KEVIN E. ROSS

**** **** ****** ** #*** Washington DC 20009

Home Phone: 202-***-****

Mobile Phone: 202-***-****

Email: acyh9p@r.postjobfree.com

OBJECTIVE:

To secure a position with a growth oriented insurance organization using my compliance skills and knowledge of

state and federal insurance regulation for our mutual benefit.

Compliance and product form and rate filing experience in all 50 states and the District of Columbia.

PROFESSIONAL EMPLOYMENT HISTORY

1996 Present

Senior Compliance/Policy Analyst

The Union Labor Life Insurance Company

Silver Spring, Maryland

Responsibilities:

Develop, file via System for Electronic Rate and Form Filing (SERFF), and maintain regulatory compliance for

all fully insured group life (Compact and non-Compact IIPRC products), accidental death and dismemberment,

comprehensive major medical, dental, vision, hearing, prescription drug, short -term disability, long- term

disability, and long term care products. This function includes developing, filing and maintaining regula tory

compliance of all product-marketing materials.

Develop, file and maintain Exclusive Provider Organization and Preferred Provider Organization plans and

marketing materials.

Develop, file and maintain Florida and Michigan small employer associatio n group health plans and marketing

materials.

Maintain product forms in automated policy and certificate delivery system using the Document Library System

(DLS) publisher.

Organize and implement changes to group insurance plans to meet client needs.

Monitor and provide analyses of state and federal insurance laws to ensure regulatory compliance. This

function includes weekly monitoring of state legislation, reviewing new legislation, determining any impact on

current company and/or departmental procedures and/or product lines, and communicating compliance issues

to the appropriate operational units.

Research and advise on compliance and legislative issues from all internal and external sources.

Assemble departmental and interdepartmental work groups when necessary to resolve compliance issues.

Maintain legislative activity reports. This function includes the development of on -line and hard copy

maintenance procedures of all reported legislative activity.

Coordinate with Managed Care Unit to maintain company state utilization review licensures.

Assist the Legal Department in the development and maintenance of company compliance with federal privacy

requirements.

Provide employee and agent training on company products and department procedures.

Develop and maintain compliance manuals for use by new and existing compliance personnel as guides to

compliance and its function within the company and for understanding departmental workflow.

Investigate and respond to insurance department complaints.

Develop and maintain reliable follow-up procedures for all work projects to ensure prompt and satisfactory

completion.

Develop and maintain research charts as requested by upper management. This function includes

development and maintenance of charts and reports to prov ide quick and easy access to state requirements

regarding topics such as filing procedures, interest rate payment requirements, prompt payment of claim

requirements, state mandated benefits, etc.

Develop and maintain state filing charts to provide quick and easy access to status of state filings.

Product lines consists of individual and group life and health insurance plans and group Stop Loss. Group eligibility

includes sm all employer groups, large employer groups, association groups, multiple employer welfare

arrangements, and Taft-Hartely Welfare Funds.

KEVIN E. ROSS *2407 15TH STREET NW #511 * Washington, DC 20009 * 202-***-**** Page 2 of 3

1992 1995

Senior Contract Analyst

John Alden Life Insurance Company

Miami, Florida

Responsibilities:

Develop, file and maintain regulatory compliance for all fully insured group life, accidental death and

dismemberment, comprehensive major medical, dental, prescription drug, short-term disability, long- term

disability, and long-term care products. This function included developing, filing and maintaining regulatory

compliance of all product line marketing materials.

Develop, file and maintain Exclusive Provider Organization, Preferred Provider Organization, and Health

Maintenance Organization plans and marketing materials.

Develop, file and maintain small employer group health plans and marketing materials.

Maintain product forms in automated policy and certificate delivery system using the Text Gen publisher.

Organize and implement changes to group insurance plans to meet client needs.

Monitor and provide analyses of state and federal insurance laws to ensure regulatory compliance. This

function included weekly monitoring of state legislation, reviewing new legislation, determining any impact on

current company and/or departmental procedures and/or product lines, and communicating compliance issues

to the appropriate operational units.

