2014 AHOU Annual Conference


Sessions recorded live during the conference

The PowerPoint presentation synchronized with the live audio of each session presentation can be viewed by clicking the session title. The audio and the presenter's PowerPoint presentation were recorded live during the conference. Some sessions include video of the presenter.

Presentation Speaker Format
Opening Ceremonies

Video & Slides
FALU Ceremony

Video & Slides
Business Session

Video & Slides
Is Coronary Disease Really Different in Women vs. Men?

Although men and women share many of the same major risk factors for development of coronary artery disease, the similarities stop there. The knowledgeable underwriter will recognize many of the risk factors, signs, and symptoms of CAD in women that would never raise a question in a man's application or testing. This presentation will highlight the differences in risk factors, clinical presentation, and mortality implication of coronary artery disease in women versus men. The information presented is medical evidence-based and referenced for those desiring more information or review.
Rodney Richie, MD Audio & Slides
What's Old is New Again—Debits and Credits Are Better Than a Knock-out!

The foundation of underwriting is the debit/credit system. Did you know you can create preferred guidelines and risk classifications from a debit/credit foundation? Did you know this method can stratify risk better than knock-out criteria? There are pitfalls to be avoided and greater benefits to be gained. This session will provide you the background on how this all fits together.
Doug Ingle, FALU Audio & Slides
Developing Underwriters in the Age of Innovation

Underwriters require new skills and knowledge to be marketable, effective, and engaged. Empowerment is mandatory to achieve the competing priorities faced by underwriters on a day-to-day basis. We'll examine the challenges leaders face in developing a robust team of nimble risk managers who can find balance between corporate and customer needs.
Karen Cutler, FALU, FLMI, MBA Audio & Slides
Developing Underwriters in the Age of Innovation (Repeat)

Underwriters require new skills and knowledge to be marketable, effective, and engaged. Empowerment is mandatory to achieve the competing priorities faced by underwriters on a day-to-day basis. We'll examine the challenges leaders face in developing a robust team of nimble risk managers who can find balance between corporate and customer needs.
Karen Cutler, FALU, FLMI, MBA Audio & Slides
Cardiomyopathy: The Good, the Bad…and the Insurable?

The wide spectrum of disease severity and the variable long term outcomes of cardiomyopathies make these case histories especially challenging for the underwriter. This session will provide a broad overview of the types and etiologies of cardiomyopathies, their clinical presentations, a review of standard diagnostic testing, and an update of current treatment modalities. More importantly, the speaker will define specific risk stratification criteria in order to appropriately and fairly categorize cases more, or less, favorably.
Joy Geiger, RN, BSN, ALMI Audio & Slides
The Many Faces of PTSD

Traumatic events can be experienced in multiple settings, in various degrees, and be responded to with a great deal of variability by the victims. The trauma can be a one-time event or a prolonged experience lasting years. Underwriting this diagnosis requires understanding the source of the trauma, the severity of the response, and the treatment. This session will utilize case studies to review the clinical features, functional consequences, effective treatments, and co-morbid conditions to best evaluate underwriting risks.
Karen Meissler, Psy.D. Audio & Slides
Case Studies: Adult Survivors of Juvenile Illnesses

Several medical conditions that are present in childhood may have lasting effects into adulthood. A condition like juvenile cancer may present the underwriter with challenges many years after the initial diagnosis and treatment. The presenters will utilize a case study approach in exploring various childhood diseases and the potential ongoing effects later in life. Additional discussion will focus on how to evaluate these conditions from an underwriting perspective along with new and innovative approaches to treatment.
Craig Davidson, MD, DBIM, CLU ®;
Joel Larson, FALU, CLU ®, FLMI, MBA
Audio & Slides
The Mortality and Morbidity of Obesity and Underweight

This presentation will cover the definition of obesity, along with the epidemiology, pathophysiology, morbidity, and mortality implications. The morbidity and mortality risks of being underweight will also be discussed.
Sheila MacDonnell, MD, MS, DBIM Audio & Slides
Putting Together the Financial Puzzle with Tax Returns

