University Health Care, Inc., operates Passport Health Plan, a Medicaid managed care plan that serves more than 165,000 members in 16 Kentucky counties. The National Committee for Quality Assurance ranked Passport Health Plan in the top 25 of all Medicaid health plans in the country for the last six consecutive years. As Chief Compliance Officer, David Henley is responsible for all compliance activities for University Health Care, Inc. including ensuring compliance with the requirements set forth in contractual agreements with the Centers for Medicare and Medicaid Services (CMS) and the Kentucky Cabinet for Health and Family Services (CHFS). Mr. Henley will also be responsible for oversight of all University Health Care, Inc. subcontractors as required by CMS and CHFS.

Advised staff regarding internal compliance with regulatory authorities such as Departments of Insurance, Department of Labor and Centers for Medicare and Medicaid Services.Advised corporate staff regarding mergers and acquisitions.Advised corporate staff regarding state insurance department market conduct examinations and financial audits. Respond to reports generated from these examinations and audits.Advised corporate staff regarding state and federal legislation, including HIPAA, COBRA, ARRA, ERISA and Mental Health Parity. Advised corporate staff regarding claim procedures, customer service issues and insurance practices with agents, brokers, providers and policyholders.Drafted and reviewed contracts, including insurance policies, confidentiality agreements, vendor agreements, settlement agreements and administrative service agreements.Reviewed financial statements, booklets, advertising and policyholder policies, letters and notices.Supervised attorneys, paralegals and administrative assistants

Extensive experience as a supervisory attorney with insurance expertise in regulatory, transactional and corporate law. Provided legal advice to staff on the following topics:* Contracts * Legislation * Mergers and Acquisitions* Network Management * Medical Management * Underwriting* Finance * Sales and Marketing * Compliance; Duties include providing legal support for the UniCare companies whose primary business was in Illinois and Texas. Also, responsible for providing legal support for HealthLink, a network rental company located in; , spent two years as Associate General Counsel responsible for the Missouri and Wisconsin Blue Cross and Blue Shield companies. Initially, joined Blue Cross and Blue Shield of Missouri in 1995 as Senior Counsel providing legal support to the Missouri Blue Cross and Blue Shield companies.

Successfully obtained approval from the Missouri Department of Insurance for BCBSMO to market and sell newly developed products directed at the uninsured population in Missouri.Advised staff and assisted in drafting and review of assumption reinsurance agreements, purchase and sale agreements and administrative agreements associated with the sale of UniCare business in Texas; Negotiated a favorable settlement with the Missouri Department of Insurance to reduce a penalty amount by $200K relative to a 2002 market conduct examination of two of the Missouri Blue Cross and Blue Shield companies. Formed a health maintenance organization (HMO) in West Virginia for Medicaid business, which involved drafting provider agreements and vendor contracts, obtaining the certificate of authority, and gaining approval from the West Virginia Insurance Commission. Provided legal advice and direction to UniCare staff in developing a plan of action for privacy matters related to unauthorized access to member data, which limited potential regulatory actions. Researched state privacy laws and assisted with drafting notices to members. Plan of action limited regulatory action to one state, for which I negotiated a favorable settlement. Assumed a leadership role in working with the Illinois Life Insurance Council to provide comments to the Illinois Department of Insurance relative to the Illinois PPA regulations. Convinced the Illinois Department of Insurance to make changes to the regulations.

Duties involved providing legal support for the WellPoint enterprise and its subsidiaries, Anthem Blue Cross Blue Shield in Missouri, Wisconsin and Indiana, HealthLink, Inc. and UniCare. Provided legal advice to staff on the following topics: Compliance, Legislation, M&A, Network Management, Medical Management, Underwriting, Finance, Sales and Marketing and Advertising.

in-Charge - Market ConductExamined insurance companies, health maintenance organizations, third party administrators, title insurance companies and agencies to ensure compliance with Missouri statutes and regulations. Supervised a team of insurance examiners in reviewing policy forms, advertising, complaints and claims, and in preparing examination reports.Advised Insurance Department staff regarding state and federal legislation, model laws and examination policy and procedures.Attorney, InvestigationsSupervised investigators in the investigation of complaints against agents, brokers, insurance agencies and MEWAs. Processed cases filed at the Administrative Hearing Commission. Drafted insurance regulations regarding health maintenance organizations and MEWAs.

Trial Defense Counsel: Represented and counseled military personnel at court martial hearings and pre-trial hearings.Administrative Law Attorney: Provided legal advice to command personnel and staff regarding employment and labor law issues, civil rights issues, community relations and involuntary commitment procedures.Legal Assistance Officer: Counseled soldiers regarding family and domestic law, contracts, taxes, bankruptcy and criminal matters. Drafted wills, separation agreements and leases.