DearFriendsandColleagues:Welcometo thebeautiful cityofBoston. It iswithgreatpleasure forus towelcomeyouto the2018EasternClaimsConference,apremiereventforinsuranceprofessionals.WearethrilledtoreturntoBostontohostthisyear’sconferencesinceitisoneofthemosthistoricallyabundantcitiesintheUnitedStates.

Ourgoalistoprovideyouwithapositiveandfulfillinglearningexperience.The2018agendahasthirtyworkshopsandis designed to provide attendeeswith the tools,strategies,andbestpracticesneededtocontributetoandenactpositivechangewithintheirorganizations.

In linewith theconference theme,wewillhaveone incrediblekeynotespeaker, JohnStandish,ChiefAnalyticsOfficerforInfinilytics,Inc.whoisa32yearveteranofCalifornialawenforcement,firstservingintheCaliforniaHighwayPatrolandthenCaliforniaDepartmentofInsurance,FraudDivision.Johnisaretired Chief of the Fraud Division with over 25 years of experience in insurance fraud. He is arecognizedexpertpublicspeakerandhastrainedthousandsofinsuranceindustryandlawenforcementofficersontheidentification,investigationandreportingofsuspectedfraudulentinsuranceclaims.This is an excellent opportunity for you to meet with other insurance professionals, increase yourclaims knowledge and sharpen your investigation skills. Most importantly,itisanopportunitytocome together to reflect and to share. Whether it’s the latest topics and trends in disability, life ormedicaltofraudtrends,leadershipandmotivationallearning,you’llfindwhatyou’relookingforatthisconference.Therearecontinuingeducationcreditsavailablethisyear including legalandfraudtracks.Wewouldliketothank each of you for attending our conference.Yourpresenceisanindicationthatyouarecommittedtomakingapositivedifferenceintheinsuranceindustry. This conferencewouldnot be possible without our valued attendees, speakers, sponsors, exhibitors and theECCstaffwhovolunteertheirtime,resourcesandexpertise. EnjoytheEasternClaimsConferenceandyourstayinBoston.Welookforwardtoseeingyouallagainin2019.Sincerely, Christine Prutting ChristinePrutting,ConferenceChairperson,EasternClaimsConference&

Jennifer Cobb JenniferCobb,President,EasternClaimsConference

2018EasternClaimsConference

BostonSheratonHotelBoston,Massachusetts

ECC–2018

SUNDAY,MAY6,2018REGISTRATION 1:30p.m.–6:30p.m.(EntranceFoyerBackBayBallroomC)

MEETANDGREET(Firsttimeattendees) 4:00p.m.–5:00p.m.(BackBayBallroomC)HOSPITALITYRECEPTION 5:00p.m.–6:30p.m.(BackBayBallroomsCandD)

OnlyRegisteredAttendeesandPre-registeredGuestswillbeadmittedtotheHospitalityReceptions

MONDAY,MAY7,2018

REGISTRATION 7:30a.m.–3:30p.m.(EntranceFoyerBackBayBallroomC)

EXHIBITORS’RECEPTION 8:00a.m.–9:00a.m.(BackBayBallroomsCandD)

Alightbreakfastbuffetofpastriesandcoffeewillbeavailable

WELCOMEADDRESS 9:00a.m.–9:15a.m.(BackBayBallroomAandB)JenniferCobb,ECCPresidentUnitedHealthcare

INTRODUCTION KimberlyTomaselli,CPA,FLMI,ALHC,ARA MunichRe,Atlanta,GA

ProgramChairperson

KEYNOTEADDRESS 9:15a.m.–9:45a.m.(BackBayBallroomAandB) John Standish, Infinilytics Co-Founder and the Chief Analytics Officer for Infinilytics, IncJohnStandishisaCo-FounderandtheChiefAnalyticsOfficerforInfinilytics,Inc.JohnwasamemberoftheteamwhichcreatedthesmartCadvancedanalyticsplatformforclaims,underwriting,andfraudidentificationandanalysis.

MONDAY,MAY7,2018

CONCURRENTSESSIONS 10:00a.m.–11:15a.m.

