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Health Insurance Expert Witnesses

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Kevin M. Reopel, FSA, MAAA
35 Rugby Rd.
Feeding Hills MA 01030
phone: 413-786-7925
Kevin M. Reopel, FSA, MAAA, is an Actuarial Consultant with broad expertise both in the life insurance business and in assessing the economic value of future cash flows. Through Actuarial Litigation Consulting, this expertise is used to assess economic losses in tort cases for attorneys and to assess the terms and benefits of insurance and annuity contracts.

Mr. Reopel has worked for major life insurance companies such as Massachusetts Mutual Life Insurance Company and the Hartford Life Insurance Company. Throughout his career, he has worked extensively with insurance company attorneys and underwriters, and with state insurance department attorneys, actuaries and other regulators.

Litigation Support - Kevin Reopel provides impartial, credible assessment of Economic Loss/ Economic Damages for litigating attorneys (both plaintiff and defense), judges, estate planning attorneys, and trust departments. He also provides expert analysis of the features and benefits of in-force insurance policies for individual clients and their attorneys.

Mr. Reopel's professional services, as consultant or expert witness, are provided in both state and federal trial settings. They include preliminary review and evaluation of economic loss, pre-trial discovery, assessment of economic los, reports and affidavits, depositions, and trial testimony.

Areas of Expertise:
  • Actuary - Actuarial
  • Economic Consulting
  • Economic Damages
  • Forensic Economics
  • Insurance - Health / HMO / Disability
  • Insurance - Life & Annuities
  • Actuarial Assessment of Economic Losses For:
    • Personal Injury
    • Wrongful Death
    • Employment Termination
  • Asset Allocation from Divorce
  • Structured Settlements
  • Trust valuation
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    Vera F. Dolan, MSPH, FALU
    6238 Belgium Drive
    Las Vegas NV 89122
    phone: 702-476-8500
    Vera Dolan is an epidemiologist with over 30 years of experience in the life and health insurance industries. She is one of the leading mortality experts in the life insurance industry. She writes underwriting manuals and policy and procedure manuals for life and health insurance companies.

    Vera has testified in both state and federal court, and has been retained in over 100 cases since 2006 for plaintiffs and defense on an equal basis. She is very credible testifying in deposition and on the stand.

    * Life expectancies that are personalized and accurate to the standards of the life insurance and life settlement industries. Addresses the cases when life expectancies that are simply taken from a life table or estimated by a doctor, actuary or biostatistician are not sufficient or credible. Addresses the cases when a complete insight into the individual's medical conditions and/or personal history of high-risk behaviors is needed to assist the judge or jury in their decision. This information often decides the case, see article for details.

    * Expert in bad faith/wrongful denial of life/health insurance claims.

    * Expert in life/health insurance underwriting material misrepresentation.

    * Expert in medical risk assessment and underwriting issues.

    * Expert in life insurance underwriting policies and procedures.

    * Expert in epidemiology. Previous cases include infectious diseases, occupational and environmental exposures, pesticides and tobacco.

    * Approved life expectancy expert with the U.S. Department of Justice.

    * Active consultant to the life insurance industry conducting cohort mortality studies, and writing underwriting and policy and procedure manuals.

    * Over 100 articles published on mortality research and underwriting.

    * Friendly, clear, concise, objective and quantitative.

    * There is no charge for the initial phone consultation.

    * There is no charge for travel time.

    2/21/2013 · Life Expectancy
    The advantages of a life expectancy using life insurance underwriting and life settlement methods include:

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    Mark Johnson, JD, PhD
    1450 Hughes Rd
    Suite 120
    Grapevine TX 76051
    phone: 817-909-0778
    fax: 817-788-1399
    Mark Johnson, JD, PhD, is a Pension Expert and an ERISA Benefits consultant with over 30 years of experience. He is also a licensed attorney in Texas and is a Board Certified Labor and Employment Law Specialist, as designated by the Texas Board of Legal Specialization.

    Dr. Johnson served as a former Plan Administrator, Fiduciary, ERISA Compliance Officer, and Managing Director of Benefits and Pensions for American Airlines, a unionized Fortune 500 company. During this time, he managed ERISA plans covering more than $14 billion in assets and over 100,000 participants, as well as welfare plans covering 350,000 employees and their dependents. Mr. Johnson understands the nuances of ERISA because he made decisions every day regarding pension, life, health, long term disability, and other qualified and non-qualified benefits.

