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LOMA Health Underwriting
Study Group
April
27 – 29, 2010
The Westin Riverwalk
San
Antonio, TX
If you
would like to receive marketing information on this meeting, please contact
us.
For
information about Exhibitor
and Sponsorship Opportunities, click here.
Register
Today!
Quick
Reference
Registration
Information
Download
the 2010 Registration Form
View
the 2010 Program
List
of Last Year's Attendees and Companies
Hotel Information
Exhibitor
and Sponsorship
Information
For More Information
About The Health
Underwriting Study Group
This group was created as an information source for
underwriters, actuaries and executives from health insurance
companies. Health Underwriting Study Group is
open to vice presidents of underwriting,
underwriters, actuaries, claims and law department executives; and
executives of companies offering individual and small group health insurance and
related products.
Membership is complimentary with full conference registration fee.
Members of Health Underwriting
Study Group receive:
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Complimentary
subscription to JournalScan, a bi-monthly newsletter that focuses
on the risk management implications of new developments in clinical medicine,
pathology, epidemiology and medical research.
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Annual
Individual Medical Survey
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Annual Small
Group Survey
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The opportunity
to network with risk management executives. Members receive a roster with
complete contact information of all HUSG members. (You may opt out of
membership and not have your contact information shared.)
2010
Program
Tuesday,
April 27, 2010
7:30–8:30
A.M.
Registration
Continental Breakfast with Exhibitors
Sponsored by MRS, Inc.
8:30–10:30
A.M.
Opening Remarks and General Session
Hank George, FALU, CLU, FLMI, Chair, LOMA Health Underwriting Study Group
Jim
Huffman, FLMA, ACS, Second Vice President, Management Solutions, LOMA
Healthcare
Reform and its Implications
Panelists
Adam Brackemyre, National Association of Health Underwriters
Jonathan Shreve, FSA,
MAAA, Principal and Consulting Actuary, Milliman
John
Williams, Senate Commerce Committee
This panel presentation
will be lead by insurance and policy experts, with focus on the implications of
healthcare reform from a variety of complimentary and conflicting perspectives.
Discussion will focus on changes proposed and the possible impact of those
changes, with a particular focus on individual and small group market
underwriting, pricing, and other critical topics.
10:30–10:50
A.M.
Networking and Refreshment Break with Exhibitors
10:50
– 11:50 A.M.
Guarantee Issue, Fraud and Misrep
Shirley
Glazier, Director, Blue Cross and Blue Shield of Michigan
Health
care reform brings changes in the Underwriting arena for individual health
products. Carriers can be successful in a 'guaranteed issue' arena. This session
will help identify transition focus areas and administrative guidelines that
should be considered as carriers move from Individual Medical Underwriting to a
guaranteed issue arena.
11:50 A.M.– Noon
Morning wrap up, questions,
and a few minutes from our sponsor.
Noon–1:15
Lunch
Sponsored by RSA Medical
1:15–4:30
P.M.
Interactive Sessions
2:45–3:00
P.M.
Refreshment Break with Exhibitors
Individual Medical Underwriting
- Day 1 is dedicated to underwriting operational issues
Individual Medical Underwriting sessions will address:
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Collection
of First Premiums
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Application
for Insurance options
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Electronic
applications
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Expert
underwriting systems
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Imaging
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Underwriting
technology support
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Distribution
channel evolution
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Compliance
issues – Operational
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Small
Group Underwriting
Topics to be addressed in the Small Group Underwriting interactive session
include:
-
Quotes
vs. placements
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Eligibility
issues
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Applications/health
statements
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Waiver
of Health statements
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“New”
groups (no previous carrier)
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Electronic
enrollment
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Distribution
channel issues
-
Underwriting
systems
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Expert
underwriting systems
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Technology
support
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Quality
assurance/auditing
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Telephone
interviews
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Role
of the underwriting in decision-making
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New
business metrics
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5:00–6:30
P.M.
Reception with Exhibitors
Sponsored by MIB Solutions.
MIB Solutions will hold a drawing for a 32" Bravia HDTV to be given
away to one lucky conference attendee at the reception.
Wednesday,
April 28, 2010
7:30–8:30
A.M.
Continental Breakfast with
Exhibitors
Sponsored
by Ingenix
8:30–9:15
A.M.
