Insurance

  • April 09, 2026

    Ex-Assurant Workers Look To Toss RICO, Trade Secrets Suit

    A group of former Assurant salesmen called the auto warranty underwriter's eighth attempt at bringing Racketeer Influenced and Corrupt Organizations and trade secrets claims a shotgun pleading, arguing in Georgia federal court that competition and criminal enterprise are not the same.

  • April 08, 2026

    Fla. Insurer, Ex-Parent To Pay $135M Over ACA Fraud Scheme

    A Florida insurer and its former parent, which is a Delaware-based national partnership of insurance brokers, have agreed to pay $135 million collectively to resolve allegations of a scheme to enroll ineligible consumers into subsidized Affordable Care Act plans and of defrauding the federal government of more than $140 million. 

  • April 08, 2026

    No Surprises Act Bars Provider's Award Enforcement Bid

    A Pennsylvania federal court declined to force an insurer to pay over $300,000 in alleged outstanding payments from an out-of-network billing dispute with a provider, finding it lacked authority to do so under the No Surprises Act.

  • April 08, 2026

    Prudential Can't Enforce 'Illusory' Policy, Beneficiaries Say

    The beneficiaries of two pilots who died in a plane crash said a Prudential insurer can't escape their suit seeking accidental death and dismemberment benefits under an aviation company's life insurance plan, telling a Washington federal court that the policy departs from the industry standard because it is "illusory."

  • April 08, 2026

    ERISA Recap: 6 Noteworthy Decisions From March

    JPMorgan Chase & Co. narrowed but couldn't escape a suit from workers who said their health plan paid too much for prescription drugs, Genworth Financial Inc. unwound a class at the Fourth Circuit, and the Sixth Circuit breathed new life into proposed class actions against FedEx and Kellogg. Here, Law360 looks at these and three other notable decisions from March in ERISA cases.

  • April 08, 2026

    $37M Award For Whistleblowers Nixed In Medicaid Fraud Row

    A Texas state appeals court did away with an order awarding three whistleblowers a $37 million share of the state's settlement resolving Medicaid fraud allegations against Xerox, finding their respective cases over the alleged scheme were based on publicly available information.

  • April 08, 2026

    FedEx Says NY Attys And Medical Providers Staged Crashes

    FedEx accused a network of lawyers, medical providers and clinics of orchestrating an insurance scam in which they staged motor vehicle accidents in order to defraud the delivery giant through sham lawsuits and inflated medical bills, according to a suit filed in New York federal court.

  • April 08, 2026

    Insurer Says NC Law Firm's $130K Forgery Loss Isn't Covered

    Law firm Narron and Holdford PA isn't owed close to $130,000 in coverage for a forged cashier's check and wire transfer because the incident doesn't trigger coverage under the insurance policy it has with a pair of insurance companies, the insurers have told a North Carolina federal court. 

  • April 08, 2026

    HIV, AIDS Patients End Disability Bias Suit With CVS

    CVS Pharmacy Inc. and a group of HIV and AIDS patients have agreed to wrap up a suit claiming the company made it harder for them to get their medication in violation of disability discrimination law, according to a California federal court filing.

  • April 07, 2026

    Calif. Dialysis Bill Violates 1st Amendment, 9th Circ. Says

    The Ninth Circuit on Tuesday struck down provisions of a California law that aims to restrict dialysis providers' ability to profit from patients receiving health insurance premium assistance from nonprofit charities, ruling in a published opinion that the provisions violated nonprofit American Kidney Fund's and dialysis providers' First Amendment rights.

  • April 07, 2026

    Federal Court To Decide If Faulty Pumps Caused Detroit Flood

    A Michigan federal judge on Tuesday heard arguments on whether to dismiss American Select Insurance Co.'s suit alleging faulty Great Lakes Water Authority pumps were responsible for extreme flooding in Detroit and surrounding cities during heavy rainfall in June 2021.

  • April 07, 2026

    Pa. Hospitals Accuse Aetna Of Underpaying Medicare Claims

    Two Pennsylvania hospital operators have sued Aetna Health Inc. in federal court, alleging the insurer has been improperly denying Medicare Advantage claims for inpatient services, or underpaying, under a new policy.

  • April 07, 2026

    Insurer Premera Accuses Clinic Of Misusing No Surprises Act

    Premera Blue Cross sued a weight loss clinic on Monday in Washington federal court saying it abused a federal law aimed at safeguarding patients from unexpected medical bills in order to shake down the insurer for exorbitant amounts of money — as much as 10 times what Premera pays in-network providers.

