Association Health Plan Practice

Association Health Plan Practice

Association Health Plan Practice

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Overview

Members of our association health plan team have thirty years of experience representing association health plans.  We help association health plans build the type of large-employer solutions which are typically not available to small and medium size firms.  Our practice includes:

  • The formation of new association health plans
  • Negotiation of agreements with insurance carriers and other vendors
  • The formation of captive insurance companies when appropriate to advance the interests of the association health plan
  • Health insurance design
  • Compliance with the myriad federal and state statutes and regulations governing health insurance and association health plans
  • The establishment of “best practice” governance structures for association health plans and related entities
  • Compliance with the ERISA rules applicable to association health plans, particularly the prohibited transaction rules.

A successful association health plan can provide the following “large employer” benefits to member firms:

  • Group purchasing power in the marketplace, allowing the association health plan to negotiate low administrative fees as well as obtain the best available provider discounts
  • Comprehensive wellness programs which afford association health plan participants with the resources to become the healthiest citizens in the nation
  • Around-the-clock telemedicine services
  • Advocacy services which assist association health plan participants in navigating our country’s complex health delivery system so they can obtain the highest quality care at the best price
  • Cutting-edge online enrollment platforms of the type offered to employees by the largest and most sophisticated employers.

Jennifer W. Stokes

Partner and Practice Leader - Employee Benefits, St. Louis

+1 314 259 2671

Jennifer W. Stokes

Partner and Practice Leader - Employee Benefits, St. Louis

+1 314 259 2671

Meet The Team

Jennifer W. Stokes

Partner and Practice Leader - Employee Benefits, St. Louis

+1 314 259 2671

Related Practice Areas

  • Employee Benefits & Executive Compensation

  • Insurance

Experience

  • Representation of a board of trustees in connection with the operation of an association health plan covering 1,750 employers who are members of the same trade association.
  • Formation of an association captive insurance company that offers health insurance through a fronted reinsurance arrangement to members of an association made up of over 5,000 member firms throughout the U.S., including the negotiation of reinsurance agreements with several health insurers.
  • Representation of two different associations in the formation, from scratch, of start-up association health plans.
  • Representation of an association health plan in connection with the acquisition of another association plan.

Related Insights

Blog Post
May 09, 2019
Deep Dive: DOL Appeals Federal Court’s Association Health Plan Ruling and Issues Interim Guidance
Blog Post
Apr 26, 2019
Deep Dive: Association Health Plan Considerations following the Court Order Vacating the DOL’s Final Rule
Blog Post
Oct 16, 2018
Deep Dive: Association Health Plans: Business and Operational Issues Associated with Forming an AHP