Panel1.#WhatsTrending#LifeAccidentInsuranceRobertLesko,Esq.,WilsonElser,NewYork,NY

Joinanexperiencedlifeinsurancelitigatortoreviewimportanttrendsinlifeandaccidentaldeathinsurancelawfromaroundthecountry.We’lldiscusstrends,highlightpotentialpitfalls,reviewsomebasics,andevenmarveloversomeveryintriguingscenarios;alltobetterequipclaimsandlegalprofessionalstoaddressday-to-daychallengespresentedbylifeinsuranceclaims.Panel2.Marijuana:ViewsfromaDoctorandaLawyerMarcosA.Iglesias,MD,Broadspire,Sunrise,FLMichaelD.Cutler,Esq.,EvansCutler,Attorneys,Northampton,MA

Claimants’useofmarijuana isa topical issue,andthere ismuchtoconsider. Joinaphysicianandalawyer in a discussion of 1) medical issues such as patterns of use, the known and the unknownregardingmedicalmarijuana, cannabisusedisorder, andwork impairment issuesand2) legal issuessuchastheevolutionofmedicalmarijuana(MMJ)laws,includinghealthcareproviderprotectionfromfederalpenaltyforparticipationinstate-legalprograms,workers’compensationjudicialprecedentsforMMJreimbursement,statedisabilityanti-discriminationlaws,andresearchonsafetyandreductioninmedicalexpensesassociatedwiththeuseofMMJ.Panel3. TheFutureofInsurance–ExecutivePanelDiscussion#1MelissaHill,BlackboardInsuranceCompany,Princeton,NJTanazSalehi,KelleyKronenbergLaw,Miami,FLLeahSpivey,CPCU,MunichReAmerica,Princeton,NJ

Preparing for the future…Ourworld ison theprecipiceof tremendouschange forunderwriting, riskselection, and claim management, and it is coming whether we are ready or not. We have twoindustry leaders who will share their insights and answer your questions into how technology andperspectivearelikelytochangetheinsuranceindustry. Whetherit iscreatinganinnovation-friendlyenvironment,applyingnewtechnologytoclaimmanagement,orreviewingthedifferentchallengesoffinding and nurturing talent, you will find answers here. This session is structured as a paneldiscussion,sobringyourquestionsandexperiencetothesession,andgaininsightfromourpanelists.

Panel4. ERISAorBust!SherrillColombo,Littler,Miami,FL

This session will provide insight and discuss trends in group disability claims and will include apresentationonsuchtimelytopicsasinterpretationofpolicyandplanlanguage,theclaimreview,theuse of Peer Reviews and IME’s, the application of social security awards, the standards of review,offsets,collateralsourcesandmore.

Panel5. Facts&Fiction–CheckoutmyBodyJohnCerf,DC,Expert-Opinions,JerseyCity,NJ

Thissessionexploredthefactsandmisrepresentationsfrequentlyencounteredinthemedicalrecordofahistoryandphysicalexamination.Realworldcaseswillbepresentedanddissected.Groupparticipationisappreciated,pleasebringyourquestions.

MONDAY,MAY7,2018

EXHIBITORS’RECEPTION 11:15a.m.–12:00p.m.(BackBayBallroomsCandD)

LUNCH 12:00p.m.–1:00p.m.(BackBayBallroomsAandB)

MONDAY,MAY7,2018

CONCURRENTSESSIONS 1:15p.m.–2:30p.m.Panel6.That’sLifeNealRegels,PhoenixLifeInsuranceCompany,EastGreenbush,NYLynnIoannides,BNYMellonTreasuryServices,Pittsburgh,PAJoin this life topics round table discussion for an interactive exchange of ideas, challenges, and solutionsrangingfromgeneralchallengeswithmanagingclaimstodepartmentstructures.Thiswillbeaninteractivesession.Panel7. CallofDuty–WorkplaceAccommodationsStanKulesa,HIA,ACS,ALHC,CPDM,Symetra,Enfield,CTDianeWiniarski,M.Ed.CRC,CDMS,CCM,CEAS,Symetra,Enfield,CT

In order for employers to remain compliant with the ADAAA rules around making “reasonableaccommodations,”thereisagrowinginterestinhelpingemployeeswithahealthcondition(s)tostayat work (SAW) and increase their level of productivity through cost-effective worksite and/or jobaccommodations. Disability carriers are uniquely qualified to assist with these stay-at-workopportunitiesandwithreturn-to-work(RTW)opportunities. Thissessionwillprovideanoverviewofthe ADAAA requirements and then offer an insight into specific actions you can take to help youremployersandclaimants.WewillspeaktoSAWandRTWplansthatworkwithpeopledealingwitharangeofhealth conditionsandworkenvironments. Theattendeeswillbeengaged through sharingtheirexperiences(positiveandnot-so-positive)inthisprocessandhowtoimproveoutcomes.

