laughlin falbo leVy & moresi llp 255 California street, suite 600 san francisco, Ca 94111 Tel: (415) 781-6676 fax: (415) 781-6823 The Workers’ CompensaTion neWsleTTer Volume 17, no. 1 MINE, YOURS, OURS? A SUBPOENA RESPONSE PROTOCOL 106 k street, second floor sacramento, Ca 95814-3213 Tel: (916) 441-6045 fax: (916) 441-7067 by Demetra g. Johal, sacramento & natalie a. Cordellos, san Francisco James s. brown, sedgwick LLp 250 hemsted drive, suite 300 redding, Ca 96002 Tel: (530) 222-0268 fax: (530) 222-5705 555 12th street, suite 1900 oakland, Ca 94607 Tel: (510) 628-0496 fax: (510) 628-0499 1520 The alameda, suite 200 san Jose, Ca 95126 Tel: (408) 286-8801 fax: (408) 286-1935 200 s. los robles, suite 500 pasadena, Ca 91101-2431 Tel: (626) 568-9700 fax: (626) 568-3905 1900 s. state College blvd, suite 505 anaheim, Ca 92806 Tel: (714) 385-9400 fax: (714) 385-9055 600 b street, suite 2300 san diego, Ca 92101 Tel: (619) 233-9898 fax: (619) 233-6862 575 e. locust street, suite 204 fresno, Ca 93720 Tel: (559) 431-4900 fax: (559) 431-4046 625 east Carnegie drive, suite 120 san bernardino, Ca 92408 Tel: (909) 890-2265 fax: (909) 890-2377 p.o. box 4041 santa monica, Ca 90411 Tel: (310) 392-8101 fax: (310) 392-8057 in This issue... subpoena ..................................... 1 replaCing pQme ................... 2 penalTies & supplemenTal Job displaCemenT benefiTs .......... 3 summer 2012 at first glance, sorting through documents in a claims file in response to a subpoena duces tecum may seem complicated and time consuming. That process, however, does not need to be burdensome and is an important one to protect the interests of the carrier, adjuster, and employer. long term readers of laughlin, falbo, levy & moresi’s newsletter recall we have periodically provided guidance on this issue. however, it appears as though subpoenas seeking claims and human resource files have increased dramatically in recent months, both in frequency as well as in the scope of records sought. in response to this upsurge in subpoena activity, and as part of our joint collaboration with the employment group at sedgwick llp, we offer a protocol for responding to a deposition subpoena seeking these types of records. following these straightforward guidelines will streamline the response process and protect privileged documents from production. it should also ensure that only relevant, discoverable information is provided, minimizing the potential that something in the production creates additional liability for the employer or carrier. What is a Subpoena? subpoenas (also known as deposition subpoenas or subpoenas duces tecum) are the principal means by which parties to litigation secure production of documents from other parties or entities. What Rules Govern Subpoenas? The rules governing the use of subpoenas are set forth in the California Code of Civil procedure, sections 1985 et seq. Jurisdiction over subpoenas is vested in the Workers’ Compensation board through labor Code section 132. in workers’ compensation cases, subpoenas are issued by attorneys using standard forms available from a copy service or online. although not issued directly by a judge, a subpoena has the same force and effect of a court order. Any subpoena must be addressed and not ignored. © 2012 LaughLin, FaLbo, Levy & Moresi LLp (ConTinued on page 4) The Workers’ CompensaTion neWsleTTer ELEVATE YOUR HITTING WITHOUT CORKING YOUR BAT: how to replace panel Qualified medical evaluators by Jeremiah brasher, sacramento as part of sb 899, reforms were enacted to establish a system of medical discovery. To that end, a selection process was implemented wherein panel qualified medical evaluators (“pQmes”) are selected from a randomly generated three-name list provided by the medical unit. in those instances where parties cannot agree on an ame, participation in the pQme selection process can result in a loss of control over medical discovery, which could adversely affect case outcomes. however, the California Code of regulations provide defendant with potentially powerful tools to disqualify and remove undesirable pQmes. in other words, you don’t always have to cork your bat to elevate your game. Is the Evaluation/Report Timely? There are four important deadlines that pQmes often miss which are the basis for disqualification. They are: 1. failure to schedule an initial evaluation within 60 days of the initial request for an appointment (8 CCr §31.5(a)(2)) or 90 days if the person requesting the evaluation agrees to an extension (8 CCr §33.1(e)); 2. failure to produce an initial report within 30 days of evaluating the applicant (8 CCr §31.5(a)(12); l.C. §139.2(j)(1)); 3. failure to produce a report within 30 days of a re-evaluating the applicant (8 CCr §38(a)); or, 4. failure to produce a supplemental report within 60 days of receipt of the request (8 CCr §§31.5(a)(12), 38(h)). in order to replace a pQme for one of the above grounds, an objection to a untimely report must be made prior to the issuance of the pQme report. otherwise, the objection is lost, as is the opportunity to perhaps replace an unfavorable evaluator. it is recommended that a declaration of readiness to proceed be filed in addition to the written objection, seeking a status Conference on the issue. This will ensure all bases are covered. Is the PQME Appointment Notification Timely? a lesser known basis for disqualification is outlined at 8 CCr §31.5(a)(11). These regulations provide that, whenever an appointment is made with a pQme, the pQme shall complete an appointment notification form and forward it to the employee and adjuster within 5 business days from the date the appointment was made. failure to comply with this requirement is a basis for disqualification. Is the PQME in the Appropriate Specialty? The medical director, upon written request, can find good cause that a pQme should be replaced for reasons related to the medical nature of the injury, or because the specialty selected is inappropriate for the disputed medical issues. 8 CCr §§31.5(a)(9)(10). as an example, the selection of a chiropractic pQme would not be appropriate in a case in which the injured worker has a gastrointestinal malady. Have Ethical Requirements Been Violated? in addition to the grounds for seeking a new Qme or panel set forth above, there are ethical requirements for Qmes which, if violated, may constitute good cause for removal. one ethical requirement is that the pQme provide an “accurate and objective assessment”. (8 CCr §41, et seq.) how ethics can be breached is best illustrated by the following case. in ponsi v. gonzalez unified sch. Dist., supra, 2009 Cal. Wrk. Comp. p.d. leXis 277, the WCJ found that the pQme’s report did not constitute substantial evidence as to whether the applicant’s hypertension and heart disease were compensable consequences of her orthopedic injury or work environment stress. at his deposition, the pQme expressed a conclusory belief that no relationship exists between chronic work stress and hypertensive heart disease. Troubled by the doctor’s opinion, the WCJ ignored the pQme’s report and instructed the parties, either agree to an ame or be faced with the appointment of an ime. The defendants filed for removal. (ConTinued on page 7) l aughlin , falbo , l eVy & m oresi llp page 2 The Workers’ CompensaTion neWsleTTer PENALTIES ANd THE TIMELINESS Of SUPPLEMENTAL jOB dISPLACEMENT BENEfITS often overlooked and sometimes expensive by heidi K. hengel, oakland When settling cases, supplemental Job displacement benefits (“vouchers”) can seem like an afterthought. however, defense attorneys and claims administrators should be aware that case law allows for steep penalties for late issuance and late payment of vouchers. it is important to know the timelines as to when the voucher must issue and to whom payment must be made upon receipt of voucher invoices. The cost of overlooking a few basic rules can land claims administrators and defense counsel back in court facing penalties and attorney’s fees. What is a Supplemental job displacement Benefit (“SjdB”)? pursuant to sb 899, as of January 1, 2004, an injured worker is no longer entitled to vocational rehabilitation (Vr) benefits. While the elimination of vocational rehabilitation was celebrated by defendants everywhere, it is important to know that Vr benefits have been replaced by supplemental job displacement benefits (sJdb) or “vouchers”. an sJdb is a monetary allowance provided in the form of a voucher to an injured worker by defendant (usually the claims administrator or carrier), which allows the employee to select and enroll in education-related training or skills enhancement classes at an authorized school pursuant to labor Code section 4658.5. sJdbs entitle injured workers who are unable to perform their duties at their prior jobs to learn new skills and rejoin the workforce. When is an Injured Worker Entitled to an SjdB Voucher? pursuant to labor Code section 4658.5, for injuries after January 1, 2004, a voucher must be provided to an injured worker when: (1) the injury causes permanent partial disability; (2) no offer of modified work or alternative work has been made within 30 days of temporary disability ending; and (3) the injured worker does not return to work within 