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Baker, Donelson, Bearman, Caldwell & Berkowitz, PC

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Practice/Industry Group Overview

Insurance Regulatory Group

Recognizing the need for a seamless and fully integrated insurance practice, Baker Donelson developed its Insurance Regulatory Group to meet the growing needs of the insurance industry. Our Group is comprised of former senior regulators with more than 60 years of combined experience in state insurance departments and seasoned attorneys who have spent decades representing the insurance industry in regulatory and legal matters. This experience on both sides of the regulatory equation, together with the extraordinary leadership roles undertaken throughout our careers, uniquely qualifies us to help our insurance clients successfully meet every conceivable regulatory and legal challenge.

Our services range from the routine to the complex: administrative actions, mediations and litigation; expert testimony and consultation; fraud and white collar crime; industry and trade association support; insolvencies and asset recoveries; licensing and compliance; lobbying and public policy initiatives; organizational and transactional matters; and privacy, data security and document management.
 
The Insurance Regulatory Group is comprised of:
  • George Dale, former Insurance Commissioner for the State of Mississippi, the longest-serving elected insurance commissioner in United States history, and a nationally recognized leader in insurance regulatory matters, who for 32 years was responsible for all operations and the execution of all laws and regulations by the Mississippi Insurance Department (MID).
  • Lee Harrell, former Deputy Commissioner of the MID, who oversaw all departmental legal, regulatory and administrative matters; managed the Department's response to Hurricane Katrina; and played a key role in the multi-state investigation and prosecution of Martin Frankel, who perpetrated the largest insurance fraud scheme in American history.
  • Melissa L. Hull,  former Assistant Director of Market Regulation and Licensing of the Ohio Department of Insurance and subsequent in-house counsel to a major insurance company, who served on numerous committees at the National Association of Insurance Commissioners (NAIC) including the Market Conduct Annual Statement and the Market Analysis Working Groups; helped draft the NAIC's Market Regulation Uniformity Standards; and managed numerous legal, regulatory and legislative issues on a multi-state level in the private sector.
  • Dickie Patterson, former Deputy Commissioner, Office of Health Insurance, Louisiana Department of Insurance, and general counsel for the largest workers' compensation insurer in Louisiana, with in-depth experience in health insurance, workers' compensation and insurance related legislative and public policy issues.
  • Alan Moore, an attorney with over 35 years of legal and business experience with insurance regulatory matters such as routine and complex filings, legislation, change of control and holding company issues, examinations and product development, and 12 years of experience managing a small privately-held insurance company.
  • William S. Mendenhall, an attorney with over 25 years experience representing insurance companies in a wide variety of transactional and regulated matters, complicated mergers and acquisitions, complex filings, and contentious regulatory hearings and litigation.
  • Jeffrey D. Wagner, who was employed by a major reinsurance company for five years as an actuarial student with financial analysis and reporting responsibilities before becoming an attorney concentrating on government regulatory matters, corporate law and commercial transactions.
  • David F. Maron, a litigation and dispute resolution attorney, who is experienced in administrative, trial, arbitration and appellate matters relating to insurance, products liability, and commercial and corporate disputes; active in successful tort reform efforts; and admitted to practice before all state and federal district courts in Mississippi, the U.S. Tax Court, the U.S. Court of Appeals for the Fifth Circuit and the U.S. Supreme Court.
We utilize the skills of over 35 other Firm members with specific insurance regulatory and financial services experience. We also use our extensive contact base to collaborate with other industry professionals and experts when needed to achieve the best possible results for our clients.
 
We know what regulators do, and why they do it.

Leadership Roles
 
Members of our Insurance Regulatory Group include a former Mississippi Commissioner of Insurance, a former Deputy Commissioner and General Counsel of the Mississippi Insurance Department (MID); a former Assistant Director, Market Regulation and Licensing Division of the Ohio Department of Insurance; and a former Deputy Commissioner, Office of Health Insurance, Louisiana Department of Insurance. During their regulatory careers, these individuals were in leadership roles during some of the most difficult and important industry challenges such as Hurricane Katrina, the Martin Frankel insurance fraud scandal, the refinement of the market regulation system and the imposition of federal standards for privacy of health care information.
 
In addition, several of our attorneys served as legal counsel to the MID in connection with its consideration of a unique proposal to restructure and change control of the largest domestic property and casualty company in the state, a company with approximately $1.6 billion in assets.
 
