Insurance News
Regulatory updates in plain English
Stay current with the latest from CMS, state departments of insurance, NAIC, the Federal Register, and Congress — rewritten so you can actually understand what it means for your practice.
Sept. 14 wildfire claims workshop to feature fraud, recovery tips
On September 14, there will be a workshop in Spokane for people affected by wildfires to help them with their insurance claims. The workshop will feature experts from the National Insurance Crime Bureau who will provide advice on avoiding fraud, as well as representatives from United Policyholders w...
Warren County man charged with insurance fraud involving restaurant claims
A man from Warren County, Melvin Junior Jones, has been charged with insurance fraud for falsely claiming he found cockroaches in his food at a KFC. He tried to get $4,000 from the restaurant's insurance. Investigators found he made similar claims at two Waffle House locations and a Denny’s between ...
Warren County man charged with insurance fraud involving restaurant claims
A man from Warren County, Melvin Junior Jones, has been arrested for insurance fraud. He is accused of falsely claiming to have found cockroaches in his food at a KFC, trying to get $4,000 from the restaurant's insurance. Investigators found he made similar claims at two Waffle House locations and a...
Davie County woman accused of filing multiple false medical insurance claims
A woman from Davie County, Melissa Lynn Mountzoures, has been arrested for committing insurance fraud. She is accused of creating fake receipts for doctor visits that never happened and submitting them to Blue Cross and Blue Shield of North Carolina to get reimbursed. The total amount involved is ov...
OIC hosts monthly insurance claims workshop in Spokane for wildfire survivors
The Office of the Insurance Commissioner (OIC) is holding monthly workshops in Spokane for wildfire survivors to help them with their insurance claims. These workshops will provide information on what to expect during the claims process, share best practices, and allow attendees to ask questions. Th...
Money in Your Pockets: Governor Hochul Highlights Proposals to Bring Down Costs of Auto Insurance Rates and Tackle Fraudulent Claims
Governor Hochul has announced new proposals aimed at reducing auto insurance rates and addressing fraudulent claims. These changes will impact drivers and insurance companies in New York. Agents should stay informed about these proposals as they may affect pricing and claims processes in the near fu...
Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures Final Rule CMS-0053-F
The Centers for Medicare & Medicaid Services (CMS) has introduced new rules that set standards for electronically sharing health care claims attachments, like medical records and lab results. This means that health care providers can now send important documents securely and quickly without using fa...
California takes legal action against State Farm after investigation finds widespread mishandling of LA wildfire claims
{ "summary": "California has taken legal action against State Farm Insurance due to serious issues with how they handled claims from the 2025 Los Angeles wildfires. An investigation revealed that State Farm delayed payments and made it difficult for policyholders to get the help they needed, affec...
Agency Information Collection Activities: Proposed Collection, Comment Request; FEMA Inspection and Claims Forms
FEMA is asking for public feedback on its plan to continue collecting information related to flood insurance claims and housing damage inspections. This is part of their effort to make the process easier and reduce paperwork. Insurance agents should consider providing comments if they have insights ...
Seamen's Claims; Administrative Action and Litigation
The Maritime Administration (MARAD) has updated its rules for filing claims by crew members on its vessels. These changes include fixing legal references, making the rules easier to understand, and updating contact information. Agents should familiarize themselves with these new regulations to assis...
Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures
New rules have been established to simplify health care claims processes. These changes affect health insurance providers and healthcare professionals by introducing new standards for how claims attachments are handled and requiring the use of electronic signatures for these transactions. Insurance ...
Agency Information Collection Activities; Submission for OMB Review; Comment Request; War Hazards Compensation Act Claims, Benefits, and Notices
The Department of Labor is asking for approval from the Office of Management and Budget for a new information collection related to the War Hazards Compensation Act. This affects those involved in claims and benefits under this act. Insurance agents should be aware that public comments on this infor...