2010 MSIA Spring Conference - Attendees & Guests: MUST Wear Badges at all Times

Conference Registration Form

WEDNESDAY, JUNE 2 1:00 PM-2:00 PM (For additional registrants, please duplicate this page)
Pre-Conference Networking Medical Marijuana – Celeste Clarkson/Health Regulatory Cancellations after May 28, 2010 cannot be refunded.
Opportunities Division@MI Dept of Health, Dr. Bruce Baker/West Brook Full Name________________________________________
12:30 PM-5:30 PM Recovery Center, and Tom Cypher/Bleakley, Cypher, Parent, (for name badge)
Wine Tour Excursion Warren, & Quinn – Learn the facts about Michigan’s new Badges Must Be Worn at ALL Conference Events
Hosted by Michael Brenton/Murphy, Brenton & Spagnuolo PC Medical Marijuana Laws and the predictions of how it will
Title_ ___________________________________________
1:30 PM-5:30 PM impact Workers’ Compensation clinically and legally.
4 Person Golf Scramble-Wolverine Golf Course 2:00 PM-2:30 PM MSIA Member __ Y __ N First Time Attendee __ Y __ N
Hosted by David DeGraw/Smith, Haughey, Rice & Roegge Break/Networking Company________________________________________
2:30 PM-4:30 PM 2:30 PM-4:00 PM
Mock Trial Address_________________________________________
The Interplay of ADA, FMLA & Workers’ Compensation
Please join Mark Williams/Conklin Benham and Geoff Smith/ – Panel discussion presented by Steve Ohman/Spectrum City________________________ State_____ Zip________
Walton, Smith, Phillips & Dixon PC and former Magistrate Carol
Guyton Health Rehabilitation and Occupational Services, Rachel Business Phone___________________________________
Roe/Smith, Haughey, Rice & Roegge, Janiece Nichols/
5:30 PM-6:30PM Morningstar Health Inc. and Denice LeVasseur/LeVasseur & Business Fax_____________________________________
Cocktail Reception - White Plaza Tent LeVasseur
Please join us in recognizing and thanking Gary Calkins, E-mail Address_ __________________________________
6:30 PM - 8:30 PM Conference Fees:
Don Ducey, and Carl Mitseff for their combined 150+ years of Chairperson’s Reception/Dinner at Pavilion under the Yellow
support and service to the MSIA. ALL INCLUSIVE CONFERENCE
Tent - weather permitting MSIA Members (including State employees) .......$245
6:30 PM-9:00 PM 9:30 PM - 1:30 AM Non Members....................$295
Dinner Stations/Williamsburg Dinner Theater - White Plaza DJ in Governor’s Ballroom A Late Registration Fee......................$25
Tent (registrations postmarked on or after May 28, 2010 and on-site)
Cap off Wednesday evening’s festivities by enjoying dinner FRIDAY, JUNE 4TH Spouse or Significant Other....................$175
and a performance by the Williamsburg Dinner Theater. 8:00 AM - 9:00 AM (Includes all conference meals and drinks)
Hot Buffet Breakfast
9:30 PM-1:30 AM Total Amount Enclosed $____________
DJ in Tower Ballroom 9:00 AM - 9:45 AM
Workers’ Comp Agency Updates Spouse/Significant Other Name:_____________________
Thursday, June 3 Honorable Jack Nolish, Director Make check payable to:
8:00 AM-9:00 AM Honorable Christopher Ambrose, Magistrates’ Chair Michigan Self-Insurers’ Association or MSIA
Conference Registration/Hot Buffet Breakfast Honorable Murray Gorchow, Appellate Chair MSIA’s Federal ID No: 23-7162592
9:00 AM-9:05 AM Dennis Morrill, Funds Administrator Mail Registration form & check to:
Welcome - Jonathan Parker/Chair, MSIA 9:45 AM-10:30AM Denise Pretzer, CareWorks, 2158 Wayward,
9:05 AM-10:00 AM The 20/20 Inner Vision Foundation – Craig MacFarlane Rochester Hills, MI 48309
Really off the Record with Senior Capital Correspondent Craig MacFarlane is a charismatic communicator with a If you have questions call: 248-840-0381
Tim Skubick – Skubick is the state’s longest serving political powerful message that has touched the hearts and minds of !
reporter and he brings his 40 years of experience to the those who have been fortunate enough to listen to him. He not MSIA Four Person
only talks the talk but he walks the walk every day of his life.
conference. 9 Hole Golf Scramble
10:00 AM-10:30 AM 10:45 AM-11:30 AM The first 144 individuals to register for the scramble will play.
Break/Networking The Official MSIA Legal Update - Jerry Marcinkoski
You won’t want to miss the latest news regarding Workers’ When: Wednesday, June 2, 2010 – “Shotgun Start”
10:30 AM-11:30 AM
Compensation court decisions and the impact they have on at 1:30 p.m. SHARP
Generational Diversity – Ginny Hosbach/RN/BridgeWorks
the administration of WC claims.
This program will give you new insight and skills to address
the generational “gaps” that exist in the workplace. 11:30 AM Where: Wolverine Golf Course
Adjournment - Exhibitor & MSIA Prizes
11:30 AM - 1:00 PM
Lunch Fee: $53.00 per person

ATTENDEES: Self-insured employers and other individuals
associated with workers’ compensation issues
CONFERENCE SITE: Grand Traverse Resort & Spa, Acme,
MI 49610-0404. 800-236-1577
Name:_ _________________________________________
Reservations: You can register online at
www.grandtraverseresort.com go to Group Reservations and Company:________________________________________
Group Code is “MSIA10”. Room Rates are $144 hotel & $164 tower.
Phone:__________________________________________
CONFERENCE ATTIRE: Business or business casual
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