In a $10 million lawsuit filed on August 1, Kanye West’s Very Good Touring didn’t just argue that Lloyd’s of London broke their contract by failing to pay out insurance claims for the canceled Saint Pablo Tour shows. West also accused the insurers of leaking his confidential information to the media, of hinting that they’d exploit his supposed marijuana use as a reason to deny coverage. Their whole business, he said, was essentially bullshit.

In an August 29 countersuit, Lloyd’s asked a judge to declare once and for all that they don’t owe West a dime. That’s because, they argued vaguely, West’s reasons for calling off all remaining Pablo tour dates, following his widely publicized onstage breakdown last November, were somehow within his control. But the insurers also made a point of expressing concern about protecting West’s confidentiality. And then they pointed to their rules on drugs, alcohol, and pre-existing psychological conditions. It was kind of like: “Now we ain’t sayin’ he a weed smoker, but…”

The legal battle between West and his tour insurers continues to rage. Most recently, in a September 19 court filing, Very Good reiterated that Lloyd’s were basically cooking up excuses not to pay for a legitimate claim. But while litigation over cancellation policies isn’t exactly commonplace (and the drug and mental health factors further complicate it), there are precedents for cases like Kanye’s. Due to their inherent complexity, these types of insurance disputes almost always settle before going in front of a jury. And according to the lawyers and insurance executives interviewed for this piece, how much of the $10 million West recoups will likely depend on the truth about his medical condition.

What really happened to West during those tumultuous final weeks of 2016 has been a source of public fascination. On November 20, just days after telling a crowd that he would’ve voted for Donald Trump (had he voted at all), West lashed out at Beyoncé, Jay Z, and Hillary Clinton onstage in Sacramento, Calif., and cut the show short after about 30 minutes. ”His behavior was strained, confused, and erratic,” as Kanye’s own lawsuit attests. West then canceled all remaining tour dates and was hospitalized for what the lawsuit called a “debilitating medical condition.”

According to Very Good’s complaint, West spent eight days at UCLA Neuropsychiatric Hospital Center, was under full-time supervision for an unspecified period after being released, and continues to be treated by the same doctor who looked after him at UCLA. The doctor confirmed West’s medical condition to the insurers, as did the insurers’ own outside doctor. West and at least 11 people who work with him have answered questions under oath and provided written proof for the $10 million amount, according to the suit. And yet the insurers allegedly have kept the claim in limbo, neither rejecting it nor denying it. To top it all, the suit asserted that three other companies who also insured the Saint Pablo tour had no such problems paying out.

Sure enough, the Lloyd’s insurers offered a different view. In the countersuit, they contended that there were “substantial irregularities” in West’s medical records, that Very Good “failed to cooperate in the investigation,” and that Very Good was actually stalling by failing to hand over the necessary information and purposefully covering up or misrepresenting key facts. West’s company, in its response, denied all of these allegations. (A lawyer representing Very Good declined to comment for this story. Lawyers for the insurers didn’t respond to requests for comment.)

If West decides to keep fighting this, his medical records will likely end up in court, says Paul Langer, an attorney who represented Lady Gaga in a 2013 cancellation-policy lawsuit against Lloyd’s. “The real question is, what really happened here?” says Langer. “What will usually happen is those documents will be exchanged between the parties and one way or another, both sides are going to know what the medical records indeed show, what condition West was admitted for, what he was treated for.” To protect West’s privacy, a judge would probably shield his medical records from outside view.