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Insurance
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February 25, 2026
9th Circ. Nixes ID Theft Sentence In Medicare Fraud Case
The Ninth Circuit ordered resentencing of a defendant in a case over a $24 million scheme to fraudulently bill Medicare for power wheelchairs and wheelchair repair, finding evidence presented at trial did not support her conviction by a jury on two aggravated identity theft charges.
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February 25, 2026
NJ Transit Allowed To Pick Horizon Over Aetna, Panel Finds
New Jersey Transit Corp.'s award of a health benefits administration contract to Horizon Blue Cross Blue Shield of New Jersey was not unreasonable despite the proposal being more expensive than one submitted by Aetna, a state appeals panel found Wednesday.
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February 25, 2026
Centene Says Filed Rate Doctrine Dooms RICO, Fraud Claims
Centene Corp. urged an Illinois federal judge Tuesday to grant it partial judgment in a proposed class action by patients alleging the company violated racketeering laws and cheated them out of billions with bogus policies, arguing the filed rate doctrine bars the refunds they seek for alleged overcharges.
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February 25, 2026
Conn. Insurance Chief Fights Intervention In Liquidation Row
Connecticut's interim insurance commissioner urged a state court not to allow a pair of universal life policyholders that are over a $300,000 cap on death benefits to intervene in his plan to liquidate a struggling insurer, saying they are seeking an inequitable premium holiday on their policies.
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February 25, 2026
Landowner Says Insurer Must Cover $1.3M Easement Dispute
A San Diego landowner said a Liberty Mutual insurer must cover an easement interference suit that resulted in a $1.3 million award against it, telling a California federal court that the insurer wrongfully denied a valid claim for defense and indemnity coverage.
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February 24, 2026
Ariz., Calif. Lead Suit Over 'Senseless' HHS Vaccine Overhaul
Arizona and California are leading a coalition of states challenging the U.S. Department of Health and Human Services' decision to cut vaccine recommendations for American children, alleging in a lawsuit Tuesday that the "unprecedented attack" stems from HHS Secretary Robert F. Kennedy Jr.'s "unscientific hostility to vaccines."
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February 24, 2026
Insurance Row Judge Unsure If Co. Distinct From Owner
A North Carolina federal judge seemed perplexed by an argument making a distinction between a sole proprietorship and the person who owns it, telling an attorney for a young woman trying to collect a $10 million judgment from an insurer in her underlying sex abuse case that the entity "doesn't seem to legally exist."
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February 24, 2026
Insurer Can't Cap Pizza Chain's Cyberattack Payout At $250K
A cyber insurer can't rely on a ransomware endorsement to limit Cicis Pizza's claim for coverage of a cyber extortion event to $250,000, a Texas federal court has ruled, saying the policy's $3 million limits are still in play.
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February 24, 2026
Ariz. Bill To Limit 'No Surprises' Arbitration Offers Put On Hold
A powerful Arizona state lawmaker this week agreed to pause his proposal to establish limits on how much medical providers can seek under the No Surprises Act arbitration system, saying the legislation needs more work and he'll bring it back next year.
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February 24, 2026
United Wants Partial Fraud Suit Win Against Billing Co.
TeamHealth has been submitting fraudulent claims to get UnitedHealthcare to overpay it by more than $100 million, the insurer argued as it asked a Tennessee federal judge to grant it a partial early win in its suit against the emergency room staffing and billing company.
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February 24, 2026
NC Justices Toss Lindberg's Bid To Stall $526M Judgment
North Carolina's top court Tuesday tossed a petition and motion to stay by embattled insurance mogul Greg Lindberg that challenged a $526 million judgment and arrest warrant against him, just one day after he filed the motions on his own behalf.
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February 24, 2026
NC Firm Says Insurers Shirked Coverage For Forgery Loss
A North Carolina law firm has sued its insurers over coverage for nearly $130,000 it lost as a result of a forged cashier's check and related wire transfer, saying the carriers wrongfully denied coverage despite ample evidence supporting its claim.
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February 23, 2026
Chubb Unit Can't Duck $3M Oil Well Injury Overpayment Claim
A Chubb unit can't escape an insurer's counterclaim seeking to recoup $3 million it paid to settle an oil well injury suit, a Texas federal court ruled, saying the other carrier adequately alleged a well-site director accused of fostering an unsafe work environment was an employee of Chubb's insured.
