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29 Oct 2020, 6:02 am by John C. Manoog III
Even if the workers’ compensation insurance company initially refused to pay the injured worker’s medical expenses, the court may order the company to pay such expenses, either directly to the medical providers or as reimbursement to the worker (or, sometimes, to a health insurance company that paid the expenses on the worker’s behalf). [read post]
21 Dec 2020, 11:18 am by skelly
Surplus lines insurance companies that are eligible to write insurance on a non-admitted, surplus lines basis are not subject to the insurance premium rate, policy form filing and approval standards of the states and, as such, enjoy substantial freedom to develop specialty insurance products to serve emerging marketplaces. [read post]
26 Mar 2019, 9:15 pm by Chip Merlin
Insurance company adjusters and estimators should ensure that they are including costs for a safe workplace when making construction estimates. [read post]
10 Nov 2011, 2:41 am by Bob Kraft
" The Times notes, "Blue Shield, with 3.2 million members, is apparently the first large insurance company to end payments since a federal advisory committee unanimously recommended in June that the Food and Drug Administration rescind Avastin's approval as a treatment for breast cancer, saying the drug did not really help patients. [read post]
23 Feb 2018, 5:41 am by Benjamin S. Persons, IV
Here is a recent federal case involving the application of Georgia law in which a court addressed an insurance company’s attempt to avoid its obligations. [read post]
20 Apr 2015, 12:05 pm
The Eighth Circuit has issued similar findings, but other federal district courts have sided in favor of insurance companies. [read post]
14 Sep 2016, 5:31 am by Edward Eshoo
American States Insurance Company,8 a case arising out of a 2007 warehouse fire alleged to have been an act of arson. [read post]
20 Oct 2016, 6:00 am by Mark S. Humphreys
Dallas and Fort Worth insurance lawyers know all too well the games some insurance companies play to beat the system. [read post]
24 Feb 2016, 10:11 am by Dean Freeman
And apparently, the insurance companies are not shy about the fact home ownership is factored into their rates, except in California, where the practice is illegal. [read post]
6 Sep 2011, 3:44 am by Robert Kraft
” Modern Healthcare explains further, “independent experts will study information about underlying costs trends in healthcare and will indicate when insurance companies raise their costs unjustly. [read post]
23 Aug 2021, 6:51 pm by Sabrina I. Pacifici
New York Times – “This year, the federal government ordered hospitals to begin publishing a prized secret: a complete list of the prices they negotiate with private insurers. [read post]
2 Feb 2018, 9:27 am by Lebowitz & Mzhen
In such cases, courts may “read in” terms to make the contract compatible with state or federal laws. [read post]
30 Apr 2022, 7:50 am by Ben Vernia
., had agreed to pay $34.37 million to settle civil charges that the company used false diagnostic codes to obtain reimbursement from the federal employee health insurance program for its hearing aids. [read post]
2 Jun 2015, 12:33 pm by John C. Manoog III
The bad news is that not even the federal court of appeals was sure how to allocate payment of the worker’s claim between the respective insurance companies. [read post]
13 May 2024, 2:05 pm by Yosi Yahoudai
Gavin Newsom wants to speed up the process by which the companies have their requests for rate hikes reviewed. [read post]
12 Jul 2016, 6:30 am by Michael B. Stack
Both are financed by assessment against self-insured employers and insurance companies. [read post]
22 Nov 2017, 4:00 am by CJ Haddick
PHILADELPHIA, Nov. 20 – A federal district judge has ruled that a liquor liability exclusion in a CGL policy is unambiguous, and relieved an insurer from the duty to defend or indemnify its insured in underlying liquor liability litigation. [read post]
29 Dec 2016, 7:43 am by Benson Varghese
Whether it is providing medical insurance through Medicare or Medicaid, the construction of military weaponry, or a host of other services the government provides, the government’s use of private companies to accomplish these goals is vast. [read post]
19 Jan 2021, 8:33 am by Jason Dubner
It is likely that various practices, including exchange of information by health insurers for the purposes of setting premiums, will expose those companies to federal antitrust scrutiny. [read post]