A loophole in the Affordable Care Act has led to the sales of low-cost health insurance plans by a former sitcom writer, raising concerns about coverage adequacy and regulatory compliance in the U.S. health insurance market.

California court certifies class in lawsuit against insurers for failing to offer lowest rates to good drivers, involving National General subsidiaries and over 900,000 consumers.

Senate introduces the Insurance Data Protection Act to reaffirm state regulatory authority and limit the Federal Insurance Office's data collection powers, protecting insurer data and reducing compliance costs.

Alabama postpones legislation regulating AI use in health insurance claims, emphasizing human oversight and collaborative stakeholder discussions for transparency and accountability in insurer decision-making.

Federal court permits whistleblower's False Claims Act allegations against UnitedHealthcare for improper Medicare Advantage billing to move forward, highlighting legal risks in healthcare billing compliance.

Medicare does not recognize individual health plans as qualifying employer coverage for delaying Part B enrollment. Self-employed individuals must enroll timely to avoid penalties.

CMS's 2026 Final Rule implements the Medicare Drug Price Negotiation Program with the Medicare Transaction Facilitator, affecting Part D drug pricing and pharmacy reimbursement processes.

Safeco Insurance reverses a homeowner's policy cancellation after an investigation found timing and communication issues post-Hurricane Helene in South Carolina. Insight into insurer practices and market impact.

The U.S. Supreme Court hears a key case challenging the ACA's HIV-preventive drug coverage mandate, with implications for healthcare insurance compliance and federal regulatory authority.

Supreme Court likely to uphold Affordable Care Act provision requiring no-cost coverage for key preventive health services, affecting insurance compliance and healthcare regulation.