Sat.Feb 22, 2025 - Fri.Feb 28, 2025

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Fighting for Policyholder Rights: Florida Bad Faith Law

Property Insurance Coverage Law

When a hurricane damages your home, you expect your insurance company to play fair. But what happens when insurers undervalue claims, drag out disputes, and then hide behind new laws to avoid accountability? Thats precisely what happened in Cindy Vo v. Scottsdale Insurance Companya case that delivered a crucial victory for policyholders in Florida. A … The post Fighting for Policyholder Rights: Florida Bad Faith Law appeared first on Property Insurance Coverage Law Blog.

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Florida OIR Wants More Data, Warns Insurers about Concurrent Causation Denials

Insurance Journal

As consumer complaints have apparently mounted over unpaid hurricane losses, Florida’s top insurance regulator and some lawmakers are signaling new scrutiny on insurance carriers’ claims-handling and other practices.

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Jackson v. Spinnaker: Court Rules a Thorough Investigation is Just Good Business, Not Bad Faith

The Property Insurance Law Observer

In Jackson v. Spinnaker Insurance Company , the United States District Court for the Western District of Pennsylvania considered a homeowners insurance coverage dispute, ultimately finding that questions of residency and alleged fraudulent misrepresentations precluded summary judgment. However, the court granted summary judgment in favor of the insurer on the bad faith claim, emphasizing that a thorough investigation into a questionable claim does not amount to bad faith Background Spinnaker Ins

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Cargo Insurance: The Five Policies You Need to Protect Your Fleet

Central Insurance

The transportation industry runs on reliability. The consequences can ripple far beyond a single shipment when cargo is lost, damaged, or delayed. Without proper coverage, businesses risk financial loss, reputational damage, and loss of key contracts, which can all be detrimental. This article will explore key insights from Jason McConkey, Director of Transportation Underwriting at […] The post Cargo Insurance: The Five Policies You Need to Protect Your Fleet appeared first on Central Insu

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Leverage Trellis Court Data To Identify More Investment Opportunities

Finance teams find Trellis to be particularly effective in conducting comprehensive due diligence on both individuals and businesses. With our court data solution, financial experts can access critical litigation insights, making it an invaluable resource for informed decision-making in the financial sector.

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State Farm’s Water Protocol

Property Insurance Coverage Law

State Farm met with California Insurance Commissioner Lara yesterday about an emergency meeting regarding its rates following the Los Angeles wildfires. Meanwhile, State Farm has been busy suppressing the methods it uses to adjust water loss claims in Tong v. State Farm General Insurance Company. This case continues to shed light on State Farms handling … The post State Farms Water Protocol appeared first on Property Insurance Coverage Law Blog.

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2025 Insurance Industry Trends Highlight New Players and New Solutions

Majesco

When the InsurTech experiment began a decade ago, it took some time for insurers, investors, and the industry to sort it all out. What was the perceived value of a particular technology? Was it a ‘whizbangy’ feature or a meaningful paradigm changer? Was its value directly tied to a business case? What would be its long-term competitive impact once the dust had settled and everyone was using it?

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Evidence-Based Medicine (EBM) in Workers’ Comp: A Case Study on Partial Rotator Cuff Tear

AMAXX

Once employers and adjusters understand the value of evidence-based medicine (EBM) in workers’ compensation claims, the next challenge is applying it effectively. EBM helps ensure that medical treatments align with standardized recovery timelines, reducing unnecessary disability durations and claim costs. This article explores a real-world example of how EBM can be utilized to drive optimal claim outcomes.

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Should There Be a Valued Policy Law for Personal Property?

Property Insurance Coverage Law

A New York Times article written by Rukmini Callimachi,California Bill Would Force Insurers to Pay Full Coverage Without Requiring Itemization,is something many policyholders of the recent Los Angeles wildfires wished was the law right now. Many are having to go through the trauma of reliving the loss of each piece of their personal property because … The post Should There Be a Valued Policy Law for Personal Property?

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Selectsys Acquires Expert Insured, with AI for Carriers, MGAs

Insurance Journal

Tennessee-based Selectsys, an insurtech specializing in business process outsourcing for insurers, has acquired Expert Insured, an artificial intelligence-led insurance management system for wholesalers, carriers and managing general agents. Terms were not disclosed.

