AGENDA LOUISIANA WORKFORCE COMMISSION - SECOND …

AGENDA LOUISIANA WORKFORCE COMMISSION - SECOND INJURY BOARD

July 12, 2018

1. Reading of minutes of previous meeting

2. Hearing Requests

3. Items 1 through 6 Recommended for Payment; Claim #17-0341 to Claim #18-0276

1. 17-0341 City of Shreveport 2. 17-0715 LA Workers' Compensation Corp. 3. 17-0906 LA Automobile Dealers Assn. 4. 18-0055 LUBA Casualty Insurance Company 5. 18-0174 Bridgefield Casualty Insurance Company 6. 18-0276 St. Charles Parish School Board

104 week deductible 104 week deductible 104 week deductible 104 week deductible 104 week deductible 104 week deductible

4. Items 1 through 89 Recommended for Denial; Claim #15-0667 to Claim #18-0304

1. 15-0667 2. 15-0866 3. 16-0250 4. 16-0734 5. 16-0908 6. 17-0064 7. 17-0082 8. 17-0136 9. 17-0142 10. 17-0164 11. 17-0169 12. 17-0190 13. 17-0200 14. 17-0261 15. 17-0301 16. 17-0304 17. 17-0316 18. 17-0318 19. 17-0362 20. 17-0420 21. 17-0452 22. 17-0467 23. 17-0494 24. 17-0496 25. 17-0548 26. 17-0563 27. 17-0566 28. 17-0587 29. 17-0593 30. 17-0596 31. 17-0599 32. 17-0602 33. 17-0605 34. 17-0614 35. 17-0629 36. 17-0632 37. 17-0635 38. 17-0650 39. 17-0659 40. 17-0662 41. 17-0668 42. 17-0674 43. 17-0677 44. 17-0691 45. 17-0769 46. 17-0774 47. 17-0775 48. 17-0777

Louisiana Municipal Risk Management Agency Stupp Brothers, Inc. City of New Orleans LUBA Casualty Insurance Company City of Shreveport Hartford Casualty Insurance Company Office of Risk Management Unverified Zurich American Insurance Company Unverified LA Commerce & Trade Assn. - SIF Recreation & Park Commission of East Baton Rouge LA Construction & Industry LA Workers' Compensation Corp. Retailers Casualty Insurance Company St. Martin Parish School Board Louisiana Restaurant Association Louisiana Restaurant Association Sentry Insurance A Mutual Company LA Municipal Risk Mgmt. Agency Unverified Bridgefield Casualty Insurance Company New Hampshire Insurance Company AIG Assurance Company (AIG) Commerce And Industry Insurance Company Office of Risk Management Unverified LA Construction & Industry Office of Risk Management Safety National Casualty Corporation Office of Risk Management St. James Parish School Board LUBA Casualty Insurance Company Office of Risk Management Bridgefield Casualty Insurance Company Technology Insurance Company LA Workers' Compensation Corp. LUBA Casualty Insurance Company LA Home Builders Assn.- SIF State National Insurance Company LA Automobile Dealers Assn. Office of Risk Management Retailers Casualty Insurance Company Ace American Ins. Co Unverified XL Insurance America, Inc. City of Baton Rouge, East Baton Rouge Parish Retailers Casualty Insurance Company

Agenda ? (Cont'd.) Page 2 July 12, 2018

49. 17-0778 50. 17-0779 51. 17-0781 52. 17-0785 53. 17-0786 54. 17-0792 55. 17-0798 56. 17-0800 57. 17-0801 58. 17-0802 59. 17-0804 60. 17-0808 61. 17-0810 62. 17-0814 63. 17-0816 64. 17-0824 65. 17-0826 66. 17-0847 67. 17-0853 68. 17-0861 69. 17-0865 70. 17-0867 71. 17-0869 72. 17-0871 73. 17-0873 74. 17-0879 75. 17-0883 76. 17-0889 77. 17-0891 78. 17-0893 79. 17-0897 80. 17-0900 81. 17-0902 82. 17-0904 83. 17-0907 84. 17-0908 85. 17-0910 86. 17-0912 87. 18-0166 88. 18-0235 89. 18-0304