Panel8. DisruptorsandtheFutureofInsurance–ExecutivePanel#2PaulRivard,MunichRe,Atlanta,GA

All ofushaveexperienced change,but are youprepared tobedisrupted? Insurance is notable forbeing slow to adopt change, but our world is changing at an unprecedented rate which will forcedisruption to our industry. This includes how we will market products, how risks are selected,automationofprocessesandartificialintelligence.Andyes,thiswillaffecthowweprocessclaimsaswell. Toexcel,weneed toknow the changeson thehorizonand take controlofourdestiny. Thissessionisdesignednotonlyforclaimsprofessionals,butanyonewhotouchesourindustry.

Panel9. TakeitBackMichelleJ.d’Arcambal,d’ArcambalOusley&CuylerBurkLLP,NewYork,NYMaureenMiddleton,PrimericaLifeInsuranceCompany,Duluth,GA

ThissessionwillincludeareviewofRecessionlawandcommonissuestomakenoteof.Wewilloutlinestatutory and contractual contestability provisions, the requirements for rescinding a policy, timingconcerns to be aware of, internal in-house investigations and underwriting determinations, noticerequirements,typicallitigationtimelinesincludingcommondiscovery,motionsforsummaryjudgmentand mediations and or settlement discussions. Lastly we will explore common defenses and howinsurerscanrespond.

Panel10. WheninDoubtTestitOutJohnCerf,DC,Expert-Opinions,JerseyCity,NJ

Learnaboutcurrentdiagnostictestingtrends,rationalprotocols,andpertinentconcepts.Theattendeewillbebetterabletospotred-flagindicatorsofover-utilizationandfraud.Informationwillbeprovidedtohelpformulatequestionsforinvestigations,examinationsunderoath,andothertestimony.

MONDAY,MAY7,2018CONCURRENTSESSIONS 2:45p.m.–4:00p.m.

Panel11. WhoWroteThis?!EileenPage,PageEnterprises,Scituate,MA

Inspiteof the technologicaladvancements, there isnobetter indicatorof identityauthenticity thanthehandwrittensignature;and, it continues tobe in the forefrontwhen itcomes to forgeries. Thispresentationwill coveranoverviewof someof the significant componentsofhandwritingasanartform and handwriting analysis as a projective technique. Selected topics include, defining thedifferences,mythsandmisconceptions,andhowandwhyhandwritingcontinuestobeavaluableassetwhendealingwithpotentialforgeriesaswellastheforger.

Panel12. ComplexDisabilityClaimsRoundtablePatrickCieslak,ALHC,MassMutual,Springfield,MAJohnHoffman,CPA,CFF,CITP(Moderator),NawrockiSmithLLP,Melville,NYChuckAngiolillo,SummitInvestigations,Weymouth,MAWhatkeepsyouupatnight? Bringyourquestionsandmostchallenging topics fora livelydiscussionaboutIDIclaims.Thepanelconsistsofthreeindustryexpertswithover50yearsclaimsexperience.Aclaims director with extensive management and claims handling expertise, an investigator withinterviewing, investigative and surveillance techniques, and a CPA specializing in a providing riskmanagementservicesrelatedtothefinancialandoccupationalaspectsofclaims.Thediscussionwillbedirectedbywhatyouwanttotalkaboutandmayincludediscussionsregardingoccupationdefinitions,evaluating total/residual claims,earningdefinitions,BOEclaims,BuySell claims,occupationalanalysis,IMEs,surveillance,investigativetechniques,complexfinancialissues,claimsmanagement&operationsissues,etc.Panel13. ToBeorNotToBeStressedOutDr.MichaelLaCroix,Aetna(AbsenceandDisability),Sarasota,FL

“Stress”isanintegralpartoflivingtoday:Expresswaysinmostcitiesnowoftenresembleparkinglots,airlinespackuslikesardinesandtellustobehappyjusttogettoourdestination,smartphoneshavebecomeEnergizerbunniesthatvibrate24hoursaday,andourjobs(previouslydoneby3people)nowrequirecontinualmulti-processing,whichwearetoldcutsdownonthequalityofourwork.Welcometo daily life for themajority of Americans. And then there are the financial stressors,Washingtongridlock,andtheever-presentfearofaterroristattack. It’sawonderanyofusevergetanysleep–andtoomanyofusmanagetogetthatsleepwiththe“help”ofdrugsandalcohol.Butwhatisstress,andcanwereallydoanythingabout it? Thispresentationwillbriefly reviewthemedical scienceofstress and the signs of excessive stress thatwe need tomonitor. It will then review a number ofapproachestostressmanagement.Youareguaranteedtoleavewithasmile,andtocomeawaywithseveral nuggets in terms of easy-to-implement, concrete strategies to make your stress moremanageable.Panel14. IsItAllInYourHead?KeikoJ.Kojima,Burke,Williams&Sorensen,LLP,LosAngeles,CA