This session will cover entity forms and provide an overview of personal and business tax returns to help you understand what pieces of the tax return help put the financial puzzle together. It will include foundational information but also offer more advanced tax return information.
Patti Bell, CPA, CLU ® Audio & Slides
Review of Financial Statements – An Intermediate Course

Go beyond the basics of financial statements with this intermediate level review of personal and business financial statements. Find out what information you really need to know when deciding on the right amount of life insurance for an individual or business.
Patti Bell, CPA, CLU ® Audio & Slides
Financial Statements Expanded: An Advanced Course Study

To go beyond the workshop, Review of Financial Statements – An Intermediate Course, this session will take you deeper into understanding personal and business financial statements. We'll discuss a case study and learn how the financial statement offers insight into the applicant beyond just the numbers.
Patti Bell, CPA, CLU ® Audio & Slides
"Aha!" Moments: Transitioning from Clinical to Insurance Medicine

A presentation on transitioning from clinical practice to insurance medicine. This discussion focuses on the information used in underwriting that isn't used much clinically and how the focus in a clinic is on six month outcomes, not 50 year outcomes.
Gretchen M. Bosacker, MD, FAAFP Audio & Slides
Hepatitis B – Newer Trends in Epidemiology and Treatment

This presentation will enable underwriters to use hepatitis B serology to differentiate among those who are vaccinated, cured, carriers, partially treated, or treatment failures. Risk implications of hepatic fibrosis including cirrhosis and hepatic cell carcinoma will be explained along with the current means for assessing the presence or likelihood of fibrosis.
Clifford Hale, MD, FACP, MBA, DBIM Audio & Slides
DSM-5: Changes and the Impact on Underwriting

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the authoritative clinical guide to the diagnosis of mental disorders. Do the recent changes to the DSM (DSM-5) impact underwriters assessing applicants for insurance? Dr. Clark will provide the history of the DSM including the current revision of the manual all the while discussing the impact of diagnosis for underwriters.
Michael Clark, MD, FACC, DBIM Audio & Slides
Creating a Culture to Drive Performance

Culture defines how an organization functions or dysfunctions. Culture is the soul of an organization. The soul of an organization is created by people with a clear set of values, core behaviors, vision, shared beliefs, trust, and respect. Culture is not the fluffy stuff—a fuzzy feeling or holding hands around a campfire—it's more than that! It can be the glue that binds an organization together for success and sustainable growth or it can be the bad smell that sends people running in different directions and on the wrong path. What do you need to develop and nurture a culture that drives performance? Blow away the fluff!!
Carmela Tedesco Audio & Slides
Think Like A Crook: A Look at Fraud Committed By and Against Brokers

Identity theft and commission fraud such as rebating have become more prevalent throughout the industry in the past year. This session will focus on these two types of fraud being committed by brokers, and against brokers, in order to collect high commissions. Learn how these scams originated, how they can be uncovered, and tactics companies use to investigate this type of fraud.
Dan Brown, CIFI, FCLS;
Kay Ferrian, CLU ®, FLMI, CFE
Audio & Slides
Think Like A Crook: A Look at Fraud Committed By and Against Brokers (Repeat)

Identity theft and commission fraud such as rebating have become more prevalent throughout the industry in the past year. This session will focus on these two types of fraud being committed by brokers, and against brokers, in order to collect high commissions. Learn how these scams originated, how they can be uncovered, and tactics companies use to investigate this type of fraud.
Dan Brown, CIFI, FCLS;
Kay Ferrian, CLU ®, FLMI, CFE
Audio & Slides
Mining for Profitable Business: Finding the Insurable Risks in the High Risk World of Abdominal Aortic Aneurysms

This presentation will provide information the underwriter can use to render the best underwriting decision when assessing an individual with an abdominal aortic aneurysm. Discussion will focus on some of the abnormalities that cause the aorta to become enlarged as well as the effects of other medical conditions that might have adverse affects on an aneurysm. Insights for interpreting imaging studies will also be offered. Finally, some hints about identifying the best risks will be shared.
Jack Cotlar, MD, DBIM Audio & Slides
Performance Management: Are You Focusing on the Right Things?

