ESBD_File_347943_Workers Compensation Loss Run Report (1).xlsx
XLSX spreadsheet 193 KB Posted
- Solicitation number
- 11624
- Issued by
- Travis County, Austin City, Texas
About this file
The document provided is a Workers' Compensation Loss Run Report for the state and local contracting opportunity related to a Third Party Administrator (TPA) for Workers' Compensation claims. The focus of the request for proposal (RFP) is on the firm's ability to provide TPA services for Workers' Compensation claims. The contracting agency, SWK, has operations in over 20 states and participates in a large deductible ($250,000 per claim) fully-insured workers' compensation program. The jurisdictions involved include Travis County and multiple areas within the city of Austin, Texas.
The pricing terms, funding requirements, and other salient details are not provided in the document. However, the report indicates that SWK's current TPA relationship is limited to Workers' Compensation claims only, though respondents are encouraged to share commentary on how they would manage additional lines of coverage should SWK's needs evolve.
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| File | Type | Posted |
|---|---|---|
| ESBD_File_347943_RFP11624 - Third Party Administrator - Workers Compensation.pdf |
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Data Southwest Key Programs - Workers Compensation Report ***All claims listed are Workers Compensation Coverage and Coverage Group: Compensation Coverages***
| WC Indicator | Status | Accident Date | Reported Date | Accident State | Average Weekly Wage | Temporary Compensation Rate | Nature | Part of Body | Part of Body Area Desc | Accident Type | Accident Type Category | Accident Source | Accident Source Category | Job Classification | Claim In Suit | Claim In Suit Date | Claimant Represented | Date of Representation | Total Paid | Total Reserve | Total Incurred | Incurred - Recovery | Total Incurred (Gross Incurred) | Total Incurred (Net Incurred) | Total Paid (Net Incurred) | Total Reserve (Net Incurred) | Paid - Ind/BI | Reserve - Ind/BI | Incurred - Ind/BI | Paid - Medical | Reserve - Medical | Incurred - Medical | Paid - Expense | Reserve - Expense | Incurred - Expense |
| Medical | Closed | 8/31/22 | 9/13/22 | Texas | 0.00 | 0 | Laceration, open wound | Knee, right | Knee | Slip,trip or fall-same level | Slip, trip, fall | Object on floor | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 826.26 | 0.00 | 826.26 | 0.00 | 826.26 | 826.26 | 826.26 | 0.00 | 0.00 | 0.00 | 0.00 | 752.26 | 0.00 | 752.26 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 9/1/22 | 9/13/22 | Arizona | 0.00 | 0 | Contusion, bruise | Toes | Feet | Struck by falling object | Struck by | Box, barrel, container | Objects | STORAGE WAREHOUSE NOC | Not in Suit | No | 190.61 | 0.00 | 190.61 | 0.00 | 190.61 | 190.61 | 190.61 | 0.00 | 0.00 | 0.00 | 0.00 | 155.61 | 0.00 | 155.61 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 8/31/22 | 9/13/22 | Arizona | 0.00 | 0 | Puncture | Arm, right | Arms | Insect bite, sting | Animal/Insect | Animal, Insect - W.C. | Animal or Insect | STORAGE WAREHOUSE NOC | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 9/4/22 | 9/13/22 | Arizona | 0.00 | 0 | Puncture | Ankle, left | Ankles | Insect bite, sting | Animal/Insect | Animal, Insect - W.C. | Animal or Insect | STORAGE WAREHOUSE NOC | Not in Suit | No | 623.49 | 0.00 | 623.49 | 0.00 | 623.49 | 623.49 | 623.49 | 0.00 | 0.00 | 0.00 | 0.00 | 518.49 | 0.00 | 518.49 | 105.00 | 0.00 | 105.00 | ||
| Medical | Closed | 9/6/22 | 9/13/22 | Texas | 100.00 | 0 | Contusion, bruise | Head | Head | Struck by falling object | Struck by | Stationary object | Objects | STORE: DEPARTMENT-RETAIL | Not in Suit | No | 366.47 | 0.00 | 366.47 | 0.00 | 366.47 | 366.47 | 366.47 | 0.00 | 0.00 | 0.00 | 0.00 | 255.47 | 0.00 | 255.47 | 111.00 | 0.00 | 111.00 | ||
| Indemnity | Closed | 9/7/22 | 9/13/22 | Texas | 100.00 | 66 | Bite or sting | Ankle, right | Ankles | Insect bite, sting | Animal/Insect | Animal, Insect - W.C. | Animal or Insect | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 182.95 | 0.00 | 182.95 | 0.00 | 182.95 | 182.95 | 182.95 | 0.00 | 0.00 | 0.00 | 0.00 | 108.95 | 0.00 | 108.95 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 9/8/22 | 9/13/22 | Arizona | 0.00 | 0 | Contusion, bruise | Knee, right | Knee | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Stairs | Surface | STORAGE WAREHOUSE NOC | Not in Suit | No | 742.98 | 0.00 | 742.98 | 0.00 | 742.98 | 742.98 | 742.98 | 0.00 | 0.00 | 0.00 | 0.00 | 672.98 | 0.00 | 672.98 | 70.00 | 0.00 | 70.00 | ||
| Medical | Closed | 9/8/22 | 9/13/22 | Texas | 100.00 | 0 | No physical injury | No physical injury | No Injury | Absorption of Substance | Inhalation, ingestion, absorption | Chemicals - W.C. | Solvents, liquids, chemicals | SALESPERSONS OR COLLECTORS-OUTSIDE | Not in Suit | No | 358.13 | 0.00 | 358.13 | 0.00 | 358.13 | 358.13 | 358.13 | 0.00 | 0.00 | 0.00 | 0.00 | 284.13 | 0.00 | 284.13 | 74.00 | 0.00 | 74.00 | ||
| Indemnity | Closed | 9/1/22 | 9/13/22 | Texas | 400.00 | 300 | Contusion, bruise | Fingers | Hands | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 3,591.38 | 0.00 | 3,591.38 | 0.00 | 3,591.38 | 3,591.38 | 3,591.38 | 0.00 | 0.00 | 0.00 | 0.00 | 2,335.50 | 0.00 | 2,335.50 | 1,255.88 | 0.00 | 1,255.88 | ||
