News & Analysis as of

Insurance Industry

Mandelbaum Barrett PC

What Makes Catastrophic Brain Injury Cases Different From Other Personal Injury Claims?

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The moment a traumatic brain injury occurs, everything changes for you and your family. Unlike a broken bone that heals or a cut that leaves a scar, brain injuries create invisible wounds that can permanently alter...more

Mayer Brown

Innovation, Cybersecurity, and Technology (H) Committee

Mayer Brown on

On August 13, 2025, the Innovation, Cybersecurity, and Technology (H) Committee (“H Committee”) of the US National Association of Insurance Commissioners (“NAIC”) met at the NAIC’s Summer 2025 National Meeting in Minneapolis,...more

Mayer Brown

Climate and Resiliency (EX) Task Force

Mayer Brown on

The Climate and Resiliency (EX) Task Force (“CRTF”) of the US National Association of Insurance Commissioners (“NAIC”) met on August 11, 2025 at the NAIC’s Summer 2025 National Meeting in Minneapolis, Minnesota. In addition...more

Mayer Brown

Big Data and Artificial Intelligence (H) Working Group

Mayer Brown on

During the Summer 2025 National Meeting of the US National Association of Insurance Commissioners (“NAIC”) in Minneapolis, Minnesota, the Big Data and Artificial Intelligence (H) Working Group (“BDAI WG”) met on August 12,...more

Sheppard Mullin Richter & Hampton LLP

Shifting Landscapes: How Federal and State Policies are Expanding Access to IVF

Earlier this summer, the White House confirmed that President Trump is actively reviewing policy proposals developed in response to his executive order (“EO”) aimed at expanding access to in vitro fertilization (“IVF”)....more

Cozen O'Connor

NY AG Puts Mental Health Ghost Network to Rest

Cozen O'Connor on

New York AG Letitia James has announced an agreement with MVP Health Plan (MVP) following an investigation that found systemic problems with the insurer’s mental health provider network. The investigation revealed that MVP’s...more

J.S. Held

When the Smoke Clears: Business Interruption Claims from Wildfire Evacuations Without Physical Damage

J.S. Held on

Over the past three to four summers, the insurance industry has seen a significant increase in wildfire evacuation claims (also known as civil authority). The Insurance Bureau of Canada ranked the summer of 2024 as the...more

Skadden, Arps, Slate, Meagher & Flom LLP

The Standard Formula: Encyclopaedia of Prudential Solvency – Chapter 6: Prudential Solvency Regimes in the US

This chapter of The Encyclopaedia of Prudential Solvency discusses the prudential solvency regime in the United States. The US regulatory framework is defined by its state-based approach, whereby each state’s department of...more

Zelle  LLP

No Exceptions (Unless Prescribed by Law): Court Grants Motion to Preclude Attorneys’ Fees Even Though Carrier Will “Not Entertain”...

Zelle LLP on

In this case, Safeco Insurance Company of Indiana (“Safeco”) issued a residential policy to Venugopal Muriki (the “Insured”) covering the Insured’s dwelling. On December 10, 2024, the Insured submitted a claim with Safeco...more

Kilpatrick

Seventh Circuit rejects claimed “methodological” duty in reversing class certification of totaled car valuation dispute

Kilpatrick on

We have written before about class actions involving disputes about automobile insurers’ valuations of wrecked vehicles deemed a total loss. See, e.g., Eleventh Circuit reverses dismissal of class action disputing State...more

Buchalter

Real Advantage Title Insurance Company Is Insolvent: Next Steps And A Learning Moment

Buchalter on

August 26, 2025|Client Alerts By John L. Hosack, Jason E. Goldstein California Insurance Commissioner Files Petition in the Superior Court to have him appointed as the Conservator of Real Advantage Title Insurance Company...more

A&O Shearman

First DOJ Declination For FCPA Violations Since Renewed Enforcement Guidelines

A&O Shearman on

On August 7, 2025, the United States Department of Justice, Criminal Division, Fraud Section (“DOJ”) issued a declination letter to a U.S.-based insurance company (the “Company”) to resolve alleged violations of the Foreign...more

Cozen O'Connor

Illinois Insights: An update from Cozen O'Connor (8/25)

