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12 “Claims... Settling for Less or Not!!” “It’s not just about Workers’ Compensation anymore.” Friday, October 15, 2010 Radisson Hotel Sacramento Title Sponsor Program Sponsor Grancell, Lebovitz, Stander, Reubens & omas About AWCP... Claims professionals are in a unique position. To be the best in our profession, we must acquire more knowledge, more education and more hands-on experience than many other vocations. Winging it or guessing does not work well in claims, and the industry begs the obvious - seek knowledge...wherever you can get it. As the premier Workers’ Compensation association, AWCP has offered premier educational opportunities, including the renowned Annual Workers’ Compensation Conference for the past ten years. AWCP consists of a large group of workers’ compensation professionals that are dedicated to providing educational programs and opportunities to Claims Examiners, Claims Managers, Attorneys, Nurses, Risk Managers, and Human Resources Managers. We are also committed to providing industry networking events to help serve our members as well as our 50 plus sponsors that include Interpreting, Investigations, Law Firms, Copy Services, Insurance, TPA’s, Staffing, Transportation, Pharmacy, Diagnostic and Medical Manage Care to name just a few. Finally, AWCP is dedicated to Philanthropy in an effort to give back to our local communities. President’s Message Chair Person’s Message As the summer winds down, it is Dear AWCP Fall Conference Guest: my hope that each of you have I am delighted to welcome you to the enjoyed your vacations and AWCP 2010 annual fall conference. I family time as we gear up for Fall. am honored to be associated with Working in this industry can often an organization that continually be very stressful and frustrating strives for improvement in its and we all need to take time away educational goals and activities. As I from our desks to recharge and think about tumultuous times in this regroup. I am pleased to announce industry over the past few years, I that the AWCP Educational Event can only surmise that change within in October is offering a topic that the workers’ compensation industry addresses burnout in our industry. is simply a constant. The educational conference will It is our pleasure to try to identify return to the Radisson Hotel this year but we have moved the date current topic areas that will give you the knowledge and of the conference to Friday, October 15th. We will be focusing on understanding necessary to successfully cope with the many topics that the claims professional can take back to the office in demands of your job, whether you are an adjuster, claims order to be able to work smarter in this constantly changing supervisor or manager, medical provider, attorney, or service environment. provider. Consistent with this, we have seized upon the general AWCP will is also be having other educational events coming up topic of settlements because of its complexity. As an industry, so please check out our website often. We have also set up a page our basic assumptions are challenged as we examine how best to on Facebook and I plan on posting there periodically. I invite all accomplish that task. Compromise and Release agreements are claims professionals to post items on the site so that we can all ever more perplexing as we look at the costs associated with future learn from each other. medical treatment, funding Medicare Set-Asides, the nuances of I hope you all have a nice summer and I look forward to seeing determining permanent disability, and the legal acumen needed you at the Fall Education Conference on October 15!! when constructing the settlement documents. Sincerely, We have assembled a diverse group of experts to discuss these issues. Our warm welcome goes to our panelists who are donating their valuable time to spend the day with you. My hope is that you Richard Marconi will leave this conference feeling well-informed, renewed, and Claims Examiner, City of Sacramento energized. And don’t be surprised if you find yourself smiling at AWCP President the end of the day . . . Thanks to the AWCP Academy Committee and the rest of the board members for your instrumental help in putting this together, you are all awesome. And welcome, all. Peggy Sugarman AWCP Board Member & 2010 Conference Chair Training Director, Law Offices of Grancell, Lebovitz, Stander, Reubens and Thomas, A Professional Corporation