More Insurance Coverage
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March 06, 2024
6th Circ. Orders Do-Over For Insurer's $3.3M Recoupment Row
A Sixth Circuit panel on Tuesday revived a Chubb unit's bid to recoup costs from two other insurers after it helped windshield repair company Safelite pay for its defense against a competitor's suit, saying the lower court must conduct an analysis to determine whether the other carriers were prejudiced by late notice.
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March 06, 2024
Co. Says Chubb Unit Must Cover $5M Merger Dispute Defense
A holding company subsidiary of Banco Santander told a Delaware federal court that a Chubb unit must contribute to $5 million in legal expenses the company has incurred in defending itself in an underlying class action brought by minority shareholders who objected to a merger with another subsidiary.
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March 06, 2024
Insurer Says Mountaineer's Death Not 'Accidental'
Reliance Standard Life Insurance Co. asked the Eleventh Circuit on Wednesday to reverse a decision saying it has to pay out an accidental death benefit to the family of a Harvard medical professor who died trying to summit a mountain in Pakistan, arguing that there isn't enough evidence to show that his death was an accident.
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March 06, 2024
Connecticut Marshals Union Pushes For Lower Job Cap
Connecticut law authorizes the appointment of far more state marshals than necessary, the workers' union told state lawmakers Wednesday, in support of a new bill that would lower the cap and give job candidates incentive to choose the marshals service as a career.
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March 06, 2024
Quinn Emanuel's 2nd $185M Fee Bid Blasted As 'Indefensible'
Quinn Emanuel Urquhart & Sullivan LLP's second attempt to win $185 million in attorney fees in $3.7 billion litigation over the Affordable Care Act still fails to justify the "indefensible" amount and barely pays "lip service" to a reevaluation ordered by the Federal Circuit, health insurers told the federal claims court.
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March 06, 2024
Geico Brings On Ex-Wells Fargo Atty As New Legal Chief
Insurance company Geico announced Wednesday that its new chief legal officer is a former Wells Fargo attorney with a regulatory background and more than a decade of experience as in-house counsel.
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March 06, 2024
AI-Focused Co. Roadzen Recruits General Counsel
Artificial intelligence-powered automotive insurance company Roadzen Inc. has named a new general counsel who brings more than 30 years of in-house experience to the role.
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March 05, 2024
Allstate Must Face Former In-House Atty's Disability Bias Suit
A New York federal judge rejected Allstate's bid for a pretrial win in a disability discrimination case brought by a former in-house lawyer who claims he was wrongfully fired after his doctor said he couldn't handle the stress of trials, including standing for long periods of time.
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March 05, 2024
Express Scripts Gets Pharmacy's Contract Breach Suit Cut
A Missouri federal judge tossed out two claims in a five-count suit accusing Express Scripts of conducting a faulty audit on a New York pharmacy and then wrongfully terminating their contract, saying the pharmacy can't sue under two laws it cited.
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March 05, 2024
NC Panel Says Co. Can't Intervene In Insurer Liquidation
A holding company owned by insurance mogul Greg Lindberg shouldn't have been allowed to intervene in the North Carolina insurance commissioner's liquidation of two insolvent insurers, a state appeals court held Tuesday, saying only a company's directors are permitted to do so under state law.
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March 05, 2024
Aetna Accused Of 'Reprehensible' ER Services Underpayment
Multiple Aetna health insurance entities were hit with a lawsuit in Ohio accusing them of "reprehensible systemic underpayments" to healthcare workers who provide emergency services, underpayments that the complaint said were damaging to the medical system.
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March 04, 2024
5th Circ. May Uphold National Block On ACA Preventive Care
The Fifth Circuit appeared open Monday to striking down Affordable Care Act requirements forcing insurers to cover a range of preventive treatments such as mammograms and HIV prevention medication, homing in on constitutional problems with how members of a task force setting coverage mandates were appointed.
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March 04, 2024
Judge Releases Entity From Ohio Hotel Sex Trafficking Suit
A federal judge released a holding company from a lawsuit brought by a plaintiff who accuses Choice Hotels International Inc., Wyndham Hotels & Resorts Inc. and other hotel companies of failing to prevent her from being trafficked at four Ohio hotels.