Bridgefield Casualty Insurance Company Bridgefield Casualty Insurance Company LA Construction & Industry Unverified Unverified Bridgefield Casualty Insurance Company New Hampshire Insurance Company (AIG) Office of Risk Management Iberia Parish School Board Unverified Office of Risk Management Retailers Casualty Insurance Company Bridgefield Casualty Insurance Company LA Automobile Dealers Assn. Office of Risk Management LA Automobile Dealers Assn. City of Baton Rouge, East Baton Rouge Parish LA Home Builders Assn.- SIF Zurich American Insurance Company LUBA Casualty Insurance Company Unverified Tangipahoa Parish School Board Office of Risk Management LA Health Care- Self Ins. Fund St. Charles Parish School Board Louisiana Restaurant Association Jefferson Parish Public School System Unverified Zenith Insurance Company LA Commerce & Trade Assn. Unverified LA Commerce & Trade Assn. LA Commerce & Trade Assn. St. Landry Parish School Board LA Construction & Industry LA Construction & Industry LA Workers' Compensation Corp. LA Workers' Compensation Corp. LA Construction & Industry LA Construction & Industry New Hampshire Insurance Company

5. Recommended for Approval of Partial Payments Due (366) Listing attached Claim #80-0247 to Claim #16-0623

6. Recommended for Approval of Quarterly Payments Due (69) Listing attached Claim #94-0137 to Claim #15-0509

7. Public Comments

8. Executive Session - Discussion concerning Second Injury Board Litigation & Settlements

a. Recommendation for Review of Settlements

1. 03-0451 2. 09-0294 3. 09-0332 4. 10-0986 5. 11-0274 6. 11-0376 7. 11-0540 8. 11-0838 9. 12-0156 10. 12-0590 11. 12-0593 12. 12-1041 13. 14-0185 14. 14-0511

Agenda ? (Cont'd.) Page 3 July 12, 2018

15. 14-0884 16. 14-0915 17. 15-0165 18. 16-0026 19. 16-0032 20. 16-0209 21. 16-0497 22. 17-0470 23. 18-0032 24. 18-0041

b. Second Injury Board Litigation

1. LA Construction & Industry SIF vs. LA Workers' Compensation Second Injury Board Employee: Rodger Ferchaud SIB #: 13-0664 Docket #: 635,628

2. Our Lady of the Lake Hospital Inc. vs. LA Workers' Compensation Second Injury Board Employee: Gwendolyn Clifford SIB #: 14-0380 Docket #: 637,155

3. LA Workers' Compensation Corporation vs. LA Workers' Compensation Second Injury Board Employee: Phyllis Carolina SIB #: 15-0096 Docket #: 644,152

4. LA Workers' Compensation Corporation vs. LA Workers' Compensation Second Injury Board Employee: Betty Lobuono SIB #: 16-0141 Docket #: 652,286

5. LA Workers' Compensation Corporation vs. LA Workers' Compensation Second Injury Board Employee: Calvin Royer, Sr. SIB #: 16-0260 Docket #: 659,650

6. Bridgefield Casualty Insurance Company vs. LA Workers' Compensation Second Injury Board Employee: Christopher Celestine SIB #: 16-0365 Docket #: 656,589

7. LA Workers' Compensation Corporation vs. LA Workers' Compensation Second Injury Board Employee: Emile Fayard SIB #: 16-0444 Docket #: 655,455

8. LA Workers' Compensation Corporation vs. LA Workers' Compensation Second Injury Board Employee: Terrence Cotton SIB #: 17-0077 Docket #: 659,648

9. Any other matters requiring attention

a. LRS Presentation and Recommendation

*** Item 5 Total Item 6 Total TOTAL

$4,726,149.76 $1,102,425.08 $5,828,574.84

Agenda ? (Cont'd.) Page 4 July 12, 2018

PARTIAL PAYMENTS ? July 12, 2018

Louisiana Office of Risk Management Other Claim #: 26599 80-0247

Louisiana Office of Risk Management Other Claim #: 26598 81-0333

Louisiana Office of Risk Management Other Claim #: 3130721 81-0470

CNA Insurance Company Other Claim #: 190 M2146 82-0195

Travelers Indemnity of America Other Claim #: 110-CB-FV10933F 82-0693

MetLife Insurance Company of Connecticut Other Claim #: 110CBFT04673M 83-0042

Louisiana Office of Risk Management Other Claim #: 26546 83-0072

Travelers Indemnity Company Other Claim #: 110-CB-FV19892M 83-0491

Louisiana Office of Risk Management Other Claim #: 3082942 83-0557

Transportation Insurance Company Other Claim #: 26-244516-L3 84-0012

Louisiana Office of Risk Management Other Claim #: 3042305 84-0275

Hartford Insurance Company of the Southeast Other Claim #: 386-C-15411 84-0455

Louisiana Office of Risk Management Other Claim #: 3118293 85-0276

One Beacon America Ins. Co. Other Claim #: 0RM 000535 86-0102

MetLife Insurance Company of Connecticut Other Claim #: 110-CB-FV3-3045-M 86-0256