Maximizing performance in underwriting is a chronic challenge for managers. This session will explore the dichotomy of Quality vs. Quantity—there can be a conflict between these two; doing 'more with less' and some ideas for using underwriting metrics. The panelists will discuss work/life balance and highlight a key piece of performance management that often can be overlooked: developing people. Discover what works for our three panelists as they discuss the important and challenging topic of performance management.
John Helberg;
David Kanney, AALU, CLU ®, FLMI, ACS;
Denise Bates
Audio & Slides
Biomarkers for Cardiovascular Risk with a Focus on BNP

Our panel will discuss biomarkers associated with cardiovascular mortality including those related to plaque and vascular vulnerability (more traditional risk factors/tests) but focus on left ventricular function (NT-ProBNP). The BNP discussion will include recently published industry mortality data as well as other supplementary literature. We will include discussion on the use of cardiovascular biomarkers together to provide a better overall measurement of cardiovascular risk.

Michael Clark, MD, FACC, DBIM;
Mike Fulks, MD

Audio & Slides
Underwriting Early Stage Breast Cancer: A New Approach

Trends towards diagnosing breast cancer at earlier stages and therapeutic improvements have both contributed to changes in survival patterns. It will be shown that these changes favor the use of the debit system for underwriting applicants with a history of early stage breast cancer rather than traditional temporary flat extra ratings.
Robert Lund, MD Audio & Slides
The Approaching Tide of Stem Cell Therapy— Implications for Underwriting

The natural role of stem cells in the body and their therapeutic use to date will be reviewed. An overview of ongoing research and current experimental stem cell therapies will be presented. In addition, what we may see over the next five years as well as possible implications for life will be discussed.
Joseph Huguenard, MD, DBIM Audio & Slides
The Approaching Tide of Stem Cell Therapy— Implications for Underwriting (Repeat)

The natural role of stem cells in the body and their therapeutic use to date will be reviewed. An overview of ongoing research and current experimental stem cell therapies will be presented. In addition, what we may see over the next five years as well as possible implications for life will be discussed.
Joseph Huguenard, MD, DBIM Audio & Slides
Document Check-up: How to Give Your Documents a Clean Bill of Health

In today's litigious society, careful document practice and management can save your company tons of time and trouble. Learn how to communicate in a litigious environment as well as which communications are privileged and which are not. In addition, you will learn best practices for document retention and destruction.
David Donahue, Esq. Audio & Slides
Baby, I Was Born This Way… Understanding Gender Dysphoria

Imagine, as a 3 year old, having the distinct feeling that you are in the wrong body. That is often the experience of individuals dealing with gender dysphoria. Such individuals often struggle with mental health issues and may take steps to alter their appearance to better align with their internal feelings. Join us for this informative session which will highlight the clinical features of this condition and examine treatment options, co-morbidities, and mortality risks.
Peter Lourgos, MD, JD Audio & Slides
Baby, I Was Born This Way… Understanding Gender Dysphoria (Repeat)

Imagine, as a 3 year old, having the distinct feeling that you are in the wrong body. That is often the experience of individuals dealing with gender dysphoria. Such individuals often struggle with mental health issues and may take steps to alter their appearance to better align with their internal feelings. Join us for this informative session which will highlight the clinical features of this condition and examine treatment options, co-morbidities, and mortality risks.
Peter Lourgos, MD, JD Audio & Slides
An Exploration of Multi-Cultural Markets

Whether your company has international experience or not, a business plan is required in order to enter or expand into the multi-cultural markets in the United States or Canada. Is your organization to be a customerdriven organization or a process-driven organization? Do you assess risk based on the risks of a culture or do you strictly follow your underwriting criteria? These topics will be discussed in an effort to learn how to better communicate with your multi-cultural customer base.
Stafford Thompson, Jr., FSA, MAAA;
Rafael Shabetai
Audio & Slides
Updates in Respiratory Conditions and Testing

Are you having difficulties understanding your applicant's pulmonary health? Join us to learn about some of the common causes of dyspnea. A review of pulmonary function tests and sleep studies will be presented. In addition, chronic obstructive pulmonary disease and obstructive sleep apnea will be discussed. Discover new tools that can help you interpret information provided in medical reports about respiratory disorders.
Lisa Papazian, MD Audio & Slides
Update on Childhood Neurological Conditions, Traumatic Brain Injury, and Other Disorders

