Business Torts, Administrative Law, Insurance

Legal Alert: Ohio Court Holds No Insurer Duty to Search Death Master File

by Sutherland Asbill & Brennan LLP on 11/9/2012

Life insurance companies in Ohio have no affirmative duty to search the Social Security Death Master File (DMF) or otherwise seek out information on possible deaths, the Ohio Court of Appeals has held in Andrews v. Nationwide...more

Mutual Fund Litigation and Insurance Practice Guide

by Dechert LLP on 11/7/2012

In the wake of the subprime mortgage meltdown and ensuing global credit crisis, the SEC is more devoted than ever before to examination and enforcement efforts directed at the mutual fund industry. The class action bar also...more

Ninth Circuit Applies ERISA Fiduciary Privilege Exception to Insurer

by Sutherland Asbill & Brennan LLP on 9/14/2012

On September 12, 2012, the Ninth Circuit became the first circuit court to consider the Third Circuit’s holding in Wachtel v. Health Net, Inc., 482 F.3d 225 (3d Cir. 2007), that the ERISA “fiduciary exception” to the...more

DOJ Takes New Tack on Hospital Recoupments: Implantable Cardiac Defibrillators

by Foley Hoag LLP on 9/5/2012

The U.S. Department of Justice has sent emails to hospitals across the country regarding implantable cardioverter defibrillators, asking the hospitals to self-audit and estimate possible penalties under the False Claims Act....more

FSA Bans Introducer Appointed Representative Following Upper Tribunal’s Decision

by Orrick, Herrington & Sutcliffe LLP on 5/30/2012

On 22 May 2012, the FSA published a final notice issued to appointed representative Derek William Wright. The notice prohibits Mr. Wright from performing any function in relation to any regulated activity on honesty,...more

Medicare Strike Force Team Charges 107 Individuals for Approximately $452 Million in False Billing

by King & Spalding on 5/9/2012

On May 2, DOJ and HHS announced charges against 107 individuals, including doctors, nurses and other licensed medical professionals, across the country for allegedly participating in Medicare fraud schemes totaling $452...more

Medicare Fraud Strike Force Bust Involves Highest Amount of False Billings in a Single Takedown

by Mintz Levin - Health Law on 5/4/2012

2012 is already a record-breaking year in health care fraud enforcement. This week Attorney General Eric Holder and Secretary of the Department of Health and Human Services (HHS) Kathleen Sebelius announced the biggest...more

Open Letter from Senate Finance Committee Seeks Fraud-Fighting Input

by Mintz Levin - Health Law on 5/3/2012

Yesterday the Senate Finance Committee posted an open letter on its website to the health care sector soliciting industry stakeholder insights on ways to combat fraud, waste, and abuse in the Medicare and Medicaid programs. ...more

Senate Committee Holds Hearing on Health Care Fraud Enforcement

by Mintz Levin - Health Law on 4/26/2012

A hearing titled Anatomy of a Fraud Bust: From Investigation to Conviction held by the Senate Committee on Finance (Committee) on April 24th allowed federal health care agencies to both tout their fraud-fighting successes,...more

Tenet Will Pay $42.75 Million to Settle Inpatient Rehabilitation Admissions Investigation

by King & Spalding on 4/19/2012

On April 10, 2012, the DOJ announced that Tenet Healthcare Corporation will pay $42.75 million to settle civil allegations that Tenet violated the False Claims Act by improperly billing CMS for services provided at inpatient...more

A Roadmap For Strengthening The Protection Of Quebec Mutual Fund Investors

by Dentons on 2/20/2012

The Quebec government has mandated the Autorité des marchés financiers (‘’AMF’’) to hold a public consultation on compensation for victims of financial fraud. In response, the AMF...more

A Practical Approach To Enhance The Protection Of Quebec Mutual Fund Investors

by Dentons on 2/20/2012

The Quebec government has mandated the Autorité des marchés financiers (‘’AMF’’) to hold a public consultation on compensation for victims of financial fraud. In response, the AMF...more

Denver Health Medical Center Settles FCA Short Stay Suit for $6.3 Million

by King & Spalding on 1/19/2012

Denver Health and Hospital Authority, d/b/a Denver Health Medical Center (DHMC), has agreed to pay $6.3 million to settle a False Claims Act suit alleging that, between 2006 and 2009, it “submitted false claims to Medicare...more

New Year's Resolution: Does Your Fiduciary Liability Insurance Need a Check-Up?

by Orrick, Herrington & Sutcliffe LLP on 1/9/2012

The role of a fiduciary to an employee benefit plan regulated under the Employee Retirement Income Security Act of 1974, as amended ("ERISA") has become more precarious in recent years. Litigation against plan fiduciaries is...more

DOJ Escalates Its War on Health Care Fraud: GlaxoSmithKline Agrees to Pay Record-setting $3 Billion to Settle U.S. Investigations

by Morrison & Foerster LLP on 11/8/2011

British pharmaceutical company GlaxoSmithKline (GSK) announced on November 3, 2011, that it had reached an agreement in principle with the United States government to resolve multiple federal investigations regarding the...more

Tenth Circuit Rules That Title Insurers Did Not Violate Antitrust Laws Even If They Allegedly Conspired to Bribe the State...

by Sutherland Asbill & Brennan LLP on 5/4/2011

On April 26, 2011, the U.S. Court of Appeals for the Tenth Circuit affirmed, on the basis of the filed rate doctrine and other grounds, a lower court’s decision to dismiss putative class claims asserted against Insurer...more

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Business Torts › Administrative Law › Insurance