ASP Span International Training CSP Span International Training
Late Registration for Golf Tournament Moot Court Judges’ Luncheon (Judges only) Convention Registration & Information E. Earle Zehmer Moot Court Preliminary Rounds
Introduction of Keynote Speaker Special Guest Speaker and Keynote Address E. Earle Zehmer Moot Court Finals Breakout for Healthcare Providers National Trends In Workers’ Compensation Chemical Exposure and Mold Breakout
Breakout for Adjusters, Program One Breakout for Adjusters, Program Two Breakout for Paralegals And Legal Assistants Breakout for Medical Case Managers/Rehabilitation Providers National Trends In Workers’ Compensation Professional Employer Organization (PEO) Breakout Chemical Exposure and Mold Breakout
Grand Prize Drawing Inside Exhibit Hall Florida Division of Workers’ Compensation Breakout Florida Bureau of Rehabilitation Breakout Breakout on Medical Issues (Adjusters and Nurse Case Managers) Breakout on Longshore And Harbor Workers’ Compensation Act Breakout on Advanced Mediation Techniques for Mediators, Attorneys and Adjusters Breakout on Social Security, Grice Limitations and Medicare Set-Asides Breakout on Multi-State Workers’ Compensation Laws
ASP Span International Training
Steven Wheeler Span International Training Nixa, Missouri
This specially offered course is designed for professional development training for safety practitioners. The curriculum is specifically designed for examination preparation for associate safety professionals and consists of three training days. Workbooks are provided with one specifically designed for self-study. The course includes a scientific calculator for each student with instructions and exercises.
Please sign up early - This class is limited to 20 students per instructor.
Registration for this 3-day ASP course, which includes the conference registration, is $600.00. Registration for the 3-day ASP course only is $549.00. See the registration form for this course, which is included in this booklet. Pre-Registration is required. Registration begins at 7:30 am.
Participants must attend all three days: Friday, August 19, 2005 – Sunday, August 21, 2005 8:00 – 5:00 pm Hall of Cities – New Orleans, Convention Level
CSP Span International Training
David Wheeler Span International Training Nixa, Missouri
This specially offered course is designed for professional development training for safety practitioners. The curriculum is specifically designed for examination preparation for certified safety professionals and consists of three training days. Workbooks are provided with one specifically designed for self-study. The course includes a scientific calculator for each student with instructions and exercises.
Please sign up early - This class is limited to 20 students per instructor. Registration for this 3-day CSP course, which includes the conference registration is $600.00. Registration for the 3-day CSP course only is $549.00. See the registration form for this course which is included in this booklet. Pre-Registration is required. Registration begins at 7:30 am.
Participants must attend all three days: Friday, August 19, 2005 – Sunday, August 21, 2005 8:00 – 5:00 pm Hall of Cities – St. Louis, Convention Level
Sunday, August 21
7:30 – 8:00 am Late Registration for Golf Tournament Hawks Landing Golf Club at the Marriott World Center – Cart Staging Area (Registration for those not pre-registered, if space is available)
8:00 – 1:00 pm Hawks Landing Golf Club at the Marriott World Center Golf Tournament Luncheon in Florida Ballrooms – Harbor Beach & Marco Island, North Tower, immediately following tournament
12:00 – 6:00 pm Palms Ballrooms Convention Level
12:00 – 1:00 am Shuttle Bus between The Marriott World Center, The Caribe Royale, and Premium Outlet Mall (Boarding Convention Entrance Marriott World Center & the Main Reception Building [the building in the forefront] of the Caribe Royale). Refer to shuttle map & schedule.
12:30 – 1:45 pm Moot Court Judges’ Luncheon (Judges only) Hall of Cities – Tampa Convention Level
2:00 – 5:00 pm Convention Registration & Information Grand Registration Convention Level
2:00 – 5:00 pm E. Earle Zehmer Moot Court Preliminary Rounds Hall of Cities – Miami & New York and Grand Ballrooms I-VI Convention Level
Participants: Barry University of Orlando Florida A&M University Florida Coastal Law School Florida International University Florida State University Nova University St. Thomas University Stetson University University of Florida University of Miami
Organizers: Jacqueline L. Blanton, Attorney McConnaughhay, Duffy, Coonrod, Pope & Weaver, P.A. Sarasota, FL
Barbara B. Wagner, Attorney Wagenheim & Wagner, P.A. Ft. Lauderdale, FL
Richard A. Sicking Attorney Miami, FL
Mark L. Zientz Attorney Miami, FL
Monday, August 22
7:00 – 1:00 am Shuttle Bus between The Marriott World Center, The Caribe Royale, and Premium Outlet Mall (Boarding Convention Entrance Marriott World Center & the Main Reception Building [the building in the forefront] of the Caribe Royale). Refer to shuttle map & schedule.
