GUAA Annual Conference Agenda May 15 18, 2016

Transcription

1 GUAA Annual Conference Agenda May 15 18, 2016 Sunday, May 15, :00 6:30 pm Registration 4:00 5:00 pm New Member Reception 5:00 6:30 pm General Reception Monday, May 16, :00 8:00 am Breakfast 8:00 8:30 am Welcome and Opening Remarks: Libby Corcillo 8:30 10:00 am General Session Keynote Speaker Ask the Insider: What s Next on Capitol Hill? Justin Barnes Join syndicated radio talk show host, Justin Barnes, healthcare innovation executive and strategist, as he discusses industry strategy and public policy trends that affect healthcare today as well as what he sees for tomorrow. Having testified on more than twenty occasions before Congress, the White House and the Administration, Justin will bring his unique perspective on how our healthcare system will continue to evolve, what policy pressures we are likely to experience and what strategies we can deploy to successfully navigate the future of healthcare. 10:00 10:15 am Break 10:15 11:15 am Workshop I Specialty and Health Electronic Cigarettes: False hope or key ingredient for tobacco harm minimization? Timothy McAfee, Centers for Disease Control and Prevention (CDC) Are e cigarettes the 21st century equivalent of the 20th century filter debacle that kept millions of Americans smoking based on a false promise of harm reduction? Or are they an exciting innovative technology that may help millions of smokers switch to a markedly less harmful product? Or a bit of both? This presentation will provide an overview of the current risk landscape regarding electronic cigarettes, including their history,

2 product evolution, demographic trends, regulatory situation, what is known (and not known) about disease risk, and their potential for complex interactions with traditional cigarettes and other drugs. Dental NADP Update on Affordable Care Act (ACA) Market Impacts Evelyn Ireland, Executive Director, National Association of Dental Plans (NADP) Evelyn Ireland is a nationally recognized expert on the dental benefits industry and ACA. She will be sharing updates on how the dental benefits marketplace is being reshaped by ACA. Her presentation will provide insights on the HIT 2017 moratorium, Cadillac tax delay, trends in employer and Exchange coverage, new network adequacy requirements for 2017 as well as state dental loss ratios debates. Disability Being an Employee/Leader in an Agile Workforce Steve Gorsun, Unum; Mark Higgins, Lincoln An interactive session that explores the ever changing underwriting workforce and workplace (shifting demographics, varying generational preferences, quickly advancing technology and tools) and both the challenges and opportunities they present for managers and underwriters alike. 11:30 12:45 pm Lunch 12:45 1:45 pm Workshop II Specialty and Health Marijuana: Legalization trends and what we know (and don t know) about health effects Timothy McAfee, Centers for Disease Control and Prevention (CDC) This presentation will review the current state and federal landscape and potential issues associated with legalization of medical use and retail sales. It will also provide an overview of what we know (and wish we knew) about marijuana s risk profile and potential therapeutic uses. Forty states have legalized marijuana for medical conditions and 4 states have legalized retail sales. Reported health and safety risks associated with the use of marijuana include respiratory and cardiac illnesses, dependence, mental health related problems and other issues impacting public health such as impaired driving. Dental The State of the Dental Benefits Market Jerry Berggren, Director of Research and Information, NADP This presentation serves as a primer for understanding the dental benefits market by highlighting key trends in enrollment, premiums, claims processing metrics, customer service metrics and employer and consumer opinion. In addition to summarizing key trends in the industry, NADP offers its opinion on what to expect in the year to come from an economic and public policy perspective. The presentation utilizes data from NADP's Statistical Reports and from other research conducted throughout the prior year. Life Panel Discussion on In force/renewal Management Michelle Galle, Securian; Doug Lamond, Symetra Underwriters play a critical role in retaining group business, which is challenging in today s marketplace. Join us to discuss how underwriters approach in force and renewal underwriting and hear what drives broker and client decisions to release RFPs and/or move business.

