Expert Witnesses & Forensic Consultants Directory
Self-Funded Insurance Plans — United States
Self-funded insurance United States expert witnesses, profiled in this directory, may consult on issues of compliance responsibility and liability for self-insured plans, fraudulent benefit reviews, manufactured and fabricated medical reviews and intentional deception, Third Party Administrators (TPAs), Employee Retirement Income Security Act (ERISA), ERISA's Health Benefits Security Project (HBSP) and allegations of medical provider criminal fraud, subrogation, recovery of damages from a third party and plan reimbursement provisions, grandfathered plans and exemptions under the Affordable Care Act (ACA), federal parity law, and related matters. These experts in self-funded insurance may also consult on issues involving the U.S. Department of Labor, Employee Benefits Security Administration (DOL-EBSA) and legislation and regulations affecting self-funded insurance, including the Patient Protection and Affordable Care Act (PPACA or ACA), the Health Insurance Portability and Accountability Act (HIPAA), the Mental Health Parity and Addiction Equity Act (MHPAEA), the Americans with Disabilities Act (ADA), the Pregnancy Discrimination Act, the Age Discrimination in Employment Act, the Consolidated Omnibus Budget Reconciliation Act (COBRA) and related legislation.- United States
- Canada
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Jim Toole, FSA, CERA, MAAA
Life and health actuary with more than 35 years of experience in US and international markets. Background includes 20+ years of expert and litigation support as well as M&A, product development, financial reporting, audit, and regulatory roles.
Winston-Salem, NC
Brad S. Kanter, CPA/CGMA/CFF, CFE, CFI, CVA/MAFF, EA, FCPA, MAC - FAZ Forensics
Broad based financial forensic services that recognize investigating and examining people and money are both an art and a science in any forensic accounting investigation. The application of behavioral credibility analysis delivers on this methodology.
Oldsmar, FL