8:00 – 5:00 pm Grand Registration Area Convention Level
9:00 – 9:15 am Crystal Ballrooms H - Q Convention Level
James N. McConnaughhay, Attorney McConnaughhay, Duffy, Coonrod, Pope & Weaver, P.A. General Chairman Tallahassee, FL
Steven A. Rissman, Attorney Rissman, Weisberg, Barrett, Hurt, Donahue & McLain, P.A. Program Chairman Orlando, FL
Special Awards: Ed Higby Memorial Volunteer of the Year Award
9:15 – 9:30 am
FWCI Scholarship Presentation J. David Parrish, Attorney Parrish & Smejkal, P.A. Attorney Winter Park, FL
Gerald A. Rosenthal, Attorney Rosenthal & Levy, P.A. Attorney West Palm Beach, FL
Friends of 440 Scholarship Presentation Richard A. Sadow, Attorney Sadow & Gorowitz, P.A. Miami, FL
9:30 am Introduction of Keynote Speaker Sam Friedman Editor-in-Chief National Underwriter – Property & Casualty/Risk & Benefits Management Edition Hoboken, NJ
9:30 – 10:30 am Joseph A. Gilles President & Chief Operating Officer Wausau Insurance Companies Wausau, WI
With more than 26 years of expertise in the industry, Mr. Gilles will discuss the state of the market in workers’ compensation, addressing the challenges the industry faces today, including rising medical care and drug costs, the difficulty in achieving legislative reforms, and the looming threat of terrorism, particularly the potential extension of the Terrorism Risk Insurance Act.
10:30 – 11:30 am Special Guest Speaker and Keynote Address
For security reasons, we are unable to announce the identity of our special guest speaker. We are most excited and honored to be able to bring you this extraordinary presentation. We thank you for your cooperation and understanding and know you will find this a memorable program.
11:00 – 5:00 pm Palms Ballrooms Convention Level
Lunch (on your own)
1:30 – 2:30 pm E. Earle Zehmer Moot Court Finals Crystal Ballrooms K, L & M Convention Level
Organizers: Jacqueline L. Blanton, Attorney McConnaughhay, Duffy, Coonrod, Pope & Weaver, P.A. Sarasota, FL
Barbara B. Wagner, Attorney Wagenheim & Wagner, P.A. Ft. Lauderdale, FL
Richard A. Sicking Attorney Miami, FL
Mark L. Zientz Attorney Miami, FL
Judged by First District Court of Appeal Honorable Marguerite Davis Honorable Philip J. Padovano Honorable Ricky Polston
This annual event is the final round of the moot court competition. The subject of this competition is a topic that is significant in the area of workers’ compensation.
2:00 – 5:00 pm Grand Ballrooms VII & VIII Convention Level
Moderator: H. George Kagan, Attorney Miller, Kagan, Rodriguez & Silver, P.A. West Palm Beach, FL
Panel: M. Kemmerly Thomas, Attorney McConnaughhay, Duffy, Coonrod, Pope & Weaver, P.A. Tallahassee, FL
Nicole D. Ruocco, Attorney Rissman, Weisberg, Barrett, Hurt, Donahue & McLain, P.A. Orlando, FL
Geoffrey Bichler, Attorney Bichler & Kelley, P.A. Winter Park, FL
J. Eric Stiffler, Attorney Kelley, Stiffler, Thomas, LLC Bonita Springs, FL
Alan M. Aronson, Attorney Rosenthal & Levy, P.A. West Palm Beach, FL
Case Law Update is one of the most important portions and the best attended programs of the Workers’ Compensation Educational Conference. It’s no breakout – it’s the main event. This year, the panelists will discuss many of the major cases that have been decided in the last year by the Appellate Courts as they affect workers’ compensation matters. An analysis of the trends of the court and the law is also given, with emphasis on the practical application of the case law to the handling of a workers’ compensation claim. This is a must attend presentation.
1:00 – 5:00 pm Hall of Cities – Boston, Atlanta, Anaheim Convention Level
Program Moderator: Marc Salm Director & Counsel Risk Management Publix Super Markets, Inc. Lakeland, FL
1:00 – 2:45 pm Employer Challenges in Today’s Workers’ Compensation Environment: Working Towards the "Best-in-Class" Max Koonce Director of Claims Wal-Mart Stores, Inc./CMI Rogers, AR
Linda Brown Senior Vice President of Business Strategy Broadspire Services, Inc. Plantation, FL
Everyone agrees that administering workers’ compensation programs has become increasingly difficult. Issues such as double-digit medical inflation, an aging workforce, and litigious claimants challenge employers striving to become "best-in-class". Although most employers are aware of long accepted cost control programs, few know, with certainty, how to structure their programs and raise them to "best-in-class". The panel will focus on how to determine what works best for employers, including: types of insurance, timely claims reporting, to self-administer or use a TPA, structuring return-to-work, selecting medical treatment and providers, using safety programs and managing third parties. Once these programs are shaped, the panel will discuss how to innovate and raise the programs to "best-in-class".
