hawaii captive insurance council€¦ · hawaii captive insurance council reminder the annual...

From: Hawaii Captive Insurance CouncilTo: Fay OkamotoSubject: Reminder - HCIC Membership Meeting & Director ElectionsDate: Friday, October 17, 2014 2:25:22 PM

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Hawaii Captive Insurance Council

** REMINDER **

The Annual General Meeting of the Membership of the Hawaii CaptiveInsurance Council Corporation will be held on Tuesday, October 21, 2014,5:00 p.m. HST, at the JW Marriott Ihilani Resort at Ko’Olina on the island ofOahu.

Attached to this message are:- Meeting notice- *NEW* Treasurer’s report- Director candidate nomination forms

Please note that voting will be conducted online. If you have alreadyvoted, thank you! If you haven’t voted yet, you should receive a reminderfrom the on-line voting system. If you haven’t received an email link to yourOfficial Ballot, you can request that one be sent to you by clicking below:

https://www.electionsonline.com/vote/login.cfm

If you need further assistance with requesting your Ballot, please let us knowby contacting our HCIC Project Coordinator, Kari Nettel,at [email protected]

Online voting will remain open until Tuesday, October 21, 2014 at 12 noonHST.

If you have any questions, please feel free to contact me at 808.426-5906.

Aloha and kind regards,

Fay Okamoto, Chair of the BoardHawaii Captive Insurance Council

mailto:[email protected]


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Sample email sent to members

***PROXY STATEMENT*** By submission of the Official Ballot, Member hereby appoints arandomly selected member of the HCIC board of directors as proxy, with power ofsubstitution, and hereby authorizes said individual to represent and exercise Member’s votingright, as designated below on behalf of Member, which Member would be entitled to exerciseat the Annual General Meeting of the Members of the Corporation on Tuesday, October 21,2014, at 5:00PM (Hawaii Standard Time).

This Proxy will be voted in the manner directed thereon by the undersigned on behalf ofMember. The above-named proxy is instructed to cast one (1) vote on behalf of Member asdirected in the Official Ballot.

The Board of Directors knows of no other matters that may properly be, or which are likelyto be, brought before the meeting for a vote by the members. However, if any othermatters are properly brought before the meeting, the person named in this proxy or hissubstitute will vote in accordance with his or her best judgment.

The proxy shall be valid solely for the purpose of the Annual General Meetingof the Membership of HCIC and any adjournments thereof, unless otherwisewithdrawn prior to the commencement of said meeting.

Click Here to renew your membership

This email communication was sent by:Hawaii Captive Insurance CouncilP. O. Box 2815Honolulu, HI 96803

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NOTICE OF ANNUAL GENERAL MEETING OF THE MEMBERS OF HAWAII CAPTIVE INSURANCE COUNCIL CORPORATION

Tuesday, October 21, 2014 4:30PM (Hawaii Standard Time)

HCIC Educational Forum 2014 J.W. Marriott Ihilani Resort and Spa at Ko’Olina

Island of Oahu, 96707

TO THE MEMBERS OF HAWAII CAPTIVE INSURANCE COUNCIL CORPORATION (“HCIC”):

The Annual General Meeting of the Members of HCIC will be held on Tuesday, October 21, 2014 at the time and location indicated above.

The primary purpose of the Meeting will be to present the President’s and Treasurer’s reports, elect directors, and transact any other business as may properly be brought before the Meeting.

DATED: Honolulu, Hawai`i, October 3, 2014

HAWAII CAPTIVE INSURANCE COUNCIL CORPORATION

By: /s/ Jerelyn A. Brown

Its : Secretary

P.O. Box 2815 Honolulu, Hawaii 96803

o

Finance Committee Report to the Membership

Date: October 21, 2014

Submitted by: Jason Palmer, Treasurer Finance Committee Members: Jason Palmer, Christina Kamaka, and Jamie Asato

Attached to this report the Company’s financial statements for the fiscal year ending

June 30, 2014, and the fiscal year 204/2015 proposed budget. Results Compared to 2013/2014 Budget ‐ The Company had net income of $91,000 in excess of the budgeted net income for the July 1, 2013 – June 30, 2014 fiscal year. This is largely due to a successful Educational Forum under budget by approximately $46,000, and several large budgeted expense items: Economic Impact Study ‐ $10K, Marketing ‐ $10K, Promotions – 4K, and Lobbying Expenses – $6K all of which were not utilized in the fiscal year. Review of Cash Portfolio ‐ The Company currently has approximately $489,000 in cash and cash equivalents invested as follows:

Type of Cash & Cash Equivalents Amount as of 6/30/2014

Checking Account, with no return $137,552 Money Market Account, yielding .07% $100,106 Certificate of Deposit, yielding .15%, and set to mature on January 28, 2015

$125,000

Certificate of Deposit, yielding .15%, and set to mature on July 30, 2014

$125,000

Finance Due Dates –The Finance Committee has put together a schedule of due dates associated with the Company’s financial operations. As of now, all filings are up to date. Fiscal Year 2015 Budget – Each Committee has submitted their respective proposed budgets which have been combined into the overall proposed budget attached to this report. The proposed budget, which includes the input from the strategic planning meeting, shows a net loss for the fiscal year in the amount of $47,721. This projection is consistent with prior Oahu Forum years, and compares to the 2013/2014 fiscal year budget of a net loss of $2,991. Major expenditures have increased for marketing (increase of $10,000 over prior budget) and legislative (increase of $8,000 over prior budget). It should be noted that neither of these budgeted items were utilized in fiscal year 2013/2014. In addition the budget includes the new HCIC Scholarship Program.

P.O. Box 2815 Honolulu, Hawaii 96803

Hawaii Captive Insurance CouncilBalance Sheet

As of June 30, 2014 and June 30, 2013

June 30, 2014 June 30, 2013

ASSETSBOH Checking 137,552 107,488 BOH Money Market 100,106 150,033 Time Certificate of Deposit 250,000 200,000

487,658 457,521

Accounts Receivable 9,272 10,525 Deposits - Forum 5,000 5,000 Prepaid expense - Forum 17,729 2,151 Prepaid expense - Other 1,069 1,038

TOTAL ASSETS 520,728 476,235

LIABILITIES & EQUITYAccounts PayableAccrued Expenses 2,857 3,695 Dues Recd in Adv - Owners 7,475 6,988 Dues Recd in Adv - Service Prov 10,400 12,400 Forum Early Bird Member Received - 795 Forum Sponsorhips Received 31,000 71,500

Total Liabilities 51,732 95,378

EquityOpening Bal Equity 7,519 7,519 Retained Earnings 373,337 358,980 Net Income 88,140 14,358

Total Equity 468,996 380,857

TOTAL LIABILITIES & EQUITY 520,728 476,235

Hawaii Captive Insurance Council2014 - 2015 Budgeted Income Statement

Acutal Actual BudgetYTD 6/30/13 YTD 6/30/14 2014 - 2015

Income Forum Sponsorship 42,000$ 82,000$ 56,500$ Golf - 5,700 - Registration 116,657 157,290 117,000 Dues 43,763 40,787 37,675 Other - - Interest 132 393 200 RIMS-State Funds - -

Total Income 202,552 286,170 211,375

Expenses Forum 81,751 115,607 113,700 Forum Attrition Reversal - - - HCIC Coordinator Services 57,750 60,395 60,637 Accounting Services 3,695 3,914 4,000 Industry Liason - 3,000 5,000 Insurance 2,017 2,106 2,150 Conference line for EC & BOD mtgs 922 1,241 1,500 Miscellaneous 201 29 50 Storage fees 641 641 650 PO Box 180 399 400 Tax Services - - - Meetings 331 1,012 1,500 Banking Fees 33 77 100 Utilities 404 572 600 Postage 9 - - Long Range Planning - - - Charitible Contribution - - - Credit Card Fees 87 6 - Membership 1,487 1,246 1,770 Seminars/Webinar 1,332 1,530 2,250 Promotions (newsletter & pubs) 563 - 4,000 Scholorships 12,500 Marketing 15,000 - 20,000 Economic Impact Study - 500 - Japan Seminar 445 - 1,500 Trade Shows & Advertising 15,822 3,312 6,489 RIMS Dinner 380 1,396 2,100 Social Functions 680 700 Booth - - - Website 4,677 368 1,500 Legislative expenses 467 - 16,000 CFCI Donation - - - Total Expenses 188,194 198,031 259,096

Net Income (Loss) 14,358$ 88,139$ (47,721)$

- - - (1) - (1)

9/18/2014 HCIC Budget - 2014_20152013-14 Budget

Hawaii Captive Insurance Council Application for Nomination

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Important Notice: By-laws require that nominees for HCIC directors or officers be a “designated representative” of an HCIC member in good standing. Before submitting an application for

consideration, please ensure that (1) your organization will be joining as an HCIC member in the next 2 calendar years, and (2) you are the “designated representative” to represent your

organization in official HCIC member matters, and if applicable, as a director or officer of HCIC.