| Medical | Closed | 9/5/22 | 9/13/22 | Arizona | 0.00 | 0 | Contusion, bruise | Knee, left | Knee | Slip,trip or fall-same level | Slip, trip, fall | Object on floor | Objects | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 6,912.32 | 0.00 | 6,912.32 | 0.00 | 6,912.32 | 6,912.32 | 6,912.32 | 0.00 | 0.00 | 0.00 | 0.00 | 6,072.32 | 0.00 | 6,072.32 | 840.00 | 0.00 | 840.00 | ||
| Indemnity | Closed | 8/31/22 | 9/14/22 | Texas | 400.00 | 300 | Multiple physical injuries | Multiple upper extremities | Multiple | Noise Exposure | Exposure To | Noise | Human Action | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 386.95 | 0.00 | 386.95 | 0.00 | 386.95 | 386.95 | 386.95 | 0.00 | 0.00 | 0.00 | 0.00 | 238.95 | 0.00 | 238.95 | 148.00 | 0.00 | 148.00 | ||
| Medical | Closed | 9/2/22 | 9/14/22 | Texas | 100.00 | 0 | Strain | Abdomen | Abdomen | Exertion - pulling or pushing | Overexertion (Material handling) | Metal item, NOC | Objects | Farm | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 9/11/22 | 9/15/22 | Texas | 100.00 | 0 | Sprain | Multiple trunk | Multiple | Struck by Object Handled by Others | Struck against | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 2,657.98 | 0.00 | 2,657.98 | 0.00 | 2,657.98 | 2,657.98 | 2,657.98 | 0.00 | 0.00 | 0.00 | 0.00 | 2,063.32 | 0.00 | 2,063.32 | 594.66 | 0.00 | 594.66 | ||
| Indemnity | Closed | 9/10/22 | 9/15/22 | California | 972.00 | 648 | Contusion, bruise | Head | Head | Struck by Object Handled by Others | Struck against | Patient, Child | Patient, Child | RESIDENTIAL CARE FACILITY FOR CHILDREN(CA) | Not in Suit | No | 10,214.35 | 0.00 | 10,214.35 | 0.00 | 10,214.35 | 10,214.35 | 10,214.35 | 0.00 | 6,735.02 | 0.00 | 6,735.02 | 2,684.33 | 0.00 | 2,684.33 | 795.00 | 0.00 | 795.00 | ||
| Medical | Closed | 9/9/22 | 9/15/22 | Texas | 100.00 | 0 | Contusion, bruise | Fingers | Hands | Strike against,stationary or moving object | Struck against | Metal item, NOC | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 9/2/22 | 9/15/22 | Texas | 100.00 | 0 | Dermatitis, skin disease or disorder | Face | Head | Absorption of Substance | Inhalation, ingestion, absorption | Clothing, apparel, shoes | Objects | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 8/31/22 | 9/13/22 | Texas | 100.00 | 0 | Contusion, bruise | Head | Head | Strike against,stationary or moving object | Struck against | Stationary object | Objects | 8858 | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 9/12/22 | 9/15/22 | Texas | 100.00 | 0 | Contusion, bruise | Chest and/or ribs | Chest | Struck by Object Handled by Others | Struck against | Stationary object | Objects | SALESPERSONS OR COLLECTORS-OUTSIDE | Not in Suit | No | 989.75 | 0.00 | 989.75 | 0.00 | 989.75 | 989.75 | 989.75 | 0.00 | 0.00 | 0.00 | 0.00 | 804.75 | 0.00 | 804.75 | 185.00 | 0.00 | 185.00 | ||
| Medical | Closed | 9/12/22 | 9/15/22 | Arizona | 0.00 | 0 | Strain | Thumb, left | Hands | Exertion - pulling or pushing | Overexertion (Material handling) | Not Otherwise Classified | Miscellaneous | STORE: RETAIL NOC | Not in Suit | No | 378.64 | 0.00 | 378.64 | 0.00 | 378.64 | 378.64 | 378.64 | 0.00 | 0.00 | 0.00 | 0.00 | 343.64 | 0.00 | 343.64 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 9/11/22 | 9/15/22 | Arizona | 0.00 | 0 | Contusion, bruise | Back, lower | Back | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Furniture, fixture | Objects | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 993.95 | 0.00 | 993.95 | 0.00 | 993.95 | 993.95 | 993.95 | 0.00 | 0.00 | 0.00 | 0.00 | 888.95 | 0.00 | 888.95 | 105.00 | 0.00 | 105.00 | ||
| Medical | Closed | 9/15/22 | 9/19/22 | Arizona | 0.00 | 0 | Laceration, open wound | Fingers | Hands | Contact with sharp objects | Contact with or by | Metal item, NOC | Objects | AUTOMOBILE SERVICE OR REPAIR CENTER & DRIVERS | Not in Suit | No | 842.99 | 0.00 | 842.99 | 0.00 | 842.99 | 842.99 | 842.99 | 0.00 | 0.00 | 0.00 | 0.00 | 737.99 | 0.00 | 737.99 | 105.00 | 0.00 | 105.00 | ||
| Medical | Closed | 9/8/22 | 9/15/22 | Arizona | 0.00 | 0 | Strain | Shoulder, right | Shoulders | Exertion - repetitive motion | Overexertion (Material handling) | Not Otherwise Classified | Miscellaneous | JANITORIAL SERVICES BY CONTRACTORS - NO WINDOW CLEANING ABOVE GROUND LEVEL & DRIVERS | Not in Suit | No | 2,094.42 | 0.00 | 2,094.42 | 0.00 | 2,094.42 | 2,094.42 | 2,094.42 | 0.00 | 0.00 | 0.00 | 0.00 | 1,814.42 | 0.00 | 1,814.42 | 280.00 | 0.00 | 280.00 | ||
| Medical | Closed | 9/12/22 | 9/16/22 | Texas | 100.00 | 0 | Inflammation / irritation of joint / nerve | Multiple Body Parts | Multiple | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | Farm—Florist & Drivers | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 9/7/22 | 9/19/22 | Texas | 100.00 | 0 | Crushing | Knees | Knee | Slip, trip, fall - on stairs | Slip, trip, fall | Stairs | Surface | SALESPERSONS OR COLLECTORS-OUTSIDE | Not in Suit | No | 1,959.22 | 0.00 | 1,959.22 | 0.00 | 1,959.22 | 1,959.22 | 1,959.22 | 0.00 | 0.00 | 0.00 | 0.00 | 1,737.22 | 0.00 | 1,737.22 | 222.00 | 0.00 | 222.00 | ||