Insurersandclaimsadministratorsareoften facedwithmixedorhybridmentalvs.physicaldisabilityclaims. Thissessionwill focusonkeytopicsandrecentcasesthataffectthehandlingofthesecases.Wewill discuss the role ofmental illness limitations in policies, varyingCourts’ interpretationof thelimitations,anddifferentfactualsituationsconcerningtheselimitations.Toolsandtipswillbeprovidedtohelpyounavigateyourwaythroughtheseoftenchallengingdisabilityclaims.

Panel15. MaximizingAuditROIJeanmarieLoria,CPC,PMP,AdvizeHealthLLC,Tampa,FLIf you're not recovering $200 for every $1 spent on external audits -- it's time to reassess yourinvestigativestrategy.Thisin-depthprogramwillanalyzetheaveragecostsofaneffectiveaudit,withdatabasedupontheconvergenceofseveralclientprojectsacrossthenation.Attendeeswilllearnhowtoproperlydefinethescopeofauditworkinordertomaximizerecovery,identifyFWA,andeffectivelymanageinvestigativeprojects.ManySIUDirectorsenlistthehelpofathird-partyauditingfirmtoassistwithselectionsandchartaudits,buthowdotheyknowthattheirbudgetisbeingspenteffectively?

HOSPITALITYRECEPTION 5:00p.m.–6:30p.m.(BackBayBallroomsCandD)OnlyRegisteredAttendeesandPre-registeredGuestswillbeadmittedtotheHospitalityReceptions

TUESDAY,MAY8,2018REGISTRATION 8:00a.m.–1:55p.m.(EntranceFoyerBackBayBallroomC)

EXHIBITORS’RECEPTION 8:00a.m.–9:00a.m.(BackBayBallroomsCandD)

Pastriesandcoffeewillbeavailable

TUESDAY,MAY8,2018CONCURRENTSESSIONS 9:00a.m.–10:15a.m.

Panel16. CriticalThinkingChrisW.Forando,MedidataSolutions,NewYork,NYThissessionfocusesontheessentialelementsofcriticalthinking–problemidentification,recognitionof assumptions, inferences, deductive reasoning, anddrawing conclusions – and its role in effectivedecisionmaking. Individuals will engage in a series of exercises to explore the limitations of theirthinking and variousways inwhichour approach todecisions is flawed. Participantswill learn andpracticeusingtechniquestoincreasetheircriticalthinkingskills.

Panel17. Let’sMakeItWork:ClaimandSIUCollaborationSharonMarkovsky,MBA,VeriskInsuranceSolutions–Claims,JerseyCity,NJJonathanDennis,LincolnFinancialGroup,Atlanta,GA

Thisco-presentedsessionwillprovideinsightintohowDisabilityinsurerscanimproveClaimsandSIUprocessesthroughmoreeffsystematicfrauddetection.Specifically,thispresentationwilladdress:

• The key issues disability insurers face related to the claims and SIU processes, with a

comparisontotheP&CIndustry.• Howtheindustrycouldre-engineerthelifecycleoftheclaimfromthefirstnoticetoclosing.• PrevalentandemergingFraudSchemes.• Thecurrentlyavailabledataandtechnologiesthatcanhelpcarriersinnovatetheirclaims/SIU

processes.Panel18.MotivateMetoMotivateYouDavidW.Lovejoy,Psyc.D.,ABN,FACPN,MassMutual,Springfield,MA