Hurricane Katrina: Working together as Commissioner and Deputy Commissioner of the MID, George Dale and Lee Harrell managed all departmental activities in the protracted aftermath of Hurricane Katrina, the largest natural disaster in American history. Katrina brought unprecedented losses to the insurance industry and extraordinary regulatory challenges including tens of thousands of claims; massive class action litigation; state and federal investigations; state and federal legislative proposals; company insolvencies, withdrawals and rate adjustments; wind pool disputes and litigation; comprehensive target examinations; and the design and implementation of a model State Mediation Program with approximately an 80% settlement rate in resolving residential property insurance claims. Simply stated, no one has more regulatory experience with the insurance consequences of catastrophic natural disasters than Mr. Dale and Mr. Harrell. 
 
Insurance Fraud: As part of the investigatory team which first discovered the fraudulent schemes and dealings of Martin Frankel, Mr. Dale and Mr. Harrell coordinated over 100 multi-jurisdictional proceedings and assisted federal and state law enforcement authorities during the investigation of Frankel’s misappropriation and theft of over $200 million from seven companies in five states--one of the most comprehensive and far-reaching insurance fraud investigations in United States history. Over $120 million was recovered for the companies' estates and 16 criminal convictions were obtained.
 
Market Regulation: While serving as Vice-Chair of the National Association of Insurance Commissioners (NAIC) Market Conduct Annual Statement (MCAS) Working Group, Melissa L. Hull was actively involved in restructuring and implementing the MCAS on behalf of 19 participating states; drafting market regulation uniformity standards and related model laws and regulations; developing chapters of the NAIC Market Conduct Handbook; composing portions of the NAIC White Paper on Suitability; and overseeing more than 100 "continuum of regulatory responses" including single and multi-state market conduct exams.
 
Medical Information and Workers' Compensation Insurance: As General Counsel for the Louisiana Workers' Compensation Corporation, Dickie Patterson led a successful nationwide effort by workers' compensation insurance companies to change language in the privacy sections of the federal Health Insurance Portability and Accountability Act (HIPAA), prior to passage, which would have hindered the flow of an injured worker's health information between health care providers and workers' compensation payors. In resolving this matter of great importance to every workers' compensation company in the country, Mr. Patterson worked closely with Bobby Jindal, the current Governor of Louisiana who at the time was the Assistant Secretary.
 
Corporate Restructuring and Change of Control: Insurance Regulatory Group members Alan Moore, Bill Mendenhall and David Maron represented the MID in its review of a complicated, one-of-a-kind corporate restructuring of the state's largest property and casualty insurer with approximately $1.6 billion in assets. This project included retaining and managing outside experts on behalf of the MID in multiple areas of expertise; interpreting and advising the MID on the applicable holding company and change of control statutes; analyzing and organizing more than 20,000 documents produced by the applicants; and planning and conducting the change of control hearing.

 

Services Available

Our Services

At Baker Donelson, we have in-depth experience with all types of regulatory and legal issues faced by the insurance industry. We are well-versed in all lines and areas of insurance including property and casualty, life and annuities, health, commercial, reinsurance, workers' compensation, professional liability, disability, title, credit, surplus lines, premium financing and residual markets. We understand federal oversight of this industry including the Gramm-Leach-Bliley Act (GLB), the Health Insurance Portability and Accountability Act (HIPAA), the Fair Credit Reporting Act, Sarbanes-Oxley and the American Recovery and Reinvestment Act (ARRA).

Administrative Actions, Mediations and Litigation: Members of our Group have helped a wide variety of insurance companies and other industry interests navigate through the often challenging and sometimes confusing administrative and legal process.
 
We have conducted administrative hearings and mediations; defended against state regulatory actions; worked on guaranty fund disputes and litigation; and overseen class action litigation related to non-original manufacturers equipment, premium insurance taxes, provider discounts, and race-based premiums.
 
Expert Testimony and Consultation: Four members of our Group have more than 60 combined years of experience in considering and deciding complex regulatory matters while serving in senior positions within state insurance departments, giving them an in-depth understanding and special credibility when providing expert testimony and advice within their respective areas of expertise.
 
Fraud and White Collar Crime: Given our involvement with the Martin Frankel case, among others, we understand the regulator’s duty to investigative and the government’s authority and discretion to prosecute.
 
We have coordinated both state and federal criminal investigations and have assisted in the prosecution of cases related to misappropriation, forgery, Racketeer Influenced and Corrupt Organizations Act (RICO) and other white collar crimes. We have prosecuted or defended against civil penalties, restitution claims and asset recoveries. We have also represented clients appearing as witnesses before both federal and state grand jury proceedings.
 
Industry and Trade Association Support: As industry insiders, we have a unique perspective and connection with insurance industry organizations and trade associations.
 