| Indemnity | Closed | 9/15/22 | 9/19/22 | Texas | 768.24 | 538 | Strain | Ankle, right | Ankles | Slip, trip or fall-sidewalk | Slip, trip, fall | Walk, path, sidewalk | Surface | Farm—Florist & Drivers | Not in Suit | No | 3,961.60 | 0.00 | 3,961.60 | 0.00 | 3,961.60 | 3,961.60 | 3,961.60 | 0.00 | 1,459.64 | 0.00 | 1,459.64 | 2,055.30 | 0.00 | 2,055.30 | 446.66 | 0.00 | 446.66 | ||
| Medical | Closed | 9/16/22 | 9/20/22 | Texas | 100.00 | 0 | Contusion, bruise | Back, lower | Back | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Wheelchair | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 9/17/22 | 9/20/22 | Texas | 100.00 | 0 | Contusion, bruise | Knee, left | Knee | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 360.60 | 0.00 | 360.60 | 0.00 | 360.60 | 360.60 | 360.60 | 0.00 | 0.00 | 0.00 | 0.00 | 286.60 | 0.00 | 286.60 | 74.00 | 0.00 | 74.00 | ||
| Indemnity | Closed | 9/6/22 | 9/20/22 | Texas | 600.00 | 420 | Strain | Multiple trunk | Multiple | Exertion - twisting, turning, bending | Overexertion (Material handling) | Human Action, NOC | Human Action | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 14,356.96 | 0.00 | 14,356.96 | 0.00 | 14,356.96 | 14,356.96 | 14,356.96 | 0.00 | 6,552.00 | 0.00 | 6,552.00 | 5,360.52 | 0.00 | 5,360.52 | 2,444.44 | 0.00 | 2,444.44 | ||
| Indemnity | Closed | 9/17/22 | 9/20/22 | Texas | 100.00 | 66 | Contusion, bruise | Shoulder, left | Shoulders | Struck by Object Handled by Others | Struck against | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 74.00 | 0.00 | 74.00 | 0.00 | 74.00 | 74.00 | 74.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 9/16/22 | 9/20/22 | Texas | 100.00 | 0 | Dermatitis, skin disease or disorder | Hands | Hands | No specific accident or injury | Miscellaneous | Infectious, parasitic agents, NOC - W.C. | Medical | ABRASIVE OR BLASTING DISEASE | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 9/14/22 | 9/16/22 | Texas | 100.00 | 0 | No physical injury | No physical injury | No Injury | Strike against,stationary or moving object | Struck against | Vehicle - Door | Vehicle | College-All Other Employee | Not in Suit | No | 145.95 | 0.00 | 145.95 | 0.00 | 145.95 | 145.95 | 145.95 | 0.00 | 0.00 | 0.00 | 0.00 | 108.95 | 0.00 | 108.95 | 37.00 | 0.00 | 37.00 | ||
| Indemnity | Closed | 9/1/22 | 9/19/22 | Texas | 400.00 | 300 | Fracture | Wrist, left | Wrists | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | SEWER CONSTRUCTION-ALL OPERATIONS & DRIVERS | Not in Suit | No | 1,767.30 | 0.00 | 1,767.30 | 0.00 | 1,767.30 | 1,767.30 | 1,767.30 | 0.00 | 0.00 | 0.00 | 0.00 | 1,545.30 | 0.00 | 1,545.30 | 222.00 | 0.00 | 222.00 | ||
| Indemnity | Reopened | 10/7/22 | 10/21/22 | Arizona | 400.00 | 300 | Strain | Shoulder, right | Shoulders | Exertion - holding or carrying | Overexertion (Material handling) | Stationary object | Objects | Charitable or Welfare Organization-All Other Employees & Drivers | Not in Suit | No | 2,160.56 | 2,163.00 | 2,163.00 | 0.00 | 2,163.00 | 2,163.00 | 2,160.56 | 2,163.00 | 0.00 | 0.00 | 0.00 | 1,810.56 | 1,813.00 | 1,813.00 | 350.00 | 350.00 | 350.00 | ||
| Medical | Closed | 9/15/22 | 9/23/22 | Texas | 100.00 | 0 | Laceration, open wound | Arms | Arms | Contact with sharp objects | Contact with or by | Sharps(Needles,Razors,Scissors,Knife,etc.) | Objects | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 578.04 | 0.00 | 578.04 | 0.00 | 578.04 | 578.04 | 578.04 | 0.00 | 0.00 | 0.00 | 0.00 | 504.04 | 0.00 | 504.04 | 74.00 | 0.00 | 74.00 | ||
| Indemnity | Closed | 9/19/22 | 9/26/22 | Texas | 500.00 | 350 | Bite or sting | Arm, left | Arms | Insect bite, sting | Animal/Insect | Animal, Insect - W.C. | Animal or Insect | SALESPERSONS OR COLLECTORS-OUTSIDE | Not in Suit | No | 1,893.21 | 0.00 | 1,893.21 | 0.00 | 1,893.21 | 1,893.21 | 1,893.21 | 0.00 | 0.00 | 0.00 | 0.00 | 1,584.21 | 0.00 | 1,584.21 | 309.00 | 0.00 | 309.00 | ||
| Indemnity | Closed | 9/22/22 | 9/28/22 | Texas | 1,178.80 | 826 | Sprain | Back, lower | Back | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Wheelchair | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 54,874.19 | 0.00 | 54,874.19 | 0.00 | 54,874.19 | 54,874.19 | 54,874.19 | 0.00 | 33,983.72 | 0.00 | 33,983.72 | 15,611.09 | 0.00 | 15,611.09 | 5,279.38 | 0.00 | 5,279.38 | ||
| Indemnity | Closed | 9/18/22 | 9/26/22 | Arizona | 1.00 | 1 | Strain | Wrist, right | Wrists | Exertion - lifting | Overexertion (Material handling) | Box, barrel, container | Objects | STORE: RETAIL NOC | Not in Suit | No | 11,514.13 | 0.00 | 11,514.13 | 0.00 | 11,514.13 | 11,514.13 | 11,514.13 | 0.00 | 3,181.20 | 0.00 | 3,181.20 | 7,352.93 | 0.00 | 7,352.93 | 980.00 | 0.00 | 980.00 | ||
| Indemnity | Closed | 9/23/22 | 9/27/22 | Texas | 795.37 | 557 | Sprain | Back, lower | Back | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 20,758.19 | 0.00 | 20,758.19 | 0.00 | 20,758.19 | 20,758.19 | 20,758.19 | 0.00 | 4,454.08 | 0.00 | 4,454.08 | 7,714.23 | 0.00 | 7,714.23 | 8,589.88 | 0.00 | 8,589.88 | ||