  • April 07, 2026

    Wash. Panel Nixes Insurer's Gordon Rees Malpractice Claims

    A Washington Court of Appeals panel said a Great American insurance unit can't inherit an equipment manufacturer's legal malpractice claims against Gordon Rees Scully Mansukhani LLP and Sinars Slowikowski LLC because of "potential conflict" between the insurer and manufacturer in the underlying dispute over a climber's fall.

  • April 07, 2026

    Timeshare Exit Co.'s Insurer Can't Appeal To 9th Circ. Yet

    A Washington federal judge rejected an insurer's request to reconsider a summary judgment ruling that the carrier breached its duty to defend a now-defunct timeshare exit company, stating that the carrier failed to prove an indisputable error in the ruling.

  • April 07, 2026

    8th Circ. Backs Insurer Win In ND Pollution Exclusion Row

    An Eighth Circuit panel on Tuesday backed an insurer's win in a coverage dispute over a man's alleged injuries from carbon monoxide exposure, finding it did not need a North Dakota high court's input to determine that a policy's pollution exclusion barred coverage.

  • April 07, 2026

    Auto Insurance Co. Escapes Retirement Fund Suit

    An auto insurance company defeated a proposed class action claiming its employee retirement plan was unlawfully overinvested in a conservative default investment option, with a Michigan federal judge saying Tuesday that the suit lacked information about participants who voluntarily put money in the fund.

  • April 07, 2026

    Hormel Foods Faces Class Cert. Bid In Retirement Fund Suit

    An ex-worker for Hormel Foods Corp. asked a Minnesota federal judge to certify a class in his federal benefits lawsuit alleging the company failed to remove high-cost investment options with poor return rates from its $1.2 billion in employee retirement plans.

  • April 07, 2026

    Tobacco Co. Says Insurers Can't Void $75M Tornado Coverage

    Insurers have no basis to rescind a $75 million policy issued to a tobacco company alleging it was wrongly denied coverage for $89 million worth of aging tobacco inventory that was destroyed in a tornado, the company told a Tennessee federal court.

  • April 06, 2026

    Florida Insurance Co. To Plead Guilty In $102.7M ACA Fraud

    A Florida insurance company will plead guilty to defrauding the federal government out of more than $100 million in federal subsidies by targeting unhoused and other vulnerable people for enrollment in Affordable Care Act plans they did not qualify for, according to a notice filed Monday in Florida federal court.

  • April 06, 2026

    State Farm Auto Insureds Seek To Triple $38M Win At Trial

    Two certified classes of State Farm auto insurance policyholders kicked off a bench trial Monday on the question of damages owed after a Washington federal judge found the insurer had shortchanged policyholders on payouts for totaled vehicles, arguing the $38.3 million previously awarded for State Farm's consumer protection violation should be tripled.

  • April 06, 2026

    9th Circ. Panel Finds Insurer Owed Defense To Wash. Provider

    An Allied World unit unreasonably declined to defend a Washington behavioral health network in a lawsuit alleging sexual misconduct by an employee, a Ninth Circuit panel held Monday, partially reversing a summary judgment win for the insurer.

  • April 06, 2026

    Anthem Owes $2.1M For No Surprises Act Awards, Court Told

    Two medical providers said Anthem Blue Cross and Blue Shield owes them a combined $2.1 million for medically necessary services rendered to its insured members, telling a Colorado state court that the carrier is wrongfully withholding payment despite losing multiple federal arbitration proceedings.

  • April 06, 2026

    Clyde & Co. Adds Kennedys Insurance Expert To LA Office

    Clyde & Co. LLP has announced the continued upscaling of its U.S. operations with the addition of insurance litigation expert Shain Wasser from Kennedys as partner in its Los Angeles office, helping the firm strengthen its North American insurance and complex litigation capabilities. 

  • April 06, 2026

    Reinsurers Say Arbitrator DQ Bid Should Stay In Federal Court

    Reinsurers are urging a New York federal court not to heed a Farmers unit's request to remand its suit seeking disqualification of an arbitrator from an asbestos coverage fight, arguing the insurer wrongly framed the dispute as an attorney ethics matter.

Expert Analysis

  • Series

    The Biz Court Digest: Welcome To Miami

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    After nearly 20 years in operation, the Miami Complex Business Litigation Division is a pioneer upon which other jurisdictions in the state have been modeled, adopting many innovations to keep its cases running more efficiently and staffing experienced judges who are accustomed to hearing business disputes, say attorneys at King & Spalding.

