More Insurance Coverage

  • August 05, 2022

    Cyber Security Startup Coalition Hires 1st-Ever GC

    Coalition has found as its first-ever general counsel a lawyer who so far has spent his in-house career at W. R. Berkley Corp., the cyber insurance and security startup said Friday, about two months after it raised $250 million to expand.

  • August 05, 2022

    Marshall Dennehey Mourns Loss Of Founder Robert Coleman

    The last of Marshall Dennehey Warner Coleman & Goggin's founding name partners, Robert J. Coleman, has died, the firm announced Friday morning.

  • August 05, 2022

    UK Litigation Roundup: Here's What You Missed In London

    The past week in London has seen restaurant chain PizzaExpress put an insurance claim on the menu in a lawsuit against Liberty Mutual and AXA, the self-proclaimed creator of Bitcoin Craig Wright turn his attention to an IP claim against BTC Core, and AstraZeneca launch proceedings against its former head of investor relations. Here, Law360 looks at these and other new claims in the U.K.

  • August 04, 2022

    Cigna Attys Warned For 'Misleading' Quotes In FCA Tussle

    A Tennessee federal judge weighing a $1.4 billion False Claims Act dispute admonished lawyers for health insurance giant Cigna Corp. over "misleading" legal citations containing vaguely attributed quotes and warned the attorneys against similar sloppiness in the future.

  • August 04, 2022

    Former United CEO Says Data Abuse Possible, 'Very Isolated'

    The former UnitedHealth Group CEO who oversaw the company's decision to buy Change Healthcare for $13.8 billion defended the transaction Thursday against a Justice Department challenge but admitted that data abuse is possible even if safeguards make that unlikely.

  • August 04, 2022

    5th Circ. Mulls Judge's Authority To Halt ACA Sex Bias Rule

    A Fifth Circuit panel questioned Thursday whether a Texas federal judge exceeded his authority by issuing an order that protects several religious medical providers from punishment by the federal government for refusing to provide abortion or gender transition-related care despite an anti-discrimination provision in the Affordable Care Act.

  • August 04, 2022

    Kennedys' Leaders On Firm's New Houston Office

    Kennedys CMK has planted a second flag in Texas with the launch of a new Houston office that the insurance-focused firm says will allow it to be on the same turf as the carriers covering the energy industry that it represents. Law360 Pulse recently caught up with U.S. managing partner Meg F. Catalano and senior partner Christopher R. Carroll to discuss the firm's move into Space City.

  • August 04, 2022

    IRS Seeks Input On Rules For ACA Internal Claims

    The Internal Revenue Service asked for comments Thursday on information collection and third-party disclosure requirements for plans under regulations implementing sections of the Affordable Care Act dealing with internal claims, appeals and external review.

  • August 03, 2022

    UnitedHealth Judge Probes Health Tech Co.'s Data Safeguards

    The D.C. federal judge slated to decide the fate of UnitedHealth Group's proposed $13.8 billion acquisition of Change Healthcare pressed a Change executive on Wednesday to explain whether internal safeguards can prevent data abuses that the U.S. Department of Justice is worried about.

  • August 03, 2022

    Surety Ruling Narrows Avenues For FCA Liability

    A recent decision allowing sureties to escape an unusual False Claims Act suit alleging they aided fraud by construction contractors they had bonded significantly reduces the risk of similar suits, but it doesn't mean sureties are entirely immune to future FCA claims.

  • August 03, 2022

    Simpson Thacher-Led JC Flowers Closes $1.1B Fund

    J.C. Flowers & Co. LLC announced on Wednesday that it had closed its fifth private equity fund with more than $1.1 billion in commitments, assisted by legal adviser Simpson Thacher & Bartlett LLP.

  • August 03, 2022

    10th Circ. Revives Ex-Farmers Insurance Worker's Bias Suit

    The Tenth Circuit revived a lawsuit Wednesday from a former Farmers Insurance salesperson who said the company terminated his contract because he's Hispanic, saying a lower court shouldn't have ignored a discriminatory comment allegedly made by his district manager.

  • August 02, 2022

    Change CEO Says UnitedHealth Deal Won't Harm Rivals

    Change Healthcare's CEO testified on Tuesday as part of the U.S. Department of Justice's efforts to preserve the health care technology company's value as an "independent" source of health insurance claims data for UnitedHealth Group's insurer rivals, only to repeatedly argue that the agency's challenge to the $13.8 billion proposed merger has it all wrong.