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Take the Hassle Out of Claims Management

Insurance professionals use Trellis to streamline claims management by analyzing legal trends, predicting outcomes, and strategizing effectively to serve clients better. Adjusters can evaluate claim validity, estimate settlement amounts, and identify potential litigation risks. Trellis' extensive State Trial Court Data can be leveraged to identify opposing/outside counsel and top mediators for insurance matters, evaluate the risk of new claims by viewing similar claim litigation history, and mor

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Carisbrooke seals $27m newbuild financing

Splash: Finance and Insurance

UK owner Carisbrooke Shipping has secured financing for its newbuilding programme in the Netherlands. Germany’s KfW IPEX-Bank is backing the construction of two 7,700 dwt general cargo vessels at Thecla Bodewes Shipyards with around 26m ($27.3m).

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Blog Post: California Workers’ Compensation Discovery: 10 Frequently Asked Questions

LexisNexis

By Hon. Robert G. Rassp, Presiding Judge, Los Angeles WCAB Disclaimer: The material and any opinions contained in this article are solely those of the authors and are not the opinions of the Department of Industrial Relations, Division of Workers Compensation, or the WCAB, or any other entity or individual. The materials are intended to be a reference tool only and are not meant to be relied upon as legal advice.

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Should There Be a Valued Policy Law for Personal Property?

Property Insurance Coverage Law

A New York Times article written by Rukmini Callimachi,California Bill Would Force Insurers to Pay Full Coverage Without Requiring Itemization,is something many policyholders of the recent Los Angeles wildfires wished was the law right now. Many are having to go through the trauma of reliving the loss of each piece of their personal property because … The post Should There Be a Valued Policy Law for Personal Property?

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Markets/Coverages: MGA Pen Expands International Cover for UK Recruitment Agencies

Insurance Journal

Pen Underwriting, the London-based managing general agent, has expanded and enhanced its specialist insurance proposition for recruitment agencies, to support clients’ international growth strategies and help them respond to increasing legal liabilities arising from contractual complexities.

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JP Morgan Asset Management buys out Oaktree’s stake in OSM Thome

Splash: Finance and Insurance

Oaktree Capital Management is cashing out of shipmanagement giant OSM Thome, with investors linked to JP Morgan Asset Managements Global Transportation Group coming onboard in its place.

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How to Tell If You Need a Nurse Case Manager for Your Workers’ Compensation Claim

AMAXX

Nurse case managers (NCMs) coordinate medical care and determine the extent of disability. However, there are times when the NCM doesn’t serve a specific purpose and is assigned to the claim to get it moving. At times, NCMs are used to do some of the tasks adjusters are supposed to do. Your job is to clarify when nurse case management is warranted and useful.

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Florida Insurance Regulators Demand Fair Treatment for Policyholders

Property Insurance Coverage Law

As Florida residents, we know that hurricane season can be relentless. But what happens when two hurricanes strike in the same season? How do insurance claims work when your home has already been damaged once? A recent Florida Office of Insurance Regulation (OIR) Bulletin clarifies how insurers must handle claims for multiple hurricanes. If youre … The post Florida Insurance Regulators Demand Fair Treatment for Policyholders appeared first on Property Insurance Coverage Law Blog.

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NormanMax Agrees to Purchase Parametric Flood Specialist MGA, FloodFlash

Insurance Journal

NormanMax Insurance Holdings, the Miami-based provider of parametric re/insurance solutions, has agreed to acquire FloodFlash, the parametric flood managing general agent, subject to regulatory approval.

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Does Commercial Property Insurance Cover Water Damage?

Tosten Marketing

Water damage can wreak havoc on commercial properties, leading to costly repairs and business disruptions. At Tosten Marketing, we often hear from business owners wondering about their insurance coverage for such incidents. Commercial property insurance water damage coverage is a complex topic with many nuances. This blog post will explore what types of water damage are typically covered, common exclusions, and additional coverage options to consider for comprehensive protection.

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What is Evidence-Based Medicine in Workers’ Compensation

AMAXX

Evidence-Based Medicine (EBM) plays a critical role in workers compensation, guiding both medical professionals and non-medical stakeholders in making informed decisions about injury treatment, recovery time, and return-to-work strategies. Over the past few decades, EBM has evolved significantly, moving from anecdotal observations to a structured approach supported by sophisticated analytics and peer-reviewed research.

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Insuring Unmarried Couples—Is There Coverage?

Property Insurance Coverage Law

Cohabitation among unmarried couples is not novel. A 2019 study indicated that the share of adults who are living with an unmarried partner is 7%. 1 Insuring property for unmarried couples is not so easy in many states. A recent Michigan case found that the unmarried woman did not qualify as an insured under a … The post Insuring Unmarried CouplesIs There Coverage?

