The legal landscape for ERISA and Managed Care is complex and ever changing. Particular knowledge makes a critical difference in successfully defending or prosecuting ERISA and Managed Care matters.
Attorneys in Spilman’s ERISA and Managed Care group represent businesses, employers, retirement and welfare plans, insurers, and health maintenance organizations in connection with claims of breach of fiduciary duty, claims for benefits, governmental investigations, disputes arising under ERISA, and general malpractice claims.
Our specific experience includes the following:
Litigating claims involving breach of fiduciary duties and misappropriation of plan assets
Defending claims brought by participants and employees for retirement, severance, life, health and disability benefits under both insured plans and self-funded plans
Litigating claims involving unique and complex issues of preemption of state law
The practice group also focuses on representing managed care organizations in a variety of matters, including complex reimbursement issues, administrative claims before insurance commissioners, and defending managed care entities in traditional malpractice claims that fall both within and outside the preemptive scope of ERISA.