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Insurance Industry Regulatory Requirements

DLA Piper

AI in Insurance: Acceleration Meets Accountability

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We are living through the most dynamic regulatory and commercial moment for artificial intelligence since the advent of cloud computing. Contract standards and supervisory expectations are being shaped in real time, propelled...more

Cozen O'Connor

NY AG Puts Mental Health Ghost Network to Rest

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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

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

King & Spalding

Aetna Policy Attempts to Circumvent Two Midnight Rule for MA Plans

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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

Cozen O'Connor

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

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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

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

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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

BakerHostetler

Texas Passes New Law Regulating Electronic Health Records and the Use of AI by Healthcare Professionals

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On June 20, Texas enacted S.B. 1188, joining only a handful of states that are taking artificial intelligence (AI) and data offshoring restrictions into their own hands. The law applies to most healthcare providers and all...more

Saul Ewing LLP

Illinois AI Regulations – The Passing of the Torch From Federal to State Legislatures to Ensure the Safe Expansion of AI Software...

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A Shifting Landscape From Federal to State Leadership - Over the past two years, federal efforts to regulate artificial intelligence (AI) have taken two sharply different paths, first toward structured oversight under the...more

Kohrman Jackson & Krantz LLP

Why More Employers Are Turning to ICHRA for Affordable Health Care Benefits

Many employers have faced the same “knot in the stomach” moment during insurance renewal season. We’re all too familiar with the stress of inexplicably rising health care costs, especially when group plan risk pools take an...more

Kilpatrick

5 Key Takeaways | Faulty Intelligence: Responding to an AI Incident

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Kilpatrick’s Greg Silberman recently led a session at the 21st annual KTIPS (Kilpatrick Townsend Intellectual Property Seminar) on “Faulty Intelligence: Responding to an AI Incident”, focusing on how legal, security, and...more

Troutman Pepper Locke

The Road to Regulation: Vehicle Service Contracts Explained — Moving the Metal: The Auto Finance Podcast

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In this episode of Moving the Metal: The Auto Finance Podcast, hosts Brooke Conkle and Chris Capurso are joined by Brian Casey, a partner in Troutman Pepper Locke's Insurance, Transactional, and Regulatory Practice Group....more

Conyers

AM Best Proposes Changes to Its Rating Criteria

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In a recent market briefing delivered to the Cayman Islands’ (re)insurance industry, global credit ratings agency AM Best announced its proposal to change its criteria for rating cell companies including Segregated Portfolio...more

Kennedys

Proposed Washington code amendments modify insurer claims handling requirements

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Proposed Washington Administrative Code amendments would tighten the deadlines and increase insurers’ requirements while simultaneously finding a single misstep a basis for a violation....more

Thomas Fox - Compliance Evangelist

AI Today in 5: August 11, 2025, The ACHILLES Project Episode

Welcome to AI Today in 5, the newest addition to the Compliance Podcast Network. Each day, Tom Fox will bring you 5 stories about AI to start your day. Sit back, enjoy a cup of morning coffee, and listen in to the AI Today In...more

Conyers

The Prudential Solvency Regime of the Cayman Islands

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The Cayman Islands Monetary Authority (CIMA) set out its approach to group (or consolidated) supervision in a November 2023 regulatory policy update (the Regulatory Policy). CIMA defines consolidated supervision as: “a...more

Foley & Lardner LLP

Virginia Bureau of Insurance Issues Updated Guidance Regarding Minimum Capital and Surplus, Seasoning, and Procedures for...

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On August 6, the Virginia Bureau of Insurance (BOI) issued Administrative Letter 2025-03 (the Letter) to all companies seeking to be licensed as insurers in Virginia. The Letter addresses requirements for domestic, foreign,...more

Foley & Lardner LLP

Virginia Bureau of Insurance Issues Guidance Clarifying Material Change and Required Notifications for Managed Care Health...

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On July 22, the Virginia Bureau of Insurance (BOI) issued Administrative Letter 2025-02 (the Letter) to all licensed insurers writing Managed Care Health Insurance Plans (MCHIPs) in Virginia. The Letter clarifies what...more

Skadden, Arps, Slate, Meagher & Flom LLP

FCA Premium Finance Study: Concerns Raised but No Regulatory Changes Proposed

- What is new: Preliminary findings from the Financial Conduct Authority’s (FCA’s) market study of premium finance, which focuses on motor and home insurance, highlight concerns about affordability, value and transparency,...more

Ward and Smith, P.A.

Getting in the Weeds on Managing Cannabis Operations Risks Through Insurance

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At its core, risk management involves identifying, assessing, and mitigating potential risks to minimize losses and ensure business continuity. A routinely used and universally accepted risk management resource that...more

Phelps Dunbar

Louisiana Changes its "Proof of Loss" Law

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The Louisiana Legislature recently passed HB 437 which enacts La. § R.S. 22:1892.3 (effective August 1), in an attempt to clarify parties’ respective obligations as it relates to Proof of Loss statements and corresponding...more

Foley & Lardner LLP

Maryland Insurance Administration Proposes to Revise Regulation Governing Disclosures of Credit Scoring Use in Private Passenger...

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The Maryland Insurance Administration (MIA) recently proposed to revise a regulation regarding the use and disclosure of credit history in underwriting and rate making for personal automobile policies. Specifically, the...more

Foley & Lardner LLP

CMS Finalizes Rule Change Applying Preponderance of the Evidence Standard to Agent, Broker, and Web-Broker Exchange Agreement...

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In its recently issued Final Rule (CMS-9884-F; 90 FR 27074-01; the Final Rule), the Centers for Medicare and Medicaid Services (CMS) finalized revisions to 45 C.F.R. § 155.220(g)(2) to specify a standard of proof for...more

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