Annette V James FCA MAAA FSA

President & CEO, Ibis Actuarial Consulting LLC

Contact Information
Ibis Actuarial Consulting LLC
355 Renaissance Court
Reno, NV 89523
Phone: 7753432322

Annette is a health actuary focusing primarily on providing health actuarial services to state and federal agencies. She is a well-respected speaker on topics relating to health insurance, regulation, and professionalism and has authored professional articles on topics ranging from the ACA to the future of insurance.

Annette has devoted many years to public service, serving as lead actuary for the Nevada Division of Insurance for 14 years (2006–2020), where she was a key member of a multiagency task force charged with implementing the Affordable Care Act (ACA) in Nevada and led Nevada’s review of options to stabilize the ACA market. Prior to her regulatory role, Annette was an employee benefits consulting actuary.

She is a member of the American Academy Board of Directors and currently chairs the Academy’s Health Equity Committee (HEC), which was established to study health equity, assess whether actuarial practice may be perpetuating or contributing to health disparities, and facilitate solutions to health disparities and is a former chair of the Academy's Diversity, Equity and Inclusion Committee

Annette has also participated on the task forces to update ASOPs 5, 42, 11 and 28 (which she chaired) and is the chair of the health committee of the actuarial standards board.

CCA Member Since 2003
Expert Witness General Management HMOs Insurers Other Health Subset Providers Sponsors Strategic Planning
Membership Committee

305 - Health Equity - Affordability and Access to Care (Including Telehealth) 2024 CCA Annual Meeting (October 28, 2024)

Financial Reporting in Healthcare Financial Reporting in Healthcare Webinar (December 15, 2021)

Social Determinants of Health 2021 CCA Annual Meeting (October 25, 2021)

Risks and Opportunities Under an AHP 2019 CCA Annual Meeting (October 28, 2019)