Please note that HCIC Director terms have been revised to two years. Information on this form will be considered public, and will be disclosed to HCIC members for the purpose of director elections, as well as the HCIC Board of Directors and Executive Committee for the purpose of nominating officers.

1. Full Name (First, Middle, Last) Jamie Shizue Asato

2. Title Assurance Managing Director

3. Employer Accuity LLP

4. Captive Name (if applicable) N/A

5. Address 999 Bishop Street, Suite 1900

6. Phone (808) 531-3442 7. Fax (808) 531-3433

8. E-mail [email protected]

9. Education & Degrees:

College BABA in Accounting, Seattle University

Graduate or Professional N/A

Active Professional Designations (CPA, CIC, CPCU, ARM)

CPA

Inactive Professional Designations (obtained but not currently licensed)

N/A

10. I have been an HCIC member for 16 Years

(Including Years under previous employment)

10a. X I am currently an HCIC director, since 2011 (indicate Year of first term)

10b. X I am currently an HCIC officer (indicated below), since 2012 (indicate Year of first term)

President Vice President Treasurer X Asst. Treasurer

Secretary Asst. Secretary


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11. I have never been convicted or pleaded guilty or entered a plea of nolo contendere to any felony or

misdemeanor involving embezzlement, theft or larceny, fraud, deceit, misrepresentation, or moral turpitude, or charging a violation of any corporate securities statute or any insurance law, nor have I been the subject of any cease and desist order or any disciplinary proceedings of any federal or state regulatory agency, except as follows:

X None

Other, described below:

12. I have never been adjudicated as bankrupt, except as follows:

X None


13. I have never been an officer, director, trustee, key employee, or controlling stockholder of an entity which, while I occupied any such position or in the 12 months subsequent or capacity with respect to it, became insolvent or was placed in conservatorship, or was enjoined from or ordered to cease and desist from violating any law, except as follows:

X None


14. Describe your past service to HCIC, including but not limited to directorship or officership positions, involvement in HCIC committees, HCIC speaking engagements, or other volunteer assignments.

I have served as Assistant Treasurer since 2011, been on the Forum Committee since 2012, Education Committee since 2013 and also served as a speaker in previous HCIC Forums.

15. Describe other relevant service to similar organizations.


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16. If elected, describe what aspects of HCIC operations you intend to become involved in: Officership (subject to satisfying qualifications for officership and election by the Board of Directors. Please note that officers are expected to serve for a period of two years).

President (must have previously served as an executive officer – VP, treasurer, or secretary) Vice President Treasurer Secretary X Assistant Treasurer Assistant Secretary

Committee Assignments

Membership Committee Marketing Committee Website Committee Legislative Committee X Education Committee (includes Forum) Other (please specify below)

17. Provide a brief narrative describing your qualifications to serve on the HCIC Board of Directors:

Jamie Asato is an Assurance Managing Director at Accuity LLP. She received her BABA from Seattle University. She is a CPA licensed in Hawaii. Jamie specializes in serving insurance and retail clients. She would like to be re-elected as a HCIC director, and continue serving on the Education committee.

By submitting this form, I hereby certify that the foregoing statements are true and correct to the best of my knowledge and belief. I also certify that to the best of my knowledge, my organization is or will join as a member of the HCIC for the forthcoming year, and that I am or will be the designated representative to represent my organization official HCIC member matters, and if applicable, in the capacity as an HCIC director or officer. I understand and acknowledge that the information contained herein will be made public to HCIC members for the purpose of director elections. This information will also be used by the HCIC’s Board of Directors and executive committee for the nomination of officers. Note that Director commitments are for a period of two years.


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1. Full Name (First, Middle, Last) Cynthia June Belcher

2. Title Chief Operating Officer

3. Employer Cooperative of American Physicians, Inc.

4. Captive Name (if applicable) Cooperative of American Physicians Insurance Company, Inc. (CAPIC)

5. Address 333 South Hope Street, 8th Floor, Los Angeles, CA 90071

6. Phone 213-473-8742 7. Fax 213-473-8776



College BS, Microbiology; BS Science Education

Graduate or Professional





10a. I am currently an HCIC director, since (indicate Year of first term)

10b. I am currently an HCIC officer (indicated below), since (indicate Year of first term)

President Vice President Treasurer Asst. Treasurer



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X None



X None



X None



I spoke on a panel at HCIC in 2013.


