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May 07, 2026
A California federal judge said Wednesday that an insurer did not have to reimburse the state's largest private health foundation for roughly $400,000 in discovery costs it incurred during an executive's now-settled wrongful termination suit, finding the foundation failed to get the insurer's consent before running up the bill.
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May 07, 2026
Harvard Pilgrim Health Care and its parent company have lured subscribers with a "ghost network" of mental health providers who are frequently out of network, don't accept the insurance or are not taking new patients, according to a proposed class action filed in Massachusetts state court.
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May 06, 2026
Beleaguered insurance mogul Greg Lindberg asked a North Carolina federal court to reject a special master's report recommending he pay $1.6 billion in restitution to companies he's accused of defrauding, arguing he should instead pay zilch.
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May 06, 2026
Two siblings asked a Florida federal court Wednesday to lift an asset freeze in the Federal Trade Commission's lawsuit alleging they sold $91 million of fake health benefits on the Affordable Care Act exchange, arguing they need money to pay their attorneys.
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May 06, 2026
Connecticut Healthcare Insurance Company, a Cayman Islands insurance company indirectly owned by Prospect Medical Holdings, has filed a Chapter 15 petition in Texas bankruptcy court seeking recognition of its Cayman winding-up proceedings that involve a $26 million payment to Prospect.
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May 06, 2026
An AIG unit fought against a new trial this week in a dispute over the claims process for damage from Hurricane Irma to a $95 million oceanfront mansion, arguing that the homeowners failed to prove compensable damages at trial and waived their right to a new trial.
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May 06, 2026
A North Carolina state appeals court on Wednesday affirmed the state Department of Insurance's revocation of the license of a motor vehicle damage appraiser, finding he violated ethical standards by disparaging other appraisers.
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May 06, 2026
An Orlando couple were sentenced to prison for participating in a $148 million construction payroll scheme and evading more than $37 million in payroll taxes, Florida federal prosecutors announced Wednesday.
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May 06, 2026
A New Jersey federal judge won't ask the Supreme Court of Minnesota to weigh in on whether an insurer can pursue claims using a state law typically reserved for the attorney general in litigation alleging drugmaker Celgene used charitable donations to manipulate the price of cancer drugs.
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May 06, 2026
Two attorneys and an insurance agent faced a Fourth Circuit panel Wednesday that seemed hard-pressed to overturn their convictions for orchestrating a $22 million tax avoidance scheme, with the judges casting doubt on their venue objections and claims that the false tax returns contained truthful information.
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May 06, 2026
Two Chubb insurers must defend an upstate New York town against a state environmental department's claim concerning a regional airport's contamination by so-called forever chemicals unless and until they can establish the claim falls outside an exception to a pollution exclusion, the Second Circuit affirmed.
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May 06, 2026
A German shipping company and a marine insurer will pay $17 million to end a dispute alleging they were liable for damage done to 7,000 square meters of coral reef off the coast of Puerto Rico when an oil tanker ran aground in 2006, according to a Puerto Rico federal judge's Tuesday order approving the agreement.
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May 06, 2026
The insurance industry should be allowed to ignore regulations from 2024 covering how corporations determine taxable income with respect to affiliates that conduct business in a foreign currency, the American Council of Life Insurers told the U.S. Treasury in a letter released Wednesday.
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May 05, 2026
The U.S. Supreme Court turned down a bakery company's bid for review of a union multiemployer pension withdrawal bill, the Fourth Circuit held a bonus plan was exempt from federal benefits law, and the Sixth Circuit ruled federal law preempted Arkansas pharmacy benefit manager laws and regulations. Here's more on those and two other major decisions from April that benefits attorneys may want to know.
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May 05, 2026
A Washington state appeals court revived a proposed class action by state employees alleging their benefit plan discriminatorily barred health coverage for GLP-1 medications treating obesity, finding a lower court should have allowed the case to proceed to discovery.
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May 05, 2026
A North Carolina federal judge on Tuesday said a professional liability insurer must face claims that it has to defend a law firm against allegations it was responsible for a $510,000 fraudulent home loan, finding documents in the closing package could preserve coverage.
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May 05, 2026
A Texas federal court ruled that MassMutual did not prematurely terminate a $1.54 million universal life insurance policy after a company failed to pay the minimum amount required to keep the policy active during a grace period.
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May 05, 2026
Hartford Insurance members should not be granted summary judgment in a $1.7 million premium suit, a government contractor has said, arguing in Connecticut federal court the contractor has successfully pled its breach of contract claims.
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May 05, 2026
Two insurers said they owe no coverage for a fraudulent scheme that caused the failed Silicon Valley Bank to lose $73 million, telling a North Carolina federal court that the bank has not satisfied all requirements under its financial institution bonds' extended forgery coverage provision.
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May 05, 2026
An insurer attempting to recoup more than $3.4 million it paid to homeowners whose house was greatly damaged in a grill fire lacks the proof needed to claim the negligence by the grill-maker caused the fire, a Tennessee federal judge ruled Monday in dismissing the case.
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May 05, 2026
A Travelers Property Casualty Corp. unit is suing two of its insureds in California federal court, seeking a declaration that its insurance policies don't cover defense and indemnity of suits over a deadly explosion allegedly caused by an illegal cannabis operation.
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May 04, 2026
California's insurance regulator announced Monday that it's pursuing major penalties against State Farm over its alleged mishandling of claims related to 2025 Los Angeles wildfires, the same day the U.S. Department of Justice alleged in court that insurers conspired to cancel homeowners' policies in the years before the fires.
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May 04, 2026
A construction company has accused a demolition subcontractor in North Carolina federal court of delaying facility construction for more than 1,000 days at the U.S. Marine Corps' Camp Lejeune training base, seeking roughly $2.9 million in damages.
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May 04, 2026
The California Hospital Association urged a state court to block Anthem Blue Cross' implementation of a new policy that penalizes participating facilities for using nonparticipating providers, saying the plan is illegal, fraudulent and an unfair business practice.
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May 04, 2026
A Florida contractor is urging a federal judge to dismiss an insurer's complaint claiming it has no duty to defend the company in a wrongful death suit, saying the policy covers claims in the underlying case and arguing that parallel state court cases are better positioned to resolve the dispute.