TRANSMITTAL LETTER FOR BOARD MEETING OF FEBRUARY 3, 2022
COMMITTEE ON JUDICIARY
Mr. Brian A. Perkovich, Executive Director
Title
Authority to settle the Illinois Workers’ Compensation Claim of David Kulovitz vs. MWRDGC, Claim Number W002813385 in the sum of $53,966.51, Account 901-30000-601090
Body
Dear Sir:
David Kulovitz is a Pipefitter working at the Stickney Water Reclamation Plant. On July 8, 2019, the employee reported that while descending stairs in the pump house that the stairs were wet causing him to slip and injure his left knee. The employee sought medical treatment immediately at the industrial clinic on July 8, 2019. He treated conservatively with medications. The employee was disabled from work effective August 15, 2019 after undergoing surgery of his left knee on the same date. He was able to return to work on October 17, 2019. The employee was disabled a second time effective January 3, 2020, to undergo a work conditioning program. He returned to work on February 10, 2020, after he completed the program.
He was paid a total of 14.20 weeks of lost time benefits totaling $18,781.83.
Subject to the approval of the IWCC, this Pro-Se case can be settled for $53,966.51, representing approximately 30% loss of use of the left leg. 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 February 3, 2022