More Insurance Coverage

  • December 14, 2023

    Trump Loses Challenge To Gag Orders In NY AG's Fraud Case

    A New York appeals court on Thursday rejected Donald Trump's challenge to two gag orders in the attorney general's civil fraud case against him, ruling that the former president's attorneys failed to properly appeal the orders.

  • December 13, 2023

    Jazz, Express Scripts Beat Calif. Overcharge Suit, For Now

    A California federal judge tossed, for now, proposed class action claims that Jazz Pharmaceuticals PLC and Express Scripts Inc. illegally boosted sales of two medications by funneling money through a nonprofit to fund patient copays, saying the claims recovery company suing hasn't shown it's been injured.

  • December 13, 2023

    Trump's NY Fraud Case Set For Jan. Finale As Testimony Ends

    Testimony ended Wednesday in the New York attorney general's marathon civil fraud trial against Donald Trump, setting the stage for a January ruling that could determine the fate of the former president's business empire.

  • December 13, 2023

    Prudential Hit With Genetic Privacy Suit After Coverage Denial

    Prudential is the latest insurer to be accused of violating Illinois' genetic information privacy law by asking life insurance applicants for their family medical histories, facing a putative class action lodged by an Illinois woman who was denied coverage.

  • December 12, 2023

    Trump Rests Fraud Defense As NY AG's Trial Nears End

    Former President Donald Trump on Tuesday rested his defense case in the civil trial over New York Attorney General Letitia James' claims that he defrauded banks and insurers for years by lying about his wealth, while both sides scrapped over last-minute documentary evidence and expert testimony as the 2½-month bench trial nears its end.

  • December 12, 2023

    4th Circ. Says Plea Deal Bars Agent's Insurance Fraud Appeal

    The Fourth Circuit on Tuesday threw out a former insurance agent's appeal challenging her wire fraud conviction, finding that her plea deal containing an appeal waiver was valid despite what the court characterized as an otherwise rocky plea hearing replete with interruptions.

  • December 12, 2023

    Sprinkler Co. Inks Deal To End $1.1M Water Damage Suit

    An insurer settled its Washington federal court case against a Michigan-based fire prevention company after blaming the company's sprinkler for causing over $1.1 million in water damage to a Seattle apartment building when it drenched the place without cause.

  • December 12, 2023

    LIVE COVERAGE: Day 43 Of Trump's NY Civil Fraud Trial

    Law360 reporters are providing live coverage from the courthouse as former President Donald Trump goes on trial in the New York attorney general's civil fraud case. Follow along here.

  • December 11, 2023

    Wash. Judge Presses Pet Insurance Plaintiffs On Data Delay

    A Washington federal judge grilled counsel for a proposed class of pet insurance policyholders Monday about why the plaintiffs shouldn't be sanctioned for waiting months to give details about how much they've allegedly been overcharged in premiums, despite several clear requests for the data.

  • December 11, 2023

    Kaiser Beneficiaries Win Class Cert. In Discrimination Suit

    A Washington federal judge has certified a class of individuals with hearing loss who were beneficiaries of Kaiser health insurance plans and have alleged the company's exclusion of coverage for hearing aids is discriminatory.

  • December 11, 2023

    AG, Judge Say Trump Can't Appeal NY Gag Orders Higher, Yet

    The New York attorney general and the state judge overseeing Donald Trump's civil fraud case told a midlevel appeals court that the former president must wait for a final decision on his challenges to two gag orders before he can ask the state's highest court to intervene.

  • December 10, 2023

    Trump Cancels Plan To Testify In NY Fraud Trial Defense

    Donald Trump abruptly canceled his plans to testify in his defense on Monday in the New York attorney general's civil fraud case, in a series of social media posts on the eve of his expected return to the Manhattan courtroom.

