Workers’ Compensation Educational Conference

The First Annual

Presented by:

The Oklahoma Workers’ Compensation Commission

in association with the International Workers’

Compensation Foundation, a nonprofit corporation

dedicated to workers’ compensation research and education.

September 22-23, 2014Tower Hotel

3233 Northwest Expressway Oklahoma City, Oklahoma

ATTENTION EXHIBITORSFee of $800 includes two (2) complimentary registrations for exhibitor representatives. Additional registrants will be accepted at the early bird rate of $250 each. A separate registration form should be completed for each additional registrant.Space is offered on a first come, first serve basis. For additional information regarding exhibit area, contact the IWCF office at (386) 677-0041. Booth setup will be in the exhibitor area on Monday, September 22, 2014, from 10:00 am to 12:00 pm. Teardown will be on Tuesday, September 23, 2014, at 5:00 pm.Refreshment breaks and reception 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 CLAUSEExhibitor 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 Tower 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 Tower 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 Tower 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. Tower Hotel, Chelsea Place Meetings, and the IWCF shall be included in such policies as additionally named insureds for this convention only.

AUTHORIZEDSIGNATURE: ����������������������������������������������

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SPONSORSHIP OPPORTUNITYYou are invited to register as a sponsor for the First Annual Oklahoma Workers’ Compensation Educational Conference. The following sponsorship levels are available:

Silver: $500 Contribution •Organizationnamewillappearon a large “Thank You Sponsor” sign in exhibit area.

Gold: $1,000 Contribution •Organizationnameandcontactinformation will appear in conference program •Organizationnamewillappearon a large “Thank You Sponsor” sign in exhibit area.

CHECK CATEGORY WHICH APPLIES:q EXHIBITORAND/ORq SPONSORSHIP: q Silver q Gold

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VENDOR ONLY

Comp Registrant #1: ��������������������������������

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Comp Registrant #2: ��������������������������������

Title: ����������������������������������������������(Please print names as you wish them to appear on name tag)

EXHIBITOR SPONSORSHIP REGISTRATION FORM

SEPTEMBER 22-23, 2014Workers’ Compensation Educational Conference

Two registration options are available for exhibitors, gold and silver sponsors1. Payment by Credit Card (MasterCard, VISA or American Express) - go to www.iwcf.us/iwcfevents.html and click on link to Online

Registration under OKLAHOMA.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.For additional information contact the IWCF office at: Phone (386) 677-0041 • Fax (386) 677-0155 • iwcf@bellsouth.net

CONFERENCE REGISTRATION FORM

SEPTEMBER 22-23, 2014

Registration Fees: $250 per person paid prior to September 1, 2014 (early bird rate) $300 per person paid on or after September 1, 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 OKLAHOMA.

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������������������������������������

Address: ������������������������������������������������������������������������������������������������

City: ������������������������������������������������������� State:����������Zip:��������������������������

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Area of Interest: q Employer q Employee q Insurer q Attorney q Health Care Provider Other: �������������Please Specify

LODGING - Tower Hotel, one of Oklahoma City’s premier hotels, is located at 3233 Northwest Expressway, Oklahoma City, Oklahoma 73112. A block of rooms has been reserved at the rate of $105.00/night plus applicable taxes. This rate will be available through August 22, 2014, unless this block becomes fully reserved prior to this date. Indicate you are attending the First Annual Oklahoma Workers’ Compensation Educational Conference when calling to make your reservations. Register early by calling the Tower Hotel’s direct number, (405) 842-6633.

CANCELLATION REFUND POLICY - Cancellation of preregistration must be made before 5:00 pm on September 12, 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.

CONTINUING EDUCATION CREDITS - Application will be made for adjuster continuing education credit in Oklahoma & Texas, Oklahoma CLE and CRC/CDMS/CCM credits. Insurance adjusters must attend the entire two-day conference to receive credit; no partial credit will be given. Any other discipline will be provided, upon request, with a 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) 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 (FEIN# 35-1737364), anon-profitorganization,tofurtheritsworkinworkers’compensationeducationandresearch.

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GENERAL INFORMATION

SEPTEMBER 22-23, 2014Workers’ Compensation Educational Conference

The Oklahoma Workers’ Compensation Commission and the International Workers’ Compensation Foundation are jointly sponsoring an Educational Conference which is unique in Oklahoma. The goal of this conference is to educate those who participate in the Oklahoma workers’ compensation system regarding current rules, procedures, policies and forms and to provide an opportunity for dialogue among these participants.Breakoutsessionswillbeutilizedtodiscusscertaintopicsinspecificdetailforamorespecializedview 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 Oklahoma will receive valuable information at the conference.