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People Moves: Beazley Taps Generali’s Foucher as Head of Commercial Property, Europe; BMS Re Appoints Hughes and Bartell From Howden Re for Non-Marine Reinsurance

Insurance Journal

This edition of International People Moves details appointments at Beazley and BMS Re. A summary of these new hires follows here.

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2025 Election Period Booklet for Medicare Advantage and Prescription Drug Plans

PSM Brokerage

Stay informed, stay compliant, and most importantlyhelp your clients make confident Medicare choices! This comprehensive booklet is designed to give you the insights and tools necessary to better serve your clients. A big shout out for Cigna on doing the heavy lifting on this helpful resource! Inside the Election Period Booklet , youll find: Enrollment Elections Timeline Understand the key milestones in the enrollment process.

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How AI is Changing the Insurance Industry’s Reputation

Zywave

Artificial Intelligence has the potential to benefit both insurance professionals and consumers, says Doug Marquis, chief technology officer at Zywave. Insurance is often regarded as a necessary evil by consumers a boring grudge purchase to protect themselves against an unfortunate event that may never happen. And many consumers suspect that the insurance company has plucked numbers out of the air to price a policy, with rates seeming to fluctuate arbitrarily.

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Fighting for Policyholder Rights: Florida Bad Faith Law

Property Insurance Coverage Law

When a hurricane damages your home, you expect your insurance company to play fair. But what happens when insurers undervalue claims, drag out disputes, and then hide behind new laws to avoid accountability? Thats precisely what happened in Cindy Vo v. Scottsdale Insurance Companya case that delivered a crucial victory for policyholders in Florida. A … The post Fighting for Policyholder Rights: Florida Bad Faith Law appeared first on Property Insurance Coverage Law Blog.

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Energy Transer Fuel Leak in Pennsylvania Lasted 16 Months, PHMSA Says

Insurance Journal

A pipeline operated by Energy Transfer LP leaked jet fuel for at least 16 months, contaminating residential water wells in Pennsylvania, and the conduit may be at risk for further incidents, according to a preliminary investigation by regulators.

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Blog Post: Managing External Counsel With Standardized Benchmarks

LexisNexis

Managing external counsel in the legal department comes with various challenges. The primary challenge is rising hourly rates in all practice areas and geographies. Other challenges managing external counsel may arise in performance evaluations and the quality and length of legal services to close a matter. One way managing external counsel benefits the legal department is to set a standardized benchmarking program to track and measure external counsel performance against variables.

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The Birthday Rule: A Growing Trend in Medicare Supplement Plans

PSM Brokerage

The Birthday Rule is gaining traction across the country, allowing Medicare Supplement policyholders to switch plans without medical underwriting around their birthday each year. Unlike Medicare Advantage, which offers an annual enrollment period under federal regulations, Medicare Supplement plans are state-regulated, meaning there is no nationwide equivalent for annual plan changes.

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Secret Report Proves Florida Insurance Executives Wrongful Self-Dealing

Property Insurance Coverage Law

Investigative reporter Lawrence Mower deserves some type of award and thanks. His work has unveiled a deeply concerning pattern within Florida’s insurance industry, noted in the story: Secret Study Found Florida Insurers Sent Billions to Affiliates While Crying Poor. While insurers have publicly lamented their financial hardships, Mower’s findings reveal that these companies have been … The post Secret Report Proves Florida Insurance Executives Wrongful Self-Dealing appeared fi

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Home of CEO of SAIF in Oregon Shot at, No Injuries Reported

Insurance Journal

Various media outlets have reported shots were fired into the home of the head of Oregon worker’s compensation insurer SAIF Corp. The outlets are reporting that the early-morning Feb.

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Blog Post: Legal Software as a Service For Law Department Efficiency

LexisNexis

Software-as-a-Service (SaaS) is a cloud-based service where instead of downloading software on your desktop PC or business network to run and update, you instead access an application via an internet browser. Legal Software as a Service applications could be anything from law department software, like an enterprise legal management platform, to unified communications among a wide range of business apps that are available.

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50 Years and counting

Rough Notes

This Texas agency has grown from startup to one of the states largest independents By Dennis H.

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Insuring Unmarried Couples—Is There Coverage?

Property Insurance Coverage Law

Cohabitation among unmarried couples is not novel. A 2019 study indicated that the share of adults who are living with an unmarried partner is 7%. 1 Insuring property for unmarried couples is not so easy in many states. A recent Michigan case found that the unmarried woman did not qualify as an insured under a … The post Insuring Unmarried CouplesIs There Coverage?