Expert Witnesses and Arbitration Experts

Expert Witnesses and Arbitration Experts

Individuals are listed in alphabetical order.

William M. “Bill” Bennett, CFP, CFCI, CSA

• Insurance Company Vice President
• Managing General Underwriter Founder
• Third Party Administrator President
• Self-Insurance Institute of America, President & Chairman
• Testified before US Congress

• Plan Sponsor v. TPA
• Insurance company v. TPA
• Plan Sponsor v. Insurance company

Bruce A. Carlson, FSA

7737 Riverdale Dr. N., Suite 100
Brooklyn Park, MN 55444

763-503-7656 (work)
763-560-8132 (fax)

• Consulting Company CEO

• Insurance Agency CEO

• Insurance Company Sr. Vice President

• Insurance Company Subsidiary Founder and Owner

• Stock, Mutual, and Fraternal Insurance Companies

• Individual and Group, Life and A&H

• Direct and Reinsurance

• Chief Actuary

• Insurance v. Reinsurance Company Dispute

• Umpire: Two Insurance v. Reinsurance Company Disputes

• Expert Witness: Three Insured v. Insurance Company Litigations

• Expert Witness: Insurance v. Reinsurance Company Arbitration

• Expert Witness: Reinsurance Broker v. Reinsurance Company Litigation

• Member of ARIAS-US

Ernest A. Clevenger, MBA, FLMI

• Insurance Company President
• Managing General Underwriter President
• Third Party Administrator President
• Self-Insurance Institute of America, President & Chairman
• Workgroup for Electronic Data Interchange, Chairman
• Testified before US Congress

• Insurer v. MGU (business ownership)
• Reinsurer v. HMO (disputed claim)
• Insurance Company v. Insurance Company (HMO MGU business ownership)
• US Dept of Justice v. Self-Funded Entity (fraud)
• nsurance Company v. Lead Reinsurer (reinsurance recoveries)
• Self-Funded Employer v. TPA (authority exceeded)

Robert Comeau, FSA

• Insurance Company President
• Individual and group insurance
• Reinsurance, pensions, and investment
• Managed Care

• ARIAS-U. S. Certified Arbitrator
• Insurance company v. pool retrocessionaires
• UK arbitration
• Stop loss practice and procedures
• Reinsurance MGU practices

Thomas A. Croft, Esq

• Attorney at Law
• Stoploss litigation and consulting

• Consultant in arbitrations and litigation.
• Host comprehensive website dedicated to legal developments relating to medical stoploss insurance at www.StopLossLaw.com.
• Regular contributor to the Self-Insurer Magazine.

Adria L. Garneau, CEBS

NiiS
199 Rosewood Drive
Danvers, Massachusetts  01923

Officer for consulting and auditing firm
Provider reimbursement consultant
HMO operations director
TPA operations manager

• Expert Witness: Provider v. Excess Loss Carrier Dispute

• Expert Witness: Reinsurer v. Carrier Dispute

• Expert Witness: Plan Sponsor v. TPA Dispute

• Expert Witness: Plan Sponsor v. Excess Loss Carrier Dispute

• Expert Witness: Carrier v. MGU Dispute

Robert E. "Bob" Grady, Jr.

509 South Lenola Road
Building No. 2
Moorestown, NJ 08057

• Managing Partner, Insurer Consultant Company

• President, Direct Marketing Company

• Vice President, Underwriting/Insurer

• MGA, Distributor of L&H lines

• Agent v. TPA

• Insurer v. Agents

• TPA v. TPA

George Kadonada, Esq.

• Benefits MGU Chairman, CEO & Director (subsidiary of major insurance company)
• Benefits MGU Chairman, CEO & Director (publicly traded company)
• Property & Casualty MGU Vice President, Secretary & Director
• Mutual Insurance Company, General Manager
• Bermuda & International Reinsurance Brokerage Firm VP, Secretary & Director
• Multiple Lines Property & Casualty Mutual Insurance Company officer
  Benefit Management Firm Unit Manager
• Founding Member, SIIA

• Developed model stop loss laws
• Expert in insurance related mergers and acquisitions

James A. Kinder

• Insurance Company Manager Employee Benefits/Professional Liability (64-68)
• Insurance Broker/Consultant (68-72)
• Third Party Administrator Sr. Vice President co-owner (72-78)
• Association Manager, Chairman/CEO (78-present)
• Self-Insurance Institute of America, Founder, CEO (81-present)
• Testified before US Congress, State Legislators
• South Carolina Captive Insurance Association, Founder, President (01-present)

Mark C. Kuhls, Esq.

7 East Gregory Boulevard
Gregory Professional Building
Kansas City, Missouri 64114

816-822-7610 (office)
816-651-9335 (cell)

Mark.Kuhls@rics-reinsurance.com
Markkuhls@yahoo.com

• Vice President-Operations for Stop Loss Managing General Underwriter
• Managing Director for Insurance Company’s Self Funded Medical and Medical Stop Loss Division
• Legal Counsel for Insurance Company
• Vice President & General Counsel for Reinsurance Intermediary and Insurance Consulting Firm
• Attorney At Law w/ client base consisting of Third Party Administrators, Managing General Underwriters, Insurance Companies and Plan Sponsors of ERISA governed Health & Welfare Plans

• TPA v. Plan Sponsor, MGU and Insurance Company-Underwriting
  Disclosure Issue
• Plan Sponsor v. TPA, MGU and Insurance Company-Underwriting Disclosure Issue
• Plan Sponsor v. TPA & Insurance Company-Underwriting Disclosure Issue
• Insurance Company v. Reinsurance Company-Rescission of Reinsurance Coverage based upon Misrepresentation
• Insurance Company v. MGU-Stop Loss Premium Administration Dispute
• Insurance Company v. Reinsurance Company-Reinsurance Coverage and Claim Denial Issues
• Plan Sponsor v. TPA, MGU and Insurance Company-Stop Loss Claim Denial Issue

Denis W. Loring, MS, FSA, MAAA

• Financial Company EVP
• Insurance Company SVP
• Insurance Company Actuary
• Reinsurance Business Head

• Arbitrator and Umpire, Reinsurance Disputes
• Expert Witness, Reinsurance Disputes
• Consultant in Arbitrations, Civil and Criminal Litigation

Thomas Stuart McCloy, Esq.