2:45 – 3:00 pm Break
3:00 – 4:00 pm Ending Fee for Service Costs in Workers’ Compensation Claims Administration S. Lee Puckett President Network Synergy, Inc. Tampa, FL
Grame M. Harper Senior Vice President Marsh USA Fort Lauderdale, FL
Employers are facing open-ended medical, indemnity, and managed care costs due to uncontrolled medical utilization. Many employers have purchased large deductible policies or are self-insured, retaining much of the risk of workers’ compensation claims. Carriers, whose core competency was the assumption of financial risk, frequently no longer provide this service. Third party administrators, whose core competency is the administration of claims, may be more interested in open-ended managed care fees. Managed care companies claim to reduce utilization, yet may be paid based on the number of modalities, visits and/or hourly rates, creating a potential conflict of interest. The speakers will discuss alternative reimbursement methods that can transfer much of the financial risk from the employer to the other players involved in a workers’ compensation claim without compromising quality of care and still generate early return-to-work.
4:00 – 5:00 pm The Art of Underwriting Workers’ Compensation Barbara S. Schillinger, CIC Executive Underwriter, Risk Management Division The Hartford Lake Mary, FL
Have you ever wanted to look inside an underwriter’s mind? What do you think you would see? Are you imagining a dartboard, an Ouigi board or maybe a psychic? Join The Hartford’s Risk Management Underwriter as she tries to take the mystery out of workers’ compensation underwriting. This session will walk you through the underwriting process from the perspective of an underwriter. She won’t promise to make you an underwriter, but maybe you will be better prepared for your next renewal process.
Breakout for Healthcare Providers
1:00 – 4:15 pm Grand Ballrooms I, II & III Convention Level
1:00 – 2:00 pm The Role of the Physician in Pharmaceutical Management
Moderator: George W. Furlong Vice-President Provider and Payment Services Choice Medical Management Tampa, FL
Panel: Gerard Sander Clinical Program Manager Express Scripts, Inc. St. Louis, MO
Joseph Paduda Principal Health Strategy Associates Madison, CT
With prescription drugs now accounting for over 12% of the workers’ compensation medical dollar, increased attention is being paid to utilization and efficacy. While formularies, drug utilization review, and price discounts can help address these concerns, ultimately the treating physician has the most impact on this critical area. This panel will bring together experts to provide a summary of the issue, discuss the overall role of the physician, and present protocols and tools available to manage pharmaceutical utilization.
2:00 – 3:00 pm What’s New in Neurosurgery?
Moderator: Oregon Hunter, MD Southeast Integrated Medical Ocala, FL
Panel: Steven A. Reid, MD, FACS, FICS Southeast Integrated Medical Gainesville, FL
Joseph C. Cauthen, MD Neurosurgical and Spine Associates Gainesville, FL
This panel will focus on a clinical discussion of new techniques and procedures in the field of neurosurgery. The thrust of this session will be two of the hottest topics in workers’ compensation today: carpal tunnel and artificial discs.
3:00 – 3:15 pm Break
3:15 – 4:15 pm Ask the Experts
Moderator: Ann (Ellingham) Crutchfield Rehabilitation and Electrodiagnositics, P.A. Tampa, FL
Panel: Robert A. Keeter, Attorney Robert A. Keeter, P.A. Gainesville, FL
Nancy Spaniola, CWC Claims Manager Unisource Administrators, Inc. Sarasota, FL
Steve England Manager Intracorp Lake Mary, FL
This panel will discuss the non-medical side of workers’ compensation and how your statements and actions may impact your practice including discussions on completing workers’ compensation forms, depositions, conferences, maximum medical improvement, major contributing cause, return-to-work, permanent impairment rating, "no work" status, TTD/TPD, surveillance, attendant care and permanent total disability.
National Trends In Workers’ Compensation Presented by the National Underwriter
1:00 – 4:00 pm Grand Ballrooms IV, V & VI Convention Level
1:00 pm Welcome and Introductions Sam Friedman Editor-in-Chief National Underwriter Property & Casualty/Risk & Benefits Management Edition Hoboken, NJ
1:00 – 2:30 pm Crisis Management: Workers’ Compensation Reform in Key States
Moderator: Robert G. Purdy Domestic Brokerage Group Segment Executive Vice President AIG/American Home Assurance Philadelphia, PA
Panel: Michael Nolan President California Workers' Compensation Institute (CWCI) Oakland, CA
The Honorable Dennis A. Ross State Representative, District 63 Lakeland, FL
Eric Oxfeld President Strategic Services for Unemployment & Workers’ Compensation Washington, DC
Workers’ compensation has been a political flashpoint all around the country, with legislative reform efforts being one of the highest profile controversies in a number of key states, including Florida, California and Texas. This panel offers a progress report on legislative and regulatory reform activities across the nation.
2:30 – 2:45 pm Break
2:45 – 4:00 pm Putting the Lid on Out-of-Control Drug Costs Moderator: George W. Furlong Vice President Provider and Payment Services Choice Medical Management Tampa, FL
Panel: Joseph Paduda Principal Health Strategy Association Madison, CT
Nancy Brennan Director of Product Development The Hartford – Specialty Risk Services Hartford, CT
The panelists explore how the industry is attempting to get a handle on the spiraling costs of prescription drugs – a key component of rising workers’ compensation costs. The successes and failures of recent initiatives will be discussed.
