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Erin Mathies is a senior consultant with HMA Medicaid Market Solutions (HMA MMS), formerly SVC, specializing in health insurance programs for eligible adults including premium assistance programs for individuals enrolled in employer-sponsored insurance. She helps our clients understand state and federal health coverage requirements, including the Marketplaces, and develops operational processes to ensure program standards and expectations are met.
Erin has been involved with the development of the Kentucky Health program, implementation of the HIP 2.0 ABP requirements and the HIP Employer Link programs. She was instrumental in completing the benefit requirements that are benchmarked to specific commercial market plans in the state for the HIP 2.0 and HIP Employer Link programs. Additionally, Erin is part of the team that ensures content and processes for the training courses used to certify assisters in both the Individual and SHOP Federally-facilitated Marketplaces comply with current regulations. She also revises Marketplace information on HealthCare.gov and other CMS websites. Erin has experience in drafting program handbooks, manuals, outreach materials, requirements and operational standards. Erin continues to provide ongoing project planning and support to our clients to ensure timelines and goals are met.
Previously, Erin served the Indiana Department of Insurance as the deputy commissioner of health insurance and the assistant director of health insurance reform. As a state regulator, she managed the premium rate and policy review of health insurance plans offered in Indiana. The review process ensured compliance standards were met for state and federal regulations including the Affordable Care Act. In addition, as the assistant director, she oversaw the implementation and submission of participating health insurance plans on the Federally-facilitated Marketplace in Indiana. She also served on the Indiana Perinatal Quality Improvement Collaborative Governing Council and many committees with the National Association of Insurance Commissioners.
Erin received her bachelor’s degree in business from Indiana University and is a licensed insurance producer.