30TH ANNUAL ARKANSAS Workers Compensation Commission Educational Conference Sponsored By The Arkansas Workers Compensation Commission AWCC October 29-30, 2014 Little Rock Marriott Hotel Three Statehouse Plaza Little Rock, AR 72201 In association with the International Workers Compensation Foundation, a non-profit corporation dedicated to workers compensation research and education.
30th Annual Arkansas Workers Compensation Commission Educational Conference The Arkansas Workers Compensation Commission and the International Workers Compensation Foundation are jointly sponsoring a Conference which is unique in Arkansas. The goal of this conference is to educate those who participate in the Arkansas 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, plaintiff 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 Arkansas will receive valuable information at the conference. Registration Fee The cost for attending this informative conference is: $325 Early bird registration before September 5th $375 Registration on or after September 5th Registration fee includes conference materials and special functions, including two breakfasts, one evening reception and one luncheon. Casual attire is appropriate for all functions. Hotel Information The host hotel for our conference is: Little Rock Marriott Hotel (formerly Peabody Hotel) Three Statehouse Plaza Little Rock, Arkansas 72201 Connected to the Statehouse Convention Center For Reservations, Call: (877) 759-6290 Conference Rate: $139/night Rate cut off 9/27/14 The conference rate will not be available should the room block become full prior to the cut-off date; make your reservations early. Valet parking at the hotel is $15/day and $20 overnight. Self-parking is available at the Second & Main Parking Garage, which is operated by the City of Little Rock and located two blocks from the hotel. Continuing Education Credits Participants may be eligible for continuing education credits for conference attendance. CEU applications are pending for approval in the following disciplines: attorneys (CLE Hours), adjusters* (CE Hours) and rehabilitation providers (CEU for CRC, CDMS, CCM). *Insurance adjusters must attend all sessions on Day 1 to receive any credit hours for Day 1 and all sessions on Day 2 to receive any credit hours for Day 2. Sign-out at the end of each day with correct adjuster license number is required.
EXHIBITOR/SPONSORSHIP REGISTRATION FORM 30th ANNUAL ARKANSAS WORKERS COMPENSATION COMMISSION EDUCATIONAL CONFERENCE ATTENTION EXHIBITORS Fee of $800 includes two (2) complimentary registrations for exhibitor representatives. Additional registrants will be accepted at the early bird rate of $325 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. Booth setup will be in the exhibitor area on Wednesday, October 29, 2014, from 7:00 am to 8:00 am. Teardown will be on Thursday, October 30, 2014, at 3:00 pm. Refreshment Breaks will be held in the Exhibition area. Registration fee includes one 6 draped table and two chairs, identification sign, registration for two representatives and twenty-four 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 Little Rock Marriott Hotel 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 Little Rock Marriott Hotel 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 Little Rock Marriott Hotel, 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 Little Rock Marriott Hotel, Chelsea Place Meetings, and the IWCF shall be included in such policies as additionally named insureds for this convention only. AUTHORIZED SIGNATURE: DATE: 73010 SPONSORSHIP OPPORTUNITY You are invited to register as a sponsor for the 30th Annual Arkansas Workers Compensation Commission Educational Conference. 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 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: EXHIBITOR AND/OR SPONSORSHIP: Gold Silver Company Name: Specialty: Contact Person: Title: Address: City: State: Zip: Telephone: Fax: Email Address: EXHIBITORS ONLY Comp Registrant #1: Title: Comp Registrant #2: Title: (Please print names as you wish them to appear on name tag) 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 ARKANSAS. 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.