60 days of temporary disability l aughlin , falbo , l eVy & m oresi llp ending; or, (4) where a seasonal worker does not return to work on the next available work date for the following season. (see, henry v. WCab (1998) 68 Cal. app. 4th 981.) The Voucher Must Issue Within Twenty-five days of Settlement Approval once it is determined that the injured worker is entitled to a voucher, the defendant must provide notice of entitlement of the voucher to the injured worker within 25 calendar days from the issuance of the permanent disability award by a WCJ or appeals board (8 Cal. Code regs. section 10133.56(c)), unless the employee has previously settled the voucher as part of his award. it should be noted that the worker can settle his entitlement to a voucher absent legal representation, in contrast to the old extinct Vocational rehabilitation (“Vr”) system. (see, 8 Cal. Code regs section 10133.52; see also, godinez v. buffets, inc., specialty risk services (2004) (WCab panel) 69 CCC 1311). if, however, the worker has not previously settled his voucher entitlement, defendant’s failure to provide the voucher notice to the employee within 25 days of settlement can result in penalties of up to 25% plus attorney’s fees. in the case of Medina v CDL Landscape/sCiF (sbr 0322331), defendant’s failure to timely provide an $8,000 voucher resulted in penalties and attorney’s fees in the amount of $4,747.50, more than 50% of the value of the voucher itself! What are the Content Requirements for Issuance of the Voucher Notice? There are several requirements that defendant must comply with when issuing a voucher notice. failure to abide by the requirements may result in the 25% penalty previously discussed. first, the voucher notice must clearly indicate the appropriate level of money available to the injured worker in (ConTinued on page 8) page 3 The Workers’ CompensaTion neWsleTTer SUBPOENA RESPONSE PROTOCOL ConTinued from page 1 upon receipt of the subpoena, it is imperative that you carefully review it and identify (1) what is being subpoenaed (2) who is requesting the documents, and (3) what is the production deadline. The time for responding to a subpoena is very limited, sometimes only a few days. failure to respond timely may result in a waiver of critical objections. in other words, failure to timely respond could result in the production of protected claim notes, investigations, communications with counsel, and reserve calculations. Send the Subpoena to Counsel if counsel has been assigned to the claim, or a referral is imminent, advise counsel immediately upon your receipt of the subpoena, and send the subpoena with its attachments, if any, to counsel for a response. if the injured worker also has discipline or internal complaint issues, you will want to make sure that your civil attorney or human resources specialist is advised. We’ll take it from there! once the subpoena is in our hands, we will review it for the following: is the description specific? it is not uncommon for subpoenas to seek the “claims file” or “human resources file”. in those cases the description is not acceptable. The party issuing the subpoena is obligated to identify the materials the subpoena seeks to produce, “by specifically describing each individual item or by reasonably particularizing each category of item…” Code of Civil procedure 2020.410(a). Therefore, a subpoena which demands “all records which support your position in this action”, or “all actions relating to the injured worker in this action”, is not sufficiently specific. are the documents subpoenaed protected from disclosure? in addition to procedural defects in the subpoena, both claims and human resources files contain information which is confidential and not subject to disclosure. Those documents may be entitled to protection under the attorney-client privilege, the attorney work-product doctrine, the right of privacy, or could otherwise constitute an unreasonable or oppressive demand, seek items that l aughlin , falbo , l eVy & m oresi llp are irrelevant to the issues, or are not reasonably calculated to lead to the discovery of admissible evidence. i. attorney-Client privilege Communications among counsel, the claims adjuster, and/or the employer, including documents memorializing those written or verbal communications, are strictly protected from disclosure, as those communications may include strategy, recommendations, advice and evaluation of the compensation case. The privilege extends to the attorney’s staff members, as well as the adjuster’s staff members. rather than attempting to determine whether the particular communications