Try our Advanced Search for more refined results
Insurance
-
June 06, 2023
5th Circ. Eyes Limited Stay In ACA Preventive Coverage Fight
The Fifth Circuit on Tuesday indicated openness to a partial stay of a Texas federal court's wide-ranging injunction blocking an Affordable Care Act provision requiring insurers to cover a broad range of preventive treatments, at least while the court debates the merits of the U.S. government's appeal.
-
June 06, 2023
B. Riley Rejects Wunderlich Indemnification Claim In Chancery
An attorney for B. Riley Financial told a Delaware vice chancellor Tuesday that the company never agreed to indemnify the principal of an investment firm it acquired in 2015 for pre-merger conduct that led to a $10.5 million fraud-related arbitration claim, despite claims now before the court.
-
June 06, 2023
Insurers Contest 2013 Policies' Coverage In Publix Opioid Row
Six insurers told a Florida federal judge that Publix is not entitled to coverage under policies issued in 2013 for 69 opioid-related actions, arguing the grocery giant cannot show it has exhausted its self-insured retention and the underlying suits involve allegations of covered bodily injuries.
-
June 06, 2023
8th Circ. Says St. Louis Diner Can't Revive Subrogation Suit
An Eighth Circuit appeals panel declined to revive a lawsuit Tuesday by a St. Louis diner that accused its insurer of violating state subrogation law by independently settling claims stemming from a car crashing into its restaurant.
-
June 06, 2023
No Coverage For Contractor In $2.3M Fraud Suit, Insurer Says
Motorists Commercial Mutual Insurance Co. does not owe a defense to a grain storage and handling company in an underlying lawsuit accusing it of defrauding a client of more than $2.3 million, the insurer told an Indiana federal court Tuesday.
-
June 06, 2023
4th Circ. Won't Rehear Bump-Up Exclusion Ruling
The Fourth Circuit rejected Towers Watson's request Tuesday to rethink its decision that a bump-up exclusion under a directors and officers policy applies to the so-called reverse triangular merger between it and Willis Group Holdings PLC in 2016.
-
June 06, 2023
JCPenney Cardholders Say Transamerica Is Skirting Claims
A JCPenney credit card holder who bought health insurance through a promotion tied to the card said she had to fight through months of confusion, and even had to get state regulators involved, in her quest to file a claim over costs associated with a car accident and hospital stay.
-
June 06, 2023
Health Care Holding Co. Settles DOL Self-Dealing ERISA Suit
A health care holding company has agreed to settle a U.S. Department of Labor suit filed in Georgia federal court claiming that the business siphoned off millions of dollars from an account holding health plan assets to cover its CEO's personal expenses and make payments to companies it owned.
-
June 06, 2023
Insurers Say No COVID-19 Coverage For Cintas
Cintas Corp.'s insurers asked an Ohio federal judge to declare that they don't owe coverage to the company for its COVID-19-related losses, arguing that a contamination exclusion prevents coverage.
-
June 06, 2023
Breach Of Contract Claim Cut From Bond Coverage Suit
A bond seller's suit against an insurance broker was trimmed after an Arizona federal judge found the bond seller failed to allege that a contract existed between it and the insurance broker.
-
June 06, 2023
11th Circ. Affirms Jury's $9.3M Hurricane Damage Award
The Eleventh Circuit found that a $9.3 million award to a Florida assisted living facility for 2017 Hurricane Irma damage was reasonable and refused to grant its insurer's request for a new trial.
-
June 06, 2023
Contractor Says Zurich Refused To Cover $500K Wall Collapse
An industrial construction contractor told a Texas federal court that a Zurich unit owes it more than $505,000 in coverage for costs associated with a retaining wall that collapsed in the midst of a project, claiming that the insurer cited inapplicable exclusions to deny its claim in bad faith.
-
June 06, 2023
ProAssurance Urges Chancery To Toss TeamHealth Complaint
A derivative lawsuit accusing ProAssurance Corp. directors of breaching their fiduciary duties by issuing an insurance policy to physician staffing firm TeamHealth in 2016 should be dismissed because shareholders haven't shown that the board was conflicted or did anything wrong, a company attorney told Delaware Chancery Court Tuesday.
