Insurance

  • June 25, 2026

    Clinic Manager Asks 4th Circ. To Upend 6-Year Fraud Sentence

    A clinic manager who paid patients in gift cards is challenging her six-year prison sentence, telling the Fourth Circuit on Thursday that a federal judge failed to consider other mitigating factors when sentencing her for healthcare fraud and failing to file a tax return.

  • June 25, 2026

    Brokerage Workers Say $1.05B Sale Shortchanged Them

    A proposed class action in Delaware Chancery Court alleges the founders and directors of insurance brokerage startup Newfront Insurance Holdings Inc. breached fiduciary duties by forcing employee shareholders to accept inferior merger consideration and restrictive employment conditions in the company's $1.05 billion sale to Willis Towers Watson PLC.

  • June 25, 2026

    11th Circ. Challenges Exclusion In Arson Death Dispute

    An Eleventh Circuit panel appeared skeptical of a property insurer's argument that an exclusion for a failure to maintain an apartment complex freed it from defending the owner in a wrongful death suit stemming from arson.

  • June 25, 2026

    Allstate Not Liable For Contractor's Spam Calls, 7th Circ. Says

    Allstate Insurance Co. can't be held vicariously liable for a subcontractor's spam calls to a man on a do-not-call list because the insurer did not know the company had been hired and could not be directly linked to allowing that extra layer of marketing, the Seventh Circuit said Wednesday.

  • June 25, 2026

    Retail Center, AIG Unit Settle Suit Over Foundation Damage

    A real estate management company has settled its suit accusing an AIG unit of failing to cover property damage at a retail complex in Calabasas, California, according to a federal court filing.

  • June 25, 2026

    McCarter & English Adds Enviro Partner Trio In Indianapolis

    New Jersey-based McCarter & English LLP expanded its Indianapolis office with a team of three partners from Ice Miller LLP specializing in complex environmental contamination issues, including brownfield redevelopment, the firm announced Thursday.

  • June 25, 2026

    Lack Of Evidence Sinks Insurance Fraud Case, Atty Says

    A Louisiana law firm and lawyer found guilty of criminal conspiracy and wire fraud for staging vehicle crashes as part of a scheme to defraud insurance carriers and trucking companies are seeking acquittal or a new trial, arguing that federal prosecutors failed to support their claims with evidence.

  • June 24, 2026

    Delta Dental Says Wash. Antitrust Suit Echoes Faulty Claims

    Delta Dental of Washington said Tuesday an Evergreen State dentist targeting the dental insurer in a proposed antitrust class action has excluded its national affiliates from the case to "escape from a federal court's rejection of identical arguments" that the companies conspired to stifle insurer competition and suppress reimbursement rates.

  • June 24, 2026

    Fla. Panel Reverses Multiplied Atty Fee In Irma Coverage Row

    A Florida state appeals court on Wednesday affirmed the award of $389,362 in attorney fees for a firm that represented a homeowner in a Hurricane Irma coverage dispute, but found that a lower court unjustifiably multiplied the award to bring it up to roughly $1 million.

  • June 24, 2026

    Doc's Defamation Claim Against Cigna Barred By ERISA

    In a precedential opinion dealing with an issue of first impression, the Third Circuit on Wednesday held that the Employee Retirement Income Security Act preempts a doctor's defamation claim against Cigna because the statements stemmed from the administration of his patients' health plans.

  • June 24, 2026

    Judge OKs $6.5M 'Illusory' Underinsured Motorist Limits Deal

    Drivers alleging their insurance carriers sold deceptive underinsured motorist benefits have secured approval of a $6.5 million settlement resolving a class action in New Mexico federal court that highlighted novel legal issues and led the state's top court to declare that underinsured motorist coverage with minimum limits in the state was misleading to the average consumer.

  • June 24, 2026

    11th Circ. Urged To Toss Convictions In $1.4B Hospital Fraud

    Two brothers convicted in a $1.4 billion scheme to bill insurers inflated rates for drug tests told the Eleventh Circuit on Wednesday that there was insufficient evidence to support their convictions and that they should have been allowed an evidentiary hearing after potential juror misconduct emerged following the trial.

  • June 24, 2026

    Kennedys Adds 12-Atty Tyson & Mendes Trial Team In NY

    Kennedys has added to its New York office a team of 12 trial attorneys led by a former managing partner of Tyson & Mendes LLP with expertise in high-stakes, complex litigation, the firm announced Wednesday.

