Insurance & Managed Care

Attorneys in our Insurance & Managed Care Practice Group counsel insurance companies, insurance holding companies, health maintenance organizations (HMOs), preferred provider organizations, captive insurers, insurance brokers, insurance agencies, and third-party administrators on corporate and regulatory matters, including development of insurance policies and negotiation of provider contracts.

We represent insurance industry participants in:

  • Mergers, acquisitions and dispositions.
  • De novo formations of stock, mutual and captive insurers.
  • Shell acquisitions and loss portfolio transfers.
  • Multi-state regulatory matters, including Form A, Form B, Form C, Form D and Form F filings, and policy form and rate filings.
  • Administrative proceedings before and informal negotiations with the Tennessee Department of Commerce & Insurance , including the Financial Affairs, Policy Analysis, Agent Licensing and Consumer Insurance Services sections of the Insurance Division and the TennCare Oversight Division.
  • Legislative matters.
  • Negotiation of reinsurance treaties and excess policies.
  • Negotiation on renewal coverages and premiums.
  • Coverage disputes and other litigation.

We have represented Tennessee captives since the late 1970s when first authorized, including the first two captives licensed under the 2011 revisions. In addition to de novo pure and cell captive formations, we handle foreign and alien redomestications. We also advise risk retention groups (RRGs) and purchasing groups, both domestic and offshore, and have significant experience in working with RRGs and captives on various legal, regulatory and tax matters, and operational issues. We are members of the Tennessee Captive Insurance Association and serve on its Government Relations Committee.

We also have worked with managed care clients on existing insurance coverages and on future placements, including the alignment of insured-insurance company objectives with claims and coverage disputes.

We are active participants in meetings and events held by the National Association of Insurance Commissioners, and members of our practice group are the only Tennessee representatives of the Federation of Regulatory Counsel, Inc., a professional association of insurance regulatory lawyers. We also are listed by AM Best.

  • We represented West Virginia Mutual Insurance Company (WVMIC), the only member-owned medical liability insurance company in West Virginia, in its sale to MagMutual Insurance Company, one of the leading providers of medical professional liability insurance in the country. WVMIC will become MagMutual’s Mid-Eastern Region, adding support to policyholders and expanding their geographic footprint in West Virginia, Ohio and Kentucky.

    We represented West Virginia Mutual Insurance Company (WVMIC), the only member-owned medical liability insurance company in West Virginia, in its...
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    Client Type: Private Company
  • Representation of  MSouth Equity Partners, a private equity firm with a focus on lower middle market management buyouts, in its acquisition of iBenefit Communication, a benefit communication, engagement, and enrollment services company

    We represented MSouth Equity Partners, a private equity firm with a focus on lower middle market management buyouts, in its...
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    Client Type: Private Company
  • Represented WellCare (NYSE: WCG) in its acquisition of Medicaid Assets of Phoenix Health Plan

    We represented WellCare Health Plans, Inc. (NYSE: WCG) in its acquisition of Medicaid assets of Phoenix Health Plan (PHP) in...
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    Client Type: Public Company
  • Provided legal counsel to WellCare in its acquisition of Universal American Corp.

    We represented WellCare Health Plans, Inc. (NYSE: WCG) in its acquisition of Universal American Corp. (NYSE: UAM). The transaction is...
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    Client Type: Public Company
  • Represented Starmount Life Insurance Company and AlwaysCare Benefits in the acquisition by Unum for $127 million plus net assets

    We represented Starmount Life Insurance Company and AlwaysCare Benefits in the acquisition by Unum for $127 million plus net assets....
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    Client Type: Private Company
  • Represented WellCare Health Plans, Inc. (NYSE: WCG) in the sale of Sterling Life Insurance Company to Cigna

    We represented WellCare Health Plans, Inc. in the sale of its wholly owned subsidiary, Sterling Life Insurance Company to Cigna....
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    Client Type: Public Company
K. Stewart Day
Associate
Angela Humphreys
Member
Robins H. Ledyard
Member
T. Stephen C. Taylor
Member