August 17, 2018 | New York Law Journal
So Far, No Consistent Lineup of Judges for Carriers or PolicyholdersEvan H. Krinick discusses the key insurance cases decided by the Court of Appeals and concludes: "At this early stage in this court's history, there does not yet seem to be a consistent lineup of judges on the carrier or the policyholder side."
By Evan H. Krinick
10 minute read
July 05, 2018 | New York Law Journal
Health Insurance Fraud: A Key Focus of State and Federal ProsecutorsIn his column on Insurance Fraud, Evan H. Krinick looks at two recent reports, one from the federal government and the other from New York's Department of Financial Services.
By Evan H. Krinick
1 minute read
May 03, 2018 | New York Law Journal
Credit Card Fraud Insurance Case Highlights Barriers to Suits Against BrokersIn his Insurance Fraud column, Evan H. Krinick writes: Four years ago, the New York Court of Appeals issued a decision which some thought might lead to more and more insurance brokers being sued by policyholders alleging that brokers had not obtained sufficient insurance or appropriate policies for them. Several recent cases illustrate that such claims are carefully scrutinized by the courts and make it clear that the floodgates have not opened and that brokers remain relatively well insulated from policyholder claims.
By Evan H. Krinick
9 minute read
March 05, 2018 | FC&S Insurance
Failure to Cooperate in Suspected Fraud Case Can Doom Insured’s ClaimAfter a policyholder submits a claim to an insurance company, the insurer investigates to determine whether to pay the claim, as the insurer is permitted…
By Evan H. Krinick
10 minute read
March 01, 2018 | New York Law Journal
Failure to Cooperate in Suspected Fraud Case Can Doom Insured's ClaimInsurance Fraud columnist Evan H. Krinick writes: In 'Fernandez v. Philadelphia Indemnity Ins. Co.', the court made it clear that a policyholder's duty to cooperate was paramount, and that the policyholder's failure to cooperate was enough to permit the insurer to deny the policyholder's claim—whether or not the claim actually was fraudulent.
By Evan H. Krinick
10 minute read
January 08, 2018 | FC&S Insurance
A Warning Signal for Auto Insurers from the Second CircuitTwenty-five years ago, in Riordan v. Nationwide Mutual Fire Ins. Co., 977 F.2d 47 (2d Cir. 1992), the U.S. Court of Appeals for the Second Circuit…
By Evan H. Krinick
9 minute read
January 04, 2018 | New York Law Journal
A Warning Signal for Auto Insurers From the Second CircuitInsurance Fraud columist Evan H. Krinick writes: In 'Nick's Garage v. Progressive Casualty Ins. Co.', the Second Circuit ruled that certain claims against auto insurers under §349 could proceed. The decision may embolden plaintiffs to assert more §349 claims against auto insurers in the future.
By Evan H. Krinick
9 minute read
November 08, 2017 | FC&S Insurance
N.Y. Appellate Term Split on Payment of Disputed No-Fault ClaimsThe Appellate Term, First Department, and the Appellate Term, Second Department, are divided on an issue of law that carries tremendous implications for…
By Evan H. Krinick
9 minute read
November 02, 2017 | New York Law Journal
Appellate Term Split on Payment of Disputed No-Fault ClaimsIn his Insurance Fraud column, Evan H. Krinick writes: Unless resolved by the Appellate Division or by the New York Court of Appeals, or clarified by the legislature or the Department of Financial Services, the Appellate Term split will make it difficult for automobile insurers to accurately calculate premium rates for no-fault coverage or to know which claims of health care providers they should pay.
By Evan H. Krinick
9 minute read
October 24, 2017 | Insurance Coverage Law Center
Diverse Legal Issues Can Arise in Insurance Fraud ProsecutionsThe key ingredient in a criminal prosecution for insurance fraud typically is a false insurance claim filed by the defendant. Even clear proof of a false…
By Evan H. Krinick
9 minute read