Republican leadership in the House and Senate will need to refocus their efforts this week, after a failed attempt to repeal and replace the Affordable Care Act. The lead-up to the canceled vote last week highlighted the divisions within the Republican conference, say Richard Hertling and Kaitlyn McClure of Covington & Burling LLP.
A California state jury on Thursday awarded a homeowner more than $1.3 million in his dispute with an Ameriprise insurer over vandalism coverage, finding that the insurance company had failed to pay policy benefits and engaged in bad faith conduct.
The collapse of Republican efforts to repeal and replace the Affordable Care Act leaves GOP lawmakers and President Donald Trump facing strong pressure to help implement a law they have bitterly opposed for years, experts say.
Delaware's high court ruled Thursday that New York law applies to Chemtura Corp.'s entire dispute with Lloyd's of London underwriters over coverage for costs to clean up a pair of contaminated sites, overturning a lower holding that the laws of the states where the underlying claims arose should apply on a claim-by-claim basis.
Liberty Mutual Insurance Co. fought back Friday against a bid by Commercial Concrete Systems LLC to disqualify a Florida federal judge from adjudicating a breach of indemnity agreement suit, arguing the judge's brief stint as a lawyer at the firm advising Liberty does not indicate bias.
A New York federal judge on Thursday dismissed two of six counterclaims brought by Express Scripts against Anthem Inc. in a dispute over negotiations tied to a pharmacy benefit management services contract between the two companies, finding that they were too similar to another of Express Script’s allegations.
Insurance subscribers in multidistrict litigation accusing Blue Cross Blue Shield of a massive price-fixing conspiracy asked an Alabama federal judge to reconsider some of his summary judgment ruling, arguing Thursday that the company’s out-of-state plans don't qualify for antitrust immunity.
House Republicans on Friday called off a vote to repeal and replace much of the Affordable Care Act, a dramatic setback after President Donald Trump shut down negotiations and tried to force the legislation ahead.
Education technology company HotChalk Inc. on Friday urged the Ninth Circuit to reverse a California federal judge's decision that it isn't covered for its costs to defend and settle a False Claims Act suit accusing it of unlawfully offering incentives to employees for student recruitment, saying the ruling renders its insurance policy worthless.
A Texas federal judge on Thursday adopted a magistrate's recommendation issued last month and denied Orion Project Services LLC's bid for an early win on its claims that its insurer owes it defense costs for a suit brought by the family of a worker killed in a 2013 terror attack.
Anthem Inc. fought to salvage its thwarted $54 billion merger with Cigna Corp. during oral arguments before a D.C. Circuit panel on Friday, claiming that a trial judge ignored the deal’s massive medical cost savings when she blocked it for being anti-competitive.
The Bank of England said Friday it will hike the fees levied on the financial institutions and insurance firms it regulates to recover the £5.4 million ($6.7 million) of regulatory costs associated with Britain’s withdrawal from the European Union, and warned firms might need to cough up more money later on.
The European Union should hand greater powers to national and even regional regulators, a top European Central Bank official said Friday, in the face of surging nationalism in key member states.
Why did minor mechanical issues bring down two airplanes, while a catastrophic engine explosion did not bring down a third? The answers lie, in part, in research conducted by NASA in the wake of those crashes and, more recently, by Google. And those answers can help organizations build better teams to meet today’s legal industry challenges, says Nicholas Cheolas of Zelle LLP.
CHICAGO - The liquidator of a pair of insolvent insurers told a federal court in Illinois on March 22 that the claims she brings against a mortgage insurance reinsurer are sufficient to survive a motion to dismiss (People of the State of Illinois, ex rel., Acting Director of Insurance, Anne Melissa Dowling v. HMC Reinsurance Company, a Vermont Corporation, No. 16-cv-08156, N.D. Ill.).
TUSCALOOSA, Ala. - An Alabama federal judge on March 21 held that federal flood insurer does not owe coverage for an insured's claim for land and relocation damages arising from a heavy rain that caused a local river to flood (Crawford Nixon v. Nationwide Mutual Insurance Co., No. 15-00186, N.D. Ala., 2017 U.S. Dist. LEXIS 40239).
BOSTON - Three subcontractors owe a defense to a general contractor against negligence and breach of the implied warranties of habitability and good workmanship claims brought by a subrogated insurer for water damage in a condominium building, a Massachusetts federal judge ruled March 22 (Philadelphia Indemnity Insurance Co. v. Consigli Construction Company Inc., et al. v. Central Ceilings Inc., No. 14-14687, D. Mass., 2017 U.S. Dist. LEXIS 41444).
CHICAGO - An Illinois judge on March 22 sustained an insurance guaranty association's objection, finding that an insolvent insurer's special deposit cannot be used to pay the guaranty association's general administrative expenses (People of the State of Illinois, ex rel. Andrew Boron, Director of Insurance of the State of Illinois v. Lumbermens Mutual Casualty Co., No. 12-24227, Ill. Cir., Cook Co.).
SAN DIEGO - An insurer is entitled to $37,000 in restitution from a man who pleaded guilty to misrepresenting to the company that nurses he sent to work at skilled-nursing facilities were computer programmers to obtain a lower workers' compensation policy premium, a California appeals panel ruled March 22 in affirming the man's conviction (People v. John Paul Riddles, No. D069419, Calif. App., 4th Dist., 1st Div., 2017 Calif. App. LEXIS 259).
GRAND RAPIDS, Mich. - A disability insurer's reliance on a claimant's attendance requirements for a doctoral degree program was properly considered by the insurer when it terminated the claimant's long-term disability benefits on the basis that the claimant was not disabled from performing "any gainful occupation," a Michigan federal judge said March 21 in granting the insurer's motion for judgment on the administrative record (Sherri Black v. Metropolitan Life Insurance Co., No. 15-1147, W.D. Mich., 2017 U.S. Dist. LEXIS 40168).
BALTIMORE - A Maryland federal judge on March 22 denied an underlying plaintiff's motion for a temporary restraining order seeking to ban an insurer and its insured from reaching a settlement for an underlying judgment awarded for personal injuries in a lead paint exposure suit (CX Reinsurance Co. Ltd., v. Benjamin L. Kirson, et al., No. 15-3132, D. Md., 2017 U.S. Dist. LEXIS 41230).
MIAMI - A Florida appeals panel on March 22 held that an insured's post-appraisal submission of increased costs in a Hurricane Wilma coverage dispute is not a legally sufficient basis to reopen the existing appraisal or conduct a new appraisal (Orlando Noa v. Florida Insurance Guaranty Association, No. 3D16-1367, Fla. App., 3rd Dist., 2017 Fla. App. LEXIS 3787).
As President Donald Trump and House Republicans struggle to get backers for their health care plan to replace the Affordable Care Act, Law360 looks at some of the controversial tax changes that are holding up a House vote.
The U.S. House of Representatives on Wednesday overwhelmingly passed a bill that restores the government’s ability to charge health insurers under federal antitrust laws, but while Republicans touted it as a way to protect competition and consumers, Democrats called such claims “exaggerated.”
A Dallas anesthesiologist will spend about three and a half years in prison and must pay $7.4 million in restitution after a Texas federal jury found him guilty of seven counts of health care fraud, a Texas federal judge has ruled.