-
June 06, 2023
Sweeping Class Action Against Aetna, Optum Gets Certified
A North Carolina federal judge granted class status to nearly 88,000 health plan participants who claim Aetna conspired with OptumHealth Care Solutions to pass on administrative fees disguised as medical expenses, two years after the Fourth Circuit told the court to reassess whether class certification was warranted.
-
June 06, 2023
Insurer Says Contractor Not Covered In $11M Faulty Work Row
An electrical contractor is not entitled to coverage for a developer's claims that the company performed shoddy work on a building project that cost $11 million to remedy, an AmTrust unit told a California federal court, saying the policy does not apply to damage caused by the insured's work.
-
June 05, 2023
5th Circ. May Be Stepping Stone To Justices' Take On ACA
The Fifth Circuit on Tuesday will hear arguments on the U.S. government's push to block a lower court ruling allowing health insurers to refuse to cover a host of preventative treatments, but experts say the battle over the Affordable Care Act's scope may be destined for the nation's highest court.
-
June 05, 2023
Owner Must Face Insurer's $1M Demand For Tenant Suits
A New York federal judge ruled Monday that a Maryland apartment complex must face a lawsuit by its property management company's insurer over more than $1 million the insurer spent in legal fees for underlying tenant suits related to mold and other issues.
-
June 05, 2023
Insurer Says Eatery's Breach Bars Coverage For Theft Claim
A Hartford unit said it did not breach its insurance contract or act in bad faith when it denied coverage for an alleged break-in at a Maricopa County restaurant, telling an Arizona federal court that the eatery breached the policy itself by not complying with the conditions of coverage.
-
June 05, 2023
Tulane Fund Drops $19M COVID-19 Losses Suit
Less than three months after filing its initial complaint in Louisiana federal court, Tulane University dropped its COVID-19 insurance suit Monday seeking $19.4 million in medical catastrophe, evacuation and business interruption expenses from a group of insurers.
-
June 05, 2023
Homebuilder Not Covered For Faulty-Job Suit, Insurer Says
A construction company's insurer doesn't owe defense or indemnity for an underlying faulty-construction lawsuit, the insurer told a Georgia federal court, arguing the defects the suit alleges did not result in property damage covered by a tailored protection insurance policy.
-
June 05, 2023
Oil Co. Seeks AIG's Defense In Climate Change Litigation
A pair of AIG units must defend an oil company facing two lawsuits alleging it knew its sale of petroleum products would contribute to climate change, the company told a Hawaii federal court, arguing the suits are also "replete" with allegations of nonintentional conduct.
-
June 05, 2023
Broker Seeks Early Win In Coverage Row With Health Network
A health care network's breach of contract and negligence suit against its former insurance broker should be dropped, the broker told a North Carolina federal court, asserting that the claims are premature since the underlying insurance dispute and putative data breach class action remain pending.
-
June 05, 2023
Brazilian Wax Injury Coverage Suit Sent Back To Trial Court
A Georgia appeals court panel sent a suit over genital injuries suffered from a Brazilian wax back to state trial court after it reinstated an insurer's declaratory judgment action on Monday.
-
June 05, 2023
Insurer Says It Controls Defense In Fox's Asbestos Injury Row
Twentieth Century Fox must allow an AIG unit to select defense counsel in an underlying asbestos injury suit, the insurer told a California federal court, saying it has a right to control the defense of a suit that it has agreed to cover.
-
June 05, 2023
Excess Insurer Must Face $3M Spat With Philly Condo Assoc.
Certain underwriters at Lloyd's of London must face a condominium association's $2.8 million flood coverage suit, a Pennsylvania federal court ruled Friday, rejecting the insurer's argument that excess coverage isn't owed yet because the underlying policy hasn't been exhausted.
Expert Analysis
-
Prepping Your Business Ahead Of Affirmative Action Ruling
The U.S. Supreme Court's upcoming ruling on whether race should play a role in college admissions could potentially end affirmative action, and companies will need a considered approach to these circumstances that protects their brand power and future profits, and be prepared to answer tough questions, say Nadine Blackburn at United Minds and Eric Blankenbaker at Weber Shandwick.
-
4 Emerging Risks For US Insurance Markets
Both insureds and insurers in the U.S. must be aware of significant inbound exposures — including the issues arising from opioids, climate change and artificial intelligence — that could lead to continued volatility in insurance markets, say Aidan McCormack and Wes Reichart at DLA Piper.
