LexisNexis® Legal Newsroom
    Ex-Blue Shield Exec Can't Ditch Suit Over Revealed Secrets

    A California judge ruled Friday that a former Blue Shield of California executive accused of divulging confidential records while publicizing the company's alleged abuses of its nonprofit status doesn't have an automatic First Amendment right to escape his former employer's breach of contract suit.

    Church-Linked Hospitals Urge High Court To Hear ERISA Cases

    Church-affiliated hospital networks in New Jersey and Illinois once again urged the U.S. Supreme Court this week to weigh in on whether employee retirement plans maintained by such organizations are exempt from the federal Employee Retirement Income Security Act, citing the potential for dire financial impacts from recent circuit court decisions.

    Fla. Pharmacy Owner To Settle Tricare Fraud Charges For $4M

    The part owner of a Florida pharmacy has agreed to pay $4.25 million to settle prosecutors' claims he knowingly billed certain federal health care programs for services that were not eligible for reimbursement.

    Illinois Senate Contenders Diverge On Trade, Health, Banks

    Lawyers watching for a possible shift of power in the U.S. Senate this fall may want to keep their eyes on Illinois, where a closely watched race has two candidates offering competing visions on U.S.-led trade agreements, the future of the Affordable Care Act, and how the government should regulate the financial industry.

    American Empire Says Central Park Co-Op Damage Not Covered

    American Empire Surplus Lines Insurance Company told a New York federal court on Friday it’s not obligated to cover a scaffolding business for claims it performed bad repairs on a Central Park co-op building, saying that kind of property damage is excluded under Nova Restoration Inc.’s commercial general liability insurance policy.

    Health Hires: Crowell & Moring, Goodwin, Faegre

    Crowell & Moring LLP has added an Employee Retirement Income Security Act and Affordable Care Act partner in its corporate, health care, tax and labor and employment groups. Goodwin Procter LLP grew its life sciences practices through a partner from U.S. Food and Drug Administration boutique Kleinfeld Kaplan & Becker LLP, and a UnitedHealth Group attorney has joined Faegre Baker Daniels’ insurance and health practices.

    BigLaw Turns To Partners To Shore Up Disability Risk

    With elite partnerships seeing more midcareer rainmakers pulling down seven-figure salaries, BigLaw is asking partners to pony up for an exotic insurance product to help protect the financial health of the business in the event rainmakers are suddenly disabled, experts say.

    What's In Store For DC Circ. In MetLife SIFI Tag Fight

    Federal financial regulators will make their case to the D.C. Circuit on Monday that a district court erred in axing their decision to deem MetLife a systemically important financial institution subject to stronger regulation. Here, Law360 breaks down the history of the case in advance of oral arguments.

    Liberty Mutual Pays $925K Over 'Accident Forgiveness' Ads

    Liberty Mutual has agreed to pay $925,000 to settle claims by three California district attorneys that its advertising of an “accident forgiveness” benefit in its auto policies was false under California law, officials said Friday.

    Medical Co. Never Bought Duty To Defend, Insurer Says

    Twin City Fire Insurance Co. urged a California federal judge not to grant summary judgment to policyholder Braden Partners LP in a coverage suit over an underlying whistleblower False Claims Act suit, saying Braden never bought duty-to-defend coverage and can’t be reimbursed for $3 million.

    Insurers' Biggest Headaches: Business Interruption Claims

    Business interruption claims can be very worrisome for insurers, frequently involving complex claims and significant rewards. Richard Ambrow of Troutman Sanders LLP analyzes significant recent cases involving such claims, highlighting common issues such as the purpose of business interruption coverage, and proving causation.

    2 Blue Cross Support Orgs Escape Antitrust MDL

    An Alabama federal judge on Thursday let off the hook two organizations accused in multidistrict litigation of conspiring with Blue Cross Blue Shield insurance plans to fix prices paid to medical providers, saying they were “pawns” of their BCBS owners and were incapable of engaging in the alleged scheme.

