HomeMy WebLinkAbout2002-07-23; City Council; 16827; Settlement of Workers' Compensation ClaimCITY OF CARLSBAD - AGENDA BILL
LB # 16,827
CITY ATTY SETTLEMENT OF WORKERS’ COMPENSATION ITG. 1/23/02
DEPT. HD.& TITLE:
IEPT. HR CLAIM OF STEVEN FORMAN
IECOMMENDED ACTION:
Approval of Resolution No. 2002-213 approving the Findings and Award, which
authorizes the payment of $29,750.00 to Steven Forman.
ITEM EXPLANATION:
The claimant is a former Senior Police Officer with the City of Carlsbad Police Department.
He was hired by the City on November 3, 1975.
Mr. Forman sustained an industrial injury on April 8,2001 to his lower back due to his
normal police activities.
The terms and conditions of the settlement are set forth in the Findings and Award (on file in
the Human Resources Department). The terms and conditions were agreed upon by the City
of Carlsbad and approved by TRISTAR, the City’s Third Party Administrator, and the
Workers’ Compensation Appeals Board.
FISCAL IMPACT:
The cost of the settlement is $29,750.00 payable at the rate of $170 weekly and the
provision of future medical treatment. There are sufficient funds available in the Workers’
Compensation Self-Insurance Fund to cover the cost of this settlement.
EXHIBITS:
1. ResolutionNo. 2002-213
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RESOLUTION NO. 2002-213
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 STEVEN FORMAN
WHEREAS, TRISTAR, third party administrator for the City of Carlsbad in this
matter has recommended a settlement of the Workers’ Compensation claim of Steven
Forman; and
WHEREAS, the settlement has been approved by the Workers’ Compensation
Appeals Board; and
WHEREAS, there are sufficient funds available in the Workers’ Compensation Self-
Insurance Fund to pay the settlement.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
Carlsbad, California, as follows:
1. That the above recitations are true and correct.
2. That the expenditure of $29,750.00 from the Workers’ Compensation Self-
Insurance Fund is authorized for the settlement of said claim.
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3. That the City Council accepts the Findings and Award on file in the Human
Resources Department.
PASSED, APPROVED, AND ADOPTED at a regular meeting of the Carlsbad City
Council held on the 23rd day of JULY ,2002, by the following vote, to wit:
AYES: Council Members Lewis, Nygaard, Hap P
NOES: None
ABSENT: Council Members Kulchin
ATTEST:
AL&%7. 2-
M. WOOD, City Clerk
(SEAL)
Page 2 of 2 of Resolution No. 2002-213