Chemical Exposure and Mold Breakout Presented by the University of South Florida, Sunshine Education and Research Center
1:00 – 5:00 pm Grand Ballrooms XII, XIII & XIV Convention Level
1:00 – 3:00 pm Chemical Exposures in the Real World: Case Studies from a Medical, Legal and Industrial Hygiene Perspective
Panel: Richard H. Weisberg, Attorney Rissman, Weisberg, Barrett, Hurt, Donahue & McLain, P.A. Orlando, FL
James D. McCluskey, MD, MPH, PhD (c) University of South Florida, Colleges of Medicine and Public Health Tampa, FL
Jamie Poole, PhD, CIH Salazar Consulting Group, Inc. Tampa, FL
This discussion will include example cases exploring the differences between single causation agents versus multiple toxic agent exposures, both in the individual and multiple employee scenarios. Litigation aspects including discovery, medical evaluations, defenses, and statutory legal requirements for exposure cases will be covered. The role of the industrial hygienist in establishing the duration and degree of an exposure will be discussed. In addition, the medical aspects of each case will be discussed, including the diagnosis and alternatives, confounding factors, medical care and return-to-work issues.
3:00 – 3:15 pm Break
3:15 – 5:00 pm Defining a Workplace or Environmental Chemical Exposure
Panel: Raymond Harbison, PhD University of South Florida, Colleges of Medicine and Public Health Tampa, FL
Robin DeHate, CHMM, MPH, PhD(c) University of South Florida, Colleges of Medicine and Public Health Tampa, FL
Health and safety specialists have a legal and ethical obligation to protect worker welfare. In addition, they must accurately and reliably determine workplace injuries. Regulations are intended to reduce risks to human life and health; however, they often affect the perception of "risk" that is associated with a chemical. This presentation will place exposures, the risk assessment process and regulations into context when evaluating workplace exposures and injury claims.
1:00 – 5:15 pm GENERAL INDUSTRY SAFETY BREAKOUT I Grand Ballroom IX & X Convention Level
1:00 – 3:00 pm Behavior Based Safety Recognition & Incentives Bill Sims, Jr., President The Bill Sims Company Columbia, SC
Vic Anapolle, Consultant The Bill Sims Company Columbia, SC
Do safety incentive programs work? This is a multimillion dollar question when you consider the costs that unsafe practices can have on your organization. The simple answer is, it depends primarily on the focus of your safety program, and secondarily on how well you implement your incentive program. Given that 96% of all workplace accidents are triggered by unsafe behavior, it is no wonder the focus often has been on reducing the number of accidents by eliminating unsafe behaviors instead of on preventing accidents by rewarding instances of safe behavior.
3:00 – 3:15 pm Break
3:15 – 4:15 pm Most Frequently Asked Questions on OSHA Recordkeeping Joan M. Spencer Compliance Assistance Specialist OSHA Tampa, FL
Although the OSHA Recordkeeping standard has been in place since January 2002, many employers still have questions. This presentation will focus on different incident scenarios and frequently asked questions of the recordkeeping standard requirements and forms.
4:15 – 5:15 pm Most Frequent Reasons for the Issuance of the 5(a)(1) Citation Joseph Roesler Compliance Assistance Specialist OSHA Jacksonville, FL
The hazards that injure employees are the same hazards OSHA observes and cites during workplace inspections. This presentation will focus on the most common reasons why OSHA issues the 5(a)(1) or General Duty Clause citation.
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1:00 – 5:15 pm GENERAL INDUSTRY SAFETY BREAKOUT II Grand Ballroom XI Convention Level
1:00 – 3:00 pm Positive Outcomes of the OSHA Voluntary Protection Plan
Moderator: John Storm, PhD Space Gateway Support, LLC Kennedy Space Center, FL
Panel: Alan Markham International Association of Machinists & Aerospace Workers (IAM) Kennedy Space Center, FL
Allan Harrell Transportation Workers Union (TWU) Kennedy Space Center, FL
Dr. Storm will describe the joint labor-management team approach for the SGS Facilities Department, a 900-person infrastructure operation, maintenance & engineering organization serving Kennedy Space Center and Cape Canaveral Air Force Station that led to the award of SGS’s OSHA Star in January 2002. Key essentials for implementing and sustaining a VPP-level employee led safety program will be discussed. Results of following the VPP pathway will be described in terms of reduced accident rates and costs, as well as the significant strengthening of the day-to-day working relationship between safety leaders from labor and management, that also spill over into other labor relations matters. The employee panel will add their remarks during the presentation. The session will conclude with a Q&A session with response from the SGS labor-management team members.
