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May 19, 2026
NEW ORLEANS — After a bench trial resulted in a judgment awarding $1,009,561.93 to insureds and against their homeowners insurer in a coverage dispute over damage allegedly caused by Hurricane Ida, a Louisiana appellate court affirmed, finding in part that the trial court correctly invalidated the insurer’s 180-day proof-of-loss provision as void against public policy because, as applied, it reduced the statutory two-year filing period.
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May 19, 2026
MIAMI — A Florida federal judge granted summary judgment for insurers in their suit against the insured owner of a yacht seeking to void a marine policy for material misrepresentations in the policy application and breach of a survey-compliance warranty, finding that because the insured breached the warranty and made misrepresentations regarding his criminal convictions, the insurers are entitled to a declaration that the policy is void from inception and provides no coverage arising from an incident in which the vessel ran aground.
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May 18, 2026
CAMDEN, N.J. — A New Jersey federal judge denied a motion by visiting nurse associations seeking reconsideration of the judge’s prior ruling denying dismissal of claims related to the False Claims Act (FCA) and New Jersey False Claims Act arising from alleged violations of the Anti-Kickback Statute (AKS) related to unlawful kickbacks for home health and hospice referrals, finding that the associations failed to raise “any new facts or controlling decision” and failed to raise their argument in an opening brief that their nonprofit status precluded them from remuneration under the AKS.
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May 18, 2026
WASHINGTON, D.C. — The U.S. Supreme Court will let stand a final judgment of $193 million for a qui tam relator who sued Eli Lilly & Co. for reporting falsely deflated drug prices to the government in order to profit off of drug rebate programs, denying on May 18 a petition for a writ of certiorari from a drug manufacturer that argued that qui tam claims under the False Claims Act (FCA) are unconstitutional.
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May 15, 2026
ORLANDO, Fla. — A Florida federal judge dismissed without prejudice a qui tam suit alleging that a physician violated the False Claims Act (FCA) and related Florida law by submitting for payment to Medicare and Medicaid claims for unnecessary urine tests, claims for up-charged visits when patients were treated by a physician assistant rather than a physician and claims for intentionally incomplete lithotripsy procedures, finding that the plaintiff failed to plead fraud with particularity.
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May 12, 2026
WASHINGTON, D.C. — The District of Columbia Circuit Court of Appeals on May 11 affirmed a lower court’s dismissal of a relator’s qui tam suit alleging violations of the False Claims Act (FCA) and similar state and District of Columbia laws related to outpatient opioid treatment centers’ billing to government insurers for alleged unnecessary urine drug tests and the use of unlicensed addiction counselors, finding in part that the relator “failed to sufficiently allege that false claims based on medically unnecessary urine drug tests were submitted to the government for payment.”
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May 11, 2026
FORT LAUDERDALE, Fla. — A Florida federal judge on May 8 granted summary judgment to insurers in their declaratory judgment suit seeking to void a marine insurance policy and a declaration that the policy does not provide any coverage for claims related to the partial sinking of a yacht or a lightning strike, finding that the misrepresentations in the policy application regarding failure to disclose losses and insurance denials, the inaccurate number of crewmembers and failure to require hold harmless waivers “were material to Insurers’ decision to issue a policy.”
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May 08, 2026
DENVER — A Colorado federal magistrate judge on May 7 granted in part a motion to compel discovery of certain text messages sent by a woman whose company sued its business owner’s insurer for breach of contract for its purported failure to cover a claim for fire damage to her retail store, finding in part that privacy considerations related to the text messages are outweighed by the need to view them in connection with an arson investigation related to the fire.
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May 07, 2026
NEW YORK — A New York federal magistrate judge granted Anthem Inc.’s motion to seal documents that were previously placed under provisional seal in the U.S. government’s suit against Anthem alleging violations of the False Claims Act (FCA) related to alleged inaccurate diagnosis codes submitted to the Centers for Medicare & Medicaid Services (CMS) for services provided to Anthem’s Medicare beneficiaries, finding that “the limited presumption of public access is outweighed by the higher values of protecting non-party confidentiality and preventing competitive harm.”
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April 17, 2026
TRENTON, N.J. — A New Jersey appellate court affirmed a decision by the commissioner of the New Jersey Department of Banking and Insurance (DOBI) revoking an insurance producer’s license and levying a $16,012.50 penalty against him for violations of the New Jersey Insurance Producer Licensing Act (IPLA) for failure to notify the commissioner of criminal convictions, finding that the enforcement action was timely under the applicable statute of limitations and that the Rehabilitated Convicted Offenders Act (RCOA) is inapplicable because it applies to an application for a license and not a revocation.
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May 05, 2026
BROOKLYN, N.Y. — A New York federal judge granted a motion by State Farm for a preliminary injunction and stay of state no-fault collection arbitrations and state court collection proceedings in a Racketeer Influenced and Corrupt Organizations Act (RICO) suit seeking to recover more than $30 million against a medical practice and its physicians for their alleged role in a purported no-fault fraud scheme, finding that the insurer has shown that it is “likely to suffer irreparable harm by having to submit to hundreds of piecemeal arbitrations and state-court cases that could prevent meaningful litigation” of its fraud claims.
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May 04, 2026
SANTA ANA, Calif. — A California state appeals court affirmed a lower court ruling granting summary judgment to an estate planning attorney and his firm in a suit by a woman asserting that the attorney tried to defraud trust beneficiaries and the insurer that issued a $17.5 million split-dollar life insurance policy by trying to cancel the policy after a loan was obtained to fund the policy premiums, finding that the fraud claim is barred by a three-year statute of limitations.
