Learn about the specific statutory language that may be required for an insurer’s determination letter denying coverage with this 50-state survey. Includes standards courts use to determine if a denial letter was proper, and cites to applicable statutes and...
Discover the types of civil litigation that can be filed against insurance intermediaries by their clients, insurance regulators, and insurers. Provides an overview of common fact patterns to provide nuanced guidance. READ NOW » Related Content Errors...
Learn about the vital prerequisites that underscore an insurer’s obligation to pay benefits on a LTCI policy. Discusses the considerations to be addressed and critical steps in the claims filing process that do not exist with other kinds of insurance. Also...
Keep a keen eye on the regulatory mandates in the New York Department of Financial Services recent Cyber Insurance Framework Letter with this checklist that outlines important steps for ensuring that property and casualty insurers have effective policies and procedures...
Tune in to the impacts that cannabis legalization continues to have on insurance with leading-edge practical guidance straight from a senior director at American Property Casualty Insurance Association. Discusses state laws, federal developments, workers’...
Gear up for battle with the COVID-19 Insurance Litigation Resource Kit , a collection of guidance that provides parties on all sides of a coverage dispute with pre-litigation and litigation strategies for business interruption, event cancellation, negligence, employment...
Get to know our most comprehensive collection of COVID-19-related practice notes, checklists, and state law surveys that provide insurers, policyholders, and intermediaries with the practical guidance they need to get back to business in a post-pandemic world....
Learn about the payment mechanisms for long-term care insurance (LTCI) policies and the potential liabilities that can arise from this type of coverage. READ NOW » Related Content: Long-Term Care Financing Checklist Review the key issues to consider...
Dive into the important concepts and considerations that underscore insurance designed to cover custodial care for senior policyholders and other vulnerable consumers. This practice note explains LTCI and how it works, different types of care, premiums, benefit...
Learn about the background, structure, and operations of managed care plans. This practice note focuses on the common threads of managing the delivery of healthcare, including the scope of medical services, as well as accessing and financing those services. READ...
Learn to identify the triggers that can cause claims under health insurance policies to develop into litigation and how to proceed with or defend a civil action on a COVID-19–related health insurance claim involving policyholders, insurers, insurance intermediaries...
Follow preliminary steps and address key considerations that arise during the investigation phase of a health insurance claim with this practice note, which evaluates applications, policy issuance, and the claims process. The overlay of COVID-19—which demands...
Grasp the big picture and drill down to specifics with our expanding collection of state law surveys that address key insurance coverage litigation topics. These comprehensive charts link to and analyze relevant case law, statutes, and regulations across jurisdictions...
Get clarity on the potential bases for COVID-19-related civil actions on life insurance policies involving insurers, insurance intermediaries, policyholders, and beneficiaries with this practice note. It provides guidance on litigation basics like potential parties...
Get up to speed on the impact of COVID-19 during the pre-litigation phase of a life insurance claim with this practice note, which discusses issues that may lead to life insurance litigation. The practice note clarifies key life insurance principles, explains the...