  • June 24, 2026

    UnitedHealthcare Turns Blame On MassHealth In Fraud Case

    UnitedHealthcare said it plans to defend itself against accusations that it overcharged Massachusetts for senior care, claiming the state's Medicaid program was not properly administered as it moved the case to federal court. 

  • June 24, 2026

    Insurer Says No Coverage For Home Care Co. In Abuse Suits

    A Liberty Mutual unit told a Pennsylvania federal court that it owes no coverage to a home care service provider in litigation over the abuse and death of a patient by a caregiver who was convicted of neglect and financial exploitation.

  • June 23, 2026

    Kaiser Owes LA County Hospital $82M In Out-Of-Network Suit

    Kaiser Permanente's health coverage arm must pay more than $82 million to Pomona Valley Hospital Medical Center to cover unreimbursed emergency medical services, a California state judge ordered Tuesday, after a state appeals court backed a jury's verdict concerning payment for roughly 4,000 disputed medical service claims.

  • June 23, 2026

    FTC Tells 4th Circ. Court Got It Wrong In J&J Stelara Case

    The Federal Trade Commission has told the Fourth Circuit that a Virginia federal court messed up when it ruled in an antitrust suit against Johnson & Johnson that the company bringing the suit needed to show specific intent in order to prop up a monopolization claim over the immunosuppressive drug Stelara.

  • June 23, 2026

    Boy Scouts Trustee Says Insurers Must Hand Over $211M

    The official overseeing the Boy Scouts of America's settlement trust urged a Delaware bankruptcy judge to order four insurers to release $211 million in escrowed funds tied to a $1.66 billion deal the debtor reached more than four years ago.

  • June 23, 2026

    FDIC Is Sole Owner Of SVB's $73M Fraud Coverage Claim

    The Federal Deposit Insurance Corp., as receiver for Silicon Valley Bank after its collapse in 2023, is the sole owner of the bank's claim for coverage of a $73 million fraudulent scheme and is entitled to recover proceeds for losses the bank suffered, a North Carolina federal court ruled.

  • June 23, 2026

    UnitedHealth Trims But Can't Escape 401(k) Forfeiture Suit

    UnitedHealth Group won dismissal of some claims in a proposed class action alleging the company mismanaged its employee 401(k) and profit sharing plan by misallocating forfeitures, but couldn't escape allegations that the way the company spent the funds breached fiduciary duties and caused transactions prohibited by federal benefits law.

  • June 23, 2026

    Conn. Justices Won't Hear Insurer's IVF Fraud Coverage Case

    The Connecticut Supreme Court has turned away an insurance company's appeal of a decision that said it can't rely on two policy exclusions to deny professional liability coverage to a fertility doctor accused of fathering two children by secretly impregnating patients with his own sperm.

  • June 23, 2026

    Insurer Waited Too Long To Void Policies Over Alleged Fraud

    An insurer's bid to revoke policies issued to a defunct employee leasing agency due to misrepresentations in its insurance applications is time-barred under New York law, a federal court ruled, finding that the insurer discovered the alleged fraud more than two years before filing suit.

  • June 23, 2026

    Insurer Says Late Notice Bars Wrongful Death Suit Coverage

    An insurer for a New Jersey facility for people with disabilities told a federal court Monday that it does not owe coverage in an underlying wrongful death suit because the group home did not inform the insurer of the claim until two years after the suit was filed.

  • June 22, 2026

    4th Circ. Says Allied Need Not Cover 'Beer Olympics' Injury

    A man who claims that he was paralyzed in an auto crash caused by alcohol provided to guests at a "Beer Olympics" party cannot recover from the host homeowners' insurance provider, the Fourth Circuit ruled on Monday, saying the policy's motor vehicle exclusion bars coverage.

  • June 22, 2026

    7th Circ. Clears Hartford In Wire Fraud Coverage Fight

    An Illinois agency that administers financially distressed insurers' estates was correctly denied coverage of its own insurance claim stemming from fraudulent emails that caused employees to wire nearly $7 million away from the agency purportedly at the financial chief's direction, the Seventh Circuit ruled.

Expert Analysis

  • What DOL Proposal Signals For 401(k)s, Alternative Assets

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    The U.S. Department of Labor recently published a highly anticipated proposed rule that could establish more defined pathways for 401(k) plan fiduciaries to consider investment options with greater alternative asset exposure, and help fund sponsors and investment managers develop such options, say attorneys at Cleary.

  • Reel Justice: 'No Other Choice' And Moral Rationalization

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    In the satirical thriller "No Other Choice," the main character rationalizes his decision to kill business competitors by creating a narrative of necessity, illustrating for attorneys the dangers of treating strategic litigation decisions as inevitabilities rather than choices, says Veronica Finkelstein at Wilmington University.

