Insurance

  • May 22, 2023

    Clinic Says Ariz. BCBS Owes Over $14M In Unpaid Claims

    An Arizona medical center is suing Blue Cross Blue Shield of Arizona in federal court, alleging the insurer failed to pay more than $14 million in claims patients made through the clinic and vastly underpaid an additional $550,000 in claims.

  • May 22, 2023

    NC Crash That Killed Uber Eats Driver Sparks Coverage Row

    The husband of an Uber Eats driver who died in a car crash while allegedly on the job in North Carolina is suing in federal court, saying Progressive has wrongly denied coverage for the incident and the ride-share giant hasn't responded to repeated attempts to be contacted.

  • May 22, 2023

    Fuel Co. Says Union Pacific Can't Get Early Win In Flood Suit

    A Texas petroleum distributor urged a federal court not to grant an early win to Union Pacific Railroad Co. in their dispute over flood damage attributed to drain culverts, arguing the rail company hasn't proved its claims are time-barred.

  • May 22, 2023

    La. Justices Tap Trustee In Texas Storm Attys' Cases

    The Louisiana Supreme Court has appointed a special trustee for a wave of hurricane-related suits filed by a Houston law firm that's in trouble for claiming to represent storm victims it didn't really represent.

  • May 22, 2023

    9th Circ. Sides With Zurich In Hyatt's Virus Coverage Appeal

    The Ninth Circuit affirmed a lower court's rejection of Hyatt Regency Seattle's COVID-19 coverage suit against a Zurich unit, finding that the coronavirus didn't cause the physical loss or damage required for coverage.

  • May 22, 2023

    Cannabis Co. Settles Coverage Suit Over 5,000 Dead Plants

    An Arkansas medical cannabis producer is settling a suit against its insurer over thousands of dead plants, nixing claims it was wrongly denied coverage after chillers meant to keep the plants alive shut down because of installer negligence.

  • May 22, 2023

    State Farm Says Clinics Owe Over $450K For Fraud Scheme

    State Farm said 13 Michigan clinics and doctors owe more than $450,000 for a no-fault benefit scheme in which the insurer was billed repeatedly for diagnostic tests that were either not medically necessary or never performed, according to a complaint filed in Michigan federal court.

  • May 22, 2023

    1st Circ. Says Puerto Rico Fire Claim Should Be Arbitrated

    The First Circuit has affirmed a Puerto Rico federal judge's decision that a dispute over fire loss coverage at a recycling plant should be arbitrated because of a U.S. treaty and policy language in the insurance contract.

  • May 22, 2023

    High Court Sends Michigan Bank Exec Case Back To FDIC

    The U.S. Supreme Court said Monday that the Sixth Circuit shouldn't have upheld a Federal Deposit Insurance Corp. disciplinary order against a community bank executive after finding the agency's legal analysis in the case had been flawed.

  • May 19, 2023

    Curaleaf Settles Latest Suit Over THC-Laden CBD Drops

    Curaleaf Inc. has agreed to pay $100,000 to settle a putative class action from customers claiming they unknowingly purchased cannabidiol drops that actually contained psychoactive THC, according to a motion filed in Oregon federal court.

  • May 19, 2023

    Retired City Staff Entitled To Health Benefits, Mich. Panel Says

    Retirees of a Michigan city notched a win in a 10-year legal fight over their health care benefits Thursday when a Michigan Court of Appeals panel ruled that the rights to their benefits outlasted collective bargaining agreements with the city.

  • May 19, 2023

    9th Circ. Hands Hotel Cos. Losses In 2 Virus Coverage Suits

    The Ninth Circuit on Friday rejected separate COVID-19 coverage appeals brought by two hotel companies, finding that a Washington Supreme Court decision against a dental practice precludes coverage for the companies.

  • May 19, 2023

    10th Circ. UBH Loss May Complicate 9th Circ. Rehearing Fight

    A recent Tenth Circuit decision faulting United Behavioral Health for refusing to cover inpatient mental health treatment could help a huge class of patients convince the Ninth Circuit to rehear their bid to force the company to reprocess a slew of similar claims, experts say.

  • May 19, 2023

    Builder Claims NC Mold Damage Insurance Claim Was Timely

    A contractor has claimed its staff worked through Memorial Day weekend to thoroughly investigate mold damage and quickly communicate the problems to an insurance company, urging a Virginia federal judge to deny the insurer's arguments that the contractor waited too long to report the situation.

