TRANSMITTAL LETTER FOR BOARD MEETING OF APRIL 6, 2017
COMMITTEE ON JUDICIARY
Mr. David St. Pierre, Executive Director
Title
Authority to settle the Workers’ Compensation Claim of Selina Smith vs. MWRDGC, Claim 15 WC 27070, Illinois Workers’ Compensation Commission (IWCC), in the sum of $12,868.98, Account 901-30000-601090
Body
Dear Sir:
Selina Smith is a Maintenance Laborer A at the Stickney Water Reclamation Plant. On July 15, 2015, she sustained an injury to her back. Ms. Smith was initially seen by an Industrial clinic doctor on July 15, 2015. She was disabled from work initially on July 16, 2015. She was able to treat her injury conservatively with medication and physical therapy. The employee was able to return to work on August 31, 2015.
Ms. Smith was paid a total of $5,978.56, which represents 6.4 weeks of lost time benefits.
Ms. Smith filed an Application of Adjustment of Claim with the Illinois Workers’ Compensation Commission (IWCC) through her counsel. Subject to the approval of the IWCC, this case can now be settled for $12,868.98, representing 3.50% loss of use of 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, BKS:RAJ:RG
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 April 6, 2017