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December 13, 2016
Members present: Ms. Bloomingdale, Mr. Buchen, Mr. Dernbach(Chair), Mr. Fugina, Mr. Gunderson, Mr. Reader, Mr. Redman, Mr. Schwanda, Ms. Seiler, and Mr. Tindall
Member Excused: Ms. Nugent and Ms. Thomas
Staff present: Mr. Aiello,Mr. Krueger, Ms. McCormick, Mr. Moreth, and Mr. O'Malley
Mr. Dernbach introduced the four (4) new members of the Council who were appointed since the last meeting. Mr. Chris Reader, Director of Health and Human Resource Policy, with Wisconsin Manufacturers and Commerce and is member representing management. Mr. John Tindall, Director of Client Claim Advocacy, is with Integrated Risk Solutions and is a member representing management. Mr. Eric Fugina, Senior Claims Technical Specialist, has been with Sentry Insurance for 25 years and is a member representing worker's compensation insurers. Mr. Kevin Gunderson, WC Claims Manager, has been with Liberty Mutual Insurance Company for over 18 years and is a member representing worker's compensation insurers.
A letter dated October 27, 2016 was received from Ms. Mary Vogel, Office Manager, Walsdorf Roofing Company, Inc. In her letter Ms. Vogel discusses concerns about several unmeritorious worker's compensation claims involving employees of the company and also mentions concerns about the company's insurance agent not denying claims even when the employer wanted to contest a claim.
A letter dated November 23, 2016 was received from Mr. Steve Schneider from the American Insurance Association, Mr. Mark Johnson from the National Association of Mutual Insurance Companies, Mr. Jeff Junkas from the Property Casualty Insurers Association of America, and Mr. Andy Franken from the Wisconsin Insurance Alliance. In the letter they express support for the Worker's Compensation Advisory Council and the Agreed Upon Bill process. In the letter they also strongly recommend the Council to adopt a medical provider fee schedule based on Medicare's resource based relative value system (RBRVS) with a uniform conversion factor applicable to all covered services with no special carve-outs.
Mr. Kent suggested that the Council send a letter to Mr. Jeff Beiriger and Mr. Jeff Brand to recognize the importance of their service as long serving members on the Council representing management. Mr. Buchen and Ms. Bloomindale also suggested providing plaques. It was the consensus of the Council that letters and plaques would be presented to Mr. Beiriger and Mr. Brand for their many hours of work and long service to the Council over the years. Mr. Dernbach stated letters thanking the former members for their service and plaques will be available at the next meeting.
Commissioner McCallum discussed administrative rule revisions that were proposed by LIRC.
Mr. Eric Roesler, Corporate Manager of Human Resources and Safety at AGRA Industries, Inc. in Merrill attended the public hearing at the Wausau location. His proposal was for a law change to establish a three (3) person board comprised of medical doctors to make determinations on apportionment for non-work-related preexisting conditions.
Mr. Mark Grapentine from the Wisconsin Medical Society appeared at the public hearing at the Madison location. He spoke on behalf of the health care provider liaisons to discuss what the health care providers were doing to improve Wisconsin's health care system and the benefit of the health care provided to injured workers in this state. Mr. Grapentine presented a letter dated November 15, 2016 to the Council containing his testimony
Of the 20 sections being transferred, some of the sections need to be re-written back into ch. DWD 80 of the Wisconsin Administrative Code. Mr. O'Malley explained the process needed to re-draft the rules back into ch. DWD 80 of the Wisconsin Administrative Code.