11th Circuit Tackles ‘Pre-Existing Condition’ Claim Denial
A lawyer facing a $400,000 bill for cancer treatment fought Wednesday at the 11th Circuit against her insurer’s definition of pre-existing condition.
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NRA Claims Insurer Was Politically Motivated to Drop Coverage
The National Rifle Association claims in court that its insurance provider unlawfully broke their long-standing contract after falling prey to “politically motivated coercion” by anti-gun activists.
Read moreAbbreviated Ponzi Case Argued at Third Circuit
Attorneys for title insurers accused of furthering a Ponzi scheme for nine months argued Monday at the Third Circuit that conduct must last at least a year to trigger civil racketeering charges.
Read moreDispute Over Breastfeeding Services May Lead to Trial
A federal judge said Thursday he may hold a bench trial to resolve a proposed class action accusing UnitedHealth Group of violating the Affordable Care Act by failing to cover breastfeeding services for new mothers.
Read moreWells Fargo Fined $1B for Auto, Mortgage Loan Abuses
Federal regulators slammed Wells Fargo with $1 billion in fines on Friday for its force-placed auto insurance policies and for making mortgage customers pay the fees it was supposed to carry.
Read moreNo Drone Insurance
Philadelphia Indemnity Insurance Co. claims in a federal complaint that it need not indemnify a family or Hollycal Production, whose drone used to photograph a wedding struck a family member in the eye, blinding her in that eye, because the policy does not cover drones.
Read moreBank of America Dealt Blow in $1.12 Billion FDIC Lawsuit Over Deposit Insurance Payments
A federal judge declined to dismiss an FDIC lawsuit seeking $1.12 billion from Bank of America for allegedly underpaying what it owed for deposit insurance.
Read moreCalifornia Bill Would Create Health Care Price Controls
California’s government would set prices for hospital stays, doctor visits and other health care services under legislation introduced Monday, vastly remaking the industry in a bid to lower health care costs.
Read moreWildfire Insurance
State Farm General Insurance Co. arbitrarily and unfairly reduced the cost of HEPA vacuuming and cleaning of wildfire smoke, soot and ash by about $1,500 per home after the 5,619-acre Creek Fire, of Dec. 5, 2017m to Jan. 9, 2018, a class claims in L.A. Superior Court.
Read moreInsurance Fraud
Saying it was the victim of a long-running export insurance fraud involving consumer electronics, Korea Trade Insurance Corp. filed suit for $137 million against ActiveOn Inc., On Corp. US and RCA Electronics Inc. in San Diego County Superior Court.
Read moreThree Charged With Bribery in Alabama Over Diabetes Care
A federal indictment unsealed Monday claims the founder of Trina Health bribed a former Republican Alabama lawmaker in an effort to force the state’s largest insurer to cover the specialized diabetes treatment his clinics provided.
Read moreNinth Circuit Reverses Decision Against Medi-Cal
The Ninth Circuit reversed a lower court decision Monday that has left hospitals in states neighboring California saying they lost millions in underpaid claims.
Read moreMurder Victim’s Mother Wins Back Life Insurance Money
A mother whose son was murdered by a contract killer should not have had his life insurance proceeds taken by her husband’s ex-wife, a New York appeals court ruled.
Read moreHigh Court Tackles Law on Post-Divorce Insurance Squabbles
The Supreme Court appeared unlikely Monday to strike down a Minnesota law that keeps people from collecting on their exes’ life-insurance policies
Read moreCigna Plans to Buy Drug-Plan Firm for $67 Billion
Health insurance giant Cigna announced Tuesday that it is buying Missouri-based pharmacy benefits manager Express Scripts for $67 billion, a deal that could give Cigna more control over drug prices.
Read moreAppeals Court Invokes Shakespeare in $18 Million Wine Fraud
Quoting from “Othello,” then rather painfully imitating it, a California appeals court affirmed judgment Wednesday for an insurer that refused to cover a wine collector’s purchase of millions of dollars of counterfeit wine from a “villainous wine collector.”
Read moreStates Defend Obamacare’s Consumer Protections From Trump
Part of his long line of actions to defend the Affordable Care Act, New York Attorney General Eric Schneiderman led 12 other states on Wednesday in opposing a new rule that would gut the law’s consumer protections.
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