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Our Team

At MADDRS, LLC, we have an exceptional team of consultants with expertise in various areas. We’re committed to solving complex business challenges using the latest technology and data resources, combined with our creative and collaborative strategic approach. Learn more about some of our talented professionals below.


CEO / Founder

Madeline Smith is the Founder and CEO of MADDRS, LLC (pronounced “matters”). Madeline has her MBA and is working on her Doctorate in Business Administration, focusing her research on the impact of B2B branding on purchase decisions. After more than 7 years working in nonprofit administration and strategic planning as VP of Development and Marketing, she felt a desire try to make an impact in the insurance, healthcare and risk management industry. Her work has been almost exclusively in the self-funded arena where she worked for a captive owner and brokerage agency where she oversaw operations, underwriting, and marketing & sales as the Chief Growth Officer. After 4 years, she started her own consulting firm where she works with brokers, consultants & general agents to build and offer unique, competitive products and programs to their clients. Madeline also has experience working with hospitals and provider networks to build and market direct-to-employer products. She has consulted for a variety of entities looking to join or build captive products in the benefits space. She represents a few non-health clients as well who she helped take their unique, patented insurance products to market. Madeline works to stand out in the industry, being able to bring together like-minded entities to offer phenomenally different products with an ability to see the big picture all while effectively managing the minutia.  She is known by her colleagues and clients to be a truth-teller at all costs with an emphasis on making a difference and promoting only programs she can stand 100% behind. It’s important to her that her work feels as much like a mission as it did when she worked in the nonprofit sector because she believes that’s what the insurance industry of today’s world needs.


Bob Calvisi

Risk Architect and Self-Funding Consultant

Bob has over 30 years’ experience in the self-funded market space with extensive administration, sales and consulting experience. This includes time as an Executive Officer of two separate third party administration firms that and rebuilding the sales strategy of an established firm, creating a start-up benefits operation, consulting with a hospital system owned entity and developing a three hospital owned regional network. It was in these roles that he created strong agent and consultant relationships while providing educational and presentation support. His sales team established the first state of Texas self-funded Multiple Employer Trust. His hands-on approach included overseeing new business submissions, developing vendor and stop-loss underwriting relationships, arranging managed care networks for mid-size and large employer groups. He continues to look for innovative solutions to benefit employer health plans such as transparent pharmacy programs, direct provider contracts, domestic medical tourism and funding options within the stop-loss market place which make him a strong asset to the MADDRS team.


Matt Downs

Risk Architect and Self-Funding Consultant

Western Michigan University with a focus in Finance and Commercial Law. After 8 years in the financial markets as a Floor Trader at the Chicago Bonds and Options Exchange, he transitioned into a new role as Co-Founder of a payroll and benefits company. In this position, he built the company up to 250 clients and after 4 years sold his equity stake. As the owner of Downs Consulting, Matt builds self-funded group health plans and has developed a substantial broker network created by cold-calling and networking. Matt was drawn to self-funding after spending many years of his career as a risk manager where he was then introduced into the employee benefits world. He found a love for the self-funding aspect as it is risk-managing in the insurance realm. His experience with Pharmacy Benefit Managers carve outs and substantial relationships in the broker, stop loss, and TPA marketplace make him a strong asset to the team at MADDRS.

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