• Member Health Law Section, McBrayer, McGinnis, Leslie & Kirkland, PLLC, Lexington, Kentucky representing acute and long term healthcare facilities, and physician practice groups
• Tennessee Department of Commerce and Insurance, Compliance Officer
  Private Legal Practice, Behavioral Healthcare Corporation
• Assistant General Counsel and Corporate Compliance Officer
  Columbia/HCA Healthcare Corporation, Group Operations Counsel
  Commonwealth of Kentucky, Assistant Attorney General

• Governmental and in-house counsel.
• Skilled in civil and criminal trial litigation, legislation, lobbying and governmental relations, and as operational legal advisor to hospital business executives on full scope of contracting, compliance, medical staff and transactional issues

Mark E. Scerra, CPCU

• Senior officer for insurance auditing and consulting firm
• Litigation manager for an excess and surplus lines carrier
• Claims manager for a primary multi-line insurance carrier

• Expert witness: DOL vs. MGU
• Expert witness: Self-Funded Group vs. TPA
• Expert witness: Carrier vs. TPA
• Expert witness: Reinsurer vs. Carrier

Debora P. Seneca, RN

• Consulting Company President
• Insurance Company Director of Medical Management and Claims
• Vice President and Founder Benefit Consulting Company
• Manager Managed Care Company, UM and Case Management

Steven P. Stucky, CLU

• Self-Insurance Institute of America, President & Chairman
• Managing General Underwriter Founder, Owner, President
• Insurance Company Director and Officer
• Extensive Writer and Speaker

• Plan Sponsor vs. TPA
• Plan Sponsor vs. Insurance Company
• Insurance Company vs. MGU
• Plan Sponsor vs. Independent Agent

Kevin J. Tierney, Esq.

44 Woodlands Drive
Falmouth, ME 04105

207-781-7139 (work)
207-781-5527 (fax)

• Senior VP & General Counsel
• S&P 500 life and health insurer
• Board member of insurance subsidiaries
• Mutual fund trustee
• Mergers & acquisitions

• Arbitrator and umpire in reinsurance arbitrations

• Expert witness in reinsurance litigation

• Mediator in 4 stop loss disputes

• ARIAS US certified arbitrator

Harry Tipper, III, MBA

21 Madaket Road
Nantucket, Massachusetts 02554

508-228-1424 (work)
973-819-9623 (Mobile)

• Reinsurance Underwriting Manager:  SVP – Operations & Director of Casualty, Workers Compensation, & Occupational Accident
• Insurance Company: SVP, Business unit head, & Director of Workers Compensation
• Reinsurance Company: VP, Finance, Administration, & Information Technology
• Speaker before US and Canadian insurance & financial services regulatory agencies

• Umpire: Insurance Company-Policyholder disputes

• Expert Witness: Reinsurance disputes

• Forensic Analyst & Consultant: Ceding Company-Reinsurer-rocessionaire- MGU/MGA disputes

Deborah Perna Venella, ARe, MBA

34 Dogwood Avenue
Glassboro, NJ  08028

• Insurance/Reinsurance Run-off Manager – Vice President – Marketing, Operations, Auditing, Consulting
• Reinsurance Underwriting Manager: Vice President – Pool Management, Underwriting, Ceded Reinsurance and Operations – Accident and Health and Workers Compensation Carve-out Product Lines
• Insurance Company – Regional Underwriting Manager – Special Risk Division
• Co-chair of a technical advisory group to the Underwriting and Reinsurance Pools Working Group of the National Association of Insurance
• Commissioners. Coordinated, wrote and presented a white paper on the history and development of Voluntary Accident and Health Reinsurance Underwriting Pools.
• Member of ARIAS-US

Associate of Reinsurance
MBA – Marketing
BS – Business Administration

Eugene T. Wilkinson, CLU

• Insurance/Reinsurance Company Officer
• Underwriting/Administration – HMO, Insurance, Reinsurance, Managed Care
• Mergers – Acquisitions

• Insurance Co. v. Insurance Co. Rescission
• Insurance Co. v. Reinsurer failure to pay
• HMO v. Reinsurer disputed claim
• Stop Loss practice and procedure
• Underwriting Pool/Facility practice and procedure

Ronald L. Wobbeking, FSA, MAAA

• Insurance Company Chairman, CEO & President
• Chair of company providing Corporate Capital to Lloyds of London, Member of Board of Directors
• Member of Executive Committee and Chair of Membership and Ethical Standards Committee of Health Insurance Association of America (HIAA) 

• 17 arbitrations including 4 as umpire
• Served 7 times as expert witness
• Listed in Reinsurance Arbitration Association Arbitrators Directory
• Member of ARIAS-US
• Industry experience in all phases of live and health insurance and reinsurance