contain privileged information, it is the preferred practice to exclude all communications with counsel (including fax cover sheets, transmittal letters, and the like). however, if the communication was pub(ConTinued on page 5) Laughlin, Falbo, Levy & Moresi LLp has 11 offices throughout California to handle your company’s workers’ compensation cases. Our offices are located in Anaheim, Fresno, Oakland, pasadena, Redding, Sacramento, San Bernardino, San Diego, San Francisco, San Jose, and Santa Monica. All are staffed with attorneys who are able to represent your interest before the Workers’ Compensation Appeals Board and Office of Workers’ Compensation programs. Laughlin, Falbo, Levy & Moresi LLp conducts educational classes and seminars for clients and professional organizations. Moreover, we would be pleased to address your company with regard to recent legislative changes and their application to claims handling or on any subject in the workers’ compensation field which may be of interest to you or about which you believe your staff should be better informed. In addition, we would be happy to address your company on recent appellate court decisions in the workers’ compensation field, the American with Disabilities Act, or on the topic of workers’ compensation subrogation. please contact Demetra Johal in our Sacramento office. Telephone Number: (916) 441-6045 Email: djohal@lflm.com page 4 The Workers’ CompensaTion neWsleTTer SUBPOENA RESPONSE PROTOCOL ConTinued from page 4 lished to a third party, such as another attorney representing adverse interests or a doctor (other than a Qme, wherein the correspondence has not been copied to the opposing attorney), the privilege is lost, as there was no expectation of confidentiality. ii. The attorney Work-product doctrine The attorney work-product doctrine protects from disclosure documents (1) prepared at the request of counsel, (2) in anticipation of litigation and (3) for risk management purposes. This basis for objecting to a subpoena, and for excluding those documents from production, is sometimes referred to as “limited privilege”, which differs from the “absolute” attorney-client privilege. The doctrine is derived from the rationale that a party’s efforts to thoroughly investigate and prepare its case should be protected from disclosure to the opposing party. public policy encourages thorough investigation of incidents, in order to attempt to determine the cause, and to help avoid another similar occurrence. if those involved in the investigation cannot be candid and thorough, including discussing possible fault and opinions on liability, for fear that those impressions will be disclosed to potential adverse parties, the “chilling effect” could result in future similar injuries. documents which may be subject to protection from disclosure under the attorney Work-product doctrine may include the employer’s first report (it should be noted that the form 5020 is never admissible in court proceedings pursuant to labor Code section 6412), investigation reports (including summaries of witness statements and summaries of surveillance videos), witness statements (written or recorded statements of parties to the action are discoverable), letters written to Qmes, if the opposing counsel was not required to be copied, and consultant/expert communications. iii. right of privacy California’s Constitution provides a right of privacy to every person. in many instances, the subpoena seeks extensive personnel file records in addition to medical and claims handling information. every employer (and agent of an employer) has an obligation to protect the right of privacy of injured workers. Certainly the medical and compensation information related to the current injury claim or a past claim is discoverable. however, to the extent the subpoena seeks all job performance information, discipline records, internal investigation files, or similar documents that are tangential, at best, to the issues in the workers’ compensation action, those requests should be carefully scrutinized. The obligation to protect the privacy rights of the injured worker is a valid basis for refusing to produce a document. in addition, the purpose for requesting these type of records is sometimes to expand the claim to include a labor Code 132a discrimination claim or a fishing expedition for a possible civil claim. iV. other protection bases a subpoena requesting “the entire claim file” would technically include not only documents subject to protection by the attorney-client privilege and the attorney work product doctrine, but also those physical and electronically-stored