I am a Board member and past president of the National Insurance Industry Council for City of Hope.


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16. If elected, describe what aspects of HCIC operations you intend to become involved in: Officership (subject to satisfying qualifications for officership and election by the Board of Directors. Please note that officers are expected to serve for a period of two years). Any if chosen.

President (must have previously served as an executive officer – VP, treasurer, or secretary) Vice President Treasurer Secretary Assistant Treasurer Assistant Secretary


X Membership Committee X Marketing Committee Website Committee Legislative Committee X Education Committee (includes Forum) Other (please specify below)


As chief operating officer and president of CAPIC, I am keenly aware of the issues facing captives, especially in California. I have a strong interest in the growth and success of the captive industry, particularly in Hawaii. Our company has a strong allegiance to the state of Hawaii and all it has done for us throughout the years.



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1. Full Name (First, Middle, Last) David William Bell

2. Title Executive Director Corporate Risk Management

3. Employer Kaiser Permanente

4. Captive Name (if applicable) Lokahi Assurance, Ltd.

5. Address One Kaiser Plaza

Oakland, California 94612

6. Phone 510-271-2661 7. Fax 510-271-6339



College BA , Drew University






10a. X I am currently an HCIC director, since 10/2012 (indicate Year of first term)





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X None



X None



X None



Have been on the HCIC board for two terms. Have been a speaker and panelist at the HCIC forum at four or five sessions over the last several years.


Have participated in local and national RIMS organization and have been a speaker and panelist at two RIMS national conferences.


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X Membership Committee X Marketing Committee Website Committee Legislative Committee X Education Committee (includes Forum) Other (please specify below)


President and director of Kaiser’s Hawaii captive, Lokahi, since its inception more than a decade ago. Have also served as an officer and director of Kaiser’s Vermont and Bermuda captive subsidiaries and have gained insight into how other captive domiciles compare in terms of governance structures, regulatory relations, and marketing approaches. Prior to coming to Kaiser served in a variety of insurance industry roles including commercial national account underwriting positions, senior client executive and department chair at an international brokerage firm, vice president of risk management at a Fortune 50 company.



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1. Full Name (First, Middle, Last) Jerelyn A. Brown

2. Title Vice President

3. Employer First Hawaiian Bank


5. Address 999 Bishop Street, 28th Floor, Suite 2806

Honolulu, Hawaii 96816

6. Phone (808) 525-5869 7. Fax (808) 525-7044



College Bachelor of Arts, University of Hawai’I at Manoa

Graduate or Professional Masters of Business Administration, Chaminade University of Honolulu


None


10. I have been an HCIC member for Years



10b. X I am currently an HCIC officer (indicated below), since 10/2012 (indicate Year of first term)


X Secretary Asst. Secretary


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X None



X None



X None



I have served as director on the HCIC board since 2009 and as Secretary since 2012. In addition, I’ve served on the HCIC Forum Committee and as moderator on various HCIC speaker panels.


I currently serve as Chairman of the Board for the Financial Planning Association of Hawaii thru December 2014. Previously, I served as President, Chair of the Pro Bono, Marketing, and Symposium Committees.


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President (must have previously served as an executive officer – VP, treasurer, or secretary) Vice President Treasurer X Secretary Assistant Treasurer Assistant Secretary


Membership Committee X Marketing Committee Website Committee X Legislative Committee Education Committee (includes Forum) Other (please specify below)


Ms. Brown has over 25 years of trust experience in institutional custody and investments and has been with First Hawaiian Bank since 1999, where she holds the title of Vice President. She serves as an Investment and Trust relationship officer for captive and institutional accounts at First Hawaiian Bank. Jerelyn holds a BA in Political Science from the University of Hawaii and an MBA from Chaminade University.



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1. Full Name (First, Middle, Last) Peter B. Carlisle

2. Title Partner

3. Employer O’Connor Playdon & Guben LLP

4. Captive Name (if applicable)


Honolulu, HI 96813

6. Phone 524-8350 7. Fax 531-8628



College UNC Chapel Hill; B.A. with Highest Honor in Psychology

Graduate or Professional UCLA; Juris Doctor


Esq.









