Service Specialist, Expert Witness and Forensic Consultant.
Over 40 years in health care plans and related. Founder and former CEO of a major TPA. Author of many texts. Author of "Self-Funding of Health Care Benefits."
EXPERT ID: 402
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Location: US
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Short Biography:
EW #402 expert has worked nearly 50 years with health care plans. His experience has been with insurers, consulting firms and as owner of a major TPA. His areas of expertise include claims processing, administrative, technical, consulting, risk management, computer, etc. Two services offered to attorneys are:
(a) initial fact review and (b) written critique, deposition or testimony. He will serve both plaintiffs and defendents.
Work undertaken: Plaintiff evidence Defendant evidence Media interviews Medical malpractice Free first telephone call with lawyers (max 15mins) Critique of facts
About Self-Funding Actuarial Services, Inc
IN GENERAL Increasingly, self-funded plans are looking to the actuary for support services; in this instance, services are recommended numbers supported by the actuarial signature. Actuary normally is one recognized by membership in the American Academy of Actuaries, the Society of Actuaries or the Casualty Actuarial Society. Such actuarial services may be provided (1) on an insourced basis (TPA, insurer, intermediary, etc. has its own staff actuary) or on an outsourced basis (such entities use either a consulting or regularly retained actuary or (3) by the plan sponsor retained actuary - not part of the regularly-provided plan services.
SCOPE OF SERVICES Each actuarial service described herein meets a legal or accounting requirement. The services herein described involve the following: œ Government Plans œ Multiple Employer Welfare Arrangements œ COBRA Premiums œ Benefit Content Comparisons œ Claim Reserves (Tax and/or Accounting Purposes) œ Recommended Funding Levels œ Post-Retirement Medical Care Benefits œ Post-Termination Benefits œ Demand Management œ Monte Carlo Simulations œ Workers' Compensation œ HMO Employer Contribution œ Capitation œ Medical Savings Account