Private health and residual debt insurers can rely on competent advice from our highly specialised lawyers. A sampling of their areas of expertise include:
- Benefits in medical expenses insurance, daily sickness benefit insurance and long-term care insurance.
- Professional and remuneration law of the medical profession, in particular German remuneration regulations for physicians and dentists (GOÄ/GOZ), hospital remuneration law, pharmaceutical law, including claims for repayment against service providers or legal representation of policyholders in billing disputes.
- Insurance contract law (e.g., breaches of duty of disclosure, duties to advise).
- Premium adjustments.
- Residual debt insurance (with disability, life, accident and unemployment insurance).
- Fraud detection.
- Receivables management/contribution collection.
For years, numerous insurers have entrusted us with the management of their cases because our team of lawyers is highly specialised. We have accumulated a wealth of experience for the benefit of our clients. This expertise is constantly maintained and developed, among other things, in the form of our own extensive archives of unpublished court decisions and expert medical opinions.
You can rely on our expertise regarding those issues that require particularly attentive and sensitive litigation. We are also familiar with current legal developments and the strategies of many providers of medical services and their interest groups. Thanks to this knowledge and experience, we are not only able to conduct the case optimally for you as a client of our law firm, we can also assess your prospects of success, even before taking up the case.
We also use our extensive experience in forensic work when advising (link) health insurers, for example, in product development or addressing data protection law issues. Experienced colleagues are available to support our clients in various discussions on regulatory issues. The focus is often on demarcating lines of business, or the interpretation of the provisions in the German Insurance Supervision Ordinance (KVAV). Another focus involves advising on a clear differentiation from statutory health insurance and on the market entry of health insurance companies domiciled abroad.