More Insurance Coverage

  • August 22, 2022

    Feds Finalize Surprise Medical Billing Rules Amid Legal Fights

    The federal government has finalized rules relating to a law that shields patients from "surprise medical bills" for services unexpectedly performed by out-of-network providers and creates an arbitration system for handling payment fights between out-of-network providers and health insurers.

  • August 22, 2022

    Zarwin Baum Boosts Philly Office With Insurance Defense Pro

    Midsize firm Zarwin Baum DeVito Kaplan Schaer Toddy has expanded its insurance practice by adding to its Philadelphia office a veteran attorney with more than 30 years of experience.

  • August 22, 2022

    A Deep Dive Into The Glass Ceiling Report: Women In Law

    Law firms are working to improve diversity, equity and inclusion in their ranks. But Law360 Pulse's Glass Ceiling Report: Women in Law shows only modest growth in the number of female lawyers in private practice in the U.S.

  • August 19, 2022

    FDIC Targets FTX, 4 Sites For Claims About Deposit Insurance

    The Federal Deposit Insurance Corp. has called out cryptocurrency exchange FTX US and several crypto-focused websites for allegedly making "false and misleading statements" about deposit insurance availability, saying the offending content must be taken down.

  • August 19, 2022

    Miami Atty Sees Huge Demand Keeping Hotels On Rebound

    Few industries during the COVID-19 pandemic experienced as extreme a roller coaster ride as hotels and other hospitality businesses, and while pent-up consumer demand has spurred a strong rebound, unsettled global economics and politics have unleashed a host of new concerns.

  • August 17, 2022

    MassMutual Unit Fined $250K Over Adviser's Alleged Fraud

    A Massachusetts Mutual Life Insurance Co. subsidiary has been fined $250,000 for oversight failures after a financial adviser allegedly carried out a nearly 10-year scheme to defraud clients by getting them to purchase high-commission insurance products for his gain.

  • August 16, 2022

    Wells Fargo Investors Nab Cert. In Auto Insurance Suit

    A federal judge in San Francisco has certified a class of Wells Fargo investors who claim they were harmed when the bank allegedly hid misconduct in its auto insurance practices.

  • August 16, 2022

    Warburg Pincus-Owned Lender Fleeced Borrowers, States Say

    Five U.S. states and the District of Columbia sued a Warburg Pincus-backed lender Tuesday on claims that the firm charged consumers for hidden add-on policies that they didn't agree to buy, adding that the private equity giant's "high-growth demands" led to the alleged predatory tactics. 

  • August 16, 2022

    Bank Slams Zurich Bid To Duck Ponzi Suits Coverage

    Pacific Premier Bank's insurer is improperly requiring it to prove an exclusion does not apply before it can get coverage of underlying litigation alleging it helped keep a Ponzi scheme afloat with ill-advised lines of credit, the bank told a California federal court.

  • August 16, 2022

    Ex-House Rep. TJ Cox Arrested On Fraud Charges In Calif.

    Former U.S. Rep. T.J. Cox was arrested Tuesday and hit with a nearly 30-count indictment alleging campaign contribution fraud, financial institution fraud and wire fraud as well as money laundering, according to the U.S. Department of Justice.

  • August 15, 2022

    UnitedHealth Can't Afford To Misuse Rivals' Data, Judge Told

    UnitedHealth Group and Change Healthcare won't be tempted to violate safeguards protecting rival insurers' data after their planned $13.8 billion merger, the companies' lead expert economist testified Monday in D.C. federal court, rebutting claims by the U.S. Department of Justice.

  • August 15, 2022

    NJ Hospital Network Sues Rival Over Ambulance Services

    New Jersey hospital network CarePoint Health has sued its rival in state court, claiming it violated a settlement agreement by steering ambulance patients with private insurance to its own doors while sending underinsured and uninsured patients to CarePoint hospitals. 

  • August 12, 2022

    Change's Data Can't Be Used Anti-Competitively, Judge Told

    An expert witness for UnitedHealth Group and Change Healthcare testified Friday there's no real risk the proposed $13.8 billion deal to buy Change would give a UHG subsidiary a leg up on rival insurers, assailing the U.S. Department of Justice for making overblown predictions about how Change's data could be used to hurt competitors.

