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Every morning
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AP of South Florida (APSF) pleaded guilty to a major Affordable Care Act (ACA) enrollment fraud, admitting it enrolled thousands of vulnerable consumers in fully subsidized plans that they did not qualify for, resulting in $141.5 million in improper subsidies. The company will pay $27.6 million in restitution, while its former parent, AssuredPartners, settled a related civil False Claims Act case for $135 million. The scheme involved cash and gift‑card incentives to homeless and low‑income individuals, false income reporting, and manipulation of Medicaid denials to trigger special enrollment periods. The Department of Justice highlighted the case as part of a broader effort to recover half‑billion dollars in taxpayer fraud.
The Chartered Insurance Institute’s new Road to Consumer Trust report flags the industry’s “labelling problem” – advisers avoid recording client vulnerability because it triggers extra compliance steps. CII proposes a proportionate, practical approach that aligns FCA Consumer Duty expectations with...
In November 2025 a TikTok video featuring a hyper‑realistic deepfake of Warren Buffett promoted crypto giveaways, exposing how synthetic media can be weaponized for fraud. The clip amassed over 17,000 subscribers before the deception was uncovered, highlighting the speed at...
Signal Iduna Reinsurance (SI Re) announced the appointment of Simon Parten as its ILS Portfolio Manager, effective June 1, 2026. Parten arrives from Schroders Capital, where he was senior underwriter and analyst for a large insurance‑linked securities portfolio. His expertise...
Lockton, the world’s largest independent insurance broker, began operating in India on January 1, 2025 and now runs nine branches across major hubs. It serves more than 1,000 corporate clients with a team of 241 professionals, planning to expand to...
FIATA has teamed with insurtech Otonomi to offer freight forwarders digital cargo‑delay insurance across air, ocean and e‑commerce shipments. The platform delivers instant quotes and policy issuance through automated algorithms, letting users set delay triggers from three to 24 hours...
Connecticut lawmakers are debating a 5% surcharge on commercial property‑casualty insurance for fossil‑fuel infrastructure, aiming to create a climate resilience account that funds local flood‑risk and infrastructure projects. The measure, SB 453, cleared the Environment Committee and awaits fiscal analysis, with...
The Centers for Medicare & Medicaid Services opened applications for its new Long‑Term Enhanced ACO Design (LEAD) model, with a May 17 deadline and a Jan 1 2027 start date. LEAD replaces the outgoing ACO REACH program and promises broader inclusion of high‑needs...
The Centers for Medicare & Medicaid Services (CMS) finalized a 2.48% average increase in Medicare Advantage payments for 2027, translating to roughly $13 billion more than the agency’s modest 0.09% proposal earlier this year. When adjusted for risk‑score trends, the effective...
The Trump administration announced a 2.48% increase in Medicare Advantage payments for 2027, adding roughly $13 billion to the CMS budget—far above the 0.09% proposal and the market’s 1% expectation. The surprise boost sent UnitedHealth Group up 7.7%, Humana up 11.1%,...
The Trump administration approved a 2.48% increase in Medicare Advantage payments for 2027, adding roughly $13 billion to insurer reimbursements. This figure far exceeds the 0.09% hike originally floated in January. The larger rate boost lifted UnitedHealth, CVS Health and Humana...
On April 6, CMS finalized the 2027 Medicare Advantage (MA) and Part D payment rates, delivering a 2.48% year‑over‑year increase that translates to more than $13 billion in additional plan payments versus 2026. This figure far exceeds the agency’s earlier advance‑notice projection of...
Risk appetite represents the amount of risk a firm is willing to accept in pursuit of value, and it is formalized through a Risk Appetite Statement or a comprehensive Risk Appetite Framework. The board typically sets limits on high‑risk customers,...
Health policy experts are warning that the Centers for Medicare & Medicaid Services is exploring automatic enrollment of Medicare beneficiaries into Medicare Advantage (MA) plans. They argue the move could curtail seniors' ability to choose alternative coverage and drive up...
Risk mitigation requires coordinated internal controls across departments, anchored by enterprise risk management (ERM). Organizations must recognize and counteract cognitive biases that can distort risk assessment and response. Prioritization hinges on criteria such as adaptability, complexity, velocity, persistence and recovery,...
The U.S. excess and surplus (E&S) lines market surpassed $100 billion in direct premiums for the first time, reaching $105.31 billion in 2025, but growth decelerated to a single‑digit 7.8% increase. Commercial property premiums, once a growth engine, fell 2.8% to $27.69 billion...
