Examination Resources News Archive: 2024
Examination Resources has been awarded a 5 year, $70M contract from the Centers for Medicare & Medicaid Services (CMS) to perform Insurance Market Reform Enforcement
Examination Resources has been awarded a 5 year, $70M contract from the Centers for Medicare & Medicaid Services (CMS) to perform Insurance Market Reform Enforcement. ER began this work for CMS in 2012 focusing on Health Insurance Forms Reviews and Market Conduct...
ER results in Action: MHPAEA NQTL Comparative Analysis Final Determination Letters Posted to CMS’ Website
On July 29, 2024, CMS published a number of final determination letters for its Mental Health Parity and Addiction Equity Act (MHPAEA) non-quantitative treatment limitation (NQTL) comparative analysis reviews on their website. These letters provide additional...
ER Results in Action: MNDOC Settlement/Consent Order with UnitedHealthcare – MHPAEA
The Minnesota Department of Commerce (MNDOC) has issued a consent order to UnitedHealthcare (UHC) following an examination of its compliance with mental health parity laws. The examination found areas where the UHC’s practices created barriers to accessing mental...
Examination Resources Expands Its Receivership Team
Examination Resources, LLC (“ER”) is excited to announce the newest members of our Receivership Team. Led by Don Roof, our Managing Director of Receiverships, ER provides Special Deputy Receiver and related services to state insurance regulators across the country....
ER Results in Action: Commissioner Downing Announces Historic Settlement with State Farm Regarding Unfair Claim Settlement Practices
FOR IMMEDIATE RELEASE The parties agreed that certain auto accident claimants were inappropriately denied payment. Helena, MT, February 6, 2024—Troy Downing, the Montana Commissioner of Securities and Insurance (CSI), announced today a settlement with State Farm...
Examination Resources, LLC Expands and Enhances Capabilities with the Acquisition of Taylor-Walker Consulting, LLC
We are thrilled to announce the successful acquisition of Taylor-Walker Consulting, LLC. This strategic move is set to enhance the capabilities of Examination Resources, LLC (ER) to offer a full array of actuarial services to our clients. Scott Garduno and his team...
Examination Resources News Archive: 2023
ER Results in Action: Tri-Agencies release 2022 and 2023 MHPAEA Comparative Analysis Reports to Congress – Reports show failures to deliver parity in mental health and substance use disorder benefits or adequately document NQTL Comparative Analyses
Departments of Labor, Health and Human Services, Treasury announce proposed rules to strengthen Mental Health Parity and Addiction Equity Act Under the Consolidated Appropriations Act, 2021, the Tri-Agencies are required to review no fewer than 20 non-quantitative...
TESTIMONIALS
What our team says about us
Cynthia M. Fitzgerald, AIRC, ACS, AIAA, CICSR, CFE(Fraud), CIE, MCM, PHAM, ITP, CCP
Director
Working at ER has allowed me to develop my leadership skills to elevate my team in the Health Consulting Services space. Consistent and meaningful engagement with executive leadership at ER is incredibly supportive and collaborative. At ER, we foster a creative work environment where everyone feels valued and heard. ER leadership is committed to professional development and work life balance. I enjoy the opportunity to lead a strong team with vision and purpose as we support state and federal regulators with dynamic and creative solutions. One of the attributes I like most about working at ER is the opportunity to work closely with other leaders in other areas of insurance regulation. This opportunity is only possible when leaders feel trusted, supported and equipped with the tools necessary to be successful. At ER, we take care of our clients, our team and each other as we deliver on our mission.
Craig Leonard, CIE, CPCU, CCP, FLMI, ARC, AIAF, ARM, MCM
Senior Director Market Conduct
Working at ER has been an incredible experience that allows me to lean into my strongest skills as a thought leader who is always looking to raise the bar and find better ways to improve market regulation processes. ER’s commitment to quality, efficiency, and first-rate representation creates an environment where innovation thrives, and continuous improvement is the standard. Our firm’s streamlined structure ensures prompt attention to clients at all levels, enabling me to partner with them in meaningful ways and consistently exceed their expectations. In my 34 years being involved in market regulation, I have never worked with a more knowledgeable, dedicated team. With deep knowledge and dedication to the NAIC’s Market Regulation Handbook, combined with our ‘out-of-the-box’ thinking, we identify critical findings often overlooked by others. I take immense pride in the work we do and the value we provide to our clients every day.
Mark Ossi, CPA, CFE, AMCM, CFE (Fraud)
Director Financial Analysis
In my previous position as a state regulator, ER was one of our trusted contracting firms. I felt like they were a strategic partner in the Department’s insurance regulatory oversight and was happy to have them be part of our team for the seventeen years I was employed at the Georgia Department. In 2019, I joined the ER Team and have been even more impressed with ER’s professionalism, culture and commitment to assisting our client’s mission of regulatory oversight of the insurance industry with the goal of safeguarding policyholders.
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