We consult and draft plan documents and employee materials for a wide range of health and welfare benefits, including major medical arrangements (insured and self-insured), cafeteria (with and without flex accounts), dependent care, long-term care and group life insurance. The Affordable Care Act is a big part of the practice.
Representative Engagements include:
Preparation of health plan, integrated HRA, and cafeteria documentation in use at NYSE-listed company with 8,000 employees.
Determination for various affiliated businesses (corporate and partnership) whether they should be aggregated for determining if they are “applicable large employers” under the ACA.
Review and revision of high deductible health plan with HSA arrangement, cafeteria plan, and HIPAA documentation in use at NYSE-listed company with 12,000 employees.
Obtained federal waiver of ACA annual limits requirement so that a large NYSE-listed employer could continue to offer a popular low cost health plan option to its workforce.
Preparation of omnibus health & welfare benefit plan, and related full cafeteria documentation in use at 700 person medical group.
Representation of large self-insured health plan in dispute with medical providers related to charges for out of network fees
Preparation of omnibus health & welfare plan, and related full cafeteria documentation in use at 2,000 employee tax-exempt hospital
Conversion of insured plan of 100 employee company to a self-insured plan in order that employer, with hard to insure population, could avoid unaffordable state insurance mandates and cope with Medicare secondary rules.
Preparation of omnibus health & welfare plan, and related full cafeteria documentation in use at 2,200 employee bank.
Representation of 19 person company in dispute with terminated employee who had not been provided proper Massachusetts “mini-COBRA” notices and rights.