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Click here or scroll down to respond to this candidate Candidate's Name
Street Address
Home Phone: PHONE NUMBER AVAILABLE
Mobile Phone: PHONE NUMBER AVAILABLE
Email: EMAIL AVAILABLE
OBJECTIVE:
To secure a position with a growth oriented insurance organization using my compliance skills and knowledge of
state and federal insurance regulation for our mutual benefit.
Compliance and product form and rate filing experience in all 50 states and the District of Columbia.
PROFESSIONAL EMPLOYMENT HISTORY
1996 Present
Senior Compliance/Policy Analyst
The Union Labor Life Insurance Company
Silver Spring, Maryland
Responsibilities:
Develop, file via System for Electronic Rate and Form Filing (SERFF), and maintain regulatory compliance for
all fully insured group life (Compact and non-Compact IIPRC products), accidental death and dismemberment,
comprehensive major medical, dental, vision, hearing, prescription drug, short -term disability, long- term
disability, and long term care products. This function includes developing, filing and maintaining regula tory
compliance of all product-marketing materials.
Develop, file and maintain Exclusive Provider Organization and Preferred Provider Organization plans and
marketing materials.
Develop, file and maintain Florida and Michigan small employer associatio n group health plans and marketing
materials.
Maintain product forms in automated policy and certificate delivery system using the Document Library System
(DLS) publisher.
Organize and implement changes to group insurance plans to meet client needs.
Monitor and provide analyses of state and federal insurance laws to ensure regulatory compliance. This
function includes weekly monitoring of state legislation, reviewing new legislation, determining any impact on
current company and/or departmental procedures and/or product lines, and communicating compliance issues
to the appropriate operational units.
Research and advise on compliance and legislative issues from all internal and external sources.
Assemble departmental and interdepartmental work groups when necessary to resolve compliance issues.
Maintain legislative activity reports. This function includes the development of on -line and hard copy
maintenance procedures of all reported legislative activity.
Coordinate with Managed Care Unit to maintain company state utilization review licensures.
Assist the Legal Department in the development and maintenance of company compliance with federal privacy
requirements.
Provide employee and agent training on company products and department procedures.
Develop and maintain compliance manuals for use by new and existing compliance personnel as guides to
compliance and its function within the company and for understanding departmental workflow.
Investigate and respond to insurance department complaints.
Develop and maintain reliable follow-up procedures for all work projects to ensure prompt and satisfactory
completion.
Develop and maintain research charts as requested by upper management. This function includes
development and maintenance of charts and reports to prov ide quick and easy access to state requirements
regarding topics such as filing procedures, interest rate payment requirements, prompt payment of claim
requirements, state mandated benefits, etc.
Develop and maintain state filing charts to provide quick and easy access to status of state filings.
Product lines consists of individual and group life and health insurance plans and group Stop Loss. Group eligibility
includes sm all employer groups, large employer groups, association groups, multiple employer welfare
arrangements, and Taft-Hartely Welfare Funds.
Candidate's Name *2407 15TH STREET NW #511 * Washington, DC 20009 * PHONE NUMBER AVAILABLE Page 2 of 3
1992 1995
Senior Contract Analyst
John Alden Life Insurance Company
Miami, Florida
Responsibilities:
Develop, file and maintain regulatory compliance for all fully insured group life, accidental death and
dismemberment, comprehensive major medical, dental, prescription drug, short-term disability, long- term
disability, and long-term care products. This function included developing, filing and maintaining regulatory
compliance of all product line marketing materials.
Develop, file and maintain Exclusive Provider Organization, Preferred Provider Organization, and Health
Maintenance Organization plans and marketing materials.
Develop, file and maintain small employer group health plans and marketing materials.
Maintain product forms in automated policy and certificate delivery system using the Text Gen publisher.
Organize and implement changes to group insurance plans to meet client needs.