| Medical | Closed | 9/24/22 | 9/28/22 | Texas | 100.00 | 0 | Contusion, bruise | Knee, left | Knee | Slip or fall - liquid or grease spills/oil | Slip, trip, fall | Water | Water or Steam | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 74.00 | 0.00 | 74.00 | 0.00 | 74.00 | 74.00 | 74.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 9/24/22 | 9/28/22 | Texas | 100.00 | 0 | Strain | Neck soft tissue | Neck | Strike against,stationary or moving object | Struck against | Stationary object | Objects | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 9/17/22 | 9/28/22 | Texas | 100.00 | 0 | Contusion, bruise | Head | Head | Slip,trip or fall-same level | Slip, trip, fall | Object on floor | Objects | RESTAURANT NOC | Not in Suit | No | 395.20 | 0.00 | 395.20 | 0.00 | 395.20 | 395.20 | 395.20 | 0.00 | 0.00 | 0.00 | 0.00 | 321.20 | 0.00 | 321.20 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 9/19/22 | 9/28/22 | Texas | 100.00 | 0 | Sprain | Back, lower | Back | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 5,439.01 | 0.00 | 5,439.01 | 0.00 | 5,439.01 | 5,439.01 | 5,439.01 | 0.00 | 0.00 | 0.00 | 0.00 | 4,216.41 | 0.00 | 4,216.41 | 1,222.60 | 0.00 | 1,222.60 | ||
| Medical | Closed | 9/19/22 | 9/28/22 | Texas | 100.00 | 0 | Sprain | Neck soft tissue | Neck | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 4,134.71 | 0.00 | 4,134.71 | 0.00 | 4,134.71 | 4,134.71 | 4,134.71 | 0.00 | 0.00 | 0.00 | 0.00 | 3,023.11 | 0.00 | 3,023.11 | 1,111.60 | 0.00 | 1,111.60 | ||
| Medical | Closed | 9/17/22 | 9/28/22 | Texas | 100.00 | 0 | Contusion, bruise | Head | Head | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 1,537.73 | 0.00 | 1,537.73 | 0.00 | 1,537.73 | 1,537.73 | 1,537.73 | 0.00 | 0.00 | 0.00 | 0.00 | 1,202.07 | 0.00 | 1,202.07 | 335.66 | 0.00 | 335.66 | ||
| Indemnity | Closed | 9/23/22 | 9/28/22 | Texas | 400.00 | 300 | Contusion, bruise | Knees | Knee | Multiple vehicle collision | Vehicle Accident | Vehicle Accident | Vehicle Accident | 8809 | Not in Suit | No | 1,754.00 | 0.00 | 1,754.00 | 0.00 | 1,754.00 | 1,754.00 | 1,754.00 | 0.00 | 1,680.00 | 0.00 | 1,680.00 | 0.00 | 0.00 | 0.00 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 9/24/22 | 9/28/22 | Texas | 100.00 | 0 | Contusion, bruise | Head | Head | Struck by flying object | Struck by | Stationary object | Objects | Athletic Sports or Park: Noncontact Sports | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 9/9/22 | 9/28/22 | Texas | 100.00 | 0 | Sprain | Neck soft tissue | Neck | Struck by flying object | Struck by | Stationary object | Objects | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 9/10/22 | 9/28/22 | Texas | 100.00 | 0 | Contusion, bruise | Lower Leg, right | Legs | Struck by object being lifted or handled | Struck by | Vehicle - Door | Vehicle | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 193.60 | 0.00 | 193.60 | 0.00 | 193.60 | 193.60 | 193.60 | 0.00 | 0.00 | 0.00 | 0.00 | 156.60 | 0.00 | 156.60 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 9/22/22 | 9/28/22 | Texas | 100.00 | 0 | Sprain | Ankle, right | Ankles | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Uneven Surface | Surface | SALESPERSONS OR COLLECTORS-OUTSIDE | Not in Suit | No | 3,915.84 | 0.00 | 3,915.84 | 0.00 | 3,915.84 | 3,915.84 | 3,915.84 | 0.00 | 0.00 | 0.00 | 0.00 | 3,273.84 | 0.00 | 3,273.84 | 642.00 | 0.00 | 642.00 | ||
| Medical | Closed | 9/23/22 | 9/27/22 | Texas | 100.00 | 0 | Sprain | Hand, right | Hands | Slip,trip or fall-same level | Slip, trip, fall | Uneven Surface | Surface | Farm | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 9/19/22 | 9/29/22 | Texas | 100.00 | 0 | Sprain | Elbow, left | Elbows | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 1,141.25 | 0.00 | 1,141.25 | 0.00 | 1,141.25 | 1,141.25 | 1,141.25 | 0.00 | 0.00 | 0.00 | 0.00 | 956.25 | 0.00 | 956.25 | 185.00 | 0.00 | 185.00 | ||
| Medical | Closed | 9/19/22 | 9/29/22 | Texas | 100.00 | 0 | Strain | Head | Head | Struck by object being lifted or handled | Struck by | Stationary object | Objects | SALESPERSONS OR COLLECTORS-OUTSIDE | Not in Suit | No | 522.77 | 0.00 | 522.77 | 0.00 | 522.77 | 522.77 | 522.77 | 0.00 | 0.00 | 0.00 | 0.00 | 374.77 | 0.00 | 374.77 | 148.00 | 0.00 | 148.00 | ||
| Indemnity | Closed | 9/25/22 | 9/29/22 | Texas | 787.60 | 551 | Strain | Back, lower | Back | Exertion - twisting, turning, bending | Overexertion (Material handling) | Human Action, NOC | Human Action | Smelting, Sintering, or Refining—Metals—Not Iron or Lead NOC & Drivers | Not in Suit | No | 23,286.86 | 0.00 | 23,286.86 | 0.00 | 23,286.86 | 23,286.86 | 23,286.86 | 0.00 | 13,557.11 | 0.00 | 13,557.11 | 3,181.72 | 0.00 | 3,181.72 | 6,548.03 | 0.00 | 6,548.03 | ||
| Indemnity | Closed | 9/19/22 | 9/28/22 | Texas | 100.00 | 66 | Sprain | Neck soft tissue | Neck | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | HOSPITAL: ALL OTHER EMPLOYEES | Not in Suit | No | 14,982.44 | 0.00 | 14,982.44 | 0.00 | 14,982.44 | 14,982.44 | 14,982.44 | 0.00 | 4,775.40 | 0.00 | 4,775.40 | 8,006.78 | 0.00 | 8,006.78 | 2,200.26 | 0.00 | 2,200.26 | ||
| Medical | Closed | 9/24/22 | 9/28/22 | Texas | 100.00 | 0 | Contusion, bruise | Hand, right | Hands | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | HOSPITAL: ALL OTHER EMPLOYEES | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 9/28/22 | 9/30/22 | Arizona | 0.00 | 0 | Strain | Knee, right | Knee | Slip,trip or fall-same level | Slip, trip, fall | Patient, Child | Patient, Child | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 4,960.95 | 0.00 | 4,960.95 | 0.00 | 4,960.95 | 4,960.95 | 4,960.95 | 0.00 | 0.00 | 0.00 | 0.00 | 4,295.95 | 0.00 | 4,295.95 | 665.00 | 0.00 | 665.00 | ||
