Subject Numbers Regarding Health Provider Authorizations

June 1, 2009

Authorization No. 080520-0B

Please be advised that, effective May 26, 2009, Hershel Samuels, M.D., voluntarily resigned his authorization to treat and conduct independent medical examinations of workers' compensation claimants.

Dr. Samuels is prohibited from rendering medical or other treatment and care to and conducting independent medical examinations of individuals who have suffered work-related injuries or illnesses. Medical reports submitted by Dr. Samuels for treatment rendered or examinations conducted prior to May 26, 2009, are valid, but are invalid for any treatment rendered or examinations conducted on or after that date. Requests to cross-examine Dr. Samuels regarding treatment he rendered or examinations he conducted prior to May 26, 2009, should not be denied due to this resignation.

Any questions regarding this matter should be referred to the Office of General Counsel at (518) 486-9564.