SOA June 2011

1. Health Underwriter Career Options - Engaging the Future - Presented by Tony Nista Underwriting Business Leader Independent Insurance Professional

2. SOA June 2011 Health MeetingSession 16PD – What Does the Future Hold for Underwriting?

4. Potential Impact on Career Underwriters

5. Health Underwriter Skillset/Qualifications

6. Potential Underwriter Career Paths

7. Preparing to Engage the Future

9. Health UW Process/Technology Will “Evolve”

10. Possible to Conform to HCR and Still Profit

11. Health Underwriting Will Retain “Relevancy”

13. …Conventional Health UW Skills are no Longer Relevant?

14. …What if the Sky Did Fall?The Health Underwriter Must Prepare for Armageddon! “No one has to go. We can all stay here on Earth and wait for this big rock to come and kill everyone and everything we know.” Bruce Willis, Armageddon

16. Investigator (gather facts, piece together the story)

17. Intuitive Reasoning (what am I missing or not being told?)

18. Analysis and Projection (what will it look like going forward?)

19. Risk Taking (when all is said and done, still an unknown)The Health Underwriter Takes Known History, Proven Mathematical Theory/Tools, the Element of the Unknown, and Predicts the Future. Based on this Skillset, What Can an Underwriter do “After” UW?

20. Potential Health Underwriter Career Path FBI Agent Archeologist Futurist Politician Police Detective Hostage Negotiator Stunt Pilot OK, so These are NOT Very Practical! “Of Course Everyone Thinks They Have a Sense of Humor…Even the Ones Who Don’t.” Rick Moranis, My Blue Heaven

22. Actuarial Sciences

23. Employer Benefit Plan Consulting

24. Health Care Provider Consulting

25. DOI Auditing

26. PEO Plan ManagementLet’s Look at Each in More Detail…

28. Life, Dental, Workers Comp, Worksite Products

29. Not Impacted by HCR (at Least Not Yet!)

30. Many UW Skills are Transferable Between Products

31. Health UW Skillsets Are Basically the Same

33. Actuarial and Underwriting are Very Similar

34. Many Underwriters Report to Actuaries

35. Many “Underwriters” are Actuaries

36. Actuarial Has Greater Scope and Career Options“I suppose I could collect my books and go back to school.” Rod Stewart, Maggie May

38. Health UW Skills Very Appropriate for Benefit Consulting

39. HCR Opens Greater Opportunity for Consulting Services

40. Employers Will Want/Need Independent Guidance

42. Providers Gain From “Carrier Seasoned” Professionals

43. Contracting, Negotiating, Health Care Analytics

44. Inside Track on Carrier Strategies

45. Understand Your “Opponent”“Keep Your Friends Close and Your Enemies Closer!” Machiavelli, The Prince

47. HCR Creates Increased Audit Opportunities

48. Many HCR Components are Enforced by Local DOIs

49. Underwriting Experience is Key in the Audit Process

50. Underwriters Know Their Audit “Targets”“It’s always the underwriter ends up doing 24 months in Danbury minimum security prison!” Michael J. Fox, The American President

52. PEOs Can be Fully or Partially Self-Funded

53. Small Group UW is an Especially Valuable Skill

54. Health Coverage is “Incidental” to the PEO Product

55. PEOs are NOT Going Away Anytime Soon!

57. Hope for the Best, But Prepare for the Worst!

58. Education Opportunities (HIA, LOMA, Actuarial Exams)

59. Increase Marketing Appeal (Self-Promotion)

60. Focus on Related Industry Positions

61. Keep an Open Mind to New and Exciting OpportunitiesThe Earth is rotating at 1,000 miles per hour and shooting around the Sun at 1,000 miles per minute and the Sun is hurtling through the Milky Way at “Ludicrous” speed. Enjoy the Ride!!!