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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, 2025 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, 2025 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, 2025 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, 2025 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, 2025 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, 2025 Fraud Insurance Industry Legislation & Regulation Life & Health Pennsylvania

FDA Layoffs Raise Alarms Over Food Safety and Future Oversight

Massive FDA layoffs under the Trump Administration have triggered concerns over food safety, transparency, and agency performance amid sweeping health department cuts.
May 8, 2025 Legislation & Regulation Life & Health Risk Management Technology

FBI Warns of Rising Discount Medical Insurance Scams Costing Victims Thousands

The FBI warns consumers about discount medical insurance scams that falsely promise savings but leave victims with unpaid medical bills and unauthorized charges.
May 6, 2025 Fraud Legislation & Regulation Life & Health Risk Management

Early Behavioral Health Support Significantly Shortens Workers’ Comp Claim Duration

New Sedgwick research shows that addressing mental health within the first 90 days of a claim can reduce recovery time by up to 70%, improving return-to-work outcomes.
May 6, 2025 Education & Training Life & Health Risk Management Workers' Compensation California New York

Nick Cannon’s $10 Million Body Insurance Highlights Celebrity Coverage Trends

Nick Cannon’s decision to insure a part of his body for $10 million has reignited interest in celebrity body part insurance and the broader strategies behind income protection.
May 1, 2025 Insurance Industry Life & Health Risk Management Weird

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, 2025 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, 2025 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, 2025 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, 2025 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, 2025 Life & Health Risk Management Technology Workers' Compensation
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