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11 Mar 2012, 5:12 pm
In order to successfully establish a claim in negligence, the insured was required to prove (a) that the broker owed the insured a duty of care, (b) that the broker breached the applicable standard of care and (c) that the insured would have purchased the optional benefits if they were properly offered. [read post]
12 Sep 2014, 4:08 am
” With regard to the plaintiff’s APA claim, the court held that HUD acted arbitrarily and capriciously in failing to (a) provide a “reasoned explanation” for preferring a case-by-case approach to determining McCarran-Ferguson issues, (b) give adequate consideration to industry comments regarding the effect of the filed-rate doctrine, which precludes courts from changing rates filed with regulatory agencies, and (c) address industry’s… [read post]
5 Aug 2009, 9:06 pm
The bill provides a procedure for mediation of “balance billing,” which is the practice of billing insured patients for amounts or balances not covered by the insurer. [read post]
7 May 2015, 5:51 pm
Kelly is a significant win for insureds, as insurers have typically argued that extra-contractual liability to their insureds was only for knowingly (a) misrepresenting insurance policy provisions; (b) failing to timely pay a settlement; (c) denying coverage or attempting to settle a claim on the basis of an altered application; (d) misleading a claimant as to the applicable prescriptive period; (e) failing to timely pay the amount of any… [read post]
16 Dec 2013, 8:05 pm
A number of rulings of the Greek Supreme Court have been rendered within the last five years on the issue of jurisdiction in matters relating to insurance, as stipulated in Regulation 44/2001, Arts 9(1)(b) and 11(2). [read post]
27 Sep 2016, 8:00 am
(c) Will insurers decide to participate in private exchanges? [read post]
7 Oct 2014, 9:44 am
Section 55 of the Regulations set out the applicable terms and conditions and among these are the following: (a) the use declared in the application for insurance for the vehicle, (b) a statement relating to the time during which, and the territories in which, the vehicle may be operated, and (c) a statement relating to the kind of goods or number of passengers that may be carried in or on the vehicle. [read post]
8 Jan 2008, 4:23 pm
The coverage provided by the policies included "Organization Insurance" for loss of any Organization insured pursuant to the policies arising from a) a Securities Claim; b) an Oppressive Conduct Claim; or c) a Canadian pollution claim made against such Organization for any Wrongful Act. [read post]
18 Jan 2016, 3:30 am
The date and time of loss; b. [read post]
30 Jul 2022, 4:38 am
(C) This section does not prohibit an insurer from allowing the insured additional time to collect the full replacement cost. (2) An insurer shall provide to a policyholder one or more additional extensions of six months for good cause pursuant to subparagraph (A) or (B) of paragraph (1) if the insured, acting in good faith and with reasonable diligence, encounters a delay or delays in approval for, or reconstruction of, the home or residence… [read post]
1 Aug 2010, 1:59 pm
Personal Injury Liability; C. [read post]
2 Nov 2017, 2:05 pm
NJSA 39:6A-5(b) In addition, under this new law P.L. 1995, c 407, every bill for such treatment shall be submitted to the insurer and submitted by the medical provider if within 30 days of the date that treatment was rendered. [read post]
14 Apr 2013, 5:37 am
A is for Annualized Income Installment Method B is for Bad Debt Expense C is for Carpooling D is for Disaster Relief E is for Educational Assistance F is for Fellowships and Scholarships G is for Government Debt H is for Hardship Withdrawal. [read post]
6 Sep 2022, 10:09 am
The Commissioner shall consider any admissible evidence offered regarding the following factors in determining whether or not a settlement offer is unreasonably low: …. (5) the procedures used by the insurer in determining the dollar amount of property damage; And finally, preferred vendor program do not comply with the Additional Standards Applicable to First Party Residential and Commercial Insurance Policies under 2695.9: (b) No insurer shall require… [read post]
28 Jul 2023, 10:59 am
“Without pricing enhancements, Allstate will remain closed to new business and will evaluate additional nonrenewals or the full withdrawal of property lines from the California market,” Schoolman said. ( INSURANCE JOURNAL ) FL Report Omits Claims Litigation as Cause of Insurer Insolvencies The 2022 Annual Report posted by the Florida Department of Financial Services’ Division of Rehabilitation and Liquidation in April identified 7 factors that contributed to the… [read post]
28 Oct 2010, 4:47 am
The Industrial & Commercial Bank of China, the world's largest lender by market value, agreed to buy a 60 percent stake in AXA's China insurance venture in its latest foray outside banking, Bloomberg News reported. [read post]
5 Jul 2012, 12:31 pm
Coverage provided under this endorsement applies only if the original discharge, release, or escape of “pollutants” from a contained source: (2) (a) Commences during the policy period; (b) Is caused, either directly or indirectly, by a Named Peril; and (c) Begins and ends completely within 7 days; provided we are notified in writing within 30 days of the commencement of the discharge, release or escape of “pollutants” from a contained state, regardless… [read post]
28 Oct 2012, 10:37 am
(c) The conduct must be witnessed by at least two supervisors or company officials, if feasible. [read post]
31 Mar 2020, 8:45 pm
North Carolina: On March 27th, North Carolina issued Bulletin 20-B-06 to all insurance companies and other entities licensed under Chapter 58 of the North Carolina General Statutes (NCGS), notifying insurers that the Insurance Commissioner has issued an order activating the state of disaster automatic stay of proof of loss requirements, and premium and debt deferrals in North Carolina as authorized under the provisions of Section 58-2-46 of the NCGS. [read post]
20 May 2019, 7:03 pm
The Insurance (Financial and Other Requirements for Licensed Insurance Broker Companies) Rules prescribe the financial and other requirements for licensed insurance broker companies in relation to (a) capital and net assets; (b) professional indemnity insurance; (c) keeping of separate client accounts; (d) keeping of proper books and accounts; and (e) submission of audit and related information. [read post]