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√ None



√ None



√ None



In the past year, I have represented a captive insurance company and worked with the State Department of Commerce and Consumer Affair’s Insurance Division to ensure that excessively burdensome and restrictive requirements were not implemented, thereby preserving the flexibility that captive insurance companies currently have with respect to insuring and underwriting business decisions and helping to solidify the advantages of managing risk through the use of captive insurance entities.


During my term as mayor of the City and County of Honolulu during 2010 – 2012, I managed and coordinated efforts among numerous government agencies and private enterprises to redevelop and restore Honolulu’s infrastructure and engaged in extensive promotion of Honolulu as a major business hub for the Asia-Pacific region and as a world-class city.


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Membership Committee Marketing Committee Website Committee X Legislative Committee Education Committee (includes Forum) Other (please specify below)


See responses to question nos. 14 and 15.



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1. Full Name (First, Middle, Last) Helen Chang

2. Title Vice President

3. Employer Bank of Hawaii

4. Captive Name (if applicable) NA

5. Address 130 Merchant Street, 20th floor

Honolulu, Hawaii 96813

6. Phone 808 694-8853 7. Fax 808 694-4726



College University of Hawaii, Manoa – B.A. in accounting

Graduate or Professional Chaminade University – Masters in Business Administration


Certified Treasury Professional









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X None



X None



X None



2012 through 2014 – HCIC director and HCIC educational forum committee member 2011 and 2010 – HCIC secretary and director 2009 and 2008 - HCIC educational forum committee member


2014 – Sacred Hearts Academy director, board treasurer, and finance committee chair. 2011 through 2013 – Sacred Hearts Academy director and finance committee member.


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Helen Chang services captive insurance clients as a vice president in the Commercial Deposit Management Center at Bank of Hawaii. Helen has been actively involved with the Hawaii captive insurance industry and in the HCIC since 2008. If re-elected Helen will continue to serve on the Educational Forum Committee.



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1. Full Name (First, Middle, Last) Ward R.H. Ching

2. Title Vice President, Risk Management Operations

3. Employer Safeway Inc.

4. Captive Name (if applicable) Lehua

5. Address 11555 Dublin Canyon Road

Pleasanton, CA 94520

6. Phone 415.902.3820, 925.353.8063 7. Fax 925.226.5469



College BA, MA, PhD (ABD), University of Southern California



RIMS


Licensed Insurance Broker, State of California (inactive)

10. I have been an HCIC member for Since Inception

Years

(Including Years under previous employment) Formally and informally as a broker, consultant and advisor to the State of Hawaii

10a. X I am currently an HCIC director, since 2010-11 (indicate Year of first term)

10b. X I am currently an HCIC officer (indicated below), since (indicate Year of first term)

President X Vice President Treasurer Asst. Treasurer



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X None



X None



X None



Involved with formation of Hawaii Domicile and HCIC. Participated as a Broker member to HCIC Mainland and On-Island Captive Marketing and Forum Presentations. Involved in Captive Marketing for Hawaii in the Western US.



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President (must have previously served as an executive officer – VP, treasurer, or secretary) X Vice President Treasurer X Secretary Assistant Treasurer X Assistant Secretary


Membership Committee X Marketing Committee Website Committee X Legislative Committee X Education Committee (includes Forum) Other (please specify below)


As a consultant and broker at Tillinghast, Marsh and Aon, I have been involved with the development of the Hawaiian Captive Industry for over 20 years. I have directly or participated in the formation of many significant captives in Hawaii. I have had the privilege of working with most of the key State regulators, captive managers, financial institutions, lawyers and accounting professions associated with captives. I now have the new opportunity to serve HCIC as a captive owner with Safeway. My interest is in continuing to promote, attract and domicile high quality captives to Hawaii as well as to continue to expand the growth and of innovative the uses of captives and productive alternative risk finance methods to accomplish critical corporate risk management requirements. I currently serves as a Board Member of Safeway’s Hawaii captive. I am also active in other organizations including RIMS. If elected as a HCIC director, I am willing to continue serving on the Marketing, Education and Legislative committee, and would like to seek election as the Secretary or Vice President of the HCIC.

By submitting this form, I hereby certify that the foregoing statements are true and correct to the best of my knowledge and belief. I also certify that to the best of my knowledge, my organization is or will join as a member of the HCIC for the forthcoming year, and that I am or will be the designated representative to represent my organization official HCIC member matters, and if applicable, in the capacity as an HCIC director or officer. I understand and acknowledge that the information contained herein will be made public to HCIC members for the purpose of director elections. This information will also be used by the HCIC’s Board of Directors and executive committee for the nomination of officers.


