More Insurance Coverage

  • August 10, 2022

    Festival Planner Must Face Suit Over Death, Mass. Court Says

    Massachusetts' intermediate-level appeals court has revived a suit against an event planner for a Weymouth festival where a man was killed by a drunk driver in a parking lot, ruling that there are, in fact, some issues of material fact at play.

  • August 10, 2022

    Insurer Says It Won't Cover Medical Device Co. In Surgery Suit

    A medical device company being sued over its involvement in a patient's in-surgery death can't get coverage for the underlying litigation because the claim against it was made before the effective date of its insurance policy, the company's insurer told an Indiana federal court.

  • August 10, 2022

    Insurers Seek Delay Of Camden Diocese Ch. 11 Confirmation

    Insurers that issued policies to the bankrupt Diocese of Camden told a New Jersey judge on Wednesday that a Chapter 11 plan confirmation trial slated for Aug. 29 needs to be delayed because additional discovery is required.

  • August 10, 2022

    In Roiling Times, Health Care CLO Focuses On Strategy

    With new technology and corporate acquisitions shaking up the health care industry, some companies are turning to dealmakers like attorney Michael Lappin to guide them through the tumultuous times.

  • August 10, 2022

    Northern Trust Can't Sink Suit Over Massive 401(k) Plan

    An Illinois federal judge refused to shut down a proposed class action brought by current and former Northern Trust workers who accused the asset management company of lining its pockets by steering their savings toward its own high-cost, poorly performing investment funds.

  • August 10, 2022

    Covington Boosts Insurance Group With Orrick DEI Co-Chair

    Covington & Burling LLP has added an insurance veteran from Orrick Herrington & Sutcliffe LLP to the firm's practice in San Francisco.

  • August 09, 2022

    Merger Would Spur UnitedHealth To Abuse Data, Judge Told

    If a proposed $13.8 billion purchase of Change Healthcare was permitted, UnitedHealth Group would have every incentive to tap data from Change's insurer clients to bolster its own business even if it means damaging Change's customer relationships, the U.S. Department of Justice's main expert witness told a D.C. federal judge Tuesday.

  • August 09, 2022

    Judge Nixes Order, Conceals Atty Docs In Trans Bias Row

    An Arizona federal judge vacated an order Tuesday requiring Republican Gov. Doug Ducey to turn over attorney-client documents detailing the decision to deny coverage to state health plan participants for gender-confirmation surgery, as long as the legal advice isn't used in the state's trial defense.

  • August 09, 2022

    7th Circ. View Of FCA Intent Is 'Deeply Flawed,' Justices Told

    An Illinois pharmacist wants the U.S. Supreme Court to review a refusal by a split Seventh Circuit to revive his False Claims Act suit against Safeway, raising an issue about how to determine a defendant's knowledge of wrongdoing in an FCA case.

  • August 09, 2022

    NBA Journeyman Latest To Take Plea In Health Fraud Case

    A former NBA player ensnared in a scheme to defraud the league's health care plan is expected to enter a guilty plea, becoming the fifth ex-player of 19 indicted to strike a deal with Manhattan prosecutors.

  • August 09, 2022

    Judge OKs Florida Insurer's Foreign Withholding Refund

    A Florida federal judge signed off Tuesday on an agreement allowing a title insurance company to recoup $40,500 in foreign real estate taxes its clients paid on a property transaction they later found to be a scam.

  • August 09, 2022

    Boies Schiller, Hausfeld Score $627M In Fees In BCBS MDL

    An Alabama federal judge awarded $626.6 million in attorney fees and another $40.9 million in costs on Tuesday to Boies Schiller Flexner LLP, Hausfeld LLP and other lawyers who scored a $2.67 billion class award for subscribers in multidistrict litigation against Blue Cross Blue Shield insurers.

  • August 09, 2022

    Feds Want Exec's Advice-Of-Counsel Fraud Defense Barred

    Prosecutors asked a California federal judge presiding over a criminal fraud trial against Arrayit Corp.'s president Monday to order him to either disclaim his advice-of-counsel defense or immediately produce documents related to it, arguing that the executive waited two years until trial openings to disclose the purported defense.

