Dentons: Investigating and Litigating Long Term Care Insurance Fraud, Waste and Abuse - 8/23

Dentons 
Investigating and Litigating Long Term Care Insurance Fraud 
Wednesday August 23, 2023
1:00 to 2:00 EST 
 

Long term care insurance claims are increasing and the claims arc is expected to increase for years to come.  Given the significant monetary benefits LTC policies pay out, often with no policy limits, fraudulent claims are a serious financial risk for LTC insurers.  Fraudulent LTC claims often start as legitimate claims, triggered by an accident or acute illness, but later become fraudulent when the insured lies about their recovery or condition to keep benefit payments flowing. 

A series of court opinions from the past few years has begun to carve out a body of law which insurers may use to address LTC insurance fraud, including in some instances providing for policy invalidation as a remedy for fraud, a crucial development since most LTC policies do not have express policy-invalidation or cancellation provisions for claim-fraud.

Drawing on our deep experience representing life, disability and LTC insurers in addressing insurance claim fraud, combined with lessons from recent LTC insurance court opinions, we provide a series of best practices (Do’s and Don’ts) that insurers’ in-house attorneys, claims professionals, and FWA professionals may utilize when investigating and litigating LTC insurance claim fraud.

 

CLE credit for the live webinars is being sought in Arizona, California, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Missouri, New Jersey, New York, Pennsylvania, Texas, Utah and Virginia. Credit for all other states must be applied for and submitted by individual attendees. Compliance with each state's MCLE requirements is the sole responsibility of the attendee.

Dentons can only issue CLE credit for attendance during the live broadcast of the webinar. Credit for viewing a pre-recorded session is the responsibility of the individual.
 

Please contact Angela Gatto at angela.gatto@dentons.com.

Find out about our client experience (CX) webinar program starting again in Autumn 2023. The program provides insights and knowledge that empowers in-house legal teams to address the issues that matter most to them. The content covers strategy and leadership; trends and insights; legal operations and personal development. You can keep up-to-date on all the upcoming webinars here.

 

Sarah Croft