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CareFirst Files RICO Lawsuit Over Alleged $50 Million Health Insurance Fraud

CareFirst Files RICO Lawsuit Over Alleged $50 Million Health Insurance Fraud

A federal lawsuit claims hundreds of ineligible individuals were enrolled in Maryland-based health plans through an alleged scheme involving fraudulent residency information and referral networks.
June 23 Fraud Insurance Industry Life & Health Litigation Maryland

Verisk: U.S. Property and Casualty Industry Combined Ratio Improves to 92.4%

Verisk: U.S. Property and Casualty Industry Combined Ratio Improves to 92.4%

Improved personal auto results and lower catastrophe losses helped U.S. property and casualty insurers return to strong underwriting profitability. Claims severity and litigation-related costs remain significant concerns for carriers.
June 23 Auto Catastrophe Insurance Industry Legislation & Regulation Litigation

McBee Dynasty Star Faces 2027 Trial Over Alleged Fraudulent Asset Transfers

McBee Dynasty Star Faces 2027 Trial Over Alleged Fraudulent Asset Transfers

Federal prosecutors allege reality television personality and convicted crop insurance fraud defendant Steve McBee transferred valuable business interests to his sons while under investigation. The family disputes the claims and argues the transfers followed long-established trust practices.
June 19 Fraud Insurance Industry Litigation Risk Management Missouri Nebraska South Dakota

NICB Warns of Contractor Fraud Following Illinois Tornado Surge as Storm Losses Rise

NICB Warns of Contractor Fraud Following Illinois Tornado Surge as Storm Losses Rise

Illinois has recorded 140 tornadoes in 2026, prompting the National Insurance Crime Bureau to warn residents about contractor fraud schemes that often emerge after major disasters. The alert comes as severe convective storm losses continue to generate tens of billions in insured claims annually.
June 19 Catastrophe Fraud Litigation Property Risk Management Illinois

SpaceX IPO Raises Novel Insurance Question About Elon Musk Risk

SpaceX IPO Raises Novel Insurance Question About Elon Musk Risk

SpaceX's public filings place extraordinary emphasis on Elon Musk's role in the company's value. A new legal analysis argues that investors may have a legitimate insurable interest in his continued life under Texas law, raising broader questions about key person risk and insurance capacity.
June 12 Insurance Industry Legislation & Regulation Litigation Risk Management Underwriting

Claims AI Adoption Depends on Adjuster Buy-In, Not Technology Alone

Claims AI Adoption Depends on Adjuster Buy-In, Not Technology Alone

Two claims leaders explain why leadership support, adjuster trust, and workflow integration matter more than the AI purchase itself when deploying claims technology.
June 12 Catastrophe Education & Training Insurance Industry Litigation Risk Management

23andMe Agrees to $46.75M Deal to Resolve Data Breach Claims

23andMe Agrees to $46.75M Deal to Resolve Data Breach Claims

A bankruptcy plan administrator agreed to distribute $46.75 million to resolve litigation tied to the 2023 cyberattack, with cyber insurers funding a significant portion of the settlement.
June 12 Insurance Industry Litigation Risk Management Technology

SpaceX IPO Could Reshape D&O Insurance and Securities Claims Risk

SpaceX IPO Could Reshape D&O Insurance and Securities Claims Risk

SpaceX's proposed shareholder arbitration requirements and a surge in AI-related IPOs could change securities litigation exposure while prompting insurers to broaden D&O coverage offerings.
June 12 Insurance Industry Legislation & Regulation Liability Litigation Underwriting

AI Product Liability Cases Put Black-Box Algorithms Under Legal Scrutiny

AI Product Liability Cases Put Black-Box Algorithms Under Legal Scrutiny

Manufacturers, insurers, and defense counsel face growing scrutiny as courts examine whether AI systems that cannot explain their decisions may create new forms of product liability exposure.
June 12 Insurance Industry Liability Litigation Risk Management Technology

Cyber Insurance Claims Face Greater Scrutiny as Underwriting Tightens

Cyber Insurance Claims Face Greater Scrutiny as Underwriting Tightens

Cyber insurers are tightening underwriting standards, increasing scrutiny of security controls, and reevaluating coverage as ransomware losses, AI risks, and geopolitical threats drive concerns about systemic cyber events.
June 8 Insurance Industry Liability Litigation Risk Management Technology

Meta Fraud Exposure Raises New Liability Questions for Insurers

Meta Fraud Exposure Raises New Liability Questions for Insurers

New fraud data from Lloyds Bank and recent U.S. court rulings are increasing scrutiny of Meta's role in online scams, creating new questions about liability, insurance coverage, cyber risk, and potential subrogation opportunities.
June 8 Fraud Insurance Industry Legislation & Regulation Litigation Risk Management

Texas Police Chief’s Staged Vehicle Theft Insurance Fraud Conviction Upheld on Appeal

Texas Police Chief’s Staged Vehicle Theft Insurance Fraud Conviction Upheld on Appeal

A federal appeals court found sufficient evidence that a Texas police chief conspired to burn his wife's SUV, report it stolen, and collect insurance proceeds. The case highlights multiple fraud indicators that claims investigators identified before any confession emerged.
June 5 Auto Fraud Insurance Industry Litigation Risk Management Texas

Amazon Sued Over Ring Facial Recognition Feature in Proposed Class Action

Amazon Sued Over Ring Facial Recognition Feature in Proposed Class Action

A proposed class action alleges Ring's Familiar Faces feature collected and stored facial recognition data from individuals without their consent, raising privacy and liability concerns for AI-powered security systems.
June 5 Insurance Industry Liability Litigation Risk Management Technology

Louisiana Insurance Fraud Probe Targets $4M in Alleged False Crash Claims

Louisiana Insurance Fraud Probe Targets $4M in Alleged False Crash Claims

Louisiana investigators say four suspects made false statements tied to a 2025 crash involving a waste disposal truck. Authorities allege the fraudulent claims sought nearly $4 million in compensation.
May 28 Auto Fraud Litigation Louisiana

Insurance Executive Sentenced to 12 Years in $2 Billion Fraud Scheme

Insurance Executive Sentenced to 12 Years in $2 Billion Fraud Scheme

Federal prosecutors said insurance company reserves were diverted through affiliated entities, leaving thousands of policyholders still owed more than $1 billion while regulators uncovered bribery and fraud allegations.
May 28 Fraud Insurance Industry Legislation & Regulation Litigation Risk Management North Carolina
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