Posts tagged with: "insurance"
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7 Apr 2014, 11:04 am by Mandelman
  Craig Lack is widely considered to be America’s top health care cost reduction authority.  For over 20 years, Craig has been the CEO of Energi, the Employer’s National Expert Resource Group, Inc., a health benefits consulting firm that specializes in designing health benefit plans for middle market employers. More recently, and based on his extensive study of the Affordable Care Act, he created Performance Based Health Plans,  an innovative and unique performance-based… [read post]
7 Apr 2014, 10:08 am by Hunter Biederman
Collin County DWI cases often involve license suspension issues along with the criminal cases. Should your license be suspended as a result of a criminal conviction, or as part of an administrative suspension (ALR suspension), odds are you are going to want to be driving legally again. In order to be driving legally, you must obtain an occupational drivers license.  An "ODL" has several requirements before being granted by the judge and by DPS.  One of the most confusing to many has always… [read post]
7 Apr 2014, 6:03 am by Leonard Jernigan
Today’s post comes from guest author Kit Case, from Causey Law Firm. The Washington State Association for Justice (WSAJ) has released their publication “Understanding Your Auto Insurance” as an online flip-book. This booklet explains the various components that make up auto insurance coverage, including liability coverage, personal injury protection (PIP) coverage and underinsured motorist, collision and comprehensive coverage options. Details about who is covered under a policy… [read post]
7 Apr 2014, 4:30 am by Larry Bache
From April to June, 2013, the state of Oklahoma was slammed with continuous severe weather, including multiple hails storms and horrific tornadoes. Roofs were destroyed, cars totaled, and many people had to relocate. After the storm, these policyholders contacted their insurance companies for help. I spent last week meeting many of these policyholders. In my discussions with them, they were scared and didn't know what to expect; however, they believed their insurance companies would sweep in and… [read post]
7 Apr 2014, 3:54 am by Kevin LaCroix
In an interesting March 31, 2014 opinion (here), the Unites States Court of Appeals for the First Circuit, applying Puerto Rico law, affirmed a district court’s ruling that the D&O insurer for the failed Westernbank of Mayaguez, Puerto Rico must advance the bank’s former directors’ and officers’ expenses incurred in defending the FDIC’s suit against them in its capacity as the failed bank’s receiver. Though the case ultimately involves an interpretation of… [read post]
7 Apr 2014, 3:19 am by Kevin LaCroix
As I have previously noted on this blog, a recurring insurance coverage issue is whether or not the costs incurred in responding to a regulatory or enforcement subpoena represent covered defense under a D&O insurance policy. In an interesting March 27, 2014 memo entitled “D&O Coverage for Subpoena Response Costs: An Emerging Consensus?” (here), Benjamin D. Tiersky of the Orrick law firm takes a closer look at the recent case law and concludes that “there is a general trend… [read post]
6 Apr 2014, 8:41 pm
In 2012, nine million disabled individuals in the United States received around $120 billion in federal disability benefits through Social Security Disability (SSD). The large expenditures have led to calls for reform of the SSD system, but it is important to realize that spending was not uniform across the United States. As the Washington Post notes, certain counties have much higher rates of disabled individuals obtaining benefits than others and this geographic difference may be the key to… [read post]
6 Apr 2014, 9:24 am by S2KM Limited
Personal injury settlement planning and special needs planning represent two overlapping professions undergoing transformation and expansion as complex new legislation, regulations and case law interact to redefine their legal environment. In addition to studying these new laws, settlement planners and special needs planners must address their impact on fundamental issues such as "know your client", "needs analysis", "best practices", "industry standards" and "product suitability", as well as… [read post]
5 Apr 2014, 7:14 am by Mark S. Humphreys
Insurance lawyers in Dallas need to be able to tell a new client whether or not they have a claim worth pursuing. In 1963, the Waco Court of Appeals issued an opinion that insurance lawyers should know about. The style of the case is, Ferguson v. Aetna Casualty & Surety Company. Here is the relevant information from that case. Ferguson sued Aetna Casualty upon the 'medical payments provision' of a policy issued upon her automobile. Such policy provided medical payments for the named insured… [read post]
5 Apr 2014, 6:51 am by Denise Sze
I blogged about earthquake “swarms” (multiple earthquakes clustered in the same region) that occurred in Southern California in September of 2012. Now, less than two years later, Southern California has been rocked by more swarms of a slightly greater magnitude. Approximately two weeks ago, on March 17, 2014 I was jolted awake around 6:30 am when a 4.2 magnitude earthquake struck in the mountain pass between the Westside and the Valley. Last week, Los Angeles County experienced a 5.1… [read post]
