California Health Insurance Law SB 1120 Takes a Stand Against AI-Driven Health Insurance Denials

California Health Insurance Law

California Enacts SB 1120 to Rein in AI-Powered Health Insurance Decisions California has taken a groundbreaking step in regulating the role of artificial intelligence (AI) in health insurance decision-making. Senate Bill 1120 (SB 1120), also known as the “Physicians Make Decisions Act,” prohibits health insurers from denying, delaying, or altering claims solely based on AI algorithms. Signed into law by Governor Gavin Newsom, this legislation ensures human oversight in healthcare coverage decisions, addressing mounting public concerns about fairness and accuracy in the use of AI technologies. Effective as of January…

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State Farm Water Damage Policy Triggers Lawsuit

state farm water damage policy

In recent developments, a class-action lawsuit is being prepared against State Farm Insurance, challenging the insurer’s updated and ambiguous water damage policy language. The policy’s vague terminology maybe the reason to an alarming denial rate of water damage claims among homeowners, raising significant concerns about the fairness and transparency of claim assessments. Rising Concerns Among State Farm Policyholders Homeowners across California have reported a surge in denied water damage claims since State Farm updated its homeowners’ policy in 2019. According to David Melzer, a public adjuster who advocates for homeowners,…

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Pandemic forces Lloyd’s of London insurance contracts into review

Insurance contracts - Lloyd's of London building reflected in glass

The massive marketplace is re-examining the way coverage products are designed due to COVID-19. Lloyd’s of London has launched a new review of its insurance contracts, taking a new look at the way products are created and sold. The purpose is to develop simpler products in response to the COVID-19 pandemic. Insurers have suffered considerable reputational damage due to the complexity of their products. This complexity in insurance contracts has made it difficult for businesses to understand. The result has been a wave of court cases meant to decide whether…

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