More Insurance Coverage
-
March 15, 2024
9th Circ. Pauses Benefits Case Awaiting UBH Challenge
The Ninth Circuit has told a trial court to halt what United Behavioral Health has called an improper revival of a proposed class action alleging the insurance company illegally denied coverage for mental health and substance abuse treatment.
-
March 15, 2024
Justices Told Estate Incorrectly Taxed On Insurance Payout
The federal government's argument that the $3.5 million in life insurance proceeds a company used to redeem a deceased owner's shares increased both the company's value and its dead owner's estate tax liability ignores "economic reality," the estate told the U.S. Supreme Court on Friday.
-
March 15, 2024
Wash. Justices Affirm Condo's Roof Damage Coverage Win
A resulting loss exception in a condominium complex's policy with Farmers Insurance Exchange preserves coverage for damage caused by potentially covered perils, such as condensation and water vapor, even though the loss resulted from excluded faulty workmanship, the Washington Supreme Court unanimously ruled.
-
March 15, 2024
Attys, Broker Fight For Advice-Of-Counsel Defense In Tax Trial
Two St. Louis attorneys and a North Carolina insurance agent staring down criminal tax charges in North Carolina federal court said the government can't prevent them from relying on advice-of-counsel defenses at their upcoming trial, arguing they've handed over all the information prosecutors need to prepare.
-
March 15, 2024
Camden Diocese Gets OK For Ch. 11 Plan On 4th Attempt
The Roman Catholic Diocese of Camden has won approval from a New Jersey bankruptcy judge for its plan to settle sexual abuse claims for $87.5 million after three prior versions of the plan were rejected over insurance carrier objections.
-
March 14, 2024
GM, LexisNexis Sued For Sharing Driving Data With Insurers
A Florida driver claims his insurance rate doubled because General Motors and its OnStar unit collected driving data through his Cadillac without permission and shared the information with LexisNexis Risk Solutions, which created a vague driving behavior report that insurance companies use to determine coverage, according to a putative federal class action.
-
March 14, 2024
Exxon Beats Insurers' Bid To Arbitrate Over MTBE Claims
A Texas appeals court sided with Exxon Mobil Corp. in the energy giant's attempt to forestall arbitration with an insurer over claims and lawsuits over exposure to methyl tertiary-butyl ether, ruling Wednesday that the trial court was right not to compel arbitration.
-
March 14, 2024
Insurance Litigation Week In Review
A divided Colorado Supreme Court expanded application of the state's notice-prejudice rule, the Fourth Circuit tossed a COVID-19 coverage class action and the Eighth Circuit considered whether insurers' billing agreements with healthcare providers violated Minnesota's No-Fault Act. Here, Law360 takes a look at this week's top insurance news.
-
March 14, 2024
Insurance Mogul Drops NC Counsel Before Retrial
Embattled insurance mogul Greg Lindberg has dropped Aaron Zachary Tobin of Condon Tobin Sladek Thornton Nerenberg PLLC from his legal team ahead of his retrial on a charge of trying to bribe North Carolina's insurance commissioner.
-
March 14, 2024
PE-Backed Latin American Healthcare Firm Prices $420M IPO
Private equity-backed Latin American hospital operator Auna SA on Thursday set a price range on an estimated $420 million U.S. initial public offering, with plans to use the proceeds to repay debt and financing agreements.
-
March 14, 2024
Longtime La. Insurance Commish Joins McGlinchey Stafford
McGlinchey Stafford PLLC has hired the former commissioner of the Louisiana Department of Insurance, who also served in the state legislature, as a member in the firm's Baton Rouge and New Orleans offices, the firm announced Wednesday.
-
March 14, 2024
An Insurance Attorney's Call To Military Service
Jeffrey Bristol of Parrish Law PA is a self-described "later-in-life lawyer" wearing many hats because he has dedicated more than a decade to serving in multiple branches of the U.S. armed forces.
-
March 14, 2024
Feds Seek 20 Mos. For Aegerion Fraud 'Puppet Master'
A pharmaceutical sales representative who gloated about being a "puppet master" for false insurance claims for Aegerion's cholesterol drug should serve 20 months in prison, the U.S. government has told a Boston federal judge.