Itinerary at a Glance 7:30 a.m. Registration & Breakfast in the Exhibit Hall 8:30 a.m. What’s New in DWC? Keven Star, Esq., Court Administrator, CA Division of Workers’ Compensation 9:00 a.m. Successful Negotiation Strategies George Mason, Mediator & Arbitrator, Former Presiding Judge, Workers’ Compensation Appeals Board 10:00 a.m. Break in Exhibit Hall 10:30 a.m. Part 1: Settlement Strategies – Future Medical Panel Discussion Maureen Burns, Esq., Law Offices of Abramson & Burns Steven Feinberg, M.D., Feinberg Medical Group Janis Skiljo Haris, RN, MEDLink Robyn Kain, City of Richmond Ellen Langell, Millennium Consultants Jeffrey Lanterman, Esq., Coleman, Chavez & Allen LLP Judge Kearse McGill, Workers’ Compensation Appeals Board Moderated by Peter Yip, M.D., Kaiser Permanente 12:00 p.m. Lunch and Exhibits (with time to network with your colleagues) 1:15 p.m. Part 2: Settlement Strategies – Permanent Disability Panel Discussion Dale Clough, Travelers Insurance Co. Steven Feinberg, M.D., Feinberg Medical Group Jake Jacobsmeyer, Shaw, Jacobsmeyer, Crain, Claffey & Nix Judge Kearse McGill, Workers’ Compensation Appeals Board Julius O. Young, III, Esq., Boxer & Gerson Moderated by Bert Andersson, Esq., Andersson|Converse LLP 2:15 p.m. Break in Exhibit Hall 2:45 p.m. Part 3: Constructing the Settlement Document Panel Discussion Maureen Burns, Law Offices of Abramson & Burns Robyn Kain, City of Richmond Ellen Langell, Millennium Consultants James Missler, Esq., Cuneo, Black, Ward & Missler Moderated by Medy Beauchane, Esq., Grancell, Lebovitz, Stander, Reubens and Thomas 3:50 p.m. Avoiding Burnout in the WC Industry Peggy Sugarman, Trainer, Grancell, Lebovitz, Stander, Reubens and Thomas 4:45 p.m. Closing and Raffle including $500 Grand Prize!! Grand Prize Raffle Sponsored by Cuneo, Black, Ward & Missler Crossover Issues Featured Speakers Bert Andersson, Esq., Andersson|Converse, LLP Bert Andersson, originally from Gothenburg, Sweden, immigrated to the United States to attend college in March, 1990. He received his Bachelors Degree in Geography and Regional Planning, with Honors, from Eastern Oregon University in 1994. J. Reuben Clark Law School at Brigham Young University in Provo, Utah presented him with a Juris Doctorate degree in 1997. Upon graduation, Bert worked between 1997 and 2000 as a Deputy District Attorney for Contra Costa County, during which time he tried 25 jury trials and over 100 court trials. In June, 2000 he started practicing workers’ compensation law, specializing in representing defendants. Bert opened up his own law practice in October, 2006 when he started Law Office of Bert G. Andersson. He worked as a solo practitioner until he joined David Converse to form Andersson Converse on February 8, 2008. Bert is a certified specialist in workers’ compensation law by the State Bar of California, an honor bestowed upon him after successfully passing the State Bar’s rigorous testing and being recommended for such certification by three Workers’ Compensation Judges. In addition to his legal practice, Bert is a member of the board of Association of Workers’ Compensation Professionals, and a frequent lecturer in the area of worker’s compensation law. Bert enjoys watching his beloved Oakland Raiders, stand up comedy, swing dancing, spending time with his wife Amy, and consistently scoring over 100 on the golf course. Most notably, Bert is “the best soccer coach ever” according to his eight-year-old son, Spencer. Medy Beauchane, Esq., Grancell, Lebovitz, Stander, Reubens and Thomas Medy Beauchane attended California State University, Chico, and thereafter received his Juris Doctor degree from Cal Northern School of Law. Both during and after law school, Mr. Beauchane worked with Attorney & Chico City Council Member Richard Keene - in Keene’s law practice and on political endeavors, including Keene’s successful 2002 campaign for State Assembly. While working with the Keene law practice, Mr. Beauchane incorporated and handled a personal injury caseload. The caseload also included business litigation and representing local business and community interests. In 2004, Mr. Beauchane practiced civil litigation as a sole practitioner, handling business litigation matters, Applicant claims (worker’s compensation) and personal injury matters. As a contract attorney for a large civil litigation firm, Mr. Beauchane represented disabled persons in civil rights / public access claims (ADA / FEHA). Mr. Beauchane