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    Biz Model Deceived Insurers, Allstate Tells NJ High Court

    Allstate Insurance Co. told the New Jersey Supreme Court Wednesday that a business partnership that submitted claims to the insurer was intentionally structured in violation of state insurance fraud law, urging the justices to reinstate the nearly $4 million trial court award overturned on appeal.

    NY Appeals Court OKs Dismissal Of GreenPoint RMBS Claim

    A split New York state appeals court has upheld a lower court’s decision to dismiss part of a breach of contract claim in a suit involving residential mortgage backed securities as time-barred, saying that a summons with notice is insufficient to replace a contractually required notice.

    MF Global Insurers Warned Over Seeking Impermissible Relief

    A New York bankruptcy judge on Wednesday warned Ironshore Insurance Ltd. and others accused of wrongfully refusing to participate in the payment of a massive settlement in connection with MF Global's infamous collapse of “draconian sanctions” should they again seek relief from a Bermuda court.

    Canada Rider Nixes Lloyd's Policy's Arbitration Clause: Court

    An Ontario judge has refused a request by a Lloyd’s insurer to send a Canadian trade financier’s lawsuit against it to London arbitration, saying an endorsement to the base policy meant to make it comport with Canadian laws opened the door to lawsuits and outweighed an arbitration clause.

    Insurer Wants Out Of Shoddy Townhome Construction Dispute

    Nautilus Insurance Co. has asked an Illinois federal court to find that it doesn't have to cover a roofing subcontractor in litigation tied to allegedly faulty work resulting in more than $6.6 million in damage to scores of townhomes, asserting that its policy was not in effect when the work occurred.

    9th Circ Can't Review Class Action Remands Outside CAFA

    The Ninth Circuit on Tuesday ruled in a case of first impression that it can’t review district courts’ remand orders in class action cases that weren’t brought under the Class Action Fairness Act, rejecting Liberty Mutual Fire Insurance Co.’s bid to keep a proposed class suit over medical payments in Washington federal court.

    Congress Takes First Steps To Repeal Affordable Care Act

    Congressional Republicans took the first votes on the path to repealing the Affordable Care Act on Wednesday, as Vice President-elect Mike Pence promised that repeal will be the "first order" of the new administration.

    Holder, Covington To Help Calif. Resist Trump Changes

    Covington & Burling LLP partner and former U.S. Attorney General Eric H. Holder Jr. will lead the charge in advising the California Legislature on legal challenges from the incoming administration in areas including immigration, health care and the environment, state legislative leaders said Wednesday.

    Judge Searches For Answers At Close Of Anthem-Cigna Trial

    A D.C. federal judge struggled Wednesday with what to make of Anthem Inc.’s claims that its $54 billion merger with Cigna Corp. will generate enormous medical savings for consumers, as a marathon bench trial of the government’s challenge to the mega-deal came to a close.

    Safeway, Insurer Seek Quick Wins In Shooting Coverage Row

    Seneca Insurance Company on Tuesday pushed for Georgia judge to quickly conclude it owed no coverage towards a man’s underlying suit against Safeway after being shot in its parking lot, while the grocery story chain maintained its policy still applies.

    VP-Elect Pence Promises Executive Action On Day One

    President-elect Donald Trump will start rolling back President Barack Obama's executive actions on a variety of issues on Inauguration Day, Vice President-elect Mike Pence said Wednesday.

    Insurer Says Bike Coverage Row Belongs In Arbitration

    A Taiwanese insurer asked a Wisconsin judge Tuesday to toss a lawsuit claiming it must pay its fair share of more than $1 million stemming from a lawsuit filed by a man who became quadriplegic following a horrific cycling accident, saying the dispute must be arbitrated in Taiwan.

    Real Estate Rumors: Swiss Re, Kaiser, Capgemini America

    Insurance firm Swiss Re has reportedly leased nearly 68,000 square feet in New York, Kaiser Permanente is said to have completed a three-building expansion project in California and consulting firm Capgemini America has reportedly leased 43,000 square feet in Manhattan.