Underwriting children includes consideration of growth and development factors. Impairments in children add to the complexity of risk classification in a group with low anticipated levels of both morbidity and mortality. Neurologic conditions are especially challenging as diagnoses may be elusive, evolving, or even overlap with other disorders. An underwriting approach to common childhood neurologic conditions will be discussed including autistic spectrum disorders, attention deficit hyperactivity disorder, and seizure disorders. Traumatic brain injury and ischemic strokes in children will also be covered.
Marianne Cumming, MD, BSC, MSC, DBIM, AALU Audio & Slides
Automation Review – The Data Driving Innovation

In this session, the expert panel consists of an underwriter, an actuary, and a data expert. Each of the panelists will provide their perspective as to how third-party data can be best utilized by today's underwriter in our challenging life insurance environment.

Allen Klein, FSA;
Elliot Wallace;
Ron Schaber, FALU, FLMI, ACS, AIAA, HIA

Audio & Slides
Contestable Claims: A Cradle-to-Grave Review

This presentation will describe how the underwriting process and the claims process interact. Discussion will focus on what to look for or validate when reviewing contestable claims as well as different resources available to the claims examiner. We will also discuss Claims Department collaboration with other departments such as Underwriting and Legal. From beginning to end, we will see how a claim unfolds.
Kim Houston, ALHC, ACS, AIAA Audio & Slides
The Spectrum of Normal Aging, Mild Cognitive Impairment, and Alzheimer's Dementia

This presentation will focus on emerging trends in the diagnosis of Mild Cognitive Impairment (MCI) and Alzheimer's Dementia. Initial focus will be placed on benefits and pitfalls of various screening tools utilized for MCI. The discussion will include the factors predictive of progression to Alzheimer's Dementia. The session concludes with an overview of cerebrospinal fluid (CSF) biomarkers and new imaging modalities which will increasingly find their place in the underwriting landscape.
David Rengachary, MD Audio & Slides
The Underwriter and the Actuary: How Risk Selection Decisions Impact Pricing Results

In this session, we will look at the impact of underwriting decisions from two perspectives—the underwriter and the actuary. Case studies will be used to illustrate the financial impact of different underwriting decisions and individuals from both professions will share their thoughts on how to most effectively navigate these challenging situations.
Eric Golus, FSA, MAAA;
Ray Dinstel FALU, FLMI, CLU ®
Audio & Slides
Death by Prescription

Per the Centers for Disease Control and Prevention, drug fatalities have overtaken traffic accidents as a cause of death in the United States since 2009. The fatalities include all drug deaths, but the increase was propelled largely by prescription painkillers. Law enforcement and public health officials have increased their efforts to reduce prescription drug misuse. While there are early signs of progress, drug-related deaths have continued to rise. In this presentation we will review the potential impact of prescription drug abuse on the insurance industry.
Betsy Sears, MSM, MT (ASCP) Audio & Slides
Predictive Modeling: Back to the Future?

Since there have been actuaries and underwriters, there has been predictive modeling. So why all the buzz? Maybe because today's predictive modeling is not your ancestor's predictive modeling. We will explore what makes today's predictive modeling such an enticing proposition. After attending this session, you will appreciate the diversity of approaches and problems that can be solved with predictive modeling. You will become familiar with the situations that predictive modeling attempts to solve in life insurance and the issues and opportunities this creates for the underwriter.
Jean-Marc Fix, FSA, MAAA Audio & Slides
How the Millenial Generation is Affecting the Workplace

Seth Mattison is an internationally renowned expert on workforce trends and generational dynamics. As Founder and Chief Movement Officer of FutureSight Labs, Seth advises many of the world's leading brands and organizations on the key shifts happening around talent management, change and innovation, leadership, and the future of work. Recently named to the Editors' Picks for Favorite Speakers for 2013 by MeetingsNet, Seth brings an entirely unexpected perspective on the future of work, talent, innovation, and the power of relationships. With a passion for helping to create greater understanding and collaboration in today's workplace, Seth offers participants actionable content that can immediately impact business performance.
Seth Mattison Presentation no longer available