  • May 19, 2023

    Widow Says NY Life's Benefit Payout Suit Must Be Dismissed

    New York Life Insurance Co.'s interpleader dispute over the disbursement of a man's $5 million life insurance policy should be tossed, the man's widow said Friday, telling a Tennessee federal court that it does not have jurisdiction over the case.

  • May 19, 2023

    Qdoba Denied Stay In COVID-19 Coverage Appeal

    The Tenth Circuit on Friday declined to put Qdoba Restaurant Corp.'s COVID-19 coverage appeal against Zurich American Insurance Co. on hold while the California Supreme Court considers a similar case.

  • May 19, 2023

    Zurich Escapes RI Hotelier's Virus Coverage Suit

    A Rhode Island federal judge sided with Zurich American Insurance in a COVID-19 business interruption suit brought by two hospitality companies, finding they did not show the virus physically altered their properties.

  • May 19, 2023

    Ace Must Cover ConEd Defense In Trip-And-Fall Suit

    Ace American Insurance Co. must defend utility company ConEd as an additional insured in a woman's trip-and-fall suit, a New York federal court ruled, finding that a ConEd contractor potentially still caused her alleged injuries even though it completed its work 10 months before the incident.

  • May 19, 2023

    Travelers Says No Defense Owed Atty Who Stole From Client

    Travelers told a Pennsylvania federal judge on Thursday that the company is unable to provide liability coverage to a law firm and one of its attorneys in a case connected to the lawyer's conviction for stealing over $900,000 from the sale of a client's home during the client's divorce proceedings.

  • May 19, 2023

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

    The past week in London has seen an ex-Sidley Austin partner and others bring legal action against HMRC and CPS over tax fraud charges, Dexcom rekindle its patent dispute with rival Abbott and Mitsubishi sue the operator of Ever Given. Here, Law360 looks at these and other new claims in the U.K.

  • May 18, 2023

    11th Circ. Urged To Find Consistency In Compelled Appraisals

    An insurance company urged the Eleventh Circuit on Thursday to establish procedures for enforcing property appraisals, saying that courts have increasingly grown inconsistent over compelling them without requiring proof that they are tied to a specific contractual performance.

  • May 18, 2023

    Bentons' Lost-Art, Messy-Files Claims Bunk, UMB Atty Says

    Heirs of artist Thomas Hart Benton launched their trust-mismanagement lawsuit against UMB Bank with a media campaign that included false claims the bank's legal team had put to bed over years of discussions, and some the bank had never even heard before, an in-house lawyer testified Thursday in a Missouri court.

  • May 18, 2023

    Federal Judge Wants Conn. High Court Help In Insurance Row

    Focusing on a state law that regulates surprise medical billing, a Connecticut federal judge has "tentatively" decided to ask the state supreme court for guidance in a dispute between doctors and an insurance company over how out-of-network emergency care costs are paid.

  • May 18, 2023

    Russia Oil Revenue Drops Even As Exports Rise, Report Says

    Six months after the G7 set rules barring service providers from handling Russian crude being sold for more than $60 a barrel, U.S. Department of the Treasury officials said the experimental price cap is keeping oil available while driving down Russian profits.

  • May 18, 2023

    Texas Property Owner, Insurer Drop $3M Storm Damage Row

    A Texas federal judge agreed to dismiss a property owner's suit alleging that its insurer shorted a property damage estimate by $3 million, approving the parties' joint dismissal motion without prejudice pending the pair's attempts to resolve the dispute out of court.

Expert Analysis

  • Opinion

    Thomas Report Is Final Straw — High Court Needs Ethics Code

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    As a recent report on Justice Clarence Thomas' ongoing conflicts of interest makes evident, Supreme Court justices should be subject to an enforceable and binding code of ethics — like all other federal judges — to maintain the credibility of the institution, says Erica Salmon Byrne at Ethisphere.

  • Joint Representation Ethics Lessons From Ga. Electors Case

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    The Fulton County district attorney's recent motion to disqualify an attorney from representing her elector clients, claiming a nonconsentable conflict of interest, raises key questions about representing multiple clients related to the same conduct and highlights potential pitfalls, say Hilary Gerzhoy and Grace Wynn at HWG.

  • Lawyer Discernment Is Critical In The World Of AI

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    In light of growing practical concerns about risks and challenges posed by artificial intelligence, lawyers' experience with the skill of discernment will position them to help address new ethical and moral dilemmas and ensure that AI is developed and deployed in a way that benefits society as a whole, says Jennifer Gibbs at Zelle.