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February 23, 2026
Insurer Found In Breach Of Duty In Timeshare Exit Co. Case
Insurer RSUI Indemnity Co. Inc. breached its duty to defend timeshare exit company Reed Hein & Associates LLC from class claims that it engaged in deceptive practices and defrauded customers, a Washington federal judge said in a mixed summary judgment ruling.
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February 23, 2026
DAC Beachcroft Expands US Footprint With New Miami Office
DAC Beachcroft LLP announced Monday that it is opening an office in Miami and has added new insurance coverage teams there and in Los Angeles.
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February 23, 2026
AIG Insurer Can't Avoid Fla. Condo's $3.8M Plumbing Suit
An AIG unit can't escape a Florida condominium association's suit seeking $3.8 million for plumbing damage, a federal court ruled, saying there is a factual dispute regarding whether the insurer was prejudiced by the association's untimely notice of loss.
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February 23, 2026
Supreme Court Won't Review NRA's Qualified Immunity Case
The U.S. Supreme Court on Monday let stand a Second Circuit ruling shielding a former New York regulator from personal liability for her campaign against the National Rifle Association, passing over a question on when obvious constitutional violations supersede qualified immunity.
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February 20, 2026
Insurer Owed Defense In Birth Defect Suit, 9th Circ. Says
A commercial general liability insurer had a duty to defend a semiconductor manufacturer against an employee's suit claiming that his exposure to chemicals at work caused birth defects in his son, the Ninth Circuit ruled Friday, finding that certain policy exclusions did not unambiguously foreclose coverage.
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February 20, 2026
4th Circ. Backs $1.1M Roof Verdict Against Church Insurer
The Fourth Circuit affirmed a North Carolina federal jury's $1.1 million award to a church for a roof damage claim, rejecting arguments from the church's insurer that the court adopted the wrong causation standard to an all-risk insurance policy in its jury instructions.
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February 20, 2026
Kaiser Sues Insurers To Tap $95M D&O Policy For Fraud Deal
Kaiser Foundation Health Plan sued Chubb and other insurers in California federal court Friday seeking to tap $95 million in directors and officers liability coverage for a recently settled whistleblower action that accused Kaiser of submitting false diagnoses for Medicare Advantage Plan enrollees.
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February 20, 2026
Judge Says Texas Can't Enforce Optometry Anti-Steering Law
A Texas federal judge on Friday blocked the state from enforcing an anti-steering law that banned managed care plans from telling insureds about optometrists who offer cheaper options, saying that the law violated protected commercial speech.
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February 20, 2026
Cos. Not Covered In Garage Door Death, Insurer Tells Court
An insurer said it has no duty to defend a developer or contractors accused of causing a woman to sustain fatal injuries from an unsecured garage entry door, telling a Florida federal court that the event did not arise out of work covered under the policy.
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February 20, 2026
UK Litigation Roundup: Here's What You Missed In London
The last week in London saw the founders of Getir sue investment fund Mubadala for more than $700 million tied to alleged breaches during the company's restructuring, the Welsh Rugby Union face a claim by Swansea Council over a proposed takeover of Cardiff Rugby, and Euro Car Parks target the Competition and Markets Authority after it was fined by the watchdog. Here, Law360 looks at these and other new claims in the U.K.
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February 19, 2026
Feds Rest In Ex-Morgan Stanley Adviser's NBA Fraud Trial
Manhattan federal prosecutors on Thursday rested their case against a former Morgan Stanley investment adviser who's accused of defrauding NBA players out of millions of dollars by secretly profiting off their insurance investments and diverting client funds for his own use.
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February 19, 2026
DOL To Investigate Calif. Unemployment Insurance Program
The U.S. Department of Labor has announced it is deploying a "specialized strike team" to look into potential fraud and improper payments within California's unemployment insurance program, according to a statement from the agency.
Expert Analysis
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How To Counter 7 Logical Fallacies In Legal Arguments
Many legal arguments are riddled with reasoning flaws that can effectively distract or persuade the fact-finder, but these tactics lose much of their power when attorneys recognize and strategically shine a light on them, says Allison Rocker at BakerMcKenzie.
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AI-Generated Doc Ruling Guides Attys On Privilege Risks
A New York federal court's ruling, in U.S. v. Heppner, that documents created by a defendant using an artificial intelligence tool were not privileged, can serve as a guide to attorneys for retaining attorney-client or work-product privilege over client documents created with AI, say attorneys at Sher Tremonte.