3 1:45 2:00 pm Break 2:00 3:00 pm Workshop III Specialty and Health What is the Rx for Escalating Drug Costs? Michael McGrath, International Risk Consultants; Tery Baskin, Rx Results Drug costs in the United States are approaching $400 billion dollars per year. Pharmacy drug costs are increasing an average of 7.1% annually, while specialty drugs are increasing as much as 25% to 30% annually. Specialty drugs account for less than 1% of all prescriptions, but account for 28% of all drug costs. At current trends, that number could reach 50% by How did we get to a $400 billion annual spend on drugs? What is the Rx for this spending trend? Disability Leave Management/ADA/Legislative Changes/Compliance Alex Dumont, Sun Life; Kim Nason, Sun Life Leave management is more than tracking reasons why an employee is not at work on a particular day. These products are a valued added service where carriers/administrators solve employer s problems leading to a favorable stickiness byproduct. This session will discuss needed service capabilities, legislative changes, back end reporting competencies and learnings from administering many programs. Remember once you have seen one customer, you have seen one customer. Life No Blood, No Underwriting, No Problem Maryellen Jankunis, Swiss Re; Denise Piscopo Shea, Swiss Re Group Life excess with evidence is no longer the middle child and will not be ignored! Over the years insurance companies have changed their requirements, improved turnaround times and are considering totally noninvasive methods of underwriting for the future. What are Group insurance companies' practices on medically underwritten Group amounts? Join us in finding out and in our discussion on the new world of Group excess with evidence. 3:00 3:15 pm Break 3:15 4:15 pm Workshop IV Dental Dental Underwriting Guidelines Going, Going, Gone? Bill Thygerson, Underwriting Manager, Dominion Dental This interactive workshop will discuss the gradual loosening and elimination of underwriting guidelines, the frequency of exceptions made, and the changing authority of underwriting within the quoting process. Lately, Underwriting requirements are becoming more relaxed, with more and more exceptions made, or worse they're simply being disregarded or dropped. Remember the old days when Underwriting Guidelines actually meant something? This workshop will look at some common underwriting guidelines that are being eroded, and the extra risk introduced as a result, and the different ways that sales funds can be implemented for rate exceptions. We will examine the consequences from a risk, profitability, and new business perspective. Disability/Life Enrollment Practices Eric Goyke, Principal; Adam Krawiec, The Hartford; Melissa Tilford, RGA The topics this workshop will focus on include:

4 a. Enrollment Types b. Predictive Enrollment c. Mock Case examples d. Underwriting Strategies e. Underwriting the Enrollment i. Centralized versus decentralized ii. Other products that are voluntary iii. How long are the carrier is given to enroll iv. Who is doing the enrollment and their track record of success v. Employer sponsorship 6:00 6:30 pm GUAA Evening Event Self Guided Tours 6:30 9:30 pm GUAA Evening Event Cocktails, Dinner and Entertainment Tuesday, May 17, :30 7:30 am Fun Run A low key 5k walk or run with group leaders and maps (Meet in Hotel Lobby) 7:00 8:30 am Committee Breakfast Meetings 7:30 8:30 am Breakfast 8:30 9:30 am Workshop V Dental/Disability/Life Pitfalls of Packages Don Cowell, Assistant Regional Director, National Accounts Underwriting for Aetna Group Insurance; Maureen Riley, Vice President, Group Underwriting, American United Life Insurance Company; Dave Anderson, Director of Sales, Delta Are packaged sales a blessing or a curse? Join us as our panel discusses the challenges and opportunities of working for companies that offer different combinations of benefits. Discussion will focus on emphasizing or de emphasizing the pros and cons of selling and renewing multiple lines of coverage. Specialty and Health CI Case Study Workshop: Deep in the Heart [Attack, Cancer and Stroke] of Texas Mary Johnson, RGA; Michelle Haines, RGA An interactive look at some interesting critical illness case studies in the group market. We will address issues related to plan design, industry, demographics and enrollment methods. We will also discuss considerations when critical illness, accident and hospital indemnity products are sold together. 9:30 9:45 am Break 9:45 10:45 am Workshop VI Dental Working Effectively With Sales Dave Anderson, Director of Sales, Delta This will be an interactive session which will allow you to get a better understanding of how to work effectively with sales. Creating a dialogue with an actual sales professional will help you understand what sales wants/needs from Underwriting in order to create a better and more productive work environment Disability Group Insurance Now, Then and the Future Rich Clement, Smith Group

