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Insurance Updates

Read Insurance Law updates, alerts, news, and legal analysis from leading lawyers and law firms:
Wiley Rein LLP

Administrative Complaint and Subsequent Lawsuit Deemed Related Claims First Made Before EPL Coverage Incepted

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A federal district court determined that there was no coverage for a claim where a related claim was first made before the policy period began. A former employee of the insured company filed an administrative complaint...more

Ogletree, Deakins, Nash, Smoak & Stewart,...

Employers Grapple With GLP-1 Coverage for Weight Loss

Whether and how to cover GLP-1 medications for weight loss is a challenging issue for many employers. As obesity rates remain high in many states, employers are making tough decisions about whether and how to cover GLP-1...more

Hinshaw & Culbertson - Insights for Insurers

Navigating the Duty to Defend: Insights from the Third Edition of Hinshaw’s Fifty-State Survey

An Overview of The Duty to Defend- Many insurance policies issued as primary layer coverage establish two separate principal duties on the part of the insurer: the duty to defend and the duty to indemnify. 1. The duty to...more

Cozen O'Connor

Dents Don’t Count: Court Clarifies Hail Damage Coverage

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In Cannon Falls Area Schools v. Hanover American Insurance Company (2025 WL 2976533 (D. Minn. 2025)), the United States District Court for the District of Minnesota held that a property insurer properly denied coverage...more

McDermott+

Healthcare Preview for the Week of: November 17, 2025

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The record-breaking government shutdown ended last week with the passage of a continuing resolution to fund the government through January 30, 2026. This week, both chambers are back for one of the few remaining in-session...more

Bradley Arant Boult Cummings LLP

Comma Drama: How Tiny Punctuation Choices Can Swing Entire Coverage Battles

Insurance coverage disputes often rise or fall on sweeping questions — trigger theories, allocation frameworks, priority of coverage. But sometimes the battle comes down to something dramatically smaller: a comma....more

A&O Shearman

UK government launches new financial inclusion strategy

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HM Treasury (HMT) has released its financial inclusion strategy, outlining a comprehensive national plan to remove barriers to financial participation and to build financial resilience....more

Chambliss, Bahner & Stophel, P.C.

2.8 Percent COLA Increase for 2026 Social Security Benefits

Social Security benefits will increase by 2.8 percent in 2026 due to the annual cost-of-living adjustment (COLA). This increase applies to Social Security and Supplemental Security Income (SSI) recipients, with payments...more

Alston & Bird

Health Care Week in Review | Government Shutdown Ends; FDA Announces a Warning Label Change for Hormone Replacement Therapy (HRT)...

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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

Robinson+Cole Health Law Diagnosis

From Risk to Readiness: Navigating the Payor Audit Landscape

As payer audits become more frequent and complex, laboratories and healthcare providers must be equipped to respond effectively. Labs are especially vulnerable due to high-cost services and billing complexity. Triggers...more

Hogan Lovells

Directors' Duties in Insolvency: Hong Kong Court Warns of Personal Liability for Frivolous Challenges to Winding-Up Orders

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Hong Kong Court of Appeal orders sole director to be personally liable for causing insolvent company to pursue a hopeless winding up appeal. On 17 November 2025, the Hong Kong Court of Appeal delivered its reasons for...more

Morgan Lewis - Health Law Scan

Applied Behavioral Analysis: Key Service for Children with Autism is Under Payment Scrutiny

In the past decade, there has been a significant increase in the utilization of Applied Behavioral Analysis (ABA) therapy, in large part because of expanded coverage under all Medicaid programs since 2022. Both federal and...more

J.S. Held

The Tale of the Three Insureds: A Comparative Look at Builder’s Risk Claims

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This article will examine three Insureds, their respective projects, and how project losses and builder’s risk insurance claims affected project outcomes. Additionally, we will discuss the decisions and actions taken that...more

Maynard Nexsen

Surplus Lines Primer

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Surplus Lines Market The surplus lines market exists to provide insurance to consumers whose needs are not met by insurers regulated by the state as admitted carriers, and it functions as a supplement or complement to the...more

Wiley Rein LLP

Eleventh Circuit Applies Notice-Prejudice Rule But Insured’s Failure to Timely Notify Insurer Bars Coverage for Pollution Claims

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The Eleventh Circuit Court of Appeals, applying Florida law, held that an insurer could deny coverage for failure to provide timely notice where the insured provided no evidence to rebut the presumption of prejudice to the...more

Zelle  LLP

An Unsettling Topic: Third-Party Liability Bad Faith in Alabama

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In Alabama, the standard for determining whether an insurer has acted in bad faith in a third-party liability coverage dispute has been an unsettled issue. Two recent decisions from federal courts in Alabama indicate that the...more

Hogan Lovells

CMS announces voluntary “GENEROUS” Medicaid most-favored-nation drug pricing model, planned to launch in 2026

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On November 6, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a new drug payment model designed to make Most Favored Nation (MFN)-level prices available to state Medicaid programs via manufacturer rebates....more

Neal, Gerber & Eisenberg LLP

2026 Game Plan for Group Health Plans

I. Scouting Report: How We Got to 2026 - Several federal updates issued in 2024–2025 take effect in 2026. This section highlights the developments that drive the 2026 adjustments....more

Brownstein Hyatt Farber Schreck

Employee Benefits-Related Limits for 2026

This chart shows some of the annually adjusted dollar limits that impact employee benefits, as published by the Internal Revenue Service, the Social Security Administration and the Pension Benefit Guaranty Corporation....more

Polsinelli

CMS Expands Consequences of Medicare Revocation: What You Need to Know

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Key Takeaways - CMS maintains its authority to impose Medicare reenrollment bars: CMS emphasizes its ability to apply reenrollment bars when a provider’s Medicare billing privileges are revoked, affecting all enrollments...more

Eversheds Sutherland (US) LLP

Benefits Catch-Up - Q3 2025

With so much happening in the employee benefits world, we bring you Benefits Catch-Up, our catch-up contribution to help you keep up with recent developments....more

Ropes & Gray LLP

Finalized Changes to Medicare Payment Rules: Key Takeaways for Life Sciences Companies

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The Centers for Medicare & Medicaid Services (“CMS”) recently finalized a Medicare payment rule with significant implications for life sciences companies, particularly biotech and pharmaceutical manufacturers....more

Fenwick & West LLP

U.S. Tax Court Holds that § 7701(o) Requires Threshold Relevancy Determination Before Applying Two-Prong Economic Substance Test

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In Patel v. Commissioner, the United States Tax Court held on November 12, 2025, that the economic substance doctrine, as codified by § 7701(o) of the Internal Revenue Code, requires a relevancy requirement, noting that...more

Barnea Jaffa Lande & Co.

Amendment 13 : Guidance for Insurance Agents and Agencies

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The Israeli Privacy Protection Law was recently amended, and, like all organizations, insurance agencies must comply with its provisions. A supervisory report conducted by the Privacy Protection Authority (PPA) in the...more

Zelle  LLP

Appraisal Doesn’t Toll the Clock: Texas Court Upholds Suit Limitation Clause Despite Post-Denial Appraisal Demand

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In Texas, once a claim denial has been issued, the clock starts ticking for an insured to file a lawsuit. In Texas, the default statute of limitations for breach of contract claims is four years. ...more

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