Agenda Item #61
IN2 Workers' Compensation Settlement No. AC 126082
The settlement of this Workers' Compensation claim No. 126082 was recommended by the District's counsel and claim adjusters, and has been approved by the General Counsel, Chief Operating Officer and Director of Risk and Benefits Management as required by District Policy No. 6.09.
Accident: Injured neck and back lifting boxes in 1990
Injury: Back injury resulting in surgery in 2005
Medicals/wage loss expenses paid to date: $363,519 paid to date
Future exposure at 4% present value: $412,191
Excess attachment point: $250,000
This is a settlement resulting from future exposure of medicals and treatment. The excess carrier has agreed to reimburse the District 100%. The individual resigned from the District in 1990, but has on-going problems with his back, despite surgery.
I recommend that the School Board approve this workers' compensation claim in the amount of $254,426.20 as full settlement of the claim, as well as authorize the execution of all related documents.
Michael J. Burke, Chief Operating Officer (firstname.lastname@example.org)
Dianne L. Howard, Director, Risk and Benefits Management (email@example.com)
The financial impact to the District for this settlement is $254,426.20, of which 100% reimbursement will be provided by the excess carrier within 30 days. The initial funding source is the General Fund operating budget.