-
Tackling Judge-Shopping Concerns While Honoring Localism
As the debate continues over judge-shopping and case assignments in federal court, policymakers should look to a hybrid model that preserves the benefits of localism for those cases that warrant it, while preventing the appearance of judge-shopping for cases of a more national or widespread character, says Joshua Sohn at the U.S. Department of Justice.
-
Perspectives
How Attorneys Can Help Combat Anti-Asian Hate
Amid an exponential increase in violence against Asian American and Pacific Islander communities, unique obstacles stand in the way of accountability and justice — but lawyers can effect powerful change by raising awareness, offering legal representation, advocating for victims’ rights and more, say attorneys at Gibson Dunn.
-
Opinion
Congress Needs To Enact A Federal Anti-SLAPP Statute
Although many states have passed statutes meant to prevent individuals or entities from filing strategic lawsuits against public participation, other states have not, so it's time for Congress to enact a federal statute to ensure that free speech and petitioning rights are uniformly protected nationwide in federal court, say attorneys at Skadden.
-
How Mich. Bill Could Reshape State's Insurance Landscape
A recently introduced Michigan Senate bill would bar insurers from delaying, denying or failing to pay a claim unless there is a reasonable basis found in the policy, but its requirement calling for written standards for claims adjusting could create liability issues for large insurers, says Emily Coyle at Plunkett Cooney.
-
Some Client Speculations On AI And The Law Firm Biz Model
Generative artificial intelligence technologies will put pressure on the business of law as it is structured currently, but clients may end up with more price certainty for legal services, and lawyers may spend more time being lawyers, says Jonathan Cole at Melody Capital.
-
Private Equity Firms Shouldn't Overlook Cybersecurity Risks
Given the operational, financial and reputational costs at stake, and the growing threat of cybercrime, cybersecurity should be central to deal making, internal governance and post-acquisition management for private equity firms, say Ray Bogenrief and William Ridgway at Skadden.
-
How Fla. Tort Reform Will Shift Construction Defect Suits
Recent modifications to Florida's private statutory action rules for building code violations and to the statute of limitations and repose for defect claims significantly clarify ambiguity that had existed under previous rules, and both claimants and defendants should consider new legal arguments that may become possible, say Ryan Soohoo and George Truitt at Cole Scott.
-
BIPA Ruling Furthers Mixed Signals On Insurance Coverage
A recent Illinois appellate ruling in Remprex provides another perspective on the issue of insurance coverage for Biometric Information Privacy Act lawsuits, but its reach will be limited, as it did not cover the three exceptions that have been the focus of related federal court decisions, says Charles Insler at HeplerBroom.
-
A Lawyer's Guide To Approaching Digital Assets In Discovery
The booming growth of cryptocurrency and non-fungible tokens has made digital assets relevant in many legal disputes but also poses several challenges for discovery, so lawyers must garner an understanding of the technology behind these assets, the way they function, and how they're held, says Brett Sager at Ehrenstein Sager.
-
Opinion
High Court's Ethics Statement Places Justices Above The Law
The U.S. Supreme Court justices' disappointing statement on the court's ethics principles and practices reveals that not only are they satisfied with a status quo in which they are bound by fewer ethics rules than other federal judges, but also that they've twisted the few rules that do apply to them, says David Janovsky at the Project on Government Oversight.
-
What Banks Can Glean From FSB Climate Risk Report
Although a recent Financial Stability Board report doesn't aim to provide specific guidance to financial institutions on how to incorporate climate-related metrics into their frameworks, it may nonetheless be valuable given the general lack of comparative data on evolving climate-related compensation practices elsewhere, say attorneys at Sullivan & Cromwell.
-
Opinion
Time For Law Schools To Rethink Unsung Role Of Adjuncts
As law schools prepare for the fall 2023 semester, administrators should reevaluate the role of the underappreciated, indispensable adjunct, and consider 16 concrete actions to improve the adjuncts' teaching experience, overall happiness and feeling of belonging, say T. Markus Funk at Perkins Coie, Andrew Boutros at Dechert and Eugene Volokh at UCLA.
-
What Texas Misrepresentation Ruling Means For Insurers
The Texas Supreme Court's recent decision in American National Insurance v. Arce, confirming that insurers must prove intent to deceive in order to rescind coverage based on material misrepresentation, solidifies additional burdens for insurers to consider during both the underwriting and claims adjudication processes, say Josh Pedelty and Javon Johnson at Husch Blackwell.