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April 08, 2026
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.
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April 08, 2026
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."
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April 08, 2026
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.
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April 08, 2026
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.
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April 08, 2026
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.
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April 08, 2026
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.
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April 08, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 07, 2026
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.
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April 06, 2026
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.
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April 06, 2026
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.
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April 06, 2026
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.
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April 06, 2026
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.
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April 06, 2026
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.
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April 06, 2026
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.
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April 06, 2026
A disbarred New Orleans attorney has asked a federal judge in Louisiana for a new insurance fraud trial, arguing a suite of issues from her federal trial last month caused her to receive what she described in a filing as a "miscarriage of justice."
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April 06, 2026
An allegation that a Massachusetts doctor prescribed addictive medications to manipulate a patient into a sexual relationship could be enough to trigger a malpractice insurer's duty to defend him in a disciplinary proceeding launched years later over other alleged misconduct, justices on the state's highest court hinted Monday.