Insurance

  • September 20, 2012

    NY Fines UnitedHealth Cos. For Not Explaining Coverage

    New York's insurance regulator said Thursday it has slapped two UnitedHealth Group Inc. companies with a $665,000 fine for not providing statements to health plan members to explain coverage and lay out the process for challenging claims denials.

  • September 20, 2012

    Sutter Health Hit With Antitrust Suit Over Medical Plans

    Sutter Health was hit with a putative antitrust class action in California federal court Monday, accusing the nonprofit health system of a conspiracy to maintain monopoly power for medical services in Northern California through unfair impositions on health plans and customers.

  • September 20, 2012

    Manufacturer Demands Coverage For Window Defect MDL Suits

    MI Windows & Doors Inc. is claiming in a suit removed Tuesday to Florida federal court that its insurers must defend the manufacturing company against consolidated litigation over alleged window defects, arguing the responsibility falls under the policies' products-completed operations coverage.

  • September 19, 2012

    Medicare Advantage Enrollment Up, HHS Says

    The Obama administration on Wednesday touted a projected enrollment increase for Medicare Advantage plans — good news for program contractors like UnitedHealthcare and Humana Inc. — but the insurance industry warned that most of the health law's cuts to the program have yet to take effect.

  • September 19, 2012

    6th Circ. Revives RICO Case Against John Hancock, Law Firm

    The Sixth Circuit on Wednesday revived a putative Racketeer Influenced and Corrupt Organization Act class action accusing John Hancock Life Insurance Co., Edwards Angell Palmer & Dodge LLP and others of making misrepresentations to steer companies to an abusive tax shelter.

  • September 19, 2012

    FDIC Likely To Pounce On GOP Insurer Insolvency Bill

    A recent bill that aims to ensure state regulators — and not the Federal Deposit Insurance Corp. — handle insurer insolvencies will likely face tough opposition from Democrats and the FDIC, which stands to lose insurer contributions to a fund for liquidating too-big-to-fail financial institutions, attorneys say.

  • September 19, 2012

    Selective Insurance Wants Off Hook For TCPA Coverage

    Selective Insurance Co. of South Carolina sued marketing company Dodson Co. LLC in Illinois federal court Wednesday, arguing that it has no duty to defend Dodson from a putative Telephone Consumer Protection Act class action because the allegations are not related to personal and advertising injury.

  • September 19, 2012

    CBO Adds 2M Uninsured To Health Reform Penalty Estimates

    Six million people will be subject to the health care law's individual mandate penalty for failing to get health insurance, about 2 million more people than was previously estimated, according to a Congressional Budget Office report released Wednesday.

  • September 19, 2012

    Dems Fight Bill Over Health Insurer Rebate Reductions

    A bill that would prevent broker commissions from being counted as administrative expenses in order to reduce customer rebates for health insurance companies was met with criticism from Democrats on the U.S. House of Representatives Energy and Commerce Committee on Wednesday.

  • September 19, 2012

    Ex-AIG Brass Rip NY AG's Objection To $115M Settlement

    Former American International Group Inc. officers trying to consummate a $115 million settlement in a securities fraud class action in New York federal court flayed the state Attorney General's Office on Wednesday over its latest objection to the deal.

  • September 19, 2012

    Insurer's Bid To Stay Corning Asbestos Claims Hits Snag

    A New York state judge said Tuesday that she needs more information on Illinois law before she can decide if insurance litigation over Corning Inc.'s asbestos claims against Lumbermens Mutual Casualty Co., which is in rehabilitation, can be stayed.

  • September 19, 2012

    GrafTech Fires Back At Insurers In Chemical Exposure Suits

    Graphite products manufacturer GrafTech International Ltd. on Tuesday asked a New York federal judge to toss a lawsuit filed by several insurers seeking to avoid covering the company in underlying bodily injury cases centered on employees’ alleged exposure to harmful chemicals.

  • September 19, 2012

    Milberg Clients Denied Class Cert. In Malpractice Suit

    A group of investors accusing Milberg LLP of legal malpractice for missing a key deadline in their securities suit against an American International Group Inc. subsidiary lost their bid for class certification Tuesday, after a judge said they failed to address a key choice of law question before the certification deadline.

  • September 19, 2012

    Millennium Labs Wants $5M Coverage For HIPAA Probe

    Millennium Laboratories Inc. on Tuesday sued Allied World Assurance Co. (U.S.) Inc. in California federal court seeking $5 million in coverage for a federal Health Insurance Portability and Accountability Act investigation, saying AWAC had wrongly claimed coverage was limited to $100,000.

  • September 18, 2012

    Pfizer's Neurontin Marketing Hurt Payors, 1st Circ. Hears

    Blue Cross Blue Shield of Louisiana and other third-party payors struck back at Pfizer Inc. on Tuesday in their bid to return their case to multidistrict litigation over alleged off-label marketing of epilepsy drug Neurontin, telling the First Circuit they had enough evidence to prove their claims of direct injury.

  • September 18, 2012

    Canada-Japan Insurance Deal Tightens Energy Export Ties

    Canada and Japan agreed Tuesday to provide credit risk guarantees for energy and mining export deals, a move attorneys say should unlock affordable trade financing and help connect a flood of new Canadian natural gas with waiting Japanese utilities.

  • September 18, 2012

    Group Challenges Okla.'s Stance On Collateral Insurance

    A risk purchasing group launched a suit against Oklahoma's insurance regulator Monday, seeking a ruling that collateral protection insurance is a form of liability coverage that can be written by risk retention groups and purchased by risk purchasing groups like itself.

  • September 18, 2012

    Health Groups Sue La. Over Hurricane Isaac Insurance Rule

    The Louisiana Hospital Association and Louisiana State Medical Society filed suit against the state insurance commissioner Monday to block parts of an emergency rule he issued to help Hurricane Isaac victims.

  • September 18, 2012

    Insurer Sues To Skirt Coverage Over $12M Lost By Ill. Agency

    Gotham Insurance Co. sued investment firm Grigsby and Associates Inc. and its president in Illinois state court Monday, saying it owes no coverage for an administrative proceeding alleging the firm misrepresented the security of a $12 million investment the state claims it lost in a bank failure.

  • September 18, 2012

    Sedgwick Adds 3 Attys With Enviro, Health Care Chops

    Sedgwick LLP has added to its Austin, Texas, office three partners from a boutique firm with expertise in the Endangered Species Act, environmental and land use work, and health care and insurance regulatory litigation, Sedgwick announced Monday.