has tried cases in both Federal and State court, and is proficient in Title 24 and ADAAG accessibility guidelines. In 2006, Mr. Beauchane became OSHA 30 certified and has satisfied the prerequisites for the OSHA 500 program, which will certify him as an OSHA 30 instructor. Maureen Burns, Esq., Law Offices of Abramson & Burns Maureen Burns has been an attorney in the workers’ compensation arena since she was admitted to practice in 1983. She attended the University of California at Davis where she received both her Bachelor of Arts and Juris Doctorate degrees. Maureen is currently a partner in the Law Offices of Abramson & Burns, having started her career with the Law Offices of Green & Azevedo. She is the Sacramento Valley Chapter President of the California Applicants’ Attorneys Association and a member of the California Teacher’s Association, Group Legal Services. Dale Clough, Sr., Compliance Consultant, Claim Regulatory Affairs Dale Clough is a veteran of the California workers’ compensation system, having worked in numerous claim capacities over the past 20+ years. He currently oversees statutory and regulatory compliance for the California claim offices of a major property and casualty company. Mr. Clough has served on various advisory commitees for the California Department of Insurance and Department of Workers’ Compensation, and has testified in their public hearings on many workers’ compensation issues. He is a former Director and Past President of the California Workers’ Compensation Claims Association, and currently chairs both CWCI’s Claims Committee and AIA’s California Regulatory Subcommittee. Crossover Issues Featured Speakers Steven D. Feinberg, M.D., Feinberg Medical Group Dr. Steven Feinberg is a physiatrist and pain medicine specialist practicing in Palo Alto. Dr. Feinberg is an Adjunct Clinical Professor and teaches at the Stanford University Pain Service and in the Department of Orthopaedics (Physical Medicine & Rehabilitation Division). He is a past president (1996) of the American Academy of Pain Medicine. He served as a CSIMS Year 2001 President. He serves on the Board of Directors of the American Chronic Pain Association (www.theacpa.org) and is lead author of the 2010 ACPA Consumer Guide to Pain Medication & Treatment. He is the Medical Director of Cedaron AMA Guides Software. Dr. Feinberg received the 1998 Professional of the year Award from the California Governor’s Committee on Employment of the Disabled. He is the recipient of the 1999 American Academy of Pain Medicine Founders Award. In 2006, he received the Silver Scalpel Award by CSIMS and the Stanford Pain Management Center Award for Teaching Excellence. Dr. Feinberg served on the ACOEM Chronic Pain Guidelines Panel Chapter Update and also as Associate Editor and he also serves as a consultant to the Official Disability Guidelines (ODG). Dr. Feinberg has special interest in recognition of delayed recovery and providing early intervention functional restoration for prevention and treatment of chronic pain conditions. Janice Skiljo Haris RN MS MSCC CNLCP, the CEO of MEDLink, Janice S. Haris has over 25 years experience working in various areas of the occupational health and workers’ compensation medical-legal community. Medical-Legal AME, QME IME Scheduling Services: Combining industry experience, expertise and a Masters in Occupational Health Administration from the University of California at San Francisco, Ms. Haris started MEDLink in 1992, as a comprehensive scheduling and management service for forensic physicians who provide QMEs, AMEs & IMEs. Medicare Set Asides (MSAs), Life Care Plans (LCPs) In 2004, MEDLink expanded its specialty services utilizing Ms. Haris’ nursing certifications to facilitate settlements by providing services that include Medicare Set Asides (MSAs), Life Care Plans (LCPs), Bill Review, Future Medical Cost Projections, and Home Health Assessments (HHAs). MEDLink provides all aspects of the WCMSA support to include: obtaining Social Security and Medicare releases, determining SSDI and Medicare status, preparing WCMSA analysis, submission of the MSA to Medicare CMS, Disputing CMS counter of the MSA, conducting the Medicare lien investigation, disputing any Medicare liens, and final approval process of the MSA with CMS. For the past 6 years, Ms. Haris has been actively training the workers’ compensation and disability communities in Medicare Set-Aside Strategies. The MEDLink Doctors also continue to