More Insurance Coverage

  • January 18, 2024

    Haynes Boone Insurance Partner To Lead Firm's DC Outpost

    Haynes and Boone LLP has tapped an insurance partner to oversee the operations of its Washington, D.C., office, who has been with the firm for over six years, the firm announced Thursday.

  • January 17, 2024

    Wash. Law Firm Says Travelers Must Cover Employee Theft

    Seattle law firm Karr Tuttle Campbell has sued Travelers Indemnity Company of Connecticut in Washington federal court, accusing the insurer of violating the state's consumer protection law by denying coverage after a former firm employee allegedly made $136,000 in unauthorized charges on a credit card.

  • January 17, 2024

    Freeman Mathis Rings In '24 With New Seattle, Del. Offices

    Freeman Mathis & Gary LLP is opening its first Pacific Northwest office and adding a new location on the Eastern Seaboard, bringing its national presence to three dozen offices in 21 states, the litigation firm recently announced.

  • January 17, 2024

    2nd Circ. Won't Revive Investor Suit Against Chinese Insurer

    The Second Circuit has affirmed the dismissal of a securities class action against Chinese health insurance company Waterdrop Inc., agreeing with the lower court that the suit failed to adequately allege that the company's initial public offering registration statement was materially misleading.

  • January 17, 2024

    Feds Drop Appeal Over HHS Rule On Drug Coupons

    The Biden administration and advocacy groups agreed to end a government appeal of a D.C. federal judge's decision to vacate a 2021 rule that allowed insurers to not count coupons or discounts provided by pharmaceutical companies to patients toward patients' deductibles and out-of-pocket maximums.

  • January 17, 2024

    Ex-NBA Player's Bid For Health Fraud Trial Do-Over Rejected

    A New York federal judge denied a former NBA player's motion for acquittal or a new trial in the federal government's health fraud conspiracy case alleging players submitted fake invoices to the league's health plan with the help of medical professionals involved with the scheme.

  • January 17, 2024

    UnitedHealth Beats In-Office Surgery Fees Suit At 2nd Circ.

    The Second Circuit on Wednesday sided with UnitedHealth Group and upheld the dismissal of a class-action suit that had accused the insurer of illegally refusing to pay certain fees for in-office surgeries, rejecting claims by medical providers who sought to overturn the lower-court decision.

  • January 17, 2024

    Barge Co. Says Insurer Reneged On Superfund Suit Coverage

    A Washington barge company said its insurer owes it coverage for legal expenses in an underlying lawsuit claiming the company is liable for environmental pollution at an Oregon Superfund site, according to a complaint moved to federal court Tuesday.

  • January 17, 2024

    Allianz To Pay $1.5M To End Wash. AG's Policy Exclusion Suit

    Allianz will shell out $1.5 million to exit Washington state's lawsuit accusing the travel insurance giant of discriminating against consumers with mental health conditions by refusing to cover trip cancellations due to "mental and nervous health" issues, according to a proposed consent decree filed in state court on Wednesday.

  • January 17, 2024

    Nursing Home Owner Cops To $38M Payroll Tax Scheme

    A nursing home operator pled guilty in federal court to a $38.9 million employment tax fraud scheme involving nursing homes he owned across the country, the U.S. attorney for the District of New Jersey said Wednesday.

  • January 17, 2024

    CMS Final Rule Looks To Fix Prior-Authorization Hiccups

    The Centers for Medicare & Medicaid Services finalized rules Wednesday addressing prior authorization and electronic health information access in government healthcare programs, a move the agency said will save $15 billion over a decadelong period.

  • January 17, 2024

    Tyson & Mendes Opens Philly Office With 4 Local Attys

    National defense firm Tyson & Mendes has launched a new Philadelphia-area office led by four seasoned litigators who moved their practices from Rawle & Henderson.

  • January 16, 2024

    Software Co. Ebix Can Pay Bonuses In Ch. 11

    A Texas bankruptcy judge on Tuesday allowed bankrupt insurance software company Ebix Inc. to shell out for employee bonuses and payments owed to directors of the company, overruling a lone objection from the Office of the U.S. Trustee that the payments were over the legal limit, premature and vaguely defined.