  • 5 Trial Lessons You Learn By Losing

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    Exploring insights that are usually gained only after trial loss can expose the gaps between what we intend to communicate and what lands with the fact-finder, including why being right isn't always a win and how winning a cross‑examination can help you lose your case, says Allison Rocker at Baker & McKenzie.

  • GHG Endangerment Finding Repeal Brings New Legal Risks

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    The U.S. Environmental Protection Agency's 2009 determination that greenhouse gases endanger public health and welfare anchored a matrix of regulation across multiple sectors — and the recent repeal of that finding has fundamentally destabilized the legal landscape governing industrial emissions, corporate liability and climate-related risk management, says Tanya Nesbitt at Thompson Hine.

  • Series

    Officiating Football Makes Me A Better Lawyer

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    Though they may seem to have little in common, officiating football has sharpened many of the same skills that define effective lawyering in management-side labor and employment: preparation, judgment, composure, credibility and ability to make difficult decisions in real time, says Josh Nadreau at Fisher Phillips.

  • Fresenius Ruling May Shift Anti-Kickback Enforcement

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    The Ninth Circuit's recent decision in Fresenius v. Bonta suggests that businesses have a First Amendment right to donate to certain charities, even if those donations are motivated by economic self-interest, potentially calling into question years of Anti-Kickback Statute proceedings against pharmaceutical manufacturers for making similar donations, says Jonah Knobler at Patterson Belknap.

  • Written Consent Ruling May Signal Change For Telemarketing

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    The Fifth Circuit's ruling in Bradford v. Sovereign Pest Control is a takedown of the Federal Communications Commission's prior express written consent regulation, and because Loper Bright empowers courts to disregard agency interpretations, Telephone Consumer Protection Act litigants now have an opportunity to challenge previously settled FCC regulations, orders and interpretations, say attorneys at Manatt.

  • Series

    Law School's Missed Lessons: How To Draft Pleadings

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    Most law school graduates step into their first jobs without ever having drafted a complaint, answer, motion or other type of pleading, but that gap can be closed by understanding the strategy embedded in every filing, writing with clarity and purpose, and seeking feedback at every step, says Eric Yakaitis at Haug Barron.

  • How Cos. Can Prep For Conn. Data Privacy Amendments

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    Effective July 1, 2026, amendments to the Connecticut Data Privacy Act narrow the safe harbor for data used by banks, insurance companies and other financial services businesses, highlighting how state regulators plan to focus on how companies handle sensitive data and honor the data rights of the state's residents, say attorneys at Day Pitney.

  • E-Discovery Quarterly: Recent Rulings On ESI Control

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    Several recent federal court decisions have perpetuated a split over what constitutes “control” of electronically stored information — with judges divided on whether the standard should turn on a party's legal right or practical ability to obtain the information, say attorneys at Sidley.

  • Insurer Lessons From 1st Wave Of GenAI Coverage Rulings

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    Several pending cases target the issue of whether generative AI may appropriately replace human professional decision-making, and though each case is still in discovery, the decisions thus far provide insurers with guidance on how courts may view these claims, say attorneys at Simpson Thacher.

  • How Banks Can React To Risks In FinCEN Whistleblower Rule

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    Financial institutions should reassess and, if necessary, strengthen existing policies, procedures and other frameworks related to whistleblowers and internal reporting in light of the Financial Crimes Enforcement Network's recent proposal to formalize a whistleblower award program, say attorneys at Arnold & Porter.

  • 2 Discovery Rulings Break With Heppner On AI Privilege Issue

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    While a New York federal court’s recent ruling in U.S. v. Heppner suggests that some litigants’ communications with AI tools are discoverable, two other recent federal court decisions demonstrate that such interactions generally qualify for work-product protection under the Federal Rules of Civil Procedure, says Joshua Dunn at Brown Rudnick.

  • What GCs Should Consider Before Tendering TM Litigation

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    When a trademark lawsuit lands on a general counsel's desk, the instinct is to tender it to the insurer, but that model often breaks down in intellectual property litigation, where the stakes extend far beyond defense costs to injunctions, forced rebranding and permanent market constraints, says Bill Wagner at Taft.

  • Series

    Isshin-Ryu Karate Makes Me A Better Lawyer

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    My involvement in martial arts, specifically Isshin-ryu, which has principles rooted in the eight codes of karate, has been one of the most foundational in the development of my personality, and particularly my approach to challenges — including in my practice of law, says Kaitlyn Stone at Barnes & Thornburg.

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