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Note that Director commitments are for a period of two years.


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1. Full Name (First, Middle, Last) MATHEW JAY HOWARD

2. Title PARTNER – MOORE INGRAM JOHNSON & STEELE , LLP AND MANAGER – MIJS CAPTIVE MANAGEMENT, LLC

3. Employer MOORE INGRAM JOHNSON & STEELE, LLP

4. Captive Name (if applicable) MIJS CAPTIVE MANAGEMENT, LLC

5. Address 326 Roswell Street

Marietta, GA 30060

6. Phone 404-771-0202 7. Fax 770-429-8631



College Vanderbilt University – B.S. Economics

Graduate or Professional Capital University Law School - J.D. Emory University – LL.M. Taxation










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X None



X None



X None



MIJS Captive Management, LLC has been an active sponsor for the HCIC Annual Forums from the time it joined through the present date.


Former Board Member KY Captive Insurance Association


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X Membership Committee Marketing Committee Website Committee Legislative Committee X Education Committee (includes Forum) Other (please specify below)


Matthew J. Howard, JD, LL.M. is the senior partner in the corporate, tax and estate planning department of Moore Ingram Johnson & Steele, LLP (“MIJS”) and formed the firm’s captive insurance company practice in 2006. MIJS Captive Management, LLC, a wholly owned subsidiary of MIJS, currently manages 95 small captive insurance companies domiciled in Alabama, Kentucky, Delaware, Hawaii, Montana, South Carolina and Utah for privately held businesses throughout the United States. MIJS Captive Management, LLC has been nominated as a finalist for the Independent Captive Manager of the Year and Best Customer Care for the 2014 US Captive Service Awards.



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1. Full Name (First, Middle, Last) Jill A. Miura

2. Title Senior Manager

3. Employer KMH LLP


5. Address 1003 Bishop Street, Suite 2400, Honolulu, Hawaii 96813

6. Phone 808 527-2212 7. Fax 808 536-5817



College University of Hawaii at Manoa



CPA


10. I have been an HCIC member for 10+ Years

(Including 3 Years under previous employment)

10a. X I am currently an HCIC director, since 2010 renewal term

(indicate Year of first term)





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X None



X None



X None



I have held the following officership positions: Vice President; Treasurer; Assistant Treasurer and have participated in the following committees: 2002, 2004 & 2006 Honolulu one day seminar; 2003, 2005, 2007, 2008 (chair) 2009 - 2014 Forum Committees; education committee chair, website committee and finance committee


None


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Jill Miura primarily services captive insurance clients as a senior manager in the audit division at KMH LLP. Jill has been involved with Hawaii’s captive insurance industry since 1998 and an active member of HCIC since 2000. If elected, Jill is willing to serve HCIC as a committee member.



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1. Full Name (First, Middle, Last) Fay Sanae Okamoto

2. Title Division Senior Vice President

3. Employer Artex Risk Solutions, Inc.


5. Address 1357 Kapiolani Blvd, Ste 1430

Honolulu, HI 96813

6. Phone 808-426-5906 7. Fax 808-426-5905



College Bachelors in Business Administration, University of Hawaii



CIC


CPA



10a. X I am currently an HCIC director, since Oct 2009 (indicate Year of first term)

10b. x I am currently an HCIC officer (indicated below), since

Nov 2012 Chair (indicate Year of first term)



Note: I can serve as a director for one more year before reaching six-year maximum director term limit.


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X None



X None



X None



Chair, 2012-present; Director Oct 2009-present; Vice Chair – 2010-2012; Website Committee member. Forum Committee 2013; Website Committee Chair 2004-2011; Vice President 2007-2008; Director 2003-3008; Governance Committee Chair 2004-2007; Forum Committee Chair – 1998 & 1999; Forum Committee member 1996-2005.


None.


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16. If elected, describe what aspects of HCIC operations you intend to become involved in: Officership (subject to satisfying qualifications for officership and election by the Board of Directors. Please note that officers are expected to serve for a period of two years). Willing to serve in whatever capacity deemed appropriate by HCIC Board.



Membership Committee X Marketing Committee X Website Committee X Legislative Committee Education Committee (includes Forum) Other (please specify below)


Fay heads the Hawaii captive management office of Artex Risk Solutions, the alternative risk specialists of Arthur J. Gallagher. She has overseen significant projects for the HCIC including governance structure and website re-design, and is currently Chair of the Board. Given the challenges facing Hawaii as a captive domicile and the captive industry as a whole, she would like to assist HCIC in moving forward on marketing initiatives and outreach within local and national circles to continue promoting Hawaii’s prominence as a captive domicile.

