I N S I D E T H I S I S S U E :

AHU

ERALD

a Monthly Publication of the Houston Association of Health Underwriters June 2011

H June Awards Luncheon

Awards Banquet - LUNCH? By Jeff Bacot, 1st VP

That’s right. The Awards Banquet is a lunch this year. AND it is on the 4th Wednesday of the month. AND we are moving the location to Sullivan’s Steak-house. AND we are NOT having a speaker this year so that we can keep the time for the event down to an hour and a half. Since that this is a special lunch, we are charging $35 (not the usual $50) for pre-registered members. Non-members who pre-register are $40. The late fee is still $10, and we have a limit of 130 people. There is a big buzz about our location, and we expect to sell out. Make sure you visit our home page www.hahu.org and register for the event ASAP. We plan to have the event brochure posted by June 10 or before so you can get a sneak peak of the events. We will present the 1st Place Golf Trophy, the Health Underwriter of Year Award, and our most prestigious award, the Ben Kowalski Award of Excellence. We will acknowledge the work of our current board, committee chairs and all the volun-teers that make our association GREAT, and our current TAHU President, Joan-na Antongiovanni, will install our new 2011-2012 board. We will also present a check to the Dennis Holder Scholarship Fund from the proceeds from our golf tournament. And you will hear about upcoming the NAHU convention and learn how to voice your opinions to the delegates. Please join us for this special luncheon. You can email ksandler@hahu.org or jbacot@corebenefits.net with comments or suggestions.

Anniversaries 3

BenefitMall Ad 7

CE Credit Form 15

Classifieds 4

Educa�on 14

Golf Pictures 11

Golf Tourna-

ment 10

Luncheon 6

Luncheon

Menu 3

Membership 9

Moving to Sul-

livan's 8

NAHU Conven-

�on 16

New Members 9

Pesident's Desk 2

Public Service 5

SGS Cer�fica-

�on 16

Show Your

Stuff 14

Strategic Baord

Mee�ng 4

TAHU Conven-

�on 12

TAHU Pictures 13

Reference

Ad Rates 4

Calendar 7

Disclaimer 4

HAHU Board 17

Inserts

Membership

Form 18

NAHU Conven-

�on 19

From the President’s Desk by Don C. Jones

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As my year as President comes to an end, I want to take this time to thank all of the HAHU Board members that worked so hard this year. When I took over, the country was being introduced to healthcare reform in the form of the Patient Pro-tection and Affordable Care Act. We have come a long way and have a long way to go to understand how this legislation will truly impact our industry. My major concern remains the continued increase in costs, as PPACA did not address this issue, only who pays. I think the next two years will truly define our industry as the regulations are written and the mandates take place. Also impacting this will be the next election cycle and the pending court cases. I am confident our industry will come through this intact. I was also concerned about the NAHU dues increase we faced in January, but our membership committee, headed by Susan Burdette, has kept us whole. We re-main the largest NAHU chapter at 526 members (at this writing), and this is a great accomplishment for our team. We have had several great events throughout the year, most recently the HAHU Golf Tournament at the Woodlands Palmer Course. We were able to donate $2,000 to the Houston Fire Fighter’s Dennis Holder Scholarship Fund from the proceeds. I would like to thank Jeff Bacot, Dirk Blankenship and their committees for a great job with all of the events held throughout the year. Mark Roden led our chapter in helping people enroll in the CHIP Program as our community service effort to get people health insurance. Thank you to all the members who assisted. We were also able to get the entire HAHU membership access to the Houston Business Journal, as well as negotiate a discount program with The Men’s Wear-house. We have a great incoming President in Terrell Rogers, and I am confident that his leadership will take us to the next level. I am excited to see the new board contin-ue to raise HAHU to the new heights. Again, thank you to all of my board mem-bers for the hard work and to the entire membership for their support.

