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File #: 23-0603    Version: 1
Type: Agenda Item Status: Adopted
File created: 6/6/2023 In control: Judiciary Committee
On agenda: 6/15/2023 Final action: 6/15/2023
Title: Authority to settle the Workers’ Compensation Claim of Kevin Devereux vs. MWRDGC, Claim number 20 WC 28936, Illinois Workers’ Compensation Commission (IWCC), in the sum of $45,000.00, Account 901-30000-601090

TRANSMITTAL LETTER FOR BOARD MEETING OF JUNE 15, 2023

 

COMMITTEE ON JUDICIARY

 

Mr. Brian A. Perkovich, Executive Director

 

Title

Authority to settle the Workers’ Compensation Claim of Kevin Devereux vs. MWRDGC, Claim number 20 WC 28936, Illinois Workers’ Compensation Commission (IWCC), in the sum of $45,000.00, Account 901-30000-601090

Body                    

 

Dear Sir:

 

Kevin Devereux is a Maintenance Laborer A Shift employee who works at the Stickney Water Reclamation Plant. On October 28, 2020, he reported that he slipped while stepping off a dock in the process of removing a power washer. The employee sought treatment at the industrial clinic on October 28, 2020, for pain in his right knee. The employee was initially disabled from work on October 29, 2020, and treated conservatively with medication and physical therapy. The employee was able to return to work on November 23, 2020.  The employee was disabled from work again effective February 1, 2021, and underwent surgery on his right knee on February 4, 2021. Following surgery, the employee underwent a course of physical therapy. He returned to work on March 3, 2021.

 

Mr. Devereux was paid a total of 7.80 weeks of lost time benefits totaling $8,627.88.      

 

Mr. Devereux filed an Application of Adjustment of Claim with the Illinois Workers’ Compensation Commission (IWCC) through his counsel. Subject to the approval of the IWCC, this case can now be settled for a total of $45,000.00, representing approximately 24% loss of use of the right leg. This settlement will close out future lost time and medical benefits associated with this injury.

 

The Acting Director of Human Resources believes this settlement is in the best interest of the District and requests payment of that sum be approved and he be authorized to execute such documents as may be necessary to effect the settlement.

 

Requested, Thaddeus J. Kosowski, Acting Director of Human Resources, TJK:BLW:RG

Disposition of this agenda item will be documented in the official Regular Board Meeting Minutes of the Board of Commissioners for June 15, 2023