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Sessions recorded live during the conference
The presentations 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.
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General Session: The $1,000 Genome: Impact on Science and Society
Kevin Davies, PhD, MA
In the decade since the completion of the Human Genome Project, the worlds of science and
medicine have experienced profound change. The cost of sequencing a genome has plummeted
from hundreds of millions of dollars to barely $1,000, while what once took years can now be done in
about a day. Genome sequencing is now routinely applied in medicine and clinical trials, particularly
in oncology. And the President has proposed a new Precision Medicine Initiative to build a biobank of
1 million volunteers. Kevin Davies, the founding editor of Nature Genetics and author of "The $1,000
Genome", will discuss the legacy of the Human Genome Project, the breakthrough technologies that
have brought us to the brink of the $1,000 genome, the impact of clinical and consumer genetics, and v
the legal and societal complications of what many view as the erosion of genomic privacy.
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General Session: Predicting Who Will Be the Unhealthy Applicant
Gerard Anderson, PhD
Health economists and health services researchers are using new techniques and innovations to uncover
who is most likely to become ill. Dr. Anderson is a professor of economics and medicine at Johns Hopkins
University and has worked extensively on designing health care systems in the United States and abroad.
One of his interests is identifying the characteristics of people who are likely to be high cost and high
need in the health care system. His presentation will focus on the predictors of people likely to develop
a serious illness in the coming years that could affect their life expectancy.
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AHOU 2015 Lab Scoring Follow-up
Eric Flender, FALU, FLMI, CLU, ChFC, ACS Melody Reas
In recent years, organizations have been enticed by the idea that it's possible to take all the data that
is collected and analyzed by our industry laboratories and end up with a value that will instantly and
accurately provide us the mortality for every insurance applicant. Two companies who are currently
using lab scores will discuss the process they used to select a vendor's scoring tool, how they interpret
the laboratory information, the impact on underwriting actions, and their results to-date.
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Global Travel, Human Migration, and Infectious Diseases
Kamran Khan, MD, MPH, FRCPC
With the advent of easy access to international travel, infectious disease outbreaks can quickly move
from a local to a global concern. This presentation will outline the implications of infectious disease in
a highly mobile world.
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Low Cholesterol or Albumin - Alerts to Hidden Risk
Michael Fulks, MD
At what age and sex-specific levels is low cholesterol or low albumin associated with increasing mortality?
Based on follow-up of millions of life insurance applicants, this presentation will share some insights
into the mortality risks of low values for these tests.
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Meeting the 21st Century Technology Expectation
Nathan Golia
Insurers face a number of challenges in the digital age retrofitting their familiar business processes to
meet the demands of digitally focused customers and distributors. Hear how companies are adapting
and where the leading edge of innovation will occur in the insurance industry.
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SIU and You
Michael Hagan, MS, CFE, CAMS
This insightful presentation will demonstrate how underwriters and special investigation units (SIUs)
can work together to evaluate and prevent questionable business practices. Red flags or anomalies that
surface during the underwriting process will be discussed, and more importantly, insight into what to do
with this information. Case studies will be presented to illustrate a team approach to combating fraud.
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Current Questions in Cardiology - An Intermediate View
Allan Brodersen, MD, DBIM, FACP
The presenter will address choosing one cardiac test over another including: Are the various tests
interchangeable in some circumstances? Why are certain pharmacological tests used instead of more
traditional tests? Are biomarkers dependable predictors of the same outcomes compared to other more
common cardiac tests?
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Fraud: An Attorney's Perspective
Spencer C. Aldridge, II, JD
An in-depth analysis of insurance fraud will be discussed and case histories will be presented in the context
of both underwriting and claims.
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Risk Management of Life and Long Term Care Hybrid Products
Pam Kreager, RN Tony Laudato, FSA, MAAA
This session will focus on risk mitigation techniques for the main Life and long term care hybrid
products including product design, underwriting, reinsurance, and claims management. The concept
and differences of stand-alone long term care, chronic illness, and various hybrid products and what
the marketplace currently is experiencing will be discussed.
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Key Developments in the Simplified Issue Market
John Fenton, FSA, MAAA Scott Whitmore, RPh
In this session, we will explore key developments in the simplified issue market. First, we will look at key
developments in the use of Rx tools, one of the most powerful tools available in simplified underwriting.
Second, we will look at the tools available to underwrite in a fluid-less environment, and how this allows
the market to provide premium rates that approach those offered on products that employ more traditional
underwriting techniques, including drawing fluids.
