Insurance

  • 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.

  • April 06, 2026

    State Farm Auto Insureds Seek To Triple $38M Win At Trial

    Two certified classes of State Farm auto insurance policyholders kicked off a bench trial Monday on the question of damages owed after a Washington federal judge found the insurer had shortchanged policyholders on payouts for totaled vehicles, arguing the $38.3 million previously awarded for State Farm's consumer protection violation should be tripled.

  • April 06, 2026

    9th Circ. Panel Finds Insurer Owed Defense To Wash. Provider

    An Allied World unit unreasonably declined to defend a Washington behavioral health network in a lawsuit alleging sexual misconduct by an employee, a Ninth Circuit panel held Monday, partially reversing a summary judgment win for the insurer.

Expert Analysis

  • CGL Lessons From A No-Coverage Finding In Navy Project

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    A Florida federal court's recent decision that the insurer had no duty to defend or indemnify a general contractor or subcontractor for damages from defective work on a naval base highlights the nuances of policy definitions, the importance of obtaining insurer consent and allocation issues between covered and uncovered claims, say attorneys at Hunton.

  • Series

    Playing Tennis Makes Me A Better Lawyer

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    An instinct to turn pain into purpose meant frequent trips to the tennis court, where learning to move ahead one point at a time was a lesson that also applied to the steep learning curve of patent prosecution law, says Daniel Henry at Marshall Gerstein.

  • Justices' BDO Denial May Allow For Increased Auditor Liability

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    The Supreme Court's recent denial of certiorari in BDO v. New England Carpenters could lead to more actions filed against accounting firms, as it lets stand a 2024 Second Circuit ruling that provided a road map for pleading falsity with respect to audit certifications, says Dean Conway at Carlton Fields.

  • Series

    Judges On AI: How Judicial Use Informs Guardrails

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    U.S. Magistrate Judge Maritza Dominguez Braswell at the U.S. District Court for the District of Colorado discusses why having a sense of how generative AI tools behave, where they add value, where they introduce risk and how they are reshaping the practice of law is key for today's judges.

  • Justices' Med Mal Ruling May Spur Huge Shift For Litigators

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    The U.S. Supreme Court’s recent decision in the medical malpractice suit Berk v. Choy, holding that a Florida procedural requirement does not apply to medical malpractice claims filed in federal court, is likely to encourage eligible parties to file claims in federal court, speed the adjudicatory process and create both opportunities and challenges for litigators, says Thomas Kroeger at Colson Hicks.

  • State Of Insurance: Q4 Notes From Pennsylvania

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    Last quarter in Pennsylvania, a Superior Court ruling underscored the centrality of careful policy drafting and judicial scrutiny of exclusionary language, and another provided practical guidance on the calculation of attorney fees and interest in bad faith cases, while a proposed bill endeavored to cover insurance gaps for homeowners, says Todd Leon at Marshall Dennehey.

  • Key Sectors, Antitrust Risks In Pricing Algorithm Litigation

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    Algorithmic pricing lawsuits have proliferated in rental housing, hotels, health insurance and equipment rental industries, and companies should consider emerging risk factors when implementing business strategies this year, say attorneys at Hunton.

  • Cybersecurity Must Remain Financial Sector's Focus In 2026

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    In 2026, financial institutions face a wave of more prescriptive cybersecurity legal requirements demanding clearer governance, faster incident reporting, and stronger oversight of third-party and AI-driven risks, making it crucial to understand these issues before they materialize into crises, say attorneys at Sidley.

  • Series

    Adapting To Private Practice: 5 Tips From Ex-SEC Unit Chief

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    My move to private practice has reaffirmed my belief in the value of adaptability, collaboration and strategic thinking — qualities that are essential not only for successful client outcomes, but also for sustained professional satisfaction, says Dabney O’Riordan at Fried Frank.

  • Series

    Law School's Missed Lessons: How To Start A Law Firm

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    Launching and sustaining a law firm requires skills most law schools don't teach, but every lawyer should understand a few core principles that can make the leap calculated rather than reckless, says Sam Katz at Athlaw.

  • Reel Justice: 'Die My Love' And The Power Of Visuals At Trial

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    The powerful use of imagery to capture the protagonist’s experience of postpartum depression in “Die My Love” reminds attorneys that visuals at trial can persuade jurors more than words alone, so they should strategically wield a new federal evidence rule allowing for illustrative aids, says Veronica Finkelstein at Wilmington University.

  • Series

    Hosting Exchange Students Makes Me A Better Lawyer

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    Opening my home to foreign exchange students makes me a better lawyer not just because prioritizing visiting high schoolers forces me to hone my organization and time management skills but also because sharing the study-abroad experience with newcomers and locals reconnects me to my community, says Alison Lippa at Nicolaides Fink.

  • Opinion

    ISO's 'Litigation Funding Mutual Disclosure' Is Unenforceable

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    The Insurance Services Office has recently rolled out a "litigation funding mutual disclosure" form for optional use in policies, but the form is not only unnecessary but also unenforceable for four reasons, says Fiona Chaney at Omni Bridgeway.

  • How A 1947 Tugboat Ruling May Shape Work Product In AI Era

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    Rapid advances in generative artificial intelligence test work-product principles first articulated in the U.S. Supreme Court’s nearly 80-year-old Hickman v. Taylor decision, as courts and ethics bodies confront whether disclosure of attorneys’ AI prompts and outputs would reveal their thought processes, say Larry Silver and Sasha Burton at Langsam Stevens.

  • 7 Predictions For Cyber Risk And Insurance In 2026

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    In 2026, cyber risk and insurance will be shaped by developments such as the rapid adoption of artificial intelligence, ongoing privacy litigation and evolving regulatory requirements, as organizations that integrate AI into their operations contend with new vulnerabilities and a legal landscape that demands greater vigilance and adaptability, say attorneys at Wiley.

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