Analysis
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Editors' Favorite Commercial Questions 2023
December 19, 2023 | Questions and Answers
A collection of favorite commercial lines questions selected by the editors for 2023.
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Insurance Coverage Q&A: Roof Damage and Underlying Decking
December 05, 2023 | Questions and Answers
When a roof is damaged and during repair it is discovered that the decking is worn, should the decking be covered as part of the loss?
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U.S. Supreme Court Declines Petition for Review of Medical Marijuana Coverage
November 28, 2023 | Case Law Analysis
The Supreme Court complied with recommendations from the Solicitor General and declined to take the medical marijuana reimbursement case into consideration.
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Insurance Coverage Q&A: Fences and Builders Risk
November 27, 2023 | Questions and Answers
When working with a Builders Risk form, are fences covered?
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NJ Supreme Court Defines 'in the Course of Employment' in Workers' Compensation Case
November 21, 2023 | Case Law Analysis
"The latter three rules have sometimes been called 'exceptions' to the 'premises rule,'" Justice Douglas M. Fasciale said for the court. "We conclude, however, that those so-called 'exceptions' are better understood as distinct rules that define commencement and termination of employment in different scenarios."
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Pathologists Sue United Healthcare for Nonpayment
November 21, 2023 | Case Law Analysis
"United refuses to pay for the pathologists' professional services, which are valuable and necessary medical care rendered to United's insureds," claimed plaintiff counsel Patrick S. Montoya of Milberg Coleman Bryson Phillips Grossman.
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Texas Supreme Court Intervenes In Trial Court's Order on Pre-existing Condition Discovery
November 21, 2023 | Case Law Analysis
The doctor's records may show what Harris reported about other accidents, which could affect a factfinder's decision about the causal link between her injuries and the April 2017 accident, the supreme court said.
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Insurance Coverage Q&A: Proof of Loss Rejected by Insurer
November 21, 2023 | Questions and Answers
When an insurer rejects an insured's proof of loss, what happens next?
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USAA Hit With Class Action Suit for Denying Coverage By Delegating Adjustment Claims to Third Parties
November 20, 2023 | Case Law Analysis
This case was first surfaced by Law.com Radar.
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Caught on Camera: Not-So-Total Disability
November 20, 2023 | Case Law Analysis
Video surveillance revealed a man participating in activities that did not square up with his alleged total disability.