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Update on Oropharyngeal Cancer
Richard Braun, MD, DBIM, FLMI
This session will cover the epidemiology, predisposing risk factors, diagnosis, staging, and prognosis
of orophyaryngeal cancers.
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Current Questions in Cardiology - An Advanced Course
Allan Broderson, MD, DBIM, FACP
This cardiac workshop will place more emphasis on specific cardiac diagnoses and disorders, how to address
unusual presentation of cardiac risks, and what tests should be expected in light of conflicting results.
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CSI - Complex Sales Initiatives and the Financial Underwriting Challenges of Business Insurance
Jeff Leutert, FALU, FLMI, FLHC, ACDS David McNamara, JD, CFP, CLU, ChFC, FLMI
Have you felt at times as though you need to be a detective to decipher the unique advanced sales and
marketing concepts that come across your desk? Our panelists will provide the latest information on
these challenging concepts and offer suggestions on the best underwriting practices.
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Fraud: An Attourney's Perspective (repeat)
Spencer C. Aldridge, II, JD
An in-depth analysis of insurance fraud will be discussed and case histories will be presented in the context
of both underwriting and claims.
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Senior Leader Roundtable
Tom Marra Richard Paul, CLU, ChFC
In this roundtable conversation, senior executives from two companies will be asked a series of questions
on timely and relevant topics in the life insurance industry. Join this interactive and impromptu discussion
on issues related to the economy's impact on insurance, changing customer expectations and preferences,
and what the future holds for the industry.
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Translating Clinical Research Into Insurance Medicine
Gina Guzman, MD, DBIM, FALU, FLMI
This session will explore how Medical Directors interpret various clinical studies and translate those
results into valuable information to be used for underwriting life insurance risks.
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CSI - Complex Sales Initiatives and the Financial Underwriting Challenges of Personal Insurance
Jeff Leutert, FALU, FLMI, FLHC, ACS David McNamara, JD, CFP, CLU, ChFC, FLMI
These two panelists will provide further insight into various advanced sales and marketing concepts related
specifically to business insurance.
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Underwriting Prescription Narcotic Use
Sandra Mohr, MD, MPH
Generally prescribed for chronic pain conditions, long-term narcotic usage is associated with an increased
mortality risk. You will become familiar with commonly prescribed narcotics and associated favorable
versus unfavorable factors helpful in underwriting these cases. An overview of recent research results
will be presented along with sample case studies.
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Shadows in the Dark: Evaluation of Breast, Pulmonary and Thyroid Nodules
Mark Lewy, MD, FAAFP
Learn the significance of nodules seen on imaging studies in the breast, lung, and thyroid as they apply
to morbidity and mortality. This session will cover the national classification systems for these lesions
and how it affects the underwriter's ability to immediately evaluate these clients versus the need for
additional information or further evaluation.
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Technology in Underwriting – Is It Changing How We Underwrite?
John Sherman, FALU, MBA, FLMI Sharon Smith, FALU, FLHC, FLMI
We live in the world of technology. Join these two industry experts as they discuss the benefits and
challenges of using technology to improve Risk Assessment Analysis. Whether you are at the early
stages of exploring how new technology can be incorporated into your business model or have already
implemented an electronic application and/or underwriting rules engine, this session will answer many
of the questions you have about how technology can improve your organization's productivity while
managing risk and enhancing underwriter development.
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The Underweight Applicant
Mark Skillan, MD, DABIM
Both high and low body mass indexes (BMIs) are known to be associated with increased mortality. Though
high BMIs have well-characterized associated conditions which can affect mortality, the picture with low
BMIs is often not as clear or as readily quantified. The workshop is intended to help underwriters more
confidently approach the underweight applicant.
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A Lot Remains up in the Air: Smokers, Tokers, and Vapers
Bruce Henricks, MD, FACP
Our presenter will examine the use and mortality implications of marijuana, e-cigarettes, and novel forms
of nicotine delivery. The psychological and physiological effects of each will be discussed in relation to
how they influence risk assessment. The potential impact of not testing for cotinine and marijuana will
be approached in relation to simplified issue products and in an environment where the attitude toward
and use of marijuana is one of liberalization.
