Read More Group Health Incorporated Spots Insurance Fraud in Alleged Brain Surgery Scam
United States
Given the escalating costs of covering legitimate health care services, the last thing the health insurance industry needs is to be paying for services that were never rendered. Fortunately, state and federal laws provide harsh penalties for this sort of fraud.
NAIC Begins Drafting of Excess/Surplus Lines Interstate Compact
In an effort to stay one-step ahead of related federal legislation, an interested parties group within the NAIC has begun drafting an interstate compact that will allow for the uniform regulation of excess/surplus line transactions.
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NAIC Plans to Address Collateral Issue by Modernizing Reinsurance Regulation
By Troutman Pepper Locke on
Earlier this week, the Reinsurance Task Force (“RTF”) met at the NAIC’s quarterly conference in San Francisco to discuss ways to overhaul reinsurance regulation in the United States thereby reducing collateral charges for nonadmitted reinsurers.
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National Insurance Act/Optional Federal Charter Legislation Reintroduced in Senate
On May 24, 2007, optional federal charter (OFC) legislation was reintroduced into the Senate as the National Insurance Act of 2007 (S. 40) (NIA), co-sponsored by John Sununu (R-NH) and Tim Johnson (D-SD). A similar bill is expected to be reintroduced into the House by Ed Royce (R-CA) in the coming weeks.
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Fifth Circuit Hears Katrina-related Appeal
By Troutman Pepper Locke on
Today, the Fifth Circuit Court of Appeals is hearing oral argument on the appeal of a Katrina-related coverage decision by U.S. District Court Judge Stanwood R. Duval, Jr., issued in November 2006.
Insured Is Under No Duty To Notify Insurer of Material Changes In Coverage Risk
By Troutman Pepper Locke on
A Massachusetts Appeals Court recently issued an opinion that highlights the importance of policy provisions and renewal application questions requiring insureds to update the insurer concerning changes in circumstances.
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Katrina — State Farm Settles Another Wind-Water Dispute Before Trial
By Troutman Pepper Locke on
Some of the most interesting developments over the past six months in the world of insurance coverage come out of Hurricane Katrina, the largest insured loss in U.S. history. Several thousand lawsuits, filed in Mississippi and Louisiana, focused on the question of whether property damage arising from the hurricane was caused by wind or objects propelled by wind, both of which are covered under the standard property insurance policy, or by excluded water or flood.
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SCOR to Arbitrate Reinsurance Dispute with World Trade Center Insurer
It didn’t take long for reinsurance disputes to arise from the recent $2 billion settlement between insurers of the World Trade Center and leaseholders of Silverstein Properties, Inc., that was announced on May 23.
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The Proposed Retirement Security for Life Act of 2007
In an effort to combat the inadequacy of retirement funds for Baby Boomers, Representatives Stephanie Tubbs Jones (Democrat) and Phil English (Republican) reintroduced the Retirement Security for Life Act (H.R. 2205) on May 8, 2007 (originally introduced in 2004).
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Read More The Proposed Retirement Security for Life Act of 2007