Cases
-
Aetna Facing Flurry of Litigation With 21 Lawsuits in 1 Week
October 31, 2023 | Cases
The suits claim Aetna routinely promises to pay for a bilateral breast reconstruction at its in-network rate. But after the procedure is complete, Aetna allegedly only pays a fraction of the agreed-on cost.
-
Hinton v. Interstate Guaranty Insurance Co.
July 18, 2023 | Cases|Developments|Expert Analysis
The Supreme Court of Georgia debated whether a farm tractor can be an uninsured motor vehicle for purposes of the uninsured motorist statute after the tractor had a collision with another vehicle on a public highway.
-
Merck & Co. v. Ace Am. Ins. Co.
May 08, 2023 | Cases|Developments|Expert Analysis
The New Jersey Appellate Division concluded that an insurance policy exclusion for "hostile/warlike action" did not include a cyberattack on a nonmilitary company, regardless of whether that attack was from a private actor or a government or sovereign power.
-
Buchholz v. Crestbrook Ins. Co.
April 28, 2023 | Cases|Developments|Expert Analysis
Although Crestbrook covered many of the Bucholzes' losses, it denied a generalized claim for mold growing in their walls and heating, ventilation, and air conditioning system.
-
Franks v. State Farm Mut. Auto. Ins. Co.
April 25, 2023 | Cases|Developments|Expert Analysis
The policyholders claimed they should have been offered another opportunity to waive stacking for UM/UIM coverage when they removed a vehicle from their auto policy.
-
John Moriarty & Associates, Inc. v. Zurich American Insurance Co.
April 21, 2023 | Cases|Developments|Expert Analysis
The Appeals Court of Massachusetts reversed the dismissal of claims against an insurance company after it admitted it had a duty to defend its insured in an underlying matter but refused to do so, remanding its insured's allegations of breach of contract and unfair or deceptive practices.
-
Gaudett v. Bridgeport Police Department
April 17, 2023 | Cases|Developments|Expert Analysis
The Appellate Court of Connecticut had to decide whether a former police chief's promotion to that position constituted a "new hire date" for workers compensation purposes.
-
Dorchester Mutual Insurance Company v. Krusell
March 28, 2023 | Cases|Developments|Expert Analysis
The question before the Supreme Judicial Court of Massachusetts was whether a personal injury suit arising out of a single push by an insured was "abuse" within the meaning of the abuse and molestation exclusion in the insured's homeowners policy.
-
Dorchester Mutual Insurance Company v. Miville
March 28, 2023 | Cases|Developments|Expert Analysis
The justices of the Supreme Judicial Court of Massachusetts debated whether a single instance of conduct by an insured qualified as "abuse" that would be excluded from coverage under a homeowners policy.
-
Fegley v. Firestone Tire & Rubber Workers' Comp. Appeal Bd.
March 23, 2023 | Cases|Developments|Expert Analysis
The Commonwealth Court of Pennsylvania pointed out that "coverage" is a separate matter from "reimbursement" under a workers compensation policy.