Which of the following is NOT a reason for issuing a replacement QME panel?

The reason for issuing a replacement QME panel primarily focuses on ensuring that the medical evaluation process remains fair and effective for all parties involved. The situation where the QME is proficient in all specialties does not warrant a replacement panel. Being proficient in all specialties means that the QME has the necessary expertise to assess various medical conditions relevant to the case at hand. This proficiency ensures that the QME can provide a thorough and accurate evaluation, thus upholding the integrity of the process.

In contrast, the other options present legitimate concerns about the validity of the QME's assessments. If a QME is unavailable, it creates a delay in the evaluation process, necessitating a replacement to keep the case moving forward. A conflict of interest indicates that the QME may not provide an impartial assessment, thus compromising the objectivity required in these evaluations. Lastly, if a QME panel was issued over 24 months ago, it may no longer reflect the current qualifications or availability of suitable QMEs, which also justifies the need for a new panel. Each of these scenarios directly impacts the ability to conduct an objective and timely evaluation, whereas proficiency in all specialties does not.