documents that consist of internal communications and communications to the employer relating to claim handling, Claim activity notes, reserve calculations, unit stat reports and legal billings. some of these might arguably fall within the attorney work product doctrine, or may be irrelevant to the issues involved in the case, and not calculated to lead to the discovery of admissible evidence. others may constitute an unreasonable or oppressive demand. in any case, these documents should not be produced, and efforts to protect them from disclosure should be taken. our response proToCol i. send Counsel the Complete Claims and/or human resource files in order for counsel to effectively respond to subpoenas, it is imperative that along with the subpoena, counsel receive the complete claims and/or human resource files being subpoenaed. Counsel will review the files and redact privileged or protected documents prior to responding by way of meet and confer letter as explained below. (ConTinued on page 6) l aughlin , falbo , l eVy & m oresi llp page 5 The Workers’ CompensaTion neWsleTTer SUBPOENA RESPONSE PROTOCOL ConTinued from page 5 ii. meet and Confer The California Code of Civil procedure requires that before seeking the intervention of the court, the parties make an attempt to “meet and confer” to resolve the disputed issues with regard to the subpoena. This obligation is generally fulfilled when counsel for the subpoenaed party sets out in writing the basis for objection to the subpoena, and seeks an agreement limiting the scope of production to avoid the need to file a motion to Quash. it is essential that the “meet and confer” letter specifically identify objections to the subpoena, which may include deficiencies in the wording of the subpoena request, the relevance of the documents being sought, applicable privileges, and all other pertinent objections. at the same time, the “meet and confer” letter should also indicate which documents will be produced voluntarily. in the event a motion to Quash is required, the “meet and confer” letter will be attached as an exhibit to that motion. it is, therefore, recommended that a bona fide, substantive attempt be made to resolve outstanding issues by producing those documents to which the subpoenaing party is entitled. The “meet and confer” letter should request a response from the subpoenaing party by a date certain prior to the production date set forth on the subpoena, to confirm that the opposing party agrees to limit the subpoena requests in the manner proposed, or in the alterative, to “meet and confer” further. if the subpoena is issued through a copy service, the copy service should be courtesy copied on the “meet and confer” letter in order to defray copy costs, or at the very least to provide a basis to challenge ongoing costs submitted by the copy company after issues have been resolved. in the event that the “meet and confer” letter goes unanswered, or the parties are unable to agree on the scope of production, the subpoenaed party should file a motion to Quash as explained below. l aughlin , falbo , l eVy & m oresi llp iii. motion to Quash When informal efforts to resolve the disputed issues have failed, the subpoenaed party must file a motion to Quash to seek redress before a judge. a motion to Quash is made pursuant to Code of Civil procedure sections 1985 et seq., evidence codes 952 et seq., on the grounds that the subpoena makes no showing of just cause or materiality, and seeks the production of irrelevant or privileged documents. The purpose of the motion is to protect the party whose records are being subpoenaed from undue harassment, burdensome, oppressive and intrusive invasion of private information, and incurring unnecessary costs. Within the motion, the moving party must demonstrate that the subpoenaing party has failed to articulate the requisite good cause for producing the documents requested. in order to show good cause, a subpoenaing party must set forth in “full detail, the materiality of the exact matters and things described in the subpoena to the issues in the case.” Within the Workers’ Compensation system, a well-written detailed motion to Quash, which attaches a meet and confer letter as an exhibit, generally requires no hearing on the issue and the WCJ can issue an order Quashing the subpoena based on the written argument alone. Conclusion responding to a subpoena for records can be a relatively daunting task, subject to potential pitfalls, primarily related to the possibility of waiving rights protecting certain documents from disclosure or providing information that could expand