American Association of State Compensation insurance Fund
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member fund.

CopperPoint Mutual Insurance Company
Phone: (602) 631-2000
Address: 3030 North Third Street
Phoenix, AZ   85012

State Compensation Insurance Fund
Address: 333 Bush Street
Suite 800
San Francisco, CA   94104

Pinnacol Assurance
Phone: (303) 361-4000
Address: 7501 East Lowry Boulevard
Suite 800
Denver, CO   80230-7006

Hawaii Employers' Mutual Insurance Co. Inc.
Phone: (808) 524-3642
Address: 1100 Alakea Street
Suite 1400
Honolulu, HI   96813

Idaho State Insurance Fund
Phone: (208) 332-2100
Address: 1215 West State Street
P.O. Box 83720
Boise, ID   83720-0044

Kentucky Employers Mutual Insurance
Phone: (859) 425-7800
Address: 250 West Main Street Suite 900
P.O. Box 83720
Lexington, KY   40507-1724

Louisiana Workers' Compensation Corporation
Phone: (225) 924-7788
Address: 2237 South Acadian Thruway
P.O. Box 83720
Baton Rouge, LA   70808

Maine Employers Mutual Insurance Company (MEMIC)
Phone: (207) 791-3300
Address: 261 Commercial Street
P.O. Box 11409
Portland, ME   04104

Chesapeake Employers’ Insurance Company
Phone: (410) 494-2000
Address: 8722 Loch Raven Boulevard
P.O. Box 11409
Towson, MD   21286-2235

SFM Mutual Insurance Company
Phone: (952) 838-4200
Address: 3500 American Boulevard West Suite 700
P.O. Box 11409
Bloomington, MN   55431-4434

Missouri Employers Mutual Insurance
Phone: (800) 442-0590
Address: 101 N Keene St
P.O. Box 11409
Columbia, MO   65201

Montana State Fund
Phone: (406) 495-5015
Address: 855 Front Street
P.O. Box 4759
Helena, MT   59604-4759

New Mexico Mutual Group
Phone: (505) 345-7260
Address: 3900 Singer Boulevard NE
P.O. Box 4759
Albuquerque, NM   87109

New York State Insurance Fund
Phone: (212) 312-7001
Address: 199 Church Street
P.O. Box 4759
New York, NY   10007

Workforce Safety and Insurance
Phone: (701) 328-3800
Address: 1600 East Century Avenue Suite 1
P.O. Box 4759
Bismarck, ND   58506-5585

Ohio Bureau of Workers Compensation
Phone: (800) 644-6292
Address: 30 West Spring Street
P.O. Box 4759
Columbus, OH   43215-2256

CompSource Mutual Insurance Company
Phone: (405) 232-7663
Address: 1901 North Walnut Ave.
P.O. Box 53505
Oklahoma City, OK   73152-3505

State Accident Insurance Fund (SAIF)
Phone: (503) 373-8000
Address: 400 High Street SE
P.O. Box 53505
Salem, OR   97312-1000

Pennsylvania State Workers Insurance Fund
Phone: (570) 963-4635
Address: 100 Lackawanna Avenue
P.O. Box 5100
Scranton, PA   18505-5100

Beacon Mutual Insurance Company
Phone: (401) 825-2667
Address: One Beacon Centre
P.O. Box 5100
Warwick, RI   02886-1378

South Carolina State Accident Fund
Phone: (803) 896-5800
Address: P.O. Box 102100
P.O. Box 5100
Columbia, SC   29221-5000

Texas Mutual Insurance Company
Phone: (800) 859-5995
Address: 6210 East Highway 290
P.O. Box 5100
Austin, TX   78723-1098

Workers Compensation Fund
Phone: (800) 446-2667
Address: 100 West Towne Ridge Parkway
P.O. Box 2227
Sandy, UT   84070

Washington Department of Labor and Industries
Phone: (360) 902-5800
Address: P.O. Box 44001
P.O. Box 2227
Olympia, WA   98504-4001

Wyoming Division of Workers Safety & Compensation
Phone: (307) 777-7159
Address: Cheyenne Business Center
1510 East Pershing Boulevard
Cheyenne, WY   82002

Workers Compensation Board - Alberta
Phone: (780) 498-3999
Address: 9925-107 Street
P.O. Box 2415
Edmonton, AB   T5J 2S5

Workers Compensation Board of British Columbia (WORKSAFEBC)
Phone: (604) 273-2266
Address: P.O. Box 5350 Station Terminal
P.O. Box 2415
Vancouver, BC   V6B 5L5

