Jennifer Osborn works diligently for insurance companies, third-party administrators, and other regulated entities to further their goals and help them remain compliant within the 50-state regulatory scheme. She focuses on insurance regulatory and compliance issues, with a primary emphasis on health insurance matters.

Jennifer works with many types of insurance-regulated entities, including those in the health care sector, who rely on her for research, advice, strategic counsel, and licensing. These include:

  • Insurance Companies and Health Maintenance Organizations (HMOs)
  • Third Party Administrators (TPAs) 
  • Preferred Provider Organizations (PPOs) 
  • Independent Practice Organizations (IPOs) 
  • Clinically Integrated Networks (CINs) 
  • Accountable Care Organizations (ACOs) 
  • Agents and Agencies 
  • Utilization Review Organizations (UROs) 
  • Discount Medical Plan Organizations (DMPOs) 
  • Pharmacy Benefit Managers (PBMs)

Jennifer is well versed in state health insurance laws and regulations, particularly mandated benefits, and association group insurance laws, as well as federal laws affecting the sale of health insurance, such as PPACA, HIPAA, and ERISA. She also has significant experience with unfair trade practice laws and advertising and marketing requirements, including telemarketing requirements. She regularly handles many types of insurance-related matters, including licensing and registrations; market conduct examinations; audits; national research and compliance projects; contract drafting and review; policy form filing; discontinuance and nonrenewal; and Violent Crime Control Act Issues.

Jennifer has assisted heavily regulated insurance entities comply with privacy requirements since the enactment of Gramm Leach Bliley. She has helped prepare privacy policies, manuals, and training, provided HIPAA advice, and drafted business associate agreements or privacy provisions for many clients. She has also advised clients regarding insurance regulatory data security requirements.

Education

  • Washburn University School of Law (J.D., magna cum laude, 1996)
    • Washburn Law Journal, Notes Editor; GNIP-GNOP Best Comment Award
  • Truman State University (B.A., summa cum laude, 1993)
    • General Pershing Scholar

Bar Admission

  • Kansas, 1996
  • Missouri, 1997

Professional Affiliations

  • Kansas Bar Association
    • Past President, Insurance Section
  • The Missouri Bar
  • Association of Insurance Compliance Professionals (AICP)
  • United Way Young Leaders Society
  • Federation of Regulatory Counsel, Inc. 

Recognition

  • BV Rated Martindale Hubbell
Publications
Missouri Attorney General Files Suit Against Pharmacy Benefit Managers and Drug Manufacturers for Alleged Insulin Pricing Scheme
Key Takeaways The Missouri AG filed suit in St. Louis County Circuit Court against several PBMs and drug manufacturers, alleging they conspired to manipulate Missouri’s health care market and unlawfully drive up insulin prices. The AG’s office seeks restitution and damages for affected consumers, injunctive relief to halt the alleged practices and a finding of unjust enrichment by the Defendants. Missouri Attorney General Catherine Hanaway recently filed suit against a number of Pharmacy Benefit Manager (PBM) companies and drug manufacturers (collectively, the Defendants) doing business in Missouri. According to the Missouri Attorney General's (AG) office, the Defendants have allegedly manipulated Missouri's health care markets, resulting in a significant increase in the price of insulin medication. The Missouri AG's lawsuit, filed in St. Louis County
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Texas Regulatory Action Underscores Insurer Accountability for TPA Compliance
Key Takeaways: A Florida-based insurer was recently fined by the Texas Department of Insurance for failing to ensure the competent administration of its programs by working with an unlicensed TPA and failing to conduct statutorily required semiannual reviews and biennial on-site audits of the TPA. The insurer entered into a Consent Order with the Department and was fined $250,000. The Consent Order also required the insurer to provide the Department with information about the insurer’s other contracted TPAs, including their names, license numbers and contracts. This regulatory action underscores the importance for insurers to work with licensed TPAs and conduct statutorily required audits of TPAs to ensure their TPA business partners are licensed and compliant. A Florida-based insurer recently entered into a Consent Order with
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