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Law.com

Insurance Company Sues Over 180 Health Care Providers for Fraud Under RICO

The case is purportedly one of the largest insurance fraud actions under the Racketeer Influenced and Corrupt Organizations Act filed in New York.
3 minute read

Law.com

State High Court Bucks Trend Favoring Insurers, Sides With Restaurants Seeking COVID-19 Coverage

In more than 800 cases nationwide, federal and state courts have interpreted the phrase "direct physical loss" as requiring some physical alteration or damage to property. The North Carolina opinion's author, Justice Anita Earls, put the onus on the insurance companies to clearly indicate what is covered and excluded.
5 minute read

Daily Business Review

Navigating Florida Property Insurance Claims in a Post-Fee-Shifting World

This change has understandably caused concern among homeowners as the prospect of shouldering legal fees can make pursuing a claim financially daunting or impossible for most. Many in the industry, including public adjustors and plaintiffs attorneys who are familiar with property insurers’ regular practice of denying property claims without justification or underpaying claims, could reliably predict that these practices would worsen with the passage of SB 2A.
5 minute read

Law.com

US Judge Dismisses Securities Litigation Against Insurance Underwriter

U.S. District Judge Lewis Kaplan granted Argo Group's motion to dismiss for failure to state a claim where relief can be granted. Argo was represented by a team of Skadden attorneys.
2 minute read

New York Law Journal

New York Court of Appeals Tightens Pleading Standards Against Insurance Policyholder

In a recent split decision by the New York Court of Appeals in an insurance litigation case, the majority declined to extend a statute of limitation because, in its view, the insured’s complaint did not contain enough specific information about why the repairs were not completed within two years.
7 minute read

The Legal Intelligencer

Philadelphia Eagles 0-2 in Attempts to Recover Insurance on COVID-Related Losses

In Philadelphia Eagles v. Factory Mutual Insurance, the court concluded that its dismissal of the suit in October didn't warrant reconsideration, finding the motion wasn't based on any change in the law, new evidence or clear error.
4 minute read

Law.com

Former Cleveland Meteorologist Sues TV Station for Alcohol Use Disorder Discrimination Claims

This case was surfaced by Law.com Radar, ALM's source for immediate alerting on just-filed cases in federal and state courts. Law.com Radar now offers state court coverage nationwide. Sign up today and be among the first to know about new suits in your region, practice area or client sector.
3 minute read

Law.com

Insurers Dodge Sherwin-Williams' Claim for $102M Lead Paint Abatement Payment, State High Court Rules

This week, the Ohio Supreme Court unanimously agreed that the abatement fund payment did not constitute "damages" under Sherwin-Williams' insurance contracts.
5 minute read

Daily Business Review

Trying to Reason With Hurricane Season: Mediating First Party Property Insurance Claims

Mediation, which can be court-ordered or voluntary, often provides the parties the most efficient and satisfactory method to resolve their hurricane-related property damage claims. Here is a closer look at some of the issues that are frequently encountered when mediating first-party property insurance claims.
7 minute read

Law.com

Amid Growing Litigation Volume, Don't Expect UnitedHealthcare to Change Its Stripes After CEO's Killing

"[A]t the end of the day, these are for-profit companies. They're very good at making money, and I don't think it's going to change their behavior. And I think any sort of publicity effects will wear out over time," said John Aloysius Cogan Jr., a professor at the University of Connecticut School of Law.
6 minute read

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