Tag: Insurance Compliance

Millennial Shift and Patra Partner to Integrate AI-Driven Back-Office Services into Digital Insurance Platform

Millennial Shift Technologies and Patra Corporation partner to integrate AI-powered back-office services into the mShift digital insurance marketplace, enhancing policy processing and compliance for brokers and agents.

NAIC Summer 2025 Meeting Advances Reinsurance, Investment, AI Oversight

Summary of NAIC Summer 2025 Meeting covering life reinsurance asset adequacy testing, offshore reinsurance risks, funding-agreement-backed programs, AI regulatory frameworks, and updates on insurance investment monitoring and accounting.

Florida Fines Property Insurers $2M+ for Claims Handling Violations

Florida insurance regulators fined eight property insurers over $2 million in 2025 for claims-handling violations including delayed payments and unlicensed adjusters amid ongoing hurricane season.

Massachusetts Health Insurers to Refund $75.6 Million for Falling Short of Medical Loss Ratio Standards

Massachusetts insurance regulators require five health insurers to refund $75.6 million to consumers for not meeting medical loss ratio standards, reinforcing regulatory oversight and consumer protections.

Illinois Campaign Targets Use of Zip Code and Age in Auto Insurance Rates

Illinois leaders launch a campaign to prevent the use of zip codes and age in car insurance rate setting, signaling regulatory shifts in auto insurance pricing and compliance.

UnitedHealth Engages DOJ in Medicare Advantage Investigation

UnitedHealth Group is cooperating with DOJ investigations into its Medicare Advantage practices, emphasizing compliance and initiating third-party reviews. Independent CMS audits and court rulings support UnitedHealth's adherence to Medicare regulations.

DOJ Expands Probe into UnitedHealth’s Medicare Billing Practices

The DOJ is investigating UnitedHealth Group's Medicare billing practices, focusing on diagnostic coding and in-home evaluations that may have led to inflated government payments. This probe highlights compliance and regulatory risks in Medicare Advantage programs.

Supreme Court Upholds ACA Preventive Services Coverage Including PrEP

US Supreme Court upholds ACA mandate requiring private insurers to cover preventive services including PrEP without cost sharing, securing access to critical HIV prevention tools.

Key 2025 Changes to Texas Auto Insurance and Vehicle Regulations

Texas is set to implement major 2025 reforms impacting auto insurance rate classifications, allowing kei cars, and replacing paper temporary tags to reduce fraud. Key regulatory updates for insurers and stakeholders.

AHA Issues Q2 2025 Health Care Plan Accountability Update on Medicare Advantage and Private Insurer Regulation

The AHA's Q2 2025 Health Care Plan Accountability Update details key regulatory and legislative changes affecting Medicare Advantage and private health insurer compliance, essential for insurance professionals.