AGENDA & PROGRAM May 4-5, 2017

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AGENDA & PROGRAM THURSDAY, MAY 4, 2017 7:30 AM - 8:30 AM CONTINENTAL BREAKFAST/ REGISTRATION GENERAL SESSION 8:30 AM - 8:40 AM Welcoming Remarks Allan L. McVey, Commissioner, CPCU, ARM, AAI, AAM, AIS, WV Offices of the Insurance Commissioner (WVOIC) 8:40 AM - 9:00 AM WVOIC Update from the General Counsel Andrew R. Pauley, Esq., CPCU, General Counsel, WVOIC 9:00 AM - 10:00 AM Relationship of Work to Health Dangerous Trades: How Work Affects Our Health Chris Martin, MD, MSc Director, Global Engagment Office Health Sciences Center, WVU 10:00 AM - 10:20 AM REFRESH & VISIT EXHIBIT HALL 10:20 AM - 11:10 AM IME s Topics in Impairment Evaluations Robert M. Gerbo, MD, Director, WVU Occupational Medicine 11:10 AM - 12:00 PM EDI Compliance Analyzed Reporting & Data Issues Impacting EDI Compliance Nancy Johns, Business Consultant, Verisk Insurance Solutions - ISO Solutions; Sherri Brown, Program Analyst IV, WVOIC; Patricia Burkhart, EDI Program Coordinator & Claims Services Supervisor, WVOIC; Ralph Farmer II, Claims Services, WC Systems Spec. III & EDI Spec., WVOIC 12:00 PM - 1:00 PM LUNCHEON 1:00 PM - 1:30 PM DESSERT with EXHIBITORS GENERAL SESSION 1:30 PM - 2:30 PM Vocational Rehabilitation An Updated View of Vocational Rehab as a Resource in 21st Century Workers Compensation Jennifer Jurlando, MS, CRC, CRP, Vocational Case Manager, Genex Services 2:30 PM - 2:50 PM REFRESH & VISIT EXHIBIT HALL 2:50 PM - 3:50 PM Ethics Legal Ethics and Client Advocacy Jon Jacks, Esq., Pullin, Fowler, Flannagan, Brown & Poe, PLLC 3:50 PM - 4:45 PM Return to Work How Transitional Duty Can Work for You Dr. Kevin B. Crickard, DBA, FACHCA, Administrator 4:45 PM - 4:55 PM Closing Remarks Samantha L. Chase, CWCP, Director of Claims Services, WVOIC 5:00 PM - 6:00 PM RECEPTION FRIDAY, MAY 5, 2017 7:30 AM - 8:30 AM CONTINENTAL BREAKFAST BREAK-OUT SESSIONS - Track 1 8:30 AM - 10:30 AM Engage in an Interactive Medical Panel Expert Opinions on Complex WC Cases James Becker, MD, Medical Director, Bureau of Medical Services at WV DHHR, and Assoc. Professor, Marshall University; Mary C. Murphy, DO, Asst. Professor, Marshall University; Randy Short, DO, Medical Director, BrickStreet Mutual Insurance; Regina Evers, RN, CCM, Clinical Supervisor, Sedgwick, CMS 10:30 AM - 10:50 AM REFRESH & VISIT EXHIBIT HALL BREAK-OUT SESSIONS - Track 2 8:30 AM - 9:30 AM OP and FBL Claims Black Lung: Past, Present and the Changes Ahead Anne Cecil, Vice President, & Ann Lockard, FBL Manager, HealthSmart Casualty Claims Solutions 9:30 AM - 10:30 AM Office of Judges Update 2017 Navigating Litigation Challenges Honorable Rebecca A. Roush, Esq., Chief Adminstrative Law Judge, WV Office of Judges 10:30 AM - 10:50 AM REFRESH & VISIT EXHIBIT HALL GENERAL SESSION 10:50 AM - 11:40 AM Opioids Cleaning Up the Mess - Facilitating Recovery Mark Pew, Senior Vice President, PRIUM 11:40 AM - 12:00 PM Kid s Chance Presentation 12:00 PM ADJOURN: Thank You!

