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File #: 15-1206    Version: 1
Type: Agenda Item Status: Adopted
File created: 10/26/2015 In control: Judiciary Committee
On agenda: 11/5/2015 Final action: 11/5/2015
Title: Authority to settle the Workers’ Compensation Claim of Israel Rivera vs. MWRDGC, Case 15 WC 2215, Illinois Workers’ Compensation Commission (IWCC), in the sum of $44,534.37, Account 901-30000-601090

TRANSMITTAL LETTER FOR BOARD MEETING OF NOVEMBER 5, 2015

 

COMMITTEE ON JUDICIARY

 

Mr. David St. Pierre, Executive Director

 

Title

Authority to settle the Workers’ Compensation Claim of Israel Rivera vs. MWRDGC, Case 15 WC 2215, Illinois Workers’ Compensation Commission (IWCC), in the sum of $44,534.37, Account 901-30000-601090

Body

 

Dear Sir:

 

Israel Rivera is an Operating Engineer I at the Egan Water Reclamation Plant.  On January 8, 2013, he sustained an injury to his left shoulder.  He was initially seen at the industrial clinic on January 8, 2013. The employee received conservative treatment for his shoulder initially, but required surgery which was performed on September 3, 2013.  He was able to return to work on March 4, 2014.

 

Mr. Rivera was paid a total of $30,856.80, which represents 26.2 weeks of lost time benefits.

 

Mr. Rivera’s attorney filed an Application of Adjustment of Claim with the Illinois Workers’ Compensation Commission (IWCC).  Subject to the approval of the IWCC, this case can now be settled for $44,534.37, representing 12.5% loss of use of person as a whole. This settlement will close out any future lost time benefits, as well as any future medical benefits, associated with this injury.

 

The Director of Human Resources believes this settlement is in the best interest of the District and requests payment of that sum be approved and she be authorized to execute such documents as may be necessary to effect the settlement.

 

Requested, Denice E. Korcal, Director of Human Resources, DEK:RAJ:RG:sts

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 November 5, 2015

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