The 2014 COLORADO. Workers Compensation Educational Conference

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1 The 2014 COLORADO Workers Compensation Educational Conference DoubleTree by Hilton Colorado Springs Hotel Colorado Springs, Colorado Presented by: The Colorado Division of Workers Compensation in association with the International Workers Compensation Foundation, a nonprofit corporation dedicated to workers compensation research and education.

2 EXHIBITOR/SPONSORSHIP REGISTRATION FORM 2014 COLORADO WORKERS COMPENSATION EDUCATIONAL CONFERENCE ATTENTION EXHIBITORS Fee of $750 includes two (2) complimentary registrations for exhibitor representatives. Additional registrants will be accepted at the early bird rate of $275 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) or ed to For additional information regarding exhibit area, contact the IWCF office at (386) Booth setup will be in the exhibitor area on Thursday, July 24, 2014, from 7:00 am to 9:00 am. Teardown will be on Friday, July 25, 2014, at 12:00 pm. Refreshment Breaks will be held in the Exhibition area. Registration fee includes one 6 draped table and two chairs, 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 DoubleTree By Hilton Colorado Springs 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 DoubleTree By Hilton Colorado Springs 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 DoubleTree By Hilton Colorado Springs 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, combined single limit for personal injury and property damage. DoubleTree By Hilton Colorado Springs Hotel, 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 Colorado Workers Compensation Educational Conference. The following sponsorship levels are available: Silver: Gold: $500 Contribution Organization name will appear on a large Thank You Sponsor sign in exhibit area. $1,000 Contribution Organization name and contact information will appear in conference program Organization name will appear on a large Thank You Sponsor sign in exhibit area. CHECK CATEGORY WHICH APPLIES: EXHIBITOR AND/OR SPONSORSHIP: Silver Gold Company Name: Specialty: Contact Person: Title: Address: City: State: Telephone: Fax: Address: Comp Registrant #1: Title: Comp Registrant #2: VENDORS ONLY Zip: Title: (Please print names as you wish them to appear on name tag) Please make/mail check payable to: (Credit Cards Not Accepted) IWCF, 570 Memorial Circle, Ste. 320, Ormond Beach, FL For additional information contact the IWCF office at: Phone (386) Fax (386)

3 CONFERENCE REGISTRATION FORM THE 2014 COLORADO WORKERS COMPENSATION EDUCATIONAL CONFERENCE Complete, copy and return this form for each attendee along with a CHECK (Credit Cards Not Accepted) made payable to the IWCF (International Workers Compensation Foundation) and mail to: IWCF, 570 Memorial Circle, Suite 320, Ormond Beach, FL Registration Fees: $275 per person paid prior to or on June 15, 2014 (early bird rate) $325 per person paid after June 15, 2014 Name: (Please PRINT name as you wish it to appear on your name tag) Business Name: Title Address: City: State: Zip: Telephone: Fax: Area of Interest: Employer Employee Insurer Attorney Health Care Provider Other: LODGING - DoubleTree by Hilton Colorado Springs Hotel has been recently remodeled and is nestled in the foothills of the Southern Rocky Mountains located at 1775 East Cheyenne Mountain Blvd. A block of rooms has been reserved at the rate of $ single bed and $ for two beds plus applicable taxes. This rate will be available through June 24, 2014, unless this block becomes fully reserved prior to this date. Indicate you are attending the 2014 Colorado Workers Compensation Educational Conference when calling to make your reservations. Register early by calling the DoubleTree s direct number, (719) CANCELLATION REFUND POLICY - Cancellation of preregistration must be made before 5:00 pm on July 11, 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. CONTINUING EDUCATION CREDITS - Application will be made for CLE and CRC/CDMS/CCM credits. Any other discipline will be provided, upon request, with certificate of completion for credit submission. 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) , Fax (386) , or Net proceeds from this event, if any, go to the International Workers Compensation Foundation (FEIN# ), a non-profit organization, to further its work in workers compensation education and research.