  • 5 Tips For Filing Gov't Notices After Insurance Producer M&A

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    As insurance producer acquisition activity picks up in 2023, requiring a daunting process of notifying information changes to each Department of Insurance where the entity is licensed, certain best practices will help buyers alleviate frustration and avoid administrative actions and fines, say attorneys at Foley & Lardner.

  • Policyholder Lessons From Sandy No-Coverage Decision

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    A New York federal court recently decided that in the aftermath of Hurricane Sandy, Madelaine Chocolate knew Great Northern Insurance’s all-risk policy offered no coverage for storm surge — an important reminder that policyholders should review policy language for ambiguities or anti-concurrent causation clauses, say Dennis Artese and Joshua Zelen at Anderson Kill.

  • Seeking IRS Accountability For Faulty Microcaptive Notice

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    Like the taxpayers in Standard Insurances v. U.S. seeking to expand earlier wins in microcaptive insurance cases that limit IRS use of improperly obtained information, others should consider ways to hold the agency accountable and provide incentive for it to follow the law going forward, says Joshua Smeltzer at Gray Reed.

  • Don't Forget Alumni Engagement When Merging Law Firms

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    Neglecting law firm alumni programs after a merger can sever the deep connections attorneys have with their former firms, but by combining good data management and creating new opportunities to reconnect, firms can make every member in their expanded network of colleagues feel valued, say Clare Roath and Erin Warner at Troutman Pepper.

  • Without Stronger Due Diligence, Attys Risk AML Regulation

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    Amid increasing pressure to mitigate money laundering and terrorism financing risks in gatekeeper professions, the legal industry will need to clarify and strengthen existing client due diligence measures — or risk the federal regulation attorneys have long sought to avoid, says Jeremy Glicksman at the Nassau County District Attorney’s Office.

  • Insureds' Notice Pleading May Be Insufficient In Federal Court

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    A recent New Jersey federal court ruling in Bauman v. Hanover Insurance held that bare-bones notice pleading was insufficient and dismissed the policyholder's coverage complaint, a reminder that courts may require more than an expression of general disagreement with an insurance company's denial letter to proceed with the case, says Eugene Killian at The Killian Firm.

  • 5th Circ. Offers Expert Opinion Guidance For Insurance Cases

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    A recent Fifth Circuit decision in Majestic Oil v. Lloyd's of London provides insight into how Texas' concurrent causation doctrine could affect insurance cases where the cause of damage is at issue, and raises considerations for litigants faced with new or revised expert reports after the deadline has passed, say Brian Scarbrough and Cianan Lesley at Jenner & Block.

  • Every Lawyer Can Act To Prevent Peer Suicide

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    Members of the legal industry can help prevent suicide among their colleagues, and better protect their own mental health, by learning the predictors and symptoms of depression among attorneys and knowing when and how to get practical aid to peers in crisis, says Joan Bibelhausen at Minnesota Lawyers Concerned for Lawyers.

  • DUI Liability Ruling Affirms SC Isn't Direct Action-Friendly

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    The Supreme Court of South Carolina's recent decision in Denson v. National Casualty not only clarifies the state's jurisprudence surrounding private rights of action and negligence per se, but also tacitly reinforces that South Carolina is not a direct-action state, say Anna Cathcart and Turner Albernaz at Phelps Dunbar.

  • Building On Successful Judicial Assignment Reform In Texas

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    Prompt action by the Judicial Conference could curtail judge shopping and improve the efficiency and procedural fairness of the federal courts by implementing random districtwide assignment of cases, which has recently proven successful in Texas patent litigation, says Dabney Carr at Troutman Pepper.

  • AmEx Ruling Proves A Double-Edged Sword In Labor Antitrust

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    Though the U.S. Supreme Court's 2018 decision in Ohio v. American Express was a defense victory, both the plaintiff and defense bars have learned to use the case's holdings to their advantage, with particularly uncertain implications for labor antitrust cases, say Lauren Weinstein and Robert Chen at MoloLamken.

  • Peephole Cam Case Lowers The Bar On NY Negligence Claims

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    A New York state appeals court's recent decision in Brown v. New York Design Center is significant because, barring a contrary state high court ruling, claims of negligent infliction of emotional distress need not demonstrate extreme and outrageous conduct, which could result in an uptick in such claims, say attorneys at Cahill Gordon.

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