  • August 12, 2022

    Hospitality Cases To Watch For The Rest Of 2022

    With lawsuits ranging from Marriott's data-breach multidistrict litigation and a Virgin Hotels owner-manager dispute to cases contesting U.S. Citizenship and Immigration Services' mandate that all EB-5 regional centers must be reauthorized, hospitality litigation underway at midyear 2022 shows just how varied and complex the sector's legal issues can be.

  • August 12, 2022

    Trump Warrant Shows Espionage, Obstruction Investigation

    Former President Donald Trump is under investigation for obstruction of justice and potential violations of the Espionage Act, according to a search warrant for his Mar-a-Lago property unsealed Friday afternoon.

  • August 12, 2022

    Head Suspect In NBA Health Fraud Scheme To Cop Plea

    A former NBA player charged with masterminding a nearly $4 million health care fraud scheme is planning to enter a guilty plea later this month, according to a Thursday filing in Manhattan federal court.

  • August 12, 2022

    Eversheds Sutherland Adds McDermott Insurance Atty In Calif.

    Eversheds Sutherland has added a former McDermott Will & Emery LLP partner to its newly launched San Francisco office, the firm recently announced.

  • August 12, 2022

    Weekly Internal Revenue Bulletin

    The Internal Revenue Service released its weekly bulletin, including updated rules for the agency to set fees for making certain statistical studies to specify that the IRS will charge preparation fees only for studies that don't primarily benefit the public.

  • August 12, 2022

    Trump Org., CFO Ordered To Face Charges At Oct. Trial

    A New York state judge on Friday largely rejected an attempt by the Trump Organization and its longtime finance chief Allen Weisselberg to escape tax fraud charges, setting a trial date for Oct. 24 in Manhattan.

  • August 11, 2022

    UnitedHealth, Change Turn Trial Gaze To Horizontal Overlap

    UnitedHealth Group and Change Healthcare countered Justice Department allegations that their proposed merger threatens direct competition in the claims processing sector by arguing at the D.C. federal court that their plan to divest an insurance claims technology business addresses the DOJ's concerns.

  • August 11, 2022

    Judge To OK $2.25M Seeman Holtz Deal Pending Fla. Approval

    A Florida judge said Thursday he would sign off on a $2.25 million agreement between the corporate monitor for insurance and financial services company Seeman Holtz and some of the company's senior lenders, provided the state's Office of Financial Regulation approves the deal.

  • August 11, 2022

    11th Circ. Says Medicare Reimbursement Suit Filed Too Late

    The Eleventh Circuit ruled that a lawsuit brought by the assignee of a now-defunct Medicare Advantage organization to recover a reimbursable payment from a primary payer was time-barred, concluding that a four-year limitations period applied.

  • August 11, 2022

    Trump-Era DHS Chief's Immigration Bond Rule Fails In Court

    Another Trump-era immigration policy promulgated by former acting Homeland Security Secretary Chad Wolf fell by the wayside, after a California federal judge vacated administrative hurdles imposed on surety companies that wish to challenge the government's determinations that noncitizens have breached their bond conditions.

  • August 10, 2022

    UnitedHealthcare And Optum Are 'Strictly' Separate, CEO Says

    UnitedHealth Group's CEO told a D.C. federal judge Wednesday there's no reason to fear misuse of data gleaned from the proposed $13.8 billion purchase of Change Healthcare because UnitedHealth's own OptumInsight data unit is carefully designed to serve all health insurers and not just subsidiary UnitedHealthcare.

  • August 10, 2022

    Ill. Judge Won't Restrain Alliant In Employee Poaching Row

    An Illinois federal judge said Wednesday that she wouldn't enter a temporary restraining order in a lawsuit alleging Alliant Insurance Services committed a "corporate raid" of Arthur J. Gallagher & Co.'s Chicago office because Gallagher hasn't shown that most of its claims would succeed.

Expert Analysis

  • Takeaways From DC Circ. Medicare Overpayment Ruling

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    The D.C. Circuit's recent decision in UnitedHealth v. Becerra, reinstating a rule that requires Medicare Advantage organizations to refund certain overpayments, is a near-complete victory for the Centers for Medicare & Medicaid Services, but arguably abandons the rule's negligence standard, say attorneys at Ropes & Gray.

