Matters
- Successfully managed dozens of multi-state and national third party administrator (“TPA”) licensing projects.
- Successfully licensed a number of off-shore third party administrators (“TPAs”) in the United States on a national basis.
- Served as national outside counsel for several health insurance companies.
- Successfully navigated an insurance company through a fifty state national market conduct examination.
- Successfully licensed a number of discount medical plan organizations on a multi-state and national basis.
- Successfully licensed the first full-service discount medical plan organization in California with the California Department of Managed Health Care.
- Provide regulatory advice and counsel to national third party administrators including assistance with licensing, renewals, compliance issues and questions, contract drafting and negotiations, and responding to regulatory inquiries.
- Provide regulatory advice and counsel to national discount medical plan organizations, including assistance with licensing, compliance issues, review of sales and marketing materials, provider network contracts, marketer contracts and websites.
- Provided regulatory advice and counsel to national long-term care insurer with respect to multiple market conduct examinations.
- Led team that updated national health insurer’s compliance database to incorporate all state mandated benefits and to address jurisdictional issues.
- Conducted review of national health insurer’s sales and marketing materials, including field-created ads, on a 50-state basis.
