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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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Breaking Down Expense Allocation In Mixed-Use Properties
Rapid increases in condominium fees and special assessments, driven by multiple factors such as rising insurance costs and expanded safety requirements, are contributing to increased litigation, so equitable expense allocation in mixed-use properties requires adherence to the governing documents, says Mike Walden at FTI Consulting.
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How Insurers Are Wording AI Exclusions
Artificial intelligence exclusions are now available for use in insurance policies, meaning corporate risk managers must determine how those exclusions are interpreted and applied, and how they define AI, says David Kroeger at Jenner & Block.
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State Of Insurance: Q4 Notes From Illinois
In 2025's last quarter, Illinois’ appellate courts weighed in on overlapping homeowners coverages for water-related damages, contractual suit limitation provisions in uninsured motorist policies, and protections for genetic health information in life insurance underwriting, while the Department of Insurance sought nationwide homeowners' insurance data from State Farm, says Matthew Fortin at BatesCarey.
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Defense Strategy Takeaways From Recent TCPA Class Actions
Although recent Telephone Consumer Protection Act decisions do not establish any bright-line tests for defeating predominance based on an argument that class members provided consent for the calls, certain trends have emerged that should inform defense strategies at class certification, say attorneys at Womble Bond.
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NYC Bar Opinion Warns Attys On Use Of AI Recording Tools
Attorneys who use artificial intelligence tools to record, transcribe and summarize conversations with clients should heed the New York City Bar Association’s recent opinion addressing the legal and ethical risks posed by such tools, and follow several best practices to avoid violating the Rules of Professional Conduct, say attorneys at Smith Gambrell.
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Series
The Biz Court Digest: Dispatches From Utah's Newest Court
While a robust body of law hasn't yet developed since the Utah Business and Chancery Court's founding in October 2024, the number of cases filed there has recently picked up, and its existence illustrates Utah's desire to be top of mind for businesses across the country, says Evan Strassberg at Michael Best.
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4 Quick Emotional Resets For Lawyers With Conflict Fatigue
Though the emotional wear and tear of legal work can trap attorneys in conflict fatigue — leaving them unable to shake off tense interactions or return to a calm baseline — simple therapeutic techniques for resetting the nervous system can help break the cycle, says Chantel Cohen at CWC Coaching & Therapy.
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CGL Lessons From A No-Coverage Finding In Navy Project
A Florida federal court's recent decision that the insurer had no duty to defend or indemnify a general contractor or subcontractor for damages from defective work on a naval base highlights the nuances of policy definitions, the importance of obtaining insurer consent and allocation issues between covered and uncovered claims, say attorneys at Hunton.
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Series
Playing Tennis Makes Me A Better Lawyer
An instinct to turn pain into purpose meant frequent trips to the tennis court, where learning to move ahead one point at a time was a lesson that also applied to the steep learning curve of patent prosecution law, says Daniel Henry at Marshall Gerstein.
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Justices' BDO Denial May Allow For Increased Auditor Liability
The Supreme Court's recent denial of certiorari in BDO v. New England Carpenters could lead to more actions filed against accounting firms, as it lets stand a 2024 Second Circuit ruling that provided a road map for pleading falsity with respect to audit certifications, says Dean Conway at Carlton Fields.
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Series
Judges On AI: How Judicial Use Informs Guardrails
U.S. Magistrate Judge Maritza Dominguez Braswell at the U.S. District Court for the District of Colorado discusses why having a sense of how generative AI tools behave, where they add value, where they introduce risk and how they are reshaping the practice of law is key for today's judges.
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Justices' Med Mal Ruling May Spur Huge Shift For Litigators
The U.S. Supreme Court’s recent decision in the medical malpractice suit Berk v. Choy, holding that a Florida procedural requirement does not apply to medical malpractice claims filed in federal court, is likely to encourage eligible parties to file claims in federal court, speed the adjudicatory process and create both opportunities and challenges for litigators, says Thomas Kroeger at Colson Hicks.
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State Of Insurance: Q4 Notes From Pennsylvania
Last quarter in Pennsylvania, a Superior Court ruling underscored the centrality of careful policy drafting and judicial scrutiny of exclusionary language, and another provided practical guidance on the calculation of attorney fees and interest in bad faith cases, while a proposed bill endeavored to cover insurance gaps for homeowners, says Todd Leon at Marshall Dennehey.
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Key Sectors, Antitrust Risks In Pricing Algorithm Litigation
Algorithmic pricing lawsuits have proliferated in rental housing, hotels, health insurance and equipment rental industries, and companies should consider emerging risk factors when implementing business strategies this year, say attorneys at Hunton.
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Cybersecurity Must Remain Financial Sector's Focus In 2026
In 2026, financial institutions face a wave of more prescriptive cybersecurity legal requirements demanding clearer governance, faster incident reporting, and stronger oversight of third-party and AI-driven risks, making it crucial to understand these issues before they materialize into crises, say attorneys at Sidley.