1. Workers’ Compensation Reducing risk and cost

2. www.executivesm.com What we Strive for School District Service Objectives Reduce costs by reducing the frequency and severity of workplace injury Establish a customized safety and claims management plan Maintain an open line of communication and trusted working relationships with school district personnel Provide ongoing training to ensure a safe work environment

3. www.executivesm.com Services Training & Education Return-to-Work Solutions Return-to-Work Solutions Safety Management Claims Management Customized safety management plans Focused on reducing injury exposures Developing compliant Cal/OSHA programs Enhancing communication strategies and training programs Conducting inspection to reduce hazards Develop customized RTW Program Ensure communication with all stakeholders Return employees back to work immediately Mitigating legal exposures (FEHA) Develop educational content and delivery Creating a competitive advantage by empowering district personnel to identify and control exposures Providing strategies for claim closure Oversight on indemnity claims Facilitating communication with all stakeholders Supplement & compliment efforts Reducing reserves and controlling the X-mod Online Services / Educational Portal

4. Solutions that get Results District Goals: Reduce injury frequency and severity Actual results achieved

5. www.executivesm.com Reduction of claim frequency

6. www.executivesm.com Reduction of claims severity

7. Training & Education

8. www.executivesm.com Principal Safety Committee Principal Safety Committee Program: Develop Principal Safety Committee Guide Establish committee at each site Consists of Principal and three – four other designees Establish general policies and procedures for the safety committee meetings, timeline, expectations, attendance forms etc… Prepare binder with monthly agenda and guidelines for Principals Curriculum for school year, including: Hazard identification presentation based on inspection reports and leading exposures Inspection checklist based on monthly presentation Recorded webinar for principal review

9. www.executivesm.com Training solutions Customized safety videos E.g. Principal Safety Program Strategic Plan, IIPP Overview, Slip, Trip, Fall Legislative Updates E.g. SB863 Customized Computer Based Training (CBT) Modules Develop and host CBTs Utilize Learning Management System

10. Safety Management

11. www.executivesm.com Why Safety Management? Ensure written Cal/OSHA compliance programs E.g. HazCom, MSDS management, PPE Provide training based on leading exposures and safety policies (SOPs in hazardous tasks) Conduct inspections identifying exposure trends Implement customized scorecard inspection program Utilize dashboard analytics for management decisions on resource allocation Optimize District wide safety understanding Legislative changes including Assembly Bill 2774 Focus on reducing injuries and injury exposure

12. www.executivesm.com Interior & Exterior Site Inspections School Site Inspections Focused on safety, fire and property / liability exposures. Conduct inspection program to satisfy IIPP Development of inspection binder for corrective action Present findings to District management Inspections will include all buildings and grounds, which include (but not limited to): Alternate each year between exterior and interior inspections 100% of school grounds: Gates, fences, parking lots, sidewalks /walkways, fields, buildings, classrooms, locker rooms, gymnasiums, bathrooms etc… Hazard identification Electrical hazards Slip, trip and fall hazards Structural hazards School grounds hazards Housekeeping hazards Fire hazards/safety “Fall on” hazards Life safety hazards Chemical hazards

13. www.executivesm.com Playground Inspections Inspect all elementary playgrounds and middle school athletic grounds Inspections include: Identifying hazards on playground equipment and the playground Ranking the hazards according to injury potential Recommendations on removing/correcting the hazards Utilize established playground inspection checklist, complying with IIPP & playground inspection requirements Per the National Playground Safety Institute (NPSI) Provide summary report to District management

14. Return To Work Reducing Lost Days and Temporary Disability costs

15. www.executivesm.com Return To Work Benefits Reduce or avoid temporary or permanent disability payments Reduce medical costs as injured workers experience faster recoveries when they remain at work in a work environment that is congenial with their physical capacity Reduce or avoid litigation Discourage fraudulent claims Improve productivity and morale among all employees Eliminate disability discrimination and comply with FEHA

16. www.executivesm.com Return To Work Implementation Foundation Assessment Launch Write a management plan and policy statement Build a support team and assign roles and responsibilities Establish process and procedures Review and Revise Job Descriptions Identify Temporary Alternative Duties (TADs) Document physical requirements Coordinate communication Train supervisors and managers Launch RTW program to all employees Phase 1 Phase 2 Phase 3 Evaluate Business Benefit ROI