  • August 09, 2022

    Transporter's Coverage Bid Over Injury Dispute OK'd For Now

    A Travelers unit providing excess insurance to a company that transports horses by air must wait to see if it has coverage duties in a personal injury suit, a Florida federal judge ruled, finding an underlying Chubb policy not currently part of the record is the key to that determination.

  • August 08, 2022

    DOJ Data Fears Based On 'Limited Understanding,' Judge Told

    The U.S. Department of Justice is wrong to allege that UnitedHealth Group's proposed $13.8 billion purchase of Change Healthcare would give the company access to data that it could use to gain a competitive advantage against its rivals, a UHG executive testified Monday in D.C. federal court.

  • August 08, 2022

    Ex-NBA Player 'Wrong' On Health Fraud Defense, Feds Say

    Manhattan federal prosecutors said a former NBA player is "wrong" in his claim that money he and others obtained through an alleged $4 million health care fraud scheme already belonged to them.

  • August 08, 2022

    Consultant Seeks Exit From $19M Captive Insurance Suit

    A federal court should dismiss insurance fraud claims against a consulting firm in a case where a furniture company seeks $19 million from the firm's former employee, the firm argued, because he joined the consultancy after committing the alleged fraud.

  • August 08, 2022

    Thompson Coe Adds Top Litigator To Dallas Insurance Group

    Thompson Coe Cousins & Irons LLP has added an experienced insurance partner to the firm's Dallas office.

  • August 08, 2022

    Real Estate Rumors: Santander, AIA, MEAG

    Santander has reportedly loaned $53 million for a Nashville mixed-use project, AIA is said to be in talks to buy a Shanghai office tower that could be valued at $1.3 billion, and MEAG reportedly plans to move into 75,000 square feet of space at a Manhattan tower that the company owns.

  • August 08, 2022

    Complex Insurance Litigator Joins Marshall Dennehey In Philly

    Marshall Dennehey Warner Coleman & Goggin PC has added a litigator with over 15 years of experience to its Philadelphia office, the firm recently announced.

  • August 05, 2022

    United Exec Says Data Access Informed $13.8B Acquisition

    A former UnitedHealth Group executive admitted Friday that access to health care claims data was at least one key factor in the $13.8 billion purchase of Change Healthcare, giving fodder to U.S. Department of Justice allegations that the data could be misused to benefit UnitedHealthcare.

  • August 05, 2022

    Fla. Construction Co. Owner, Like Son, Cops To $6M IRS Fraud

    The co-owner of two construction subcontracting companies in Jacksonville, Florida, has pled guilty to a scheme that defrauded the Internal Revenue Service out of $5.6 million in unpaid taxes by partially paying employees off the books over a period of five years, according to an agreement with prosecutors.

  • August 05, 2022

    After Dobbs: Kan. Voters, DOJ Fight Abortion Restrictions

    A Kansas vote this week upholding the right to abortion in the Sunflower State served as the first litmus test for how voters may react to the high court's decision to overturn Roe v. Wade, while the U.S. Department of Justice launched its first post-Dobbs suit challenging a state's abortion restrictions.

  • August 05, 2022

    11th Circ. Says Law Firm Must Obey Captive Insurer Summons

    A law firm cannot claim attorney-client privilege to shield itself from a summons issued by the Internal Revenue Service seeking records on its captive insurance clients, the Eleventh Circuit said Friday, affirming a lower court's ruling.

  • August 05, 2022

    Ex-Fla. Biz Owner Gets 15 Months For Construction Scam

    A Florida federal judge sentenced a local businessman to 15 months in prison for running a scam that involved providing construction sites with undocumented workers who had insufficient workers' compensation insurance coverage, the U.S. attorney's office said Thursday.

Expert Analysis

  • Texas Case Boosts Defense Challenges To Medical Expenses

    Author Photo

    The Texas Supreme Court's June decision in Allstate Fire and Casualty Insurance Co. makes it clear that defense experts with knowledge of medical billing codes can challenge the reasonableness of medical charges even if they are not health care providers in a particular specialty, say Robert Smith and Emiliano Farciert at Lorance Thompson.

