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File #: 17-0062    Version: 1
Type: Agenda Item Status: Adopted
File created: 1/9/2017 In control: Judiciary Committee
On agenda: 1/19/2017 Final action: 1/19/2017
Title: Authority to settle the Workers’ Compensation Claim of Ronald Gotsch vs. MWRDGC, Claim W001502802, Illinois Workers’ Compensation Commission (IWCC), in the sum of $15,104.40, Account 901-30000-601090

TRANSMITTAL LETTER FOR BOARD MEETING OF JANUARY 19, 2017

 

COMMITTEE ON JUDICIARY

 

Mr. David St. Pierre, Executive Director

 

Title

Authority to settle the Workers’ Compensation Claim of Ronald Gotsch vs. MWRDGC, Claim W001502802, Illinois Workers’ Compensation Commission (IWCC), in the sum of $15,104.40, Account 901-30000-601090

Body

 

Dear Sir:

 

Ronald Gotsch is a Pipefitter at the Stickney Water Reclamation Plant.  On August 3, 2015, he sustained an injury to his abdominal area.  Mr. Gotsch was initially seen by an Industrial clinic doctor on August 3, 2015.  It was determined that he required a procedure which was performed on September 16, 2016, which was also the first day he was disabled from work.  Mr. Gotsch was able to return to work on October 26, 2015. 

 

Mr. Gotsch was paid a total of $6,895.18, which represents 5.6 weeks of lost time benefits.

 

Subject to the approval of the Illinois Workers’ Compensation Commission, this Pro-Se claim can now be settled for $15,104.40, representing 4% loss of a 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 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, 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 January 19, 2017