3:00 – 3:15 pm Break
3:15 – 5:15 pm 2004 Hurricane Season in Review: Hurricane Lessons Learned Craig Fugate Director of the Florida Division of Emergency Management Tallahassee, FL
This presentation will review Hurricanes Charley, Frances, Ivan, and Jeanne, and Tropical Storm Bonnie. The review will address the plans that were very helpful in the state’s response efforts and those issues that need to be addressed for future storms.
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1:00 – 5:15 pm CONSTRUCTION SAFETY BREAKOUT Hall of Cities – Tampa Convention Level
1:00 – 3:00 pm How To Do A Fit Test With A Respirator Erica Klemann Industrial Business Sales Specialist 3M Occupational Health & Environmental Safety Division Oviedo, FL
Janet Lafata Safety Products, Inc. Lakeland, FL
This class session will cover the following information: Selection and use of respiratory devices, how to train an employee on the use of respirators, how to conduct a qualitative fit test using bitrex and a tyvek hood system, medical evaluation for the use of a respirator to include not only the OSHA forms but also a demonstration of the use of a pulmonary function device and an explanation of medical restrictions. You should be able to conduct a fit test after completing this course.
3:00 – 3:15 pm Break
3:15 – 5:15 pm Managing the Risk for the Temporary Employee Bill Nagel Executive Vice President RCS Services Houston, TX
Staffing firms offer flexibility to virtually any employer with personnel needs. The cost advantages of utilizing a contingent workforce has allowed the staffing industry to grow to over eighteen million dollars. As with any industry, as the competition increases, companies are forced to focus on containing costs in order to offset declining margins. When your product is people, the focus on safety programs and workers’ compensation loss control efforts are key to maintaining profitability. A successful staffing firm focuses on key risk management strategies including: cutting edge employee screening, thorough orientation, safety partnerships with clients, value added servicing, and cooperative loss control.
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1:00 – 5:00 pm SPECIALIZED TRAINING (CERTIFIED/CERTIFICATED COURSE) BREAKOUT Hall of Cities – Washington Convention Level
1:00 – 2:00 pm Introduction to Scaffold Safety Awareness John A. Palmer, CSP Scaffold Training Institute League City, TX
This program will provide a brief introduction into various types of scaffolding and common safety issues. Topics include identification of various types of scaffolds, overview of basic safety requirements such as foundations, guardrails, toeboards, ladder access, and most common OSHA violations. This session is also the first hour of the 8-hour certification class. Attendees who are attending the 8-hour class will remain in the room after attendees for the one-hour session are dismissed. Manual provided only to participants of the entire 8-hour course.
1:00 – 5:00 pm Scaffolding (Part 1 of 2) (Certified & Certificated) Part 2 of 2 on Tuesday, 8 - 12 pm John A. Palmer, CSP Scaffold Training Institute League City, TX
This 8-hour presentation provides detailed instruction in scaffold hazard recognition including a thorough discussion of OSHA regulations, manufacturers’ recommended assembly instructions, and the topics required by 1926.454 for three types of scaffolding: frame, tube & coupler, and system. Topics include foundations, fall protection, falling object protections, stability tying, planking, safe access, loading, and step-by-step assembly procedures. A 300 page manual, testing, and certificate upon successful completion are included.
Note: This session is limited to 50 participants. Pre-registration is required. See registration form TO RESERVE YOUR SPACE FOR THIS SESSION.
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7:00 – 11:00 pm Crystal Ballrooms G - Q Convention Level
Featured Entertainment: Hootie and The Blowfish
Opening Act: Caliente
Casual attire. Beverages & heavy hors d’oeuvres. Adults only, please. Refer to "General Information" section for information on Hootie and The Blowfish and Caliente.
Tuesday, August 23
7:00 – 12:00 am Shuttle Bus between The Marriott World Center, The Caribe Royale, and Premium Outlet Mall (Boarding Convention Entrance Marriott World Center & the Main Reception Building [the building in the forefront] of the Caribe Royale). Refer to shuttle map & schedule.
8:00 – 5:00 pm
9:00 – 5:00 pm Palms Ballrooms Convention Level
Program One
8:45 – 4:15 pm Crystal Ballroom H Convention Level
8:45 – 9:45 am Challenging Cases in Orthopaedic Care
Introduction: Karen Ursulich Orlando Orthopaedic Center Orlando, FL
Panel: Artificial Disc Replacement-An Alternative To Lumbar Spine Fusion Stephen R. Goll, MD Orlando Orthopaedic Center Orlando, FL
Calcaneal Fracture-Understanding the Severity Of This Injury Daniel L. Wiernik, DPM Orlando Orthopaedic Center Orlando, FL
Reflex Sympathetic Dystrophy (RSD)- Diagnosis and Treatment Controversies Lawrence S. Halperin, MD Orlando Orthopaedic Center Orlando, FL
Everyone has them – the cases that won’t go away. Join the physicians of Orlando Orthopaedic Center to take a look at some of the orthopaedic cases that always prove challenging. The physicians will discuss alternatives to lumbar spine fusions and treatments for calcaneal fractures and reflex sympathetic dystrophy. Presentations will cover diagnoses, treatments, pitfalls and what this means for workers’ compensation cases for each subject area. Physicians will give practical information in straightforward terms to help adjusters understand challenging orthopaedic cases. Audience members will have the opportunity to ask questions during the presentation. Join Drs. Goll, Wiernick and Halperin for an insightful presentation connecting the medical field with the workers’ compensation world.