  • December 08, 2023

    Kaiser Offers $3M To End Hearing Loss Coverage Claims

    Kaiser and plaintiffs in a putative class action have filed a $3 million settlement offer in Washington federal court, in which customers alleged that the company violated the Affordable Care Act's nondiscrimination rule by excluding coverage for items related to hearing loss.

  • December 08, 2023

    Coverage Fight Over $14M Hardware Theft Dropped After Deal

    A California federal court tossed a dispute between IT distribution company Synnex Corp. and Axis Insurance Co. over coverage for a nearly $14 million theft of computer hardware from Synnex's warehouse in Mexico City, after the parties told the court in October they reached a settlement.

  • December 08, 2023

    Ex-Norfolk Southern, Allstate Atty Named AAA Entity's GC

    The former deputy general counsel for Allstate has traded one auto insurer for another while moving up in the ranks, becoming the new general counsel and chief legal officer for AAA Auto Club Enterprises.

  • December 08, 2023

    COVERAGE RECAP: Day 42 Of Trump's NY Civil Fraud Trial

    Law360 reporters are providing live coverage from the courthouse as former President Donald Trump goes on trial in the New York attorney general's civil fraud case. Here's a recap from day 42.

  • December 07, 2023

    NY AG Says Insurers' Mental Health Providers Were 'Ghosts'

    A new report released Thursday by New York's attorney general shows that 86% of mental health providers listed by insurance networks were "ghosts," with patients unable to reach providers or finding they were out of network or weren't accepting new patients.

  • December 07, 2023

    Trump Expert Tells NY Trial Court There's No Sign Of Fraud

    Donald Trump returned to his civil fraud trial in person Thursday as his final expert witness testified there was no evidence of accounting fraud by the former president, who stands accused of falsifying his financial statements to secure lucrative terms on loans and insurance for his real estate empire.

  • December 07, 2023

    Australian Insurer Axes GC, Alleges Conduct Breach

    Insurance Australia Group Ltd. said this week its group general counsel and company secretary is out after IAG discovered he had violated its employee code of ethics and conduct, but the insurer did not disclose specifically what warranted his ouster.

  • December 07, 2023

    COVERAGE RECAP: Day 41 Of Trump's NY Civil Fraud Trial

    Law360 reporters are providing live coverage from the courthouse as former President Donald Trump goes on trial in the New York attorney general's civil fraud case. Here's a recap from day 41.

  • December 06, 2023

    Blue Cross Trans Care Class Gets Revised Definition

    The class of transgender individuals suing Blue Cross Blue Shield of Illinois over coverage denials for gender dysphoria-related treatments should be amended to further spell out how prospective members may qualify to be in the class, a Washington federal judge has said.

  • December 06, 2023

    6th Circ. Asks How Doctors Can Fight HHS Trans Statute

    The Sixth Circuit on Wednesday wondered what a group of physicians must do to prove they can challenge the U.S. Department of Health and Human Services' potential enforcement of a statute that, under the government's interpretation, would prohibit federally funded health programs from discriminating against transgender individuals based on their sex.

  • December 06, 2023

    Trump's NY Gag Appeal Claims Laughable, Judge's Atty Says

    The New York state trial court that hit Donald Trump with gag orders in his civil fraud case defended those decisions Wednesday in an appellate filing, calling Trump's alleged free speech injuries "risible" compared to the potential harm to court staff.

  • December 06, 2023

    W.Va. High Court Asked To Clarify Law In Auto Coverage Row

    Unable to identify any precedent for an automobile insurance dispute in West Virginia, a Fourth Circuit panel sent a question via unpublished order to the state's Supreme Court of Appeals, asking it for clarification on an insurer's obligations for offering underinsured motorist coverage in policies.

  • December 05, 2023

    Trump's Broker & Club Member Touts Mar-A-Lago's $1B Value

    A Florida real estate broker and member of Donald Trump's Mar-a-Lago club took the stand Tuesday in New York state court to defend the former president's valuation of the property, saying it was worth more than $1 billion based on his billions in sales experience and "gut" feelings.