I W C F 570 Memorial Circle, Suite 320 Ormond Beach, FL 32174 First Class Mail US Postage Paid Daytona Beach, FL Permit #62 2017 WEST VIRGINIA Workers Compensation Educational Conference Marriott Charleston Town Center Charleston, West Virginia Early-bird conference registration deadline: March 31st Deadline for hotel reservations at conference rate: April 12th

Workers Compensation Educational Conference Presented By Marriott Charleston Town Center Charleston, West Virginia In association with the International Workers Compensation Foundation, Inc., a non-profit corporation dedicated to workers compensation education and outreach.

The West Virginia Offices of the Insurance Commissioner and the International Workers Compensation Foundation are jointly sponsoring an educational conference which is unique in West Virginia. The goal of this conference is to educate those who participate in West Virginia s workers compensation system regarding current rules, procedures, policies and forms and to provide an opportunity for dialogue among these participants. Breakout sessions will be utilized to discuss certain topics in specific detail for a more specialized view, while other topics will be presented from a more general perspective. Who Should Attend? All employers, occupational health physicians and nurses, insurance adjusters, self-insurers, third party administrators, safety and human resource managers, claimant s and defense attorneys, health care providers, mediators and medical and vocational rehabilitation providers are encouraged to attend. In fact, anyone interested in the workers compensation system in West Virginia will receive valuable information at the conference. Registration Fee The cost for attending this informative forum is: $300 Early bird registration on or before March 31st $350 Registration April 1st or later Registration fee includes conference materials and special functions, including two breakfasts, one evening reception and one luncheon. Casual attire is appropriate for all functions. Location Marriott Charleston Town Center 200 Lee Street East Charleston, West Virginia 25301 (304) 345-6500 A block of rooms has been reserved at the conference hotel at the rate of $145 single plus all applicable taxes. The room block will be held through April 12, 2017, unless it becomes fully reserved prior to this date. Register early! Call (800) 228-9290 and give Group Code WV WORKERS COMP CONF or book online at https://tinyurl.com/wvcomp17. Hotel reservations alone do not guarantee admission to the conference. Continuing Education Credits and Materials Participants may be eligible for continuing education credits for conference attendance. CEU applications are pending for approval in the following disciplines: rehabilitation providers (CEU for CRC, CDMS, CCM), attorneys (CLE hours), human resources professionals (SHRM), registered nurses and insurance producers. Materials will be provided on a flash drive at the conference and will be available to download prior to the conference at http://www.wvinsurance.gov/claimsservices/claimservicespages.aspx.

