Document bB10aZVjqXYkoRxa5NBOM82YZ
REDACTED
WORKERS' COMPENSATION CLAIM STATUS REPORT
DATE: March 2, 1987
TO: Carole Fink
INSURED/CLIENT: Sherwin-Williams Company
CLAIMANT:
DESCRIPTION OF ACCIDENT AND INJURY:
O/L: 12/6/85
FROM:
Gerald L.
I(HrChildrey POLICY/CONTRACT NUMBER?
C25505694 CLAIM NUMBER:
Mfi*.
130 C 459452-4
_
_____Claimant was driving a truck-from Texas to Georgia and had a-ct-cAira.,--There -is no proo
that driving caused the stroke. Mr. MrNaKh
Ri-^ing cor,id ha"o____--
aggravated the symptoms.-----Case. waa.-r-onJ'.rnvprted------Claimant had a pr-i-or stroke in .117A
and treated for various cardiovascular diseases for past eleven years.
GROSS RESERVES: COMPENSATION | MEDICAL
PAID: COMPENSATION
IMEDICAL
41,660
! 10,000.
0 ______ i___________ Q______________________
PERMANENT DISABILITY FACTORS:
Stroke. Claimant's hospitalization insurance has paid out $5,941.07 in medical bills.
PROGNOSIS OF CLAIM: - Lost at hearing on March 28. 1986. Finding for claimant was affirmed hy Hip full-----------
panel. Hearing in superior court held on January 26. 1987. Awaiting nrHor from .Th HSp
SUBROGATION POSSIBILITIES AND ACTIVITY: None under Georgia Workers' Compensation law.
IS CLAIMANT EXPECTED TO CONTEST CLAIM BEFORE BOARD OR COMMISSION? ]YES QNt> IF YES, PROBABLE RESULTS.
___ Chanc.e-S of succeeding in our...appeal are not good,--according to--eur -def-ens-c---------------------
attorney._____________________________________________________________ _________________________________________
COMMENTS: Our defense attorney estimates that it will t-akp at 1e.afi.t_
t-n gottln- Do not--hove
any settlement authority. Settlement-evalnatinn is 5? weeks-TT X $155. = $8,060. 40% tobody as a whole = 120 weeks x $155. = $18.600 4- 15,000 c p i-i-1 ament $8,Q6Q +_ $41 >MQ.,------------
DATE: February 19, 1987
cc Tom Locker
SIGNATURE:
N40427
Gerald L. Childrey 0007-SWP-005805811