Heather M. Harley, AMCM, FLMI, HIA, AIRC, ACIP, ACS, MHP, HCSA, DHP, HCAFA, LTCP
- Market Regulation Manager
419 South 2nd Street
New Market, Suite 206
Philadelphia, PA 19147
Ms. Harley currently functions as Market Regulation Manager. Ms. Harley oversees market conduct examinations, proposals, special projects, and has robust and continuous experience with reviewing health insurer compliance with applicable laws and regulations. Ms. Harley joined The INS Companies as an Examiner in 2009 and has worked on examinations and compliance projects for many different states. She has extensive and comprehensive ACA and mental health parity experience working in several states. She has also been actively engaged on examinations, where she has managed ACA compliance reviews and specialized in health product lines including HMO/PPO group, individual, POS, Medicare supplement and specified disease, working in both industry and regulation. Most recently partnering with the Commonwealth of Pennsylvania, Ms. Harley has been a leader in the Affordable Care Act and Mental Health Parity regulation with the closure of three major health examinations with significant violations, consent orders, restitution, and corrective action plans.
Prior to joining the firm, Ms. Harley worked for Guggenheim Life and Annuity Company where she served as Assistant Vice President of Administration and was responsible for mail operations, agency licensing, contracting, call center, and customer relations. Ms. Harley also worked for CNO Financial Group (formerly known as Conseco) where she functioned as 2nd Vice President/Director of Compliance and performed regulatory compliance risk management, market conduct examination consent order remediation, civil and congressional investigative demands and internal audit remediation. She has provided initial and continuation strategy for legal projects from an executive management level for top risk areas.
Ms. Harley has significant knowledge and experience in the key functional activity areas of claims, premium, legal/compliance, new business, underwriting, sales/marketing, complaints/appeals/grievances and the specific business lines of property/casualty, commercial, life, annuity (fixed and variable) as well as the following types of insurance companies: private, publicly traded and mutual legal reserve.
She holds a Bachelor's degree in Business Administration from Indiana Wesleyan University – Indianapolis.