Tez Romero
- Indexed articles, last 90 days
- 124
- Latest publication
- Sep 29, 2026
- Outlet visibility, for Insurance Business America
- Top 500K sites
- Earliest in this view
- Jul 6, 2026
Latest articles
Four pharmacies, one pain cream playbook, $1.49M in alleged no-fault fraud (opens the original)
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What happened: Allstate alleges four New York pharmacies billed more than $1.49 million in medically unnecessary pain creams through no-fault auto claims Who's involved: Allstate and affiliates versus Avi Pharmacy Corp., Castle Hill Drugs Inc., Frederick Community Pharmacy Inc., and H Plaza Pharmacy Inc. What's at stake: More than $589,000 in paid claims Allstate wants back, plus roughly $903,000 in unpaid claims it says it should not have to pay - with a federal racketeering law that could trip
GEICO says two DME companies ran $1.9M phantom-billing scheme (opens the original)
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What happened: GEICO alleges two DME shell companies billed $1.9 million for medically unnecessary equipment prescribed to fender-bender victims through forged prescriptions Who's involved: GEICO (plaintiff) against two DME supply companies and their listed owners What's at stake: More than $666,000 already paid, plus $952,000 in pending claims GEICO wants declared void Why it matters: The filing maps a playbook for rotating shell DME entities to evade insurer scrutiny under New York No-Fault Wh
"The fraud is us": insurer says it shouldn't have to cover brand's fake fraud-alert email (opens the original)
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What happened: Great American alleges it has no duty to defend or cover Beis and Pattern Beauty in six class actions over allegedly deceptive marketing emails Who's involved: Great American (insurer), Beis LLC and Pattern Beauty LLC (policyholders), and plaintiffs in six underlying class actions What's at stake: Defense costs already paid under reservation of rights, plus primary policy limits of $1 million per occurrence and $2 million aggregate across five policy years, with $8 million excess
Arch sues Burlington and Navigators over abandoned additional insured (opens the original)
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What happened: Arch Insurance alleges two carriers refused to settle an injury claim on behalf of a contractor they were obligated to cover Who's involved: Arch Insurance, The Burlington Insurance Company, Navigators Specialty Insurance Company, Quality Traffic Control Inc., Herzog Contracting Corp. What's at stake: Settlement costs, attorneys' fees, and potential vexatious-refusal damages under Missouri law Why it matters: The case tests whether a primary insurer can exhaust its limits for one
Scottsdale says creditors exclusion bars D&O coverage for BioQ (opens the original)
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What happened: A D&O insurer alleges a creditors exclusion bars coverage for a pharma company sued by its own lender Who's involved: Scottsdale Insurance Company (Nationwide) and BioQ Pharma What's at stake: Up to $4 million in D&O policy limits, plus defense costs already incurred Why it matters: Tests whether a creditors exclusion applies when the claimant is both a secured creditor and a shareholder Where it stands: Filed September 25, 2026, in federal court Sixteen forbearance agreements, mo
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