| Indemnity | Closed | 9/26/22 | 9/28/22 | Texas | 400.00 | 280 | Sprain | Ankle, left | Ankles | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | LANDSCAPE GARDENING & DRIVERS | Not in Suit | No | 3,462.13 | 0.00 | 3,462.13 | 0.00 | 3,462.13 | 3,462.13 | 3,462.13 | 0.00 | 2,520.00 | 0.00 | 2,520.00 | 794.13 | 0.00 | 794.13 | 148.00 | 0.00 | 148.00 | ||
| Indemnity | Closed | 9/28/22 | 9/30/22 | Texas | 400.00 | 300 | Crushing | Toes | Feet | Slip,trip or fall-same level | Slip, trip, fall | Box, barrel, container | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 11,304.62 | 0.00 | 11,304.62 | 0.00 | 11,304.62 | 11,304.62 | 11,304.62 | 0.00 | 5,400.36 | 0.00 | 5,400.36 | 4,422.66 | 0.00 | 4,422.66 | 1,481.60 | 0.00 | 1,481.60 | ||
| Medical | Closed | 9/25/22 | 9/30/22 | Arizona | 0.00 | 0 | Strain | Shoulder, left | Shoulders | Slip, trip, fall - on ice, snow or water | Slip, trip, fall | Ground/floor | Surface | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 1,801.67 | 0.00 | 1,801.67 | 0.00 | 1,801.67 | 1,801.67 | 1,801.67 | 0.00 | 0.00 | 0.00 | 0.00 | 1,591.67 | 0.00 | 1,591.67 | 210.00 | 0.00 | 210.00 | ||
| Medical | Closed | 9/27/22 | 9/30/22 | Texas | 100.00 | 0 | Sprain | Ankle, left | Ankles | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Ground/floor | Surface | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 2,169.46 | 0.00 | 2,169.46 | 0.00 | 2,169.46 | 2,169.46 | 2,169.46 | 0.00 | 0.00 | 0.00 | 0.00 | 1,796.80 | 0.00 | 1,796.80 | 372.66 | 0.00 | 372.66 | ||
| Medical | Closed | 9/28/22 | 10/3/22 | Texas | 100.00 | 0 | Strain | Lower Leg, right | Legs | Exertion - repetitive motion | Overexertion (Material handling) | Human Action, NOC | Human Action | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 1,576.80 | 0.00 | 1,576.80 | 0.00 | 1,576.80 | 1,576.80 | 1,576.80 | 0.00 | 0.00 | 0.00 | 0.00 | 1,354.80 | 0.00 | 1,354.80 | 222.00 | 0.00 | 222.00 | ||
| Indemnity | Closed | 9/25/22 | 10/3/22 | Texas | 868.80 | 608 | No physical injury | No physical injury | No Injury | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Ground/floor | Surface | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 6,634.00 | 0.00 | 6,634.00 | 0.00 | 6,634.00 | 6,634.00 | 6,634.00 | 0.00 | 3,648.96 | 0.00 | 3,648.96 | 2,303.38 | 0.00 | 2,303.38 | 681.66 | 0.00 | 681.66 | ||
| Medical | Closed | 9/28/22 | 9/30/22 | Arizona | 0.00 | 0 | Strain | Not Otherwise Classified | Other | No specific accident or injury | Miscellaneous | Food Product | Food Product | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 356.17 | 0.00 | 356.17 | 0.00 | 356.17 | 356.17 | 356.17 | 0.00 | 0.00 | 0.00 | 0.00 | 321.17 | 0.00 | 321.17 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 9/28/22 | 10/5/22 | Arizona | 0.00 | 0 | Puncture | Fingers | Hands | Animal bite, scratch, kick | Animal/Insect | Animal, Insect - W.C. | Animal or Insect | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Indemnity | Closed | 9/21/22 | 10/5/22 | Arizona | 1.00 | 1 | Strain | Back, lower | Back | Exertion - reaching | Overexertion (Material handling) | Box, barrel, container | Objects | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 10,810.00 | 0.00 | 10,810.00 | 0.00 | 10,810.00 | 10,810.00 | 10,810.00 | 0.00 | 0.00 | 0.00 | 0.00 | 9,855.00 | 0.00 | 9,855.00 | 955.00 | 0.00 | 955.00 | ||
| Indemnity | Reopened | 11/17/22 | 11/22/22 | Texas | 802.00 | 561 | Sprain | Knees | Knee | Slip or fall - liquid or grease spills/oil | Slip, trip, fall | Liquids - W.C. | Solvents, liquids, chemicals | Farm | Not in Suit | No | 28,738.34 | 31,720.00 | 31,720.00 | 0.00 | 31,720.00 | 31,720.00 | 28,738.34 | 31,720.00 | 15,719.20 | 15,720.00 | 15,720.00 | 8,326.29 | 10,000.00 | 10,000.00 | 4,692.85 | 6,000.00 | 6,000.00 | ||
| Medical | Closed | 10/1/22 | 10/5/22 | Arizona | 0.00 | 0 | Strain | Ankle, right | Ankles | Slip, Trip, Fall Entering or Exiting | Slip, trip, fall | Object on floor | Objects | CHARITABLE OR WELFARE ORGANIZATION-PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 3,060.33 | 0.00 | 3,060.33 | 0.00 | 3,060.33 | 3,060.33 | 3,060.33 | 0.00 | 0.00 | 0.00 | 0.00 | 2,465.33 | 0.00 | 2,465.33 | 595.00 | 0.00 | 595.00 | ||
| Medical | Closed | 9/27/22 | 9/30/22 | Texas | 100.00 | 0 | Contusion, bruise | Knee, right | Knee | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | SALESPERSONS OR COLLECTORS-OUTSIDE | Not in Suit | No | 342.00 | 0.00 | 342.00 | 0.00 | 342.00 | 342.00 | 342.00 | 0.00 | 0.00 | 0.00 | 0.00 | 120.00 | 0.00 | 120.00 | 222.00 | 0.00 | 222.00 | ||
| Medical | Closed | 10/4/22 | 10/5/22 | Texas | 100.00 | 0 | Strain | Feet | Feet | Struck by falling object | Struck by | Box, barrel, container | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 620.38 | 0.00 | 620.38 | 0.00 | 620.38 | 620.38 | 620.38 | 0.00 | 0.00 | 0.00 | 0.00 | 509.38 | 0.00 | 509.38 | 111.00 | 0.00 | 111.00 | ||
| Medical | Closed | 9/27/22 | 10/5/22 | Texas | 100.00 | 0 | Strain | Wrist, right | Wrists | Exertion - holding or carrying | Overexertion (Material handling) | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 3,034.81 | 0.00 | 3,034.81 | 0.00 | 3,034.81 | 3,034.81 | 3,034.81 | 0.00 | 0.00 | 0.00 | 0.00 | 1,815.93 | 0.00 | 1,815.93 | 1,218.88 | 0.00 | 1,218.88 | ||