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June Awards Luncheon Menu

Register at www.HAHU.org

Special Awards Program

Thirty Years Fifteen Years (cont’d) Ten Years (cont’d)

Joel Hoechstetter Sue Myers Travis Middleton

Bobby Plaster Michelle Minor

Twenty Five Years Allison Younger Curtis Mosley

Martha Bunce William Craig Splawn

Fred Carpenter, Jr Ten Years James Zelenka

Fred Brown

Twenty Years Marty Budinsky Five Years

Terry Brown Wilfred Dogan Rocky Alexander

Demetrius Navarro Chris Gasper James Anderson

Tim Templin Jeanette Grant Michael Andrade

Kerry Haenes Mary Gilbreath

Fifteen Years Stephen Herbert Linda J. Hines-Cummins

Corbin Cooke John Marlow Hill Traci Howell

William Danz Larry Hitt Candice Kersten

Jeff Evans Steven Hoffman William Kilpatrick

Mark Kennedy Stephen Jackman Laura Milliorn

Pat Mione Mary Lawson Melanie Rogers

James Moses Charles Mehling Jason Tucker

Rusty Von Sternberg

**HAHU STARS** December 31, 2010

The Houston Association of Health Underwriters extends our gratitude and appreciation to the mem-bers listed below for their many years of dedication and service to our association.

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2011 Annual Strategic Board Meeting2011 Annual Strategic Board Meeting2011 Annual Strategic Board Meeting2011 Annual Strategic Board Meeting

by Jeff Bacot, 1st VP

June is upon us, and your local board is ramping up to ensure everything is in or-der and accounted for this fiscal year. The Board will meet at Sullivan’s Restaurant on June 16th for a Strategic Board Meeting to go over everyone’s specific strategic plan for his chair or responsibility. It is imperative that the Board meets to set a plan in place to execute throughout the year. We will go over each person’s re-sponsibilities as it pertains to their chair and subcommittees. Other items such as challenges and forethoughts for the year, will also be discussed. Your Board wants to make sure that we are moving in the right direction to serve the Membership and your needs. We would like to ask if you would like to serve on a committee this year. We have different committees like Golf, Symposium, CE Day and Special Events that need your participation and hard work. Please feel free to reach out to one of us today.

HAHU posts – at no charge to members – job opportunities for our members on the HAHU web-site, www.hahu.org. Under ‘Resources,’ click on “Classifieds.” Ads are initially run for three weeks, but can be extended, so the ads should be current. We hope that all members needing employees will post their ads here, knowing that the applicants, as HAHU members, will be the cream of the crop. And members looking for a new position don’t have to rely on word of mouth or Internet postings, local newspaper classifieds, etc. Check it out!

Classifieds

HAHU will hold our annual school supply drive on Wednesday, July 20th. I am asking each of you to please bring loose or prepackaged school supplies or a financial donation to the July HAHU luncheon (held at Sullivan’s Steakhouse). All types of school supplies and backpacks are needed, as well as financial donations to be used toward school uniform vouchers.

A representative with Houston Children’s Charity will be at the luncheon to accept the donations. HAHU’s Back to School DriveBack to School DriveBack to School DriveBack to School Drive will reach out to elementary and middle school children (K - 8th grade) in Aldine ISD, Alief ISD and Houston ISD. A tax deductible contribution from you will help these needy children start the school year with the equipment they need to learn. If you are interested in volun-teering a few hours at this wonderful charity, please call Houston Children’s Charity at (713) 524-2878. Thank you in advance for your willingness to lend a helping hand to local, underprivileged children! Please feel free to reach me at veronicaw@dentalselect.com or (832) 492-4303 if you have any

questions or charity recommendations.

Public Service by Veronica Wingo

Don’t Miss the Annual HAHU Awards Banquet June 22 at Sullivan’s

On Westheimer

At our May luncheon, Louis Makatura won the free lunch. Marty Budinsky won the lege fund drawing ($56), but failed to find the Ace of Spades. Carryover stands at $594.00, guaranteed to be given away at our Awards Luncheon in June.