provide medical seminars that cover the AMA Guide and the medical legal issues. Robyn Kain, Risk Manager, City of Richmond Robyn Kain, as the Risk Manager for the City of Richmond, is responsible for all facets of risk management including workers’ compensation, general liability, insurance procurement, safety programs, employee benefits administration, and risk control. She has over 20 years of experience having also served as Risk Manager for the cities of Roseville and Fairfield, and as Human Resources Director for Yuba City. Ms. Kain is well versed in self- insured public entity self insurance programs and initiating strategies to reduce costs associated with workers’ compensation and general liability claims. She holds the Associate in Risk Management designation, along with attaining an MBA degree. Crossover Issues Featured Speakers Richard (Jake) M. Jacobsmeyer, Esq., Law firm of Shaw, Jacobsmeyer Richard (Jake) M. Jacobsmeyer is a partner of the Law firm of Shaw, Jacobsmeyer, Crain, Claffey & Nix, a statewide workers’ compensation defense firm with 4 offices in California. A certified specialist in workers’ compensation since 1981, he has experience as both a representative of the injured workers for 18 years and now representing employers and insurance carriers before the Workers’ Compensation Appeals Board for over 17 years. As an applicant’s attorney Jake served terms on the Board of Governors of the California Applicant Attorneys Association (CAAA) including stints as Education Chair and Amicus Committee Co-Chair. During his time as an applicant’s attorney he also worked his way up the ladder in the Northern California Chapter of CAAA ultimately serving as President of that Chapter in 1993-1994. He has also served on the Board of Directors for the Diablo Valley Industrial Claims Association, the San Francisco Industrial Claims Association and as Speaker’s Chair for the Industrial Claims Association. He serves as amicus counsel for the California Workers’ Compensation Institute and is a frequent panelist for CWCI programs including their annual Legal Update Seminar as well as its periodic Statutory and Regulatory training programs. He is a frequent panelist on Workers’ Compensation issues for many organizations including California Self-Insurance Association, Coalition on California Workers’ Compensation, California Applicants’ Attorneys Association, California Society for Industrial Medicine and Surgery and multiple Industrial Claims Associations. Jake is married to Cyndy Larsen Jacobsmeyer, also a long time participant in the workers’ compensation system in multiple capacities including stints as Vice-President of Medical Services at HIH Insurance Co and Sales Vice-President at Corvel Corporation, and has three children, Matt, Joseph and Kelsey. His hobbies and interests include travel, wine tasting and exploring the wine regions of the world and all too infrequent enjoyment of golf. Jake also maintains a legal email update service proving prompt reporting on breaking case law, statutory and regulatory changes and other issue of interest to the workers’ compensation community that includes commentary on the practical implications of the information. If you are interested in being included on this list please feel free to email him at the below address: jakejacobsmeyer@ shawlaw.org Judge W. Kearse McGill, Workers’ Compensation Appeals Board A native of South Carolina, Workers’ Compensation Judge W. Kearse McGill graduated from Clemson University in 1988 with a double major in Political Science and German, magna cum laude. Judge McGill attended the University of the Pacific, McGeorge School of Law and, while there, was the managing editor of the Owens California Forms and Procedure Project and a recipient of a Gary V. Schaber Memorial Scholarship. After graduating from law school in 1991, Judge McGill continued his German language studies at the Goethe Institute in Boppard, Germany, as a recipient of a Rotarian Fellowship from the Rotary Club. Judge McGill’s legal career included work as legal counsel to State Senator Gary Hart (D-Santa Barbara) before he entered into private practice in 1995. For ten years, Judge McGill worked as both applicant counsel and defense counsel before becoming a workers’ compensation judge at the WCAB Stockton District Office on May 2, 2005. Judge McGill is currently an adjunct professor of law at Humphrey’s College, Laurence Drivon School of Law. He is also a member of