| Medical | Closed | 10/3/22 | 10/5/22 | Texas | 100.00 | 0 | Contusion, bruise | Back, lower | Back | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 282.89 | 0.00 | 282.89 | 0.00 | 282.89 | 282.89 | 282.89 | 0.00 | 0.00 | 0.00 | 0.00 | 245.89 | 0.00 | 245.89 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 9/22/22 | 10/5/22 | Texas | 100.00 | 0 | Bite or sting | Arm, left | Arms | Insect bite, sting | Animal/Insect | Animal, Insect - W.C. | Animal or Insect | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 10/1/22 | 10/6/22 | Texas | 100.00 | 0 | Respiratory disorders | Larynx | Neck | Inhalation of substance | Inhalation, ingestion, absorption | Chemicals - W.C. | Solvents, liquids, chemicals | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 585.91 | 0.00 | 585.91 | 0.00 | 585.91 | 585.91 | 585.91 | 0.00 | 0.00 | 0.00 | 0.00 | 474.91 | 0.00 | 474.91 | 111.00 | 0.00 | 111.00 | ||
| Medical | Closed | 10/1/22 | 10/7/22 | Texas | 100.00 | 0 | Contusion, bruise | Hand, right | Hands | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 2,231.75 | 0.00 | 2,231.75 | 0.00 | 2,231.75 | 2,231.75 | 2,231.75 | 0.00 | 0.00 | 0.00 | 0.00 | 1,049.87 | 0.00 | 1,049.87 | 1,181.88 | 0.00 | 1,181.88 | ||
| Medical | Closed | 9/21/22 | 10/7/22 | Arizona | 0.00 | 0 | Contusion, bruise | Toe, Great | Feet | Struck by falling object | Struck by | Metal item, NOC | Objects | SALESPERSONS OR COLLECTORS-OUTSIDE | Not in Suit | No | 1,159.79 | 0.00 | 1,159.79 | 0.00 | 1,159.79 | 1,159.79 | 1,159.79 | 0.00 | 0.00 | 0.00 | 0.00 | 1,019.79 | 0.00 | 1,019.79 | 140.00 | 0.00 | 140.00 | ||
| Medical | Closed | 9/30/22 | 10/5/22 | Texas | 100.00 | 0 | Strain | Arm, left | Arms | Exertion - twisting, turning, bending | Overexertion (Material handling) | Human Action, NOC | Human Action | Turpentine Farm & Drivers. | Not in Suit | No | 883.32 | 0.00 | 883.32 | 0.00 | 883.32 | 883.32 | 883.32 | 0.00 | 0.00 | 0.00 | 0.00 | 772.32 | 0.00 | 772.32 | 111.00 | 0.00 | 111.00 | ||
| Medical | Closed | 9/10/22 | 10/10/22 | Arizona | 0.00 | 0 | Contusion, bruise | Chest and/or ribs | Chest | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 3,944.83 | 0.00 | 3,944.83 | 0.00 | 3,944.83 | 3,944.83 | 3,944.83 | 0.00 | 0.00 | 0.00 | 0.00 | 3,454.83 | 0.00 | 3,454.83 | 490.00 | 0.00 | 490.00 | ||
| Medical | Closed | 9/18/22 | 9/23/22 | Arizona | 0.00 | 0 | Contusion, bruise | Chest and/or ribs | Chest | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | CHILD DAY CARE CENTER: ALL OTHER EMPLOYEES & DRIVERS | Not in Suit | No | 270.72 | 0.00 | 270.72 | 0.00 | 270.72 | 270.72 | 270.72 | 0.00 | 0.00 | 0.00 | 0.00 | 235.72 | 0.00 | 235.72 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 9/28/22 | 10/6/22 | Texas | 100.00 | 0 | Strain | Hand, left | Hands | Struck by object being lifted or handled | Struck by | Stationary object | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 679.93 | 0.00 | 679.93 | 0.00 | 679.93 | 679.93 | 679.93 | 0.00 | 0.00 | 0.00 | 0.00 | 531.93 | 0.00 | 531.93 | 148.00 | 0.00 | 148.00 | ||
| Indemnity | Closed | 10/6/22 | 10/12/22 | Texas | 100.00 | 66 | Sprain | Knee, right | Knee | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Ground/floor | Surface | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 2,089.35 | 0.00 | 2,089.35 | 0.00 | 2,089.35 | 2,089.35 | 2,089.35 | 0.00 | 560.00 | 0.00 | 560.00 | 1,233.35 | 0.00 | 1,233.35 | 296.00 | 0.00 | 296.00 | ||
| Medical | Closed | 10/6/22 | 10/11/22 | Arizona | 0.00 | 0 | Strain | Back, lower | Back | Vehicle Accident | Vehicle Accident | Vehicle - van | Vehicle | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 494.91 | 0.00 | 494.91 | 0.00 | 494.91 | 494.91 | 494.91 | 0.00 | 0.00 | 0.00 | 0.00 | 389.91 | 0.00 | 389.91 | 105.00 | 0.00 | 105.00 | ||
| Indemnity | Reopened | 11/19/22 | 12/7/22 | Arizona | 860.78 | 574 | Torn cartilage/ligament/tendon | Ankle, right | Ankles | Slip,trip,fall-pits,shafts,holes | Slip, trip, fall | Ground/floor | Surface | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 21,496.40 | 54,168.00 | 54,168.00 | 0.00 | 54,168.00 | 54,168.00 | 21,496.40 | 54,168.00 | 14,915.68 | 29,959.00 | 29,959.00 | 6,395.72 | 16,009.00 | 16,009.00 | 185.00 | 8,200.00 | 8,200.00 | ||
| Indemnity | Closed | 10/6/22 | 10/10/22 | Arizona | 400.00 | 300 | Sprain | Head | Head | Vehicle collision/sideswipe | Vehicle Accident | Vehicle Accident | Vehicle Accident | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 5,155.88 | 0.00 | 5,155.88 | 0.00 | 5,155.88 | 5,155.88 | 5,155.88 | 0.00 | 0.00 | 0.00 | 0.00 | 4,560.88 | 0.00 | 4,560.88 | 595.00 | 0.00 | 595.00 | ||
| Medical | Closed | 10/6/22 | 10/10/22 | Texas | 100.00 | 0 | Sprain | Knee, right | Knee | Exertion - twisting, turning, bending | Overexertion (Material handling) | Human Action, NOC | Human Action | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 1,524.37 | 0.00 | 1,524.37 | 0.00 | 1,524.37 | 1,524.37 | 1,524.37 | 0.00 | 0.00 | 0.00 | 0.00 | 1,114.71 | 0.00 | 1,114.71 | 409.66 | 0.00 | 409.66 | ||
| Indemnity | Closed | 10/6/22 | 10/10/22 | Arizona | 400.00 | 300 | Sprain | Neck - Multiple Injuries to the Neck | Neck | Vehicle Accident | Vehicle Accident | Vehicle Accident | Vehicle Accident | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 2,489.10 | 0.00 | 2,489.10 | 0.00 | 2,489.10 | 2,489.10 | 2,489.10 | 0.00 | 0.00 | 0.00 | 0.00 | 2,209.10 | 0.00 | 2,209.10 | 280.00 | 0.00 | 280.00 | ||