Travelers Casualty Insurance Company of America Other Claim #: 110CBC130994A 86-0263

$2,032.92 11/12/2016 - 3/31/2017

(Partial Payment)

$3,260.00 11/12/2016 - 3/31/2017

(Partial Payment)

$252.96 1/7/2017 - 1/22/2017

(Partial Payment)

$3,111.00 11/9/2016 - 3/7/2017

(Partial Payment)

$5,124.00 10/25/2016 - 5/8/2017

(Partial Payment)

$4,896.00 11/5/2016 - 4/21/2017

(Partial Payment)

$4,080.00 11/12/2016 - 3/31/2017

(Partial Payment)

$6,440.00 11/3/2016 - 5/17/2017

(Partial Payment)

$3,783.40 11/12/2016 - 3/31/2017

(Partial Payment)

$4,140.00 11/4/2016 - 3/9/2017

(Partial Payment)

$2,863.60 11/12/2016 - 3/31/2017

(Partial Payment)

$4,676.16 9/16/2016 - 1/26/2017

(Partial Payment)

$4,900.00 11/12/2016 - 3/31/2017

(Partial Payment)

$21,736.52 9/7/2016 - 3/22/2017

(Partial Payment)

$3,945.76 11/3/2016 - 5/17/2017

(Partial Payment)

$5,064.64 11/2/2016 - 5/16/2017

(Partial Payment)

Agenda ? (Cont'd.) Page 5 July 12, 2018

Louisiana Office of Risk Management Other Claim #: 3051302 86-0446

Lumbermens Underwriting Alliance Other Claim #: OA 40612 86-0695

Lumbermens Underwriting Alliance Other Claim #: OA 40612 86-0695

Louisiana Office of Risk Management Other Claim #: 26714 87-0049

ITT Hartford - SRS (Specialty Risk) Other Claim #: 386 FC 23482 87-0063

Cavenham Forest Industries Other Claim #: 3173/1234 87-0343

CNA Insurance Company Other Claim #: 19059324 87-0500

Continental Insurance Company Other Claim #: 18103 87-0532

CNA Insurance Company Other Claim #: 14317 87-0554

Allstate Insurance Company Other Claim #: 88-01325 88-0149

Louisiana Office of Risk Management Other Claim #: 3144198 88-0286

Pacific Employers Insurance Company Other Claim #: 290C-52-65-97-5 88-0395

Travelers Casualty Insurance Company of America Other Claim #: 110-CB-C13072R 88-0628

Tulane University Other Claim #: FCF22439 88-0696

Louisiana Office of Risk Management Other Claim #: 26591 88-0766

Insurance Company of North America Other Claim #: 290 C 57 83 49-2 89-0215

$44,950.70 5/6/2016 - 3/17/2017

(Partial Payment)

$11,015.63 5/2/2016 - 5/14/2017

(Partial Payment)

$828.00 5/15/2017 - 6/11/2017

(Partial Payment)

$27,957.65 12/8/2015 - 3/31/2017

(Partial Payment)

$8,535.68 8/24/2016 - 1/31/2017

(Partial Payment)

$5,742.00 11/19/2016 - 4/21/2017

(Partial Payment)

$5,742.00 11/9/2016 - 4/12/2017

(Partial Payment)

$11,489.38 10/3/2016 - 3/8/2017

(Partial Payment)

$2,515.15 11/8/2016 - 3/6/2017

(Partial Payment)

$4,209.73 5/28/2016 - 11/13/2016

(Partial Payment)

$84,547.83 8/11/2016 - 3/26/2017

(Partial Payment)

$3,668.00 12/17/2016 - 3/24/2017

(Partial Payment)

$1,726.20 10/28/2016 - 5/11/2017

(Partial Payment)

$6,190.88 10/27/2016 - 3/2/2017

(Partial Payment)

$3,721.98 11/12/2016 - 3/31/2017

(Partial Payment)

$3,336.48 11/27/2016 - 3/18/2017

(Partial Payment)

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