    Litigation Support - As an active ERISA litigation consultant, Dr. Johnson sees how disagreements ranging from individual benefit claims to class action fiduciary liability litigation are resolved in court. He serves as an expert witness for plaintiff or defense attorneys in litigation relating to:
    • ERISA
    • 401(k) Fiduciary Liability
    • Cash Balance conversion
    • Company Stock Drop
    • Employee Stock Ownership Plans (ESOP)
    • FINRA Arbitration
    • Group Life & Health Plan Benefits
    • Health Plan Reimbursement Levels
  • Labor Union Pensions
  • Long Term Disability (LTD) benefits
  • Pension Benefits in Bankruptcy
  • Pension or 401(k) Plan Expenses
  • Retiree Medical Plans
  • Severance Benefits
  • Survivor Benefits
  • Third Party Administrator Disputes
  • View Dr. Johnson's Consulting Profile.
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    L. Lamar Blount
    P.O. Box 2166
    Atlanta GA 30077-2166
    phone: 770-645-5989
    fax: 770-282-8410
    During 30+ years of serving the Healthcare Industry, Mr. Blount has served more than 300 clients in 30 states in the areas of Reasonable Charges (UCR), Medical Billing; False Claims, Regulatory Compliance, Reimbursement, Damage Quantification, and Financial Management.

    Mr. Blount is a Fellow and Certified Financial Professional in HFMA, member of the American Institute & Georgia Society of CPAs, and National Association of Health Underwriters, and has been an Arbitrator for American Health Lawyers Association. He has been admitted as an expert in multiple US District and State Courts and Administrative Hearings, and has testified for plaintiffs and defendants, providers, payors and government clients.

    A nationally recognized author, Mr. Blount has co-authored AMA’s best selling "Mastering the Reimbursement Process" book.

    Expertise Includes:
  • Accounting
  • APCs
  • Business Damages
  • Contractual Disputes
  • Cost Reports
  • DRGs
  • False Claims - Fraud
  • ICD & CPT Coding
  • Insurance
  • Rate Setting
  • Self Disclosure
  • Valuations
  • CV and Legal references provided upon request.
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    ALL States
    phone: 215-736-2980
    fax: 215-736-2986
    Insurance Expert Network, LLC (IEN) is a network which provides access to over 500 highly qualified, reliable Insurance Experts with Litigation Management, Insurance Industry, Mediation, Arbitration and Expert Witness experience. Staffed by Insurance Industry Professionals, they easily discern requisite skills necessary to properly and fully support the Client. IEN is the only referral service providing insurance experts exclusively.

    IEN provides experts for both plaintiffs and defendants

    The experts in IEN are dedicated to their critical role in litigation, whether it be educating counsel on nuances of insurance, assisting attorneys in determining the merit of a case, testing potential evidence or testifying in a deposition or trial.

    IEN provides in-depth knowledge of the Insurance Industry and maintains a listing of over 120 Specialized Insurance Areas. The following is a sample of these areas:
    • Actuary
    • Automobile Insurance
    • Bad Faith
    • Binders
    • Business Interruption
    • Captives
    • Construction Defects
    • Credit Insurance
    • Directors & Officers
    • Excess & Surplus Lines
    • Fidelity
    • Fraud
    • General Liability
    • Insurance Accounting
    • Insurance Business Processes
    • Life & Health Insurance
    • Marine Insurance
    • Misrepresentation
    • Producer Errors & Omissions
    • Producer Standards & Practices
    • Production Development
    • Professional Liability
    • Property Insurance
    • Regulatory Compliance
    • Reinsurance
    • Surety
    • Workers Compensation
    View the Complete List of Specialized Insurance Areas

    The IEN Advantage:
    1. There is no charge for referrals.
    2. Generally, a nationwide search and subsequent referral can be completed within 48 hours.
    3. To assist the attorney with the selection process, IEN provides a case-specific statement of qualification from each potential expert.
    4. IEN personnel are highly experienced and knowledgeable about insurance.
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    Steven Plitt
    Senior Member
    The Cavanagh Law Firm
    1850 N. Central Avenue
    Suite 2400
    Phoenix AZ 85004
    phone: 602-322-4038
    fax: 602-322-4100
    Steven Plitt Liability Insurance Expert PhotoFor 32 years, Steven Plitt has represented policyholders / insureds in litigation and trial as well as representing insurance companies in Insurance Coverage and Bad Faith matters. During his career, he has reviewed more than 6,000 claim files from more than 100 insurance companies. He has regularly consulted with all levels of claim department management from claim adjusters, supervisors, branch claim managers, claim-legal personnel and executive level insurance company management.