the California State Bar’s Workers’ Compensation Section Executive Committee, where he has lectured and written extensively on ethical issues related to workers’ compensation. In addition to his work with the California State Bar, Judge McGill has presented many seminars state-wide to professional organizations on ethics. Ellen Langell, Millennium Settlements Ellen Langell is a structured settlement consultant in the workers’ compensation industry. Her career began with State Compensation Insurance Fund where she worked as a claims adjuster for thirteen years where she developed procedures for subrogated claims and created a user-friendly rating guide. She then became SCIF’s reinsurance and structured settlement consultant for another seven years, a position in which she worked with high cost claims, including negotiating structured settlements and ensuring medically appropriate payouts to catastrophically injured persons. Ms. Langell was also the designated trainer for Structured Settlements and Medicare Secondary Payer instructions to SCIF’s adjusters and attorneys. In 2009, she began independently consulting through Millennium Settlements and provides counsel to applicant’s attorneys on issues regarding case value, annuity pricing and payout schedules. A graduate of Sonoma State University, Ms. Langell also holds a California Life, Accident and Health Insurance license. She is an associate member of the California Applicants’ Attorneys Association and a member of the National Structured Settlements Trade Association. Crossover Issues Featured Speakers George W. Mason, Presiding Workers’ Compensation Judge, Retired Judge George W. Mason was appointed a Workers’ Compensation Judge in 1982, and retired as Presiding Judge of the Oakland Appeals Board in 2004. Judge Mason is currently a mediator and arbitrator in private practice. In 1986, after serving as a general trial judge for four years, he was selected as one of four asbestos judges in the State. Six years later when the Board opened a new court in Walnut Creek, Judge Mason was appointed Presiding Judge. In 2001, Judge Mason was selected by the Administrative Director of the Division of Workers’ Compensation to serve as his acting Chief Deputy. The process of appointing a permanent Chief Deputy took two years, and after the permanent Chief Deputy was appointed, Judge Mason resumed his duties as Presiding Judge in Walnut Creek. As Presiding Judge in Walnut Creek, Judge Mason initiated a program, which offered mediation to parties with complex cases. In the years that this service was offered, Judge Mason mediated over 300 cases in Walnut Creek, Oakland and San Francisco. Judge Mason received his Juris Doctorate from the University of California, Berkeley (Boalt Hall) in 1969. He received his advanced mediation and arbitration training at the National Judicial College in Nevada and from Harvard University. In 1993, Judge Mason was honored by the Defense and Applicants’ Attorneys Association as Northern California Workers’ Compensation Judge of the Year. He is past President of the Conference of Workers’ Compensation Judges and past Executive Board member of the Workers’ Compensation section of the State Bar. Judge Mason was selected as an Employee of the Year by the Division of Workers’ Compensation in 2003. In 2004, he received Resolutions from the California State Senate and the California Legislature Assembly for 22 years of State service and for more than 30 years of service in the legal and judicial system. James R. Missler, Esq., Cuneo, Black, Ward & Missler Jim Missler was born in Lima, Ohio. Jim graduated from Bowling Green State University (B.A.) in 1973, and from the University Pacific McGeorge School of Law in 1977. He was admitted to the California State Bar in 1978. Mr. Missler has been a practitioner of Workers’ Compensation Defense for over thirty years, and is one of the co-founders of the firm. He serves as the president of the firm. He has been a California State Bar Certified Workers’ Compensation Specialist since February 22, 1991. He is a member of the California State Bar Workers’ Compensation Section and Sacramento County Bar Workers’ Compensation Section. He is currently on the Board of Directors of the California Workers’ Compensation Defense Attorney’s Association (CWCDAA), and a past President of CWCDAA. Mr. Missler is an arbitrator in Workers’ Compensation cases. Jim is married with two children and three grandchildren. He is