Life and Disability Risk Management 2010
Hank George, CLU, FALU,
FLMI
Attendees will see an
overview of contemporary underwriting practices for life and disability
insurance. Both the similarities and key differences between health underwriting
and these two major insurability assessment domains will be stressed.
9:15–10:15
A.M.
Using MIB for Health Underwriting
Douglas M. Mertz, Vice President, Sales; MIB Solutions, Inc.
Join
us for a presentation of the results of a recent Milliman study that examines the impact MIB
information would have had on a group of over 12,000 individual health policies
issued standard or better, if the underwriter had the benefit of MIB data at the
time of the original decision. Medical
impairments identified by MIB and the potential first-year excess claim costs
that could have been avoided will be detailed.
10:15–10:45
A.M.
Networking and Refreshment Break with Exhibitors
10:45–11:30
A.M.
Automated Health Risk Assessment: A Successful European Paradigm
Paul Triggs, PhD., RISK-CONSULTING
Prof. Dr. Weyer, GmbH
Data-driven,
automated risk assessment has become the standard in Europe because of the
significant advantages it offers:
- immediate
decisions
- lower
premiums for best risks
- correct
debits for applicants with medical conditions
This
presentation will explain how it works and why it can also work in the U.S. for
health, life and disability.
With a Ph.D. in physics, Triggs spent many years in
general consulting with the Boston Consulting Group before discovering the world
of data-driven risk management with Fair Isaac and moving to RISK-CONSULTING
where he has been helping insurers make better use of data for 15 years.
11:30–11:45 A.M.
Morning
wrap up, questions, and a few minutes from our sponsor
11:45
A.M.–1:00 P.M.
Lunch
Sponsored
by Milliman IntelliScript
1:00–4:30
P.M.
Interactive Discussions
2:45–3:00
P.M.
Refreshment Break with Exhibitors
Individual
Medical Underwriting
Day 2, roundtable discussion is devoted to the following Individual Medical Underwriting
philosophy issues:
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Eligibility
considerations
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Use
of preferred pricing/preferred underwriting
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Significant
changes to manual, guidelines
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Underwriting
requirements
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Distribution
channel risk quality
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Dietary
supplement underwriting
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Occupational
underwriting for individuals
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White sheeting
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Laboratory
trends/genetics
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Prescription
drug underwriting
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Rating/ridering/underwriting-by-deductible
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Pre-ex/misrepresentation
investigations
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Renewal
underwriting
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Claims
feedback/partnering
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“Post
issue” underwriting
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Ancillary
product underwriting
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Small
Group Underwriting
Small Group underwriting discussion will address:
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Participation/census
variations on in-force groups
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Annual
recertification practices
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Renewal process/pricing/system support
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Predictive
modeling/ metrics
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Special
issues relating to mid-size groups
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Consumer Directed Health
Plans
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Thursday,
April 29, 2010
7:30–8:30
A.M.
Continental Breakfast
8:30–9:30 A.M.
Dianne Longley, Director, Research & Analysis, Life, Health &
Licensing Program, Texas Department of Insurance
Dianne will provide insight
into the Texas insurance market, the impact reforms might have on this market
and discussion around the kinds of regulation that typically benefit from state
versus federal oversight.
9:30–9:45
A.M.
Networking Refreshment Break
9:45–11:30 A.M.
Interactive Sessions:
This morning is devoted to interactive discussion of issues, situations and case
studies submitted by the attendees:
- Individual
Health Underwriting
- Small
Group Underwriting
11:30
A.M.
Meeting Adjourned
Registration
Register by April 2, 2010
Member: $675 Register
after April 2, 2010 Member:
$775
Refund Policy
All cancellations and refund requests must be received in
writing. These requests carry a $100 U.S. administrative charge. Full refunds
minus the administrative fee will be granted on written requests received no
later than three business days before the meeting start date. No refunds will be
granted if the request is received within three business days of the meeting. If for
any reason a meeting is cancelled, LOMA will refund the total registration fee.
However, LOMA will not be responsible for any travel, hotel accommodations or
other costs incurred.
Hotel
Information
The
Westin Riverwalk San Antonio
420 Market Street
San Antonio, Texas 78205
1-888-627-8396
1-210-224-6500
To Reserve a Hotel Room:
Mention the LOMA Health Underwriting Study Group to receive the group rate.
Room Rate: Rate is $169. Rates do
not include applicable state and local taxes, currently 16.75%. Book
your hotel room by April 2, 2010 to ensure that you receive this discounted rate.
