Friday, Eldredge & Clark advises employers of all sizes and types—public, private, tax-exempt, and governmental—on the design, implementation, and administration of health and welfare benefit plans. Our Employee Benefits attorneys focus exclusively on benefits, bringing deep experience with group health plans (self-insured and fully insured), cafeteria plans, wellness programs, wrap plans, account based plans (e.g., Health FSA, DCAP, QSEHRA, ICHRA, etc.) and other welfare arrangements. Our attorneys have extensive experience in health and welfare plan design and administration and are able to evaluate and advise our clients on ongoing compliance measures, cost-saving strategies, and risk mitigation techniques.
We help clients navigate the ever-changing regulatory landscape under the Affordable Care Act, ERISA, HIPAA, COBRA, GINA, ADA, and related laws. Our team regularly reviews and negotiates third-party services agreements, PBM contracts, and Business Associate Agreements; assists with ACA reporting and employer shared responsibility requirements; and supports employers in audits, investigations, and penalty abatement before the IRS and DOL, as well as assisting in Medicare Secondary Payer claims by CMS. From plan documents and participant communications to claims, appeals, and fiduciary training, we provide practical, end-to-end support to keep your health and welfare plans compliant, efficient, and aligned with your workforce strategy.
Our attorneys are equipped to assist on benefit issues involving complex corporate entity designs, including MEWA avoidance and/or compliance, PEO benefits structures, controlled group determinations, and other matters specifically tailored to your entity and employment needs.