Joseph M. Inwald, J.D., CPCU

Transcription

1 Joseph M. Inwald, J.D., CPCU CONSULTING President, Inwald Consulting Services, Inc. Consulting and expert services related to insurance risk transfer, Outsourced Risk Management, broker & insurer selection (RFP s), & performance assessments. Substantial experience in the context of Property & Casualty Insurance, REIT s, and specialized coverages required by Health Care Providers. Retained, on behalf of Hospitals, REITs, Financial Institutions, Non-Profit Organizations, Private Companies, and Family Offices, to conduct Broker and Insurer performance reviews, to assist in selection processes (e.g., RFP s inclusive of defining performance metrics for insertion into Agreements), and the provision of ongoing support of risk management programs. Review of Hospital System Self-Insurance programs and Trust s and the provision of required certifications to Bond Trustees. Retained as an Expert for State and Federal matters regarding coverage issues and standards applicable to National, Regional, and local Insurance Broker conduct. Services for Risk Seeking Entities: ( 1992 through 1998 as a sole proprietorship [DBA] and 2000 through present as a Michigan Corporation) Alternative Risk Insurance Vehicle (Captives, Trusts & RRG s) formation & consulting: Service provider, and internal management, performance reviews, selection or recruitment, consulting, & audits: o -Actuarial o -Risk Management o -Legal o -Brokerage & Program Management o -Enterprise Software. Strategic planning, risk selection, and distribution channel management. Product Development & Policy Drafting. Negotiations with Regulators, Reinsurers, and other 3 rd Parties. Expert Reviews and Analysis. Outsourced Risk Management: Risk Analysis for organizations inclusive of those generated by their business partners and customers. Development and implementation of risk mitigation techniques. Evaluation and negotiation of non-insurance risk transfer techniques. Selection and oversight of Insurance Brokers. Selection of desired Insurance risk transfer scope, limits, and specific insurers. Assist in communication and negotiation with business partners, as well as other third parties, regarding the adequacy of client risk management and to secure similar assurances. Address opportunities for alternative risk transfer vehicles. Management of both conventional and alternative risk transfer programs. Representative Ongoing and Completed Projects Include: Serve as Outsourced Risk Manager for two Private Real Estate Investment Trusts with assets in excess of $1.4 Billion. Involved in all services referenced above. Substantial Page 1 of 5

2 involvement in the management of national and specialized independent Insurance Brokers. Risk mitigation addressing traditional real estate management as well as unique management liability and cyber exposures. Retained as an Expert regarding Standards of Conduct for a National Insurance Broker on behalf of a University Hospital. Provided Expert Reviews used to attain multi-million dollar settlement. Routinely issue assessments of borrowers and potential borrower s Insurance Program adequacy prior, and subsequent, to loan closures. Work conducted on behalf of national asset based lenders with tight timelines. Reviewed Health System s self-insured Program as required to issue Certification to Bond Trustee. Performed follow-up to improve the conformity of the Trust to the commercial excess program. Organization design study and recommendations for the reorganization of the underwriting department of a leading Insurer. Strategic, tactical, distribution, IT, and personnel issues were addressed as the selected structural approach was implemented. Transitional and final configuration, workflow, and decision rule documents were supplied as part of the deliverable set. Personnel evaluations, counseling and coaching was also an integral part of the engagement. Provided substantial services to Medical Protective s (a unit of Berkshire Hathaway) legal department related to new Hospital Professional Liability primary and excess forms. Also supported Surplus Lines, Alternate Risk, and other product development initiatives. Worked primarily with underwriting, finance and sales as a part of the legal team on a long term consulting basis. Also assisted in broker relationships involving both core sales functions and regarding the Company s purchase of P & C Insurance through a National Broker. Worked with Public Entities on numerous formal broker selection processes including selection of invitees, developing consensus on RFP process, timelines, and documents, scoring metrics, reading and scoring all written responses, and conducting interviews and reference checking as ordered. Similar work for Hospital Systems, private companies & a Family Office. Follow-up work to negotiate favorable brokerage service agreements, Insurance Policies, and risk management assistance done for most of the engagements. Prepared RFP and evaluated responses, in conjunction with larger consulting organization and City officials, related to their health benefit programs. City is one of the three largest municipalities in Michigan. Prepared RFP document and helped to define Insurance Broker Selection process for Hospital System. Soup to nuts engagement inclusive of qualification of bidders, development of and implementation of scoring metrics, conducted reference checks, presentations to Senior Management, and assistance in negotiation of detailed written Service Agreement. Review, for National Hospital Owned RRG, of P & C Insurance Policy Portfolio inclusive of competitive scope analysis. Senior Consultant, Management Advisory Services Department BDO Seidman, Troy, Michigan. Various financial, structural, and operational engagements on behalf of hospital and other healthcare related institutions, ventures, and associations. On team which developed requisite feasibility studies for $150,000,000+ health system refinancing project. Assisted in negotiations of specific terms for bond covenants. (1986-7) Page 2 of 5