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May Luncheon Notes and PhotosMay Luncheon Notes and Photos

Speaker Patrick Carter, M.D. with HAHU 1st VP Meanie Ropgers. Rand Wall won the drawing for an AFLAC duck

from luncheon sponsor Siboney Trevino-Toth, independent AFLAC agent.

President Don Jones gives our Membership Chair, Susan Bur-dette, a special thank you.

Mark Roden congratulates the free luncheon winner, new member Louis Maka-tura.

Marty Budinsky misses the BIG MONEY, but takes home $56.00 from the lege fund drawing, receiving congrats from Mark Roden, lege fund chairmen.

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Calendar of Events

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JUNE When What Where

7 Tuesday 4:00 PM Board Mee�ng BenefitMall*

16 Thursday 2:00 PM Strategic Board Mee�ng Sullivan's**

22 Wednesday Noon AWARDS Luncheon Sullivan's**

26-29 NAHU Annual Conven�on Grand Hya< San Antonio

JULY

12 Tuesday TBA HAHU Board Mee�ng BenefitMall*

20 Wednesday Noon HAHU Luncheon Sullivan's**

AUGUST

9 Tuesday TBA HAHU Board Mee�ng BenefitMall*

17 Wednesday Noon HAHU Luncheon Sullivan's**

**Sullivan's, 4608 Westheimer, 77027

*BenefitMall, 5177 Westheimer, Suite 1050, 77056

Register for any of these events at www.HAHU.org !

* All members are welcome to attend. Please check with Kathi Sandler regarding last minute changes to dates, times or location.

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Moving on Up! by Jeff Bacot, 1st VP

Starting with our Awards Luncheon on June 22nd, we are moving to Sullivan’s Steak-house. Why, some would ask? We have had problems with BraeBurn Country Club (BBCC) on three levels: location, food quality and service. LOCATION: Houston is a BIG city and our membership is spread out all over town. There is nothing that BBCC could do about location; the west side of town is fairly central, but it is too far south. Sullivan’s is located very close to a freeway and is in west central Houston. We believe most of our members will save on toll fees and/or gas with this location. FOOD QUALITY: BBCC seems to have a problem on doing more than one entrée well. I have been to other events at the club where there was only one entrée, and it was good. I have yet to hear that the two or three entrées we had at our BBCC events were ALL good. At one luncheon, my table was served cold tortilla soup, and the chicken was almost as dry as jerky. This may be one of the biggest reasons our lunch crowd has thinned out. SERVICE: We have streamlined our registration, and Kathi Sandler accomplished a lot of this by having nametags, entrée tags and raffle tickets all set out for pre-registrants to make it a quick grab and go. But wait staff was an issue at BBCC. We did have a talk with them, and it seemed to get better every lunch. I think they were responsive to our requests and were very flexible to our having late arrivals and people showing up at the door without res-ervations. We are not sure of Sullivan’s wait staff in this regard, but I have never had bad service during a lunch or dinner. Sullivan’s claims to be even more flexible and committed to providing a four star experience. We received a price increase from BBCC in January of this year, which we were able to get deferred to March. Our HAHU board decided not to pass along this increase until the lunch-eon committee (Lonnie Klene, Travis Middleton, Bill Mann and myself) had concluded its search of new locations. If we had stayed at BBCC, we would have had to increase our price by $1.50, to $29.50. Moving to Sullivan’s is only costing us $2 more than current, making our new member rate with early registration is $30, and we want to thank The Com-pliance Office (TCO) and Bill Mann for stepping up to provide us with a $100 per month val-et sponsorship for the next 12 months, or the price would have gone even higher. Thank you, Bill, and thank you to everyone on my committee. I hope everyone enjoys our new home for lunches; give it a try! We signed a 3-month commitment to Sullivan’s, and we’d like to know your thoughts, so that we can either continue our search or sign a longer agreement. You can email ksandler@hahu.org or jbacot@corebenefits.net with comments or suggestions.

