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After years of foot-dragging, large U.S. law firms have embraced the mainstream business practice of countering rising health care costs by steering employees and partners into managed care plans. A recent comprehensive survey of large law firms' employee benefit practices conducted by The Segal Company shows, among other findings, that less than one in five firms offers a traditional indemnity health plan today. The survey also found that health plans at law firms continue to reflect the special needs of these professional service organizations as a whole ' as well as those of the individual firms that participated.
The survey universe comprised the 200 largest U.S. law firms. Of these, 56 (28%) responded ' all in all a strong result. Survey data shows that most large law firms:
Besides health plan information, the Segal survey gathered data from law firms about their life and disability insurance benefits, as well as their policies on maternity, paternity and adoption leave, employee assistance plans, transportation benefits and a variety of other benefits.
The fact that law firms have been pummeled by the same relentless assault of double-digit health cost inflation (14.5% on average in 2003 with similar rates anticipated for 2004) as other employers appears to explain the current prevalence of PPOs (82%), HMOs (58%) and point-of-service (POS) plans (46%), offered by the firms surveyed. Only 17% of the surveyed firms offered a traditional indemnity plan.
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