3 EXECUTIVE Vice President Insurance Product Development, Franklin Health Inc., Upper Saddle River, New Jersey and Farmington Hills, Michigan. Responsible for relationship management with AMRE/Munich RE. Led team responsible for finding insurance opportunities for Franklin s traditional complex care management as well as internet offering (PersonalPath.com). Worked on malpractice, employer stop-loss, first dollar, FASB 106, and automobile applications. Reported to CFO. ( ) Vice President Product Development, Medical Inter Insurance Exchange (MIIX), Lawrenceville, New Jersey. Worked on creation of second generation health provider packaged products. Developed joint venture model institutional Fraud and Abuse service and risk transfer program. Member of Executive Staff reporting to CEO. (1998-9) INSURANCE BROKERAGE VP Managed Care Services, Interstate Health Care, Troy, Michigan. Responsible for Managed Care Unit at a boutique health care brokerage organization. Part-time role focused on strategic needs assessment and insurance brokerage for managed care organizations, their medical service providers, and payors. Involvement in professional liability, HMO reinsurance, benefits stop-loss, and capitation stop-loss products. Developed, on a consulting basis, a risk sharing arrangement between a TPA/PPO and a Best A++ P&C Company to provide benefit stop-loss for the TPA/PPO s customers. (1992-8) Assistant Vice President, HealthGroup, Johnson & Higgins of Michigan, Inc., Detroit, Michigan. Account development, management, and commercial excess insurance marketing responsibilities. HealthGroup clients were predominantly Michigan Hospitals which own captive insurance companies, domiciled in the Cayman Islands and Barbados, which insure their shareholders for professional and commercial general liability. In addition to primary responsibilities for program development and excess brokerage, the position involved coordination of legal, actuarial, claim service, investment management, and other professional services on behalf of clients. Responsible for sales, development, and operation of Managed Care Professional Liability, Benefit Stop Loss, and non-health Care Reinsurance Programs. ( ) LEGAL General Counsel s Office, The Medical Protective Company, Ft. Wayne Indiana. Contractual role with an emphasis on HPL and Large Group issues, Risk, Product Development, and regulatory compliance. ( ) Corporate Counsel, Optate, Ann Arbor, Michigan. Legal and corporate strategy part-time relationship. Lead on negotiation of Benefit Plan Service arrangements with Fortune 50, municipal and middle market clients. Oversight and coordination of relationships with outside law firms. (2001) Associate, Schlussel, Lifton, Simon, Rands, Kaufman, Galvin & Jackier, Southfield, Michigan. Practice concentrated in corporate and health law involving HMO s, PPO's, Academic Medical Centers and other hospitals, nursing homes, professional associations, and individual practitioners. Strategic planning, corporate reorganization, alternative delivery system development, anti-trust, insurance, professional credentialing, and financial planning, with some reimbursement-related matters. (1984-6) Page 3 of 5