  • January 16, 2024

    Judge Says NY Diocese Must Explain Its Ch. 11 Plan Better

    A New York bankruptcy judge told the Roman Catholic Diocese of Rockville Centre on Tuesday that it needed to rewrite its Chapter 11 plan disclosure to make it comprehensible to the sexual abuse claimants in the case.

  • January 16, 2024

    5th Circ. Revives Southwest Airlines' Cyber Coverage Suit

    The Fifth Circuit on Tuesday revived Southwest Airlines' coverage fight against Liberty Insurance over costs stemming from a 2016 computer network failure, saying the district court was wrong in finding that the costs fall outside the coverage range of an excess cyber risk insurance policy.

  • January 16, 2024

    Insurance Adjuster Says Ex-Employees Stole Clients, Intel

    An insurance adjuster accused five ex-employees of colluding with a competitor to steal the company's clients, telling a Mississippi federal court that the employees breached their agreements with the company — including noncompetes — to benefit the competitor.

  • January 16, 2024

    Manatt Adds Health Policy Strategist In DC Office

    Manatt Phelps & Phillips LLP announced Tuesday that it has brought aboard a health policy strategist who previously worked for the late Sen. John McCain, R-Ariz., and boasts an extensive background in the pharmaceutical, biotechnology and medical device sectors, according to a statement issued by the firm Tuesday.

  • January 16, 2024

    NJ Hospital, Investors To Pay $30.6M Over FCA Allegations

    A New Jersey long-term care hospital has agreed to pay more than $18.6 million to resolve allegations that it violated the False Claims Act by claiming excessive cost outlier payments from Medicare, the U.S. Department of Justice said in a statement Tuesday.

  • January 16, 2024

    Murdaugh Jurors Will Testify Publicly In Tampering Hearing

    Jurors who convicted South Carolina lawyer Alex Murdaugh of murder will testify in open court during an upcoming multiday hearing concerning allegations that a clerk tampered with them, a judge ruled Tuesday.

  • January 16, 2024

    Widow Targets Buchanan Ingersoll Atty In $7.5M Policy Spat

    The widow of a Pittsburgh entrepreneur says the manager of her late husband's limited partnership worked with a Buchanan Ingersoll & Rooney attorney to undermine her claim to a $7.5 million life insurance policy, according to a suit she filed in Pennsylvania state court.

  • January 16, 2024

    Trump Gag Order Not Constitutional Issue, NY Top Court Says

    New York's top appellate court on Tuesday rejected Donald Trump's initial challenge to gag orders issued during the state attorney general's civil fraud case that limited his ability to comment on court staff, ruling that the former president failed to raise a "substantial constitutional question."

  • January 12, 2024

    Penn. Lab Says BCBS Owes Them $1.5M For COVID-19 Tests

    Pennsylvania-based Genesis Diagnostics filed a federal suit Friday in a Pennsylvania court demanding $1.5 million from Blue Cross Blue Shield for COVID-19 test claims it said have gone unpaid for years.

  • January 12, 2024

    Axis Capital Promotes Two In-House Legal Leaders

    Insurance and reinsurance company Axis Capital has promoted one of its longtime in-house attorneys to serve as its chief administrative and legal officer and named another to succeed him as general counsel.

  • January 12, 2024

    Mich. Panel Revives Trucker's Fire Damage Coverage Dispute

    A Michigan state appeals court has revived a truck driver's lawsuit over the loss of nearly $1 million in personal property during a fire, saying he was not the "operator" of a parked vehicle that he alleges started the blaze for purposes of the state's property protection insurance benefits statute.

  • January 12, 2024

    No-Fault Crash Suit Doesn't Bar Negligence Claim, Panel Says

    The estate of a man who was injured in a vehicle crash involving a Detroit city bus can sue the city and driver for negligence, a Michigan appeals court ruled, saying the claims did not have to be joined to an earlier no-fault suit stemming from the same crash.

Expert Analysis

  • How Budget Bill Could Affect Employer Health, Benefit Plans

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    Following the House's recent passage of President Joe Biden’s $1.75 trillion spending bill — the Build Back Better Act — employers should carefully consider several of the proposal’s health care and benefits provisions, which could pose immediate compliance challenges if the act is signed into law this year, say Anne Hall and Tim Kennedy at Hall Benefits Law.