an avid cyclist. Jeffrey F. Lanterman, Esq., Coleman, Chavez & Allen, LLP Jeff Lanterman graduated with honors from the University of California, Santa Barbara in 1990 with a Bachelor of Arts in Law and Society. He obtained his Juris Doctorate from Santa Clara University Law School in 1993. He was also admitted to the California State Bar and the U.S. Northern District Court in 1993. Mr. Lanterman’s legal career has been exclusively devoted to Workers’ Compensation defense. He brings additional experience as the executive director of a Medical Provider Network and a physician educator. In 2008, he was published in Workers’ Compensation Quarterly. He currently serves on the education committee of the Association of Workers’ Compensation Professionals and is a member of the California State Bar Workers’ Compensation Section, the Sacramento County Bar Association and the Sacramento County Bar Workers’ Compensation Section. Keven Star, Esq., Court Administrator, California Division of Workers’ Compensation Keven Star was appointed as the first court administrator for the California Division of Workers’ Compensation (DWC) in June of 2005 and is fulfilling a five-year term. Mr. Star manages the DWC Claims Adjudication Unit, which includes 165 judges, 24 presiding judges and two associate chief judges. Mr. Star’s focus is on minimizing the workers’ compensation court system backlog and shortening the time it takes to move a case through the system. He is currently the project director for the Electronic Adjudication Management System (EAMS), which is moving the system from one based on paper files to an electronic format. Mr. Star practiced real estate, construction and personal injury litigation for three years before joining the Army’s Judge Advocate General’s Corps in December of 1990. Mr. Star served in Korea and Germany, as well as at Fort Ord in Monterey and Fort Hood in Texas. He finished over eight years of active duty and remains an active reservist. After leaving the Army, Mr. Star joined the district attorney’s office and in Santa Clara County, after which he moved to Sacramento, where he worked for two years prosecuting workers’ compensation fraud. Mr. Star graduated from San Diego State University in 1984 and from Golden Gate University School of Law in 1987. Crossover Issues Featured Speakers Peggy Sugarman, Training Director, Grancell, Lebovitz, Stander, Reubens and Thomas Peggy Sugarman has been involved in the California Workers’ Compensation system for over thirty years, beginning as a rehabilitation coordinator/catastrophic injury coordinator for Underwriter’s Adjusting Company. She later joined the California Division of Workers’ Compensation where she was promoted to the position of Chief Deputy Administrative Director in 1992 and served in that position until 2000. Peggy then worked as an independent workers’ compensation consultant for the California Applicants’ Attorneys Association and other clients until 2006 when she joined the Law Offices of Grancell, Lebovitz, Stander, Reubens and Thomas in 2006 as their Training Director, a position in which she provides customized training to clients. In addition to her work at GLSR&T, Peggy is a member of the Board of Directors for the Insurance Educational Association and also for the Association of Workers’ Compensation Professionals. She holds a Bachelor of Arts degree in Psychology from UC Davis and a Master of Science degree in Counseling. As of August, 2010, she is a PhD candidate in the field of Organizational Psychology where she is focusing her dissertation research on the emotional coping strategies and burnout in family law practitioners. Peter W. Yip, M.D., Chief of Occupational Medicine, Kaiser Permanente Specialty: Internal Medicine, Occupational Medicine, Toxicology When Dr. Yip attended college at the University of California, Berkeley, he became very interested in the health and injury prevention of workers. When he received his medical degree from the University of Southern California and completed his Internal Medicine residency with Kaiser Foundation Hospital in Los Angeles, Dr. Yip wanted to use this strong clinical foundation to further develop his interest in workers’ health and safety. Therefore Dr. Yip pursued and completed his two year fellowship in Occupational Medicine at the University of California, San Francisco Medical Center. Dr. Yip joined the Permanente Medical Group in 1983 and currently serves as Chief of Occupational