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Membership Notes by Susan F. Burdette, CEBS

A Big THANK YOU

to HAHU!!

After 4 years as the HAHU Member-ship Chair, it is now time for me to turn things over to a very capable and energetic Sarah Kramer. I have found this job to be the most rewarding one I have ever had, and I want to thank not only the board and Membership Committee, but all HAHU members for your support. This chapter is not only the largest in the country, but the BEST. Keep up the good work -- I will be watching and cheering you on every step of the way!

New Members

Tim Brown-Transfer Rebecca Richardson-Sponsor Travis

Middleton Jason Jimenez-Sponsor Misty Baker

Denise Shanklin-Sponsor Susan Burdette

John Holmes-Sponsor Scott Long Jeffery Fuqua-Sponsor Gwen

Holzhauer

Place Your

Ad Here!

Contact Mark Roden at

mark@harmonyinsurance.com

HAHU Golf Tournament by Don Jones, President

The HAHU Golf Tournament was held at the Woodlands Palmer Course on Monday April 18th. We had 115 players, and the weather was great. Everyone I spoke with agreed that the course was one of the best we have played. Box lunches were provided by the Woodlands Country Club, and the barbeque din-ner was catered by Straight Off the Road Bar-B-Q out of Crosby - both did a great job. The tournament was held in a Florida Scramble format with three teams tying for first place with 15 under par. The winning team – Michael Muhls from Sun Life and his team - was decided by the Woodlands CC tourna-ment director as the best net score on hole 14. The charity chosen for our event was the Houston Firefighters’ Dennis W. Holder Scholarship Fund. Members from this charity participated in helping with the event, in addition to holding an auction and raffle during dinner. The auction raised about $1,000, and we will be donating additional money to the charity when the final numbers are calculated. This tournament could not have happened without all of the volunteers, the planning committee and the sponsors. Congratulations to HAHU 2nd VP Jeff Bacot, Special Events Chair Dirk Blankenship, Crystal Hoffman and the entire golf committee for a great job in putting this tournament together. Aflac once again led our sponsorship list as the Platinum sponsor. Blue Cross/Blue Shield, MHealth and Humana were our Gold Sponsors. Sun Life, Aetna, HM Insurance Group, George Evans & Associates, Klene & Bratsakis/Core Benefits, United Healthcare, Union Central/Ameritas, Kilpatrick Compa-nies, American General, ICB America, Total Financial Group, Cigna and Transamerica were our Silver Sponsors. MMA TPA was our Beverage Spon-sor and Allstate Worksite was our Golf Cart Sponsor. Thanks to all of our sponsors and to all of our HAHU member volunteers for making this tourna-ment successful.

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Notes from the 2011 TAHU Annual Conference by Melanie L. Rogers, HAHU 2nd VP

