More Insurance Coverage

  • February 13, 2024

    LSD Trip Didn't Cause Quadriplegia, Houston Jury Told

    An attorney for a former high school gymnast who became a quadriplegic after allegedly taking LSD compared the circumstances of the man's injuries to the hypothetical of a juror getting hit by a car on the way to the courthouse as he fought off a bid from an insurance company seeking to avoid paying a $1 million settlement connected to the man's injury.

  • February 13, 2024

    Cigna Patients Can't Get Class Cert. In Underpayment Suit

    A California federal judge refused to grant class status to Cigna insurance plan participants who accused it of violating federal anti-corruption and benefits laws by colluding with its billing contractor to underpay their out-of-network claims for substance use disorder treatments.

  • February 13, 2024

    Lexitas Acquires Record Retrieval Co. MLR

    Litigation services company Lexitas announced on Tuesday its first acquisition of the year, purchasing Philadelphia-based record retrieval company Medical Legal Reproductions.

  • February 13, 2024

    Catching Up With Delaware's Chancery Court

    A pizza chain, an energy company, a medical-device maker and a Manila casino were all hit with book-and-record demands last week in Delaware's Court of Chancery. A shoe company also walked away from a shareholder suit, two cryptocurrency companies tallied the costs of a broken merger, and three cigarette giants argued over Florida settlement payments.

  • February 13, 2024

    Life Insurer Failed To Secure Data From Hack, Class Says

    A life insurance provider and its parent company failed to protect sensitive customer information from a data breach, a proposed class action told an Indiana federal court, saying the parent company was hacked via a SIM swapping scheme targeting a senior employee.

  • February 13, 2024

    Ex-Wilson Elser Atty Can't Get Benefits For Chronic Fatigue

    A former Wilson Elser Moskowitz Edelman & Dicker LLP partner is not entitled to long-term disability benefits, as he did not prove that his chronic fatigue syndrome kept him from doing his job, a Nevada federal judge has ruled.

  • February 13, 2024

    Michelman & Robinson Adds Locke Lord Regulatory Ace In SF

    Michelman & Robinson LLP has boosted its regulatory and administrative law practice with a partner in the Golden State who had been with Locke Lord LLP for more than a decade prior to her departure, the firm said Tuesday.

  • February 13, 2024

    Insurance Group Of The Year: Cohen Ziffer

    Cohen Ziffer Frenchman & McKenna's attorneys won a rare, pro-policyholder reversal in COVID-19 insurance litigation and secured an even rarer reversal of a jury verdict in a dispute over coverage for a settlement of Medicaid fraud claims, landing the firm a spot among Law360's 2023 Insurance Groups of the Year.

  • February 13, 2024

    DOL's Benefits Arm Reports $1.4B In Recoveries In 2023

    The U.S. Department of Labor's Employee Benefits Security Administration announced Tuesday that it recovered more than $1.4 billion in payments to plans, beneficiaries and participants in fiscal year 2023, an amount that is essentially level with the agency's total recoveries from the previous year.

  • February 12, 2024

    Ex-CEO Of Health Co. Found Guilty Of Fraud After $195M Loss

    An Illinois federal jury on Monday found the former chief executive officer of a healthcare company guilty on all 13 criminal charges brought by the federal government alleging his company tricked consumers into purchasing health insurance that didn't cover what the company promised.

  • February 12, 2024

    NJ Lands $6.4M Deal Over 'Bogus' Medicare Billing Claims

    New Jersey Attorney General Matthew Platkin announced Monday that his office and the Garden State's insurance fraud prosecutor have obtained a $6.4 million consent judgment against the late owner of a mental health clinic chain accused of defrauding Medicaid with "an elaborate bogus-billing scheme."

  • February 12, 2024

    NC High Court Snapshot: Philip Morris Fights Tax Credit Limit

    North Carolina's top court will return in February from an extended hiatus to weigh whether a home healthcare company was correctly ejected from the state's Medicaid program, and if regulators were right to limit state export tax credits for tobacco giant Philip Morris.

  • February 12, 2024

    Barry McTiernan Signs Battery Park Plaza Lease

    Commercial real estate company Rudin said Monday that Barry McTiernan & Moore LLC will move its headquarters to the tower at One Battery Park Plaza in a deal that involved broker Cushman & Wakefield.

