American Dental Association - ADA e-Catalog: Product

Legal Protection Plan 01 - LP01

Legal Protection Plan 01 - LP01
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Coverage: $7,500

The Legal Protection Plan is available to New York State Dental Association (NYSDA) members in good standing.

The Legal Protection Plan is designed to protect the legal and financial interests of dentists facing public and private administrative proceedings. The Legal Protection Plan is not insurance or insurance plan and is not the offering of an insurance plan.

The Legal Protection Plan provides legal coverage in exchange for a payment for potential claims, proceedings, and/or investigations before the New York State Education Department, Medicaid or Medicare, Workers’ Compensation, the United States Office of Civil Rights (HIPAA), the New York State and New York City Divisions of Human Rights, New York State Sales Tax Bureau, New York State Department of Labor Employee Classification Bureau, United States Occupational and Safety Health Administration, Federal Trade Commission Identity Theft Bureau, IPRO, and any Health Maintenance Organization (HMO) or other insurance/managed care plan, provided that coverage for HMO and insurance/managed care plan issues relates only to claims, proceedings, and/or investigations where the HMO or insurer seeks to recover or recoup money from a dentist for fraud or similar alleged wrongdoing and not to ordinary billing disputes or routine denials of reimbursement claims.

Legal services are provided by Feldman Kieffer, L.L.P.

Participation in the Legal Protection Plan is secondary to any applicable insurance or other financial coverage a NYSDA member dentist has for the particular legal matter, and the Legal Protection Plan shall only be utilized when such other coverage has been exhausted.

Coverage for a legal matter is only effective for the Legal Protection Plan year from January 1, through December 31, and the matter must fall within that plan year and notice of such matter must be delivered to NYSDA while coverage is in effect in order for coverage to be provided. If a legal matter is outside the definition of the Legal Protection Plan as described in this provision, or coverage limits have been reached, Feldman Kieffer shall provide legal services to a member dentist at a preferred billing rate on a direct bill basis to the dentist client, provided that Feldman Kieffer determines the matter is one in which Feldman Kieffer can adequately represent the dentist client.

The Legal Protection Plan shall not cover criminal matters under any circumstances. Participation by NYSDA members in the Legal Protection Plan is subject to screening and approval by Feldman Kieffer and NYSDA, which screening and approval can, at a minimum, consist of review of prior usage and claims history with the Legal Protection Plan, review of any prior malpractice or professional discipline history, and review of any NYSDA ethics history.

Concierge Services

One of the benefits that is offered to members of the Legal Protection Plan is concierge legal services at a preferred billing rate through the law firm Feldman Kieffer, LLP located throughout New York State, through their four offices. These benefits are for select areas of practice, which includes the following:

  1. Contract Review
  2. Contract Negotiations with Insurance Companies
  3. Landlord/Tenant Issues
  4. Leases
  5. Small Claims Matters
  6. Collection Issues
  7. Basic Wills
  8. Health Care Proxies and Power of Attorney
  9. One Hour Free Consultation

In order to obtain these services, they must be a member of the Legal Protection Plan. The preferred billing rate that they would receive would be $175.00 per hour for these professional services that the member would be expected to pay.

When a member wants to take advantage of the concierge legal service program, they would enter into an individual retainer with the above-mentioned law firm, specifying the normal terms and conditions between Feldman Kieffer and the member.

These concierge legal services benefits are in addition to the normal benefits offered in the Legal Protection Plan.