We routinely attend the National Association of Insurance Commissioners (NAIC) meetings and are familiar with the structure and the players involved. We are members of the Association of Insurance Compliance Professionals (AICP), the Insurance Regulatory Examiners Society (IRES), the IRES Foundation and the International Association of Insolvency Regulators (IAIR). We routinely participate in the SouthEastern Regulators Association (SERA) and coordinate with other trade associations on various insurance matters. Because of this, we are able to provide our clients with the insider-knowledge and support that our clients need to accomplish their goals.
 
Insolvency Matters and Asset Recoveries: Our attorneys have represented both insurance departments and companies in insolvencies and have consistently achieved favorable results.
 
We have worked on large, complicated insolvencies involving single and multi-jurisdictional licenses. We have placed companies in administrative supervision and liquidation and have aggressively pursued related asset recovery efforts.
 
Licensing and Compliance: Given our strong regulatory background, we are uniquely qualified in all aspects of compliance and have hands-on experience with single and multi-state market conduct and financial examinations.
 
Differences in state licensure laws can pose a major problem for any company or entity seeking to do business in a particular state or simultaneously in multiple states. We have special insight in this complicated field thought our work with the NAIC, departments of insurance and insurance companies, along with our work in the legislative process.
 
Our attorneys have been actively involved for many years in the licensing process of producers, agencies, third party administrators and managing general agents. That experience and familiarity with numerous state insurance regulators gives us the ability to handle multi-state licensing projects on an efficient and cost-effective basis.
 
Because we understand the compliance world from the inside out, we are able to provide our clients with the tools necessary to achieve the most favorable results. We are intimately familiar with market analysis and market conduct techniques dictated by the NAIC and implemented by the states. We have conducted or defended against audits related to prompt pay, disaster-related claims handling, credit scoring and unfair claims settlement practices, to name a few.
 
We know how to establish sound corporate governance programs and company best practices; conduct self-audits and reviews; draft, coordinate and implement product development and policy form filings; handle rate filings; and resolve other rating issues including retooling policy language due to judicial, regulatory or legislative mandates.
 
From the financial standpoint, examinations occur either by law through regularly scheduled exams or through special 'for-cause' exams. We have represented both insurance departments and insurers in these situations. And we have successfully collaborated as needed with third parties, such as consulting actuaries, independent auditors and certified public accountants.
 
This comprehensive background enables us to resolve licensure, market and financial issues in a prompt manner without the need for protracted hearings or litigation. We know the most effective and efficient way to implement any change without creating additional legal or regulatory issues.
 
Lobbying and Public Policy Initiatives: We monitor, promote or work against legislation on a single and multi-state basis, and draft legislation on behalf of our clients. We advocate for or against specific administrative actions, including the promulgation of rules and regulations. We develop and execute public advocacy campaigns at the request of our clients. We also testify before state administrative and legislative bodies and before the United States Congress.
 
Organizational and Transactional Matters: Our attorneys have represented clients in routine and complex organizational and transactional matters from the formation of insurance companies to reorganizations to dissolutions and everything in between.
 
We have formed insurers, reinsurers and captive companies and have obtained the necessary Certificates of Authority to operate these entities. We also have handled the creation, expansion and liquidation of holding company systems and other reorganizations and corporate restructurings including mutualizations, demutualizations and redomestications.
 
On the transactional side, we have been involved with all types of mergers and acquisitions including multi-state and cross-entity statutory mergers, share exchanges, recapitalizations and asset acquisitions. These transactions, when undertaken by insurance companies, must be structured and implemented within the governing regulatory framework and with careful attention to insurance-specific issues.
 
We handle private and public securities offerings, stock splits and reverse stock splits. And we have experience with a wide variety of reinsurance matters, both assumption and proportional and excess indemnity, and have handled other transactional matters such as divestitures and liquidations.
 
Privacy, Data Security and Document Management: Given our involvement with public sector entities, we are well-versed in all forms of privacy, data security and document management issues.
 
Our attorneys know privacy laws including GLB, HIPAA, ARRA and other federal and state requirements. We have firsthand experience in responding to those unfortunate incidents involving a privacy breach and have successfully minimized the potential harm to all parties.
 
We can assist our clients in developing, testing and monitoring a seamless, privacy-based data security system. We have an in-depth understanding of information technology requirements not only from a legal perspective, but from a systems perspective as well.
 
We have responded to numerous public records requests and shaped the laws affecting this area. We successfully fought to preserve the confidentiality of records in market conduct and financial examinations.
 
Finally, our Group routinely handles electronic discovery and document production requests and subpoenas, including those in connection with state and federal criminal proceedings.