Federal Court Rules Health Insurers in New Mexico Do Not Have to Cover Medical Marijuana Costs
A federal court ruled that New Mexico health insurers are not obligated to cover medical marijuana, highlighting conflicts between state mandates and federal regulations.
April 28
Insurance Industry
Legislation & Regulation
Life & Health
Litigation
New Mexico
Insurance Brokerage Executive Admits Role in $133M ACA Fraud Scheme Targeting Federal Subsidies
A Florida insurance executive admitted to orchestrating a $133 million scheme involving fraudulent ACA enrollments to collect commissions from taxpayer-funded health plan subsidies.
April 23
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Florida
Fake Medical Labs Rake in $84K Using Stolen Insurance Info from Illinois Couple
A Des Plaines couple discovered over $84,000 in fraudulent lab charges on their health insurance, highlighting a growing scheme of phantom billing and data theft in healthcare.
April 18
Fraud
Legislation & Regulation
Life & Health
Technology
Illinois
Five People Face Felony Charges in $1.4 Million California Life Insurance Fraud Scheme
California officials charged five defendants, including former insurance agents, in a life insurance fraud scheme involving fake policies and stolen commissions totaling over $1.4 million.
April 15
Fraud
Insurance Industry
Life & Health
Litigation
California
Mental Health Becomes Leading Workplace Injury as Small Businesses Struggle with Safety and Costs
Three in four small businesses experienced a workplace injury in the past year, with mental health injuries now surpassing physical ones as the most reported incident.
April 2
Life & Health
Risk Management
Technology
Workers' Compensation
Texas Measles Outbreak Raises Alarms Nationwide as Infections Cross State Lines
Texas’ largest measles outbreak in decades has spread to New Mexico and Oklahoma, with experts warning it could become a national crisis without swift vaccination efforts.
March 24
Education & Training
Legislation & Regulation
Life & Health
Risk Management
Illinois
New Mexico
New York
Oklahoma
Texas
Two Men Face Prison for $161M Obamacare Fraud Scheme
Two individuals allegedly defrauded the Affordable Care Act by submitting false applications, leading to millions in commissions and subsidy fraud. They face multiple federal charges.
February 21
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Florida
Texas
Georgia Woman Sues Fertility Clinic Over Embryo Mix-Up That Led to Custody Battle
A Georgia woman claims a fertility clinic mistakenly implanted the wrong embryo, leading her to carry and give birth to another couple’s baby. She later had to surrender the child in an emotional legal battle.
February 21
Legislation & Regulation
Life & Health
Litigation
Risk Management
Georgia
South Carolina
Ohio Insurance Agent Sentenced for $1.4 Million Fraud Scheme
Former Ohio insurance agent Rhonda Chandler received probation and faces prison if she violates terms after pleading guilty to stealing over $1.4 million in pre-need funeral insurance funds.
February 14
Fraud
Insurance Industry
Life & Health
Litigation
Ohio
How AI Is Transforming the Life Insurance Industry
Artificial intelligence is revolutionizing life insurance by enhancing efficiency, improving customer experiences, and reshaping risk management, while also introducing new challenges.
February 14
Insurance Industry
Life & Health
Risk Management
Technology
Arizona Couple Admits to $1.2 Billion Medicare Fraud Scheme Involving Unnecessary Wound Grafts
A Phoenix couple pleaded guilty to orchestrating a $1.2 billion health care fraud scheme, submitting false claims for unnecessary wound grafts and receiving millions in illegal kickbacks.
February 4
Fraud
Legislation & Regulation
Life & Health
Litigation
Arizona
Pet Insurance Expansion Brings Opportunities and Risks
The pet insurance market in the U.S. is expanding rapidly, with premiums potentially surpassing $4.5 billion in 2024. However, rising veterinary costs and market concentration pose challenges for insurers.
January 29
Insurance Industry
Life & Health
Risk Management
Underwriting
Health Insurance Fraud Case Resolved by Austin-Based Small Group Business
An Austin-based small group health insurer settles allegations of fraudulent billing practices, emphasizing the need for transparency and ethical standards in health insurance claims.
January 23
Fraud
Legislation & Regulation
Life & Health
Risk Management
Alabama
Arizona
Arkansas
Florida
Louisiana
The Insurance Gold Rush: How Digital Nomads Are Redefining Global Coverage
The rise of remote work and international hiring is driving innovation and growth in commercial insurance, offering tailored solutions to meet the diverse needs of a global workforce.
January 3
Insurance Industry
Life & Health
Risk Management
Technology
Why Digital Transformations Are Struggling to Deliver Results
Life insurers face persistent challenges in digital transformation, including data accessibility, prioritizing business needs, gaining employee buy-in, and selecting the right partners.
January 3
Insurance Industry
Life & Health
Risk Management
Technology