Research and advise on compliance and legislative issues from all internal and external sources.

Assemble departmental and interdepartmental work groups when necessary to resolve compliance issues.

Maintain legislative activity reports. This function included the development of on-line and hard copy

maintenance procedures of all reported legislative activity.

Provide employee and agent training on company products and department procedures.

Develop and maintain compliance manuals for use by new and existing complia nce personnel as guides to

compliance and its function within the company and for understanding departmental workflow.

Investigate and respond to insurance department complaints.

Product line consisted of group life and health insurance plans and group Stop Loss. Group eligibility included

small employer groups and large employer groups.

Position eliminated due to dissolution of company.

1990 1992

Senior Insurance Analyst

Harcourt, Brace, Jovanovich, Inc.

Orlando, Florida

Responsibilities:

File and maintain regulatory compliance for all fully insured group and individual life, accidental death and

dismemberment, comprehensive major medical, short-term disability and long- term disability products.

Monitor and provide analyses of state and federal insurance laws to ensure regulatory compliance. This

function included weekly monitoring of state legislation, reviewing new legislation, determining any impact on

current company and/or departmental procedures and/or product lines, and communicating compliance issues

to the appropriate operational units.

Maintain legislative activity reports. This function included the development of hard copy maintenance

procedures of all reported legislative activity.

Provide employee training on company products and department procedures.

Product lines included both individual and group life insurance plans. Group eligibility included large employer

groups.

Position eliminated due to company s sale of insurance business

KEVIN E. ROSS *2407 15TH STREET NW #511 * Washington, DC 20009 * 202-***-**** Page 3 of 3

1983 1989

Group Service Technician

Security Life of Denver

Denver, Colorado

Responsibilities:

File and maintain regulatory compliance for all fully insured group life, accidental death and dismemberment,

comprehensive major medical, short-term disability and long- term disability products.

File and maintain regulatory compliance for self-insured Stop-Loss product.

Monitor and provide analyses of state and federal insurance laws to ensure regulatory compliance. This

function included weekly monitoring of state legislation, reviewing new legislation, determining any impact on

current company and/or departmental procedures and/or product lines, and communicating compliance issues

to the appropriate operational units.

Monitor Stop-Loss groups specific and aggregate claims experience and report increased claim activity or

violations to upper management. This function also included working with upper management to develop

improved claim management systems.

Provide employee training on company products.

Product lines consisted of individual and group life insurance plans. Group eligibility included large employer

groups.

Resigned position to pursue employment opportunities in Florida.

PROFESSIONAL ACHIEVEMENTS

Assisted in development of stop-loss products for Harcourt, Brace, Jovanovich, Inc., Sea World Companies, Busch

Entertainment Corporation, and Harris Enterprises, Inc.

Assisted in the development of Neighborhood Health Partnership s ( owned by John Alden Life Insurance Company)

Health Maintenance Organization plans and advertising material.

Developed, filed, and built into the Text Gen publisher automated issue system John Alden HealthCare

Management Division s Exclusive Provider Organ ization product.

Redesigned John Alden HealthCare Management Division s small employer health plan products to meet statutory

compliance, readability and company requirements.

Developed and filed Ulico Casualty Company s (owned by The Union Labor Life In surance Company) Florida and

Michigan small employer association group health plan products and advertising materials.

Assisted in development of The Union Labor Life Insurance Company s group managed care and non -managed

care major medical, dental and group prescription drug programs.

Assisted in The Union Labor Life Insurance Company s compliance with federal HIPAA and PPACA regulations.

EDUCATION

Concentration in Special Education, Bloomsburg State College, Bloomsburg, PA

Concentration in Business Accounting, Barnes Business College, Denver, CO

LOMA courses, Security Life of Denver, Denver, CO

Supervisory and Management Training Program, Security Life of Denver, Denver, CO

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