for $1.1 billion, and Amazon could buy a stake in regional sports networks. Here, Law360 breaks down these and other notable deal rumors from the past week.

  • January 04, 2024

    Insurance Pro Rejoins Norton Rose From Alamo City Boutique

    Norton Rose Fulbright said Wednesday it has boosted its global insurance practice with a partner in San Antonio who rejoined from boutique insurance litigation firm Chasnoff Valkenaar Pepping & Stribling LLP.

  • January 03, 2024

    Ex-Exec Gets $450K From Defunct Colo. Insurer

    A Colorado state judge on Tuesday handed an early win to the former chief operating officer of a defunct health insurance company who alleged that the company failed to pay his severance after he was fired in 2022.

  • January 03, 2024

    Wash. High Court Won't Take Up Gun Group's Insurance Fine

    The Washington State Supreme Court won't consider an appeal from a group that covers legal expenses for members who use weapons in self-defense, leaving in place a $50,000 fine from state regulators who said the organization essentially sold insurance without a license. 

  • January 03, 2024

    Appeals Court Upholds In-House Atty's $24.3M Retaliation Win

    A California appeals court upheld a $24.3 million damages award handed to a former Farmers Insurance in-house attorney who said he was fired because of his potential role in a sex bias suit, ruling there was plenty of evidence backing a jury's verdict in his favor.

  • January 03, 2024

    Bulk Of Allegations Dismissed In Geico No-Fault Fraud Suit

    A New Jersey federal judge dismissed the bulk of fraud and racketeering allegations brought by Geico against a spine clinic and its medical director, concluding that the state's no-fault insurance statute requires arbitration for disputes over personal injury protection claims.

  • January 03, 2024

    Detroit Condo Insurer Escapes Covering Underlying Clashes

    An insurer doesn't have to cover a Detroit condo facing suits over damaged fences, defamation and legal fees, a Michigan federal judge ruled, finding exclusions in the directors and officers policy doomed the claims.

  • January 02, 2024

    Allstate Sues Fla. Pain Clinic, Manager Over Fraudulent Billings

    Allstate Insurance Co. is suing a Florida pain clinic and its manager, claiming they fraudulently billed the insurer for unnecessary, inappropriate and overpriced treatments, some of which were seemingly never performed, after they failed to comply with a settlement agreement reached in early December.

  • January 02, 2024

    Failed Negotiation Leaves Prisma Hospitals Out Of UHC Network

    Eighteen South Carolina hospitals are now out-of-network providers for UnitedHealthcare customers, the insurer announced Tuesday, saying Prisma Health Facilities caused the change by refusing to budge on its "unsustainable" 20% price hikes during contract negotiations.

  • January 02, 2024

    FedEx And Prudential Settle Georgia Death Benefits Suit

    FedEx and insurance providers have settled a lawsuit from the widow of a shipping company employee that alleged his life insurance benefits were improperly paid out to his ex-wife.

  • January 02, 2024

    CVS Health, Cigna Roped Into $10.7M COVID Testing Fight

    UnitedHealth, Cigna and other health insurers owe over $10 million to a medical laboratory for COVID-19 testing services, according to several suits filed in New York federal court by the lab.

  • January 02, 2024

    Pa. Court Rejects Red Book Drug Prices For Workers' Comp

    A Pennsylvania appellate court found Tuesday that the Red Book pricing values used by the state's Bureau of Workers' Compensation to determine fair repayment for injured workers' prescription drugs is inconsistent with state law and ordered the agency to find a new way to calculate those costs.

  • January 02, 2024

    NY Gov. Hochul Again Vetoes Wrongful Death Damages Bill

    For the second consecutive legislative session, New York Gov. Kathy Hochul vetoed a bipartisan bill that would have allowed families of wrongful death victims to seek emotional distress damages, saying the legislation had the potential to increase healthcare costs and drive up insurance premiums.

  • January 02, 2024

    Florida Real Estate Policies To Watch In 2024

    Some familiar real estate issues could garner the attention of Florida's policymakers again in 2024, but it remains to be seen how aggressively lawmakers will look to address them or let their previous decisions play out.

  • January 01, 2024

    Colorado Cases To Watch In 2024

    Colorado judges this year will have to handle sprawling wildfire litigation, decide the breadth of protection for ski resorts and answer open questions affecting insurance policies for homeowners, employers and beyond. Law360 looks at several cases Colorado lawyers will be keeping tabs on in 2024.

  • January 01, 2024

    Insurance Legislation And Regulation To Watch In 2024

    The insurance industry is entering 2024 with a full plate of hot topic issues for legislation and regulation, including climate risk and data privacy, as rulemakers attempt to keep up with developing technologies and tackle home insurance challenges in vulnerable states. Here, Law360 looks at legislation and regulation topics the insurance industry will watch in the new year.

  • January 01, 2024

    The 5 Strangest Insurance Cases Of 2023

    Insurance protects policyholders from unforeseen situations, but some circumstances are so strange that even insurers couldn't have predicted them. Here, Law360 looks back on the strangest insurance cases of 2023.

  • January 01, 2024

    What To Watch In Donald Trump's Coming Year Of Trials

    Numerous historic prosecutions of former President Donald Trump are poised to reach a head in 2024, with trial dates dotting the months preceding a November election in which Trump is predicted to be the Republican nominee.

