Jennifer Osborn Nix works diligently for insurance companies, third-party administrators, and other regulated entities to further their goals and help them remain compliant within the 50-state regulatory scheme. She focuses on insurance regulatory and compliance issues, with a primary emphasis on life and health insurance matters.
Jennifer works with many regulated entities, including many in the health care sector, who rely on her for research, advice, strategic counsel, and licensing. These include:
- Insurance Companies and Health Maintenance Organizations (HMOs)
- Third Party Administrators (TPAs)
- Preferred Provider Organizations (PPOs)
- Independent Practice Organizations (IPOs)
- Clinically Integrated Networks (CINs)
- Accountable Care Organizations (ACOs)
- Agents and Agencies
- Utilization Review Organizations (UROs)
- Discount Medical Plan Organizations (DMPOs)
- Pharmacy Benefit Managers (PBMs)
Jennifer is well versed in state health insurance laws and regulations, particularly mandated benefits, and association group insurance laws, as well as federal laws affecting the sale of health insurance, such as PPACA, HIPAA, and ERISA. She also has significant experience with unfair trade practice laws and advertising and marketing requirements, including telemarketing requirements. She regularly handles many types of insurance-related matters, including licensing and registrations; market conduct examinations; audits; national research and compliance projects; contract drafting and review; policy form filing; discontinuance and nonrenewal; and Violent Crime Control Act Issues.
Jennifer has assisted heavily regulated insurance entities comply with privacy requirements since the enactment of Gramm Leach Bliley. She has helped prepare privacy policies, manuals, and training, provided HIPAA advice, and drafted business associate agreements or privacy provisions for many clients. She has also advised clients regarding insurance regulatory data security requirements.