Item C09 BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:_ December 11, 2013 Division: Employe Services
Bulk Item: Yes X No _ Department: Employee Benefits
Staff Contact Person/Phone#: Maria Fernandez-Gonzalez, Ext. 4448
AGENDA ITEM WORDING: Approval of a Workers' Compensation settlement in the amount of
$66,750.00, inclusive of attorney fees and costs for JCC Case No.: 96-013661 SMS
ITEM BACKGROUND: Private mediation was held October 28, 2013. Original demand for
settlement was $205,000. The parties agreed on a settlement of$66,750.00, inclusive of attorney fees
and costs for two dates of accident (6/12/1996; 6/8/2010) contingent on BOCC approval. There is no
excess reimbursement on either date of accident as these claims did not exceed the self-insured
retention.
PREVIOUS RELEVANT BOCC ACTION: N/A
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $66,750.00 INDIRECT COST: BUDGETED: Yes X No
DIFFERENTIAL OF LOCAL PREFERENCE:
Internal Service Fund
COST TO COUNTY: $66.750.00 SOURCE OF FUNDS: Primarily Ad Valorem
REVENUE PRODUCING: Yes_ No X AMOUNT PER MONTH Year
APPROVED BY: County Atty� OMB/Purchasing Risk Management(L�
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM#
Revised 7/09
BOARD OF COUNTY CON3flSSIONERS
County of Monroe Mayor Sylvia J.Murphy,District 5
Mayor Pro Tern,Danny L.Kolhage,District 1
The Florida Keys George Neugent,District 2
Heather Carruthers,District 3
David Rice,District 4
TO: Board of County Commissioners
FROM: Teresa E.Aguiar,
Employee Services Direcwkoll(l
DATE: November 25,2013
SUBJ: Workers' Compensation Settlement JCC Case No.: 96-013661 SMS
This item requests approval for the settlement of two workers' compensation claims on a former County
BOCC employee. Initially,he experienced back and neck pain due to an accident on June 12, 1996.
Subsequently,on June 8,2010,the claimant injured his right shoulder, lower back and neck. The claimant
retired on May 28,2011.
In terms of the June 12, 1996 date of accident, $3,850.38 of indemnity benefits have been paid. In terms of
the June 8,2010 accident,no indemnity benefits have been paid however he received compensation of
$4,632.00 for a Permanent Impairment Rating(PIR). Medical benefits amount to approximately$1,500 per
year at this time.Medical costs over the life of this claim are expected to be at least$50,000. It is however,
important to note that if the claimant begins to conduct a job search he could potentially seek permanent
total disability(PTD)eligibility under either of the two dates of accident.This would expose the County to
at least double of what we are recommending settlement for with this Agenda Item.
It is believed that it is in the County's best interest to settle these claims in the amount of$66,750.00
inclusive of attorney fees and costs. If you have any questions,please do not hesitate to contact me at 292-
4458.