This year’s TAHU Annual Conference was held at the beautiful Westin La Cantera Resort, on the North side of San Antonio. The event started with a golf tournament on Wednesday May 4th, with the proceeds going to Ava’s Wish, a charity assisting families of children suffering from severe head trauma. A portion was also donated to the TAHU Honorees Corporation. The business sessions opened with the full TAHU Board meeting on Thursday, May 5th. Those not members of the Board had a choice of CE Sessions – one of which was led by our own Ron Ledg-erwood. Ron encouraged the participants to ask themselves the question, “Are You a Peddler or a Benefit Advisor?” After lunch, the Opening Ceremonies began with an inspirational address by Pete Thomas, the At-Home Winner of NBC’s “The Biggest Loser” Season 2. Pete challenged the attendees to be win-ners and provided helpful strategies in the current, difficult marketplace we face in the insurance in-dustry. The ceremony was capped off by the installation of the 2011 – 2012 TAHU Board. The af-ternoon concluded with ample time to visit with exhibitors. Kudos to Dental Select for winning this year’s Best Booth Decoration. Veronica Wingo, HAHU’s Public Service Chair, and her colleagues from around the state turned their booth into a tropical paradise to highlight this year’s top sellers’ awards trip. In a change from previous years, the Hollis Roberson Award Dinner was held Thursday evening, rather than the usual Friday evening, in response to a number of member requests. In the following pictures you can get a flavor of the festivities (or relive a happy moment, if you were there with us). The TAHU website will have a full listing of all awards and award winners. However, there were a few special individual awards worth mentioning here. Misty Baker, of Small Group Specialist fame and ever-present force in the Texas legislature, was awarded the Tom Schilling Outstanding Texan of the Year. The Ken Martin Excellence in Communication Award, named after our own Past Presi-dent (and Pat Martin’s late husband), was given to Rusty Rice. Our own Mike McLaughlin, as last year’s recipient, had the honor to present the 2011 Hollis Roberson Award to C. Briscoe Dunn. Alt-hough Briscoe’s wife went into the hospital unexpectedly, he still came to graciously accept the con-gratulations of his peers and share his heartfelt gratitude. In the general categories, Houston picked up Presidential Citations for Large Chapter and Membership. Friday was filled with a variety of CE and plenty of time to visit with exhibitors. The end of the busi-ness day saw many a happy face as the booth exhibitors’ prize drawings were announced. (Yours truly was one such “happy face.”) But the fun wasn’t over yet. The evening brought with it a good ol’ Texas time with a dance and BBQ at the Leon Springs Dancehall. For those of us who chose to stay, there was additional CE on Saturday morning. This was a very lively 2-hour session with members and the presenter exchanging various ideas on how an agent can best position him/herself once the Health Care Reform Law gets into full swing. The conversa-tion after the CE ended followed most members to Hotel Reception for check-out and into the park-ing lot. Association member sharing ideas and best practices is what this was all about.

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We had quite a large group of HAHU members in attendance, both as attendees and booth exhibitors. A great big “Thanks for coming and representing HAHU so well!” goes out to: Liz Austen Scott Long King Brooks Louis Makatura Susan Burdette Bill Mann Brandi Burridge Pat Martin Jay Burridge Mike McLaughlin Alicia Cannon Travis Middleton Christi Cortez Nick Nortelli Larry Dylla Cas Petrovic George Evans Mike Rivera Jeff Evans Mark Roden Mary Gilbreath Melanie Rogers Jenna Gregory Jim Smith David Grennell Nelva Toups Maxey Don Jones Philip von Stevens Scott Kilpatrick Veronica Wingo

By Ron Ledgerwood, MBA, CLU, ChFC, RHU, REBC Education

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Lunch Sponsorship is a great way to Lunch Sponsorship is a great way to Lunch Sponsorship is a great way to Lunch Sponsorship is a great way to

“Show Your Stuff” “Show Your Stuff” “Show Your Stuff” “Show Your Stuff”

to the largest chapter in the country.to the largest chapter in the country.to the largest chapter in the country.to the largest chapter in the country.

Lunch Sponsorship Package: Lunch Sponsorship Package: Lunch Sponsorship Package: Lunch Sponsorship Package: Includes strategically located table to display your literature, a 3-5 minute commercial during the luncheon, one lunch, an opportuni-ty to offer a door prize, a newsletter stuffer AND a banner on the new HAHU Website!

All of this for only $300! All of this for only $300! All of this for only $300! All of this for only $300!

For more information contact: Terrell Rogers at terrell_rogers@uhc.com

The Association CE Credit Form on the next page gives you the opportunity to pick up 4 CE Credits for going to HAHU meetings. Just read it and follow the in-structions. Note that luncheon speakers can count towards credit—but if they of-fer CE and you’re using those credits, the course can only count towards your regular CE hours, not to these 4 hours as well. Credit for reviewing the HAHU, TAHU, and NAHU news articles as presented in their newsletters and magazines can also apply towards this credit. Just think about it—in 30 minutes, you could pick up to 4 more hours of CE.

