Arbitration & Mediation Healthcare, Benefits and Labor Disputes
About Trest IDR, LLC
Our Mission
Trest IDR, LLC specializes in arbitration and mediation services tailored for the healthcare and employee benefits industry. We also provide services to employers in resolution of labor, employment and employee benefits disputes. Our arbitrators and mediators are certified by independent third-party organizations. Compliance services are provided through our affiliate Trest Benefits Solutions, LLC.
Trest IDR, LLC
Certified Legal Experts
Certified Legal Experts
Certified Legal Experts
Trest IDR, LLC provides arbitration and mediation services as an alternative to traditional litigation in settlement of disputes. Our lawyers have practiced law for decades at some of the largest law firms in the world, representing clients in the employee benefits, healthcare, insurance and financial services industries. We also guide dispute resolution in the workplace. The depth of our experience uniquely positions us to serve as qualified certified arbitrators and mediators in disputes. We have a national footprint and are available to provide arbitration and mediation services nationally.
Arbitration
Certified Legal Experts
Certified Legal Experts
Arbitration allows the disputing parties to select a neutral arbitrator with industry-specific knowledge to define and administer the process best suited to result in the expediate and equitable resolution of the dispute. Uniquely, our arbitrators implement well-defined discovery protocols and handle the dispute in phases if warranted. Our professionals also impose protocols for witnesses and experts designed to promote the efficiency of the process. Depending on the dispute, we may recommend baseball style arbitration. We provide services in-person and virtually.
Mediation
Certified Legal Experts
Independent Dispute Resolution
Mediation is a negotiation facilitated by a neutral third-party. We are skilled at using various tools to narrow differences and to move the parties to common ground. Our strategy includes understanding the rhythm of the mediation, knowing when to allow the parties to make opening statements, when to use joint sessions, as well as the use of tools to bridge a gap, such as the use of brackets and/or making a mediator’s proposal. We use industry knowledge and legal expertise to help the parties better calibrate the strength of their bargaining position based on the facts and the law.
Independent Dispute Resolution
Independent Dispute Resolution
Independent Dispute Resolution
The No Surprises Act (NSA) provides billing protections for patients when receiving emergency care, non-emergency care from out-of-network providers at in-network facilities and air ambulance services from out-of- network providers. Payment disputes between payors and providers are required to be resolved by informal negotiation or ultimately through binding Independent Dispute Resolution (IDR) arbitrated by a Certified IDR Entity. We are under consideration for approval as a Certified IDR Entity, which would allow us to arbitrate NSA disputes through the formal IDR process.
Employee Benefits Disputes
Independent Dispute Resolution
Labor & Employment Disputes
Employee benefit plans, whether or not subject to ERISA, must be administered pursuant to well-defined regulatory requirements. Breach of fiduciary duty allegations, ERISA Title I participant rights disputes, plan operational or administrative disputes and service provider disputes may be arbitrated to avoid costly and timely litigation. We have decades of experience handling ERISA and benefit matters of every kind, have represented plan sponsors, participants and plan service providers in benefits arbitration and have also served as the arbitrator for such disputes.
Labor & Employment Disputes
Independent Dispute Resolution
Labor & Employment Disputes
Our arbitrators have thousands of hours of experience in handling labor disputes, with particular expertise dealing with benefits and wage disputes. We are also experienced in arbitrating and mediating disputes between employers and employees in addition to peer disputes. Discrimination, harassment, compensation, employment terms and other workplace disputes may be successfully mediated through our informal process in which we assist the opposing parties in reaching a voluntary negotiated resolution.
We are available to arbitrate disputes when mediation is unsuccessful.
Health & Welfare Compliance
NSA IDR
Health & Welfare Advice
MHPAEA & NQTL Analysis
We assist both providers and payers in resolving No Surprises Act (NSA) payment disputes during the 30-day open negotiations period and in the Independent Dispute Resolution (IDR) process. Our employee benefits lawyers are NSA subject matter experts and have been involved in over 48,000 IDR disputes, often representing the payor. We use s
We assist both providers and payers in resolving No Surprises Act (NSA) payment disputes during the 30-day open negotiations period and in the Independent Dispute Resolution (IDR) process. Our employee benefits lawyers are NSA subject matter experts and have been involved in over 48,000 IDR disputes, often representing the payor. We use several third-party databases to accurately determine the Qualifying Payment Amount (QPA), which serves as the basis of the informal negotiations and IDR submission. Our NSA services terminate upon our approval as a Certified IDR Entity.
MHPAEA & NQTL Analysis
Health & Welfare Advice
MHPAEA & NQTL Analysis
The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires health plan sponsors to complete an annual Nonquantitative Treatment Limitation (NQTL) comparative analysis. The purpose of the analysis is to ensure that NQTLs are not imposed on mental health and/or substance use disorder (MH/S
The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) requires health plan sponsors to complete an annual Nonquantitative Treatment Limitation (NQTL) comparative analysis. The purpose of the analysis is to ensure that NQTLs are not imposed on mental health and/or substance use disorder (MH/SUD) benefits, which do not apply to medical and surgical (M/S) benefits. Our streamlined process and deliverables include written NQTL comparative analysis for each plan and recommendations for corrective action (if any).