30TH ANNUAL ARKANSAS WORKERS COMPENSATION COMMISSION EDUCATIONAL CONFERENCE Registration Fees: $325.00 per person paid prior to September 5, 2014 $375.00 per person paid on or after September 5, 2014 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 ARKANSAS. 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 Name: (Please PRINT name as you wish it to appear on your name tag) Business Name: Title: Payment by Check Only Address: City: State: Zip: Telephone: Fax: Email: Payment by Check Only Area of Interest: Employer Employee Insurer Attorney Health Care Provider Other: _ LODGING - The Little Rock Marriott welcomes you to its downtown Little Rock River Market District Location. A block of rooms has been reserved at the rate of $139.00 single plus applicable taxes. The room block will be held through September 27, 2014, unless it becomes fully reserved prior to this date. Indicate you are attending the 30th Annual AWCC Conference when calling to make your reservations. Register early by calling the Marriott s direct number (877) 759-6290. Hotel reservations alone do not guarantee admission to the Conference. CONTINUING EDUCATION CREDITS - Participants may be eligible for continuing education credits for conference attendance. CEU applications are pending for approval in the following disciplines: attorneys (CLE Hours), adjusters (CE Hours) and rehabilitation providers (CEU for CRC, CDMS, CCM). *Insurance adjusters must attend all sessions on Day 1 to receive any credit hours for Day 1 and all sessions on Day 2 to receive any credit hours for Day 2. Sign-out at the end of each day with correct adjuster license number is required. CANCELLATION REFUND POLICY - Cancellation of preregistration must be made before 5:00 pm on October 17, 2014. 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 research. 73010
30th Annual Arkansas Workers Compensation Commission Educational Conference AGENDA & PROGRAM WEDNESDAY, OCTOBER 29, 2014 7:00 a.m. - 8:00 a.m. Exhibitor Move-In 8:00 a.m. - 9:30 a.m. Registration & Continental Breakfast GENERAL SESSION 9:30 a.m. - 10:00 a.m. Commission Updates and Reports Chairman A. Watson Bell, Commissioner Karen McKinney, and Commissioner Philip A. Hood. 10:00 a.m. - 11:00 a.m. KEYNOTE: Top 10 High Cost Workers Comp Mistakes and Return to Work Robert J. Barth, Ph.D. 11:00 a.m. - 11:15 a.m. 11:15 a.m. - 12:15 p.m. Ethics in Law and Claims Part 1 Michael Harmon, Deputy Director of Professional Conduct 12:15 p.m. - 1:30 p.m. LUNCHEON 1:30 p.m. - 2:30 p.m. Ethics in Law and Claims Part 2 Robert Montgomery, Attorney, Southern, Allen & Withrow 2:30 p.m. - 3:30 p.m. Prescription Monitoring Program Dr. Denise Robertson, Ark. Dept. of Health 3:30 p.m. - 4:00 p.m. 4:00 p.m. - 5:00 p.m. Pain Management Cost Containment Using Evidence Based Medicine Dr. William E. Ackerman 5:00 p.m. - 6:00 p.m. RECEPTION THURSDAY, OCTOBER 30, 2014 7:00 a.m. - 8:30 a.m. Buffet Breakfast 8:30 a.m. - 9:30 a.m. CONCURRENT -OUT SESSIONS Track 1 AWCC Forms and Procedures 201 Track 2 Death Benefits Janna Craig, AWCC Special Funds 9:30 a.m. - 10:30 a.m. CONCURRENT OUT SESSIONS Track 1 AWCC Forms and Procedures 202 Track 2 Discussion on Claims, Hearings and Q&A ALJ Panel 10:30 a.m. - 10:45 a.m. GENERAL SESSION 10:45 a.m. - 11:45 a.m. Medical Marijuana Mark Pew, PRIUM 11:45 a.m. - 12:45 p.m. LUNCH (on your own) 12:45 p.m. - 1:45 p.m. Benefits and Potential Issues Associated with Treatment Guidelines, from a National Perspective Ken Eichler, Work Loss Data Institute 1:45 p.m. - 2:45 p.m. Preventing Prescription Abuse Steve Varady, Ark. Dept. of Human Services 2:45 p.m. - 3:00 p.m. 3:00 p.m. - 4:00 p.m. A Sampling of Recent Research Published by the Workers Compensation Research Institute Alan McClain and Michael Clingman 4:00 p.m. - 5:00 p.m. Case Law Update David Schneider, AWCC Legal Advisor 5:00 p.m. - 5:15 p.m. Closing Remarks James Daniel, CEO of AWCC
30th Annual Arkansas Workers Compensation Commission Educational Conference Statehouse Convention Center Little Rock, Arkansas Early-bird conference registration deadline: September 5, 2014 Deadline for hotel reservations at conference rate: September 27, 2014 I W C F 570 Memorial Circle, Suite 320 Ormond Beach, FL 32174 First Class Mail US Postage Paid Daytona Beach, FL Permit #62