HomeMy WebLinkAbout1995-03-28; City Council; 13072; SETTLEMENT OF WORKERS' COMPENSATION CLAIM OF MARC RENO0 wi
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'd ' CIBOF CARLSBAD - AGEN~BILL /
DEPT
MTG. 3/28/95 COMPENSATION CLAIM OF MARC RENO CITY
AB#- TITLE: SET'I'LEMEW OF WORKERS
DEPT. RM CITY
RECOMMENDED ACTION:
Approval of Resolution No. 94- %&pproving the Stipulations with Request for Award
which authorizes the payment of $9,275 at the rate of $140 per week, to Marc Reno as
settlement of his workers compensation claim.
ITEM EXPLANATION
This matter arose on October 22, 1993 when the claimant, a police officer, filed a claim for
his right knee. He had developed pain in his knee from mounting and dismounting his
motorcycle.
The claimant had arthroscopic surgery on February 1, 1994 and his condition has stabilized
and he is now permanent and stationary. He is continuing to work in his usual and
customary occupation as a police officer. However, he has permanent disabilities which
preclude very heavy work involving his right lower extremity.
His medical reports were submitted to the State Division of Workers Compensation, Office
of Benefit Determination, for evaluation.
The permanent disability rating which they provided, as well as the need for possible future
medical treatment, have been incorporated into the settlement agreement which has been
submitted for consideration.
The claimant and HCM Claim Management Corp., the City's third party administrator, ha1
agreed on the terms and conditions contained in that agreement.
It is Staffs recommendation that the Stipulations with Request for Award be approved.
FISCAL, IMPACT
The cost of the settlement is $9,275, excluding possible future medical treatment. If such
for predicting what those costs may be. There are sufficient funds available in the Worker
Compensation Self-Insurance Fund to cover the cost of this settlement.
EXHIBITS
1. Resolution No. 7s 72L
2.
treatment is required, the City will be obligated to pay those expenses. There is no metho
Stipulations with Request for Award
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RESOLUTION NO. 95-72
A RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF CARLSBAD, CALIFORNIA,
AUTHORIZING THE EXPENDITURE OF FUNDS
FOR SETTLEMENT OF THE WORKERS
COMPENSATION CLAIM OF MARC RENO
WHEREAS, HCM Claim Management Corp., the third party administrator for
City of Carlsbad, has recommended a settlement in the Workers Compensation case of
Marc Reno; and
WHEREAS, there are sufficient funds available in the Workers Compensation Z
Insurance Fund to pay the settlement,
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
Carlsbad, California, as follows:
1.
2.
That the above recitations are true and correct.
That the expenditure of $9,275 from the Workers Compensation Self-
Insurance Fund is authorized for the settlement of said case.
That the Council accepts the Stipulations with Request for Award, attac
hereto as Exhibit 2.
3.
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PASSED, APPROVED AND ADOPTED at a Regular Meeting of the C
1995, by the following Council of the City of Carlsbad on the 28th day of MARCH
vote, to wit:
Am: Council Members Lewis, Nygaard, Finnila, Hall
NOES: None
ABSENT: Council Member Kulchin & //fJ i'
['Ah I, / /&A
C U EA. IS ,-May5
ATTEST
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AppliauJ Marc Reno
554-45-0173
vs.
Case No. Unassigned
Stipdat ions
with Request
for Award
STATE OF CALIFORNIA 0 e
3. Sledic31-legal expenses are payable by defendant as follows. None
6. .\pplicant’s attorney request a fee of S Noce
7. Liens against compensation are payable as foIIows. None
8. Other stipulations: None
23. -&y; Tq-
Marc Reno
1200 Carlsbad Village
;;
554-45-0173 Carlsbad, CA 92008
1892 Centennial Way P.O. Box 710400 Escondido, CA 92026 San Dieqo, CA 92
Social Security Number of .ippiicant Address of Empio? er
$0 Address of Applicant Address of insurance Cornpa&
N/A
Attorney for .4ppbcant - .- or Authorized Representativ
NJA P.O. Box 710400, San D
Address of -sr Authorized Re
Barbara Stokes
Address of Attorney for Applicant
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t"ff4;NENT DrSCiE3f ' RATXN[3 XiETERM1NATION IS BA~ED at4 THE FOLL
Injury (DE3X) 1 X@-22-93 " Age on 8131 : 31)
on: POLICE UFFZCER
~,is'l'::t.i[; @&SED l3N 8-2--!?,4 MEDICAL REPrSRT OF.' F:ICHi:tF:D !4ll%R, M. 11,
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