Claim examiners, through detail callswith Insureds, are often better able to collect information andshare views that aid inbetterunderstandingan Insured’smotivation for return to a stateof greaterfunctionality, includingpotential for return towork. Thecurrent sessionwilldiscuss theconceptsof‘Motivation’aswellas‘MotivationalInterviewing.”We will discuss the use of the detail call as an important tool for understanding the psychologicalconstructsdisplayedbyanInsured.ItwillalsoaddressvariablesassociatedwiththeExaminer–Insuredrelationship that are important inhelpingan Insured reach theirhighest levelofpotential functionalcapacity.Panel19. Trust,ButVerify:E-HealthRecordsJohnCerf,DC,Expert-Opinions,JerseyCity,NJReedD.Gelzer,M.D.,MPH,TrustworthyEHR,LLC.,Newbury,NHWehavecertainly learned in thepast twoyears that justbecause something is inelectronic formatdoesn’tnecessarilymakeitreliable.Whiletheelectronichealthrecord(“EHR”)hasfulfilledsomeofitsintendedpromisetoaidthedeliveryofmedicalcarebybringing informationfromdisparatesourcesinto one convenient place, caregiver input and record design issues continue to cast doubts on thetrustworthinessoftheEHR,particularlyforinvestigationsintofraudulentclaimsofinjuryandimproperreimbursement formedical services. This interactive sessionwill provide insights into theelementsand structure of an electronic health record so it can be reviewed with an appropriate level ofskepticism;howtousetherecord’saudittrailtolook“behindthecurtain”oftherecordtexttogetthebackground behind creation of the record’s entries, why the shortcut of reading a printout of therecord won’t provide the information you need; and examples from the healthcare trenches ofinstanceswhen the record’sdatawasatoddswithwhat reallyhappened. This sessionwill provideanyonewhosepositionrequiresreviewofhealthrecordswiththetoolsheorshewillneedtoreviewthoserecordswiththerequisiteinvestigativeskills–nocomputerscienceormedicaldegreerequired!

Panel20. VirtualVisits–WhoRememberstheJetsons?TammyBradly,Coventry,DownersGrove,IL

Thisdiscussionwilladdresstelemedicine/telehealthandtheimpacttheseevolutionshaveinworkers’compensation. Inahealthcare reformera, facingphysical shortagesandothermarketpressures, theopportunity for providers and patients to discuss and diagnose conditions could have substantialimpactsoncareaccess,costcontainment,andimprovedproductivity.

TUESDAY,MAY8,2018CONCURRENTSESSIONS 10:30a.m.–11:45a.m.Panel21.AreYouSureit’sLegit?ForeignDeathandOtherClaimsRichardMarquez,DiligenceInternationalGroup,Carrollton,TX

Areyousureyourclaimisreallypayable?Nearlyeveryfraudulentclaimstartswithanofficialdeathcertificate or death record. Don’t be tricked into thinking that just because you have an officialdocumentthattheinformationonit isaccurate. Thiscostsourcompaniesandultimatelythepublicharddollars.Cometothissessiontolearnhowfraudstersaretrickingusbytheirpractices,seecaseexamplesof fraudcasesbusted, learnaboutcurrent trends,and join thedialogueonhowtodetectthesecases.Thesessionfocusesonforeignlifeclaims.Panel22. Legos–BuildingBlocksforDIClaimLitigationsTeamJ.ChristopherCollins,MirickO’Connell,Worcester,MANithyaMathai,TrustmarkLifeInsurance,LakeForest,ILIntheworldofDisabilityclaims,relevantissuesareoftenviewedsomewhatdifferentlybythedifferentparties. Policy languageoftencannotbespecificenoughtodetermine liability,norabsenceofsame.While this can often lead to court, Disability carriers have found value in having the facts of a casereviewed by a neutral party by turning to mediations as a method of resolving disputes. Thisexperienced panel, comprised of a Claim Consultant, an In-house attorney, and a widely respectedOutsideCounselwhoalso spent years as LeadCounsel for amajorDI company,will discussbringingtogethertheirvariousrolesina“Teamenvironment”workingtowardappropriateissue.Preparingformediations,settlementdiscussions,aswellasCourtwillallbediscussed.Panel23. TheFutureisNow:ArtificialIntelligenceandRoboticProcessHowardEhrlich,Capgemini,Horsham,PABarbaraGrassie,CLUChFC,Capgemini,Horsham,PAInthiseraoftightermarginsandanincreasedfocusontop-linegrowths,claimleadersarebeingasked“to do more with less.” These leaders have to find better ways to create efficiencies while stillreducingleakage. Thissessionwillexplainhowartificial intelligenceandroboticprocessautomationcanhelptheclaimsprofessionalmeetthesegoals.