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May 01, 2026
BAY CITY, Mich. — A Michigan federal judge remanded to state court a debt collection action filed by a laboratory against a health clinic, finding that the health clinic’s argument “as a defense to the collection claims” that the court has jurisdiction because the related debt and contract are void and unenforceable due to violations of the False Claims Act (FCA), the Anti-Kickback Statute and the Stark Law “cannot form the basis for removal to federal court.”
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May 01, 2026
AUSTIN, Texas — A split Texas appellate court on April 30 denied a petition for writ of mandamus by Novartis Pharmaceuticals Corp. seeking dismissal of a qui tam suit brought by Health Selection Group LLC (HSG) alleging fraud under the Texas Medicaid Fraud Prevention Act, finding that “the costs of discovery and the litigation process that the parties will endure are insufficient in this instance to demonstrate a lack of an adequate remedy by appeal.”
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April 30, 2026
As of April 29, at least two federal courts have dismissed suits filed by insurers alleging fraud in the arbitration process created by the No Surprises Act (NSA), rejecting the insurers’ bids to impose judicial review over the administrative arbitration process established by Congress when it enacted the NSA.
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April 29, 2026
CHARLOTTE, N.C. — In a docket-only entry, a North Carolina federal court issued a notice setting a sentencing date of May 26 in criminal cases against insurance magnate Greg Lindberg in which he pleaded guilty to money laundering conspiracy and conspiracy related to his $2 billion scheme to defraud insurers and policyholders and was convicted on retrial in a related criminal proceeding for bribing the North Carolina insurance commissioner.
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April 29, 2026
WILMINGTON, Del. — A Delaware federal judge granted summary judgment to an insurer and denied partial summary judgment to a securities intermediary in a dispute over death benefits and insurance premium payments on a $10 million life insurance policy, finding that the stranger-oriented life insurance (STOLI) policy is void as lacking an insurable interest.
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April 28, 2026
DETROIT — A Michigan appellate court panel reversed and remanded a lower court ruling granting summary disposition for an insurer in its suit seeking a declaratory judgment that the rescission of an auto insurance policy for material misrepresentations was appropriate, finding that though there is no dispute that the misrepresentations regarding the ownership of a truck insured under the policy constituted fraud, the insurer failed to exercise due diligence and could have discovered the vehicle’s true ownership prior to a fatal drunken driving accident involving the truck.
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April 27, 2026
NEW YORK — A New York federal judge denied a motion to file an interlocutory appeal by the purported beneficiary of a life insurance policy after the court denied summary judgment to the beneficiary and granted partial summary judgment to the insurer, finding “that an interlocutory appeal is unwarranted” in part because questions of law regarding New Jersey’s incontestability doctrine and consumer fraud statute are not controlling for purposes of an interlocutory appeal.
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April 23, 2026
NEWARK, N.J. — A New Jersey federal judge on April 22 dismissed without prejudice a qui tam suit alleging violations of the False Claims Act (FCA) related to a kickback scheme involving a transportation service and its owners who purportedly referred insured employees to a lab for COVID-19 testing that was billed to an uninsured government program, finding that the complaint lacks facts regarding the knowledge of the service and its owners about eligibility under the program.
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April 21, 2026
DETROIT — A Michigan appellate court for the second time reversed and remanded a trial court’s dismissal for failure to post a $5,000 security bond in a personal injury protection (PIP) auto insurance coverage dispute, finding that on remand, the trial court “failed to articulate any rationale supporting the amount of the security bond considering plaintiff’s uncontested indigence.”
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April 20, 2026
SAN FRANCISCO — The Ninth Circuit U.S. Court of Appeals on April 17 vacated and remanded a lower court order granting summary judgment to a health system and a supervisor in a qui tam suit filed by a physician and a manager who alleged violations of the False Claims Act (FCA) and related state law for fraudulent billing to Medicaid, finding that though the lower court determined that expressing concerns about purported fraudulent billing was a protected activity under the FCA, the court erred in holding that the physician did not establish a dispute regarding the retaliation against him because of the protected activity.
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April 17, 2026
RALEIGH, N.C. — A North Carolina federal judge denied a motion for attorney fees filed by a cardiology practice in a qui tam suit alleging that the practice and physicians violated the False Claims Act (FCA) and related North Carolina law by billing government insurers for unnecessary cardiac catheterizations, finding the assertion by the United States and North Carolina that the defendants submitted false claims for procedures that were not medically necessary and with disregard for the truth “substantially justified.”
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April 16, 2026
RALEIGH, N.C. — In a breach of contract dispute between insurers in liquidation or rehabilitation and their former owner, insurance mogul Greg Lindberg, and related parties, a North Carolina appellate panel on April 15 dismissed an appeal by nonparties seeking review of a trial court’s interlocutory show cause order regarding why the nonparties should not be held in civil contempt for allegedly transferring assets in violation of a temporary restraining order (TRO), finding that the nonparties failed to show that the order was immediately appealable.
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April 15, 2026
CINCINNATI — An Ohio federal judge granted default judgment to Columbus Life Insurance Co. in its suit seeking a declaratory judgment that a $500,000 insurance policy it issued is void due to the insured’s purported misrepresentations in the policy application, finding that the insurer is entitled to default judgment due in part to the insured’s failure to abide by court-imposed conditions to file a brief out of time and that the policy is void because it lacked an insurable interest due to the alleged misrepresentations.