    Mr. Plitt has also consulted with underwriting departments and participated with insurance company product development units and claims-legal to draft insurance policy language. He has reviewed and analyzed a broad spectrum of testimony from claims adjusters, claims management, claims attorneys, underwriters and other insurance company management as well as other insurance experts. He has reviewed an extensive variety of claims manuals, claims guidelines and other claims directives and practices.

    Mr. Plitt is a nationally recognized expert witness in insurance claim handling and bad faith cases and has been retained as an expert in more than 480+ cases venued in 30 states. He has qualified in both state and Federal Courts as a claims handling and insurance expert. He is currently an Adjunct Professor of Law at the University of Arizona where he teaches insurance law.

    Areas of Expertise:
    • Insurance Extra-contractual
    • Bad Faith Claims / Breach of Contract Claims
    • Claims Handling Practices
    • Unfair Claims Practices
    • Policy Interpretation
    • Coverage Denials
  • Property & Casualty Insurance
  • Personal & Commercial Lines
  • Surplus Lines
  • Excess & Umbrella Insurance
  • Insurance Agent / Broker Errors & Omissions
  • Miscellaneous Coverage
  • Mr. Plitt has an LL.M. in Insurance from the University of Connecticut. He is the current successor author to COUCH ON INSURANCE 3D where he and his team are rewriting and revising the entire treatise. He has written other books on insurance law. He has published in excess of 320 law reviews and other professional publications on insurance law in addition to his books. Mr. Plitt has been cited by the Supreme Courts of 29 states, the Intermediate Appellate Courts in 20 states, 10 of the Federal Circuit Courts of Appeal, 37 Federal District Courts, and the Federal Court of Claims. He has been cited in 87 scholarly articles.

    Steven Plitt has been continuously listed as a top 50 lawyer in Arizona (2007-2014) by SOUTHWEST SUPER LAWYERS®, has been listed in BEST LAWYERS® since 2007 (insurance), and was named the Insurance Lawyer of the Year by BEST LAWYERS® in 2012 for Phoenix. He is a Fellow in the American College of Coverage and Extracontractual Counsel and a Member of the American Law Institute where he is a consultive member on the development of the RESTATEMENT OF LIABILITY INSURANCE.
    Steven Plitt, et al
    Written by leading attorneys in insurance practice around the country, this book provides leading-edge discussion of insurance ramifications of major disasters. It provides varied perspectives on handling insurance coverage cases, with tips for almost any kind of situation that arises.
    Steven Plitt, et al
    This guide to the investigation and successful evaluation of automobile coverage and injury claims provides practical information in three ways. First, it provides a comprehensive discussion, with extensive case citation regarding policy interpretation, liability coverage, bad faith, unfair claims practices, and negligence.
    Steven Plitt, et al
    This is one of the most comprehensive, practical guides available for handling insurance liability cases. It explains essential legal concepts for handling basic insurance liability coverage questions.
    Steven Plitt, et al
    This new edition reflects law and practices governing insurance issues today. It offers definitive treatment on practically all types of insurance, including life, property, health and accident, liability and indemnity, automobile, fidelity guarantee, contract guarantee, group, reinsurance, annuities, governmental life and disability, ERISA, and COBRA.
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    Jon R. Wampler
    Healthcare Management Consultant
    88 Westcourt Ln
    San Antonio TX 72857
    phone: 949-933-8823
    Jon R. Wampler, the former CEO/President of PacifiCare of California, has over thirty years of experience in Healthcare Management. His experience running a Fortune 200 sized company and working with large national employers as well as governmental agencies gives him unique insight into this country’s healthcare system.

    Experience operating a $6 Billion, 4000 employee HMO/Medicare risk program serving 2.2 Million insureds puts Jon Wampler in the company of very few CEOs in the US. The breadth of his experience in almost every facet of managed health care enables him to integrate knowledge from a wide variety of sources to bring to bear in the area of expert witness testimony.