Panel24.MaintainingaClearMessageMarkE.Schmidtke,Esq.,OgletreeDeakins,Valparaiso,INSandraK.Davis,Esq.,TheHartford,Hartford,CT

Listentoexperiencedin-houseandoutsidecounseldiscussbestpracticesforcreatingandmaintainingclaimfiles.Thepanelwilldiscusshowtheclaimfileyouproducetoclaimantsandtheirattorneystellthestoryofyourclaimsprocesses.Thepanelwillreviewthebasicsofcompilingandproducingclaimfilesandthefalloutthatcanoccurwhenthosebasicsarenotfollowed.Theywilldiscussstrategiesfordocumentingthefiletoaccuratelydepicttheclaimfiduciary’sthoughtprocessandbeingsensitivetotheappearanceofconflictorsubjectivebias.Panel25. LandscapingLTCSherwinSheik,Carelinx,SanBruno,CA

Asourpopulationcontinuestoadvanceinage,sodothecostsassociatedwith living longer. Comejoinus foranoverviewanddiscussionregardingtherisingcostsof longtermcareservicesathome,nursinghomeandassistedlivingfacilitiesandthetoolsandresourcesavailabletoprotectyourselfinlateryears.

TUESDAY,MAY8,2018EXHIBITORS’RECEPTION 11:45a.m.–12:30p.m.(BackBayBallroomsCandD)

LUNCH 12:30p.m.–1:30p.m. (BackBayBallroomsAandB)

LUNCHEONSPEAKER AntonioFerrante SunLifeFinancial

TUESDAY,MAY8,2018

CONCURRENTSESSIONS 1:45p.m.–3:00p.m.

Panel26.LeveragingTechnologyandBestPracticestoEnhanceDisabilityClaimAdminCapabilitiesCarlCapato,FastTrackRTWServices&Solutions,Bedminster,NJAforward-thinkingdiscussionfocusedonwaystodrive improvedconsistency, increasedproductivity,stronger service delivery via enhanced communication and quicker turnaround times, as well asenhancedqualityofclaimbenefitdeterminationsthroughtheuseoftechnology.

Panel27. ClaimAnalytics:AreWeReadyforRobotClaimManagers?IanBridgman,TheClaimLab,Sherborn,MA

With theamazingprogress indata science,withmoreandmore sophisticated toolsavailable, couldyourorganizationautomatethejobsofclaimmanagers?Thissessionsuggestsmethodsofapplyinganalyticaltoolsintheclaimmanagementprocess,andjusthowfarcanthisgo...Wewillcoverthefollowingtopics:

• Whatdoweseewhenweunlockourclaimdata

• Lookingatmodelbuildingtechniques

• Describingsomeofthechallengeswefaceoperationalizingdata

• Steppingaheadtoseeareasofpotentialinnovationinclaimmanagement.

This is a big change for this industry, and we need to embrace a new way of working. In anenvironmentofforeverbeingexpectedtodo-more-with-less,weneedtoworksmarter!Panel28. DealingwithDifficultClaimantsDr.MichaelLaCroix,Aetna(AbsenceandDisability),Sarasota,FLClaimAdjustersandNursescommonlyfindthemselves indifficultclaimantencounters. Theseencountersoften leave the adjuster or nurse feeling frustrated. The claimant may also be dissatisfied with theseencountersbecauseofunmetneeds,unfulfilledexpectations,andunresolvedmedicalissues.Todaywecanexpandthebiopsychosocialthroughahumansystemapproachbyapplyingself-managementbyidentifyingcognitive,behavioral,physical,emotional,spiritual,social,andenvironmentalneedsoftheclaimant.Panel29.Time’sUp:EffectiveUseofContractualLimitationPeriodsKenton J. Coppage, SmithMoore Leatherwood LLP, Atlanta,GA

TheenforceabilityofcontractuallimitationprovisionsinERISAplans,eventhosecommencingpriortoclaimdenial,hasbeenaffirmedbytheSupremeCourt’sdecisioninHeimeshoff.ThelowercourtsandtheUnitedStatesDepartmentofLaborhaveimposednewrequirementsforensuringnotificationoftheapplicable time frames forbringinganaction to recoverbenefitsunderERISA. Thispresentationwillreview developments since the Supreme Court’s decision, andwill discuss the enforcement of suchprovisionsintheeventofanuntimelylawsuit.Panel30. InsurancePaysForIt,SoWhyShouldICare?JeanmarieLoria,CPC,PMP,AdvizeHealthLLC,Tampa,FLMaggieStankiewicz,AdvizeHealthLLC,Tampa,FLInsuranceisagifttomostpatients,coveringeverythingfromroutinewellnessvisitstooperations–butit also createspassivepatients. Insurance’s convenience leaves consumers ignorant to the fraud thatcanoccurintheirname–if insuranceispaying,whyshouldtheycarewhat’shappening?Thissessionwill educatehealthcare consumersand their clinicianson the importanceof fraud identification, andhowtoeducateallpartiesinvolvedinthehealthcarelifecycle.