-
March 13, 2024
Judge Says COVID Test Suit Depends On Conn. Justices
A Connecticut federal judge trimmed several claims from a $783,000 suit over a COVID-19 testing bill that a health plan administrator allegedly failed to pay, but declined to rule on certain state law issues until the state's highest court can shed light on the statutes in an upcoming ruling.
-
March 13, 2024
Ex-Agent Drops 'Toxic' Claims Against Insurer At Arbitration
A former employee of a Pittsburgh-area insurance agency dropped her claims against her ex-employer the night before the case was scheduled to go to arbitration, and the insurer asked a federal court Wednesday to affirm the arbitrators' ruling dismissing the suit.
-
March 13, 2024
Wash. Law Firm, Travelers Settle $136K Theft Coverage Fight
A Seattle law firm and Travelers settled their coverage dispute over an employee's nearly $136,000 worth of unauthorized charges on a credit card, the parties told a Washington federal court.
-
March 13, 2024
Insurance Firm Lavin Rindner Duffield Adds Wiley Rein Vets
Lavin Rindner Duffield LLC has added two attorneys to its growing boutique insurance team, bringing on a former Washington, D.C., assistant U.S. attorney who is also a Wiley Rein LLP vet, and a former partner at Wiley who will enhance its offerings, the firm said Wednesday.
-
March 12, 2024
Ex-Boy Scout Can Seek $120M Award From Insurers
A Delaware bankruptcy judge has ruled that a former Boy Scout can keep suing the organization's insurers to collect a $120 million abuse judgment against his ex-Scoutmaster, even though the court entered an injunction barring similar lawsuits.
-
March 12, 2024
UnitedHealth Can't Get Early Win In Workers' ERISA Suit
A Minnesota federal court denied most of UnitedHealth Group Inc.'s bid for a pretrial win in a lawsuit alleging mismanagement of an employee 401(k) plan, finding Tuesday that allegations the company refused to ax underperforming funds to preserve a business relationship with Wells Fargo should go to trial.
-
March 12, 2024
Colo. Lawmakers OK Multistate Online Insurance Tax Filing
Insurance companies in Colorado would be required to pay some taxes through a multistate third-party online application under legislation approved by the state Senate.
-
March 11, 2024
Biden Proposes More Mental Health Expansion In 2025 Budget
The Biden administration's $7.3 trillion fiscal year 2025 spending blueprint unveiled Monday maintains a pledge to transform the nation's mental health system, but contains the least ambitious discretionary budget ask for the U.S. Department of Labor in four years.
-
March 11, 2024
Injured Bus Rider Gave Up Right To Sue, Mich. Justices Told
A Detroit public transit authority told the Michigan Supreme Court to affirm that an injured passenger can't pursue the authority for personal injury protection benefits under the state's no-fault law after assigning her right to the benefits to her medical providers.
-
March 11, 2024
Prejudice Rule Applies To Property Claims, Colo. Justices Say
A rule excusing some policyholders for filing late claims applies to occurrence-based, first-party homeowners' property policies, a divided Colorado Supreme Court held Monday, reversing two insurers' wins in a pair of coverage disputes over hail damage.
-
March 11, 2024
Prudential Investors' $35M Settlement Gets Initial OK
Prudential Financial Inc. shareholders have gotten an initial nod from a New Jersey federal judge for their $35 million deal to settle claims that the insurer hurt investors by allegedly misrepresenting certain trends affecting its life insurance reserves.
-
March 11, 2024
NC Judge Scraps $8M Verdict In AXA Life Insurance Suit
A North Carolina federal judge wiped out an $8 million jury award for historian and investment firm founder Malcolm Wiener in his lawsuit accusing AXA Equitable Life Insurance Co. of sabotaging his insurability with inaccurate health information reporting, finding Wiener had "no baseline" to support the award beyond $1 in nominal damages.
Expert Analysis
-
Legal Standing For Nature: The Road Not Taken
Fifty years have passed since former U.S. Supreme Court Justice William O. Douglas asked whether natural objects like trees and rivers should have standing — and while the high court has since narrowed access to the courtroom for potential environmental plaintiffs, Douglas' vision is worth revisiting, says Ninth Circuit Judge Margaret McKeown.
