Insurance

  • April 09, 2026

    Cigna 401(k) Suit Won't Wait For Intel Supreme Court Decision

    A Pennsylvania federal court turned down Cigna's bid to stay a proposed class action alleging the insurance company misspent forfeitures from its employee 401(k) plan and offered an underperforming investment fund while the U.S. Supreme Court considers a 401(k) suit against Intel, finding the request unjustified.

  • April 09, 2026

    Nonprofit Insurer Wants To Seek AstraZeneca Claims Revival

    EmblemHealth asked a Massachusetts federal judge to let it seek First Circuit intervention against a decision that cut in half its proposed class action accusing AstraZeneca unit Alexion of using sham patents to protect blood disorder treatment Soliris from biosimilar rivals.

  • April 09, 2026

    Insurer Won't Have To Defend Firm In $2M Fraud Case

    National Liability & Fire Insurance doesn't have to insure a Texas law firm for claims it fraudulently disbursed nearly $2 million of a safety equipment company's money for COVID-19 tests, a Pennsylvania judge has ruled, finding the insurer has shown that policy exclusions exempt it from coverage.

  • April 09, 2026

    Elevance Nurses' Federal OT Suit Sent From NC To Va.

    A class and collective action accusing insurer Elevance Health of misclassifying its nurses as overtime-exempt has been transferred from North Carolina to Virginia federal court, where the company faces related claims.

  • April 09, 2026

    5th Circ. Revives Reinsurance Broker Row Over Credit Mishap

    The Fifth Circuit revived a suit by an insurer's owner alleging that its broker failed to administer its reinsurance program properly, leading to over $100 million in losses when it discovered the program lacked a valid line of credit.

  • April 09, 2026

    Ex-Assurant Workers Look To Toss RICO, Trade Secrets Suit

    A group of former Assurant salesmen called the auto warranty underwriter's eighth attempt at bringing Racketeer Influenced and Corrupt Organizations and trade secrets claims a shotgun pleading, arguing in Georgia federal court that competition and criminal enterprise are not the same.

  • April 08, 2026

    Fla. Insurer, Ex-Parent To Pay $135M Over ACA Fraud Scheme

    A Florida insurer and its former parent, which is a Delaware-based national partnership of insurance brokers, have agreed to pay $135 million collectively to resolve allegations of a scheme to enroll ineligible consumers into subsidized Affordable Care Act plans and of defrauding the federal government of more than $140 million. 

  • April 08, 2026

    No Surprises Act Bars Provider's Award Enforcement Bid

    A Pennsylvania federal court declined to force an insurer to pay over $300,000 in alleged outstanding payments from an out-of-network billing dispute with a provider, finding it lacked authority to do so under the No Surprises Act.

  • April 08, 2026

    Prudential Can't Enforce 'Illusory' Policy, Beneficiaries Say

    The beneficiaries of two pilots who died in a plane crash said a Prudential insurer can't escape their suit seeking accidental death and dismemberment benefits under an aviation company's life insurance plan, telling a Washington federal court that the policy departs from the industry standard because it is "illusory."

  • April 08, 2026

    ERISA Recap: 6 Noteworthy Decisions From March

    JPMorgan Chase & Co. narrowed but couldn't escape a suit from workers who said their health plan paid too much for prescription drugs, Genworth Financial Inc. unwound a class at the Fourth Circuit, and the Sixth Circuit breathed new life into proposed class actions against FedEx and Kellogg. Here, Law360 looks at these and three other notable decisions from March in ERISA cases.

  • April 08, 2026

    $37M Award For Whistleblowers Nixed In Medicaid Fraud Row

    A Texas state appeals court did away with an order awarding three whistleblowers a $37 million share of the state's settlement resolving Medicaid fraud allegations against Xerox, finding their respective cases over the alleged scheme were based on publicly available information.

  • April 08, 2026

    FedEx Says NY Attys And Medical Providers Staged Crashes

    FedEx accused a network of lawyers, medical providers and clinics of orchestrating an insurance scam in which they staged motor vehicle accidents in order to defraud the delivery giant through sham lawsuits and inflated medical bills, according to a suit filed in New York federal court.

  • April 08, 2026

    Insurer Says NC Law Firm's $130K Forgery Loss Isn't Covered

    Law firm Narron and Holdford PA isn't owed close to $130,000 in coverage for a forged cashier's check and wire transfer because the incident doesn't trigger coverage under the insurance policy it has with a pair of insurance companies, the insurers have told a North Carolina federal court. 

