Industry Updates

If you were injured in a slip and fall accident, should you file a claim? Injuries from slip and fall accidents can be incredibly expensive, so it is important to make an informed decision about asserting your legal rights. Slip and fall accident victims will be entitled to just compensation in many cases, and an experienced Florida personal injury lawyer can help you decide whether to take legal action....By: Searcy Denney Scarola Barnhart & Shipley

A wide variety of car crashes and other traffic accidents occur on California's roads each year. Common causes of accidents include actions by distracted, impaired and inexperienced drivers and vulnerable road users; adverse road and weather conditions; and traffic congestion. In thousands of cases, a driver or other party responsible for an accident runs away rather than act responsibly....By: Maison Law

This update provides an overview of the legal and regulatory considerations surrounding the use of artificial intelligence (AI) products and New York law in insurance products; with a particular focus on underwriting, pricing, and claims handling. Ultimately, the use of AI in insurance products presents both opportunities and challenges under New York law. While AI can enhance efficiency and innovation, its use must comply with strict legal standards for fairness, transparency, and due process....By: Weber Gallagher Simpson Stapleton Fires &

On May 15, 2025, the Departments of Labor, Health and Human Services, and Treasury (the “Departments”) issued a statement of non-enforcement (the “Statement”) announcing that they will not enforce the 2024 Final Rule under the Mental Health Parity and Addiction Equity Act (“MHPAEA”)....By: Stinson - Benefits Notes Blog

The May 14, 2025 State of Litigation event, sponsored annually by Lathrop GPM, brought together a dynamic mix of legal minds, business leaders and policy experts to unpack the most critical developments shaping the current U.S. litigation landscape....By: Lathrop GPM

California is once again at the forefront of privacy regulation, this time with a sharp focus on the insurance sector. California’s proposed Senate Bill 354, styled as the Insurance Consumer Privacy Protection Act of 2025 (the “ICPP Act” or the “Act”), would, if enacted, introduce an augmented privacy regime for the insurance sector....By: Fenwick & West LLP

As a part of our quarterly practice group update, we are pleased to produce our latest installation with examples of our continued success in fraud litigation. This is our fourth year of this publication, and in February 2024, we expanded the quarterly update to include claims which we were successfully able to have disallowed due to obtaining evidence on credibility early in the claim process....By: Goldberg Segalla

The Center for Medicare and Medicaid Innovation ("CMMI") is set to reshape value-based care. In the second of a three-part series highlighting this new direction, this summary is focused on CMMI's efforts regarding digital health and artificial intelligence ("AI")....By: Jones Day

Delaware has recently enacted legislation concerning the registration of trade names or “doing business as” names (DBA). This new process mandates that DBAs be registered online through the OneStop application. The Delaware Department of Revenue (DOR) will oversee the statewide DBA registry....By: Troutman Pepper Locke

In a significant federal jurisdiction ruling, the U.S. Court of Appeals for the Sixth Circuit clarified the jurisdictional standards applicable to “mixed actions”—lawsuits that combine requests for both coercive relief (like monetary damages) and noncoercive relief (such as declaratory judgments). The decision, issued in Fire-Dex, LLC v. Admiral Insurance Co., No. 24-3781, vacated an Ohio federal district court’s remand of declaratory judgment claims back to state court, finding the lower court...By: Kohrman Jackson & Krantz LLP

On May 22, 2025, the House passed H.R. 1, the One Big Beautiful Bill Act (the Bill), its budget reconciliation legislation that upheld most of the Medicaid-related provisions originally approved by the House Energy and Commerce Committee (the Committee) on May 15, 2025 (the Committee-Approved Version). While many of the Medicaid-related provisions remained intact, the final version of the Bill includes several modifications to key Medicaid provisions....By: King & Spalding

Shortly following its announcement of sweeping changes to RADV audits, CMS shared industry guidance last week regarding upcoming deadlines for the submission of risk adjustment data corrections in advance of RADV sampling. While this type of notice is routine in advance of RADV audit sampling, it is unique as it covers five plan years (2020 through 2024). CMS instructs Medicare Advantage organizations (MAOs) to submit data corrections for PY 2020 through PY 2024 with deadlines ranging from June...By: Mintz - Health Care Viewpoints

Summer brings sunshine, sandals—and a spike in slip-and-fall accidents. As crowds flock to pools, amusement parks, outdoor malls, and restaurants with patios, property owners and businesses need to stay vigilant....By: Cranfill Sumner LLP

How much insurance does my organization need? This conundrum impacts policyholders from small businesses needing single policies to Fortune 500 companies placing complex, multimillion-dollar insurance towers. For owners and operators of skilled nursing facilities, deciding on the right limits of liability insurance is not just a question of evaluating and balancing the risk of third-party claims to your organization – it can be a question of statutory compliance as well....By: Bradley Arant Boult Cummings LLP

It is a horrible feeling to get into an accident and then realize that the other driver is either not insured or is not insured enough to provide you with the reimbursement that you deserve. That is where uninsured and underinsured motorist coverage (UM/UIM) in California comes in as it will result in your own insurance picking up where the other party's, if there is any, may fall short....By: Maison Law