  • February 12, 2024

    Insurance Group Of The Year: Carlton Fields

    After a year of achieving precedential wins defending the travel insurance industry in COVID-19-related class actions and other complex litigation, Carlton Fields has secured its first Law360 Practice Group of the Year award.

  • February 09, 2024

    Pot Patients Say NM Insurance Case Triggers CAFA Exception

    A medical cannabis company doing business in New Mexico and several patients say a proposed class action over insurance coverage for medical cannabis belongs in state court partly because the case triggers a Class Action Fairness Act exception depriving federal jurisdiction that would otherwise be offered.

  • February 09, 2024

    What To Know About 'Novel' Johnson & Johnson ERISA Suit

    A new lawsuit from a Johnson & Johnson worker claims the company violated federal law by letting pharmacy benefit manager Express Scripts overcharge health plan participants for drugs, potentially signaling that fee litigation under the Employee Retirement Income Security Act is shifting focus from retirement savings to health benefits, attorneys say.

  • February 09, 2024

    Feds Seek Over 5 Years For NYC Atty In $18.8M Ponzi Scheme

    Federal prosecutors are seeking 5¼ to 6½ years in prison for a New York City attorney who admitted to running an $18.8 million Ponzi scheme that defrauded real estate investors, in addition to separately laundering funds from an expansive insurance fraud scheme.

  • February 08, 2024

    Texas Adjuster No Longer To Pretend To Be Lloyd's Of London

    An insurance adjuster who hijacked the good name of British underwriting giant Lloyd's of London after blaming it for lost compensation agreed in Texas federal court to shut down businesses he opened in its name.

  • February 08, 2024

    Del. Chancery Questions Broker's 'Ornate' Board Control Fix

    Bylaw amendments adopted by insurance broker BRP Group Inc. in response to a shareholder's complaint that its co-founders wielded too much control over the company's board may have "narrowed" the problem but did not necessarily eliminate it, a Delaware Chancery Court vice chancellor said Thursday at a hearing in Wilmington.

  • February 08, 2024

    Insurer Says Policy Won't Cover $1.3M Title Agency Defense

    An insurer wants a North Carolina federal court to rule that a policy excludes defending a title insurance agency in an underlying lawsuit alleging the agency worked with an unapproved and financially questionable law firm, costing an underwriter at least $1.25 million.

  • February 08, 2024

    Ebix Investors Seek Creation Of Ch. 11 Equity Committee

    Insurance software maker Ebix's shareholders have moved to have the U.S. Trustee's Office appoint an official committee of equity holders in the company's Chapter 11 case, arguing the business is clearly solvent, and that a separate fiduciary entity is needed to protect value for the benefit of investors.

  • February 08, 2024

    Insurance Orgs. Say Bill Would Prevent CFPB Overreach

    Bipartisan legislation seeking to clarify the powers of the Consumer Financial Protection Bureau has drawn support from insurance regulators and industry trade groups who say the bureau has encroached upon state-based insurance regulation despite clear statutory limitations.

  • February 08, 2024

    Insurer Improperly Settled Shooting Claims, Court Told

    A Seattle-based housing provider said its primary insurer improperly tendered policy limits to settle two underlying claims alleging the provider was liable for deadly shootings near its apartment buildings in Georgia, telling a Washington state court that its insurer's actions have diluted its coverage for other claims.

  • February 08, 2024

    NY Judge Scolds Trump Attys For Response To Perjury Query

    The New York state judge overseeing Donald Trump's civil fraud trial on Thursday chastised defense attorneys for their "misleading" response to his demands for information about reports of possible perjury by defendant and key trial witness Allen Weisselberg.

  • February 07, 2024

    NYCB Faces Investor Suit Over Signature Bank Takeover 

    New York Community Bancorp has been hit with a class action by an investor who claims the bank failed to disclose that it had a deteriorating book of loans which would, in turn, cause major losses and force it to cut its quarterly dividend to preserve capital, following its acquisition of assets from the now-defunct Signature Bank. 

Expert Analysis

  • And Now A Word From The Panel: MDL Travel

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    The Judicial Panel on Multidistrict Litigation’s return to in-person proceedings, as well as a recent petition in an insurance-related MDL, highlight an important question about whether the panel will continue to consider travel convenience as a relevant factor in venue decisions after two years of virtual hearings, says Alan Rothman at Sidley.

