Insurance

  • May 07, 2026

    Harvard Pilgrim Sued Over 'Ghost' Mental Health Network

    Harvard Pilgrim Health Care and its parent company have lured subscribers with a "ghost network" of mental health providers who are frequently out of network, don't accept the insurance or are not taking new patients, according to a proposed class action filed in Massachusetts state court.

  • May 06, 2026

    Lindberg Says He Owes 'Zero' Despite $1.6B Restitution Report

    Beleaguered insurance mogul Greg Lindberg asked a North Carolina federal court to reject a special master's report recommending he pay $1.6 billion in restitution to companies he's accused of defrauding, arguing he should instead pay zilch.

  • May 06, 2026

    Fla. Court Asked To Lift Freeze In $91M Fake Health Plans Suit

    Two siblings asked a Florida federal court Wednesday to lift an asset freeze in the Federal Trade Commission's lawsuit alleging they sold $91 million of fake health benefits on the Affordable Care Act exchange, arguing they need money to pay their attorneys. 

  • May 06, 2026

    Prospect Medical Captive Insurer Files Ch. 15 In Texas

    Connecticut Healthcare Insurance Company, a Cayman Islands insurance company indirectly owned by Prospect Medical Holdings, has filed a Chapter 15 petition in Texas bankruptcy court seeking recognition of its Cayman winding-up proceedings that involve a $26 million payment to Prospect.

  • May 06, 2026

    AIG Says Homeowners Waived Bid For New Damages Trial

    An AIG unit fought against a new trial this week in a dispute over the claims process for damage from Hurricane Irma to a $95 million oceanfront mansion, arguing that the homeowners failed to prove compensable damages at trial and waived their right to a new trial.

  • May 06, 2026

    NC Insurance Dept. Properly Revoked Appraiser's License

    A North Carolina state appeals court on Wednesday affirmed the state Department of Insurance's revocation of the license of a motor vehicle damage appraiser, finding he violated ethical standards by disparaging other appraisers.

  • May 06, 2026

    Fla. Couple Sentenced For Evading $37M In Payroll Taxes

    An Orlando couple were sentenced to prison for participating in a $148 million construction payroll scheme and evading more than $37 million in payroll taxes, Florida federal prosecutors announced Wednesday.

  • May 06, 2026

    Judge Won't Certify Minn. Fraud Question In Cancer Drug MDL

    A New Jersey federal judge won't ask the Supreme Court of Minnesota to weigh in on whether an insurer can pursue claims using a state law typically reserved for the attorney general in litigation alleging drugmaker Celgene used charitable donations to manipulate the price of cancer drugs.

  • May 06, 2026

    4th Circ. Appears Unpersuaded By $22M Tax Fraud Appeal

    Two attorneys and an insurance agent faced a Fourth Circuit panel Wednesday that seemed hard-pressed to overturn their convictions for orchestrating a $22 million tax avoidance scheme, with the judges casting doubt on their venue objections and claims that the false tax returns contained truthful information.

  • May 06, 2026

    Chubb Units Must Cover Environmental Contamination Claim

    Two Chubb insurers must defend an upstate New York town against a state environmental department's claim concerning a regional airport's contamination by so-called forever chemicals unless and until they can establish the claim falls outside an exception to a pollution exclusion, the Second Circuit affirmed.

  • May 06, 2026

    Ship Owner, Insurer To Pay $17M For Puerto Rico Reef Harm

    A German shipping company and a marine insurer will pay $17 million to end a dispute alleging they were liable for damage done to 7,000 square meters of coral reef off the coast of Puerto Rico when an oil tanker ran aground in 2006, according to a Puerto Rico federal judge's Tuesday order approving the agreement.

  • May 06, 2026

    Insurers Ask To Ignore Simplified Foreign Currency Rules

    The insurance industry should be allowed to ignore regulations from 2024 covering how corporations determine taxable income with respect to affiliates that conduct business in a foreign currency, the American Council of Life Insurers told the U.S. Treasury in a letter released Wednesday.

  • May 05, 2026

    ERISA Recap: 5 Litigation Developments From April

    The U.S. Supreme Court turned down a bakery company's bid for review of a union multiemployer pension withdrawal bill, the Fourth Circuit held a bonus plan was exempt from federal benefits law, and the Sixth Circuit ruled federal law preempted Arkansas pharmacy benefit manager laws and regulations. Here's more on those and two other major decisions from April that benefits attorneys may want to know.