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Exploring Good Faith And Bad Faith, From Dock To Doorstep
Evolving in different contexts, property and maritime insurance take almost opposite views on the foundational concepts of good faith and bad faith, but, as evidenced by two recent decisions, they dovetail on the idea that trust is the currency of risk, says Nicole Connors at Cozen O'Connor.
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The Law Firm Merger Diaries: Leadership Strategy After Day 1
For law firm leaders, ensuring a newly combined law firm lives up to its promise, both in its first days of operation and well after, includes tough decisions, clear and specific communication, and cheerleading, says Peter Michaud at Ballard Spahr.
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Reel Justice: 'Sentimental Value' And Witness Anxiety
"Sentimental Value" reminds us that anxiety can interfere with performance, but unlike actors, witnesses cannot rehearse their lines or control the script, so a lawyer's role is not to eliminate stress, but to create conditions where the accuracy of a witness's testimony survives under pressure, says Veronica Finkelstein at Wilmington University.
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Mind The Gap: Crafting D&O Straddle Coverage For M&A
A recent Florida federal court decision highlights an often-overlooked risk for those negotiating directors and officers insurance coverage for mergers and acquisitions: the potential for so-called straddle claims, falling in the gap between tail and go-forward coverage, say attorneys at Reed Smith.
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Calif.'s Civility Push Shows Why Professionalism Is Vital
The California Bar’s campaign against discourteous behavior by attorneys, including a newly required annual civility oath, reflects a growing concern among states that professionalism in law needs shoring up — and recognizes that maintaining composure even when stressed is key to both succeeding professionally and maintaining faith in the legal system, says Lucy Wang at Hinshaw.
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4th Circ. D&O Ruling Shows Why Textual Policy Args Are Best
The Fourth Circuit's recent decision in favor of the insurer in Navigators Insurance v. Under Armour highlights how plain-text policy interpretation protects party autonomy and improves predictability to the benefit of both insurers and insureds, say attorneys at Zelle.
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Series
Trivia Competition Makes Me A Better Lawyer
Playing trivia taught me to quickly absorb information and recognize when I've learned what I'm expected to know, training me in the crucial skills needed to be a good attorney, and reminding me to be gracious in defeat, says Jonah Knobler at Patterson Belknap.
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Clarifying A Persistent Misconception About Settlement Talks
An Indiana federal court’s recent Cloudbusters v. Tinsley ruling underscores the often-misunderstood principle that Rule 408 of the Federal Rules of Evidence does not bar parties from referencing prior settlement communications in their pleadings — a critical distinction when such demands further a fraudulent or bad faith scheme, say attorneys at Hanson Bridgett.
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Series
Law School's Missed Lessons: What Cross-Selling Truly Takes
Early-career attorneys may struggle to introduce clients to practitioners in other specialties, but cross-selling becomes easier once they know why it’s vital to their first years of practice, which mistakes to avoid and how to anticipate clients' needs, say attorneys at Moses & Singer.
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Tick, Tock: Maximizing The Clock, Regardless Of Trial Length
Whether a judge grants more or less time for trial than an attorney hoped for, understanding how to strategically leverage the advantages and attenuate the disadvantages of each scenario can pay dividends in juror attentiveness and judicial respect, says Clint Townson at Townson Litigation.
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How Policy Differences Affect Recovery From Cyberattacks
Careful attention to policy language and real-world operational realities can mean the difference between a partial and a full recovery after a cyberincident — particularly, how long the insurance policy will cover lost income and extra expenses incurred, and when that period ends, says Scott Godes at Barnes & Thornburg.
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Series
Judges On AI: Practical Use Cases In Chambers
U.S. Magistrate Judge Allison Goddard in the Southern District of California discusses how she uses generative artificial intelligence tools in chambers to make work more efficient and effective — from editing jury instructions for clarity to summarizing key documents.
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Notable Q4 Updates In Insurance Class Actions
Last quarter featured a novel class action theory about car rental reimbursement coverage, another win for insurers in total loss valuations, a potentially broad-reaching Idaho Supreme Court ruling about illusory underinsured motorist coverage, and homeowners blaming rising premiums on the fossil fuel industry, says Kevin Zimmerman at BakerHostetler.