4 THE 2014 COLORADO WORKERS COMPENSATION EDUCATIONAL CONFERENCE The Colorado Division of Workers Compensation and the International Workers Compensation Foundation are jointly sponsoring an Educational Conference which is unique in Colorado. The goal of this conference is to educate those who participate in the Colorado 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, insurance adjusters, self-insurers, third party administrators, safety and human resource managers, plaintiffs 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 Colorado will receive valuable information at the conference. Registration Fee The cost for attending this informative conference is: $275 per person paid prior to or on June 15, 2014 (early bird rate) $325 per person paid after June 15, 2014 Registration fee includes conference materials and special functions, including continental breakfast, evening reception and luncheon. Casual attire is appropriate for all functions. Continuing Education Credits Participants may be eligible for continuing education credits for conference attendance. Application will be made for credits in the following occupations: attorneys (CLE) and rehabilitation providers (CEU for CRC, CDMS and CCM). Any other discipline will be provided, upon request, with certificate of completion for credit submission. Location DoubleTree By Hilton Colorado Springs Hotel 1775 East Cheyenne Mountain Blvd. Colorado Springs, CO (719) A block of rooms has been reserved at the conference hotel at the conference rate of $ single bed / $115 two beds. The rooms will be held through June 24, 2014 unless this block becomes fully reserved prior to this date. Register early! Indicate you are attending the 2014 Colorado Workers Compensation Educational Conference when making your reservations. Parking at the hotel is complimentary for conference participants, and complimentary transportation is provided by the DoubleTree to and from the Colorado Springs Airport.

5 THE 2014 COLORADO WORKERS COMPENSATION EDUCATIONAL CONFERENCE TOPICS AND SCHEDULE DoubleTree by Hilton Colorado Springs Hotel Colorado Springs, Colorado THURSDAY, JULY 24TH 8:00 a.m. - 9:15 a.m. Continental Breakfast & Registration 9:15 a.m. - 9:30 a.m. Welcome Paul Tauriello, Director, Division of Workers Compensation Ellen Golombek, Executive Director, Department of Labor & Employment 9:30 a.m. - 10:30 a.m. Potential Impacts of the Affordable Care Act on the Colorado Workers Compensation System Keynote Speaker: Dean Hashimoto, M.D., J.D. Chief of Occupational and Environmental Medicine, MA General Hospital Associate Professor, Boston College Law School 10:30 a.m. - 10:45 a.m. Morning Break 10:45 a.m. - 11:45 a.m. Panel Discussion: Impact of Recent Legislation Director Paul Tauriello, Claimant and Insurer Representatives 11:45 a.m. - 1:00 p.m. LUNCHEON 1:00 p.m. - 2:00 p.m. Panel Discussion: Successful Return to Work and Its Challenges Victoria McColm, City of Colorado Springs; Frank Polanco, M.D., HealthQuest Medical Services; Cathy Icabone, Pueblo County 2:00 p.m. - 3:00 p.m. How to Avoid Time Consuming and Costly Medical Disputes: Understanding the Colorado Medical Treatment Guidelines Dan Sung, J.D., Christy Hunter, Medical Policy, Division of Workers Compensation 3:00 p.m. - 3:15 p.m. Afternoon Break 3:15 p.m. - 4:15 p.m. Panel Discussion: The Commercialization of Marijuana and Its Effects on the Workplace Mike Elliot, Medical Marijuana Industry Group; Steven Wright, M.D., Colorado Pain & Rehab; Vince Niski, Colorado Springs Police Department; Claimant Representative; Director Paul Tauriello, Moderator 4:15 p.m. Reception/Networking FRIDAY, JULY 25TH 8:00 a.m. - 8:30 a.m. Continental Breakfast 8:30 a.m. - 9:30 a.m. How to Avoid Statutory Liability & Protect Against Non-Insured Contractors Julie Yakes, J.D., Coverage Enforcement, Division of Workers Compensation 9:30 a.m. - 10:30 a.m. Cervical and Low Back Medical Treatment Guidelines Kathryn Mueller, M.D., Medical Director, Division of Workers Compensation 10:30 a.m. - 10:45 a.m. Morning Break 10:45 a.m. - 11:45 a.m. Malice in Wonderland: Curiouser and Curiouser ICAP and Court of Appeals Cases Craig Eley, J.D., Prehearing & Settlement Conferences, Division of Workers Compensation 11:45 a.m. - 12:00 p.m. Adjournment For detailed topic descriptions and schedule, go to

6 I W C F 570 Memorial Circle, Suite 320 Ormond Beach, FL First Class Mail US Postage Paid Daytona Beach, FL Permit #62 The 2014 COLORADO Workers Compensation Educational Conference DoubleTree By Hilton Colorado Springs Hotel Colorado Springs, Colorado Early-bird conference registration deadline: June 15th Deadline for hotel reservations at conference rate: June 24th

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