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March 04, 2024
Conn. Trial Attys Slam Proposed Offsets For Jury Awards
Connecticut lawmakers on Monday considered a bill that could reduce economic damages awarded to personal injury and wrongful death plaintiffs when a collateral payment source, such as an insurer, has a right of subrogation, a measure that trial lawyers panned as an insurance industry perk that would undo precedent.
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March 04, 2024
LifeWallet Settles With Insurers, Enhancing Claims Process
Healthcare reimbursement venture MSP Recovery, which does business as LifeWallet, has announced a deal with 28 affiliated property and casualty insurers that would settle unreimbursed Medicare claims and provide historical data to streamline the process of resolving such claims in the future.
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March 04, 2024
FTI Consulting Acquires Actuarial Firm Madison Consulting
Washington, D.C.-based international business advisory firm FTI Consulting Inc. announced on Monday its acquisition of Madison Consulting Group, an actuarial firm based in Madison, Georgia, and Newtown Square, Pennsylvania.
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March 04, 2024
Trump's Former Finance Chief Pleads Guilty To Perjury
Allen Weisselberg, the longtime former financial chief of Donald Trump's real estate business empire, admitted Monday to lying under oath in the New York attorney general's civil fraud case as part of a plea deal to serve five months in jail.
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March 01, 2024
Jury Awards Midwest Energy $57M On Refined Coal Patents
A Delaware federal jury on Friday awarded Midwest Energy Emissions Corp. more than $57 million after finding that numerous affiliated companies willfully infringed its patents on technology for refining coal to reduce mercury in emissions from power plants.
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March 01, 2024
Fintech Co. Vesttoo's Ch. 11 Plan OK'd After Dissent Defused
A Delaware bankruptcy judge has approved the Chapter 11 liquidation plan proposed by the official committee of unsecured creditors to bankrupt Israeli fintech firm Vesttoo Ltd., after the committee sorted out a final objection to the plan.
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March 01, 2024
Auto Coverage Hinges On Victim's Domicile, Mich. Panel Says
A dispute over personal protection insurance will return to a trial court to determine whether a crash victim was residing in Michigan or Kentucky at the time of the incident, after a Michigan state appeals court granted neither the victim's guardian nor Progressive an early win.
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March 01, 2024
Exec's Captive Insurance Case Headed To Trial
Whether an insurance executive knowingly lied to clients by telling them they could take illegal tax deductions in connection with captive insurance arrangements should be decided by a jury, a Florida federal judge ruled, saying material facts in the case are disputed.
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March 01, 2024
Day Care Says Policy Covers $21.6M Infant Death Judgment
A day care is urging a Florida federal court to reject its insurer's bid for an early win in a coverage dispute concerning a $21.6 million judgment over an infant's death, saying there are disputed issues of fact about whether the policy was canceled by the insured before the incident.
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March 01, 2024
Former Pa. Assistant DA Moves To GRSM50's Philly Team
Gordon Rees Scully Mansukhani LLP has hired an attorney with nearly a decade of experience working as an assistant district attorney in Pennsylvania to join the firm's office in Philadelphia as a partner, the firm recently announced.
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February 29, 2024
Nurses Say UnitedHealthcare Hid Colleagues From Settlement
A class of registered nurses seeking to settle claims that UnitedHealthcare improperly denied them adequate overtime compensation asked a New Mexico federal judge to sanction the company because, the class alleged, it withheld some eligible members from a class list.
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February 29, 2024
Insurance Litigation Week In Review
The Texas Supreme Court found that a handful of insurers may be on the hook for a $220 million bankruptcy settlement, while another state Supreme Court said it will take on underpayment claims against Geico, as insurance experts heed emerging privacy risks and prepare for more PFAS litigation. Here, Law360 takes a look at this week's top insurance news.
Expert Analysis
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Questions To Consider In High Court FCA Dismissals Case
Next term, when the U.S. Supreme Court reviews whether the government has authority to dismiss a False Claims Act suit after initially declining to proceed with the action in Polansky v. Executive Health Resources, it will likely require the government to intervene before seeking dismissal, says Christina Lehm at Nelson Mullins.
