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5 Jun 2018, 7:33 pm by Kelly Phillips Erb
It’s not a separate benefit, but is the part of the policy that allows private health insurance companies to provide Medicare benefits. [read post]
5 Jun 2018, 5:28 pm by Kevin LaCroix
A recurring issue under private company D&O insurance policies is the scope of the preclusive effect of the professional services exclusion. [read post]
The Starr primary D&O insurance policy provided that the “Insurer shall pay on behalf of the Company the Loss arising from a Claim first made during the Policy Period … against the Company for any Wrongful Act …. [read post]
5 Jun 2018, 8:25 am by David Oxenford
While the FCC’s rules apply only to over-the-air broadcasting, the Federal Trade Commission (FTC) has similar disclosure obligations for online ads. [read post]
5 Jun 2018, 6:20 am by Michael S. Levine and Paul Mayer
According to a complaint filed last month in federal court in California, Philadelphia Indemnity Insurance Co. maintains that it has no duty to defend or indemnify under a general liability policy under which Hollycal was an insured. [read post]
4 Jun 2018, 9:30 pm by Patricia Liverpool
But in some states, a security freeze also blocks insurers and employers from access. [read post]
4 Jun 2018, 1:19 pm by Amanda Pickens Nitto
Enhanced Recovery Company, LLC d/b/a ERC, et al., No. 1:18-cv-00470 (M.D.N.C. [read post]
On May 11, 2018, nutritional supplement manufacturer Lake Country Foods, Inc., (“LCF”) filed an insurance coverage complaint seeking to enforce its rights under a product contamination policy issued by Houston Casualty Company (“HCC”) arising from a salmonella contamination incident. [read post]
2 Jun 2018, 4:12 pm by Wolfgang Demino
Eventually, some of the defendants fought back, filing counterclaims alleging violations of state and federal consumer protection laws. [read post]
1 Jun 2018, 6:07 am
Hayashi (University of Virginia Law School), on Sunday, May 27, 2018 Tags: Bank taxes, Banks, Corporate debt, Financial crisis, Financial institutions, Financial regulation, Internal Revenue Code, IRS, Mergers & acquisitions, Taxation Labor Representation in Governance as an Insurance Mechanism Posted by E. [read post]
1 Jun 2018, 1:00 am by Andrew Hudson
In summary, the AAT found the licensee company liable but extended that liability to include the director and an employee of the company. [read post]
31 May 2018, 4:26 pm by Kevin LaCroix
” The subpoena also advised that failure to comply with the subpoena could subject the company to liability in federal enforcement proceedings. [read post]
30 May 2018, 11:47 am by Tim Springer
In 2001, it formed Northwestern Mutual Wealth Management Company, a federal savings bank, and offered a wide range of financial services. [read post]
30 May 2018, 6:30 am by Legal Profession Prof
The South Carolina Supreme Court has held that an insurance company may bring a malpractice action directly against retained counsel Sentry Select Insurance Company brought a legal malpractice lawsuit in federal district court against the lawyer it hired to defend... [read post]
Authorities Uncover $20 Million Health Care Scheme in California Federal authorities arrested five individuals connected to San Fernando Valley clinics and a significant health care fraud scheme. On May 22, a federal grand jury indictment was unsealed. The indictment alleges that the five individuals engaged in a health care fraud conspiracy over multiple years and targeted at least eight health insurance companies and the International Longshore and Warehouse Union, the Pacific Maritime Association Benefit Plan, and the Federal Employees Health Benefits Program. The Conspirators According to the Department of Justice (DOJ) press release, the co-conspirators included: Roshanak “Roxanne” or “Roxy” Khadem, 50: Khadem owned and operated two clinics, R&R Med Spa and Nu-Me Aesthetic and Anti-Aging Center. Dr. Roberto Mariano, 59: Mariano helped operate the clinics. Marina Sarkisyan, 49: Sarkisyan was a clinic office manager. Lucine Ilangezyan, 38: Ilangezyan was an insurance biller for the clinics. Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. The Allegations The indictment alleges that the co-conspirators induced patients to visit the clinics for free cosmetic procedures, such as Botox injections, facials, and laser hair removal. These procedures were not covered by insurance. The co-conspirators would gain the patients’ insurance information and bill their insurers for medical services that were unnecessary or never provided. The defendants then used some of the illegally obtained proceeds to calculate a “credit” the patients could use for discounted or free cosmetic procedures. The defendants submitted at least $20 million in insurance claims and were paid approximately $8 million. The indictment also states that Jizmejian, for cash payments, would provide Khadem and others with confidential Anthem information. This information helped the defendants submit fr
30 May 2018, 5:43 am by Gregory J. Brod
Additionally, the indictment alleges Jizmejian strove to prevent insurance companies from detecting the fraud, including helping Khadem avoid responding to insurer’s inquiries and diverting insurers’ investigators’ attention to other issues. [read post]