June 2009

    If you have ever sought out of network health care, here is a story to make your blood boil. 

    Today's New York Times reports that Congressional investigators have discovered a faulty database overcharged patients for seeing doctors outside their insurance plan network.  The database was operated by Ingenix, a subsidiary of UnitedHealth Group.  The Congressional

    The ABA’s Section of Litigation, Insurance Coverage Litigation Committee’s website has been building a collection of insurance related articles, labeled “Hot Topics.”  Many informative and timely articles appear at the site.  See my article, “Breadth of the Flood Exclusion: A Flood is a Flood, Including Storm Surge,” posted on the site [Article] which discusses the

    Here is a report in today's Insurance Journal regarding oral argument conducted last Tuesday before the Mississippi Supreme Court in Corban v. United Services Automobile Assoc., No. 2008-M-645 (Miss.)  At issue is the application of the anti-concurrent causation clause where the insured's home was allegedly damaged by both wind and flood.  We have previously discussed the Corban

    In our last post [here] we discussed a decision from the Oklahoma Supreme Court recognizing a bad faith claim against a workers' compensation insurer.  My Damon Key colleague and fellow blogger, Mark Murakami (hawaiioceanlaw.com), informed me of a similar case winding its way through the trial court on Kauai.  See Ordonez v. Hawaii Employers Mutual Ins.

    In Summers v. Zurich Am. Ins. Co., No. 105617 (Okla. May 26, 2009) [here], the Oklahoma Supreme Court addressed confusion under state law in a establishing a bad faith claim against a workers' compensation carrier.

    Ms. Summers was injured in March 2004 while employed at Walmart.  She was an insured under a workers' compensation policy