the claims being asserted. failing to timely and properly object and/or file a motion to Quash may well result in your adversary “seeing your hand,” by obtaining confidential information, including litigation strategy and reserve information. likewise, it could provide a basis for a 132a petition or a civil claim. failure to timely comply with a subpoena may also result in contempt sanctions. laughlin, falbo, levy & moresi and sedgwick llp routinely assist clients with subpoena compliance issues and are available for in-house training. u page 6 The Workers’ CompensaTion neWsleTTer REPLACE PQME ConTinued from page 2 a three-member panel of WCab commissioners agreed with the WCJ’s ruling with respect to the pQme’s disqualification and further noted that the WCJ could not order the parties to select an ame. The panel relied upon 8 CCr §41, which prescribes various ethical requirements for Qmes. specifically, subsection (c) provides: (c)“all Qmes, regardless of whether the injured worker is represented by an attorney, shall with respect to his or her comprehensive medicallegal evaluation: (2) [provide] an accurate and objective assessment . . . [and] . . . (4) render expert opinions or conclusions . . . [which] . . . shall be based on the facts . . . and shall be without bias[.]” The ponsi panel was concerned with the pQme’s intractable position that, “regardless of the facts of a particular case, he believes employment stress cannot cause, exacerbate or even contribute to hypertensions.”(id. at 9) The Workers’ Compensation Newsletter is published by Laughlin, Falbo, Levy & Moresi LLp. Contributors to this issue include Jeremiah Brasher (LFLM - Sacramento), Jim Brown (Sedgwick LLp - San Francisco), Natalie Cordellos (LFLM - San Francisco), Heidi Hengel (LFLM - Oakland), and Demetra Johal (LFLM Sacramento). A special thank you to John Bennett (LFLM - San Francisco) for enhancing the newsletter with his superior gramatical skills. Should you have any questions or comments regarding the Laughlin, Falbo, Levy & Moresi newsletter, or would like to suggest a topic or recent case you think would be of interest, please contact Demetra Johal (Newsletter Editor) in our Sacramento office or Natalie Cordellos (Newsletter Assistant Editor) in our San Francisco office. Demetra Johal Tel: (916) 441-6045 Email: djohal@lflm.com ponsi suggests that the ethical requirements in 8 CCr §§41, et seq may be used to disqualify pQmes, and that it is within the discretion of the WCJ to determine whether or not the alleged breach of the ethical requirements renders pQme’s report biased, unsubstantial or without evidentiary value. Are There Other Bases for disqualification? other lesser known reasons for replacement of a pQme infrequently used include, but are not limited to: • The pQme is currently or has been the employee’s primary treating physician or secondary physician for the injury currently in dispute, • a disqualifying conflict of interest, • The Qme feels he or she is not medically qualified to address the disputed issues, • no Qme selection and evaluation from a panel issued over 24 months ago. Conclusion as noted above, there are multiple circumstances under which a pQme can be disqualified from a case. While parties are sometimes bound by the random selection of doctors on a panel issued by the medical unit, careful attention to the bases for disqualification discussed above can result in the issuance of a replacement panel or individual evaluator. The replacement panel request form may be accessed at the following site: Natalie Cordellos Tel: (415) 781-6676 Email: ncordellos@lflm.com l aughlin , falbo , l eVy & m oresi in essence, the pQme “would never find a case of industrial hypertension, whether he actually examined applicant or not.”(id. at 9) such an approach was deemed inconsistent with 8 CCr §41, and thus the panel determined that the applicant could not be returned to the pQme. “failure to comply with [8 CCr §] 41 is fatal in this instance because absence a semblance of objectivity, the panel Qme’s opinion is of no evidentiary value.” http://www.dir.ca.gov/dwc/forms/Qmeforms/Qm eform31_5.pdf u llp page 7 The Workers’ CompensaTion neWsleTTer PENALTIES ANd SUPPLEMENTAL jOB dISPLACEMENT BENEfITS ConTinued from page 3 compliance with labor Code section 4658.5. The values are as follows: up to $4,000 for less than 15% permanent disability, up to $6,000 for 15-25% permanent disability, up to $8,000 for 26-49% permanent disability, and up to $10,000 for 50-99% permanent disability. second, the voucher notice must certify that the school is approved by one of the regional associations of