A hospital can continue to request insurance coverage for underlying medical malpractice lawsuits related to heart surgery, the Kentucky Supreme Court said in a reversal, noting that insurers cannot rely on a subpoena issued to the hospital as the basis for triggering exclusions from their policies. How do I access the program? Call SDAO at 800-285-5461 or 503-371-8667 and ask to speak to someone about a legal issue before the loss. SDAO provides advice and/or legal assistance to members participating in the SDIS General Liability Program on matters that may give rise to a claim covered by the SDIS Property and Casualty Coverage Document. A federal court in Massachusetts has ruled Zurich American Insurance Co. A partial victory in his battle with a real estate investment trust, and found that a lower limit of $100 million in the trust`s insurance policy applies to his $265 million claim for damage caused by a thunderstorm. A jury is expected to decide the majority of a husband and wife`s claims against an insurer for payments for fire damage to their home, a federal judge in Washington has ruled, facing the couple only over a claim that the carrier failed to meet a 30-day deadline to pay losses. 3 In addition, the relevant parts of the R. & Regs. by N.Y. Comp. chickadee. 11, point 52 (Regulation 62), which lays down minimum standards for the form, content and sale of health insurance and for full and fair disclosure, applies to stop-loss insurance policies.

Is a stop-loss policy purchased by a New York authorized insurer from a self-funded health plan subject to the benefit requirements of the New York Insurance Act? A Southern California city and an AIG entity have settled their dispute over whether the city has insurance coverage for millions lost in a misappropriation scheme by former officials, parties told a California federal court, preventing a trial scheduled for next month. (a) An insurer entitled to take out accident and sickness insurance in that State. has the right to take out stop-loss insurance in accordance with this article. All requests for legal assistance that do not fall within the jurisdiction of SDAO staff must be forwarded by SDAO staff to a lawyer engaged with SDIS to provide services under the Pre-Loss Legal Program. Each authorized transfer is entitled to a maximum of three hours of free legal assistance. Depending on the complexity of the problem, additional time may be approved. If your county seeks legal advice prior to termination, the $25,000 deductible will be waived. (b) `stop-loss insurance` means an insurance policy whereby the insurer agrees to pay claims or compensate an employer for losses incurred under a self-insured benefit plan that exceed the claims limits specified for individual claims and/or for all claims taken together, or a similar agreement. Even companies indirectly affected by Hurricane Ian — for example, losses in their supply chain — should review their commercial real estate policies, as they could benefit from specific insurance clauses covering these types of losses, says Taft`s William Wagner. Progressive Insurance has asked a California federal court to dismiss claims against it in an alleged class action lawsuit filed by Golden State residents who say they were injured using Uber`s ride-sharing services, claiming the lead plaintiff signed a waiver of claims as part of a previous settlement.

The questioner asks whether a stop-loss policy issued by an insurer to an ERISA self-funded health plan is subject to the benefit requirements of the New York Insurance Act. The stop-loss insurance issued to self-financed health insurance companies is accident and health insurance. See OGC Notice 02-04-07 (April 3, 2002). N.Y. Ins. Section 4237-a (McKinney 2007), which deals with stop-loss insurance, reads as follows in the relevant part: The Ninth District sided with Hartford Fire Insurance Co. in a COVID-19 appeal against a COVID-19 business interruption, noting that they showed no direct physical loss or damage to their properties that would trigger insurance coverage. Argo Group International Holdings was hit Thursday by a class action lawsuit proposed by an investor who alleges the insurance company and its current and former executives exaggerated their underwriting practices and made false statements about the company`s ability to manage its reserves, causing a 60 percent drop in the share price when the truth came out.

A recent Minnesota Federal Court decision, SJ Computers v. Travelers, shows how an insurance policy with separate limits for computer fraud and social engineering fraud applies to a cyberattack with both components, say Joshua Polster and Laurel Fresquez of Simpson Thacher. (d) No stop-loss insurance contract may be issued or renewed if the issue of the policy is prohibited under section two thousand six hundred and thirteen, three thousand two hundred and thirty-one, four thousand three hundred and seventeen or four thousand three hundred and twenty of this chapter.