17. Program Engagement Collect Background Information Current RTW Plan and/or Policy Recent work status report from designated Medical Provider Job descriptions Alternative duties Loss Runs X-Mod Worksheet/WCIRB RTW Evaluation Questionnaire Phase 1 - Foundation Program Introduction Phase 2 - Assessment Write Management Plan and Policy Statement Assign Roles and Responsibilities Planning Checklist Review & Revise Job Descriptions to include Essential Functions Establish Process and Procedures Identify Temporary Alternative Duties (TADs) Phase 3 - Launch Build Support Team Document Physical Requirements MemberESM Coordinate Communication Coordinate with Employee Coordinate with Medical Provider Coordinate with Claims Administrator Train Supervisors/ Managers Roll out to all Employees Assign RTW Coordinator Return To Work Development Process Support Flyer PPT Letter to employees

18. Claims Advocacy Proactive Claims Management reduces the cost of injuries

19. www.executivesm.com Why Claims Management? Reform results continue to erode Medical cost inflation Increase in Medicare Set Aside Abuse of medical lien process Increase in cost containment factors Legislative changes New case law impact Increasing litigation Turnover in claims examiners Recent Result: $61,000 reserve reduction on two claims for a District that is Self Insured!

20. www.executivesm.com Claims Mgmt Service Schedule Oversight of carrier / TPA Troubleshoot challenging claims Advisor to Employer / Agency Referral Form Letter of Auth from client Q1 Summary Report Claims Review Q2 Unit Stat Report X-Mod Forecast Q4 Renewal Report Policy Year Milestones Policy Year Application

21. www.executivesm.com Claims oversight and support Ongoing Communication Phone call, email and webinar communication for District claims management staff Develop written claims handling procedures Work in conjunction with CUSD Workers’ Compensation coordinator to develop written policies and procedures. Ongoing claims Oversight & Direction Ensure examiner has positioned claim for speedy, cost-effective resolution Analyze reserves for accuracy and negotiate potential reduction Act as liaison on all delayed claims, ensuring denial decision is met timely Obtain current status of claim including work status, medical prognosis and recommend a resolution strategy Ensure appropriate California laws and regulations are applied Recommend litigation strategies to resolve claims Create vendor list (e.g. Defense Attorney, Nurse Case Management etc..) Create First Aid policy

22. Disputed Claims Claim is classified as MO or IND MO claim processed, closed in 90 days Begin RTW coordination with medical provider and client Begin RTW coordination with medical provider and client If ACCEPTED, manage claim to conclusion If ACCEPTED, manage claim to conclusion Claim is delayed and investigated for 90 day compensability determination Large Loss Claims ( >$25,000 ) Continue 30 day ongoing oversight and direction Carrier District ESM IND claim: 3 point contact, provide benefits IND claim: 3 point contact, provide benefits Monitors Carrier for investigation process and strategizes decision Determination is made to accept or deny If DENIED and UNDISPUTED Close in 30 days If DENIED and UNDISPUTED Close in 30 days If DENIED and DISPUTED Develop litigation strategy for resolution If DENIED and DISPUTED Develop litigation strategy for resolution Develop a POA for resolution Strategize best practices for resolution Monitor strategy for effectiveness and accountability ESM analyze at 90 days for potential problems Monitor settlement and any future medical award Claims Management Oversees resolution strategy Begin RTW coordination with medical provider and client Begin RTW coordination with medical provider and client Claims Management Reporting & Oversight Process Carrier processes claim

23. Your Service Team Expert advocates that get your District results

24. www.executivesm.com ESM is YOUR Advocate Expertise in school district risk management Designations: Associate in Risk Management – ARM Worker’s Compensation Claims Professional - WCCP Associate in Management - AIM Certified Playground Safety Inspector – CPSI Certified Professional Disability Manager – CPDM Self-Insured Professional – SIP ESM’s consultants are fingerprinted for criminal compliance per the educational code, sections: 45125.1 & 45125.2 Established relationships with school districts Results driven Always raising the BAR Benefits from Activities that get Results

25. “ Where there are risks… there are Solutions… www.executivesm.com “