EXHIBITOR REGISTRATION FORM ATTENTION EXHIBITORS Fee of $800 includes two (2) complimentary registrations for exhibitor representatives. Additional registrants will be accepted at the early bird rate of $300 each. A separate registration form should be completed for each additional registrant. Space is offered on a first come, first serve basis and will only be reserved upon our receipt of this registration form, which may be faxed to (386) 677-0155 or emailed to iwcf@bellsouth.net. For additional information regarding exhibit area, contact the IWCF office at (386) 677-0041. Setup will be in the exhibitor area on Wednesday, May 3, 2017, from 5:00 pm to 6:30 pm. Teardown will be on Friday, May 5, 2017, at 11:00 am. Refreshment breaks and a reception will be held in the Exhibition area. Registration fee includes one 6 draped table and two chairs, registration for two representatives and twentyfour hour security. Full fee forfeiture if unable to attend. EXHIBITOR INSURANCE HOLD/HARMLESS CLAUSE Exhibitor assumes entire responsibility and hereby agrees to protect, indemnify, defend, save and hold harmless the International Workers Compensation Foundation (IWCF), employees and agents, Chelsea Place Meetings and its employees and agents, and the Marriott Charleston Town Center against all claims, losses and damages to persons or property, governmental charges or fines and attorney fees arising out of or caused by exhibitor s installation, removal, maintenance, occupancy or use of the exhibition premises or part thereof, excluding any such liability caused by the sole negligence or concurrent comparative negligence of the Marriott Charleston Town Center and their employees and agents, Chelsea Place Meetings and its employees and agents, as well as the IWCF, its members, employees and agents. In addition, exhibitor acknowledges that the Marriott Charleston Town Center, Chelsea Place Meetings and the IWCF do not maintain insurance covering exhibitors property or potential liabilities and that it is the sole responsibility of the exhibitor to obtain business interruption insurance, property damage insurance and liability insurance covering such losses by exhibitor. Exhibitor shall obtain and keep in force during the term of the installation and use of the exhibit premises, policies of comprehensive general liability insurance and contractual liability insurance and specifically referring to contractual liability set forth in the foregoing paragraphs hereof, in an amount not less than $1,000,000.00 combined single limit for personal injury and property damage. The Marriott Charleston Town Center, Chelsea Place Meetings, and the IWCF shall be included in such policies as additionally named insureds for this convention only. AUTHORIZED SIGNATURE: DATE: SPONSORSHIP OPPORTUNITY You are invited to register as a sponsor for the 2017 West Virginia. The following sponsorship levels are available: Silver: Gold: $500 Contribution Company name will appear on a large Thank You Sponsor sign in exhibit area. $1,000 Contribution Complimentary Attendee Registration Company Name and Contact Information will appear in conference program Company name will appear on a large Thank You Sponsor sign in exhibit area. CHECK CATEGORY WHICH APPLIES: q EXHIBITOR AND/OR q SPONSORSHIP: q Gold q Silver Company Name: Specialty: Contact Person: Title: Address: City: State: Zip: Telephone: Fax: Email Address: EXHIBITORS & GOLD SPONSORS ONLY Comp Registrant #1: Title: Email Address: EXHIBITORS ONLY Comp Registrant #2: Title: Email Address: Two registration options are available for exhibitors, gold and silver sponsors 1. Payment by Credit Card (MasterCard, VISA or American Express) - go to www.iwcf.us/iwcfevents.html and click on link to Online Registration under WEST VIRGINIA. (Credit Cards Only) 2. Payment by Check Complete, copy and return this form, along with a check made payable to the IWCF (International Workers Compensation Foundation, Inc.) and mail to IWCF, 570 Memorial Circle, Suite 320, Ormond Beach, FL 32174.

Registration Fees: $300.00 per person paid on or before March 31, 2017 $350.00 per person paid on or after April 1, 2017 Two registration options are available. 1. Payment by Credit Card (MasterCard, VISA or American Express) - go to www.iwcf.us/iwcfevents.html and click on link to Online Registration under WEST VIRGINIA. (Credit Cards Only) 2. Payment by Check Complete, copy and return this form for each attendee, along with a check made payable to the IWCF (International Workers Compensation Foundation, Inc.) and mail to IWCF, 570 Memorial Circle, Suite 320, Ormond Beach, FL 32174 Payment by Check Only Name: (Please PRINT name as you wish it to appear on your name tag) Business Name: Title: Address: City: State: Zip: Telephone: Fax: Email: Payment by Check Only Area of Interest: n Employer n Employee n Insurer n Attorney n Health Care Provider Other: LODGING - The Marriott Charleston Town Center welcomes you to the heart of downtown Charleston. A block of rooms has been reserved at the rate of $145.00 single plus applicable taxes. The room block will be held through April 12, 2017, unless it becomes fully reserved prior to this date. Register early by calling Marriott reservations (800-228-9290). or give group code WV WORKERS COMP CONF when calling to make your reservations. Hotel reservations alone do not guarantee admission to the Conference. CONTINUING EDUCATION CREDITS - CEU applications are pending for approval in the following disciplines: rehabilitation providers (CEU for CRC, CDMS, CCM), attorneys (CLE Hours), human resources professionals (SHRM), registered nurses and insurance producers. CANCELLATION REFUND POLICY - Cancellation of preregistration must be made before 5:00 pm on April 24, 2017. Substitution of personnel is recommended in lieu of cancellation after that date. The full registration fee will be forfeited if you fail to attend or cancel timely. SPECIAL NEEDS - Individuals attending the conference who may need auxiliary aids or special services are requested to provide notice of their needs in writing no later than 10 working days before the conference so that appropriate arrangements can be made. DRESS CODE - Casual clothing is appropriate for all events. For further information contact the IWCF office at (386) 677-0041, Fax (386) 677-0155, or email: IWCF@bellsouth.net Net proceeds from this event, if any, go to the International Workers Compensation Foundation, Inc. (FEIN# 35-1737364), a non-profit organization to further its work in workers compensation education and outreach.