The attorneys in Groom’s Health and Welfare Group are regularly called upon to advise and provide planning assistance to employers, trustees, administrators, boards of directors and other plan fiduciaries and professionals on a wide variety of ERISA and tax issues. We also provide an array of services to managed care organizations, insurance companies, benefit funds, trade associations, benefits consulting firms, and others on a broad range of health and welfare matters. Below are some of areas in which our attorneys provide counsel.
Coverage
•
ERISA’s claim
procedures and SPD regulations as well as the prohibited
transaction, fiduciary responsibility, and pre-emption
provisions of ERISA as they apply to health plans.
•
COBRA, ADA, HIPAA,
and Medicare rules and regulations.
•
All phases of the documentation process
for managed care programs.
•
Prescription drug reimbursement issues.
•
The drafting and negotiation of TPA,
insurer and HMO contracts.
•
Compliance with IRS requirements for
active employee health, retiree medical, dependent care, flexible
benefit arrangements, HSAs and HRAs.
•
Emerging regulatory challenges affecting
retiree health programs, corporate wellness initiatives,
and defined contribution health plans.
•
Creative financing mechanisms for post-retirement
welfare plans.
•
Proposed Patients’ Bill of Rights
legislation and its impact on national health policy.