By submitting this form, I hereby certify that the foregoing statements are true and correct to the best of my knowledge and belief. I also certify that to the best of my knowledge, my organization is or will join as a member of the HCIC for the forthcoming year, and that I am or will be the designated representative to represent my organization in official HCIC member matters, and if applicable, in the capacity as an HCIC director or officer. I understand and acknowledge that the information contained herein will be made public to HCIC members for the purpose of director elections. This information will also be used by the HCIC’s Board of Directors and executive committee for the nomination of officers. Note that Director commitments are for a period of two years. ** Note: I can serve as a director for one more year before reaching six-year maximum director term limit. **


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1. Full Name (First, Middle, Last) Kristinn Gudni Olafsson

2. Title Deputy Superintendent

3. Employer El Monte City School District

4. Captive Name (if applicable) Captive Insurance for Public Agencies (CIPA)

5. Address 1357 Kapiolani Boulevard, Suite 1430

Honolulu, HI 96814

6. Phone (808) 426-5906 7. Fax (808) 426-5905



College Cal Poly Pomona, California

Graduate or Professional University of Redlands, California










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X None



X None



X None



CIPA has attended practically every HCIC Forum, generally with 10+ registered participants each time, since the company formed in 2005. CIPA representatives organized and spoke at a Forum session in 2011.


Served as the President, Vice President and currently serving the ASCIP JPA organization as its Treasurer along with being the Chair of the Finance Committee. Proudly served on the ASICP JPA Board of Directors for over 16 years and 10 years as the President of the subsidiary of ASCIP, Captive Insurance for Public Agencies (CIPA) in Hawaii. Founding member of the MERGE JPA in El Monte, CA, serving as the Treasurer for over 15 years and in other leadership roles. The first JPA with 5 school districts in the State to join ASCIP JPA as a member to gain insurance and workers’ compensation.


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Chief Business Officer in public school districts in Los Angeles County for over 27 years with experience in the insurance field by my long term involvement and commitment to the ASCIP JPA over the years. Active in my community as member of the City of El Monte Oversight Committee to Dissolve the Redevelopment Agency, Director of the Wayne Clayton Foundation in the San Gabriel Valley helping children and seniors, members of the El Monte Kiwanis Club, and active members of the California Association of School Business Official (CASBO) for years and served as their annual conference Co-Chair. Been privilege to attend the HCIC Conference in the State of Hawaii for over 10 years and gained knowledge of this important industry for the islands.



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1. Full Name (First, Middle, Last) Jason L. Palmer

2. Title Managing Director

3. Employer Willis Management (Hawaii)



Honolulu, HI 96813

6. Phone (808) 521-0730 7. Fax (808) 521-0724



College BA – Concentration in Accounting from Champlain College in Burlington, Vermont



AIAF, CPA, Licensed Resident Producer





10b. X I am currently an HCIC officer (indicated below), since 8/2013 (indicate Year of first term)

President Vice President X Treasurer Asst. Treasurer


Vice Chairman November 2007-2008, President November 2008-2009


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X None



X None



X None



I am currently a Director and the Treasurer of the HCIC. I am currently the chair of the 2014 Forum Committee and the Finance Committee. Additionally, I am an active participant on the Executive Committee (as the Treasurer) and the Legislative Committee (including sub-committees). I have coordinated sessions and spoken at many HCIC events in the past.


Prior to my tenure in Hawaii I served on the Conference Committee of the Vermont Captive Insurance Association. I also served as of member of the Hawaii RIMS Chapter 2006 RIMS steering Committee. I am a member of the Arizona Captive Insurance Association, Nevada Captive Insurance Association, Utah Captive Insurance Association, and the Micronesian Captive Insurance Council.


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President (must have previously served as an executive officer – VP, treasurer, or secretary) Vice President X Treasurer Secretary Assistant Treasurer Assistant Secretary


Membership Committee Marketing Committee Website Committee X Legislative Committee X Education Committee (includes Forum) Other (please specify below)


As a captive manager for over 18 years (many of which for Hawaii captives), and a participant in many of the captive industry education sessions and associations, I believe I have the necessary background to provide valuable input into the activities of the Hawaii Captive Insurance Council.