| Medical | Closed | 10/7/22 | 10/10/22 | Texas | 100.00 | 0 | Bite or sting | Arm, right | Arms | Human bite | Medical | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Indemnity | Closed | 10/6/22 | 10/10/22 | Arizona | 400.00 | 300 | Inflammation / irritation of joint / nerve | Not Otherwise Classified | Other | Vehicle Accident | Vehicle Accident | Vehicle Accident | Vehicle Accident | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 468.36 | 0.00 | 468.36 | 0.00 | 468.36 | 468.36 | 468.36 | 0.00 | 0.00 | 0.00 | 0.00 | 398.36 | 0.00 | 398.36 | 70.00 | 0.00 | 70.00 | ||
| Indemnity | Closed | 10/6/22 | 10/10/22 | Arizona | 400.00 | 300 | Contusion, bruise | Abdomen | Abdomen | Vehicle Accident | Vehicle Accident | Vehicle Accident | Vehicle Accident | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 1,526.73 | 0.00 | 1,526.73 | 0.00 | 1,526.73 | 1,526.73 | 1,526.73 | 0.00 | 0.00 | 0.00 | 0.00 | 1,351.73 | 0.00 | 1,351.73 | 175.00 | 0.00 | 175.00 | ||
| Medical | Closed | 10/10/22 | 10/12/22 | Texas | 100.00 | 0 | Contusion, bruise | Hand, left | Hands | Struck by flying object | Struck by | Stationary object | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 452.87 | 0.00 | 452.87 | 0.00 | 452.87 | 452.87 | 452.87 | 0.00 | 0.00 | 0.00 | 0.00 | 378.87 | 0.00 | 378.87 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 10/6/22 | 10/12/22 | Texas | 100.00 | 0 | Contusion, bruise | Chest and/or ribs | Chest | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | Farm | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 10/19/22 | 10/21/22 | California | 100.00 | 0 | Strain | Arm, right | Arms | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Uneven Surface | Surface | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 386.39 | 0.00 | 386.39 | 0.00 | 386.39 | 386.39 | 386.39 | 0.00 | 0.00 | 0.00 | 0.00 | 316.39 | 0.00 | 316.39 | 70.00 | 0.00 | 70.00 | ||
| Medical | Closed | 10/12/22 | 10/21/22 | Arizona | 0.00 | 0 | Burn (heat) | Hand, right | Hands | Contact with temperature extremes | Contact with or by | Not Otherwise Classified | Miscellaneous | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 633.94 | 0.00 | 633.94 | 0.00 | 633.94 | 633.94 | 633.94 | 0.00 | 0.00 | 0.00 | 0.00 | 598.94 | 0.00 | 598.94 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 10/13/22 | 10/24/22 | Texas | 100.00 | 0 | Contusion, bruise | Knee, right | Knee | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Uneven Surface | Surface | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Indemnity | Closed | 10/11/22 | 10/24/22 | Texas | 400.00 | 280 | Strain | Lower Legs | Legs | Exertion - twisting, turning, bending | Overexertion (Material handling) | Human Action, NOC | Human Action | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 2,270.63 | 0.00 | 2,270.63 | 0.00 | 2,270.63 | 2,270.63 | 2,270.63 | 0.00 | 160.00 | 0.00 | 160.00 | 1,777.63 | 0.00 | 1,777.63 | 333.00 | 0.00 | 333.00 | ||
| Medical | Closed | 9/28/22 | 10/24/22 | Texas | 100.00 | 0 | Sprain | Wrists | Wrists | Slip,trip,fall-pits,shafts,holes | Slip, trip, fall | Uneven Surface | Surface | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 232.58 | 0.00 | 232.58 | 0.00 | 232.58 | 232.58 | 232.58 | 0.00 | 0.00 | 0.00 | 0.00 | 195.58 | 0.00 | 195.58 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 10/4/22 | 10/24/22 | Texas | 100.00 | 0 | Sprain | Shoulders | Shoulders | Struck by object being lifted or handled | Struck by | Door - Dock | Building or Services | Farm | Not in Suit | No | 860.57 | 0.00 | 860.57 | 0.00 | 860.57 | 860.57 | 860.57 | 0.00 | 0.00 | 0.00 | 0.00 | 712.57 | 0.00 | 712.57 | 148.00 | 0.00 | 148.00 | ||
| Medical | Closed | 9/29/22 | 10/24/22 | Texas | 100.00 | 0 | No physical injury | No physical injury | No Injury | Contact with Cosmetics &/or Fragrances | Contact with or by | Chemicals - W.C. | Solvents, liquids, chemicals | Farm | Not in Suit | No | 553.38 | 0.00 | 553.38 | 0.00 | 553.38 | 553.38 | 553.38 | 0.00 | 0.00 | 0.00 | 0.00 | 405.38 | 0.00 | 405.38 | 148.00 | 0.00 | 148.00 | ||
| Medical | Closed | 9/28/22 | 10/21/22 | California | 100.00 | 0 | Strain | Face | Head | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | RESIDENTIAL CARE FACILITY FOR CHILDREN(CA) | Not in Suit | No | 153.40 | 0.00 | 153.40 | 0.00 | 153.40 | 153.40 | 153.40 | 0.00 | 0.00 | 0.00 | 0.00 | 118.40 | 0.00 | 118.40 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 10/5/22 | 10/21/22 | Arizona | 0.00 | 0 | Contusion, bruise | Back, lower | Back | Slip or fall-from ladder | Slip, trip, fall | Ladder (portable) | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 1,546.95 | 0.00 | 1,546.95 | 0.00 | 1,546.95 | 1,546.95 | 1,546.95 | 0.00 | 0.00 | 0.00 | 0.00 | 1,406.95 | 0.00 | 1,406.95 | 140.00 | 0.00 | 140.00 | ||
| Medical | Closed | 10/10/22 | 10/21/22 | Arizona | 0.00 | 0 | Contusion, bruise | Hand, left | Hands | Struck by object being lifted or handled | Struck by | Not Otherwise Classified | Miscellaneous | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 547.93 | 0.00 | 547.93 | 0.00 | 547.93 | 547.93 | 547.93 | 0.00 | 0.00 | 0.00 | 0.00 | 477.93 | 0.00 | 477.93 | 70.00 | 0.00 | 70.00 | ||
