TRANSMITTAL LETTER FOR BOARD MEETING OF MAY 1, 2014
COMMITTEE ON JUDICIARY
Mr. David St. Pierre, Executive Director
Title
Authority to settle the Workers' Compensation claim of Martin DePass v. MWRDGC, Claim #W000817710, in the total sum of $38,000.00, Account 901-30000-601090
Body
Dear Sir:
Martin DePass is an Operating Engineer II at the Calumet Water Reclamation Plant. On December 9, 2012, he sustained an injury to his left shoulder. He went to see a doctor at one of the District's designated clinics on 12/9/12 and was diagnosed with a left shoulder strain. An MRI performed of the left upper extremity on 12/18/12 revealed a partial tear of the distal supraspinatus with retraction or atrophy. On 1/22/13, he underwent left shoulder surgery consisting of repair of a tear to the supraspinatus tendon, as well as repair of a biceps tendon rupture, and the repair of fraying of the labrum. He underwent a course of physical therapy post surgery.
The employee was able to return to work on 9/1/13 and was paid for a period of 38 weeks of lost time benefits.
Subject to the approval of the IWCC, this Pro Se case can be settled for 21% loss of use of the left arm in the amount of $38,000.00. This settlement would close out future lost time benefits as well as his future medical rights for this injury.
This settlement is in the best interest of the District. We therefore request approval for payment and authorization to execute such documents as may be necessary to effect the settlement.
Requested, Denice E. Korcal, Director of Human Resources, DEK:RAJ:RG:aw
Respectfully Submitted, Mariyana T. Spyropoulos, Chairman Committee on Judiciary
Disposition of this agenda item will be documented in the official Regular Board Meeting Minutes of the Board of Commissioners for May 1, 2014