4 PROFESSIONAL EDUCATION The University of Michigan Law School, J.D. (1981-4) First Year: Clerkship, Office of General Counsel, University of Michigan Hospital, Ann Arbor, Michigan. Medical Staff Bylaw revision, malpractice defense research and investigation, and general legal research and drafting assignments. Worked on facility replacement issues. Second and Third Years: Legal research and writing for revision of The Law of Hospital and Health Care Administration by Professor Southwick. The Wharton School, University of Pennsylvania. Graduated Cum Laude with B.S. in Economics. Dual majors in Health Care Administration and Organizational Management. Dean s list all years. Model United Nations, Photographer for Daily Pennsylvania, AISEC, and established and presided over Health Care Administration Association. ( ) The University of Michigan Graduate School of Business Administration, MBA, evening program. B2B Marketing courses concentration. Degree not obtained. ( ) ADDITIONAL EDUCATION The University of Colorado, Semester at Sea Program. Academic credit applied toward Wharton degrees. Countries visited include Japan, Republic of China, Hong Kong, Macau, Philippines, Indonesia, India, Sri Lanka, Egypt, Greece, Spain and Portugal. (1980) Cornell University, Ithaca, New York, Economics and International Relations. Attended University as a High School Student. (1976) PROFESSIONAL AFFILIATIONS Member, Michigan and Florida Bar Associations Currently, or previously, active with: - Risk & Insurance Management Society - American Health Lawyers Association - Professional Liability Underwriting Society - American Academy of Hospital Attorneys - Michigan Health Lawyers Association - Michigan Society of Hospital Attorneys - Detroit Chapter and American Society of Chartered Property & Casualty Underwriters - American and Michigan Society of Hospital Risk Managers - Institute of Continuing Legal Education - State Bar of Michigan Insurance Law Committee - State Bar of Michigan Member Services Committee - Michigan and Florida Bar Health Law Sections - American Bar Association, Health Law Section UNIVERSITY APPOINTMENTS, BOARD SERVICE, & SEMINARS Guest Lecturer, Wayne State University, School of Law. Health Law & Psychiatry And the Law. Adjunct Faculty, University of Detroit Mercy. Undergraduate Business Law. Board Member & Shareholder BioGreen Solutions, Inc. A Michigan domiciled environmental services provider. Calabria Group, LLC. A Pennsylvania domiciled pharmaceutical remanufacturer. American Staffing Assurance Company. A DC domiciled Insurer. Page 4 of 5

5 Faculty Member, Insurance Issues for Loan Approval & Renewals, presented to a National ABL Lender (2013) 2009 Crittenden Medical Insurance Conference, Strategies for Changing Market Conditions, (2009) HMO Alliance Self Funding for Provider Owned Plans (2003) Institute of Continuing Legal Education, Insurance law Fundamentals The Structure of the Insurance Industry: Let s Explore the Forest (2 live and 8 video sessions) (1994) Designed, moderated, and jointly sponsored, with Butzel Long and MMI, How Health Care Reform May Affect Your Self- Funded Benefit Programs: Current Opportunities to Enhance Effectiveness and Reduce Costs (1993) Institute for Healthcare Directions, The Legal Side of Selling (1986) Michigan Health Lawyers Association, Evaluating HMO s & PPO s & Captive Insurance Companies for Health Care Institutions (1986 & 88). Frequent speaker for Physician Associations, Managed Care Organizations, and Law Firms on captive insurance companies, professional liability needs, and managed care insurance topics. Reviewer, The Legal Environment of Insurance, published by the American Institute for Chartered Property and Casualty Underwriters in 1993 as a required text for the CPCU exams. Rate Survey Editor, Annual Rate Survey Issue, Medical Liability Monitor, (October 2009) The Picture of a Market Not Yet Firming. Regularly attend Insurance and Health Law Conferences sponsored by organizations such as the ALI-ABA, the Michigan and American Societies for Health Care Risk Management, and the American Health Lawyers Association. Also regularly attend RIMS, PLUS, Crittenden, and other insurance industry conferences and symposia. Participant in MIIX, ICLE, MMI, Johnson & Higgins, Crittenden and BDO Seidman sponsored seminars and conferences. INTERESTS Travel & Photography: Experiences, in addition to Semester at Sea, involves all 50 states, the Canadian provinces, much of the Caribbean, Mexico, South America, Israel, Western Europe, the Soviet Union, Australia, and New Zealand. Computers: APL and BASIC literate; have utilized personal computer spreadsheet and word processing capabilities for consulting activities since Significant work with enterprise platforms for professional liability insurers. Community Service: Member of Southfield Board of Education, elected role as a student ( ). Foundation Board Director of a non-profit Home for Aged, and member of the Home s finance committee. Currently involved, as a volunteer coach and Judge at local and State Tournaments, for our local High School s Forensic (public address & dramatic events) Team. Served on the District s Finance committee and as parent volunteer for its FIRST Robotics Team. ADDRESS INWALD CONSULTING SERVICES, INC Andover Road, West Building, Suite 120 Bloomfield Hills, Michigan Phone: JInwald@comcast.net Articles and Redacted Work Product available at Page 5 of 5