    Texas Tenant Liable For Fire Under Apartment Lease

    An apartment tenant whose dryer caught fire must indemnify Philadelphia Indemnity Insurance Co. for damage to the property under a standard Texas lease after a Texas appellate court on Wednesday rejected arguments the lease contained an improper strict liability clause.

    Prudential Defeats ERISA Suit Over Revenue Sharing

    Prudential Retirement Insurance and Annuity Co. has beaten a proposed class action alleging it operates a pay-to-play scheme by forging agreements with mutual funds the suit likens to kickbacks after a Connecticut federal judge ruled Prudential isn’t a fiduciary for a plumbing supplies wholesaler’s retirement plans.

    Potential SAFETY Act Issues For Insurers To Consider

    Although the Support Antiterrorism by Fostering Effective Technologies Act provides numerous protections for sellers of qualified antiterrorism technology, several uncertainties surround the questions of if and how the act would apply to a mass-loss event. Insurance carriers should enact their own safeguards against the act's uncertain application, says Brandon Almond of Troutman Sanders LLP.

    Small-Employer Relief In Cures Act Includes A Few Hurdles

    Tucked at the very end of the recently enacted 21st Century Cures Act is a provision allowing certain small employers to offer their employees a health reimbursement arrangement that need not be “integrated” with a group health plan. Employers should understand, however, that this new vehicle comes with a raft of restrictions, says Kenneth Mason of Spencer Fane LLP.

    NY Revises Cybersecurity Rule, Extends Compliance Deadline

    The New York Department of Financial Services last week revamped a first-of-its-kind cybersecurity rule for banks and insurers, easing some requirements for tasks such as encrypting data and breach notification and officially extending the compliance deadline to March 1.

    Repeal Of Chevron Doctrine Proposed By GOP Rep. Goodlatte

    U.S. Rep. Rob Goodlatte, R-Va., has resurrected a plan to overturn the U.S. Supreme Court’s longstanding Chevron doctrine, which gives deference to federal agencies’ interpretations of ambiguous laws, by including changes to judicial review powers in a sweeping regulatory reform package introduced Tuesday.

    Anthem Expert Faces Cold Bench At Merger Trial

    A Princeton University economist claiming Anthem Inc.’s $54 billion merger with Cigna Corp. won’t harm competition in the health insurance market met a cool reception Tuesday from a D.C. federal judge, who appeared skeptical of his analysis about market concentration during a bench trial.

    Mich. Tribe Fights Blue Cross' Sanctions Bid In ERISA Suit

    The Little River Band of Ottawa Indians insisted last week it had a valid reason for asking to extend the deadline on its expert disclosure, blasting Blue Cross Blue Shield of Michigan’s sanctions bid in the tribe’s suit alleging the insurer disregarded the Employee Retirement Income Security Act while administering an employee health benefit plan.

    Foley & Lardner Whiffed On Noncompetes, Insurer Says

    A Florida insurance company has sued Foley & Lardner LLP for malpractice in Wisconsin federal court, saying the law firm made a $1.7 million flub by failing to ensure that key employees of a claims processing technology company it acquired signed noncompete agreements.

    House Rules Could Ease Affordable Care Act Repeal

    House Republicans on Tuesday voted through rules changes that would grease the wheels of Affordable Care Act repeal and replacement this year, exempting the bills from new budget rules meant to limit spending increases.

    ACA Replacement Details Needed Before Repeal, AMA Says

    Congressional Republicans should release more details on an Affordable Care Act replacement in order to allow robust debate before they consider repealing the landmark law, the American Medical Association said Tuesday

    NJ, Allstate Bring Claims Of Massive Auto Insurance Fraud

    The New Jersey Department of Banking and Insurance and Allstate Insurance Co. on Tuesday accused the criminally convicted owners of several New Jersey chiropractic centers of engaging in a massive fraud scheme involving a host of health care providers, lawyers and others who recruited automobile accident victims to file claims for treatment.