  • New ERISA Rulings Diverge On Civil Procedure

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    The Third Circuit’s recent decision in Noga v. Fulton Financial Employee Benefit Plan, which applied administrative law principles in reinstating a claimant’s Employee Retirement Income Security Act benefits, deviates from a rising chorus of judicial voices and fails to help repair ERISA's civil procedure, says Mark DeBofsky at DeBofsky Sherman.

  • Why New Phase I Site Standard Matters For Real Estate

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    As an update to the preeminent standard for Phase I environmental site assessments — an essential part of transactional due diligence — is rolled out, parties to real estate transactions should adopt the new standard if they wish to claim liability protections under the Superfund law, say Lorene Boudreau at Ballard Spahr and Mitchell Wiest and Sara Redding at Roux.

  • The Implications Of COP26 For Legal Practitioners

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    Developments at the recent United Nations Climate Change Conference will create both opportunities and risks for lawyers — with many new laws, regulations and industry best practices to track, and a growing pipeline of new energy and infrastructure projects to facilitate, say Caroline May and Charles Winch at Norton Rose.

  • Infrastructure Act Measures Could Affect Holiday Shipping

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    While some measures in the Infrastructure Investment and Jobs Act will take time to have an impact on shipping, other aspects of the law have the potential to help ease supply chain snarls quickly enough to expedite the movement of goods for the holiday shopping season, say Samuel Basch and Joseph Goldberg at Cole Scott.

  • Early ESG Due Diligence Can Minimize Risk, Maximize Reward

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    Companies can no longer afford to ignore environmental, social and corporate governance due diligence — the risks and rewards have become too great when it comes to pre-deal merger and acquisition transactions, supply chain audits, routine company audits and beyond, says Kimberly Jaimez at Pillsbury.

  • 6th Circ. ERISA Ruling Highlights Dubious Court Practices

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    A recent concurring opinion from Sixth Circuit Judge Eric Murphy in Card v. Principal Life Insurance is the first to question remands in Employee Retirement Income Security Act cases, opening a long-overdue dialogue on several questionable court practices that deviate from the Federal Rules of Civil Procedure, says Mark DeBofsky at DeBofsky Sherman.

  • Alleging An LLC's Citizenship With Imperfect Information

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    Determining a limited liability company's citizenship to establish diversity jurisdiction and remove a case from state court can be difficult when the LLC's owners are unclear, and the Corporate Transparency Act will likely offer only limited help when it takes effect — but the right steps can still get a case to a federal courtroom, say attorneys at King & Spalding.

  • 9th Circ. Jurisdiction Ruling Guides On Class Action Strategy

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    The Ninth Circuit's recent decision revoking class certification in Moser v. Benefytt punted on personal jurisdiction questions left by the U.S. Supreme Court’s Bristol-Myers decision, but provides some guidance on how to raise jurisdictional defenses in nationwide class actions, say attorneys at Dechert.

  • Humana FLSA Case Shows Risks Of Nurse Misclassification

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    The recent settlement in O'Leary v. Humana Insurance, a Wisconsin federal court case over the Fair Labor Standards Act employment status of 200 registered nurses, demonstrates the potential long-term and unexpected costs of erroneously classifying employees, says John Dudrey at Stoel Rives.

  • FCA Ruling Deepens Circuit Split Over Qui Tam Dismissals

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    The recent Third Circuit ruling in Polansky v. Executive Health Resources Inc. further widens a split over the standard for government-initiated motions to dismiss qui tam actions under the False Claims Act, and evinces increased scrutiny for motions filed after a defendant has entered the fray, say Kenneth Abell and Katherine Kulkarni at Abell Eskew.

  • 4 Economic Takeaways From 6th Circ. ProMedica Decision

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    The Sixth Circuit's recent decision to let ProMedica Health drop insurance contracts with its competitor St. Luke's Hospital highlights economic questions to consider when assessing alleged monopolization, particularly through provider network formation, say Loren Smith and Josephine Duh at The Brattle Group.

  • Disability Claim Ruling Holds ERISA Fiduciary Duty Lessons

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    A Massachusetts federal court’s recent disability claim ruling in Host v. First Unum Life Insurance admonished the defendant for breaching its Employee Retirement Income Security Act fiduciary duties when it failed to conduct an independent claim investigation, signaling that plan administrators should be wary of relying solely on employer communications, says Mark DeBofsky at DeBofsky Sherman.

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