    Mr. Wampler provides litigation support services to attorneys for both Plaintiff and Defense. He is often able to focus the strategic direction of a case based upon nuances a less experienced or informed expert would miss. Having testified as an expert witness approximately 20 times, Mr. Wampler speaks plainly and directly, is easily understood, and projects confidence in his presentations.

    Areas of Expertise:
    • Managed Healthcare Operations
    • Physician, Hospital and Ancillary Care Contract Negotiations
    • Capitation
    • Sales and Marketing Operations
    • Training, Development, Team Building
    • Building Medical Groups
  • Directing Service Area Expansions
  • Acquisitions
  • Member Services Management
  • Credentialing and Credential Review
  • Finance
  • Human Resources
  • View Jon Wampler's Consulting Profile.
    5/14/2014 · Healthcare
    When Congress recessed and members returned to their districts, they mostly heard, "Keep your hands off my healthcare!" In light of the government's recent inability to successfully establish, operate and pay auto dealers accurately and on time in a straightforward and seemingly simple process (cash for clunkers), what can we expect from a government bureaucracy charged with operating an extremely complex healthcare system that is neither straightforward nor simple?

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    Guy O. Kornblum
    1388 Sutter Street
    Suite 505
    San Francisco CA 94109
    phone: 415-440-7800 x2226
    fax: 415-440-7898
    Guy O. Kornblum has specialized as a Trial and Appellate Lawyer for 40 years. He has handled over 4,000 litigated matters to conclusion and has several million dollar cases to his credit. Mr. Kornblum has represented hundreds of clients, small businesses, individuals, and large Fortune 500 corporations during his 40 plus years of practice. He is highly regarded for his courtroom and appellate skills, and his representation of his clients in mediations, where he has a strong track record of successful settlements.

    Litigation Support - Mr. Kornblum serves as a mediator and expert witness and has qualified as an expert in federal and state court. His testimony on insurance claims handling was cited by a California Court of Appeal in upholding a jury verdict in favor of a plaintiff in an insurance bad faith case.

    Expertise Includes:
    • Insurance Company Claims Practices - personal and commercial, property and casualty, employment coverage, director‘s and officer‘s coverage, professional liability coverage, general commercial coverage, life, health and disability insurance, bad faith, serious personal injury, professional liability, real estate, employment matters, and fraud claims involving employee welfare benefit plans, wrongful death, and actions claiming punitive damages
    • Standard of Care in Legal Malpractice Cases Involving Civil Litigation Issues
    • Case Settlement Value
    Mr. Kornblum is Certified in Civil Trial Advocacy and Civil Pretrial Practice Advocacy by the prestigious National Board of Trial Advocacy, and is a Fellow, American College of Board Certified Attorneys. He is also a Life Member of the Multi-Million Dollar and Million Dollar Advocate’s Forum, for those attorneys who have achieved multi-million dollar awards or settlements for their clients.

    Mr. Kornblum is also a Charter Fellow in the Litigation Counsel of America Trial Lawyer Honorary, a Platinum Member of The Verdict Club, recognizing his “professional excellence in litigation,” and a Legends Society “Top Lawyer” in the personal injury field, and a Silver Member of the Elite Lawyers of America. He has been selected as a Super Lawyer each year since 2006.

    View Guy Kornblum's Consulting Profile.
    Guy O. Kornblum
    A Guide For Those Who Are Victims of Wrongdoing Resulting in Injury or Death
    Guy O. Kornblum
    This book serves as a comprehensive guide to effective settlement techniques in the context of personal injury litigation. It helps you determine a settlement amount, choose the most appropriate form of settlement, and work with clients, mediators, and others to get the best settlement.
    Guy O. Kornblum, William A. Cerillo
    Written by renowned experts, this practical book details analysis and litigation of causalty policies. Explains specific insurance coverage for intellectual property claims, advertising injury, environmental losses, personal injury in business claims and duty to defend. Contains step-by-step strategies for insurance litigation and discusses how to use experts and investigators. Includes a copious amount of useful checklists and practice tips from expert litigator
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    Mitchell Lathrop, JD, C.Arb, FCIArb
    600 W. Broadway
    Suite 500
    San Diego CA 92101
    phone: 619-985-8262
    fax: 619-226-2762
    Mitchell L. Lathrop, C.Arb., FCIArb has over 45 years of experience in the practice of law, and specialized knowledge in Insurance, Reinsurance, and Lawyers' Professional Responsibility. For the past 30 years, Mr. Lathrop has served as a Mediator, Arbitrator and Expert Witness in his fields of expertise. A seasoned trial lawyer, he brings his many years of practice to alternative dispute resolution.

