Tag: insurance fraud

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

Angela Linders
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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Massachusetts Court Orders UnitedHealthcare Affiliates to Refund Millions to Victims

Logan B.
Massachusetts Court orders Unitedhealthcare refund

UnitedHealthcare-Affiliated Insurers Ordered to Pay $165 Million for Misleading Consumers Historic Ruling Against Deceptive Sales Practices A Massachusetts Superior Court has ordered HealthMarkets Inc. and its subsidiaries, The Chesapeake Life Insurance Company and HealthMarkets Insurance Agency, to pay $165 million for engaging in what the court described as “egregious” and widespread deceptive practices. These companies, owned by UnitedHealth Group, have been found guilty of misleading thousands of Massachusetts consumers into purchasing supplemental health insurance policies they did not need or fully understand they were buying. This judgment—comprising $50 million in…

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Major Decision by Florida Court of Appeals Shakes Up Insurance Landscape

H. Cutner
Florida court of appeals

Florida Court Ruling Redefines Assignment of Benefits (AOB) and Its Impact on Homeowners Insurance A recent ruling by a Florida court of appeals has established that a “direction to pay” (DTP) by a policyholder does not equate to an “assignment of benefits” (AOB). This decision serves as a significant milestone reinforcing the legislative reform introduced through Senate Bill 2-A in 2023. The reform prohibits insurance policy benefits issued after January 1, 2023, from being assigned to third parties. The objective of Senate Bill 2-A is to curb the extensive litigation…

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Record, Protect, Prevail: Dash Cams Lead the Charge in Road Security

Angela Linders
Dash Cams Lead the Charge in Road Security

Dash Cams: Revamping the Auto Insurance Industry In recent years, dash cams have transitioned from being novelties to essential automotive accessories. These compact devices, mounted on vehicle dashboards or windshields, continuously record the road ahead, capturing crucial footage that can be invaluable in the event of an accident. As technology advances, dash cams have become more affordable and accessible, leading to widespread adoption among drivers seeking additional security and evidence on the road. Impact on Insurance Claims One of the most significant impacts of dash cam usage is its role…

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What is Double-Dipping a Car Insurance Accident Claim?

Ester Adams
what is double dipping auto accidents

Some risks are healthy, and everyone should take them. For example, when you risk missing out on something popular so that you can achieve something better. Or if you take a chance at pouring your heart out to someone you love and not hear, “I love you too.” But some risks, like trying your hand at fraud so you can get rich quickly, are not worth it.  This article talks about a temptation many policyholders face – double-dipping car insurance accident claims. Although there are no official statistics to tell…

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