A Workers’ Compensation Research Institute study of over seven thousand lost‑time claims across 34 states finds that provider networks lower total claim costs by 26%, saving roughly $11,820 per claim at 36 months. Medical payments drop 27%, about $3,500 per...
UK insurers report a sharp rise in home‑insurance payouts, with average claim costs climbing 50% from 2021 to 2024. "Escape of water" incidents—burst pipes, faulty appliances and similar leaks—account for 29% of all claims, costing roughly $204.5 million over three years...
Interconnected risk is reshaping insurance as a single operational error can trigger global disruptions, illustrated by CrowdStrike's 2024 patch that halted airports, banks and transport across continents. Recent cyber incidents—CDK Global’s breach costing auto dealers nearly $1 billion and the Jaguar Land Rover...
The Office of Personnel Management (OPM) unveiled its 2027 Federal Employees Health Benefits (FEHB) agenda, branding it “well care” to broaden focus on physical and mental wellness. Key mandates include free access to all CDC‑recommended vaccines, required coverage of at...
The Export‑Import Bank approved more than $2 billion in export‑credit‑insurance to back U.S. liquefied natural gas shipments to Egypt, covering contracts scheduled for 2026‑27. The authorization removes financing barriers for Hartree Energy’s deals with Egypt’s EGPC and aligns with the administration’s...
National E‑Governance Services Ltd (NeSL) is now providing real‑time digital records of default (RoDs) to adjudicating authorities for insolvency cases. The 2026 IBC amendment designates RoDs as sufficient evidence, turning NeSL into a mandated gateway for all insolvency proceedings. More...
The Delaware Supreme Court reversed lower‑court dismissals, allowing insurers to pursue breach‑of‑contract claims against Blackbaud over its 2020 ransomware breach. Blackbaud, a nonprofit software provider, previously paid a $3 million SEC fine and $49 million to state attorneys general for misleading breach...
In 2014 Chemical Solvents faced a bodily‑injury lawsuit and delegated its defense to insurers Greenwich Insurance and Illinois National. The insurers settled for $2.9 million, invoicing the company’s captive Alembic Inc. for $2.7 million, which depleted Chemical Solvents’ redemption account and left...
A New Jersey federal court ruled that broken glass embedded in Oak Knoll School’s sports field qualifies as a “pollutant” under the school’s insurance policy, rejecting Utica National’s denial of coverage. The insurer had argued that only traditional environmental hazards trigger...
The US‑Israel conflict with Iran is exposing hotels, data centres, pipelines and other assets across the Middle East to heightened war‑related threats, prompting a sharp rise in demand for political risk insurance, according to GlobalData. Insurers anticipate a surge in...
An ANU study using Indonesia’s Susenas data finds that the 2014 rollout of the National Health Insurance (JKN) program cut private health‑insurance enrollment by about 30 percent. The effect was strongest among middle‑income households, whose coverage value fell sharply relative to...
Tower Insurance has refused to underwrite several homes in Napier’s Parklands residential estate, citing a high risk of sea‑surge flooding despite the development’s use of recent coastal inundation modelling and elevated ground levels. The insurer relies on address‑specific hazard modelling...
Recent floods on Hawaii's North Shore and wildfires in Maui and Malibu exposed a systemic flaw: standard homeowners and renters policies exclude flood damage that rises from below, leaving many victims without coverage. Insurers have repeatedly denied or underpaid claims,...
Generali Hong Kong has teamed with insurtech platform CoverGo to launch an Intelligent Document Processing (IDP) AI Agent that automates health‑insurance claim handling. The solution ingests claim forms, medical reports, invoices and receipts, converting unstructured files into structured, decision‑ready data...
A World Bank‑backed program called DRIVE is scaling across Somalia’s arid pastoral regions, pairing savings accounts with heavily subsidized livestock insurance. The scheme, run with Salaam Somali Bank and re‑insurer ZEP‑RE, automatically triggers cash payouts when satellite data confirms drought...
U.S. regulators are turning their attention to the growing risk profile of private debt as insurance companies pour more capital into the asset class. The Federal Reserve and the Office of the Comptroller of the Currency will begin a series...
The U.S. International Development Finance Corp. announced on April 3 that it is doubling its maritime reinsurance guarantee to $40 billion, adding AIG and Berkshire Hathaway to a consortium that already includes Chubb, Travelers, Liberty Mutual, Starr and CNA. The expanded program...
