Our group excels in its representation of clients in all aspects of the multiple regulatory requirements that face plan sponsors and fiduciaries in designing, implementing, funding and administering health and welfare benefits for active and retired employees.
We regularly create funding vehicles, such as salary reduction agreements and Voluntarily Employee Beneficiary Associations (VEBAs), and obtain related IRS determination letters.
We have a deep knowledge of ERISA’s claims and appeals procedures and summary plan description regulations, COBRA, discrimination statutes and HIPAA.
We have extensive experience in negotiating contracts with pharmacy benefit managers including cost-saving pharmacy programs, third-party claim administrators, insurers and other service providers.
We also assist clients in audits and investigations conducted by regulatory agencies such as the U.S. Department of Labor. We routinely draft and review the plethora of notices and government filings that must be complied with.
In addition to our work with traditional health plans, we also are leaders in designing individual account health plans such as health reimbursement arrangements, health savings accounts and flexible spending accounts.
We have extensive experience with the design, implementation and administration of cafeteria plans and their interaction with providing health and welfare benefits.