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Key Personnel


David A. Vaughn, MD, FACP - Vice President & Medical Director

Dr. Vaughan began his career in 1976 specializing in internal medicine in private practice. in 1984, Dr. Vaughan accepted the position of Associate Medical Director with First Colony Life Insurance Company. In 1989, he was promoted to Vice President and Medical Director, and served in this capacity until 1999. Dr. vaughan served as Consulting Medical Director at Jefferson Pilot Life Insurance Company from 1999 to 2000. He joined Fasano Associates in 2000.

Dr. Vaughan has had extensive experience in the medical underwriting of settlement annuities and substandard life cases. He has also reviewed contestable death claims, accelerated death benefit claims, and waiver of premium claims.

Dr. Vaughan received his undergraduate degree from Virginia Tech in 1970 and his doctor of medicine from the Medical College of Virginia in 1973. He is board certified in both internal medicine and insurance medicine, and is a member of the American Academy of Insurance Medicine, the American College of Physicians and the American Medical Association.


John R. Iacovino, M.D.

John R. Iacovino, M.D. is Medical Director/Senior Consultant at Fasano Associates-Underwriting Central in Washington, D. C.

      Previous positions include Vice President/Chief Medical Director at the New York Life Insurance Company and Medical Director at General Reassurance.  Prior to entering the life insurance industry Dr. Iacovino was in private practice specializing in Pulmonary Diseases and Critical Care.

      Insurance activities include Past President of the American Academy of Insurance Medicine and a member of the Executive, Mortality and Morbidity and Membership Committees. He was a member of the American Council of Life Insurance Risk Classification Committee and the Medical Information Bureau (MIB) Board of Directors and Manual Revision Committee. The American Academy of Insurance Medicine awarded him W. John Elder Award for his contributions to the Journal of Insurance Medicine and the Distinguished Physician Award for contributions to the life insurance industry.

     Dr. Iacovino has published over thirty articles related to mortality and life expectancy in the Journal of Insurance Medicine.  He has spoken at national and international meetings on topics relating to mortality and life expectancy. 

      He is Board Certified in Internal Medicine and Pulmonary Diseases and a Diplomate of the Board of Insurance Medicine and a Fellow in the American College of Physicians and the American College of Chest Physicians.


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