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High Court Will Eventually Need To Resolve Cannabis Issues
The U.S. Supreme Court's refusal to resolve whether federal law protects employers who do not comply with state requirements for medical marijuana reimbursements is a blow to the cannabis industry, but ongoing conflicts between state and federal cannabis laws mean the court will likely eventually need to get involved, says David Standa at Greenspoon Marder.
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2nd Circ. Ruling Highlights ERISA Determination Deadlines
As seen in the Second Circuit’s recent McQuillin v. Hartford decision, the deadlines for deciding Employee Retirement Income Security Act claims and appeals have teeth, and there are consequences when a plan administrator fails to comply, says Mark DeBofsky at DeBofsky Sherman.
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NYC Office Tower Ch. 11 Shines Light On Blocking Provisions
PMW Management's Chapter 11 filing, which recently received extra time to submit a restructuring plan, highlights courts' increasing skepticism of bankruptcy blocking provisions and favoritism toward leaving bankruptcy restructuring plans in the hands of the debtor, say Jeff Marwil and Ashley Weringa at Proskauer.
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What's At Stake In Justices' FCA Qui Tam Dismissal Review
The Supreme Court's decision next term in U.S. v. Executive Health Resources could hold that the government cannot dismiss a qui tam action in which it initially declined intervention, which would mean the government must expend more resources vetting False Claims Act cases and give relators free rein as prosecutors of their cases, say attorneys at Ropes & Gray.
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How To Avert Unlawful Poaching Amid Rising Antitrust Risks
Despite the uptick in labor market antitrust enforcement actions, no-poach agreements can be helpful in preventing unfair competition resulting from misuse of confidential or competitively sensitive information — when tailored appropriately and used with best practices to reduce risk, say attorneys at Ropes & Gray.
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Skinny Labels' Future May Hinge On Teva Petitioning Justices
Generic-drug makers may get much-needed clarity on their use of so-called skinny labels, which only seek approval for unpatented uses, if Teva Pharmaceuticals petitions for certiorari in the GlaxoSmithKline Coreg case by its July 11 deadline, says Paul Kalish at Fox Rothschild.
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6th Circ. ERISA Ruling Shows Scope Of Fiduciary Liability
The Sixth Circuit's recent partial revival of a widow's lawsuit alleging Walmart violated federal benefits laws serves as a stark reminder of how those who are only supposed to perform ministerial functions can inadvertently expose themselves to fiduciary liability by undertaking fiduciary actions, say Samantha Kopacz and Nhan Ho at Miller Canfield.
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And Now A Word From The Panel: MDL Travel
The Judicial Panel on Multidistrict Litigation’s return to in-person proceedings, as well as a recent petition in an insurance-related MDL, highlight an important question about whether the panel will continue to consider travel convenience as a relevant factor in venue decisions after two years of virtual hearings, says Alan Rothman at Sidley.
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Employer Travel Benefits Options For Abortion Care Post-Roe
Given the likelihood that Roe v. Wade will be overturned, and with the proliferation of state legislation restricting abortion access, employers may want to consider the legal implications of several options to expand travel reimbursement benefits for employees who seek abortion services, say Danita Merlau and Ben Conley at Seyfarth.
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ERISA Ruling Shows Lax Enrollment Practices Can Be Costly
The Eighth Circuit’s recent decision in Skelton v. Reliance Standard, finding that a life insurance company breached its Employee Retirement Income Security Act fiduciary duties by accepting premiums without approving coverage, admonishes insurers to communicate with employers and to maintain clear records of eligible enrolled participants, says Mark DeBofsky at DeBofsky Sherman.
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Lessons For Gov't Contractors Amid Increased Antitrust Risk
A review of recently ramped-up Procurement Collusion Strike Force enforcement yields important lessons for government procurement companies, which are particularly susceptible to anti-competitive risks, on corporate antitrust awareness and robust compliance, say Rachel Guy and James McGinnis at Sheppard Mullin.
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Private Insurers Must Watch Out For Medical Equipment Fraud
Recent trends indicate that it is extremely rare for the government to prosecute those involved in health care fraud against private insurers, especially in cases involving durable medical equipment, so private insurers must take steps to investigate and detect fraudulent schemes, says Michael Vanunu at Rivkin Radler.