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New Jersey Law Journal

New Jersey's Organized Delivery Systems Law Presents Unique Challenges for Value-Based Care

"In practice, current state law and regulations make it uniquely challenging for health care payers and providers in New Jersey to implement VBC arrangements," writes Michael J. Morris.
9 minute read

Daily Business Review

Florida Defense Firms Adapt as Insurers Exit and Tort Reforms Limit Claims

Insurance work has shrunk as a consequence of the state's insurance crisis and recent legislative changes. But some firms are still hiring, betting that top lawyers will attract lucrative matters.
6 minute read

New York Law Journal

Motor Scooters and No-Fault Insurance Coverage

Motorized scooters, mopeds and E-bikes are becoming more popular in both New York state and nationally. Several pieces of legislation have been passed allowing or expanding the use of lower speed E-bikes and E-scooters. Yet, the convenience and affordability also comes with a price in the form of injuries, sometimes fatal.
12 minute read

New York Law Journal

NY's Top Court to Mull Religious Group's Appeal of Abortion Coverage Mandate

Noel Francisco, a former U.S. solicitor general, and partner-in-charge at Jones Day's Washington, D.C. office is set to argue on behalf of the coalition, while New York Assistant Solicitor General Laura Etlinger will argue for the New York State Department of Financial Services' 2017 regulation.
4 minute read

Texas Lawyer

Mistaken About Policy Limit, Law Firm Now Stuck With $100K Settlement

The insurance company allegedly withheld policy documentation showing the death-claim limit was $500,000. The initial proposal to which Tessmer Law and its clients are bound is $100,000.
4 minute read

New York Law Journal

Novolex Holdings: A Rare Look at an RWI Claim Dispute

While RWI policies are manuscripted policies separately negotiated for each transaction, the vast majority contain arbitration clauses, meaning that claim disputes are resolved privately without published court rulings. The recent ruling in 'Novolex Holdings v. Illinois Union Insurance' sheds some light on one of these claim disputes, while also providing important lessons for insurers and M&A practitioners.
8 minute read

New Jersey Law Journal

'Trap for Unguarded Consumer': Appellate Ruling Finds UIM Step-Down Provision Was Unclear

The ruling, which denied Wausau Underwriters Insurance Co.'s motion for reconsideration, waded into a novel question of insurance law regarding coverage for a vehicle with an alternate garaging address than what's listed on the policy.
5 minute read

The Legal Intelligencer

Prophylactic Affirmative Defenses: Doing More Harm Than Good?

While merely striking affirmative defenses that should not have been in the action in the first place may not be a sufficient deterrent to curb the filing of frivolous defenses, where the assertion of such baseless prophylactic defenses occurs in first party insurance litigation, such as uninsured (UM) or underinsured (UIM) motorist claims, it may result in much harsher repercussions.
7 minute read

New Jersey Law Journal

Insurer Seeks Declaration It Has No Duty to Defend Sexual Abuse Suit Against Leonia School Board

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

Daily Business Review

Insurer Hit With Over 340% Surge of Lawsuits in Florida Federal Courts

Among the lawsuits is a civil RICO action over allegations that the insurer and 10 other carriers have operated as a "cartel."
3 minute read

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