Case Law Analysis
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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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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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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.
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Idaho Sup. Ct. Rules That Compliance With State Law Not Enough to Salvage Illusory UIM Policy
November 14, 2023 | Case Law Analysis
The justices explicitly held that a policy was illusory when the coverage actually afforded by a policy was "extremely minimal and afford[ed] no realistic protection to any group or class of injured persons."
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Plaintiffs Want to Consolidate Allstate Policy Coverage Reduction Change MDL
November 14, 2023 | Case Law Analysis|Coverage Analysis
"It is about Allstate's statewide unlawful and fraudulent underwriting practices vis-à-vis modifying its insureds' policies without requisite notice, and ultimately, how these modifications negatively impacted its insureds' rights to recovery," attorney Jason Palker said.
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Pennsylvania District Court Rules That 'Other Insurance' Clause Not a Violation of Excess Coverage Framework
November 07, 2023 | Case Law Analysis
Travelers won a case defending the validity of its "Other Insurance" clause and enforcement of a stated UIM limit.
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Insurer of Astroworld Vendor Seeks $3.5M Against Festival Organizers
November 07, 2023 | Case Law Analysis
"Federal has paid Fuse $2,936,944 for damage to personal property ... though the adjustment is not nearly complete at this time and this number is expected to reach in excess of $3.5 million," the complaint states.