  • Surprises May Lurk As 'No Surprises Act' Meets State Law

    Author Photo

    The No Surprises Act, which takes effect in January, introduces federal requirements to protect consumers from surprise medical bills, but also defers to certain state laws, which will present significant operational challenges for providers and payors determining whether the federal law, state law or both will apply to a course of treatment, say Alexandra Lucas and Christian Martin at Reed Smith.

  • Benefits Ruling Contradicts Intent Of ERISA, Disability Plans

    Author Photo

    A Massachusetts federal court’s recent ruling in DeBold v. Liberty Life Assurance, upholding the insurer’s finding that rollover retirement funds could reduce disability payments, is inconsistent with the purpose of the Employee Retirement Income Security Act and eviscerates a disability benefits plan's goal of providing financial support during an employee’s working years, says Mark DeBofsky at DeBofsky Sherman.

  • Managing Risk After SEC's Cyber Enforcement Action

    Author Photo

    The U.S. Securities and Exchange Commission's recent enforcement action against First American Financial over deficient cybersecurity disclosures shines a light on risk management and reporting best practices as financial regulators ramp up cybersecurity scrutiny, say Ira Rosner and Shardul Desai at Holland & Knight.

  • Cos. Need ESG Strategies That Address Climate Change

    Author Photo

    As consumers, investors and the federal government become increasingly vocal about climate change, companies must incorporate climate concerns into their environmental, social and governance policies to reduce risk, ensure compliance, protect their brands and enhance resiliency, says Todd Roessler at Kilpatrick.

  • How New AML Law Will Apply To Life Settlement Industry

    Author Photo

    Nonexempt life settlement entities should expect increased reporting obligations once the Corporate Transparency Act implementing regulations go into effect as the act brings the first application of anti-money laundering laws to the industry, say Brian Casey and Thomas Sherman at Locke Lord.

  • To Reduce Prescription Prices, Hold Middlemen Accountable

    Author Photo

    The Biden administration should implement a last-minute Trump-era rule that would force pharmacy benefit managers to pass rebate savings onto patients, helping to ensure that Medicare beneficiaries can afford their medication, says George Huntley at the Diabetes Patient Advocacy Coalition.

  • Health Cos. Must Prepare For Growing Ransomware Threat

    Author Photo

    Health companies are a prime target for ransomware attacks due to their sensitive data and relative vulnerability, so they will need compliance and resilience to guard against the increasingly varied ways that hackers can attempt to extract funds, say Alaap Shah and Stuart Gerson at Epstein Becker.

  • How Attorneys Can Reach Claimants In Today's Comms Era

    Author Photo

    Communicating with clients can be challenging for plaintiffs attorneys due to barriers posed by the current onslaught of unwanted calls, work schedules and other factors, but certain best practices can help, say Scott Heisman and Kimberly Lavin at Verus.

  • Cos. Can Expect Tougher Climate Risk Disclosure Mandates

    Author Photo

    Recent developments in Congress and at the U.S. Securities and Exchange Commission that point toward an expansion of corporate climate risk disclosure requirements beyond securities filings are a clear signal to publicly traded companies that they must further integrate climate considerations into strategic planning at all levels, say attorneys at Akin Gump.

  • Ruling Shows Medicare Confusion Can Lead To Costly Results

    Author Photo

    A recent New Jersey district court ruling shows that workers over 65 may incur steep medical bills if they misunderstand the convoluted and sometimes arbitrary system governing whether Medicare or employee-sponsored health coverage pays first, says Mark DeBofsky at DeBofsky Sherman.

  • Justices' Preemptive Tax Challenge Ruling Shows Divisions

    Author Photo

    The U.S. Supreme Court's recent decision in CIC Services v. Internal Revenue Service reveals divisions among the justices about when potentially burdensome tax regulations can be challenged, making the holding less clear and less valuable, say George Isaacson and David Swetnam-Burland at Brann & Isaacson.

  • NY Stock Purchase Ruling Shows Value Of Proper Disclosures

    Author Photo

    The New York Supreme Court’s recent decision that a stock buyer was liable for breaching a purchase agreement’s representations and warranties in GBIG Holdings v. Resolution Life demonstrates that buyer liability risk exists even when sellers have prior knowledge of potential violations, say John Lowe and Paul Bartlett at Barclay Damon.

Can't find the article you're looking for? Click here to search the Insurance Authority Other archive.