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 Daniel Gierut v. MWRDGC, Claim #W000838371, in the total sum of $38,000.00, Account 901-30000-601090
Body
Dear Sir:
Daniel Gierut is a Pipe Fitter at the Stickney Water Reclamation Plant. On May 29, 2012, he sustained an injury to his left shoulder. He went to see a doctor at one of the District's designated clinics on 5/29/12 and was diagnosed with a left shoulder strain. An MRI of the left upper extremity performed on 6/5/12 revealed a rupture of the supraspinatus tendon, a full thickness tear of the anterior infrasinatus tendon and an anteroinferior glenoid labrum tear. On 9/10/12, he underwent rotator cuff repair surgery on his left shoulder, which included impingement repair of his shoulder. He underwent a course of physical therapy post surgery.
The employee was able to return to work on 4/15/13 and was paid a total of 45 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