  • 6 Ways To Nuke-Proof Litigation As Explosive Verdicts Rise

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    As the increasing number of nuclear verdicts continues to reshape the litigation landscape, counsel must understand how to create a multipronged defense strategy to anticipate juror expectations and mitigate the risk of outsize jury awards, say attorneys at Norton Rose.

  • What Law Firm Liability Risks In 2025 Signal For Year To Come

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    Trends and statistics reveal that law firms of all sizes and practice areas remained attractive litigation targets this year, so firms must take concrete steps to avoid professional liability risks in the year to come, say Douglas Richmond and Andrew Ricke at Lockton Companies.

  • 1st-Of-Its-Kind NIL Claim Raises Liability Coverage Questions

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    The University of Georgia Athletic Association recently sought to compel arbitration against former UGA football player Damon Wilson in a first-of-its-kind legal action for breach of a name, image and likeness contract, highlighting questions around student-athlete employment classification and professional liability insurance coverage, says Sarah Abrams at Baleen Specialty.

  • AI Evidence Rule Tweaks Encourage Judicial Guardrails

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    Recent additions to a committee note on proposed Rule of Evidence 707 — governing evidence generated by artificial intelligence — seek to mitigate potential dangers that may arise once machine outputs are introduced at trial, encouraging judges to perform critical gatekeeping functions, say attorneys at Lankler Siffert & Wohl.

  • Series

    The Law Firm Merger Diaries: Getting The Message Across

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    Communications and brand strategy during a law firm merger represent a crucial thread that runs through every stage of a combination and should include clear messaging, leverage modern marketing tools and embrace the chance to evolve, says Ashley Horne at Womble Bond.

  • Opinion

    Horizontal Stare Decisis Should Not Be Casually Discarded

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    Eliminating the so-called law of the circuit doctrine — as recently proposed by a Fifth Circuit judge, echoing Justice Neil Gorsuch’s concurrence in Loper Bright — would undermine public confidence in the judiciary’s independence and create costly uncertainty for litigants, says Lawrence Bluestone at Genova Burns.

  • 11th Circ. Ruling Stresses Economic Reality In Worker Status

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    The Eleventh Circuit's recent worker classification decision in Galarza v. One Call Claims, reversing a finding that insurance adjusters were independent contractors, should remind companies to analyze the actual working relationship between a company and a worker, including whether they could be considered economically dependent on the company, say attorneys at Ogletree.

  • 10 Commandments For Agentic AI Tools In The Legal Industry

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    Though agentic artificial intelligence has demonstrated significant promise for optimizing legal work, it presents numerous risks, so specific ethical obligations should be built into the knowledge base of every agentic AI tool used in the legal industry, says Steven Cordero at Akerman LLP.

  • Class Actions At The Circuit Courts: December Lessons

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    In this month's review of class action appeals, Mitchell Engel at Shook Hardy discusses recent rulings and identifies practice tips from cases involving securities, takings, automobile insurance, and wage and hour claims.

  • 11th Circ.'s 6-Step Review May Be Ripe For Insurer Challenge

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    In its recent decision in Johnson v. Reliance Standard Life Insurance, the Eleventh Circuit utilized an unwieldy six-step approach to abuse-of-discretion review to find coverage in a disability benefits suit, a standard that creates subtle cognitive bias and that insurers should seek to overturn, says Scott Garosshen at Robinson & Cole.

  • Series

    Preaching Makes Me A Better Lawyer

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    Becoming a Gospel preacher has enhanced my success as a trial lawyer by teaching me the importance of credibility, relatability, persuasiveness and thorough preparation for my congregants, the same skills needed with judges and juries in the courtroom, says Reginald Harris at Stinson.

  • How Unchecked AI Exposes Expert Opinions To Exclusion

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    A growing number of cases illustrate the potential for misuse of artificial intelligence tools by experts in litigation, resulting in reports with hallucinated information or unexplainable analysis, so to embrace the efficiencies AI tools introduce without falling victim to the risks, attorneys and experts should implement a few best practices, say attorneys at Willkie Farr.

  • Series

    Law School's Missed Lessons: Practicing Client-Led Litigation

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    New litigators can better help their corporate clients achieve their overall objectives when they move beyond simply fighting for legal victory to a client-led approach that resolves the legal dispute while balancing the company's competing out-of-court priorities, says Chelsea Ireland at Cohen Ziffer.

  • A Close Look At The Evolving Interval Fund Space

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    Interval funds — closed-end registered investment companies that make periodic repurchase offers — have recently moved to the center of the conversation about retail access to private markets, spurred along by President Donald Trump's August executive order incorporating alternative assets into 401(k) plans and target date strategies, say attorneys at Simpson Thacher.

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