schools and Colleges authorized by the us department of education or by the regional associations for out-ofstate schools approved by a California state agency. (see 8 Cal. Code regs. section 10133.56(g)). one of the most common California state agencies approving schools for retraining purposes is the bureau for private postsecondary education (bppVe) within the department of Consumer affairs. a party can verify whether a school is approved on their website at www.bppve.ca.gov. The SjdB Voucher Invoice Must Be Paid within forty-five days of Receipt of Proper documentation it is important to note that the voucher cannot have an expiration date and the injured worker can use it at any time. There is no statute of limitations on voucher usage. if the employee opts to use his voucher, the reimbursement for the voucher must be paid directly to the employee or to the provider of the education-related training or skill enhancement upon the employee’s or school’s presentation to the claims administrator of the proper documentation and receipts. pursuant to 8 Cal. Code regs. section 10111.2(b)(29), failure to pay any properly documented sJdb voucher invoice within 45 days can result in a penalty of up to $100 for each invoice of $1,000 or less, $200 for each invoice of more than $1000, $300 for each invoice of more than $2,000, $500 for each invoice of more than $3,000, and $1,000 for each invoice of more than $5,000. supplies, and tuition; (3) verification that the employee is enrolled in the school; and, (4) verification that the school has been certified by a California state agency or the u.s. department of education. if any of these documents are missing or incomplete when the invoice is submitted, the 45 day timeline is tolled, and defendant is not subject to penalties for failure to issue payment. dispute Resolution if all the documentary requirements have been satisfied, and a dispute remains regarding timeliness or reasonableness of the vouchers, counsel for defendants should file a “request for dispute resolution before the administrative director” (8 Cal. Code regs. section 10133.55). one issue which has not yet been adjudicated relates to reimbursement by defendant to the provider for school supplies or tuition that is charged above market value. unfortunately, there is no case law providing guidelines for the reasonableness or appropriateness of the use of the vouchers. however, if the injured worker is entitled to the voucher, and all the above-mentioned prerequisites have been met, then the voucher invoice must be paid in full regardless of the alleged mark-up. There is no concrete or similar cost pattern across all schools, as tuition rates may vary greatly from school to school. due to the lack of consistency regarding the reasonableness of cost for tuition and supplies, this may be an issue ripe for future litigation. Conclusion defendants may incur significant increased claims costs by way of penalties and additional attorney’s fees if statutory criteria for vouchers are overlooked. These are costs can easily avoided by adherence to the timelines and requirements set forth above. u The 45 day requirement is triggered by receipt by defendant of the following from the school or injured worker: (1) a completed 8 Cal. Code regs. section 10133.57 form, which includes the applicant’s signature and school authorization number; (2) the school’s invoice detailing the amounts for reimbursement broken down by classes, l aughlin , falbo , l eVy & m oresi llp page 8 LfLM HOSTS STATEWIdE WOMEN’S fORUMS on february 9, 2012, 16 women lawyers from five southern California lflm offices gathered at the home of marijo kuperman, san diego managing partner, to enjoy an evening of talk, food and wine tasting. The gathering was the first of its kind for the firm in southern California; however, san francisco partner patricia gould has held a yearly gathering of lflm’s bay area women lawyers at her home for 17 years. These informal events provide women with a stress-free setting where they can get to know each other during the course of their busy schedules. The yearly gatherings are only the first step in lflm’s continuing and evolving efforts to address issues regarding the needs of women lawyers in the workplace. lflm’s diversity program is also developing a more formal Women’s forum which will address gender based issues and the benefits of practicing law in our firm and in the California workers’ compensation system. laughlin falbo leVy & moresi llp 255 California street, suite 600 san francisco, Ca 94111 Tel: (415) 781-6676 fax: (415) 781-6823 The Workers’ CompensaTion neWsleTTer