    Axis Says Tilton Bought $5M Policy While Under SEC Scrutiny

    Patriarch Partners boss Lynn Tilton knew her funds were under investigation by the U.S. Securities and Exchange Commission in August 2011 when she shopped Axis Insurance Co. for $5 million in excess coverage, the insurer's lawyer told a Manhattan federal judge Friday.

    Blue Cross Fights Mich. Tribe's Doc Bid In ERISA Suit

    Blue Cross Blue Shield of Michigan on Thursday fought a bid by the Little River Band of Ottawa Indians to compel the insurer to disclose information about its allegedly hidden fees in the tribe’s suit claiming the insurer disregarded the Employee Retirement Income Security Act while administering an employee health benefit plan.

    HUD Strikes Back Against Disparate Impact: Part 2

    The U.S. Department of Housing and Urban Development has recently responded to objections to its discriminatory effects rule. However, HUD's response places impractical burdens on insurers, and will likely be be challenged in the near future, says Robert Helfand of Carlton Fields Jorden Burt PA.

    When Your Client Is The President

    I went to the law books, where I discovered the crime of “obstruction of justice,” and realized I was right in the middle of a criminal conspiracy. I didn't fully understand my conduct during Watergate until — decades later — I learned about the psychology of cover-up at work, says John Dean, who served as White House counsel for President Richard Nixon.

    Condo Builder Gets Another Chance In Defect Coverage Suit

    A Florida federal judge on Thursday conditionally agreed to reconsider his ruling that a general contractor's insurance policy barred coverage for a lawsuit over damage to a condo tower because the damage was to the contractor's own work, asking for more briefing.

    Insurer Suit Barred After Settlement, NJ Court Says

    The New Jersey Appellate Division on Thursday upheld a lower court ruling dismissing an insurance company's lawsuit against an engineering firm over damages to a condo during a renovation project, finding the complaint was filed after the homeowner had already settled related claims.

    Title Insurance Co. Seeks Sanctions In Coverage Row

    Fidelity National Title Insurance Co. asked a Pennsylvania federal judge Thursday to sanction Maxum Indemnity Co. for failing to comply with orders to produce discovery documents in a suit accusing the insurer of breaching an agreement to indemnify a title insurance agent that mismanaged funds connected to Fidelity insurance policies.

    Evanston Wants Redo In Sewage Injury Coverage Suit

    Evanston Insurance Co. urged an Alabama federal court Thursday to reconsider its decision denying a judgement on the insurer’s claim it didn’t have to cover a policyholder facing suits over injuries and property damage stemming from sewage overflow, saying the court erred in the application of a pollution exclusion.

    Construction Co. Urges 11th Circ. To Rethink Roof Coverage

    Core Construction Services Southeast Inc. asked the Eleventh Circuit on Wednesday to rehear an appeal concerning insurer Crum & Forster's obligations in a $2.5 million fight over hurricane damage to a condo complex.

    Obama Defends ACA, Urges Republicans To Drop Attacks

    President Barack Obama on Thursday delivered a strident defense of the Affordable Care Act, brushing off concerns about rising costs and calling on Republicans to embrace and expand the law.

    Talent Agent's Insurer Looks To Duck Hogan Sex Tape Suit

    The insurance company for a talent agency accused of a scheme to expose Hulk Hogan’s sex tape has filed suit in New York state court in an effort escape coverage of the wrestler’s latest lawsuit.

    Apache Ruling Curbs Digital Fraud Coverage For Complex Scams

    The Fifth Circuit's ruling Wednesday that Apache Corp. isn't covered for losses stemming from a fraudulent scheme that caused it to reroute vendor payments to a phony account curtails the use of computer fraud insurance to cover complex, multistep scams, requiring that an act of computer-based deception directly cause the loss, experts say.

    9th Circ. Gives FDIC Win In St. Paul Ambiguous-Exclusion Row

    The Ninth Circuit on Wednesday affirmed a lower court’s decision to grant summary judgment to the Federal Deposit Insurance Corp. in a dispute with insurer St. Paul Mercury over coverage for a defunct bank, agreeing with the Eleventh Circuit’s take on the same policy applied to a different bank.