Maryland Couple Sentenced for $20 Million Life Insurance Scam Involving Dozens of Fraudulent Policies
James and Maureen Wilson of Owings Mills, Maryland, received prison time and must repay over $18.7 million after orchestrating a massive life insurance fraud scheme.
July 10
Fraud
Insurance Industry
Life & Health
Litigation
Maryland
Rhode Island Sets New Standards for Pet Insurance Policies and Sales Practices
Rhode Island’s new Pet Insurance Act introduces detailed consumer protections, requiring clear disclosures and training for producers starting January 1, 2026.
July 7
Education & Training
Insurance Industry
Legislation & Regulation
Life & Health
Rhode Island
Swiss Re Identifies Rising Risks Including Declining Trust, Excess Mortality, and Digital Liability
Swiss Re’s 2025 SONAR report examines emerging structural risks including trust erosion, mortality fluctuations, and digital liabilities reshaping insurance claims and coverage.
July 2
Fraud
Liability
Life & Health
Property
AI and Value-Based Care Are Transforming Workers’ Comp Claims Management
Artificial intelligence and outcome-focused care models are streamlining workers’ compensation by improving triage, reducing costs, and prioritizing long-term recovery outcomes.
June 24
Life & Health
Risk Management
Technology
Workers' Compensation
Ohio
Purdue Pharma Gains Widespread State Backing for $7.4 Billion Opioid Crisis Settlement
Fifty-five states and territories back Purdue Pharma’s $7.4B opioid settlement plan, aiming to resolve lawsuits and distribute funds to governments, tribes, and individuals.
June 16
Insurance Industry
Legislation & Regulation
Life & Health
Litigation
New York
Oklahoma
States Move to Halt 23andMe Sale Over Privacy Concerns About Genetic Data
Twenty-seven states and D.C. filed suit to block the sale of genetic and medical data in 23andMe’s bankruptcy, citing lack of informed customer consent.
June 12
Legislation & Regulation
Life & Health
Risk Management
Technology
Million-Dollar Health Claims Spike as Employers Struggle with Soaring Costs
A 29% rise in million-dollar medical claims over the past year is squeezing self-funded employers, with cancer remaining the top cost driver, Sun Life’s data reveals.
June 10
Insurance Industry
Life & Health
Risk Management
Workers' Compensation
Lawsuit Against Nationwide Challenges Mass Pet Insurance Cancellations
Nationwide faces legal backlash after canceling 100,000 pet insurance policies, with allegations of broken promises and a growing debate over ethics and contract law.
June 9
Insurance Industry
Life & Health
Litigation
Risk Management
Illinois Doctor Faces Sentencing for Defrauding Medicaid and Insurance Providers
Dr. Mona Ghosh, a suburban Chicago physician, awaits sentencing after pleading guilty to submitting $1.5 million in false insurance and Medicaid claims.
June 4
Fraud
Insurance Industry
Life & Health
Litigation
Illinois
Long COVID Drives Most Workers’ Comp COVID Costs in California
A new study reveals that although Long COVID made up just 4.7% of California workers’ comp COVID claims, it accounted for nearly three-quarters of total claim costs from 2020 to 2022.
June 4
Insurance Industry
Life & Health
Risk Management
Workers' Compensation
California
Over 1,000 Former Rugby Players Sue Over Concussion-Related Brain Injuries
A growing group of former professional rugby players now totals over 1,100 in a lawsuit alleging negligence by rugby governing bodies in preventing brain injuries.
June 4
Legislation & Regulation
Life & Health
Litigation
Risk Management
How Artificial Intelligence Enhances Clinical Pharmacists’ Role in Workers’ Comp Care
Clinical pharmacists are using AI to enhance drug therapy oversight, reduce risk, and improve recovery outcomes for injured workers in complex workers’ compensation claims.
June 2
Life & Health
Risk Management
Technology
Workers' Compensation
Connecticut Bans AI Claim Denials and Caps Rate Hikes in Sweeping Health Insurance Reform
Connecticut’s Senate Bill 10 curbs AI-driven claim denials, tightens rate hike rules, and expands patient protections, with major reforms taking effect October 1, 2025.
May 28
Insurance Industry
Legislation & Regulation
Life & Health
Technology
Connecticut
Former FBI Agent Unpacks How a Massive Health Insurance Scam Took Root in Pennsylvania and Spread Nationwide
A federal investigation into a sweeping health insurance fraud scheme that began in Reading, Pennsylvania, highlights how scammers stole millions from thousands of victims nationwide.
May 20
Fraud
Insurance Industry
Life & Health
Litigation
Pennsylvania
Pennsylvania Shuts Down Unlicensed Insurance Telemarketing Scheme with Nationwide Reach
A multiyear investigation by the Pennsylvania Insurance Department led to the indictment of four businessmen and two companies for defrauding consumers across the U.S.
May 20
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Pennsylvania