  • Why The Future Of Telehealth Parity Remains Murky

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    Though the federal government, states and private insurers have united during the pandemic in recognizing the value of expanding telehealth access, there is no consensus on the merits of long-term telehealth parity, say Adriana Riviere-Badell and Alexandria Swette at Kobre & Kim.

  • A Primer On DOL Probes For ERISA Plan Service Providers

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    As the U.S. Department of Labor shifts its enforcement resources from Employee Retirement Income Security Act plan sponsors to financial institutions that service such plans, nonfiduciary providers should know what to expect and how to respond to agency investigations, say attorneys at Groom Law Group.

  • 5th Circ. Opinion Is Right To Question ERISA Review Norms

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    A concurrence in the Fifth Circuit’s recent J. P. v. Blue Cross and Blue Shield of Texas decision rightly criticizes the standard of review in Employee Retirement Income Security Act cases as misplaced, nearly impossible for claimants to meet, and at odds with the holistic assessment required by the U.S. Supreme Court, says Mark DeBofsky at DeBofsky Sherman.

  • Benefits Ruling Raises Jury Trial Question For ERISA Cases

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    An Ohio federal court's recent ruling in Phillips v. Sun Life Assurance has reopened the debate over the utility of jury trials in Employee Retirement Income Security Act benefit denial cases, highlighting how the law’s silence on the issue leads courts to make up rules that lack statutory support, says Mark DeBofsky at DeBofsky Sherman.

  • Bankruptcy Eligibility Is Expanding For Small Biz Debtors

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    A Florida bankruptcy court's recent decision in Vertical Mac Construction expands the scope of "just enough" commercial or business activity for Subchapter V eligibility, and potential debtors should consider this evolving boundary, says Nicholas Koffroth at Fox Rothschild.

  • Imposing Insurance Surcharges On Unvaccinated Workers

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    Employers that are not covered by President Joe Biden’s new COVID-19 action plan or that want to further encourage vaccination may consider imposing a health insurance premium surcharge on unvaccinated workers, but compliance with myriad federal, state and local laws must be addressed before raising rates, say attorneys at Reed Smith.

  • ERISA Ruling Reveals Big-Picture Health Benefit Issues

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    While a California federal court’s recent ruling in Asner v. SAG-AFTRA Health Fund concerned fiduciary duty claims under the Employee Retirement Income Security Act, a closer look at the details raises broad questions about retirees’ rights to lifetime health benefits and the staying power of employer-sponsored health care, says Mark DeBofsky at DeBofsky Sherman.

  • What's At Stake In High Court's CVS Disability Bias Case

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    In its upcoming review of CVS Pharmacy Inc. v. Doe, the U.S. Supreme Court will likely address at least one circuit split concerning the availability of disparate-impact claims under the Rehabilitation Act and Affordable Care Act, say attorneys at Weil.

  • Vehicle Service Contracts Present Opportunities For EV Cos.

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    As the electric vehicle market grows faster than ever, manufacturers, dealers and even aftermarket participants can use vehicle service contracts to open up new revenue streams and maintain a touchpoint with customers — but contract providers must be aware of applicable laws and regulations, says Matthew R. Wagner at Frost Brown.

  • SEC Cyber Disclosure Actions Point To Merciless Scrutiny

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    Recent U.S. Securities and Exchange Commission actions over cyber-related disclosure failures show what to expect from a newly invigorated SEC and offer fresh insights on how to counter potentially unmerciful post-breach scrutiny from the agency, even in immaterial, nonfraudulent matters, says cybersecurity consultant John Reed Stark.

  • 17 Best Practices For Defending Against Ransomware Attacks

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    Following the biggest ransomware attack on record against U.S. businesses by the Russia-linked group REvil, and in the absence of legislative requirements, companies can protect themselves by not just adopting but actually implementing and testing several practical safeguards, say attorneys at Hall Booth.

  • 4 Considerations In Light Of Cyber Incident Notification Bill

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    Following the recent introduction of a bipartisan bill that would require government contractors and critical infrastructure operators to report cyber intrusions to the federal government within 24 hours, companies should take several steps to assess their preparedness for identifying vulnerabilities and mitigating the risk of cyberattacks, say attorneys at Squire Patton.

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