    Mr. Lathrop is admitted to practice in California, New York and the District of Columbia, as well as before the U.S. Supreme Court and the U.S. Courts of Appeals for the Second, Fifth, Ninth, Tenth, District of Columbia and Federal Circuits. He is also admitted in the U.S. District Courts for the Northern, Eastern, Central and Southern Districts of California, the Northern, Southern, Eastern and Western Districts of New York, the Eastern District of Michigan, the Southern District of Texas, and the District of Columbia. Mr. Lathrop is a former Presiding Referee of the California State Bar Court.

    Mr. Lathrop, Chartered Arbitrator and Fellow of the Chartered Institute of Arbitrators, is available as a neutral or counsel for domestic and international arbitrations. He serves on the National Panel of the American Arbitration Association and is a Distinguished Neutral of the International Institute for Conflict Prevention and Resolution (CPR), and a Certified Arbitrator of the AIDA Reinsurance and Insurance Arbitration Society - US (ARIAS-US). Mr. Lathrop is a member of the London Court of International Arbitration and also serves on the panels of arbitration organizations in Australia, Austria, Dubai, Egypt, India, Japan, Maylasia and Switzerland.

    Areas of Expertise:
    • Reinsurance Law - Property and Casualty insurance
    • Life, Accident and Health Insurance
    • Treaty and Facultative Reinsurance
    • Environmental Insurance
    • Coverage Issues
    • Lawyers' Professional Responsibility
    Mitchell L. Lathrop
    Whether you represent the insurer or the insured, the potential costs can run into the millions if your client is found liable. To help you effectively represent your client, this comprehensive, two-volume treatise will walk you through the complexities of environmental insurance coverage.
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    901-1851 Sherbrooke east
    Montreal H2K4L5
    phone: 514-738-6476
    François Sestier, MD, PhD, FRCPC, FACC, CIME, is a Cardiologist and Life Expectancy Calculation expert. He has over 40 years of experience in the field of medicine, 29 years as an Adult Cardiologist in the cath lab and 30 years as an Insurance Medical Officer.

    Education - Dr. Sestier graduated from medical school in Nancy, France, 1967, where he obtained certification in Cardiology, Pneumology, Occupational Medicine, and Aeronautical Medicine. In Canada, since 1973, he obtained a Quebec certification in cardiology (CSPQ), and a fellowship in cardiology of the Royal College of Physicians and Surgeons (FRCPc). Dr. Sestier also obtained a PhD in Experimental Medicine (McGill, 1977).

    Experience - Dr. Sestier has been a staff cardiologist at CHUM, Hôtel-Dieu, Montreal, medical director of Quebec Blue Cross since 1985 and medical director and vice-president of OptimumRe since 2002. He received certifications from the American Board of Insurance Medicine (1995) and the American Board of Independent Medical Examiners (2011). As a medical officer for various insurance companies, he has reviewed over 1,000 applications for life Insurance, giving advice on the Mortality and Life Expectancy associated with the applicant's medical conditions.

    Dr. Sestier - Life Expectancy Calculation

    Litigation Support - Dr. Sestier's medico-legal advice is available to counsel representing both Plaintiff and Defense. He has performed life expectancy calculations for litigation purposes on topics as diverse as traumatology, traumatic brain injury, cognitive impairment, spinal cord injury, morbid obesity, diabetes, many different cardio-vascular pathologies, sudden death, stroke, cerebral palsy, multiple sclerosis, epilepsy, asthma, chronic obstructive lung disease, sleep apnea, liver cirrhosis, hepatitis B and C, and all kinds of cancers.

    Areas of Litigation Expertise:
    • Disability Assessment
    • Permanent Disability Eligibility
    • Medical Liability
    • Insurance Médicine
    • Life Insurance
  • Health Insurance
  • Travel Insurance
  • Critical Illness Insurance
  • Life Expectancy Calculations
  • Work Life Expectancy calculation
  • View Dr. Sestier's Consulting Profile.