-
4th Circ. Disability Ruling Shows ERISA Procedure Flaw
The Fourth Circuit's recent decision in Tekmen v. Reliance Standard that summary judgment was inapt highlights how summary judgment has been misused in Employee Retirement Income Security Act litigation — and may help restore civil procedure norms in such lawsuits, says Mark DeBofsky at DeBofsky Law.
-
Medical Malpractice Settlements Shouldn't Require NDAs
Hospitals and insurance companies can go to great lengths to avoid accountability — as depicted in the recent Netflix film "The Good Nurse" — and nondisclosure agreements used to settle medical malpractice cases out of court leave patients without crucial information when seeking treatment, says Andrew Barovick at Sandra Radna.
-
Benefits Ruling Shows Need For Revised ERISA Procedure
The Ninth Circuit's recent ruling in Collier v. Lincoln Life Assurance demonstrates that not only are there no uniform court procedures for Employee Retirement Income Security Act litigation, the Federal Rules of Civil Procedure are not always followed, demanding a reappraisal of ERISA civil procedure, says Mark DeBofsky at DeBofsky Law.
-
Privacy Ruling Highlights Risks Of Third-Party Web Tracking
The Ninth Circuit’s recent ruling in Javier v. Assurance — that third-party session replay software usage without user consent may violate a California privacy law — highlights why companies should remain proactive and review all technologies that collect information from their websites, say attorneys at K&L Gates.
-
Why Warranty Providers May Explore CCPA Exemption
In order to prepare for the coming wave of state consumer privacy laws across the country, organizations in the extended warranty industry should assess their exposure to the California Consumer Privacy Act and the applicability of the Gramm-Leach-Bliley Act’s exemption, say attorneys at Locke Lord.
-
ERISA Ruling Reinforces Claimant Right To Know Denial Basis
A Louisiana federal court’s recent ruling in Rushing v. Sun Life Assurance, finding that an insurer could not remand a case to raise a new basis for a benefit denial, reinforces claimants' rights and illustrates how limited court review in Employee Retirement Income Security Act litigation can prevent insurers from raising new rationales for denial post-filing, says Mark DeBofsky at DeBofsky Law.
-
What To Expect From The Post-Midterms Lame-Duck Session
Depending on the results of the midterm elections, the upcoming lame-duck session may be the last chance for Congress to enact meaningful legislation for the next several years, so organizations must push through legislative priorities now, lest they are forced to restart their efforts in a much different environment next year, says James Brandell at Dykema.
-
Why Courts Are Rejecting Agencies' Merger Challenges
Recent losses for the U.S. Department of Justice and the Federal Trade Commission show how difficult it is for the agencies to challenge transactions based on certain theories — and that merging parties can close difficult transactions if they are willing to fight regulators in court, say attorneys at McDermott.
-
2nd Circ. Securities Ruling May Encourage Fraud
The Second Circuit's recent decision in Menora v. Frutarom, intended to clarify when defrauded purchasers have standing under securities laws, is inconsistent with well-settled law and creates wide-reaching uncertainty that will likely incentivize fraud, say attorneys at Labaton Sucharow.
-
Lessons From 3 Antitrust Agency Losses In Merger Trials
The government lost three antitrust agency merger trials last month, underscoring the need for companies considering strategic deals to first weigh a number of factors, including the viability of litigating before an impartial judge, say Gorav Jindal and Brian Rafkin at Akin Gump.
-
Boy Scouts Ch. 11 Case Highlights Third-Party Release Split
The Delaware bankruptcy court's recent approval of major parts of the Boy Scouts’ Chapter 11 plan showcases a split among federal district courts as to whether bankruptcy courts have the constitutional authority to approve third-party releases on a final basis, bringing unpredictability and ambiguity to settlements and dealmaking, say attorneys at V&E.
-
4th Circ. Ruling Won't Safeguard Life Insurance Under ERISA
The Fourth Circuit's recent decision in Bellon v. PPG Employee Life, finding that life insurance benefits had vested for certain employees, is a limited exception to a strong trend of courts reading the Employee Retirement Income Security Act to generally countenance the elimination of life insurance coverage for retirees, says Elizabeth Hopkins at Kantor & Kantor.