  • December 22, 2023

    Disciplinary Hearing For Mass. Pot Chair OK'd By Judge

    A disciplinary hearing that could lead to the removal of the chair of Massachusetts’ cannabis regulatory board will be allowed to go forward, after a judge on Friday found that officials had adequately addressed concerns about due process.

  • December 21, 2023

    Wash. Justices Allow Bad Faith Claim In Outdoor Therapy Suit

    The Washington Supreme Court on Thursday said a young woman could pursue a bad faith insurance investigation claim against Premera Blue Cross for refusing to cover wilderness therapy treatment when she was a teenager, but the justices tossed a breach of contract claim, saying the insurer didn't violate federal mental health parity law.

Expert Analysis

  • Addressing Environmental Justice As Part Of ESG Initiatives

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    Recent calls for racial equity and government regulators' increasing focus on social and environmental concerns make this a good time for companies to integrate environmental justice into their environmental, social and governance efforts, say Stacey Halliday and Julius Redd at Beveridge & Diamond, and Jesse Glickstein at Hewlett Packard.

  • Privilege Waiver Risks From Reps & Warranties Insurance Use

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    The use of representations and warranties insurance in M&A could result in waiver of the attorney-client privilege, but policyholders can do a number of things to minimize disclosure of transaction-related information when negotiating the insurance policy and after a claim arises, say attorneys at Bass Berry.

  • Maritime Worker Injury Claims After 5th Circ. Welder Ruling

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    While the Fifth Circuit recently held in Sanchez v. Smart Fabricators that an injured offshore welder could not pursue damages under the Jones Act, certain maritime workers may be able to pursue comparative claims under a longshoremen workers' compensation statute or the Sieracki doctrine, says Grady Hurley at Jones Walker.

  • State Data Can Guide On Federal 'No Surprises Act' Arbitration

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    Arbitration data from states with existing surprise medical billing laws that track the federal independent dispute resolution process under the newly passed No Surprises Act provide helpful insights into the likely impact of the federal law taking effect in 2022, say Alexandra Lucas and Christian Martin at Reed Smith.

  • Addressing New COBRA Duties Under Virus Relief Law

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    Following the issuance of fully subsidized COBRA premiums for certain workers under the recently passed American Rescue Plan Act, employers should take steps to determine who is eligible, ensure additional notice requirements are satisfied, and train human resources on communicating with qualified individuals, say Randi May and Dustin Grant at Hoguet Newman.

  • Cannabis Legalization's Effects On Insurance Industry

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    Resolution of the legal uncertainty presented by the dueling federal and state approaches to cannabis will pave the way for legal cannabis businesses to access the insurance protections the industry needs for everything from workers' compensation to auto insurance to general liability, says Christy Thiems at the American Property Casualty Insurance Association.

  • Surprise Medical Billing Law May Bring Litigation Sea Change

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    The newly passed No Surprises Act aimed at protecting patients from surprise medical bills has the potential to shift reimbursement disputes away from the courts and into arbitration, but some uncertainty surrounds an exception that could prevent its application in California and other states, says Michael Zorkin at The Zorkin Firm.

  • NY Birth Injury Rulings Show Medical Fund Is Working

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    Recent New York rulings show that the state's Medical Indemnity Fund — intended to pay for the medical needs of children injured at birth and reduce malpractice exposure for medical providers — is working as intended after multiple legislative fixes, say Bradley Zimmerman and Christopher Nyberg at the Jacob Fuchsberg Law Firm.

  • 'Crime' Ruling In Car Death Highlights ERISA Review Standard

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    The Eighth Circuit's recent decision in Boyer v. Schneider Electric, that an accidental death insurance claim could be denied because the decedent's speeding constituted a crime under Missouri law, illustrates the significance of the Employee Retirement Income Security Act deferential standard of review, since the word "crime" is subject to differing interpretations, says Mark DeBofsky at DeBofsky Sherman.

  • Lessons From Federal Fraud Charges Against UBiome

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    The U.S. Department of Justice's and U.S. Securities and Exchange Commission's recent fraud allegations against uBiome executives illustrate the challenges of navigating interactions between clinical testing companies, health insurers and government oversight efforts, say attorneys at Debevoise.

  • The Senate's Filibuster Rules Are Unconstitutional

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    The U.S. Senate filibuster rules are inconsistent with several provisions of the Constitution, and even if lawmakers decline to abolish the political tactic and no plaintiff can be found to bring its constitutional flaws before the courts, the Senate has at least three options to reduce filibuster use, says Kirk Jenkins at Arnold & Porter.

  • Pitfalls For Out-Of-State Contractors In Texas Post-Disaster

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    In light of the extreme weather Texas saw in February, out-of-state construction contractors performing repairs in the state should understand certain post-disaster requirements, the process for recovering damages and litigation risks that can follow noncompliance, says Karalynn Cromeens at Cromeens Law Firm.

  • Health Insurance Compliance Steps After Antitrust Reform

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    Health insurers should review their compliance programs to avoid antitrust complaints from overzealous plaintiffs now that the Competitive Health Insurance Reform Act has ended insurers' federal antitrust protections, say Lisl Dunlop and Thomas Rohback at Axinn.

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