Manitoba Workers Compensation Board
Phone: (204) 954-4321
Address: 333 Broadway
P.O. Box 2415
Winnipeg, MB   R3C 4W3

Phone: (506) 632-2200
Address: 1 Portland Street
P.O. Box 160
Saint John, NB   E2L 3X9

Workers Compensation Board of Nova Scotia
Phone: (902) 491-8999
Address: 5668 South Street
P.O. Box 1150
Halifax, NS   B3J 2Y2

Prince Edward Island Workers Compensation Board
Phone: (902) 368-5680
Address: 14 Weymouth Street
P.O. Box 1150
Charlottetown, PE   C1A 7L7

Saskatchewan Workers Compensation Board
Phone: (306) 787-4370
Address: 200 - 1881 Scarth Street
P.O. Box 1150
Regina, SK   S4P 4L1

Puerto Rico State Insurance Fund Corporation
Phone: (787) 793-5959
Address: G.P.O. Box 365028
P.O. Box 1150
San Juan, PR   00936-5028
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Latest Newsletter

Manage Your Opioids

By Linda Dantin, Claims Manager, Louisiana Workers’ Compensation Corporation, and Kathy Piunti, Director of Claims, Chesapeake Employers Insurance Company

Part of the mission of Louisiana Workers’ Compensation Corporation (LWCC) is to provide injured workers with the best opportunity to return to work. Excessive opioids do little to promote our mission, in many instances destroying lives rather than promoting injured workers’ return to work. LWCC Medical Director William “Beau” Clark, M.D. (who also is the coroner for East Baton Rouge Parish) states, “In almost all heroin overdose cases investigated, the addiction began through an opiate prescription provided by a physician.” We cannot prevent doctors from prescribing opioids, but it is vital that workers’ compensation carriers place the right people in charge of whether opioids are approved on a claim.

Claim representatives are the experts when it comes to managing claims; however, they are not clinicians and do not have the extensive medical training that registered nurses possess. At LWCC, we moved pharmacy decisions pertaining to opioids away from the claim representatives and placed registered nurses in charge of determining medical necessity and appropriateness of these drugs. LWCC has an in-house medical services team that includes registered nurses along with a medical director. The nurses are involved in a claim from beginning to closure. They review and approve opioids acutely following the injury. Further review is required for chronic use of a narcotic. Urine drug screenings are required to verify an injured worker is indeed taking the prescribed opioid. A nurse will often meet with the physician to discuss a treatment plan if inconsistences are found with the screening results or insufficient medical documentation is provided.

Some states have formularies that dictate approval of opioids. Louisiana does not have a formulary; however, LWCC works with Healthesystems, a national workers’ compensation pharmacy benefit manager. Together, we have developed guidelines that allow many first-line medications to process without delay due to real-time adjudication. In addition, medications that require prior authorization are often processed while the injured worker is waiting at the pharmacy.

One of the benefits of AASCIF membership includes sharing stories with our peers. Kathy Piunti with Chesapeake Employers Insurance Company shared the following success story.

In 1997, Jayne Smith, a 28-year-old dental assistant, was cleaning dental supplies and struck her hand on the edge of a counter. She was diagnosed with a simple contusion; however, a few weeks later it was determined that her hand was fractured and required casting.

Over the next several months her condition deteriorated, and she was diagnosed with reflex sympathetic dystrophy (RSD) of the right arm. She required multiple surgeries and eventually the operative sites became infected. Progressive and severe skin breakdowns and ulcerations ultimately led to a right upper extremity amputation.

She was treated for ongoing phantom pain complaints with multiple opioid medications and subsequently began developing postural changes known as “thoracic scoliosis.” Jayne was unable to perform activities of daily living and was bedridden. She developed opioid dependence and at one time had a morphine equivalent dosage (MED) of 3,750 (well above the standard 120 MED).

After nearly 20 years of opioid dependence, Jayne and her doctors decided to start weaning her off all opioid medication in an effort to regain a healthier lifestyle. As she continued to wean off the medications, she participated in physical therapy and yoga to strengthen her extremities and spine.

Today, Jayne is off all narcotics and says that she “feels great.” She continues participating in physical therapy and yoga and is happy that she can finally take her dog for walks. She has increased her activities of daily living and is looking forward to dating and creating a better future for herself.

Kathy Piunti told us Jayne’s story, which included her downfall and recovery. It’s vitally important that we address the opioid issue and find treatment alternatives so that we may tell more stories like hers that have happy endings.

LWCC will hold its biennial conference for its occupational medicine network providers this fall. One of the speakers for the August 2019 event is Michele Zumwalt, who is a recovering opioid addict and the author of Ruby Shoes. Look her up for another powerful story.



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