Cozen O'Connor on

Trump's threat to deploy troops to Chicago draws criticism from city and state officials - “Illinois Gov. JB Pritzker, who plans to hold a news conference Monday afternoon about Trump’s threats, blasted the president’s...more

Zelle  LLP

Rescission: Timing Matters Under Texas Law

Zelle LLP on

As discussed in an article Zelle drafted in November 2023, "Viewpoint: Non-renewal, Cancellation, Reformation and Rescission of Insurance Policies in Texas", an insurer that wishes to rescind an insurance policy on the basis...more

King & Spalding

Aetna Policy Attempts to Circumvent Two Midnight Rule for MA Plans

King & Spalding on

In a recent Aetna newsletter update (also referred to as OfficeLink), Aetna advised that it would change its reimbursement approach for emergent or urgent inpatient stays that span at least one midnight at facilities that...more

Mitchell, Williams, Selig, Gates & Woodyard,...

National Association of Insurance Commissioners (NAIC) Summer 2025 Meeting Summary

The Mitchell Williams Insurance Regulatory team of lawyers recently attended the National Association of Insurance Commissioners (NAIC) Summer 2025 National Meeting which was held in Minneapolis, MN. We have prepared a...more

Cozen O'Connor

When Algorithms Deny: AI and the New Frontier of Bad Faith

Cozen O'Connor on

As industries across the board adopt artificial intelligence (AI), insurers have likewise recognized its potential to enhance efficiency in claims administration. Yet with this opportunity comes tension: consumers expect both...more

Eversheds Sutherland (US) LLP

Highlights from the NAIC Summer 2025 National Meeting

The National Association of Insurance Commissioners (NAIC) held its 2025 Summer National Meeting from August 10 – 14 in Minneapolis, Minnesota, where “Minnesota Nice” was on full display, even by the protestors who...more

Woodruff Sawyer

Insuring Global Clinical Trials: Navigating Risks Across Borders

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In part three of our three-part webinar series on Risk Management for Your Life Sciences Company, we focus on insurance for foreign clinical trials and provide updates on the clinical trial requirements of various countries....more

Pillsbury Winthrop Shaw Pittman LLP

NYDFS Imposes $2M Penalty for Violations of its Cybersecurity Regulation

The New York State Department of Financial Services (NYDFS) announced on August 14, 2025, resolution of civil enforcement action requiring Healthplex, Inc., a licensed insurance agent and independent adjuster, to pay a $2...more

Cozen O'Connor

South Florida Wildfires Status & Subrogation Risk Analysis

Cozen O'Connor on

Two wildfires in the Everglades near the Broward County border remain fully uncontained, causing widespread smoke, degraded air quality, and reduced visibility across South Florida. Current Situation Overview - Two...more

McDermott Will & Schulte

NAIC Summer National Meeting: Financial Condition (E) Committee advances formation of new Reciprocal Exchanges (E) Working Group...

Earlier this year, noting “the recent increase in the number of reciprocal exchanges being formed and challenges in assessing the fairness and reasonableness of attorney-in-fact fees being charged to the newly formed...more

Paul Hastings LLP

You’ve Got Mail: NYDFS Enforcement Action Highlights Cybersecurity Risk of Over-Retention and Other Risks

Paul Hastings LLP on

On Aug. 14, 2025, the New York Department of Financial Services (NYDFS) issued a Consent Decree announcing that Healthplex, Inc. (Healthplex) has agreed to pay a $2 million fine, as a result of an investigation into a 2021...more

Fishman Haygood LLP

U.S. Fifth Circuit Adopts “Class Certification” Approach to Article III Standing at Certification Stage

Fishman Haygood LLP on

The U.S. Fifth Circuit Court of Appeals recently reversed a Texas district court’s denial of class certification in the case of Wilson v. Centene Management. In the litigation, three Texans filed suit against Centene...more

J.S. Held

Gross Profit Calculation Challenges in Business Interruption Insurance After UAE Floods and COVID-19

J.S. Held on

Often, forensic accountants face practical challenges when calculating business interruption (BI) losses. These issues have been highlighted by recent claims following COVID-19 and the 2024 storm in the UAE which caused...more

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