The doctor's records may show what Harris reported about other accidents, which could affect a factfinder's decision about the causal link between her injuries and the April 2017 accident, the supreme court said.
"It is about Allstate's statewide unlawful and fraudulent underwriting practices vis-à-vis modifying its insureds' policies without requisite notice, and ultimately, how these modifications negatively impacted its insureds' rights to recovery," attorney Jason Palker said.
"Federal has paid Fuse $2,936,944 for damage to personal property ... though the adjustment is not nearly complete at this time and this number is expected to reach in excess of $3.5 million," the complaint states.
A Texas appellate court recognized that an insurance carrier is entitled to recover all benefits paid to an injured worker out of the "first money" recovered from a liable third party.
According to the LDI's ongoing investigation, McClenny Moseley & Associates admitted to nearly 900 fraudulent misrepresentations it had been retained by Louisiana policyholders to settle claims when it actually did not.
Even though the district court misapplied the burden-shifting analysis from Texas insurance law, the Fifth Circuit affirmed the verdict in favor of Crestbrook because the insurer successfully "demonstrated that a generalized mold claim [was] excluded under the policy" purchased by the insureds.
Because Ryan was unlawfully deprived of the $346,612 paid to Weaver, the Fifth District Court of Appeals found there was coverage under the Employee Theft provision of the policy.
A judge from the Eastern District of Louisiana has dismissed a case where the plaintiff's attorney didn't actually have an agreement with the plaintiff when the suit was filed.
"Cigna's comment that Genesis was unfairly 'profiting' off the pandemic by charging for COVID testing is a slap-in-the-face to Genesis and other healthcare providers who endured months of furloughs, pay cuts, layoffs, and uncertainty as a result of the pandemic.
Get Answers Directly From the FC&S Experts
Submit your coverage interpretation question to the editors of FC&S for quick and reliable information.
FC&S Coverage Insider helps you stay on top of what's happening in the industry, bringing you the latest risk and coverage analyses, discussions, and more.