SUBROGATION AND THE OPIOID EPIDEMIC Richard Gerber, Member Matt Leffler, Member

OPIOID EPIDEMIC IN U.S. Opioid Prescriptions Up 400% Since 1999 42,249 People Died From Overdosing on Opioids 11.5 Million Misused Prescription Opioids 2.1 Million People Misused Prescription Opioids For The First Time $504,000,000,000 In Economic Costs All statistics provided by U.S. Dept. of Health and Human Services

OPIOID EPIDEMIC & WORKERS’ COMPENSATION Workers’ Compensation Industry Spends Approximately $3 Billion a Year on Pain Medication. Of the $3 Billion a Year; $2 Billion a Year are Spent Specifically on Opioid Prescriptions. Prior to 2016 When C.D.C. Guidelines Recommended Doctors Avoid Issuing Opioid Prescriptions for Longer than 3 Days; 99% of Doctors Were Prescribing Opioids for Longer Than 3 Days. A 2012 Hopkins-Accident Research Fund Study Found that Employees Prescribed Even One Opioid Had Average Total Claim Costs 4 to 8 Times Great Than Employees with Similar Claims Who Did Not Take Opioids. Washington’s Department of Labor and Industries Found that 42% of Employees with Back Injuries Received an Opioid Prescription. After 1 Year, 16% of Those Employees Were Still Taking Opioids. All Non-Cited Statistics from Effective Cost Based Management, Jeffrey Forbes, August 31, 2017

OPIOID EPIDEMIC & WORKERS’ COMPENSATION Opioid Addiction/Abuse Leads to Higher……. Opioid Prescriptions for Workers Addiction Treatment Additional TTD Additional Time Off Work Additional Medical Care Related to Addiction Death Benefits & Burial Costs Associated With Overdose and Related Medical Conditions

EVANS & DIXON AND SUBROGATION Nationwide Subrogation Practice. Multi-District Litigation in the Northern District of Ohio Including Cities, Counties, States & Third Party Payers. Defendants are Drug Manufacturers and Distributors Who Fraudulently Pushed and Marketed Opioids Without Full Disclosure. We are Putting Together a Team of Insurers to Join the Litigation to Recover on Behalf of Workers Compensation Carriers. Time is of the Essence!