Medicine for the Capital Service Area which encompasses the clinics in Folsom, Roseville and Sacramento. He was involved with the development of the occupational medicine program from its beginning. Healthcare Practice: As an occupational medicine physician, Dr. Yip’s goal is to thoroughly evaluate and treat each patient, always aiming toward returning patients to their maximum function. He also sees toxicology patients on referral as he has always had an interest in chemical exposures and toxicology. Julius Young, Esq., Boxer & Gerson, LLP Since beginning his practice in 1979, Julius Young has represented thousands of individuals who have sustained life- changing injuries or illnesses while on the job. In every case, his goal is to secure the medical treatment his clients need and the maximum benefits they are allowed so they and their families can survive potentially devastating injuries. Focusing primarily on workers’ compensation and Social Security disability cases, he has established a reputation as being both an excellent negotiator and trial lawyer. He often represents union members such as workers from the building and construction trades, Teamsters, health care workers, grocery retail clerks, machinists and others. Many of his clients are seriously injured, requiring multiple surgeries and having related difficulties due to depression, medication side effects, sleep disorders and other problems. In handling these cases he often coordinates workers’ compensation benefits with Social Security benefits, long-term disability benefits or PERS retirement benefits. He has been appointed by the Presiding Workers’ Compensation judge in Oakland to be a judge pro tem, allowing him to serve as a settlement conference judge at the request of the court. He has argued cases at the California Court of Appeal and is admitted to practice in the Northern and Eastern Districts of the U.S. District Courts in California. Julius received his undergraduate degree at Davidson College and is a graduate of the University of North Carolina at Chapel Hill Law School. Before entering law school, he was awarded a Rockefeller Fellowship in theological studies and received a Master’s degree in theology from the Pacific School of Religion in Berkeley. He also studied at the University of East Anglia in Norwich, England. A partner of Boxer & Gerson since 1988, Julius began his career by practicing workers’ compensation and disability law in Sacramento. When he’s not practicing law, he is a world traveler, having visited 34 countries on five continents. He also enjoys tennis, windsurfing, hiking, film, modern art and rock music. Julius is a native of Winston-Salem, North Carolina. Platinum Member Exhibitors/Sponsors 3i Corp. Grancell, Lebovitz, Stander, Reubens and Thomas Andersson|Converse, LLP Laughlin, Falbo, Levy & Moresi APEX Investigation Radiological Associates of Cuneo, Black, Ward & Missler Sacramento Medical Group, Inc. Exhibitors/Sponsors Include: 401 Diagnostics “An ExamWorks Co.” Kaiser-on-the Job Macro-Pro Copy and AccessOnTime Subpoena Services Statewide Alpine Investigations MEDLink Centre for Neuro Skills Michael M. Bronshvag, M.D., Inc. Chavez Coleman & Allen LLP Omega Health Systems Choices Case Management One Call Medical, Inc. Compex Legal Services Perez Investigations Communicaid Inc RJN Investigations, Inc. Crowe Paradis Services Corp. Rehab Without Walls Cypress Care Rising Medical Solution EK Health Services RNS HealthCare Consultants, Inc. Excel Managed Care and Sacramento Pain Clinic & Compass Center Disability Services for Functional Restoration Excaliber Investigations STOPS Enterprises, LLC GENEX Williams Investigations HOMELINK Work Comp Index Impairment Resources Our Exhibitors and Sponsors make the AWCP Fall Education Conference possible. Please visit their booths and support these generous sponsors and exhibitors!! Exhibitor & Sponsorship Registration AWCP is proud to offer many ways to sponsor this event and to showcase the services your company offers. We urge our sponsors and exhibitors to register early as this event sells out fast. As an added value to our sponsors and exhibitors, we will showcase your company with signage, special thanks at the luncheon, and full acknowledgement of your company. Exhibitor Opportunities Sponsorship Opportunities Diamond Sponsor Rate: $400 Lunch Sponsors (3 available) $500 Non-Diamond Exhibitor Rate : $650 Breakfast Sponsors (3 available) $300 Exhibit fee