Join industry leaders and experts for an insightful discussion on the current state of public policy and its impact on the insurance sector. This event will feature an in-depth analysis of legislative and regulatory issues, an overview of recent and upcoming public policy changes, and insights around the policy priorities of the current Administration and Congress and their implications for the insurance industry. This is a unique opportunity to gain valuable perspectives and connect with...By: Bricker Graydon LLP

From lab to commercialization: Navigate the evolving risks of life science companies - Life science companies face rapidly evolving risks—from navigating insurance needs during early funding stages to understanding international clinical trial requirements and adapting to the rise of AI in research and product development....By: Woodruff Sawyer

From lab to commercialization: Navigate the evolving risks of life science companies - Life science companies face rapidly evolving risks—from navigating insurance needs during early funding stages to understanding international clinical trial requirements and adapting to the rise of AI in research and product development....By: Woodruff Sawyer

From lab to commercialization: Navigate the evolving risks of life science companies - Life science companies face rapidly evolving risks—from navigating insurance needs during early funding stages to understanding international clinical trial requirements and adapting to the rise of AI in research and product development....By: Woodruff Sawyer

On May 27, Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. (BCBSGA) filed a lawsuit in the Northern District of Georgia US District Court, alleging that a group of health care providers, along with their third-party billing agent, manipulated the federal No Surprises Act’s (NSA) independent dispute resolution (IDR) process....By: ArentFox Schiff

On May 21, 2025, CMS announced that it plans to increase its auditing efforts for Medicare Advantage (MA) plans. Effective immediately, CMS will audit all eligible MA contracts for each payment year in all newly initiated audits, and it will increase resources to complete audits for payment years 2018 through 2024 given that CMS is several years behind in completing these audits....By: King & Spalding

The Pensions Regulator (TPR) has published guidance for trustees on new models and options for DB and hybrid pension schemes. While some of these are endgame options, the guidance also covers options for improving financial outcomes, scheme governance and security for members while the scheme is ongoing....By: Mayer Brown

Welcome to the latest edition of the Conyers Bermuda Insurance Bulletin. It is hard to believe that the second quarter of the year is well underway! The Bermuda (re)insurance sector has had a strong start to 2025 following a busy 2024. During the course of last year, 75 new insurers and intermediaries were registered on the island, compared with a total of 67 registrations in 2023....By: Conyers

In connection with the increase in the number of incidents and attacks, the scope and impact of the incidents and attacks are also growing. With the rise in frequency and impact of cybersecurity incidents and cybercrimes, many companies are left wondering when (not if) they will be targeted and how large of a cost it will be....By: Ward and Smith, P.A.

The recent New York Court of Appeals decision in Matter of Schulze v. City of Newburgh Fire Department (April 10) has significant implications for municipal employers and workers’ compensation insurance carriers in New York, particularly regarding reimbursement rights for disability benefits paid to firefighters under General Municipal Law (GML) § 207-a. Below is a concise......By: Goldberg Segalla

Louisiana’s Direct Action Statute was recently amended to remove the right of an injured person or, if deceased, the statutory beneficiaries, to bring a direct action claim against a tortfeasor’s insurer, except in certain, narrow exceptions, as set forth in the statute.1 Since the amendment became effective on August 1, 2024, significant litigation has ensued regarding whether the amendment can be applied retroactively when a plaintiff has filed suit before the amendment’s effective date....By: McGlinchey Stafford

Indiana recently enacted significant new legislation that will impact how pharmacy benefit management services are provided in Indiana. Senate Bill 140 (SB 140), signed into law during the 2025 legislative session, imposes wide-ranging reforms on pharmacy benefit managers (PBMs)....By: Quarles & Brady LLP

The Departments of Labor, Treasury, and Health and Human Services (the “Departments”) recently announced a nonenforcement policy with respect to the 2024 Mental Health Parity and Addiction Equity Act (“MHPAEA”) regulations or otherwise pursue enforcement actions based on a failure to comply, at least temporarily. The Departments appear to have taken this approach to be consistent with a pending lawsuit challenging the 2024 regulations......By: Holland & Hart - The Benefits Dial

This blog discusses the regulatory requirements that apply to risk-bearing entities in Massachusetts, including recent updates introduced by Chapter 343 of the Massachusetts Acts of 2024 (the Act). This blog is part of Foley & Lardner’s RBE series (see our Introduction posted November 18, 2024, and our post on New York and New Jersey’s Requirements posted February 24, 2025)....By: Foley & Lardner LLP

In Tokio Marine & Nichido Fire Insurance v Honda Canada, 2025 ONSC 2856, the Ontario Superior Court upheld an arbitral panel's conclusion that an umbrella insurance policy covered settled class counsel fees, but not settlement administration costs related to an enhanced recall. The underlying class action alleged airbag defects and the settlement provided certain benefits to reimburse class members. The decision reminds defendants that insurance may not cover a recall program within a settlement...By: Bennett Jones LLP