Medicare by Choice is an aspirational Democratic proposal that would expand eligibility for Medicare‑like plans, add income‑based subsidies, and allow employers to offer the option to workers. The plan includes a public‑option competing with private insurers, caps on out‑of‑pocket costs,...
One year after the Palisades Fire razed 13,000 homes and 2,600 small businesses in Southern California, the region’s recovery has been hampered by a crippled insurance market. Seven of the state’s twelve largest insurers had already withdrawn fire coverage, leaving...
A new investigation uncovers how risk‑retention groups (RRGs) dominate insurance for small trucking carriers, operating with minimal regulatory oversight and no state guaranty fund backstop. Cross‑referencing FMCSA safety data with UCC filings shows 37% of 4,561 carriers score "CRITICAL," exposing...
The Centers for Medicare & Medicaid Services finalized a rule overhauling Medicare Advantage star ratings, cutting 11 administrative metrics and scrapping the health‑equity index while reinstating a bonus system for high‑scoring plans. The changes shift the rating methodology toward clinical...
Senators Ron Wyden and Bernie Sanders have asked the Senate Finance and HELP committees to hold hearings with CEOs of major health insurers, citing record profits, high premiums, coverage denials, and excessive executive pay. They point to UnitedHealth’s sprawling network...
Commercial space nuclear power faces a critical obstacle: insurance. While reactors remain inert until they reach orbit, insurers are reluctant to underwrite launches involving radioactive material because of uncertain re‑entry risks. Industry leaders argue that government indemnification—through Department of Energy...
Asian Development Bank is issuing its inaugural catastrophe bonds, offering two separate $75 million notes to the Kyrgyz Republic and Tajikistan. Each bond provides multi‑year parametric coverage for earthquake and extreme precipitation events, with $65 million earmarked for earthquakes and $10 million for...
Tax season is exposing ACA enrollees to surprise repayment bills as they must reconcile premium subsidies with actual income. In 2025, most recipients faced a capped repayment of up to $1,625 for individuals, but a new law eliminates those caps...
Data centers confront property, cyber and liability risks, prompting insurers to offer multi‑line bundles that combine these exposures into a single contract. Recent launches by Aon, FM Global and ATA illustrate growing capacity for such packages. Multi‑line policies can lower...
President Donald Trump’s proposal to add GLP‑1 obesity drugs to Medicare would impose billions of dollars in costs on private insurers during the first year. The administration claims negotiated drug‑price cuts will offset expenses, but a Vanderbilt‑led analysis estimates only...
AI‑driven phishing, deepfake voice scams and ransomware are accelerating, pushing cyber risk to the forefront of boardrooms. A new Heimdal Security report shows 62% of companies now carry cyber‑insurance, up from 49% a year earlier, and the global market reached...
A federal court in Mississippi dismissed a law firm's cyber‑insurance claim after a fraudulent wire transfer of about $158,850. The firm sought coverage under a social‑engineering endorsement, but the court ruled the policy only applies when the fraud imitates an...
Reinsurance rates kept softening in the April 1 renewals across Japan, Korea, India and some U.S. cedents, despite the Iran‑Israel conflict. Brokers attribute the trend to low natural‑catastrophe losses, robust reinsurer balance sheets and abundant capacity. Global reinsurance capital rose to...
Mississippi lawmakers have passed Senate Bill 2049, reviving a two‑decade‑old wind‑mitigation retrofit plan and creating the Strengthen Mississippi Homes Program. The program will award grants of up to $15,000 to homeowners for measures such as FORTIFIED‑rated roofs, funded primarily by...
The U.S. Department of Labor released a Q&A guidance clarifying that states which permit unemployment insurance (UI) benefits for striking workers—currently New Jersey, New York, Oregon, and Washington—must enforce federal eligibility criteria. Claimants must be able, available, and actively seeking work, with...
FINRA censured Cambridge Investment Research, ordering a $280,000 payment for supervisory failures involving variable annuity exchanges. The penalty comprises a $150,000 fine and roughly $130,000 in restitution to 14 customers who faced unnecessary surrender fees. From 2018 to 2025, Cambridge...
Hospitals experienced a 25% jump in net‑revenue leakage in 2025, with total losses climbing to roughly $48 billion versus $38.6 billion in 2024. The surge stemmed mainly from clinical claim denials, especially for missing prior authorizations and questioned medical necessity. Medicaid accounted...