  • August 02, 2022

    Trans W.Va. Medicaid Participants Win Bias Suit

    A class of over 600 transgender Medicaid participants in West Virginia won their suit alleging that the state program violated the Affordable Care Act's anti-discrimination provisions, with a federal judge ruling Tuesday that the state's law to deny gender-affirming care to transgender people is unconstitutional.

  • August 02, 2022

    Former Sixers Player Cops A Plea In NBA Health Fraud Case

    A former Philadelphia 76ers guard admitted Tuesday to submitting a fake dental claim to the National Basketball Association's benefits plan, becoming the fourth league veteran to plead out of the Manhattan U.S. attorney's $4 million fraud crackdown.

  • August 02, 2022

    Dentons Works On $105M MetLife NYC Loan

    Dentons worked on a $105 million consolidated loan from insurance company MetLife to real estate companies Imperial Cos. and Shorenstein for existing debt on a Manhattan property, according to records made public Tuesday.

  • August 01, 2022

    DOJ Stresses Risks Of UnitedHealth $13.8B Buy In Court

    The U.S. Department of Justice urged a D.C. federal judge in opening arguments Monday to block UnitedHealth Group's planned $13.8 billion purchase of health care technology outfit Change Healthcare, arguing any consequences for abusing data access matter little for an insurance technology unit "dwarfed" by the more profitable UnitedHealthcare.

  • August 01, 2022

    11th Circ. Reopens Worker's ERISA Disability Claim

    The Eleventh Circuit revived a man's individual Employee Retirement Income Security Act lawsuit against Lincoln Life Assurance Co. of Boston, holding a federal judge in Georgia reviewing a disability benefits claim from Virgil Harris should have considered evidence outside the record originally before a company administrator.

  • August 01, 2022

    Zurich Says Exclusion Bars Coverage For Bank's Ponzi Suits

    Pacific Premier Bank isn't entitled to coverage of several underlying suits alleging it helped keep a Ponzi scheme afloat by offering ill-advised lines of credit, a Zurich unit told a California federal court, pointing to a policy exclusion for lending acts.

  • July 29, 2022

    Fla. Yacht Club Says Insurer Won't Cover Bank Transfer Fraud

    A Florida yacht and golf club has filed a lawsuit against insurers Swiss Re and Peleus, alleging that the companies refused to cover more than half a million dollars lost by the club in a data breach.

  • July 29, 2022

    4 August Court Hearings For Benefits Attys To Know

    The Fifth Circuit will soon hear arguments from the federal government and religious groups battling over an injunction protecting religious medical providers that assert faith-based objections from having to perform abortions or gender-transition surgery, or cover those procedures for employees.

  • July 29, 2022

    FDIC Warns Banks On Crypto Partners' Insurance Disclosures

    Banks that work with cryptocurrency companies should ensure that any communications about deposit insurance are accurate, as there's a high risk of customer confusion when it comes to digital assets, the Federal Deposit Insurance Corp. warned Friday.

  • July 29, 2022

    AME Church Defends Letters To Pastors In Retirement Suit

    The African Methodist Episcopal Church urged a Tennessee federal court not to grant an injunction request from a group of pastors seeking to bar the church from sending letters to former workers about their retirement accounts, as a consolidated class action is pending alleging negligence over a more than $90 million loss to the employee annuity plan.

  • July 29, 2022

    IRS Updates Table For Premium Tax Credit Calculations

    The Internal Revenue Service updated a table used to determine the 2023 premium tax credit, according to a notice issued Friday.

  • July 29, 2022

    UnitedHealth, Change Gear Up To Defend $14B Merger At Trial

    UnitedHealth Group and health care technology outfit Change Healthcare are bound for court Monday in the largest litigated U.S. Department of Justice merger challenge brought so far during the Biden administration.

Expert Analysis

  • Justices' Nod To Preemptive Tax Challenges May Caution IRS

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    The U.S. Supreme Court's recent decision in CIC Services v. Internal Revenue Service, allowing pre-enforcement challenges of tax reporting rules despite the Anti-Injunction Act, is likely to make the U.S. Department of the Treasury more careful about its own compliance obligations under the Administrative Procedure Act, says Robert Carney at Caplin & Drysdale.