Texas Department of Insurance Licensing Division, Renewals, Appointments & Continuing Education

Mail Code 107Mail Code 107Mail Code 107Mail Code 107----1A • 333 Guadalupe • P. O. Box 149104, Austin, Texas 787141A • 333 Guadalupe • P. O. Box 149104, Austin, Texas 787141A • 333 Guadalupe • P. O. Box 149104, Austin, Texas 787141A • 333 Guadalupe • P. O. Box 149104, Austin, Texas 78714----9104910491049104

512-322-3503 telephone • 512-490-1054 fax • www.tdi.state.tx.us

REQUEST FOR ASSOCIATION CREDIT ACCEPTED BY TDI See 28 Texas Administrative Code § 19.1011(f)(g) and § 19.1020

Holders of National Professional Designations may claim credit for reviewing educational materials from the National Designation Sponsor or attendance at presentations of the National Designation Sponsor. Current members of state or national insurance associations may claim credit for reviewing educa-tional materials from the state or national insurance association or attendance at presentations of the state or national insurance association. Up to two hours may be claimed for reviewing educational materials. Up to four hours may be claimed for attendance at presentations. The content must be insurance or insurance-related. A maximum of four hours total may be claimed once per licensing cycle. The hours claimed, no matter how earned, count toward the licensee’s required Continuing Education as Self-Study credit. Texas Association C.E. credit requested by: _________________________________________________________ PRINT CLEARLY PLEASE (Licensee Name) _____________________________________________________________________________________________ (City) (State) (Zip Code) __________________________________________ ________________________________ (Licensee’s Telephone Number) (TDI License Number) (Licensee’s E-mail Address) ______________________________________________________________________

Current member of: ____________________________________________________________ Holder of National Professional Designation: _________________________________________ Publications reviewed or educational presentations attended Reviewing/Attending Date

---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- I affirm that I hold the above National Designation or am a member in good standing of the above state or national association and have completed at least the hours claimed in the named activities. _______________________________________________ _______________________ Signature of License Holder Date LHL617 Revised 02/2010

(Please be specific. May continue on another page) Hours

The NAHU Annual Convention is being held close to home in San Antonio this year, June 26 – 29. Headquarters will be the Grand Hyatt on the Riverwalk. The new board members will be elected at this meeting, and the delegates will meet and decide any major issues requiring a vote. Each local and each state association is allowed a cer-tain number of delegates based on its membership. As the largest local chapter in the nation, Houston is allowed 11 delegates this year. Registered delegates are Terrell Rogers, Melanie Rogers, Jeff Bacot, Craig Splawn, Marty Budinsky, Rand Wall, Bill Mann, Scott Asarch, Sadie Hooker, Susan Burdette and Stephen King. Alternates are Don Jones and Ron Ledgerwood. These are YOUR delegates, so please get in touch with one or more prior to the convention if you have questions or concerns. Other HAHU members registered to attend as of this writing are Paul Browne, Crystal Hoffman, Susan Lee, Mike McLaughlin, Todd Morrow and Mike Rivera. This is the first national convention held in Texas since 2002 in Dallas, so it is an excellent opportunity to see the workings of NAHU – and to be informed regarding all national issues. You can bet that there will be much to learn regarding the status of national healthcare, as well as workshops to help you better position yourself in the marketplace. If you are unable to attend, but wish to keep track of the happenings, check the NAHU website daily, as NAHU has published a daily news blurb in the last few years. (You may also receive a link in your email.) Pictures will also be posted on the website, and we’ll have a report from Houston’s point of view in the next newsletter. Check out the NAHU website for additional information – www.nahu.org. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

NAHU Convention Comes to Texas

On Tuesday, May 24, Misty Baker conducted a “Train the Trainer” webinar to increase the number of certified instructors of the Small Group Specialist Certification 8-hour CE course. Approximately 10 members around the state participated, including Houston’s Pat Martin. The-se members, after completing some additional paperwork, will be certified to teach this course through TAHU. All licensed agents may take the course for CE, but only TAHU members can receive the certi-fication. Those with certain credentials (e.g., RHU) do not have to take the course, but can re-ceive the designation by passing the test. Misty Baker prepared the course and test, and has been the only certified instructor up until now. No one has yet failed the test. If you would like HAHU to present this course, please contact your Education Chair. If you would like the course presented for your employees, contact Pat Martin directly at patmartin2007@comcast.net or 281-496-6710.