4 Apr 2014, 1:54 pm by Fernando L. Roig, Esq.
Posted speed limits on I-95 and other Florida interstate highways could increase from 65 to 75, if legislation introduced in the Florida legislature by Florida Senator Jeff Clemens (D-Lake Worth) passes. Senate Bill 392 would allow the Department of Transportation to raise the maximum allowable speed limit on certain highways like Interstate 95 that are part of the National System of Interstate and Defense Highways and have at least four lanes. There are critics on both sides of the proposed speed… [read post]
4 Apr 2014, 8:27 am by Cynthia Marcotte Stamer
Yesterday’s announcement of the exclusion of the operator and manager of the national dental chain, Small Smiles Dental Centers, from exclusion in Medicaid, Medicare and other federal health programs highlights the risks health care providers run by failing to comply with a Corporate Integrity Agreement. Daniel R. Levinson, Inspector General of the U.S. Department of […] [read post]
4 Apr 2014, 4:30 am by Charles Mathis
Recently, I received a telephone call from a homeowner who had suffered flooding in his basement due to snowmelt and wanted to know if his Standard Flood Insurance Policy (SFIP) would provide coverage for him. The Federal Emergency Management Agency (FEMA) has posted a number of websites and articles discussing the need for flood insurance due to the risks of snowmelt and spring thaw. In one such article, FEMA references the potential flooding risks of spring as, “the time of year when the… [read post]
4 Apr 2014, 4:28 am
Rather extraordinary claims were recently made by researchers in a Nature Medicine article that may forever change the long-term care planning landscape. Scientists from Georgetown University are claiming to have developed a blood test that can determine whether an individual will develop dementia symptoms within two or three years. Their findings suggest the test is 90% accurate. While few are questioning the researchers methods, it is still to early to know if the results will hold up in future… [read post]
3 Apr 2014, 3:46 pm
Hard Hat Workforce Solutions, LLC v. Mech. HVAC Servs., Inc., 406 S.C. 294, 750 S.E.2d 921, 922 (2013). How confident are you that the payment bond your subcontract required you to obtain falls within your state's payment bond statutory scheme? In Hard Hat Workforce Solutions, LLC v. Mech. HVAC Servs., Inc., 406 S.C. 294, 296, 750 S.E.2d 921, 922 (2013), the Supreme Court of South Carolina reversed the Special Circuit Courts decision granting summary judgment relief for a surety defendant on the… [read post]
3 Apr 2014, 1:59 pm by admin
On March 24, 2014, a federal judge in Ohio reprimanded Unum for attempting to re-write the terms of its own policy in order to cut off disability benefits of one of its insured physicians. The plaintiff in Jalali v. Unum Life Insurance Company of America was a disabled physician who suffered from incapacitating leg and back pain following two failed back surgeries. In order to be considered “disabled” under her Unum policy, Dr. Jalai had to be unable to perform the duties of… [read post]
3 Apr 2014, 1:27 pm by Corey Harris
A colleague recently sent me an opinion piece from the Palm Beach Post written by the President and CEO of Citizens Property Insurance Corporation, Florida’s state run insurer of last resort. While purporting to looking out for the interests of its policyholders, and Florida taxpayers in general, Gilway addresses the mounting criticism from insurance professionals, politicians, and the public alike over the carrier’s handling of litigation and claims in general. It comes as no surprise… [read post]
3 Apr 2014, 1:22 pm by Cynthia Marcotte Stamer
The Internal Revenue Service (IRS) is giving U.S. businesses with workers working oversees (expatriates) additional limited temporary relief from certain mandates of the Patient Protection and Affordable Care Act (ACA).  While this relief will be welcome for many multinational employers, these employers and their health plans and insurers need to use caution not to overestimate this relief.  Employers and administrators of health plans covering expatriates… [read post]
3 Apr 2014, 1:04 pm by
Posted April 3, 2014Secretary of Agriculture Tom Vilsack reassured lawmakers that he does not anticipate any closures of Farm Service Agency (FSA) offices this year, according to an article by AgWeek available here.  Midwest Producer also reported on the story here.Secretary Vilsack recently outlined his 2015 budget for the Senate Appropriations Agriculture Subcommittee.  In response to a question from Sen. Mark Pryor (D-AR), Vilsack said that while the FSA budget “has been hit… [read post]
3 Apr 2014, 9:46 am by Rick St. Hilaire
"The court recognizes the tragic circumstances that gave rise to the instant action, but finds that the law cited by plaintiffs does not offer the remedy they seek." With these words, Judge Robert Gettleman ended the Northern District of Illinois case of Jenny Rubin, et al. v. Islamic Republic of Iran, et al. v. The University of Chicago and The Field Museum of Natural History.The case involves American victims of a Hamas suicide bombing in Jerusalem in 1997. A federal judge in Washington, DC in… [read post]