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1. Full Name (First, Middle, Last) Scot Sterenberg

2. Title Office Head, VP

3. Employer Marsh Management Services Inc.

4. Captive Name (if applicable) NA

5. Address 745 Fort Street, Suite 1100

Honolulu, HI 96813

6. Phone 808-585-3591 7. Fax 808-585-3513



College Calvin College, BS in Accountancy











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x None



x None



x None



Serve as Marketing Chair since 2007 and active participant in all HCIC events


Director on non-profit board for Waikiki Health


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Membership Committee X Marketing Committee Website Committee Legislative Committee X Education Committee (includes Forum) Other (please specify below)


I have been intimately involved in the Hawaii domicile for the past decade serving captive owners, collaborating with partners and speaking and leading educational panels for the HCIC and other captive industry associations. I have a vested interest in seeing the Hawaii domicile continue to grow and flourish.



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1. Full Name (First, Middle, Last) Matthew Takamine

2. Title Managing Director

3. Employer Beecher Carlson



Honolulu, HI 96813

6. Phone 808-526-2900 7. Fax



College University of Hawaii at Manoa



CPA









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x None



x None



x None



I have extensive past experience in serving the HCIC, including the following: Director – 6 years (termed out) President – 3 years (termed out) Treasurer – 2 years Forum Committee – chair Legislative Committee

I have also spoken at various HCIC events including the annual HCIC forum, webinars, and the HCIC Tokyo seminar.


I also serve on the board of directors of the International Center for Captive Insurance Education (ICCIE).


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Membership Committee Marketing Committee Website Committee Legislative Committee Education Committee (includes Forum) Other (please specify below)


Having previously served six terms on the HCIC board of directors, including three terms as president, Matt brings extensive experience and commitment to the HCIC. Matt has also served the HCIC as treasurer, forum committee chair, legislative committee co‐chair, and has spoken at various HCIC forums, webinars, and the Tokyo seminar. Matt is the head of Beecher Carlson’s Hawaii office and supervises the company’s captive operations for the western United States. Matt is a CPA and has over 15 years of experience working with captive insurance companies. Before joining Beecher Carlson, Matt spent nine years in public accounting with KPMG LLP, most recently as a senior audit manager. Throughout his career at KPMG, Matt specialized in the audits of captive insurance companies and insurance carriers, including some of the largest companies in the U.S. Matt has extensive experience with all aspects of captive operations, regulatory matters, and complex accounting issues. Matt also serves on the board of directors of the International Center for Captive Insurance Education, which is the first comprehensive captive insurance education program in North America, and one of the largest such programs worldwide. Matt is also actively involved in the community, most recently having served on the board of managers of the Nu’uanu YMCA as vice chair. Matt is also a member of the Society of Young Leaders of the Aloha United Way and assists with community outreach activities and campaign responsibilities.


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1. Full Name (First, Middle, Last) Paul Wagner

2. Title Vice President, Risk Management

3. Employer AGL Resources

4. Captive Name (if applicable) Global Energy Resources Insurance Corporation (GERIC)

5. Address 737 Bishop Street, Suite 2100 Honolulu, HI 96813

6. Phone 808-524-9607 7. Fax 808-523-1714



College B.S. Economics

Graduate or Professional MBA Finance



CPCU, ARE

10. I have been an HCIC member for 11.2 Years

(Including 7 Years under previous employment)


10b. I am currently an HCIC officer (indicated below), since

Vice Chair Jul 2013 - present

(indicate Year of first term)

President Vice President

2012- Jul

2013

Treasurer 2011- 2012

Asst. Treasurer



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X None



X None



X None



Several years assisted at RIMS Booth Director in 2011, 2012, 2013; Assistant Treasurer 2011-2012 Treasurer 2012 -2013 Vice Chairman 2014


RIMS – Chaired retail industry sessions AEGIS – Speaking engagement RIMS – Professional Development Advisory Committee AGA – Risk Management Committee Chair 2014


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Membership Committee Marketing Committee Website Committee Legislative Committee Education Committee (includes Forum) Other (please specify below)


Paul Wagner currently resides as Vice President of a Hawaii Pure Captive and a Risk Retention Group. If elected as HCIC Director he would like to pursue assignments to promote Hawaii as a “domicile of choice” and to engage further ERM and Employee Benefits captive strategies.


hawaii captive insurance council€¦ · hawaii captive insurance council ** reminder ** the annual...

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hawaii captive insurance council€¦ · hawaii captive insurance council reminder the annual...