TRANSMITTAL LETTER FOR BOARD MEETING OF AUGUST 4, 2016
COMMITTEE ON JUDICIARY
Mr. David St. Pierre, Executive Director
Title
Authority to settle the Illinois Workers’ Compensation Claims of William Mateja vs. MWRDGC, Case 13 WC 30687, in the sum of $14,251.00, Account 901-30000-601090
Body
Dear Sir:
William Mateja is a Truck Driver at the Stickney Water Reclamation Plant. On March 5, 2013, the employee sustained an injury to his abdominal area. He was initially seen at the Industrial clinic on March 5, 2013. He underwent a procedure on March 25, 2013. He was disabled effective March 25, 2013. He was able to return to work on April 22, 2013.
Mr. Mateja was paid a total of $3,756.66 in lost time benefits, which represents approximately 4 weeks of lost time benefits for the injury that occurred on March 5, 2013.
Mr. Mateja filed an Applications of Adjustment of Claim with the Illinois Workers’ Compensation Commission (IWCC) through his counsel. Subject to the approval of the IWCC, this case can now be settled for $14,251.00, representing 4% loss of the person as a whole. This settlement will close out future lost time benefits, as well as any future medical benefits associated with this injury.
The Acting 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, Beverly K. Sanders, Acting Director of Human Resources, BKS: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 August, 4, 2016