Thank
You to Our Sponsors and Exhibitors
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Clinical
Reference Laboratory is a leading provider of laboratory testing for
the life and health industry and recognized as the industry leader for
providing new testing technology. We are committed to providing our
clients with innovation in IT services, unparalleled personalize service,
better risk selection tools and overnight processing of samples – all
focused on providing a competitive advantage to our clients. www.crlcorp.com |
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Tuo™ Sales
and Underwriting automation software provides end-to-end solutions which
are configured and maintained by business users.
Colibrium Partners Consulting and Benchmarking helps our
clients achieve success.
We believe the complexities of health insurance require a partner
with deep industry expertise to deliver solutions economically and
successfully. www.colibriumpartners.com
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ExamOne,
a Quest Diagnostics company, is the nation’s leading provider of
risk assessment information for the life insurance industry. Our
integrated supply chain includes paramedical examinations, laboratory
testing, attending physician statements, teleunderwriting and inspections.
This integration simplifies the order, status and retrieval of these
products, provides one source for all underwriting requirements and
accelerates the policy application-to-issue cycle.
www.examone.com |
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As
the leading provider of risk assessment services for the insurance
industry, Hooper Holmes provides insurers with the widest range of
medical exam, data collection, laboratory testing and underwriting
services in the industry through Portamedic,
Heritage Labs and Hooper
Holmes Services. www.hooperholmes.com
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JET
InsureFuse™
Product Suite is part of the JET™
Health Solutions division of AAJ Technologies. JET
InsureFuse™
automates and speeds-up new customer applications and
underwriting processing for health plans. It provides real-time data
views for Brokers/Agents, improving workflow to speed up application
processing, auto-adjudication and decision-making for Underwriters.
www.aajtech.com
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As a Leader in the Health
Underwriting Industry,
Medwise Partners
provides:
- Experienced Health Insurance Experts
- Outsourced Individual, Small and Large
Group Underwriting Resources
- Consulting and Process Assessments, ROI Analysis
- Interim On-site Risk Management (CFO/COO, Chief
Underwriter)
- Financial Consulting, Health Plan
Turnarounds
- Customized Underwriting Training
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MRS combines over 20
years of experience supporting the life and health underwriting and claims
processes with leading edge technology solutions to meet the needs of our
clients. The challenges we all face in this industry will change,
but our positive attitude toward their resolution will not. Keep it
simple yet sophisticated, global yet local, consistent yet flexible.
APS Retrieval
Outsourced Underwriting
APS Summaries Tele-Interviews
Pipeline Underwriting Workflow Platform offered as SAAS
www.mrswi.com |
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Sponsor of
Wednesday's Lunch |
Milliman
IntelliScript®
delivers
detailed prescription histories to underwriters' desktops. IntelliScript
prescription histories are
- authorized in advance by the applicant
- delivered online via the Internet within seconds
- designed to uncover critical medical information
IntelliScript has become widely accepted as a catalyst for fast and effective
medical underwriting. If you're considering prescription histories, please
contact us. www.rxhistories.com |
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Sponsor of Tuesday's Reception |
MIB
Solutions, Inc.
Undisclosed medical conditions on an application
can cost your company millions in unforeseen early claims. MIB's Checking
Service increases underwriting effectiveness by giving you more complete
information to ascertain the risk.
Stay competitive, maximize profit, and
minimize risk by putting North America ’s largest database of medical
conditions on insurance applicants to work. Visit with us at the expo to
learn more about the MIB advantage. www.mibsolutions.com/health
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The
specialty of RISK-CONSULTING is the development and exploration of
the world's deepest database of health insurance application and claims
data. This database allows the human morbidity to be modeled with a
previously unknown accuracy. The key results of this research are the
data-driven underwriting systems AktuarMed® and AktuarLife®
used in health, life and disability insurance. www.risk-consulting.com
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Sponsor of
Tuesday's Lunch
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How
will your business differentiate itself in a world that’s becoming
increasingly commoditized? In a world that’s more automated, how will you continue to show your clients that you’re
hands-on, and that you care?
It’s
critical that we look at the world with fresh eyes and are willing to
learn new things, new business practices. We must take
nothing for granted – assuming nothing. We must question
everything.
RSA
Medical…
Bringing
the Medicine back to the concept of assessing risk. |
For
More Information
Call 770-984-6446
Fax 770-984-6418
E-mail insops@loma.org
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