9:45 – 10:00 am Break
10:00 – 12:00 pm MSA’s and Beyond
Moderator: Mary E. Ingley, Attorney McConnaughhay, Duffy, Coonrod, Pope & Weaver, P.A. Tallahassee, FL
Panel: John M. Williams President and Chief Operating Officer Gould and Lamb, LLC Bradenton, FL
Robert L. Sagrillo, Attorney Sagrillo, Hammond & Dineen, LLC Denver, CO
This panel will address the use of a Medicare Set-Aside arrangement to further the objective of the Medicare Secondary Payer Act in the context of the settlement of a workers’ compensation case. There will be a practical overview of the who, what, when, how and why of MSA’s. Considerable time will be devoted to the most frequently asked questions. Audience participation is strongly encouraged.
12:00 – 1:00 pm Lunch (on your own)
1:00 – 2:00 pm Illegal Aliens/Fraudulent Identity: Special Issues for Employers, Carriers and Defense Attorneys
Moderator: Kristy L. Burch, CWC Workers’ Compensation Supervisor Darden Restaurants, Inc. Orlando, FL
Panel: James C. ("Chris") Norris, Attorney Liberty Mutual Group Insurance Orlando, FL
Justine G. Esser, CWC, ACA Claims Manager Workers' Temporary Staffing Lake Mary, FL
This panel will address the legislative intent of the October 1, 2003 changes to the Chapter 440 fraud provisions. More specifically, how do these changes impact employers in their hiring practices with regard to workers’ compensation exposures? The panel will talk about what is required of an employer, specifically in the obtainment of the I-9 and what is considered adequate documentation when hiring an employee. How can workers’ compensation insurance adjusters use these provisions to deny benefit eligibility to undocumented injured workers? How do the provisions potentially implicate employers? Finally, how can defense attorneys build their fraud defense cases while avoiding conflicts of interest with regard to their representation of employers?
2:00 – 2:15 pm Break
2:15 – 3:15 pm Maximizing Compliance: Timely Delivery of Benefits
Moderator: John O. Miano, CWC Claims Representative ACE/ESIS Tampa, FL
Panel: Nancy Amee Supervisor Summit Claims Management Lakeland, FL
Sissy Nogar Kammer Workers’ Compensation Consultant Nogar & Associates Tallahassee, FL
Amendments to the workers’ compensation statute of October 2003 and evolving administrative rules present many challenges to claims’ handlers. This presentation will discuss delivery of benefits, performance standards, the means by which they are monitored and effects of the auditing process. The panel will discuss the role of the Bureau of Monitoring and Audit, the impact of automated performance monitoring, and events which lead to violations. Where standards and deadlines regarding benefits and form filing are spread throughout the statute and administrative rules, the presenters will discuss a case study, provide a performance "timeline" and make helpful suggestions designed to avoid violations and resulting penalties.
3:15 – 4:15 pm Division Audits-What’s Different, Why and What You Need to Know
Moderator: Joan Bruyntjens Claims Director Florida Region FCCI Insurance Group Sarasota, FL
Panel: Nancy Spaniola, CWC Claims Manager Unisource Administrators, Inc. Sarasota, FL
Brian Lindholm Director, Field Operations Specialty Risk Services, LLC Lake Mary, FL
This panel will investigate and discuss what has changed at the Division and why there is now a focus on forensic audits. The panelists will talk about recent audit outcomes and will disclose practical tips for being in compliance and having a successful audit. Test your knowledge of ethical obligations for being in compliance and learn how costly it can be if you are not. You can’t afford to miss this panel.
Program Two
8:45 – 4:15 pm Crystal Ballroom J Convention Level
8:45 – 9:45 am Defending a Chemical Exposure Case Thomas H. McDonald, Attorney St. Paul/Travelers Insurance Orlando, FL
James D. McCluskey, MD, MPH, PhD (c) University of South Florida, Colleges of Medicine and Public Health Tampa, FL
Exposure claims generally involve complicated medical and legal issues requiring the adjuster to be both doctor and lawyer. This session, drawing upon the experience and expertise of both a doctor and a lawyer, will tell you what you need to know to handle an exposure claim. Items presented will include an interactive scenario, the "snowballing" diagnosis, refocusing medical services, pitfalls of poorly planned care, as well as, the old and cold file lurking on your desk. Other topics that will be discussed include the 2003 statutory changes, burdens of proof, occupational disease vs. repetitive exposure, contribution between carriers and defense strategy.
