ERISA Plan Analysis

Know Exactly What You’re Dealing with Before You Negotiate

Download the ERISA Plan Funding Status Checklist
Read our Blog: Self-Funded vs. Fully Insured: Why This Distinction Can Save Your Client Thousands
Download the Determining ERISA Plan Funding Status White Paper

The Critical Question Most Legal Professionals Skip

Is the plan self-funded or fully insured? This single question determines your entire resolution strategy. Self-funded plans operate under ERISA preemption and the McCutchen holding. Fully insured plans may be subject to state subrogation laws that dramatically limit recovery. Recovery vendors don’t always distinguish between the two. When you accept their funding status without verification, you could be leaving significant money on the table.

How Synergy Analyzes ERISA Plans

Our plan analysis process ensures you know exactly what you’re working with: 

  • Document Acquisition: We send 1024(b)(4) requests directly to plan administrators and track compliance deadlines. 
  • Funding Status Verification: We review SPDs, plan documents, and Form 5500s to definitively determine self-funded vs. fully insured status. 
  • Reimbursement Provision Analysis: We identify gaps, ambiguities, and missing disclaimers in plan language. 
  • Strategy Recommendation: We provide a clear path forward based on verified plan characteristics and applicable law. 

Free Resource: ERISA Plan Funding Status Checklist

Download our step-by-step checklist for determining ERISA plan funding status. Includes: 

  • 1024(b)(4) request template 
  • Document review checklist 
  • Self-funded vs. fully insured indicators 
  • Compliance deadline tracker 
  • Strategy decision tree
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Why Verification Matters

A law firm came to us with what appeared to be a straightforward $78,000 ERISA lien. They had already negotiated it to $62,000 and were ready to pay. We obtained the plan documents and discovered the plan was fully insured, not self-funded. Under applicable state law, the made-whole doctrine applied. Final resolution: $15,000. The client kept an additional $47,000. 

  • Over 50% of plans we analyze are mischaracterized by vendors
  • 25-30% average additional savings when funding status is correctly identified 
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Get a Plan Analysis

Send us your ERISA lien, and we’ll verify funding status, review plan language, and provide a clear recommendation. If there’s an opportunity for better results, we’ll find it.

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The Synergy team will work diligently to ensure your case gets the attention it deserves. Contact one of our legal experts and get a professional review of your case today.

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