Monitor and provide analyses of state and federal insurance laws to ensure regulatory compliance. This
function included weekly monitoring of state legislation, reviewing new legislation, determining any impact on
current company and/or departmental procedures and/or product lines, and communicating compliance issues
to the appropriate operational units.
Research and advise on compliance and legislative issues from all internal and external sources.
Assemble departmental and interdepartmental work groups when necessary to resolve compliance issues.
Maintain legislative activity reports. This function included the development of on-line and hard copy
maintenance procedures of all reported legislative activity.
Provide employee and agent training on company products and department procedures.
Develop and maintain compliance manuals for use by new and existing complia nce personnel as guides to
compliance and its function within the company and for understanding departmental workflow.
Investigate and respond to insurance department complaints.
Product line consisted of group life and health insurance plans and group Stop Loss. Group eligibility included
small employer groups and large employer groups.
Position eliminated due to dissolution of company.
1990 1992
Senior Insurance Analyst
Harcourt, Brace, Jovanovich, Inc.
Orlando, Florida
Responsibilities:
File and maintain regulatory compliance for all fully insured group and individual life, accidental death and
dismemberment, comprehensive major medical, short-term disability and long- term disability products.
Monitor and provide analyses of state and federal insurance laws to ensure regulatory compliance. This
function included weekly monitoring of state legislation, reviewing new legislation, determining any impact on
current company and/or departmental procedures and/or product lines , and communicating compliance issues
to the appropriate operational units.
Maintain legislative activity reports. This function included the development of hard copy maintenance
procedures of all reported legislative activity.
Provide employee training on company products and department procedures.
Product lines included both individual and group life insurance plans. Group eligibility included large employer
groups.
Position eliminated due to company s sale of insurance business
Candidate's Name *2407 15TH STREET NW #511 * Washington, DC 20009 * PHONE NUMBER AVAILABLE Page 3 of 3
1983 1989
Group Service Technician
Security Life of Denver
Denver, Colorado
Responsibilities:
File and maintain regulatory compliance for all fully insured group life, accidental death and dismemberment,
comprehensive major medical, short-term disability and long- term disability products.
File and maintain regulatory compliance for self-insured Stop-Loss product.
Monitor and provide analyses of state and federal insurance laws to ensure regulatory compliance. This
function included weekly monitoring of state legislation, reviewing new legislation, determining any impact on
current company and/or departmental procedures and/or product lines, and communicating compliance issues
to the appropriate operational units.
Monitor Stop-Loss groups specific and aggregate claims experience and report increased claim activity or
violations to upper management. This function also included working with upper management to develop
improved claim management systems.
Provide employee training on company products.
Product lines consisted of individual and group life insurance plans. Group eligibility included large employer
groups.
Resigned position to pursue employment opportunities in Florida.
PROFESSIONAL ACHIEVEMENTS
Assisted in development of stop-loss products for Harcourt, Brace, Jovanovich, Inc., Sea World Companies, Busch
Entertainment Corporation, and Harris Enterprises, Inc.
Assisted in the development of Neighborhood Health Partnership s ( owned by John Alden Life Insurance Company)
Health Maintenance Organization plans and advertising material.
Developed, filed, and built into the Text Gen publisher automated issue system John Alden HealthCare
Management Division s Exclusive Provider Organ ization product.
Redesigned John Alden HealthCare Management Division s small employer health plan products to meet statutory
compliance, readability and company requirements.
Developed and filed Ulico Casualty Company s (owned by The Union Labor Life In surance Company) Florida and
Michigan small employer association group health plan products and advertising materials.
Assisted in development of The Union Labor Life Insurance Company s group managed care and non -managed
care major medical, dental and group prescription drug programs.
Assisted in The Union Labor Life Insurance Company s compliance with federal HIPAA and PPACA regulations.
EDUCATION
Concentration in Special Education, Bloomsburg State College, Bloomsburg, PA
Concentration in Business Accounting, Barnes Business College, Denver, CO
LOMA courses, Security Life of Denver, Denver, CO
Supervisory and Management Training Program, Security Life of Denver, Denver, CO
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