  • Employer Travel Benefits Options For Abortion Care Post-Roe

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    Given the likelihood that Roe v. Wade will be overturned, and with the proliferation of state legislation restricting abortion access, employers may want to consider the legal implications of several options to expand travel reimbursement benefits for employees who seek abortion services, say Danita Merlau and Ben Conley at Seyfarth.

  • ERISA Ruling Shows Lax Enrollment Practices Can Be Costly

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    The Eighth Circuit’s recent decision in Skelton v. Reliance Standard, finding that a life insurance company breached its Employee Retirement Income Security Act fiduciary duties by accepting premiums without approving coverage, admonishes insurers to communicate with employers and to maintain clear records of eligible enrolled participants, says Mark DeBofsky at DeBofsky Sherman.

  • Lessons For Gov't Contractors Amid Increased Antitrust Risk

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    A review of recently ramped-up Procurement Collusion Strike Force enforcement yields important lessons for government procurement companies, which are particularly susceptible to anti-competitive risks, on corporate antitrust awareness and robust compliance, say Rachel Guy and James McGinnis at Sheppard Mullin.

  • Private Insurers Must Watch Out For Medical Equipment Fraud

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    Recent trends indicate that it is extremely rare for the government to prosecute those involved in health care fraud against private insurers, especially in cases involving durable medical equipment, so private insurers must take steps to investigate and detect fraudulent schemes, says Michael Vanunu at Rivkin Radler.

  • 4th Circ. ERISA Ruling Shows Plan Discretion Is Not Limitless

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    The Fourth Circuit’s recent decision in Garner v. Central States, holding that a benefit plan had abused its discretion in denying a claim for surgery, clarifies that the Employee Retirement Income Security Act's review standard is not a rubber stamp of plan determinations, and shows where the outer limits of discretion end, says Mark DeBofsky at DeBofsky Sherman.

  • Clients' Diversity Mandates For Law Firms Are Necessary

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    Coca-Cola recently scrapped its proposed diversity staffing requirements for outside counsel, and other companies may be reassessing their mandates due to external pressures, but it is important to remember the myriad factors supporting these policies and why they are more important now than ever before, says David Hopkins at Benesch Friedlander.

  • 5 Questions That Can Help Law Firms Win RFPs

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    As the volume of matter-specific requests for proposals continues to increase in the legal market, law firms can take some new steps to fine-tune their RFP response-drafting process and strategy, says Matthew Prinn at RFP Advisory Group.

  • How Law Firms Can Employ More Veterans

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    Hiring attorneys who are veterans is often overlooked in law firm diversity, equity and inclusion plans, even though it generates substantial benefits, but partnering with like-minded organizations and having a robust and active veterans group will go a long way in boosting a firm's ability to recruit and retain veterans, say Daniel Sylvester and Nicholas Hasenfus at Holland & Knight.

  • Enviro Assessment Rule May Help Lower Buyers' PFAS Risks

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    The U.S. Environmental Protection Agency's new rule incorporating the latest American Society for Testing and Materials standard for Phase I environmental site assessments should be helpful for purchasers of real property seeking greater protection against liability for per- and polyfluoroalkyl substances, say attorneys at Alston & Bird.

  • Associates, Look Beyond Money In Assessing Lateral Offers

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    In the face of high demand for corporate legal work and persistent staffing constraints, many law firms continue to offer sizable signing bonuses to new associates, but lateral candidates should remember that money is just one component of what should be a much broader assessment, says Stephanie Ruiter at Lateral Link.

  • 1 Year Shows Ford Ruling Didn't Change Personal Jurisdiction

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    Federal decisions issued in the year since the U.S. Supreme Court's Ford Motor v. Montana opinion support Justice Elena Kagan's insistence that the ruling simply applied precedent and did not create a new standard for evaluating specific personal jurisdiction as some feared, say attorneys at DLA Piper.

  • SEC's Climate Rules Promote Compliance, Not Real Change

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    Compliance with the U.S. Securities and Exchange Commission’s proposed new rules requiring corporate disclosures of activities and risks associated with climate change will be performative, and the flawed rules will fail at their primary purpose — giving investors and stakeholders actionable information, say Nir Kossovsky and Denise Williamee at Steel City Re.

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