HomeMy WebLinkAboutRESOLUTION AUTHORIZING THE SETTLEMENT OF ALL CLAIMS BY QUINCY JORDAN AND AUTHORIZING CORVEL, THE THIRD PARTY ADMINISTRATOR FOR THE AUGUSTA, GEORGIA WORKER'S COMPENSATION PROGRAM TO DISBURSE THE AMOUNT RESOLUTION
RESOLUTION AUTHORIZING THE SETTLEMENT OF ALL
CLAIMS BY QUINCY JORDAN WITH A CONTRIBUTION BY
THE AUGUSTA, GEORGIA IN AN AMOUNT NOT
EXCEEDING TWO HUNDRED FIFTY THOUSAND
DOLLARS; ($250,000); AUTHORIZING CORVEL, THE THIRD
PARTY ADMINISTRATOR FOR THE AUGUSTA, GEORGIA
WORKER'S COMPENSATION PROGRAM TO DISBURSE NO
MORE THAN THE AMOUNT OF TWO HUNDRED FIFTY
THOUSAND DOLLARS; ($250,000); WAIVING AUGUSTA,
GEORGIA CODE OF ORDINANCES SECTIONS IN
CONFLICT FOR THIS INSTANCE ONLY; AND FOR OTHER
PURPOSES.
WHEREAS, Quincy Jordan, a former employee of Augusta has a pending Workers'
Compensation claim arising out of an on-the-job injury;
WHEREAS, all parties to said Workers' Compensation proceedings desire to settle all
clams; and
WHEREAS, Claimant has agreed to settle all claims against Augusta and the Augusta,
Georgia Commission for a lump sum payment in the amount of two hundred thousand ($200,000)
and the annuitized funding of a Medicare Set Aside Account (MSA) with an approximate cost of
forty nine thousand one hundred eighteen dollars and twelve cents($49,118.12)subject to approval
of Centers for Medicare Services (CMS). After payment of the lump sum and for the funding of
the MSA, Corvel shall seek reimbursement of all amount paid over the approximate amount of
$125,000 from Safety National, the excess workers' compensation carrier for Augusta.
WHEREAS, it is in the best interests of Augusta, Georgia to resolve this matter and to
settle all claims of Claimant against Augusta, Georgia arising out of the facts in said Workers'
Compensation claim:
Claimant was an employee of the Roads and Bridges Department when he was
seriously injured in an automobile accident on December 9, 2009. Claimant has
yet to return to work as a result of his injuries. The MSA is being submitted to
CMS and approval is pending. The MSA will be professionally administered which
administration is included in the costs set out herein.
WHEREAS, Augusta, Georgia acknowledges that the payment set forth herein does not
constitute any admission of liability on the part of Augusta, Georgia and liability is expressly
denied;
NOW, THEREFORE, BE IT RESOLVED by the Augusta, Georgia Commission,
Section 1: The Augusta, Georgia Commission will settle the claims of Quincy Jordan
for the aggregate contributed amount of approximately $250,000 of which
all amounts over approximately$125,000 will be reimbursed to Augusta by
Safety National.
Section 2: Corvel, the third party administrator for Augusta, Georgia is authorized to
pay no more than two hundred and fifty thousand dollars ($250,000) of the
settlement amount referenced above subject to the approval of the State
Board of Workers' Compensation.
Section 3: To the extent that any section of the AUGUSTA, GA. CODE is in conflict
herewith, that subsection is waived for this instance only.
Adopted this 12day of Cer1beir , 2017.
..; , -
6 wIardie Davis
`I 11;As its Mayor
y ��. 9 ep� �:::t sf� Y# am
j6.0o
Attest � r°� ,a1.: e
A4. I. ,,,,,7...-4 ‘1,,,,!:,1 -1 p" fl
Y
~/ / /I -Y o by
e J. ,. : x 3' ominis ion 1.
CE a TIFICATION
The undersigned Clerk of Commission, Lena J. Bonner,hereby certified that the foregoing
Resolution was duly adopted by the Augusta, Georgia Commission on , 2017
and that such Resolution has not be modified or rescinded as of the date hereof and the undersigned
further certifies that attached hereto is a true copy of the Resolution which was approved and
adopted in the foregoing-meeting(s).
Lena J. Bonner, Clerk of Commission