  • New Circuit Split Complicates Domestic Securities Test

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    The First Circuit’s recent holding in U.S. Securities and Exchange Commission v. Morrone cements a new circuit split over when a securities transaction is considered domestic, introducing new wrinkles to the already-vague standards courts have relied on to interpret the U.S. Supreme Court's Morrison test, say Eric Belfi and David Saldamando at Labaton Sucharow.

  • Addressing Environmental Justice As Part Of ESG Initiatives

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    Recent calls for racial equity and government regulators' increasing focus on social and environmental concerns make this a good time for companies to integrate environmental justice into their environmental, social and governance efforts, say Stacey Halliday and Julius Redd at Beveridge & Diamond, and Jesse Glickstein at Hewlett Packard.

  • Privilege Waiver Risks From Reps & Warranties Insurance Use

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    The use of representations and warranties insurance in M&A could result in waiver of the attorney-client privilege, but policyholders can do a number of things to minimize disclosure of transaction-related information when negotiating the insurance policy and after a claim arises, say attorneys at Bass Berry.

  • Maritime Worker Injury Claims After 5th Circ. Welder Ruling

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    While the Fifth Circuit recently held in Sanchez v. Smart Fabricators that an injured offshore welder could not pursue damages under the Jones Act, certain maritime workers may be able to pursue comparative claims under a longshoremen workers' compensation statute or the Sieracki doctrine, says Grady Hurley at Jones Walker.

  • State Data Can Guide On Federal 'No Surprises Act' Arbitration

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    Arbitration data from states with existing surprise medical billing laws that track the federal independent dispute resolution process under the newly passed No Surprises Act provide helpful insights into the likely impact of the federal law taking effect in 2022, say Alexandra Lucas and Christian Martin at Reed Smith.

  • Addressing New COBRA Duties Under Virus Relief Law

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    Following the issuance of fully subsidized COBRA premiums for certain workers under the recently passed American Rescue Plan Act, employers should take steps to determine who is eligible, ensure additional notice requirements are satisfied, and train human resources on communicating with qualified individuals, say Randi May and Dustin Grant at Hoguet Newman.

  • Cannabis Legalization's Effects On Insurance Industry

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    Resolution of the legal uncertainty presented by the dueling federal and state approaches to cannabis will pave the way for legal cannabis businesses to access the insurance protections the industry needs for everything from workers' compensation to auto insurance to general liability, says Christy Thiems at the American Property Casualty Insurance Association.

  • Surprise Medical Billing Law May Bring Litigation Sea Change

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    The newly passed No Surprises Act aimed at protecting patients from surprise medical bills has the potential to shift reimbursement disputes away from the courts and into arbitration, but some uncertainty surrounds an exception that could prevent its application in California and other states, says Michael Zorkin at The Zorkin Firm.

  • NY Birth Injury Rulings Show Medical Fund Is Working

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    Recent New York rulings show that the state's Medical Indemnity Fund — intended to pay for the medical needs of children injured at birth and reduce malpractice exposure for medical providers — is working as intended after multiple legislative fixes, say Bradley Zimmerman and Christopher Nyberg at the Jacob Fuchsberg Law Firm.

  • 'Crime' Ruling In Car Death Highlights ERISA Review Standard

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    The Eighth Circuit's recent decision in Boyer v. Schneider Electric, that an accidental death insurance claim could be denied because the decedent's speeding constituted a crime under Missouri law, illustrates the significance of the Employee Retirement Income Security Act deferential standard of review, since the word "crime" is subject to differing interpretations, says Mark DeBofsky at DeBofsky Sherman.

  • Lessons From Federal Fraud Charges Against UBiome

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    The U.S. Department of Justice's and U.S. Securities and Exchange Commission's recent fraud allegations against uBiome executives illustrate the challenges of navigating interactions between clinical testing companies, health insurers and government oversight efforts, say attorneys at Debevoise.

  • The Senate's Filibuster Rules Are Unconstitutional

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    The U.S. Senate filibuster rules are inconsistent with several provisions of the Constitution, and even if lawmakers decline to abolish the political tactic and no plaintiff can be found to bring its constitutional flaws before the courts, the Senate has at least three options to reduce filibuster use, says Kirk Jenkins at Arnold & Porter.

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