Small Group Specialist Instructor Training

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Published by the membership of the Houston Association of Health Underwriters P.O. Box 31475 Houston, TX 77231 713.520.5720 Fax 713.583.2858

www.HAHU.org

Board of Directors and Committees President Don Jones 713.825.0564 jonesd4@aetna.com

President-Elect Terrell A. Rogers 713.296.4827 terrell_rogers@uhc.com

1st Vice President Melanie Rogers 713.624.6301 rogersm@fcrystal.com

2nd Vice President Jeff Bacot 713.446.7011 JBacot@corebenefits.net

Secretary Craig Splawn 713.785.3290 craig@splawnandassociates.com

Treasurer Sadie Hooker 832.971.8890 sadie@nova401K.com

Media Mark Roden 832.722.3928 mark@harmonyinsurance.com

Awards Pat Martin 281.496.6710 patmartin2007@comcast.net

Awards Kellie Merritt 713.520.7272 Kellie@lonestarhp.com

Communication Lynette Azar 281.455.9060 lazar719@yahoo.com

Federal Legislation Scott Kilpatrick 713.977.9300 skilpatrick@kilpatrickcos.com

State Legislation Bill Tarver 713.840.7283 wat@insru.com

Membership Susan Burdette 713.301.8053 susanbh@airmail.net

Special Events Dirk Blankenship 713.622.9936 db@chambersmarketing.com

Education Ron Ledgerwood 832.594.0095 ronl@tasconline.com

Political Action Jo Middleton 713.932.7777 jmiddleton@tmia.biz

Technology Dewayne Norris 713.825.8507 dnorris@tmia.biz

Public Service Veronica Wingo 832.492.4303 veronicaw@dentalselect.com

Immediate Past President Lonnie Klene 713.869.6286 Lonnie@kleneandbratsakis.com

Trustee Tom Cottar 281.427.9150 tcottar@comcast.net

Trustee Nannette Richardson 713.297.4760 narichardson@chubb.com

Trustee Travis Middleton 713.932.7777 tmiddleton@tmia.biz

Executive Director Kathi Sandler 713.520.5720 ksandler@hahu.org

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__________________________________________________________________________________________________________

Last Name First Name Designation

__________________________________________________________________________________________________________

Company Title Referral/Sponsor

__________________________________________________________________________________________________________

Mailing Street Address City State Zip

__________________________________________________________________________________________________________

Telephone Fax ** Work E-Mail Address

__________________________________________________________________________________________________________

Home Street Address (for legislative purposes) City State Zip Committees I’d like to help on:

Dues: Monthly - Bank Draft or CC Charge or Single Payment

$36.25 $435.00 Form of Payment: Amount: ______ [ ] Monthly Draft (please select one) [ ] Checking Account [ ] Credit Card [ ] Check (payable to NAHU)

[ ] Annual Credit Card (please select one) [ ] Visa [ ] MasterCard [ ] Am Ex [ ] Discover

Bank Draft/Credit Card Authorization Form:

I (we) hereby authorize NAHU to initiate debit entries to my (our) account as indicated. - Monthly debits will equal one-twelfth of any current applicable national, state or local dues.

- (Please include a voided check from the account to be drafted, or write credit card number below)

___________________________________________________________________________ Name (as it appears on the check or credit card) Routing Number Bank Account Number

___________________________________________________________________________ Credit Card Number Exp. Date Security Code Signature

Send To: HAHU P.O. Box 31475 Houston, TX 77231

(713) 520-5720 Fax 713-583-2858 www.hahu.org

Houston Association of Health Underwriters

Membership Application

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