Notes

• Theattendeeregistrationfee includesadmissiontotheHospitalityReceptions.However, ifyoubringaguest(acolleagueorspouse),a$200feeispayableforyourfirstPre-registeredGuestwishingtoattendthe receptions. The fee covers both receptions. A $150 fee is payable for each Additional Guest, perevent.

• Ifyouhavespecialneeds,pleasecontactArleneWalshat7184977886orAwaprilsnow@gmail.com.

• Businesscasualattire(nojeans,shorts,t-shirts,sneakers,etc.)

• Therewillbea$50latefeeaddedtoregistrationsreceivedafterMay3,2018.

• TherewillbenorefundsforcancellationsreceivedafterMarch28,2018

THEFEDERALTAXIDNUMBERFORTHEECCIS20-8483688

AttendeeRegistrationFeesfor20182dayswithlunch2dayswithoutlunch1daywithlunch1daywithoutlunchFirstPre-registeredguestEachadditionalguest(perevent)LatefeeafterMay3,2018

$665$540$465$390$200$150$ 50

SheratonBostonHotel39DaltonStreetBoston,MA0219918003253535

HotelRatesfor2018(UseHotelCodeECCSpringMeeting)

AccommodationsTraditionalRoomTripleRoomQuadRoom

$279Single/Double$319$359

• AllRoomratesaresubjecttostateandlocaltaxes,currently14.45%plusanyapplicableoccupancyorresortchargesperroompernight

• Acreditcardisrequiredtomakeareservation.• EasilyregisteronlinebyvisitingtheECChomepageandfollowingthe

hotelregistrationlink

Date Life Disability ProfessionalDevelopment

Legal Medical

MondayMay7,201810:00a.m.–11:15a.m.

1.#WhatsTrending#LifeAccidentInsurance*FraudTrack

2.Marijuana:ViewsfromaDoctorandaLawyer

3.TheFutureofInsurance–ExecutivePanelDiscussion#1

4.ERISAorBust!

5.Facts&Fiction–CheckoutmyBody*FraudTrack

MondayMay7,20181:15p.m.–2:30p.m.

6.That’sLife

7.CallofDuty–WorkplaceAccommodations

8.DisruptorsandtheFutureofInsurance–ExecutivePanel#2

9.TakeitBack

10.WheninDoubtTestItOut*FraudTrack

MondayMay7,20182:45p.m.–4:00p.m.

11.WhoWroteThis?!*FraudTrack

12.ComplexDisabilityClaimsRoundtable*FraudTrack

13.ToBeorNotToBeStressedOut

14.IsItAllInYourHead?

15.MaximizingAuditROI*FraudTrack

† DisabilityTrack*FraudTrack=DirectlyRelatedFraudTraining&AwarenessSession. NHCAAandACFEapprovalispending

Date Life Disability ProfessionalDevelopment

Legal Medical

TuesdayMay8,20189:00a.m.–10:15a.m.

16.CriticalThinking

17.Let’sMakeItWork:ClaimandSIUCollaboration*FraudTrack

18.MotivateMetoMotivateYou.

19.Trust,ButVerify:E-HealthRecords*FraudTrack

20.VirtualVisits–WhoRememberstheJetsons?

TuesdayMay8,201810:30a.m.–11:45a.m.

21.AreYouSureit’sLegit?ForeignDeathandOtherClaims*FraudTrack

22.Legos–BuildingBlocksforDIClaimLitigationsTeam

23.TheFutureisNow-AIandRoboticProcess

24.MaintainingaClearMessage

25.LandscapingLTC

TuesdayMay8,20181:45p.m.–3:00p.m.

26.LeveragingTechnologyandBestPracticestoEnhanceDisabilityClaimAdminCapabilities† DisabilityTrack

27.ClaimAnalytics*FraudTrack

28.DealingwithDifficultClaimants

29.Time'sUp:EffectiveUseofContractualLimitationPeriods

30.InsurancePaysforIt,SoWhyShouldICare?*FraudTrack

2018 SPONSORS/EXHIBITORS

SPONSORS AXIS Insurance

1 University Square Drive

Princeton, NJ 08540

BNY Mellon

760 Moore Road

AIM 19K-1CO5

King of Prussia, PA 19406

www.bnymellon.com

EIS Group, Inc.

731 Sansome Street

San Francisco, CA 94111

www.eisgroup.com

FastTrack

1545 US Highway 206

Suite 206

Bedminster, NJ 19344

Ph. (610) 273-3623

www.fasttrackrtw.com

MunichRe

ECC 2018 App Sponsor

56 Perimeter Center East

NE Suite 500

Atlanta, GA 30346

Ph. 770-350-3200

www.munichre.com/us

Kids Chance of America

EXHIBITORS

Advantage 2000 Consultants

4121 Union Road

Suite 216

St. Louis, MO

www.advantage2k.com

Archangel Investigations & Protection,

Inc.