Expert Analysis

  • What ACA Preventive Care Ruling Means For Employers

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    Though a Texas federal court's recent ruling in Braidwood v. Becerra paves the way for employers to reimpose cost-sharing requirements on preventive care, companies considering making these changes to their group health and welfare plans should first analyze the financial and social impacts, says Rachel Shim at Holland & Knight.

  • 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.

  • 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.

  • Ch. 11 Ruling Stresses 5th Circ. Courts' Asset Sale Deference

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    A Texas federal court recently rejected a challenge to Fieldwood Energy’s Chapter 11 plan by several surety bond companies, serving as a reminder that courts within the Fifth Circuit give deference to the finality of asset sales where a stay of the applicable order has not been obtained, say Jonathan Lozano and Mark Dendinger at Bracewell.

  • The Important Role Of Contra Proferentem In ERISA Cases

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    A Pennsylvania federal court's recent decision in Stein v. Paul Revere Life Insurance illustrates what happens when ERISA plan terms are unclear, and why the contra proferentem principle should be applied uniformly in all ERISA cases, says Mark DeBofsky at DeBofsky Law.

  • No Surprises Act Gives Plan Sponsors Savings Opportunities

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    Under the No Surprises Act, the potential savings for an ERISA group health plan and its participants are significant, and sponsors should focus on the negotiation of third-party administrator service agreements to avoid exposure to breach of fiduciary claims for payment of excessive fees, say attorneys at Hall Benefits.

  • HHS Advisory Opinion Serves As Free Drug Program Guide

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    A careful review of the U.S. Department of Health and Human Services' recent advisory opinion and track record on free drug programs provides a rubric for manufacturers to ensure that similar programs are viewed favorably under the Anti-Kickback Statute, say Dominick DiSabatino and Cortney Inman at Sheppard Mullin.

  • ACA Anti-Discrimination Rules May Apply To 3rd-Party Admin

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    A Washington federal court's recent ruling in C.P. v. Blue Cross Blue Shield, where a third-party administrator applied plan rules that excluded gender-affirming care, potentially expands the scope of covered entities under the Affordable Care Act's anti-discrimination rule, say Kara Backus and Allison Jacobsen at Lane Powell.

  • Courts Should Follow 8th Circ. On ERISA Procedure Rules

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    Other courts should take note of the Eighth Circuit's refusal to view Yates v. Symetra Life Insurance as an administrative law claim and join the growing effort to restore regular civil procedure to Employee Retirement Income Security Act cases, says Mark DeBofsky at DeBofsky Law.

  • High Court Ax Of Atty-Client Privilege Case Deepens Split

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    The U.S. Supreme Court's recent dismissal of In re: Grand Jury as improvidently granted maintains a three-way circuit split on the application of attorney-client privilege to multipurpose communications, although the justices have at least shown a desire to address it, say Trey Bourn and Thomas DiStanislao at Butler Snow.

  • Biden Admin.'s Anti-Merger Stance Is Leading To Bad Policies

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    A U.S. Department of Justice Antitrust Division speech reflects the Biden administration's goal to move enforcement in a markedly anti-merger direction, an approach that is leading to bad policies and enforcement decisions, says Cleary attorney David Gelfand, a former DOJ Antitrust Division official.

  • 9th Circ. Should Rethink Inadequate UBH Ruling

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    The Ninth Circuit should seriously consider rehearing Wit v. United Behavioral Health en banc because its recent claims reprocessing decision in the case raises troubling questions about the future of Employee Retirement Income Security Act's class actions, says Mark DeBofsky at DeBofsky Law.

  • Hertz Ruling Could Help Debtors Avoid Make-Whole Premiums

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    A Delaware bankruptcy court’s recent ruling in Hertz, disallowing claims for make-whole premiums and post-petition interest at the contract rate, could be relied upon by debtors to sidestep those provisions, and potentially provide higher recoveries for equity holders, say Theresa Foudy and Alexander Severance at MoFo.

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