Registration FeeThe cost for attending this informative conference is:

$250 per person paid prior to September 1, 2014 (early bird rate)

$300 per person paid on or after September 1, 2014

Registration fee includes conference materials and special functions, including continental breakfast, evening reception and 2 luncheons. Casual attire is appropriate for all functions.

Continuing Education CreditsParticipants may be eligible for continuing education credits for conference attendance. Insurance adjusters must attend the entire two-day conference to receive credit; no partial credit will be given. Application will be made for credits in the following occupations: adjuster continuing education credit for Oklahoma and Texas, Oklahoma 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.

LocationTower Hotel

3233 Northwest Expressway Oklahoma City, Oklahoma 73112

(405) 842-6633

A block of rooms has been reserved at the conference hotel at the conference rate of $105.00/night. The rooms will be held through August 22, 2014, unless this block becomes fully reserved prior to this date. Register early! Indicate you are attending the First Annual Oklahoma Workers’ Compensation Educational Conference when making your reservations. Parking at the hotel is complimentary.

SEPTEMBER 22-23, 2014

AGENDAMonday, September 22, 2014

9:00 a.m. - 12:00 p.m. Registration and Exhibitor Setup

12:00 p.m. - 12:30 p.m. Welcome - Governor Mary Fallin

12:30 p.m. - 1:30 p.m. LUNCH

GENERAL SESSION

1:30 p.m. - 2:30 p.m. Who’s Who at the WCC – Dr. Rick Farmer, Executive Director

2:30 p.m. - 2:45 p.m. BREAK AND VENDOR VISITATION

2:45 p.m. - 3:45 p.m. “Official Disability Guidelines (ODG)” – Ken Eichler, Work Loss Data Institute

3:45 p.m. - 4:00 p.m. BREAK AND VENDOR VISITATION

4:00 p.m. - 5:00 p.m. “How Employers Can Navigate the New System” – James C. Ferguson

“How Employers Can Reduce Exposure Before the WCC - A Claimant’s Attorney’s Perspective” – Larry M. Spears

5:00 p.m. - 6:00 p.m. RECEPTION

Tuesday, September 23, 20147:30 a.m. - 8:30 a.m. Continental Breakfast

BREAKOUT SESSIONS

8:30 a.m. - 9:30 a.m. Breakout I - AMA GUIDES, 6th Edition Dr. Jay Cannon & Dr. LeRoy Young

Breakout II - EDI Paperless – Dr. Rick Farmer & Jason Smitherman

9:30 a.m. - 9:45 a.m. BREAK AND VENDOR VISITATION

9:45 a.m. - 10:45 a.m. Breakout III - Administrative Law Judge Panel “Frequently Asked Questions” - Judge Tara Inhofe, Judge Tish Sommer, Judge T. Shane Curtin, Judge Mike Egan

Breakout IV - “ADR & Mediation” - Professor Phyllis Bernard and H. Leo Austin

10:45 a.m. - 11:00 a.m. BREAK AND VENDOR VISITATION

GENERAL SESSION

11:00 a.m. - 12:00 p.m. Legislative Update – Rep. Jon Echols & Rep. Leslie Osborn

12:00 p.m. - 1:00 p.m. LUNCH

1:00 p.m. - 2:00 p.m. Employers Panel - “Return to Work Savings” MaDonna Kenner & Cody Ashley

2:00 p.m. - 2:15 p.m. BREAK AND VENDOR VISITATION

2:15 p.m. - 3:15 p.m. Oklahoma Employee Injury Benefit Act - Title 85A – James Mills & Bill Minick

3:15 p.m. - 3:30 p.m. BREAK AND VENDOR VISITATION

3:30 p.m. - 4:30 p.m. Panel Discussion: “Employer Savings from H.B. 1062” – Jonathan Buxton, Oklahoma State Chamber; Becky Robinson, Hobby Lobby; & Drew Harding, Unit Drilling

4:30 p.m. - 5:00 p.m. Submitted Q&A and Wrap-Up

For Final Agenda, go to www.iwcf.us/iwcfevents.html.

Workers’ Compensation Educational Conference

The First Annual

September 22-23, 2014Tower Hotel

Oklahoma City, OklahomaEarly-bird conference registration deadline: September 1st

Deadline for hotel reservations at conference rate: August 22nd