5200 W. Century Blvd.

Suite 870

Los Angeles, CA 90045

www.archangelincorporated.com

Carpe Data

735 State Street

Suite 600

Santa Barbara, CA 93101

www.carpe.io

Claim Vantage Inc.

34 Danforth Street

Portland, MA 04101

www.claimvantage.com

Covent Bridge Group

9485 Regency Square Blvd

Suite 200

Jacksonville, FL 32225

www.coventbridge.com

Delta Group

P.O. Box 3129

Suwanee, FL 30024

www.deltagroup.net

FastTrack Fineos Corporation International Claim Association

1545 US Highway 206

Suite 100

Bedminster, NJ 07921

www.fasttrackrtw.com

60 State Street

Suite 700

Boston, MA 02109

www.fineos.com

1800 M Street, NW

Suite 400 S

Washington, DC 20036

www.claim.org

Lamont, Hanley & Associates

1138 Elm Street

Manchester, NH 03101

www.lhainc.com

Lemieux & Associates

110 Washington Avenue

2nd Floor

North Haven, CT 06473

www.lemieuxassociates.com

LOMA

6190 Powers Ferry Road

Suite 600

Atlanta, GA 30339

www.loma.org

Medical Consultants Network

445 Broadhollow Road

Suite 336

Melville, WA 11747

www.mcn.com

MIB

50 Braintree Hill Park

Braintree, MA 02184

www.mib.com

Professional Disability Associates

One Monument Square

Suite 201

Portland, ME 04101

www.professionaldisabilityassociates.com Research Service Bureau, Inc. (RSB)

6811 South 204th Street Kent, WA 98032

www.rsb-inc.com

NAWROCKISMITHLLPCONGRATULATESTHEEASTERNCLAIMSCONFERENCE

FORITSCONTINUEDCOMMITMENTTOTHEEDUCATIONOFCLAIMSPROFESSIONALS

Forover25years,NawrockiSmithhasbeenproviding

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INSURANCEPROFESSIONALS

CONTACT:ErnestPatrickSmith,CPA/CFF,ABV,CVA,CFE,SeniorPartner

JohnK.Hoffman,CPA/CFF,PartnerDarinV.Iacobelli,CPA/CFF,CFE,Partner

290BROADHOLLOWROAD,SUITE115E

MELVILLE,NEWYORK11747www.nsllpcpa.com

PHONE(631)756-9500/FACSIMILE(631)756-9818

RISK MANAGEMENT INTERNATIONAL, INC. THE DISABILITY RESOURCE INC.

6743 S. River Rd., P.O. Box 306 Tel: 810-765-1790 Marine City, MI 48039 Fax: 810-765-1791 Email: riskmgintl@aol.com diresource@aol.com

BARBARA K. MUELLER, MBA, CLU, ALHC can be your resource for:

CLAIM REVIEWS / EXPERT WITNESS SERVICES

RISK MANAGEMENT INTERNATIONAL, INC. and THE DISABILITY RESOURCE INC. provide valuable services in connection with your disability and life insurance claims, operations, and litigation. With years of experience in these areas, we offer help in many ways.

LITIGATION CONSULTATION - Review of litigated claim files and consult with your attorneys and business managers to provide an independent assessment of your cases, their strengths and weaknesses. All too often, and all too easy, in the course of case preparation we get caught up in the strength of our own position and lose the objectivity needed to make the best business decision regarding the matter. An outside expert case review can help you better evaluate your case situations and maximize your outcomes.

EXPERT WITNESS - Expert witness services on disability and life insurance matters in meritorious situations. Contact us when you need expert witness services involving life and disability claims, underwriting or administrative practices, rescissions, claim handling, claim denials and bad faith matters.

BUSINESS PROCESS REVIEWS - Claim audits, quality assurance reviews and/or reviews to assist management in assessing its execution of planned strategies and exploring opportunities for enhancing operations.

Call today to discuss these or other issues.

RISK MANAGEMENT INTERNATIONAL, INC. THE DISABILITY RESOURCE INC.

6743 S. RIVER RD., P. O. BOX 306, MARINE CITY, MI 48039 Email: riskmgintl@aol.com diresource@aol.com

www.fivepointsservices.com

Developers of the ECC Website.