Health & Welfare Advice
Health & Welfare Advice
Health & Welfare Advice
Our professionals serve as an extension of our clients' humans resources function, providing ongoing advice regarding benefits administration issues. We have a deep knowledge of our clients' employee benefits arrangements which allows us to provide immediate advice on COBRA and FMLA compliance, disability, enrollment and dependent cover
Our professionals serve as an extension of our clients' humans resources function, providing ongoing advice regarding benefits administration issues. We have a deep knowledge of our clients' employee benefits arrangements which allows us to provide immediate advice on COBRA and FMLA compliance, disability, enrollment and dependent coverage issues. We also seek ACA penalty abatement, prepare wrap, 125 and self-funded plan documents, prepare Forms 5500 DOL amnesty and annual filings and provide due diligence and other support in corporate transactions. We also provide benefits administration training.
Retirement Plan Compliance
IRS and DOL Investigations
Transactions & Controlled Groups
Transactions & Controlled Groups
Defense of regulatory investigations is a significant part of our practice. We regularly defend plan sponsors in retirement plan tax-qualification focused IRS investigations and have tremendous success in resolving the non-compliance allegations through closing agreements or by legal argument supporting the absence of compliance failure
Defense of regulatory investigations is a significant part of our practice. We regularly defend plan sponsors in retirement plan tax-qualification focused IRS investigations and have tremendous success in resolving the non-compliance allegations through closing agreements or by legal argument supporting the absence of compliance failures. We also defend fiduciary focused, prohibited transactions and other investigations initiated by the Department of Labor and other federal agencies. Preemptively, we assist our clients in voluntary correction under the IRS EPCRS guidance.
Transactions & Controlled Groups
Transactions & Controlled Groups
Transactions & Controlled Groups
We are regularly engaged to conduct due diligence in corporate transactions to determine employee benefit plan regulatory compliance and vulnerabilities, to prepare the employee benefits provisions of the transaction document and for development of the post-closing benefits integration strategy. We also provide controlled group and affi
We are regularly engaged to conduct due diligence in corporate transactions to determine employee benefit plan regulatory compliance and vulnerabilities, to prepare the employee benefits provisions of the transaction document and for development of the post-closing benefits integration strategy. We also provide controlled group and affiliated service group analysis and advise on related nondiscrimination and coverage issues. Our professionals also provide advice on workforce restructuring in furtherance of compliance with the rules for aggregated regulatory testing.
Tax Qualification Compliance
Transactions & Controlled Groups
Tax Qualification Compliance
Our professionals advise on the tax-qualification requirements and amend and restate plans for design changes and ongoing compliance. We negotiate service provider agreements to ensure compliance with ERISA's service provider exemption and favorable terms. Regularly, we provide compliance advice, conduct preemptive compliance reviews, p
Our professionals advise on the tax-qualification requirements and amend and restate plans for design changes and ongoing compliance. We negotiate service provider agreements to ensure compliance with ERISA's service provider exemption and favorable terms. Regularly, we provide compliance advice, conduct preemptive compliance reviews, provide fiduciary and governance advice and resolve participant disputes. We have conducted over 100 FERS, CSRS and TSP retirement education seminars for federal agencies and provide retirement education for private employers.
Experience Matters
Our Experience
We are a professional business committed to providing exceptional services. Our team consists of highly trained professionals who have years of experience in their respective legal specialties in the healthcare and employee benefits industry. Our professionals have completed hundreds of hours of arbitration and mediation training, in addition to having decades of law practice experience. Our professionals have been certified by independent third-party organizations.
Independent Dispute Resolution
We have been involved in over 48,000 No Surprises Act IDR provider billing and payment disputes and have expert knowledge of the No Surprises Act, ERISA and other applicable federal and state laws.
Our Policies
HIPAA Confidentiality
The Health Insurance Portability and Accountability Act (HIPAA) is a federal law which governs standards to protect sensitive protected health information from being disclosed without the patient’s consent or knowledge unless an exception applies. Trest complies with the HIPAA rules and regulations promulgated by the U.S. Department of Health and Human Services. The General Counsel has been designated as our HIPAA Privacy and Security Officer.
Information Security
Our information technology infrastructure is an essential resource for achieving the organization's business objectives. Critical resources, such as servers, networks, databases, patient information and client data are protected from intrusion and inappropriate use and/or disclosure. We maintain systems to prevent intrusion and other malicious activities in compliance with information privacy and security best practices.
Business Ethics
We are committed to uncompromising integrity in the performance of services. Our standards apply internally to the way in which we relate to each other and to our clients. We constantly strive for perfection and to avoid any circumstances which may create a conflict, or the appearance of a conflict. Wherever we do business, every employee of the company is required to comply with all applicable laws, rules and regulations.
Financial Integrity
Trest is committed to the highest legal and ethical standards. For this reason, we maintain policies and procedures designed to prevent, detect, report and resolve incidents of fraud, bribery and corruption. Fraud, in any form, is prohibited. Further, facilitation payments to regulatory officials in violation of applicable law and ethics rules are prohibited. The company maintains a reporting and discipline procedure for violation of our financial integrity policy.
Arbitration Impartiality
As arbitrators, we have a responsibility not only to the disputants but also to the process of arbitration itself and observe high standards of conduct so that the integrity and fairness of the process will be preserved. We recognize our responsibility to the public, to the parties whose rights will be decided and to all other participants in the proceeding. We operate in compliance with the American Arbitration Association Code of Ethics for Arbitrators in Commercial Disputes.
Questions
Please direct any questions regarding our policies and procedures to our General Counsel at bodle@trestidr.com.
Invoice Payment
Invoices must be paid using our secure payment system. We do not accept payments on this site. All payments must be made using the invoice received from our Billing Department. Call (346) 444-3055 or email info@trestidr.com with any questions.