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File #: 21-0720    Version: 1
Type: Agenda Item Status: Adopted
File created: 8/9/2021 In control: Judiciary Committee
On agenda: 9/2/2021 Final action: 9/2/2021
Title: Authority to settle the Illinois Workers’ Compensation Claim of Eileen Donahue-Simon vs. MWRDGC, Claim Number 20 WC 017680 in the sum of $108,713.00, Account 901-30000-601090

TRANSMITTAL LETTER FOR BOARD MEETING OF SEPTEMBER 2, 2021

 

COMMITTEE ON JUDICIARY

 

Mr. Brian A. Perkovich, Executive Director

 

Title

Authority to settle the Illinois Workers’ Compensation Claim of Eileen Donahue-Simon vs. MWRDGC, Claim Number 20 WC 017680 in the sum of $108,713.00, Account 901-30000-601090

Body

 

Dear Sir:

 

Eileen Donahue-Simon was an Environmental Chemist working at the Stickney Water Reclamation Plant at the time of her accident. The employee has since retired from the District on May 1, 2021. On August 18, 2017, the employee reported that while she was leaving work, she tripped on uneven pavement landing face down on both of her knees as well as arms and elbows. She was brought by ambulance to the emergency room on August 18, 2017, where it was determined she had fractured her left shoulder in multiple places. The employee was disabled from work at this time. On September 1, 2017, the employee underwent surgery on her left shoulder. Following the surgery, she underwent a course of physical therapy and was able to return to work on October 19, 2017, but experienced issues and was disabled again effective October 23, 2017. She was able to return to work again on November 27, 2017. 

 

Ms. Donahue-Simon was paid a total of 13.60 weeks of lost time benefits totaling $19,555.00. 

 

Ms. Donahue-Simon filed an Application for 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 $108,713.00, representing approximately 27.5% loss of use of the 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, Beverly K. Sanders, Director of Human Resources, BKS:RAJ:RG

Disposition of this agenda item will be documented in the official Regular Board Meeting Minutes of the Board of Commissioners for September 2, 2021