9:45 – 10:00 am Break
10:00 – 12:00 pm Issues and Answers: Hot Topics
Moderator: Jeff Taylor President MSA Annuity Sarasota, FL
Panel: Nancy Kornbluh Technical Specialist St. Paul/Travelers Insurance Orlando, FL
Marisol Agosto, SCLA, CWC Workers’ Compensation Manager Zurich North America Maitland, FL
Crystal Chancey Workers’ Compensation Claims Supervisor Publix Super Markets, Inc. Lakeland, FL
Gay E. Marlin Senior Claims Adjuster AmCOMP/Pinnacle Benefits North Palm Beach, FL
Scott H. Silver, Attorney Miller, Kagan, Rodriguez & Silver, P.A. Fort Lauderdale, FL
As always, this is one of the premiere presentations of the entire convention. All of the claims’ professionals on this panel will present a detailed analysis of several workers’ compensation "hot topics". Moderator, Jeff Taylor will be your guide. Among the topics discussed will be how to defend a new law permanent total claim, compensability issues, responses to Petitions for Benefits and evaluating cases for settlement.
12:00 – 1:00 pm Lunch (on your own)
1:00 – 2:00 pm Medical Litigation: The Quandaries Presented by The New Law Changes Susan N. Marks, Attorney McConnaughhay, Duffy, Coonrod, Pope & Weaver, P.A. Pensacola, FL
Christina D. Mullins, CWC Claims Examiner III Sedgwick CMS Lake Mary, FL
Medical benefits litigation is on the rise following the new changes in the law that became effective October 1, 2003. Aggressively controlling the medical portion of the claim is now more important than ever. This presentation will provide the audience with practical information and insight on how to manage the new law medical changes. You will learn answers to numerous questions regarding the control of medical benefits. Who gets to choose the physician when the claimant requests a change? What is the five day rule and what is your obligation regarding the rule? What is the current law on IMEs? Do second opinions still exist? How do referrals work? Does litigating the medical affect the indemnity? What is this $1,500.00 attorney’s fee limit for medical benefits we keep hearing about, and how does it really work? What is the basis for the claimant’s attorney’s fee after securing a medical benefit that leads to other medical and indemnity benefits being provided? The presenters will guide you through the myriad of questions brought about by the new law changes and will provide you with new strategies for aggressive handling and defending the medical litigation aspects of your claims.
2:00 – 2:15 pm Break
2:15 – 3:15 pm Major Contributing Cause and Apportionment Cynthia Gaul Workers’ Compensation Claims Director FCCI Insurance Group Sarasota, FL
Raymond A. Lopez, Attorney Rissman, Weisberg, Barrett, Hurt, Donahue & McLain, P.A. Orlando, FL
No changes in the 2003 law are more important than the changes in the doctrines of major contributing cause and apportionment. Attend this session and find out not only the relevant law but the strategy utilized in implementing these two important tools.
3:15 – 4:15 pm Fraud: You Can Never Know Too Much
Moderator: Jana Cauley Claims Supervisor Summit Claims Management Lakeland, FL
Panel : Jeffrey Korte Bureau Chief Workers’ Compensation Fraud Department of Financial Services/Division of Insurance Fraud Tallahassee, FL
Robert J. Rodriguez, Attorney Miller, Kagan, Rodriguez & Silver, P.A. Miami, FL
Workers’ compensation fraud is a growing problem in our industry. The panelists will take us through the legal realm of facts, defenses, results and changes in the new law. Then they will discuss whether there is a time when you should settle the claim even if fraud is present or whether you should simply defend it in front of the Judge of Compensation Claims or even refer it out for prosecution? Speaking of prosecution, Jeff Korte is the "main man" with the Division of Insurance Fraud. He can tell you exactly what you need to do to catch and prosecute a fraudulent claimant.
8:15 – 9:15 am Alumni Breakfasts
Florida State University, College of Law Crystal Ballroom K, Convention Level
University of Florida, College of Law Crystal Ballroom L, Convention Level
Mercer University, College of Law Crystal Ballroom M, Convention Level
University of Miami, College of Law Crystal Ballroom N, Convention Level
9:30 – 4:15 pm Grand Ballroom VII Convention Level
Program Moderator: Debra H. Pierce, Attorney Rosenthal & Levy, P.A. Port St. Lucie, FL
9:30 – 11:00 am Strategy Session: Hot Topics
Moderator: Christine M. Franco, Attorney Franco & Franco, P.A. Tampa, FL
Panel: Steven P. Kronenberg, Attorney Kelley, Kronenberg, Gilmartin, Fichtel & Wander, P.A. Miami Lakes, FL
Paul L. Westcott, Attorney Hurley, Rogner, Miller, Cox, Warnach & Westcott, P.A. Ft. Pierce, FL
Laurie Thrower Miles, Attorney Smith, Feddeler, Smith & Miles, P.A. Lakeland, FL
Ramon Malca, Attorney Malca and Jacobs, P.A. South Miami, FL
This knowledgeable and skilled Strategy Session panel will discuss innovative techniques, new trends, recent decisions, and legislative changes (and challenges) that impact the prosecution and defense of workers’ compensation claims. The Hot Topics will include compensability, permanent total disability, medical benefits, psychiatric claims, settlements, and attorneys’ fees.
