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SSDI and WC settlement
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02-11-2010, 02:25 PM
Post: #13
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RE: SSDI and WC settlement
Well here is the low down and I am exteremly pissed about this. The oppsing team wrote up the settlement contract and i have not signed anythingas of yet because after reading adn re-reading it they are screwing me from every direction they can.
here is a short summary of what the contract states. It is further stipulated and agreed that the Applicant has made a claim for further disability, including but not limited to additional temporary disability; permanent partial disability, including loss of earning capacity; and medical expenses. That to substantiate the Applicant's position, there have been various medical records and reports which have been previously filed with the Department and are hereby incorporated into and made a part of the record, including several medical reports from Dr. Pannu as well as the vocational report from Michael Ewens dated September 17, 2009. It is further stipulated and agreed that the Respondents, Employer and Insurer, deny that the Applicant is entitled to additional benefits beyond those previously paid. That the Respondents specifically deny liability for the August 22, 2006 back surgery performed by Dr. Luders. That to substantiate the Respondents' position, there have been various medical records and reports which have been previously filed with the Department and are hereby incorporated into and made a part of the record, including the independent medical evaluations reports of Dr. Solfelt as well as the independent vocational evaluation report of Barbara Lemke dated January 15, 2010. ¥ll entering into this limited compromise agreement, the Applicant represents that she has discussed the terms of this compromise settlement with her attorney, and has been advised of her legal right to proceed to hearing before the Wisconsin Worker's Compensation Division, and to accept the fmal determination, following hearing, of her right to benefits and payments as claimed. Instead of proceeding to formal hearing, the Applicant voluntarily consents to enter into this limited compromise settlement. It is further stipulated and agreed that this is a settlement and limited compromise agreement of a disputed claim in which the Respondents deny liability as set forth above. It is further stipulated and agreed by and between the Applicant, and the Respondents, that in limited compromise and settlement of any and all liability of the Respondents to the Applicant under the Worker's Compensation Act of Wisconsin, including (but not excluding other sections by this enumeration), Sections 102.18(1 )(bp), 102.22, 102.35(3), 102.43(5), 102.48, 102.49, 102.56, 102.565, 102.57, 102.58, 102.59, 102.60 and 102.61, that the Respondents will pay the Applicant's attorney, Steven J. Lownik, the sum of $ 7(Q D D. OD as attorneys fees and $ q 'fB. 1-s: in costs, and to the Applicant, Karen Constantine, the sum of $ ex Cfl Y ID·<QS- for a total settlement of $38,000.00. It is further stipulated and agreed that upon such sums being paid, the Respondents shall stand relieved of any and all liability whatsoever to the Applicant under the Wisconsin Worker's Compensation Statutes in the State of Wisconsin for any spinal injury, whether traumatic or occupational, regardless of the specific date of injury, during her employment with................ It is understood between the parties that future medical expenses relating to the thoracic and lumbar spine under Section 102.42(1) of the Wisconsin Statutes are left open and not affected by this limited compromise settlement. However, the Respondents retain any and all of its defenses in regard to claims made for future medical expenses relating to the thoracic and lumbar spine. Although future medical expenses relating to the thoracic and lumbar spine are left open pursuant to this limited compromise agreement, it is the intention of the Respondents to investigate and determine if a Medicare Set-Aside agreement is appropriate. If a Medicare Set-Aside allocation amount, if any, is agreed upon by the Respondents and CMS, a division of the Social Security Administration, it will be funded by the Respondents. Furthermore, it is understood between the parties that this agreement will constitute a full and final compromise regarding future medical expenses if the Respondents fund a Medicare Set- Aside allocation or if it is determined by CMS that a zero allocation is appropriate. It is understood between the parties that this limited compromise agreement resolves all past medical expenses incurred by the Applicant for her alleged worker's compensation injury or condition. That any claim for reimbursement of medical bills paid by other sources including, but not limited to, Medicaid or Medicare, is the sole responsibility of the Applicant. The Applicant certifies that she has read and understood the terms of this limited compr~ise agreement; that the Applicant has been informed of the medical and other evidence which would likely be presented if this matter went to hearing; that the Applicant is not under the influence of any medication or other' substance which might impair her ability to understand the terms of this compromise agreement; that there are no language difficulties which impair the Applicant's ability to understand the terms of this compromise agreement; that the Applicant realizes that this agreement settles any claim for temporary disability, permanent disability, loss of earning capacity, retraining benefits, and medical expenses through February 3, 2010; and that the Applicant enters into this limited compromise agreement knowingly and voluntarily without coercion on the part of anyone. 3 In making this limited compromise agreement, the Applicant understands that she has the right to petition the Department of Workforce Development to set aside or modify the compromise agreement within one year of its approval by the Department. Although the Department may set aside or modify the compromise agreement, the right to request the Department to set aside or modify the compromise agreement does not guarantee that the compromise will, in fact, be reopened. It is understood that the Department seldom reopens compromise agreements and the Applicant understands that she is, for all intents and purposes, giving a full and final release of any and all claims that she has against the Respondents except future medical expenses beyond February 3,2010, with regard to any spinal injury during her employment with........... PLEASE HELP ME. This is a contact I am really not willing to sign. Any Idea's would be grateful right now. Questions to ask my attorney, changes that could be made to the contract. help please.. It is further stipulated and agreed that the Department may enter its award in accordance with this agreement forthwith, without further notice to the parties. |
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