Insurance

  • May 07, 2026

    Insurer Beats Calif. Health Group's Discovery Costs Suit

    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.  

  • May 07, 2026

    Harvard Pilgrim Sued Over 'Ghost' Mental Health Network

    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.

  • May 06, 2026

    Lindberg Says He Owes 'Zero' Despite $1.6B Restitution Report

    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.

  • May 06, 2026

    Fla. Court Asked To Lift Freeze In $91M Fake Health Plans Suit

    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. 

  • May 06, 2026

    Prospect Medical Captive Insurer Files Ch. 15 In Texas

    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.

  • May 06, 2026

    AIG Says Homeowners Waived Bid For New Damages Trial

    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.

  • May 06, 2026

    NC Insurance Dept. Properly Revoked Appraiser's License

    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.

  • May 06, 2026

    Fla. Couple Sentenced For Evading $37M In Payroll Taxes

    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.

  • May 06, 2026

    Judge Won't Certify Minn. Fraud Question In Cancer Drug MDL

    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.

  • May 06, 2026

    4th Circ. Appears Unpersuaded By $22M Tax Fraud Appeal

    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.

  • May 06, 2026

    Chubb Units Must Cover Environmental Contamination Claim

    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.

  • May 06, 2026

    Ship Owner, Insurer To Pay $17M For Puerto Rico Reef Harm

    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.

  • May 06, 2026

    Insurers Ask To Ignore Simplified Foreign Currency Rules

    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.

  • May 05, 2026

    ERISA Recap: 5 Litigation Developments From April

    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.

  • May 05, 2026

    Wash. Panel Revives GLP-1 Health Plan Coverage Fight

    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.

  • May 05, 2026

    NC Law Firm Can Pursue Coverage In $510K Loan Fraud Row

    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. 

  • May 05, 2026

    Court Backs MassMutual's $1.5M Life Policy Termination

    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.

  • May 05, 2026

    Contractor Says Early Exit Is Unsupported In Premium Hike Suit

    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.

  • May 05, 2026

    SVB's $73M Fraud Losses Not Covered, Insurers Say

    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.

  • May 05, 2026

    Insurer Loses Bid To Recoup $3.4M Coverage For Grill Fire

    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.

  • May 05, 2026

    Travelers Unit Says No Coverage In Cannabis Explosion Suits

    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.

  • May 04, 2026

    State Farm Bungled LA Wildfire Claims, Calif. Regulator Says

    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.

  • May 04, 2026

    Construction Co. Seeks $2.9M Over Lejeune Build Delays

    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.

  • May 04, 2026

    Hospital Group Calls Anthem's Out-Of-Network Plan Unlawful

    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.

  • May 04, 2026

    Fla. Contractor Says Policy Covers Defective Door Death Suit

    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. 

Expert Analysis

  • 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.

  • Class Actions At The Circuit Courts: April Lessons

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    In this month's review of class action appeals, Mitchell Engel at Shook Hardy identifies practice tips from three recent rulings involving allegations of racial discrimination in mortgage applications, health insurance networks and actual cash value losses.

  • How Securities Litigation Risks Materialized In The 1st Quarter

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    The securities litigation landscape in 2026's first quarter was defined by higher filing frequency and increased litigation exposure with rising average settlement values, meaning issuers should maximize data-driven legal defenses early to disqualify alleged fraud-revealing stock drops, say Nessim Mezrahi and Stephen Sigrist at SAR.

  • Lockdown To Ledger: COVID Rulings Inform Crypto Coverage

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    As cryptocurrencies move deeper into mainstream financial markets, courts tasked with determining whether traditional insurance policies respond to digital asset losses have been evaluating coverage through the analytical framework of COVID-19 business interruption litigation, with one key recurring theme, say attorneys at Kennedys.

  • Opinion

    State Bars Need To Get Specific About AI Confidentiality

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    Lawyers need to put actual client information into artificial intelligence tools to get their full value, but they cannot confidently do so until state bars offer clear, formal authority on which plan tiers of the three most popular generative AI tools are safe to use when sharing specific client details, says attorney Nick Berk.

  • Steps To Maintain War Insurance Amid Middle East Conflict

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    To ensure they are adequately protected from war-related risk, companies affected by the escalating conflict in the Persian Gulf should consider how their war insurance coverage interacts with financing structures, lease obligations and commercial risk allocation, say attorneys at Morgan Lewis.

  • Series

    Alpine Skiing Makes Me A Better Lawyer

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    Skiing has shaped habits I rely on daily as an attorney — focus, resilience and the ability to remain steady when circumstances shift rapidly — and influences the way I approach legal strategy, client counseling and teamwork, says Isaku Begert at Marshall Gerstein.

  • Opinion

    Time To Fix The Accountability Gap In Freight Logistics

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    In Montgomery v. Caribe Transport, the U.S. Supreme Court must resolve an urgent question: whether freight broker selection in trucking accidents is categorically protected — meaning unreasonable safety decisions are insulated from liability — or subject to accountability under traditional negligence principles, says Amanda Demanda at Amanda Demanda Injury Lawyers.

  • What New Fla. Citizens Bill Means For Surplus Lines Insurers

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    A Florida bill recently passed by the Legislature as part of a continued effort to depopulate Citizens Property Insurance, the state's insurer of last resort, creates an additional pathway for commercial policies to be written by surplus lines insurers, but also presents concerns of unnecessary regulation, say attorneys at Troutman.

  • What A Court Doc Audit Reveals About Erroneous Filings

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    My audit of 1,522 court documents from last month found that over 95% contained at least one verifiable error, with fewer than 1% showing clear indicators of artificial intelligence use — highlighting above all else that lawyers may want to focus most on strengthening their review processes, says Elliott Ash at ETH Zurich.

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