  • May 05, 2026

    Wash. Panel Revives GLP-1 Health Plan Coverage Fight

    A Washington state appeals court revived a proposed class action by state employees alleging their benefit plan discriminatorily barred health coverage for GLP-1 medications treating obesity, finding a lower court should have allowed the case to proceed to discovery.

  • May 05, 2026

    NC Law Firm Can Pursue Coverage In $510K Loan Fraud Row

    A North Carolina federal judge on Tuesday said a professional liability insurer must face claims that it has to defend a law firm against allegations it was responsible for a $510,000 fraudulent home loan, finding documents in the closing package could preserve coverage. 

  • May 05, 2026

    Court Backs MassMutual's $1.5M Life Policy Termination

    A Texas federal court ruled that MassMutual did not prematurely terminate a $1.54 million universal life insurance policy after a company failed to pay the minimum amount required to keep the policy active during a grace period.

  • May 05, 2026

    Contractor Says Early Exit Is Unsupported In Premium Hike Suit

    Hartford Insurance members should not be granted summary judgment in a $1.7 million premium suit, a government contractor has said, arguing in Connecticut federal court the contractor has successfully pled its breach of contract claims.

  • May 05, 2026

    SVB's $73M Fraud Losses Not Covered, Insurers Say

    Two insurers said they owe no coverage for a fraudulent scheme that caused the failed Silicon Valley Bank to lose $73 million, telling a North Carolina federal court that the bank has not satisfied all requirements under its financial institution bonds' extended forgery coverage provision.

  • May 05, 2026

    Insurer Loses Bid To Recoup $3.4M Coverage For Grill Fire

    An insurer attempting to recoup more than $3.4 million it paid to homeowners whose house was greatly damaged in a grill fire lacks the proof needed to claim the negligence by the grill-maker caused the fire, a Tennessee federal judge ruled Monday in dismissing the case.

  • May 05, 2026

    Travelers Unit Says No Coverage In Cannabis Explosion Suits

    A Travelers Property Casualty Corp. unit is suing two of its insureds in California federal court, seeking a declaration that its insurance policies don't cover defense and indemnity of suits over a deadly explosion allegedly caused by an illegal cannabis operation.

  • May 04, 2026

    State Farm Bungled LA Wildfire Claims, Calif. Regulator Says

    California's insurance regulator announced Monday that it's pursuing major penalties against State Farm over its alleged mishandling of claims related to 2025 Los Angeles wildfires, the same day the U.S. Department of Justice alleged in court that insurers conspired to cancel homeowners' policies in the years before the fires.

  • May 04, 2026

    Construction Co. Seeks $2.9M Over Lejeune Build Delays

    A construction company has accused a demolition subcontractor in North Carolina federal court of delaying facility construction for more than 1,000 days at the U.S. Marine Corps' Camp Lejeune training base, seeking roughly $2.9 million in damages.

  • May 04, 2026

    Hospital Group Calls Anthem's Out-Of-Network Plan Unlawful

    The California Hospital Association urged a state court to block Anthem Blue Cross' implementation of a new policy that penalizes participating facilities for using nonparticipating providers, saying the plan is illegal, fraudulent and an unfair business practice.

  • May 04, 2026

    Fla. Contractor Says Policy Covers Defective Door Death Suit

    A Florida contractor is urging a federal judge to dismiss an insurer's complaint claiming it has no duty to defend the company in a wrongful death suit, saying the policy covers claims in the underlying case and arguing that parallel state court cases are better positioned to resolve the dispute. 

  • May 04, 2026

    Pillsbury Launches Boston Office With Latham Litigator

    Pillsbury Winthrop Shaw Pittman LLP announced on Monday the opening of a Boston office with a team of five senior attorneys and additional associates.

Expert Analysis

  • Can Trump's AI Order Override State Insurance Rules?

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    Although a December executive order charts a course to potentially dismantle state artificial intelligence regulations applicable to virtually any industry, the effect on the insurance industry deserves special attention because under federal law, the regulation of the business of insurance is largely delegated to the states, say attorneys at Eversheds Sutherland.

  • Calif. Case Could Lead To A Redefined Pollution Exclusion

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    In recently agreeing to hear Montrose Chemical v. Superior Court, the California Supreme Court will decide whether a court should consider extrinsic evidence offered by a party to prove its interpretation of the insurance policy language, opening the door to a different definition of "sudden" in insurance policies' pollution exclusions, say attorneys at Pillsbury.

