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Darcie A. Falsioni



Darcie Falsioni, counsel on our employee benefits team in our Labor & Employment practice, has significant experience advising clients on how to comply with the laws governing their employee benefit programs. As former senior deputy counsel at Independent Health Association, Inc., she has experience advising internal clients and affiliates in employee benefits, human resource management, health law and self-funded services. She and her colleagues counseled IHA’s 365,000 members, 400+ self-funded employer groups, and 1,000+ associates on various insured products and self-funded plans. Prior to joining IHA, Darcie spent several years in private practice specializing in employee benefits.

What do you focus on?

My practice focuses on health and welfare benefits—assisting clients with administration and compliance for their employee benefit programs. As former in-house counsel for an insurance carrier and third-party administrator, I have a unique perspective to both sides of benefit plan administration. I can also draw on this in-house counsel experience to assist clients in the delicate balance between business operations and legal compliance.

Self-Funded Plan Administration

Throughout all stages of my career I have counseled clients—employers, brokers and third-party administrators—on all aspects of self-funded plan administration. This includes preparation of request for proposals and responses, administrative service agreements, benefit designs, plan documentation (plan documents, summary plan descriptions and summary of benefit coverages), required notices, appeal determinations, plan audits and day-to-day administration issues.

Welfare Plan Compliance

I work closely with clients to ensure their plans are legally compliant with required offerings and documentation, as well as with administration of Health Reform, COBRA, HIPAA and ERISA Reporting and Disclosure requirements.

Health Care Reform

With the Affordable Care Act bringing drastic changes to the delivery of health benefits, this is a challenging time for health plan sponsors. I have front-line experience in this area and can provide clients excellent perspective as they navigate the complexities of this changing landscape.

Unique Experience

In addition to my role with IHA, I also served as Director of Legal and Compliance at Nova Healthcare Administrators, Inc., an IHA subsidiary and third-party administrator. Since 2009, I have been an adjunct professor at Hilbert College in New York where I teach an advanced level “Employment Benefits Law” course focused on the legal requirements and business concerns employers need to consider when offering mandated and discretionary benefits.

What do you see on the horizon?

With the costs of health care increasing every year, and the additional mandates being imposed, I believe employers will continue to look to self-funding as a way to control costs and coverage.

Presentations

  • “Keys to Self-Funding Group Health Benefits,” Rochester, NY, June 25, 2014.

Contact

Darcie A. Falsioni

Counsel

Buffalo

Phone: 716-853-8155

Rochester

Phone: 585-263-1688


Fax: 844-785-0462

State University of New York at Buffalo School of Law, J.D.

Canisius College, Dual B.A., magna cum laude

New York

Darcie is a member of the New York State and Erie County bar associations, Niagara Frontier Corporate Counsel Association Board and the Canisius College Pre-Law Advisory Counsel.

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