Business Insurance - A recent report by the National Insurance Crime Bureau shows that the number of questionable claims is up during the first quarter of 2009 compared with the first quarter of 2008, providing a snapshot of what claims analysts call “opportunistic fraud.”
National Association of Mutual Insurance Companies (NAMIC) - Legislation before a Maine legislative committee is unnecessary and would lead to higher costs for individuals and businesses, according to the National Association of Mutual Insurance Companies (NAMIC). Rather than helping insurance consumers as its name suggests, An Act to Provide for Prompt Resolution of Insurance Claims by Providing for a Direct Remedy by Consumers, would actually lead to higher costs through increased litigation and higher claims settlement costs, NAMIC told the Joint Standing Committee on Insurance and Financial Services today.
workerscompensation.com - Insurance Commissioner Steve Poizner announced today that Andrew Kim (aka Sung Young Kim), 43, and Chan Hee Yang (aka Chan Hee Ko), 61, both of Northridge, were arrested by the California Department of Insurance on multiple counts of insurance premium fraud and conspiracy connected to Bell Building Maintenance Company - a janitorial business based in Sherman Oaks. The alleged fraud amounts to more than $6.3 million dollars.
Insurance Journal - An national advocacy group is urging lawmakers in Maine to create an insurance fraud bureau. The Pine Tree State, according to the Coalition Against Insurance Fraud, has the highest per-capita rate of insurance fraud in America and should act to combat spreading insurance crimes in the state.
Risk & Insurance - If an employee passes under the borrowing employer’s right of control with regard to the work to be performed, he becomes the employee of the borrowing employer instead of the lending employer.
Insurance Journal - The Iowa General Assembly is considering several insurance-related bills that could pose threats to consumers, including one that would expand wrongful death claims to allow recovery of highly speculative damages, which would likely increase the value of claims and drive up insurance costs for Iowa consumers, according to the Property Casualty Insurers Association of America (PCI).
Risk & Insurance - In Alabama, workers’ compensation death benefits are available only to dependents who are "actually residents of the United States."
Case name:Duran v. Goff Group, No. 2070763 (Ala. Civ. App. 02/06/09).
Risk & Insurance - An examining doctor must show he is affiliated with a designated university medical school and not a private treating physician to be considered a university evaluator for workers’ compensation purposes.
workerscompensation.com - Effective October 1, 2008, Governor Jon S. Corzine signed into law P.L. 2008 Chapter 96, which applies to every workers’ compensation insurance carrier and self-insured employer. The law provides that: Every carrier and self-insured employer shall designate a contact person who is responsible for responding to issues concerning medical and temporary disability benefits where no claim petition has been filed or where a claim petition has not been answered.
Risk & Insurance - Under Louisiana law, an employer can be vicariously liable for the intentional acts of coworkers that cause injury to another employee.
Case name:Pierce v. Foster Wheeler Constructors Inc., No. 2008 CA 0906 (La. Ct. App. 12/23/08).