11:00 – 11:15 am Break
11:15 – 12:30 pm Oral Argument: First District Court of Appeals Presented by the First District Court of Appeal
Panel: Honorable Charles J. Kahn, Jr. First District Court of Appeal Tallahassee, FL
Honorable Peter D. Webster First District Court of Appeal Tallahassee, FL
Honorable Marguerite Davis First District Court of Appeal Tallahassee, FL
Honorable Philip J. Padovano First District Court of Appeal Tallahassee, FL
Honorable Ricky Polston First District Court of Appeal Tallahassee, FL
Jon S. Wheeler Clerk First District Court of Appeal Tallahassee, FL
This Breakout is a "first time ever" for the Annual Conference. Two cases of significance pending in the First District Court of Appeals will be argued before a panel of Judges. Attendees at this session will observe "live" arguments before the court with actual litigants and can observe procedures followed at the appellate level. The decision of the Court will be posted on the Court’s website several weeks after the arguments take place.
12:30 – 2:15 pm Lunch (on your own)
2:15 – 4:15 pm New Law and New Challenges in Ethics and Professionalism
Moderator: Howard Scheiner, Attorney Howard Scheiner, P.A. West Palm Beach, FL
Panel: Dawn Traverso Larson, Attorney Eraclides, Johns, Hall, Gelman, Eikner & Johannessen, LLP Aventura, FL
William H. Rogner, Attorney Hurley, Rogner, Miller, Cox, Waranch, & Westcott, P.A. Orlando, FL
Rosmary B. Eure, Attorney Lancaster & Eure, P.A. Sarasota, FL
Kevin G. Bennett, Attorney Grossman & Goldman, P.A. Boca Raton, FL
This panel will discuss the challenges of the new Workers’ Compensation Act as it impacts the very heart of the practice and the way lawyers are handling these claims. The discussion will provide practical information concerning the types of ethical issues presented by the new law and how to address the issues with professionalism (even when your opponent does not). And Legal Assistants
9:00 – 12:00 pm Crystal Ballroom G Convention Level
Program Moderator: Debbie Scott Legal Assistant Rissman, Weisberg, Barrett, Hurt, Donahue & McLain, P.A. Orlando, FL
9:00 – 10:00 am IMEs and Second Opinions David R. Drill, Attorney Kelley, Kronenberg, Gilmartin, Fichtel & Wander, P.A. Jacksonville, FL
You will learn answers to numerous questions regarding the control of medical benefits. Who gets to choose the physician when the claimant requests a change? What is the five day rule and what is your obligation regarding the rule? What is the current law on IMEs? Do second opinions still exist? How do referrals work? Does litigating the medical affect the indemnity? The presenter will guide you through the myriad of questions brought about by the new law changes and will provide you with new strategies for handling the medical litigation aspects of your claims.
10:00 – 10:10 am Break
10:10 – 11:00 am What Does the Paralegal/Legal Assistant Need to Know About the Rules? Honorable Paul T. Terlizzese Judge of Compensation Claims Melbourne, FL
It seems like the Rules of Procedure change almost every year. Almost as much as the statute, the rules have a significant effect upon how pleadings are drafted and how a case is prosecuted and defended. Judge Terlizzese will walk the participants through the rules explaining them and giving practical tips.
11:00 – 12:00 pm Mock Trial Demonstration Christian G. Payer, Attorney Law Offices of Christian Payer Orlando, FL
Kathryn A. Terry, Attorney Moran & Shams, P.A. Orlando, FL
Jeffrey J. Kerley, Attorney Rissman, Weisberg, Barrett, Hurt, Donahue & McLain, P.A. Tampa, FL
This is the end result of most everything that a paralegal or legal assistant does. Sooner or later, your client is going to end up in court. It is a lot easier for you to prepare the case for trial if you know exactly what happens during a trial. In this presentation, the participants will actually try a case. This will be both entertaining and informative.
Breakout for Medical Case Managers/ Rehabilitation Providers
8:50 – 5:00 pm Grand Ballrooms IX, X & XI Convention Level
8:50 – 9:00 am Welcome and Introductions April C. Brader President Healthy Pathways, Inc. St. Petersburg, FL
Betty Reid, RN, CRRN, CDMS, CCM President Rehabilitation Advisors, Inc. Orlando, FL
9:00 – 10:00 am Surgical Treatment for LBP: To Fuse or Not to Fuse? Paul J. Zak, MD Coastal Spine Specialists Pinellas Park, FL
Fusion surgery has been used extensively to treat a variety of low back disorders. This presentation gives a review of the indications and results of lumbar spinal fusion, current techniques, and potential long term problems with adjacent level degeneration. Motion sparing technologies will be discussed as a potential alternative to fusion for certain disorders.
10:00 – 11:00 am Cos |