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Lee Speir has a diverse work experience spanning over several decades. They started their career in 1974 at UnitedHealthcare (formerly MetraHealth, formerly The Travelers Insurance Co.), where they held various managerial and sales roles until 2009. In 2010, they joined UMB Bank as Vice President of UMB Healthcare Services. Since 2015, Lee has been serving as the HUPAC Chair at the Dallas Association of Health Underwriters. Additionally, they have been a member of NAHU, TAHU, and DAHU since 1996.

Lee Speir's education history includes a Bachelor of Science degree in Business Marketing from Mississippi State University.