  • April 08, 2026

    HIV, AIDS Patients End Disability Bias Suit With CVS

    CVS Pharmacy Inc. and a group of HIV and AIDS patients have agreed to wrap up a suit claiming the company made it harder for them to get their medication in violation of disability discrimination law, according to a California federal court filing.

  • April 07, 2026

    Calif. Dialysis Bill Violates 1st Amendment, 9th Circ. Says

    The Ninth Circuit on Tuesday struck down provisions of a California law that aims to restrict dialysis providers' ability to profit from patients receiving health insurance premium assistance from nonprofit charities, ruling in a published opinion that the provisions violated nonprofit American Kidney Fund's and dialysis providers' First Amendment rights.

  • April 07, 2026

    Federal Court To Decide If Faulty Pumps Caused Detroit Flood

    A Michigan federal judge on Tuesday heard arguments on whether to dismiss American Select Insurance Co.'s suit alleging faulty Great Lakes Water Authority pumps were responsible for extreme flooding in Detroit and surrounding cities during heavy rainfall in June 2021.

  • April 07, 2026

    Pa. Hospitals Accuse Aetna Of Underpaying Medicare Claims

    Two Pennsylvania hospital operators have sued Aetna Health Inc. in federal court, alleging the insurer has been improperly denying Medicare Advantage claims for inpatient services, or underpaying, under a new policy.

  • April 07, 2026

    Insurer Premera Accuses Clinic Of Misusing No Surprises Act

    Premera Blue Cross sued a weight loss clinic on Monday in Washington federal court saying it abused a federal law aimed at safeguarding patients from unexpected medical bills in order to shake down the insurer for exorbitant amounts of money — as much as 10 times what Premera pays in-network providers.

  • April 07, 2026

    Wash. Panel Nixes Insurer's Gordon Rees Malpractice Claims

    A Washington Court of Appeals panel said a Great American insurance unit can't inherit an equipment manufacturer's legal malpractice claims against Gordon Rees Scully Mansukhani LLP and Sinars Slowikowski LLC because of "potential conflict" between the insurer and manufacturer in the underlying dispute over a climber's fall.

  • April 07, 2026

    Timeshare Exit Co.'s Insurer Can't Appeal To 9th Circ. Yet

    A Washington federal judge rejected an insurer's request to reconsider a summary judgment ruling that the carrier breached its duty to defend a now-defunct timeshare exit company, stating that the carrier failed to prove an indisputable error in the ruling.

  • April 07, 2026

    8th Circ. Backs Insurer Win In ND Pollution Exclusion Row

    An Eighth Circuit panel on Tuesday backed an insurer's win in a coverage dispute over a man's alleged injuries from carbon monoxide exposure, finding it did not need a North Dakota high court's input to determine that a policy's pollution exclusion barred coverage.

  • April 07, 2026

    Auto Insurance Co. Escapes Retirement Fund Suit

    An auto insurance company defeated a proposed class action claiming its employee retirement plan was unlawfully overinvested in a conservative default investment option, with a Michigan federal judge saying Tuesday that the suit lacked information about participants who voluntarily put money in the fund.

  • April 07, 2026

    Hormel Foods Faces Class Cert. Bid In Retirement Fund Suit

    An ex-worker for Hormel Foods Corp. asked a Minnesota federal judge to certify a class in his federal benefits lawsuit alleging the company failed to remove high-cost investment options with poor return rates from its $1.2 billion in employee retirement plans.

  • April 07, 2026

    Tobacco Co. Says Insurers Can't Void $75M Tornado Coverage

    Insurers have no basis to rescind a $75 million policy issued to a tobacco company alleging it was wrongly denied coverage for $89 million worth of aging tobacco inventory that was destroyed in a tornado, the company told a Tennessee federal court.

  • April 06, 2026

    Florida Insurance Co. To Plead Guilty In $102.7M ACA Fraud

    A Florida insurance company will plead guilty to defrauding the federal government out of more than $100 million in federal subsidies by targeting unhoused and other vulnerable people for enrollment in Affordable Care Act plans they did not qualify for, according to a notice filed Monday in Florida federal court.

Expert Analysis

  • Federal Debanking Scrutiny Prompts Compliance Questions

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    Recent U.S. Small Business Administration guidance sets forth requirements for preventing so-called politicized debanking and specific additional instructions for small lenders, but falls short on clarity for larger institutions, leaving lenders of all sizes with questions as they navigate this unique compliance challenge, say attorneys at Cooley.

