
Public Adjuster Charged in Multi-State Insurance Fraud Scheme Targeting Homeowners
Authorities say insurance claim funds were diverted and signatures forged, with elderly homeowners among the victims. Investigators believe more policyholders may be affected.
April 6
Fraud
Insurance Industry
Legislation & Regulation
Property
Risk Management
New Jersey
Pennsylvania

Medicare Secondary Payer Compliance: Strategies to Settle Claims Faster
Early coordination, clear documentation, and informed MSA decisions help insurers reduce delays and manage Medicare reimbursement risk.
April 3
Auto
Legislation & Regulation
Liability
Risk Management
Workers' Compensation

Court Confirms Depreciation on Repair Costs Under ACV Policies
Sixth Circuit ruling confirms insurers can deduct depreciation from repair payments unless policyholders complete repairs to trigger replacement-cost coverage.
March 30
Insurance Industry
Legislation & Regulation
Litigation
Property

Uber Backs Legal Reform as Litigation Costs Drive Auto Claim Inflation
Rideshare insurer costs surge as fraud, attorney solicitation, and third-party funding reshape auto claims severity and settlement dynamics.
March 25
Auto
Fraud
Insurance Industry
Legislation & Regulation
Litigation
California
New York

Florida Safe Home Grants Questioned Over Roof Effectiveness and Insurance Savings
Lawmakers and inspectors question whether roof-focused mitigation grants reduce claims or premiums, citing verification gaps and limited insurance credits.
March 23
Catastrophe
Legislation & Regulation
Litigation
Property
Underwriting
Florida

AI Compliance Risk in Insurance: Why Explainability Is Now a Regulatory Requirement
State regulators are accelerating enforcement on AI use in insurance, exposing carriers to fines and legal risk when decision models lack transparency.
March 23
Insurance Industry
Legislation & Regulation
Risk Management
Technology
California
Colorado
Florida
Georgia
Illinois

FedEx Driver’s Family Trip to New York Not Covered Under Florida Workers’ Comp, Court Rules
A Florida appeals court ruled that workers' compensation carriers are not required to pay for out-of-state travel that is not medically necessary, even when a catastrophic injury claimant argues the trip would improve mental health.
March 23
Legislation & Regulation
Liability
Litigation
Workers' Compensation
Florida
New York

Orlando Apartment Complex Evacuated After Cracks, Jammed Doors Raise Structural Safety Fears
Fresh cracking, jammed doors, and signs of instability forced a sudden evacuation at The Rialto in Orlando. For adjusters, the case highlights habitability, business interruption, liability, and structural defect exposures in Florida multifamily properties.
March 23
Legislation & Regulation
Liability
Property
Risk Management
Florida

Quantum Computing Threatens Insurance Data Security and Claims Operations
New warnings highlight how delayed adoption of post-quantum cryptography could expose insurers to future breaches, regulatory pressure, and operational disruption.
March 23
Insurance Industry
Legislation & Regulation
Risk Management
Technology

Purdue Pharma Bankruptcy Reshapes Third-Party Releases and Insurance Exposure
The revised opioid settlement plan introduces opt-in releases and shifts insurance rights to trusts, setting up new coverage disputes and claims handling challenges.
March 23
Insurance Industry
Legislation & Regulation
Liability
Litigation
Risk Management
New York

Southern California Towing Owners Accused in $6M Workers’ Comp Premium Fraud Case
California investigators say two Southern California towing company owners underreported payroll and paid workers off the books, leading to nearly $5.9 million in lost workers' compensation premiums. The case also triggered a payroll tax evasion investigation.
March 12
Fraud
Insurance Industry
Legislation & Regulation
Workers' Compensation
California

Wisconsin Appeals Court Finds Gig Delivery Exclusion Ambiguous in DoorDash Crash Case
A Wisconsin appeals court ruled that a personal auto policy must cover a DoorDash driver's crash because the policy's delivery-related business exclusion was ambiguous. The decision raises questions for insurers drafting gig economy exclusions.
March 12
Auto
Insurance Industry
Legislation & Regulation
Litigation
Wisconsin

New York Signals Major Tort Reform in 2026 Budget
The state's 2026 budget proposal would tighten serious injury standards, limit recovery for some plaintiffs, and reduce litigation exposure in motor vehicle cases.
March 12
Auto
Fraud
Insurance Industry
Legislation & Regulation
Liability
New York

Short-Term Rentals Create Coverage Gaps in Homeowners Insurance
Many homeowners renting their properties short term do not realize their policies may exclude commercial activity, exposing them to denied claims, liability gaps, and policy cancellations.
March 11
Legislation & Regulation
Liability
Property
Risk Management
Underwriting

Fraud Probe Targets Fake Insurance Testing Center in Miami-Dade
Investigators say applicants obtained insurance licenses through a fraudulent testing center that completed coursework and state exams on their behalf.
March 4
Fraud
Insurance Industry
Legislation & Regulation
Florida
Virginia



