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Insurance

Appeals Business Health 

Medical Marijuana

February 25, 2021February 26, 2021 BRIEF
health care, Insurance, marijuana, pain, workers' compensation

An appeals court in New York upheld a Workers’ Compensation Board’s finding that an insurance carrier can be directed to pay for an injured police officer’s medical marijuana, which his pain management specialist prescribed to treat his chronic pain and reduce his reliance on prescription opiates.

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Appeals Law Regional 

Wisconsin Justices Tackle Domestic Abuse Law, Insurance Contracts in Arson Case

February 22, 2021February 22, 2021 JOE KELLY
arson, contract, domestic violence, Insurance, Wisconsin

A Wisconsin woman has so far been unable to convince the courts that she is due insurance coverage for the loss of her home and property inside after her estranged husband burned the house down while she was on vacation.

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Business Consumers Technology 

Data Breach

February 9, 2021February 10, 2021 BRIEF
credit and debit card, data breach, Insurance, Minnesota, retail

A federal court in Minnesota ruled against Target in its breach of contract dispute asking the court to declare that its insurance company is liable for settlement payments the retailer made arising from a data breach in which customers’ credit card data and personal contact information was stolen.

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Business Environment 

Chemical Cleanup

February 5, 2021February 8, 2021 BRIEF
chemicals, contract, Insurance, manufacturing

In a decades-long insurance dispute arising from environmental contamination at some of Olin Corporations’ manufacturing sites, a federal court in New York granted the manufacturer of chemicals and ammunition $25 million.

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Government Health 

California Turns to Blue Shield to Oversee Covid-19 Vaccine Effort

January 27, 2021January 28, 2021 NATHAN SOLIS
California, coronavirus, health care, Insurance, vaccines

California officials said Wednesday they will turn to a health care provider to fill the gaps in the state’s massive Covid-19 vaccination program after early efforts unevenly distributed the much-needed doses.

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Appeals Business Financial Health International 

UK Supreme Court Rules Insurers Must Compensate Firms Over Lockdown Losses

January 15, 2021January 15, 2021 AGENCE FRANCE-PRESSE
coronavirus, Insurance, small business, United Kingdom

Britain’s Supreme Court on Friday ruled that insurers must compensate small businesses forced into last year’s initial coronavirus lockdown, potentially a total payout of $1.6 billion.

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Entertainment 

Bergen County Boogie

January 13, 2021January 13, 2021 BRIEF
Insurance, Landlords, negligence, Real Estate

The rapper A. Boogie Wit Da Hoodie caused more than a quarter-million dollars in damage to a New Jersey home that he was leasing for $10,000 a month only to abandon it, door ajar, some time in 2018, insurers for the homeowners claim in court.

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Appeals Civil Rights Health 

Ninth Circuit Rules Trump Can Ban Immigrants Without Health Insurance

December 31, 2020January 4, 2021 JON PARTON
immigration, Insurance, Ninth Circuit, Trump administration

The Ninth Circuit on Thursday lifted a ban on President Donald Trump’s proclamation that bars entry to immigrants without health care or the means to pay for hospital bills.

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Business Consumers 

Square Footage

December 23, 2020December 24, 2020 BRIEF
California, Class Action, housing, Insurance, property

A federal court in California dismissed a class action that accused Allstate of double-counting the square footage of garages when determining the total square footage of properties in order to charge policyholders inflated premiums.

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Business Environment Government National 

Feds Won’t Require Insurance for Pollution Cleanup

November 25, 2020November 25, 2020 ERIKA WILLIAMS
chemicals, coal, EPA, Insurance, Oil and gas, toxic waste, Trump administration

Sparking criticism from environmentalists, the outgoing Trump administration said Wednesday it will not require power plants, chemical manufacturers and oil and gas producers to have insurance covering toxic waste cleanups.

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Appeals Business Law 

Top Florida Health Insurer Pushes Back on Antitrust Claims

November 20, 2020November 20, 2020 KAYLA GOGGIN
11th circuit, antitrust, Florida, Insurance

An attorney for Florida Blue, the state’s largest health insurer, asked an 11th Circuit panel Friday to uphold a ruling finding the company did not violate antitrust laws by preventing insurance brokers from selling policies for a competitor.

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Business Financial 

Business Losses

October 30, 2020November 2, 2020 BRIEF
coronavirus, Insurance, San Francisco, small business

A federal court in California dismissed a class action brought by small businesses who claim California Capital Insurance Company wrongly denied their claims for Covid-19-related losses. The insurance policy has a pathogenic organisms exclusion that bars the claims.

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Business Consumers Government Health 

New Rule Forces Upfront Disclosure of Health Care Costs

October 29, 2020October 29, 2020 JACK RODGERS
costs, health care, Insurance, transparency, Trump administration

The Trump administration on Thursday finalized a health care transparency rule requiring insurers to disclose up front the real cost of common medical procedures and tests.

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Appeals Government Health 

Workers’ Comp Off Limits for Medical Marijuana, Court Rules

October 27, 2020October 28, 2020 THOMAS F. HARRISON
drugs, Insurance, marijuana, Massachusetts, workers' compensation

Employees who use medical marijuana to cope with a work-related injury can’t get reimbursed for it through workers’ compensation, Massachusetts’ highest court held Tuesday.

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Business Health Religion 

Christian Group’s Insurance Plan Called a Fraud by New York

October 20, 2020October 20, 2020 EMILEE LARKIN
churches, Fraud, health care, Insurance, New York

New York accused an Amish church’s former cost-sharing partner on Tuesday of running an illegal insurance business that shortchanged some 40,000 enrollees who expected comprehensive health care plans.

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Business 

Defective Homes

October 20, 2020October 20, 2020 BRIEF
construction, contract, Insurance, New Orleans

An insurer argues it does not have to provide coverage to an architectural firm that built homes in New Orleans for Brad Pitt’s Make It Right Foundation because the company was aware of its own missteps and negligence in building the defective homes.

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Business Energy Regional 

Easy Fire

September 23, 2020September 24, 2020 BRIEF
California, Insurance, utilities, wildfires

Fifteen insurance companies have sued utilities giant Southern California Edison on claims of inverse condemnation and subrogation stemming from the Easy Fire, a relatively small wildfire that burned 1,806 acres of Ventura County in late 2019.

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Government Health Law 

Texas Medicaid

August 28, 2020August 31, 2020 BRIEF
doctors, health care, Insurance, Medicaid, Texas

A group of Medicaid recipients sued the Texas Health and Human Services Commission, accusing it of not implementing a 2019 law that guaranteed the right of those with complex medical needs to have continuity of care with their established providers regardless of whether the providers are in-network or out-of-network.

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Business Health 

Health Care Claims

August 26, 2020August 27, 2020 BRIEF
California, health care, Insurance, Trade

A group of out-of-network health care providers cannot prove United Behavioral Health unreasonably restrained trade, a federal court in California ruled, dismissing the case. The plaintiffs claimed the behavioral health claims handler fixed the amount that it reimbursed them, causing them to be consistently underpaid.

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Employment Health Sports 

Texas Judge Dismisses Federal Suit Against NFL Over Former Player’s Medical Claims

August 14, 2020August 17, 2020 DAVID LEE
CTE, disability, Insurance, NFL, retaliation, Texas

A federal judge in Texas Friday dismissed a clinic’s lawsuit claiming the National Football League pressured a health insurer to deny former players’ medical treatment claims in retaliation for test results being used in disability claims against the league.

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