Judge lets insurer payment-fixing case against Zelis and major health insurers move ahead
A federal judge allowed providers’ antitrust case against Zelis, Aetna, Cigna, Elevance, Humana, and UnitedHealth to proceed over out-of-network payment claims
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A federal judge allowed providers’ antitrust case against Zelis, Aetna, Cigna, Elevance, Humana, and UnitedHealth to proceed over out-of-network payment claims
A New Bedford couple pleaded guilty in federal court after prosecutors said they stole more than $750k from insurance clients, lenders, and providers
HHS investigates 13 states requiring abortion coverage, citing Weldon Amendment disputes and renewed federal enforcement stance
House Bill 5608 would bar use of credit history in rating, underwriting, cancellations across personal lines
Gov. Maura Healey proposes $100 mn reduction to Massachusetts GIC funding as medical costs climb 10%, prompting protests and debate
A Massachusetts appeals court ruled a reinsurer can recover COLA payments from the trust fund even after a self-insured employer enters bankruptcy
Alliant Insurance Services sued Howden US and three former employees, alleging coordinated resignations, misuse of confidential data, and a broader strategy to strip teams from rival brokers
Howden US pushes back against Brown & Brown’s injunction bid, arguing employee departures stemmed from poor management, pay, and culture
Cove Risk Services reports a data breach affecting almost 49,400 people after unauthorized system access, with sensitive personal and health data exposed
Employer health premiums jump up to 7% while ACA costs climb, creating a political minefield for both parties ahead of the midterms
Penn Mutual says funeral directors lost millions due to flawed legal advice tied to life policies and premium financing arranged by attorney Janette Jones
A Massachusetts federal judge denied a preliminary injunction against ACA rule changes on enrollment, premiums, and benefits; lawsuits in multiple states continue
State Farm is preparing to scale up in Massachusetts, where its market share in personal auto and homeowners sits below 0.29%
Federal court dismissed GE retirees’ lawsuit over $1.7 bn pension transfer to Athene, ruling no proven financial harm. More PRT deals still face challenges
A federal court dismissed a preliminary injunction against new ACA rules on enrollment, premiums, and essential benefits, despite a multistate lawsuit
A federal judge tossed retirees’ lawsuit against AT&T, upholding Athene’s $8bn pension risk transfer and rejecting fiduciary breach claims
The Patients Over Profits Act would ban insurers from owning Medicare providers, forcing divestitures and reshaping the health care business model
Blue Cross Blue Shield of Massachusetts reached a deal with regulators allowing an 11.92% rate increase for individual and small group health plans
The Massachusetts Division of Insurance (DOI) has finalized 2026 premium rates for individual and small group health plans, securing lower-than-requested increases from 6 insurers
Massachusetts Insurance Commissioner Michael Caljouw denied a proposed 7.1% rate increase from the Workers’ Compensation Rating and Inspection Bureau of Massachusetts
The U.S. Department of Justice has accused several major health insurers of spending hundreds of millions in kickbacks to influence large broker firms to enroll individuals in their Medicare
Massachusetts’ Suffolk Superior Court ordered three UnitedHealth Group Inc. affiliates to pay $165 mn in penalties for deceptive practices
The Massachusetts Division of Insurance has approved Point32Health’s acquisition of Health New England and its subsidiaries, HNE Holding and HNE Insurance
A financial adviser in Massachusetts is questioning if the U.S. Securities and Exchange Commission (SEC) mandates that insurance agents tied to registered investment advisers