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Big Data - The Predictive Possibilities Beyond Underwriting Risk Assessment
Chris Stehno, Director
There has been much conversation surrounding big data and predictive analytics in underwriting
assessment. The possibilities for the use of this data can extend further for many corporations. Discover
how we can utilize various forms of data and predictive analytics to better understand our incoming
business and how that could impact the way we lead our organizations into the future.
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What's New with Obstructive Sleep Apnea?
Robert Profumo, MD, Medical Director
This presentation will cover Obstructive Sleep Apnea (OSA), including epidemiology, risk factors,
diagnosis, and treatment. Excess mortality will be highlighted as well as the approach to underwriting this
common disease.
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Pesky Pathology Reports - An Intermediate Perspective
Jack Swanson, MD
In this session, the speaker will provide important information to help guide an underwriter through the
maze of pathology reports. Case examples will be included.
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The Future of the Underwriting Profession
Andrew Vigar, FALU, FLMI Bill Wysong
Do you remember the great political debates in history...Kennedy-Nixon and Lincoln-Douglas? Now is
the chance to see the modern day version of the great underwriting debate: Vigar-Wysong. Areas of
discussion will include remote underwriting, the aging of the underwriting population, how automation
will affect our profession, and many other popular topics.
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A Lot Remains Up in the Air: Smokers, Tokers and Vapers (repeat)
Bruce Henricks, MD, FACP
Our presenter will examine the use and mortality implications of marijuana, e-cigarettes, and novel forms
of nicotine delivery. The psychological and physiological effects of each will be discussed in relation to
how they influence risk assessment. The potential impact of not testing for cotinine and marijuana will
be approached in relation to simplified issue products and in an environment where the attitude toward
and use of marijuana is one of liberalization.
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Big Data - The Predictive Possibilities Beyond Underwriting Risk Assessment (repeat)
Chris Stehno, Director
There has been much conversation surrounding big data and predictive analytics in underwriting
assessment. The possibilities for the use of this data can extend further for many corporations. Discover
how we can utilize various forms of data and predictive analytics to better understand our incoming
business and how that could impact the way we lead our organizations into the future.
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Pesky Pathology Reports - An Advanced Course
Jack Swanson, MD
This presentation will dive deeper into the realm of reading, interpreting, and understanding pathology
reports. Various case studies will be provided.
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Premium Financing: Truth in Lending...The Fine Print
Amanda Zukowski, CLU, ChFC
Find out which market forces have driven the popularity of premium financing and how it has affected
policy development as a result. The speaker will review a case study to provide the design elements,
discuss what is and is not realistic, and discuss the best ways to structure a case utilizing premium
financing based on the client's risk tolerance and ultimate planning needs.
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Expert Panel Discussion on Underwriting Hot Topics
Tom Gangemi Al Klein, FSA, MAAA Val Munchez-van der Wagt, AALU, CLU, ACS
Our panel of experts: a vice president, actuary, and underwriting standards chief will explore current
developments facing the underwriting of risks today. They will explain how the topics are researched,
developed, and implemented in the underwriting department.
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Functional And Alternative Medicine: An Overview
Anne Sherman, FNP-B, Family & Functional Medicine NP
By attending this presentation, you will learn the difference between Functional, Alternative, and Integrative
Medicine. Attention will be paid to potential underwriting implications where possible.
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Visa Holders and Recent Immigrants - Do You Really Know the Risk You're Underwriting?
Lee Fluharty, ChFC, CLU, FALU, FLMI, MBA Kelly Stone, FALU, FLMI, CLU, ChFC, CASL
Hear a discussion with a direct carrier and reinsurer on the unique underwriting challenges that recent
immigrants and visa holders can present during underwriting. They will share general guidance related
to financial documentation, medical information, confirming applicant's identity, and common visa types.
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General Session: Extreme Teamwork
Robyn Benincasa
Two-time world champion Eco-Challenge Adventure Racer and San Diego Firefighter, Robyn knows all
about creating human synergy or as she puts it, "that magic that allows groups of ordinary people to
accomplish extraordinary things together." For the past 15 years, she and her teammates have studied
Extreme Teamwork in the most unique and compelling classrooms on earth: the jungles of Borneo, the
Himalayan peaks of Tibet, the rivers of Fiji, the rainforest of Ecuador, and the epic brush fires of Southern
California. Her dynamic presentation will include ways individuals and groups can come together to deal
with adversity and work in ways that increase the odds of winning. Robyn inspires people to grab life
with one hand, grab their teammates with the other, and create that special magic that allows each of
us to become better and stronger than we ever would have been alone.
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