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Polsinelli

Texas Regulatory Action Underscores Insurer Accountability for TPA Compliance

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Key Takeaways: A Florida-based insurer was recently fined by the Texas Department of Insurance for failing to ensure the competent administration of its programs by working with an unlicensed TPA and failing to conduct...more

Orrick, Herrington & Sutcliffe LLP

NCUA announces fifth round of deregulatory proposals

On February 10, the NCUA announced a fifth round of proposed regulatory changes under its ongoing “Deregulation Project” seeking to reduce administrative burden and eliminate duplicative requirements for federally insured...more

McDermott+

McDermott+ Check-Up: February 13, 2026

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Senate committees continue to examine fraud in federal and state programs. Discussions spanned social services, public benefits, and immigration-related enforcement....more

Orrick, Herrington & Sutcliffe LLP

Judge trims mortgage lender’s fraud suit against title insurer, allows key claims to move forward

On February 9, the U.S. District Court for the Western District of North Carolina granted in part and denied in part a title insurer’s motion to dismiss in a real estate fraud case, where a mortgage lender alleged it suffered...more

Carlton Fields

Eighth Circuit Rules That Concealment or Fraud Provision Can Bar Coverage for False Facts, Even Absent Knowledge by Insured or...

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In Hiscox Dedicated Corporate Member Ltd. v. Taylor, the Eighth Circuit Court of Appeals recently affirmed the right of an insurer under Arkansas law to void a policy based on a misrepresentation in an application, even if...more

Davis Wright Tremaine LLP

HIPAA Privacy Notice Upcoming Deadline

Employers with group health plans need to confirm that their HIPAA Privacy Notices are updated no later than February 16, 2026, to reflect changes required by the 2024 Privacy Rule....more

Morrison & Foerster LLP

Fund Finance Association 2026 Global Fund Finance Symposium: Key Takeaways from Miami

The Fund Finance Association (FFA) held its 15th Annual Global Fund Finance Symposium at the Fontainebleau in Miami Beach, Florida on February 2-4, and brought together fund managers, lenders, investors, insurers, rating...more

McCarter & English, LLP

Highlights and Shortfalls of Recent PBM Legislation

There have been a series of court cases and federal legislation targeting the spread pricing model often used by pharmacy benefit managers (PBM). Spread pricing involves two points of time in prescription drug transactions....more

Blank Rome LLP

Reimagining Employer-Sponsored Healthcare with Jack Hill of Nomi Health

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Season 2, Episode 2: Reimagining Employer-Sponsored Healthcare with Jack Hill of Nomi Health In this episode of BRight Minds in Healthcare Delivery, host Eric Tower speaks with Jack Hill, Senior Vice President of Enterprise...more

Marshall Dennehey

Ohio Supreme Court Enforces Broad Arbitration Clause in Insurance Policy, Extending to Bad Faith Claims

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U.S. Acute Care Solutions, L.L.C. v. Doctors Company Risk Retention Group Insurance Company, --- N.E.3d ---, 2025-Ohio-5010 (Ohio 2025) - In this medical malpractice lawsuit filed against an emergency services provider, the...more

Alston & Bird

Health Care Week in Review | Energy and Commerce Health Subcommittee Reviews the Prescription Drug Supply Chain; HHS Releases...

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Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies,...more

Rivkin Radler LLP

Renewed Federal Focus On Abuses in Home Health Industry

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Last month, Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services (“CMS”), accompanied by other CMS officials, visited with home health and hospice providers and related industry associations to discuss...more

Skadden, Arps, Slate, Meagher & Flom LLP

Bermuda Proposes New Parametric Special Purpose Insurance Class

On 21 January 2026, the Bermuda Monetary Authority (BMA) released a consultation paper (Consultation Paper) proposing the introduction of a new category of special purpose insurance called the parametric special purpose...more

Ropes & Gray LLP

The HHS Office of Inspector General Speaks: Direct-to-Consumer Discount Drug Programs under the Federal Anti-Kickback Statute

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On January 27, 2026, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) issued a special advisory bulletin applying the federal Anti-Kickback Statute to a pharmaceutical manufacturer’s offer...more

Ropes & Gray LLP

Hospital and Health Systems Reimbursement Check - February 2026

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In 2026, each state will receive a federal award through the Rural Health Transformation (“RHT”) Program, a five-year program authorized by Congress in 2025....more

Morgan Lewis - Health Law Scan

Virtual Direct Supervision Allowed for ‘Incident to’ Medicare Billing and Other Telehealth Updates

The Centers for Medicare & Medicaid Services (CMS) allows the use of real-time, two-way audio/video communications technology to satisfy the direct supervision requirement for most Medicare Part B services. This development,...more

McGuireWoods Consulting

President Trump Announces the “Great Healthcare Plan”

On Jan. 15, 2026, President Trump announced his “Great Healthcare Plan.” The plan focuses on four priority areas: lowering drug prices, lowering insurance premiums, holding big insurers accountable and maximizing price...more

Paul Hastings LLP

HM Treasury Consults on Wide-Ranging Reforms to the Appointed Representatives Regime — Implications for Principals and ARs

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HM Treasury has just published a consultation paper seeking views on proposed legislative changes to the appointed representatives (AR) regime under the Financial Services and Markets Act 2000 (FSMA). The regime, which allows...more

Bond Schoeneck & King PLLC

Have You Checked Your Beneficiary Designations?

When was the last time you checked your beneficiary designations? Imagine spending years building your savings and crafting an estate plan, only to have your assets pass to the wrong person. Often, individuals think that once...more

Epstein Becker & Green

GUARD and GLOBE Pricing Models Could Test Manufacturer Rebates for Medicare Part B and D Drugs

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As 2025 drew to a close, the Centers for Medicare & Medicaid Services (“CMS”) issued proposed rules for two mandatory pricing models aiming to reduce out-of-pocket costs for Medicare drugs....more

Bennett Jones LLP

Emond: Rebuilding Dreams or Interpreting Realities? The Supreme Court Weighs In

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The Supreme Court of Canada recently released its decision in Emond v Trillium Mutual Insurance Co, 2026 SCC 3 (Emond), offering important clarity on how insurance policies are interpreted when endorsements that add to the...more

Mayer Brown

Acquisitions of (Re)insurance Undertakings by Private Equity Funds – Supervisory Statement of EIOPA

Mayer Brown on

On 27 January 2026, the European Insurance and Occupational Pensions Authority (EIOPA) provided a Consultation Paper on a Supervisory Statement addressed to national supervisory authorities with the aim of ensuring...more

Butler Snow LLP

Flood Claims Under the SFIP: How Failing to Comply with Strict Policy Deadlines Can Sink Your Flood Claim

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Many insureds—including sophisticated corporate policyholders—assume that FEMA’s Standard Flood Insurance Policy (“SFIP”) functions like a traditional commercial property policy. It does not....more

Cozen O'Connor

Carriage, Control, and Coordination of Subrogated Lawsuits in Ontario and Beyond

Cozen O'Connor on

Subrogation is often considered a technical doctrine; it allows an insurer to ‘step into the shoes of its insured.’ In practice, however, control of the litigation is anything but technical. The party with carriage decides...more

Hanson Bridgett

2026 Employee Benefits Webinar - Public Sector Employers

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Above-the-line federal income tax deduction for qualified OT compensation. Effective 2025-2028, up to $12,500 ($25,000 if joint return) w/ phase-out....more

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