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Judge Rules ERISA Does Not Govern Plan Insuring Sole Employee


Health
your username
February 10, 2021
Judge Charles Eskridge of the Southern District of Texas ruled Tuesday that the employee health plan of an individual who unintentionally shot themselves while at work is not governed by the Employee Retirement and Income Security Act (ERISA), effectually remanding the matter to state court.
The plaintiff, who is the sole owner and employee of an automobile repair shop, said in the original complaint that they kept a gun at the business for protection. After the accidental self-inflicted injury resulting from “attempting to remove a stuck bullet,” the judge explained, the plaintiff filed a claim with the defendant, Life Insurance Company of North America, for medical and disability benefits. Defendant Matt Reiter, an employee of third-party work-related injury claims administrator Salus Claims Management, denied the plaintiff’s claim, “asserting that using or cleaning a gun wasn’t within the covered scope of employme ....

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Texas Denies Windstorm Insurer's Rate Hike Request


Texas Denies Windstorm Insurer’s Rate Hike Request
January 11, 2021
Texas regulators have denied a request for a 5% rate increase by the state’s insurer of last resort for wind and hail for properties along the Texas coast.
The Texas Department of Insurance (TDI) has rejected the Texas Windstorm Insurance Association’s filing for a 5% rate increase on residential and commercial policies. TWIA’s board of directors voted to make the filing at its Dec. 8, 2020 meeting.
In its rejection letter, TDI states that pursuant to Sec. 2210.3511 of the Texas Insurance Code TWIA should have made the rate adequacy analysis performed by Willis Towers Watson (WTW) and presented to the board at the Dec. 8 meeting available to the public on its website for 14 days before the board voted on the rate filing. ....

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Texas Federal Court Finds No Coverage for Civil Authority Orders Issued in Preparation for Hurricane Harvey Because They Were Not Issued as a Result of Physical Loss or Property Damage | Carlton Fields


The United States District Court for the Southern District of Texas, in the matter of
Evanston Ins. Co. v. AmSpec Holding Corp., granted summary judgment in favor of Evanston Insurance Company (“Evanston”) after determining no coverage was available under a property insurance policy for Civil Authority Orders issued by the Coast Guard. No. 4:19-CV-1498, 2020 WL 6152190 (S.D. Tex. Oct. 20, 2020).
AmSpec Holding Corporation (“AmSpec”) performs testing and inspection services for oil, gas, and petrochemical industries. Amspec field inspectors travel to ports, refineries, and terminals along the Gulf Coast to inspect barges and vessels and take product samples back to AmSpec laboratories for quality testing. ....

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