5 Using the public data we have available to us, how is the disability market performing and what might be future items to consider? Specialty and Health Trends in Voluntary Benefits: Focus on Critical Illness, Accident and Hospital Indemnity Nick Rockwell, Eastbridge Consulting Group, Inc. Voluntary benefits continue to become more and more popular as employers move in an 'employee pay more' direction. Eastbridge Consulting Group will share a look at the current state of the voluntary industry with a focus on Critical Illness, Accident and Hospital Indemnity trends. 10:45 11:00 am Break 11:00 12:00 pm Workshop VII Life Managing Group Life Risk from a Direct Carrier and Reinsurer Perspective Leo Tinkham, AVP Marketing, Munich Re; Joe McGovern, FSA, MAAA, Senior Actuary, Liberty Mutual This session will provide an overview of the use of reinsurance and managing Group Life risk from a reinsurer and a direct carrier s perspective. Some topics discussed will include: Types of reinsurance, including excess, quota share and financial reinsurance Ways that reinsurance is used to manage risks including Claim volatility Catastrophic/Shock claims Pandemics Capital Strain Operational risk Considerations in pricing reinsured blocks of business and facultative groups Measuring, monitoring and mitigating concentration/catastrophic and pandemic risks Dental Hidden Costs of a Sold Dental Case Gary Clark, Director, Underwriting, Delta Dental of Michigan, Ohio and Indiana This interactive workshop will discuss the hidden costs that may be added to your sold dental case. Many times you are unable to get complete information and address all of the group s needs at the time of proposal. What can you do to account for or adjust for changes and needs that arise after the group is sold. Benefit clarification, eligibility, administrative needs, or miscommunication. We will share examples and discuss the impact to keep the customer happy. Disability Underwriting the future workplace How macro trends in the U.S. will influence the risk management of employee absence and disability Steve Long, The Hartford; Chuck Gill, The Hartford The workforce is aging and changing from a generational angle. o Boomers are retiring and Millennials are moving in and up. o Age differences affect health and wellness. Technology advancements are changing what work is performed in this country and the way it s performed. o The US has been moving to a service based economy with a growing virtual workplace. Economic factors and cycles are driving employment practices and levels. o Who is performing the work and where they are doing it changes (outsourcing). o The recent recession influenced absence and disability trends.

6 The political and legal environments shape employer reaction and practices. o ADA, ACA, etc Changes in benefit plan design and funding drive employee behavior. o Who has what coverages? o When do people seek treatment and where? o What s the ultimate impact on absence and disability? 12:00 1:30 pm Lunch 1:30 2:30 pm Workshop VIII Disability Claims Perspective Judy Buczek, Guardian; Noel Kirsch, Cigna; Nancy Goodwin, Liberty Mutual Developing a rapport with your claim team can make you a better underwriter! Listen to Underwriting Risk tips from claim experts in the Disability Industry and why all employers are not created equal. How are current trends in employment impacting return to work opportunities and ultimately experience? Learn about trends in claim management, and how plan design provisions and new technology impact claim decisions. Life Let s Talk Shop Brad Tenpas, Principal; Mike Anderson, Sun Life Financial The Let s Talk Shop sessions are popular with members looking to discuss best practices; network with peers and ask questions of other members. General underwriting and industry topics are discussed through an interactive question and answer format. 2:30 2:45 pm Break 2:45 3:45 pm Workshop IX Life Prescription History as Risk Tool Amy Whinnett, FSA, MAAA, AVP and Group Actuary, Munich Re; Eric Carlson, Life Actuary, Milliman Intelliscript In this workshop we will discuss prescription based predictive modeling as a tool for Group Life and Disability. Amongst the topics covered will be tools, selected results and challenges with prescription based models. Dental Let s Talk Shop Nathan Schwartz, Senior Underwriting Consultant/Technical Lead, Sun Life Financial The Let s Talk Shop sessions are popular with members looking to discuss best practices, network with peers and ask questions of other members. General underwriting and industry topics are discussed through an interactive question and answer format. Disability Social Security Update Valery Maercklein, Social Security Administration; Jim DePre, Guy Carpenter With her expertise direct from the Social Security Administration, our speaker will provide us with updates and insights impacting Social Security Disability. 4:00 5:00 pm Board/Committee Chair Meeting 5:00 6:00 pm Reception

7 Wednesday, May 18, :30 8:30 am Breakfast 8:30 9:30 am Workshop X Disability Let s Talk Shop Jim Ojala, Standard; Paul Hennigan, Reliance Standard Life Do you have a burning question you would like to get multiple opinions on? Do you wonder how others handle certain situations? Are you looking to confirm your approach to handling difficult risks? Then come to the Disability Let's Talk Shop! Specialty and Health The Predictive Power of Prescription Records in Health Underwriting Mike Bishop, Milliman Intelliscript This presentation will focus on the use of de identified prescription records in health underwriting. We plan to cover the following topics: data sources, de identification process, and the predictive power of the Rx based risk score & improvement in manual rating accuracy. We will also discuss new markets / GRx innovations self funded products, PEO s, associations, and population studies. 9:30 9:45 am Break 9:45 11:00 am General Session Closing Speaker The 2016 Election Season From the White House to Your House and Your Business Bill Crane, Political Analyst and Commentator The 2016 election season began early during 2015, with a record number of GOP candidates, and a surprisingly competitive Democratic Primary, initially led by former Secretary of State Hillary Clinton. The Presidential Caucus and Primary season is in full swing, with neither race fully decided, and the possibility of brokered conventions still receiving more than a whisper. Crane has been a senior staffer on Capitol Hill, as well as under Georgia's Gold Dome, serving two U.S. Senators and one Governor, and since 2000, a leading political analyst and syndicated columnist, providing insight on CNN, Fox News, AlJazeera English and the ABC and NBC network affiliates in Atlanta, Georgia.