  • Series

    Writing Novels Makes Me A Better Lawyer

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    Writing my debut novel taught me to appreciate the value of critique and to never give up, no matter how long or tedious the journey, providing me with valuable skills that I now emphasize in my practice, says Daniel Buzzetta at BakerHostetler.

  • New Mass. 'Junk Fee' Regs Will Be Felt Across Industries

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    The reach of a newly effective regulation prohibiting so-called junk fees and deceptive pricing in Massachusetts will be widespread across industries, which should prompt businesses to take note of new advertising, pricing information and negative option requirements, say attorneys at Hinshaw.

  • SDNY OpenAI Order Clarifies Preservation Standards For AI

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    The Southern District of New York’s recent order in the OpenAI copyright infringement litigation, denying discovery of The New York Times' artificial intelligence technology use, clarifies that traditional preservation benchmarks apply to AI content, relieving organizations from using a “keep everything” approach, says Philip Favro at Favro Law.

  • 11th Circ. Geico Ruling Underscores Bad Faith Test

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    A recent ruling by the Eleventh Circuit highlighted that negligence is not the standard for a finding of bad faith and that the insurer can overcome a bad faith suit by being diligent in its investigation and settlement efforts, emphasizing the totality of the circumstances test, says Juan Garrido at Cozen O'Connor.

  • Opinion

    High Court, Not A Single Justice, Should Decide On Recusal

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    As public trust in the U.S. Supreme Court continues to decline, the court should adopt a collegial framework in which all justices decide questions of recusal together — a reform that respects both judicial independence and due process for litigants, say Michael Broyde at Emory University and Hayden Hall at the U.S. Bankruptcy Court for the District of Delaware.

  • Series

    Traveling Solo Makes Me A Better Lawyer

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    Traveling by myself has taught me to assess risk, understand tone and stay calm in high-pressure situations, which are not only useful life skills, but the foundation of how I support my clients, says Lacey Gutierrez at Group Five Legal.

  • Opinion

    DOJ's Tracing Rule For Pandemic Loan Fraud Is Untenable

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    In conducting investigations related to COVID-19 relief fraud, the government's assertion that loan proceeds are nonfungible and had to have been segregated from other funds is unsupported by underlying legislation, precedent or the language establishing similar federal relief programs, say Sharon McCarthy, Jay Nanavati and Lasya Ravulapati at Kostelanetz.

  • Series

    Law School's Missed Lessons: Client Service

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    Law school teaches you how to interpret the law, but it doesn't teach you some of the key ways to keeping clients satisfied, lessons that I've learned in the most unexpected of places: a book on how to be a butler, says Gregory Ramos at Armstrong Teasdale.

  • How Financial Cos. Can Prep As NYDFS Cyber Changes Loom

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    Financial institutions supervised by the New York State Department of Financial Services can prepare for two critical cybersecurity requirements relating to multifactor authentication and asset inventories, effective Nov. 1, by conducting gap analyses and allocating resources to high-risk assets, among other steps, say attorneys at Pillsbury.

  • Series

    Adapting To Private Practice: 3 Tips On Finding The Right Job

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    After 23 years as a state and federal prosecutor, when I contemplated moving to a law firm, practicing solo or going in-house, I found there's a critical first step — deep self-reflection on what you truly want to do and where your strengths lie, says Rachael Jones at McKool Smith.

  • What 2 Recent Rulings Mean For Trafficking Liability Coverage

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    Two recent federal district court decisions add to a growing number of courts concluding that Trafficking Victims Protection Reauthorization Act claims may trigger coverage under commercial general liability policies, rejecting insurer arguments regarding public policy and exclusion defenses, says Joe Cole at Shumaker.

  • Civil Maritime Nuclear Sector Poised For Growth, Challenges

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    The maritime industry now stands on the verge of a nuclear-powered renaissance, with the need for clean energy, resilient power generation and decarbonized logistics driving demand for commercial maritime nuclear technology — but these developments will raise significant new legal, regulatory and technical questions, say attorneys at Holland & Knight.

  • Series

    Painting Makes Me A Better Lawyer

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    Painting trains me to see both the fine detail and the whole composition at once, enabling me to identify friction points while keeping sight of a client's bigger vision, but the most significant lesson I've brought to my legal work has been the value of originality, says Jana Gouchev at Gouchev Law.

  • Understanding And Managing Jurors' Hindsight Bias

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    Hindsight bias — wherein events seem more predictable after the fact than they were beforehand — presents a persistent cognitive distortion in jury decision-making, but attorneys can mitigate its effects at trial through awareness, repetition and framing, say consultants at Courtroom Sciences.

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