More Insurance Coverage
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March 11, 2024
12 Attys Depart Plunkett Cooney For Own Firm
A dozen Plunkett Cooney PC attorneys based in Michigan have broken away to create their own firm focused on auto insurance liability defense.
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March 11, 2024
Catching Up With Delaware's Chancery Court
Delaware's Court of Chancery became a hot topic in New Orleans last week as litigators and judges at an annual convention acknowledged the First State's corporate law preeminence is under scrutiny. Back home, the court moved ahead on disputes involving Meta Platforms, Abercrombie & Fitch and Donald Trump.
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March 11, 2024
DOL Sends Fiduciary Rule Rewrite To White House
The U.S. Department of Labor transmitted its retirement security proposal that would broaden the definition of who qualifies as a fiduciary under the Employee Retirement Income Security Act to a White House office for final review over the weekend.
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March 08, 2024
Deadline Drama Briefly Threatens Suit Against Insurer VSP
A California federal judge threatened Thursday to toss Total Vision's antitrust claims accusing eye care insurance giant VSP of hamstringing it, in what appears to be a misreading of the schedule over missed deadlines that were actually pushed back, prompting the threat's retraction the next day.
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March 08, 2024
'It Erases Us': Sex Abuse Survivors Troubled By Wash. Bill
Washington Gov. Jay Inslee is expected to sign into law a bill that eliminates time limits for bringing child sex abuse claims in the future, but survivors say they are disappointed by an amendment stripping the bill's retroactivity, saying the legislation doesn't go far enough to hold abusers accountable.
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March 08, 2024
Fla. Lawmakers OK Budget With Insurance, Sales Tax Breaks
Florida is slated to renew a slew of sales tax holidays, provide a one-year insurance tax cut and extend the time period for taxpayers to seek tax settlements after a death or natural disaster under a $117.5 billion budget the state Legislature approved Friday.
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March 08, 2024
Coverage Capped At $300K In Crash Suit, 4th Circ. Told
An insurer urged the Fourth Circuit to uphold a lower court's ruling restricting a couple's underinsured motorist coverage to $300,000 following a wreck, arguing that the policy's language prevails over a North Carolina statute and, as such, its payout is offset by three primary insurers' contributions.
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March 07, 2024
Pa. Justices To Consider Liability Of Parents Hiding Son's Gun
The Supreme Court of Pennsylvania agreed to hear an appeal asking whether the parents of a convicted murderer can be held liable for the victim's family's emotional trauma because their alleged concealment of the murder weapon delayed the discovery of their son's body.
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March 07, 2024
Anti-Fraud Tool At Risk In 8th Circ. Billing Row, Carriers Say
Insurers' ability to enter agreements that limit billings with healthcare providers, which they contend help combat insurance fraud, is up in the air in Minnesota as the Eighth Circuit gears up to hear arguments Thursday over whether such agreements violate a state law guaranteeing prompt automobile accident insurance payouts.
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March 07, 2024
Women In Insurance Law On Breaking Down Barriers
Building a better environment for women in the legal industry starts from the top, women in insurance law told Law360. To mark International Women's Day, both junior and senior women attorneys share their experiences in the industry and offer words of advice.
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March 07, 2024
Bradley Arant Adds Insurance Atty From Barnes & Thornburg
Bradley Arant Boult Cummings LLP has strengthened its policyholder insurance coverage team by adding a former Barnes & Thornburg LLP partner based in Atlanta and Tampa, Florida, who has recovered more than $500 million for clients over the past three years, the firm announced Wednesday.
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March 07, 2024
Idaho Cuts Biz Unemployment Insurance Tax Rates
Idaho businesses will see lower unemployment insurance tax rates than previously forecast under legislation signed into law by the governor.
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March 07, 2024
Feds Look To Bar Advice-Of-Counsel Defense From Tax Trial
Federal prosecutors have sought to prevent two attorneys and an insurance agent from relying on advice-of-counsel defenses in their upcoming tax fraud trial, telling a North Carolina federal judge the trio failed to give the court an adequate heads-up about their intended defense.
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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.
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.