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New York Law Journal

The False Claims Act: A Powerful Tool Against Federal Health Care Program Fraud

In his Insurance Fraud column, Evan H. Krinick writes: Recent settlements and civil fraud lawsuits brought by the DOJ or in which they have intervened in New York illustrate the breadth of fraudulent actions that providers continue to take as well as the importance of whistleblowers and watchful government investigators in the ongoing efforts to protect the federal programs.
10 minute read

Daily Business Review

Florida Supreme Court Justices to Take Up 'AOB' Insurance Fight

The Supreme Court's decision to hear the case could lead to resolving a conflict in lower courts about a restriction that insurers have tried to place on assignment of benefits.
4 minute read

New York Law Journal

2018 Review of UM, UIM and SUM Case Law

Insurance Law columnist Jonathan A. Dachs presents a brief survey of recent developments in the area of Uninsured Motorist, Underinsured Motorist, and Supplementary Uninsured/Underinsured Motorist law. As in the past, 2018 was marked by a great deal of significant activity in this highly litigated, ever-changing and complex area of the law.
17 minute read

The Recorder

Appeals Court Affirms Decisions Granting Insurer's Motions To Set Aside Millions In Default Judgments In Asbestos Cases

The First District Court of Appeal has affirmed decisions setting aside millions of dollars of default judgments in asbestos cases on the basis of “extrinsic mistake.”
6 minute read

Delaware Business Court Insider

NYC Investment Firm Entitled to Insurance Payment on $14.5M in Legal Costs, Del. Court Says

Judge William C. Carpenter said Wednesday that AR Capital, a New York-based investment and advisory firm, was covered under VEREIT's insurance policy for management services it had provided to VEREIT before the errors were discovered in late 2014.
4 minute read

The Legal Intelligencer

High Court Won't Disturb Ruling Requiring New Stacking Waivers for Certain Vehicles

The Pennsylvania Supreme Court has declined to review a Superior Court ruling that said an insured is entitled to stacked uninsured/underinsured motorist benefits because his insurer failed to have him sign new stacking waivers when he added his most recent vehicles to his policy via endorsement.
5 minute read

The Legal Intelligencer

Court: Insurer Must Defend Teen Accused of Cyberbullying Classmate Before Her Suicide

A federal district court in Pennsylvania has ruled that an insurance company must provide a defense to a teenage boy who was sued by the parents of a girl who committed suicide after he allegedly cyberbullied her.
5 minute read

New York Law Journal

BR-Code Support and EUO/IME No-Show Defense

In his No-Fault Insurance Law Wrap-Up, David M. Barshay discusses cases weighing-in on an insurer's burden to request additional verification to support by-report codes, and a recent Fourth Department ruling requiring timely denial for EUO/IME no-show defense.
10 minute read

The Recorder

UnitedHealthcare Pushes Back Against Lawsuit Claiming Underpayment for Mental Health Visits

Lawyers for affiliates of UnitedHealth Group Inc. claim that the lawsuit "challenges the common sense practice that health plans reimburse health care providers with different training, experience, and licensure at different rates."
3 minute read

Daily Business Review

State-Backed Citizens Property Pitches Insurance Rate Hikes

The proposal, which would take effect in September 2019, will go before the Citizens Board of Governors during a meeting Wednesday.
4 minute read

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