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| Claims Recovery Services | |
| Plan Document Services | |
| Consulting & Special Services |
Plan Document Services
The Phia Group’s attorneys are at the forefront of the developing health insurance industry as demonstrated by our innovative plan provisions. Our attorneys are actively pursued to lecture at conferences, write articles for various industry publications, and participate in the legislative process. To promote efforts to improve the health insurance industry, our attorneys publish a leading industry blog and promote education for all involved. Innovative Plan Document Design Many plan documents are antiquated and do not support sound claims processing. In certain circumstances revisions may be enough to repair the issue, but frequently documents require an overhaul. Our attorneys develop plan documents customized to meet unique plan specifications. All plan documents developed by our attorneys will be strong enough to withstand the latest legal challenges. Also, our standard language can be modified to fit individual plan needs to ensure the terms accurately reflect the true intentions of the plan. Plan Document Review and Revision A plan’s rights are only as good as the plan language involved. Incomplete wording or a lack of essential provisions will reduce or eliminate savings opportunities. To eliminate this risk, our attorneys will review and analyze plan documents, make key recommendations, stay abreast of legal developments, and provide provisions intended to maximize plan rights. To accommodate unique requirements, we will customize plan provisions based on clients’ needs. Regulatory and Legal Compliance Updates Changes in the law force plans to comply with new regulations faster than they can change their administrative procedures. Our attorneys maintain and offer regular legal updates relating to regulatory and legal changes in the industry. Upon subscription, subscribers may access legal compliance issues and updated plan document provisions for all industry topics. Third Party Agreement Review Plans must obey the terms of the plan document and may not agree to step beyond the boundaries set by those provisions. Yet many third party entities expect plan administrators to exceed their fiduciary duties on a regular basis. Our attorneys will review clients’ third party agreements to ensure the terms do not contradict plan terms. In addition to said analysis, we will draft contractual language and customize policy language as well. For additional information about The Phia Group’s Plan Document Services, please contact: Andrew Milesky
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