administrative law judge News

Insurer Can’t Deny Coverage Despite Misinformation on Policy Application

An insurer that extended its workers’ compensation coverage for 90 days after discovering the employer had violated the terms of its policy could not then deny coverage for a claim on the grounds that those terms had been violated, the …

Torchmark Rulings Provide Framework for Successful Defense of California Insurance Trade Practices Actions

After a four year battle between the Torchmark Group (Globe Life et al) and the California Department of Insurance (CDI) over the CDI’s action alleging 697 claims settlement violations, the CDI dismissed the action on August 29, 2016. The dismissal …

Florida Judge Invalidates Windstorm Credit Forms; Regulator Appeals

A Florida administrative law judge has ruled that some forms used by insurers to determine a homeowner’s windstorm premium credits are invalid because they don’t take into account measures taken to protect existing homes and arbitrarily exclude steps taken to …