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.
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.
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.
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.
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.
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.
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.
12.12.18 | Jericho, NY
12.11.18 | New York, NY
12.04.18 | Boston, NY
11.27.18 | Rochester, NY
11.08.18 | Buffalo, NY
05.23.18 | Rochester, NY
05.15.18 | Buffalo, NY
05.08.18 | Albany, NY
05.03.18 | New York, NY
State University of New York at Buffalo School of Law, J.D.
Canisius College, Dual B.A., magna cum laude
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.