Driven by Quality.
Powered by Results.
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At Health Plan Legal Counsel, we turn complexity into clarity and strategy into results. Solving your toughest problems is our mission.
Compliance
Having a practice rooted in compliance means we don’t treat your obligations like regulatory or fiduciary speed bumps; these duties and obligations are the foundation of everything we do. Let us help you cut through the jargon, decode the regulations, employ creative strategies, and create real-world solutions that stand up to scrutiny.
Quality and Value
Better health plans aren’t just possible–they’re long overdue. It is also well past time to reject the current model of misaligned incentives between health plans, providers, and vendors. Our work is dedicated to creating a health plan ecosystem where high-quality care thrives and waste gets cut. No more tradeoffs; cost savings should not be made at the expense of quality.
Results
Our work is powered by results that challenge the industry norm: creating compliant health plans that don’t compromise on care quality or cost. Anchored in a steadfast insistence on transparency and accountability from all health plan partners, we take pride in raising the bar on what health plans can actually deliver. We bring measurable impact, not just theoretical solutions.
About Us
Strategic Advice for Compliance, Quality and Value.
More than half of all non-Medicare age Americans get their health insurance through employer-sponsored health plans, and having excellent coverage that doesn’t break the bank is essential for attracting and retaining talent. Yet the reality is that most group health plans are not driven by quality and value, are often legally non-compliant, and can be a breeding ground for fraud, waste and abuse. Fixing these problems helps employers and employees, and fosters a high performance, value based, cost effective ecosystem where all parties share the same goals. Here at HPLC, we are dedicated to these goals, and provide curated strategies and services to help businesses and health plans navigate the complex landscape of regulatory and fiduciary compliance, cost management, creative solutions, and risk mitigation. Together, we can flip the script–smarter compliance, higher quality, real value.
Services
Improving Health Plans. Reducing Risk. Delivering Smarter Solutions.
Fractional Legal Counsel
On-demand top-tier health plan legal support that understands self-funded health plans and complex compliance issues.
Contract Negotiations
Negotiating your health plan vendor contracts while ensuring your ability to comply with legal obligations.
Consulting Services
All-around assistance with compliance, RFPs, vendor vetting, and coverage and risk exposure gap analysis to give you peace of mind.
Solving Complicated Problems
From innovative plan design to cost containment solutions, we help resolve your most difficult issues.
Demand Letters & Dispute Resolution
Protecting your legal and financial interests while engaging in litigation avoidance and risk mitigation actions.
Litigation Referrals
Sometimes escalation cannot be avoided; in such cases, we have powerhouse litigation firms on speed dial.
Testimonials
Most of my work over the last five years has been focused on helping employers to embrace and plan for managing the fiduciary duties of their health plans. Julie has been a key and definitive resource for me and for my customers on all things fiduciary. She is thoughtful, courageous, credible and articulate. Further, she embraces specific issues and problems with fervor and enthusiasm and quickly furnishes customers with informed strategies. Employers want solutions that avoid litigation and risk and Julie is focused on providing informed advice and services that serve that need.
Working with Justin and Julie has been a completely different experience. They’ve gone above and beyond to get into the details, numbers behind health claims, and a deeper look into all of the numbers behind our plans. They’ve got a great team with a very broad knowledge of the healthcare industry and have been a great partner in running our health funds.
I have the privilege of working with Julie in the evolving health care space. The new regulations have made it more difficult for fiduciaries to make informed decisions. This space is filled with misinformed and bad actors. Her unparalleled professionalism, deep legal expertise, ability to cut through BS and genuine compassion make her my go-to person. Taking a straightforward subject into something complex is a common pitfall; however, distilling a complex subject, such as fiduciary duties in health care, into simplicity requires true mastery and Julie has it. As E.F. Schumacher said, “Any intelligent fool can make things bigger and more complex… It takes a touch of genius—and a lot of courage—to move in the opposite direction.
Justin has an aptitude for connecting with others and assisting them with their needs, especially when it comes to the risk management & benefits industry. Through his experience, contacts and networking abilities, coupled with his genuine desire to help/serve people; he is an asset to professionals in this field and employers.
Julie is one of the most creative, tenacious, thorough, and fun-to-work-with attorneys I’ve worked with. She deeply understands our market and is always thinking of new ways to solve the various problems we — and our clients — run into. And she is simply a good human. I’m conflicted between shouting her name from the rooftops and jealously guarding her abilities like a trade secret, but here I am!
I am writing to recommend without reservation the services of Justin Leader, Central York School District first engaged the services of Justin and his organization in 2012, and in the years since all of our dealings with Justin and the firm have been positive and of great benefit to our organization and our taxpayers.
As an executive, I wear a lot of hats and do not always have the time to be the expert on constantly evolving regulations and options to best meet the needs of our hard-working team. Justin is very patient, accessible and took the time to personally explain everything in ways that were easy for us to understand. The results, and the cost savings, were huge.
Justin has been one of the greatest partners for my business. He’s a master networker. He helps in anyway possible to help people in his sphere of influence broaden their business opportunities. He’s an expert with a variety of benefit plans for companies. I’ve truly appreciated the opportunity to learn from him and recommend him to anyone venturing into new plan discovery or current plan optimization.
Justin Leader delivers the goods on benefits compliance and what every C-Suite leader and Benefits Advisor should know and focus on. As a keynote speaker, he brought a clear understanding and play-by-play of how the CAA has changed the game for the better. This is all brought with an attitude and heart to see the landscape for health plans across America transform to better serve patients with affordable, access to care.
Julie has been an exceptional partner in advancing ERISA-level protections for public sector plan sponsors. Her expertise has been instrumental in helping The Volition Group craft comprehensive compensation disclosure language that provides full fiduciary protection to our clients. Beyond that, she has played a critical role in developing clear, user-friendly disclosures that safeguard California’s public school education community from healthcare service providers who may not act in their best interest. Julie’s work reflects a deep understanding of both regulatory requirements and the real-world needs of school districts and their employees.
Working with Julie has been an absolute game-changer for our practice. Her deep ERISA expertise, paired with her thoughtful approach, has brought immense value and clarity to our due diligence process. She consistently helps ensure we operate with confidence and compliance. Julie’s insight is not only trusted—it’s truly invaluable.
If you’re ever in need of a sharp, reliable legal advocate who will protect your interests and guide you with precision, I wholeheartedly recommend reaching out to Julie. You’ll be glad to have her in your corner.
Get Started
Ready to Take the Next Step?
Getting started with Health Plan Legal Counsel is simple. Schedule a consultation to discuss your needs, explore tailored legal and consulting solutions, and choose the path forward. Take the first step towards legal compliance, high quality solutions, cost effective plan decisions, and peace of mind.