  • Series

    Volunteering With Scouts Makes Me A Better Lawyer

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    Serving as an assistant scoutmaster for my son’s troop reaffirmed several skills and principles crucial to lawyering — from the importance of disconnecting to the value of morality, says Michael Warren at McManis Faulkner.

  • Series

    Law School's Missed Lessons: In Court, It's About Storytelling

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    Law school provides doctrine, cases and hypotheticals, but when lawyers step into the courtroom, they must learn the importance of clarity, credibility, memorability and preparation — in other words, how to tell simple, effective stories, say Nicholas Steverson and Danielle Trujillo at Wheeler Trigg, and Lisa DeCaro at Courtroom Performance.

  • Aligning Microsoft Tools With NYC Bar AI Recording Guidance

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    The New York City Bar Association’s recently issued formal opinion, providing ethical guidance on artificial intelligence-assisted recording, transcription and summarization, raises immediate questions about data governance and e-discovery for companies that use Microsoft 365 and Copilot, say Staci Kaliner, Martin Tully and John Collins at Redgrave.

  • Class Actions At The Circuit Courts: March Lessons

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    In this month's review of class action appeals, Mitchell Engel at Shook Hardy discusses four recent rulings from January and identifies practice tips from cases involving allegations of violations of consumer fraud regulations, the Fair Credit Reporting Act, employment law and breach of contract statutes.

  • 5 Different AI Systems Raise Distinct Privilege Issues

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    A New York federal court’s recent U.S. v. Heppner decision, holding that a defendant’s use of Claude was not privileged, only addressed one narrow artificial intelligence system, but lawyers must recognize that the spectrum of AI tools raises different confidentiality and privilege questions, says Heidi Nadel at HP.

  • Opinion

    AI-Assisted Arbitration Needs Safeguards To Ensure Fairness

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    As tribunals and arbitral institutions increasingly use artificial intelligence tools in their decision-making processes, ​​​​​​​clear disclosure standards and procedural safeguards are necessary to ensure that efficiency gains do not erode the fairness principles on which arbitration depends, says Alexander Lima at Wesco International.

  • Series

    Playing Piano Makes Me A Better Lawyer

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    Playing piano and practicing law share many parallels relating to managing complexity: Just as hearing an entire musical passage in my head allows me to reliably deliver the message, thinking about the audience's impression helps me create a legal narrative that keeps the reader engaged, says Michael Shepherd at Fish & Richardson.

  • How To Counter 7 Logical Fallacies In Legal Arguments

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    Many legal arguments are riddled with reasoning flaws that can effectively distract or persuade the fact-finder, but these tactics lose much of their power when attorneys recognize and strategically shine a light on them, says Allison Rocker at Baker McKenzie.

  • AI-Generated Doc Ruling Guides Attys On Privilege Risks

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    A New York federal court's ruling, in U.S. v. Heppner, that documents created by a defendant using an artificial intelligence tool were not privileged, can serve as a guide to attorneys for retaining attorney-client or work-product privilege over client documents created with AI, say attorneys at Sher Tremonte.

  • Exploring Good Faith And Bad Faith, From Dock To Doorstep

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    Evolving in different contexts, property and maritime insurance take almost opposite views on the foundational concepts of good faith and bad faith, but, as evidenced by two recent decisions, they dovetail on the idea that trust is the currency of risk, says Nicole Connors at Cozen O'Connor.

  • The Law Firm Merger Diaries: Leadership Strategy After Day 1

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    For law firm leaders, ensuring a newly combined law firm lives up to its promise, both in its first days of operation and well after, includes tough decisions, clear and specific communication, and cheerleading, says Peter Michaud at Ballard Spahr.

  • Reel Justice: 'Sentimental Value' And Witness Anxiety

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    "Sentimental Value" reminds us that anxiety can interfere with performance, but unlike actors, witnesses cannot rehearse their lines or control the script, so a lawyer's role is not to eliminate stress, but to create conditions where the accuracy of a witness's testimony survives under pressure, says Veronica Finkelstein at Wilmington University.

  • Mind The Gap: Crafting D&O Straddle Coverage For M&A

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    A recent Florida federal court decision highlights an often-overlooked risk for those negotiating directors and officers insurance coverage for mergers and acquisitions: the potential for so-called straddle claims, falling in the gap between tail and go-forward coverage, say attorneys at Reed Smith.

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