TRANSMITTAL LETTER FOR BOARD MEETING OF APRIL 5, 2018
COMMITTEE ON JUDICIARY
Mr. David St. Pierre, Executive Director
Title
Authority to settle the Illinois Workers’ Compensation Claim of Michael Roman vs. MWRDGC, Claim Number: W001972464 in the sum of $13,565.65, Account 901-30000-601090
Body
Dear Sir:
Michael Roman is a Structural Ironworker at the Calumet Water Reclamation Plant. On March 9, 2017, he sustained an injury to his abdominal/groin area. He was initially seen at the industrial clinic on March 9, 2017. The employee was placed on restricted duty effective on March 13, 2017. He underwent a surgical procedure on March 27, 2017. He was also disabled from work effective March 27, 2017. He returned to work on May 15, 2017.
Mr. Roman was paid a total of $8,571.01 in lost time benefits which represents a total of 7 weeks of lost time benefits.
Subject to the approval of the IWCC, this Pro-Se case can be settled for $13,565.65, representing approximately 3.5% person as a whole. This settlement will close out any future lost time benefits as well as any future medical benefits associated with these injuries.
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
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 5, 2018