Commercial Health Insurance Product

Our client, a diverse health care company that offers both health plans and primary care services, sought our assistance in developing and implementing an innovative health care benefit product for an association of employers. Toward that end, attorneys at Verrill Dana assisted in creating and licensing a captive insurance company, third party administrator, and preferred provider network. This comprehensive licensing process involved analysis and advice with respect to multiple filings with the Maine Bureau of Insurance; analysis of ERISA and State insurance laws related to enrollee disclosures, plan design, plan document preparation, and plan administration (including policy review); all aspects of intellectual property protection, provider contracting, and network adequacy; and included extensive work surrounding HIPAA and health information technology. In essence, we were intimately involved in building a commercial health benefit plan from the ground up.