includes: One 8-foot table with cloth Grand Prize (1 available) $500 SOLD 2 chairs 1 lunch Attendee Bags (1 available) $2,000 SOLD Optional Amenities/Services: Portfolios (1 available) $1,000 Additional Lunch $ 35 Electrical outlet: $ 50 Syllabus Ads Full Page $500 (extension cord not provided) Half Page $350 Storage fee*: $ 20 Quarter Page $250 (Per box or item) Total Due: $ Company Name: Telephone: Contact Person: Email: (this name will be on name tag) Type of Business: Diamond Member: Yes No Payment Information: Visa M/C AmEx Check Enclosed Name (as it appears on credit card): Credit Card Number: Expires: Security Code: Billing Zip Code: Terms and Cancellation Policy Payment Terms: Full payment required at the time of registration. Assignment of exhibit location will not be made until full payment is received. Exhibit space is granted on a ÿrst come ÿrst served basis. Cancellation Policy: Exhibitors/Sponsors needing cancel must present a letter of cancellation on company letterhead before October 1, 2010. Cancellations will receive a refund only if the exhibit space/sponsorship can be re-sold. *Optional storage fee covers receiving and storing pre-shipped material and delivery to meeting room. No shipments will be accepted prior to October 10, 2010. Ship to: Radisson Hotel, AWCP October 15, 2010, 500 Leisure Lane, Sacramento, CA 95815. Mail or Fax this form with payment to: AWCP PO Box 760 ~ Rancho Cordova, CA 95741-0760 Phone: 916.290-8017 ~ Fax: 916.914.1706 For any questions: Please call or email Connie at firstname.lastname@example.org FEIN 68-0447121 Attendee Registration Education is growth and AWCP is proud to bring you another great seminar program again this year! If you are not already a member, sign up today for an instant savings now and on all future events. We appreciate your support and for choosing AWCP for your source of continuing education. Registration Fees Before October 1, After October 1, 2010 2010 AWCP Member $120 $145 Non-Member $140 $225 Mail or Fax this form with payment to: AWCP PO Box 760 ~ Rancho Cordova, CA 95741-0760 Phone: 916.290-8017 ~ Fax: 916.914.1706 For any questions: Please call or email Connie at email@example.com FEIN 68-0447121 Name: Telephone: Company: Address: Type of Business: City/State/Zip: Email: AWCP Member: Yes No Payment Information: Visa M/C AmEx Check Enclosed Name (as it appears on credit card): Credit Card Number: Expires: Security Code: Billing Zip Code: Check for Vegetarian Lunch Terms and Cancellation Policy Payment Terms: Full payment required at the time of registration. Cancellation Policy: Attendees needing cancel must present a letter of cancellation before October 10, 2010. No refunds will be granted after October 10 due to space limitations. Special Needs If you require special accommodations to attend the seminar, please contact Connie at AWCP Association Headquarters. A special thanks to the AWCP Academy Committee: Sara Grimley, Cuneo, Black, Ward & Missler Peggy Sugarman, Karen Jellison, Aims4Claims Grancell, Lebovitz, Stander, Reubens & Thomas Jeff Lanterman, Coleman Chavez & Allen LLP Janet Shepard, Comprehensive Cost Solutions, Inc. Karen Preston, RNS HealthCare Consultants, Inc. Sherry Taylor, Designated/Certified Sr. Examiner Debra Real, County of Sacramento Connie Conley, AWCP Executive Director Maha Smith, Cuneo Black, Ward & Missler And AWCP Publicity Chair, Frank Bermudez, Zurich in North America Sponsored by: General Information When: October 15, 2010 Where: Radisson Hotel Sacramento 500 Leisure Lane Sacramento, CA 95815 (916) 922-2020 Exhibits & Prizes: Continue your learning experience by visiting exhibitors who provide services in the industry. Exhibitor prizes and a special Grand Prize will be given away at the close of the conference. Remember, you must be present to win the Grand Prize! Don't forget your business cards. Continuing Education Credit: Do not forget to obtain your continuing education certi cates. This conference quali es for 6 Hours CCM, WCCP, MCLE, California Registered Nurse, and Claims Examiner credit. Registration: The attendee registration fee includes conference attendance, complete syllabus, handout materials, continental breakfast, lunch, and continuing education credit. Directions: The Radisson Sacramento Hotel is conveniently located 5 minutes from the Capitol, Old Sacramento, Cal Expo, Arden Fair Mall, Railroad Museum, and the Light Rail System.
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