Services

On-demand top-tier ERISA and health plan legal support—for plan sponsors, plan fiduciaries, and health plan vendors—without paying for a full-time lawyer you don’t need. Fractional legal counsel that actually understands self-funded health plans and how to achieve your goals while keeping you in compliance.

Negotiating contracts with carriers, third-party administrators, and other health plan vendors to secure terms that work for you—not just them—while ensuring your ability to comply with your fiduciary or other legal obligations. Drafting or negotiating confidentiality and other downstream agreements that stand between you and your objectives.

Assistance with requests for information or proposal, obtaining and/or analyzing data or other information and proposing action based on the results, guidance with fiduciary and other regulatory compliance, and comprehensive analysis of your plan or plan services to identify and remedy gaps in coverage or areas of risk exposure.

We prepare and respond to demand letters and offer pre-litigation strategies geared towards resolving conflicts efficiently and permanently. Our work is guided by the desired outcomes of protecting your legal and financial interests while avoiding unnecessary escalation and/or legal exposure.

If resolution fails, we’ll hand it off to litigators who know their way around individual claims and high-stakes class actions. With deep roots in complex litigation and continued ties to powerhouse litigation firms, we know when it’s time to escalate, and exactly who to call when it is.

We are here to support you in your dealings with health plan vendors, from negotiating and reviewing agreements to assessing vendor performance and fee structures, for the purpose of ensuring a cost-effective, prudent vendor selection. We also assist with the resolution of disputes with service providers and claims administrators before they get out of hand.

There is no shortage of difficult situations that our clients regularly encounter. We help solve these problems through innovative plan design including novel point solutions, carve outs, direct contracts, and tiering, all while staying within, and often relying on, the boundaries of ERISA and other applicable laws.