| Medical | Closed | 10/20/22 | 10/24/22 | Arizona | 0.00 | 0 | Strain | Ankle, left | Ankles | Slip, trip, fall - on stairs | Slip, trip, fall | Stairs | Surface | Clerical Office Employees NOC—Coverage Under the Federal Employers’ Liability Act (FELA)—Program II—USL&HW Act Benefits | Not in Suit | No | 1,425.84 | 0.00 | 1,425.84 | 0.00 | 1,425.84 | 1,425.84 | 1,425.84 | 0.00 | 0.00 | 0.00 | 0.00 | 1,285.84 | 0.00 | 1,285.84 | 140.00 | 0.00 | 140.00 | ||
| Medical | Closed | 9/25/22 | 10/21/22 | Arizona | 0.00 | 0 | Foreign body | Eye, right | Eyes | Foreign body in eye | Contact with or by | Liquids - W.C. | Solvents, liquids, chemicals | HOSPITAL: PROFESSIONAL EMPLOYEES | Not in Suit | No | 569.55 | 0.00 | 569.55 | 0.00 | 569.55 | 569.55 | 569.55 | 0.00 | 0.00 | 0.00 | 0.00 | 499.55 | 0.00 | 499.55 | 70.00 | 0.00 | 70.00 | ||
| Medical | Closed | 10/11/22 | 10/21/22 | Arizona | 0.00 | 0 | Contusion, bruise | Arm, left | Arms | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Office or Restaurant Furniture | Objects | HOSPITAL: PROFESSIONAL EMPLOYEES | Not in Suit | No | 1,532.46 | 0.00 | 1,532.46 | 0.00 | 1,532.46 | 1,532.46 | 1,532.46 | 0.00 | 0.00 | 0.00 | 0.00 | 1,392.46 | 0.00 | 1,392.46 | 140.00 | 0.00 | 140.00 | ||
| Indemnity | Reopened | 12/9/22 | 12/14/22 | Texas | 100.00 | 66 | Contusion, bruise | Hand, left | Hands | Struck by falling object | Struck by | Stationary object | Objects | STORE: RETAIL NOC | Not in Suit | No | 9,211.05 | 16,360.00 | 16,360.00 | 0.00 | 16,360.00 | 16,360.00 | 9,211.05 | 16,360.00 | 0.00 | 0.00 | 0.00 | 6,561.47 | 10,892.00 | 10,892.00 | 2,649.58 | 5,468.00 | 5,468.00 | ||
| Indemnity | Closed | 10/16/22 | 10/24/22 | Arizona | 400.00 | 300 | Contusion, bruise | Chest and/or ribs | Chest | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | CHARITABLE OR WELFARE ORGANIZATION-PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 200.61 | 0.00 | 200.61 | 0.00 | 200.61 | 200.61 | 200.61 | 0.00 | 0.00 | 0.00 | 0.00 | 165.61 | 0.00 | 165.61 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 9/29/22 | 10/24/22 | Texas | 100.00 | 0 | Strain | Feet | Feet | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 888.75 | 0.00 | 888.75 | 0.00 | 888.75 | 888.75 | 888.75 | 0.00 | 0.00 | 0.00 | 0.00 | 740.75 | 0.00 | 740.75 | 148.00 | 0.00 | 148.00 | ||
| Indemnity | Closed | 9/20/22 | 10/24/22 | Arizona | 400.00 | 300 | Strain | Abdomen | Abdomen | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 35.00 | 0.00 | 35.00 | 0.00 | 35.00 | 35.00 | 35.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 10/20/22 | 10/24/22 | Texas | 100.00 | 0 | Crushing | Fingers | Hands | Struck by moving object | Struck by | Door - Office | Building or Services | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 2,349.77 | 0.00 | 2,349.77 | 0.00 | 2,349.77 | 2,349.77 | 2,349.77 | 0.00 | 0.00 | 0.00 | 0.00 | 1,462.83 | 0.00 | 1,462.83 | 886.94 | 0.00 | 886.94 | ||
| Medical | Closed | 10/21/22 | 10/25/22 | Arizona | 0.00 | 0 | Strain | Multiple Body Parts | Multiple | Slip, Trip, Fall - Hallway or Common Area | Slip, trip, fall | Ground/floor | Surface | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 591.72 | 0.00 | 591.72 | 0.00 | 591.72 | 591.72 | 591.72 | 0.00 | 0.00 | 0.00 | 0.00 | 521.72 | 0.00 | 521.72 | 70.00 | 0.00 | 70.00 | ||
| Medical | Closed | 10/24/22 | 10/26/22 | Arizona | 0.00 | 0 | Foreign body | Eyes | Eyes | No specific accident or injury | Miscellaneous | Liquids - W.C. | Solvents, liquids, chemicals | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 319.49 | 0.00 | 319.49 | 0.00 | 319.49 | 319.49 | 319.49 | 0.00 | 0.00 | 0.00 | 0.00 | 284.49 | 0.00 | 284.49 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 10/9/22 | 10/24/22 | Texas | 100.00 | 0 | Contusion, bruise | Lower Legs | Legs | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | LANDSCAPE GARDENING & DRIVERS | Not in Suit | No | 1,918.24 | 0.00 | 1,918.24 | 0.00 | 1,918.24 | 1,918.24 | 1,918.24 | 0.00 | 0.00 | 0.00 | 0.00 | 1,622.24 | 0.00 | 1,622.24 | 296.00 | 0.00 | 296.00 | ||
| Medical | Closed | 10/8/22 | 10/24/22 | Texas | 100.00 | 0 | Strain | Lower Leg, right | Legs | Slip,trip or fall-same level | Slip, trip, fall | Object on floor | Objects | ABRASIVE OR BLASTING DISEASE | Not in Suit | No | 155.09 | 0.00 | 155.09 | 0.00 | 155.09 | 155.09 | 155.09 | 0.00 | 0.00 | 0.00 | 0.00 | 7.09 | 0.00 | 7.09 | 148.00 | 0.00 | 148.00 | ||
| Medical | Closed | 10/19/22 | 10/24/22 | Texas | 100.00 | 0 | No physical injury | No physical injury | No Injury | Strike against,stationary or moving object | Struck against | Stationary object | Objects | Farm | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 10/22/22 | 10/26/22 | Texas | 100.00 | 0 | Sprain | Back, lower | Back | Exertion - holding or carrying | Overexertion (Material handling) | Box, barrel, container | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 2,359.56 | 0.00 | 2,359.56 | 0.00 | 2,359.56 | 2,359.56 | 2,359.56 | 0.00 | 0.00 | 0.00 | 0.00 | 1,912.90 | 0.00 | 1,912.90 | 446.66 | 0.00 | 446.66 | ||
| Indemnity | Closed | 10/12/22 | 10/24/22 | Texas | 400.00 | 300 | Sprain | Fingers | Hands | Strike against,stationary or moving object | Struck against | Stationary object | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 10,680.43 | 0.00 | 10,680.43 | 0.00 | 10,680.43 | 10,680.43 | 10,680.43 | 0.00 | 3,351.60 | 0.00 | 3,351.60 | 6,031.17 | 0.00 | 6,031.17 | 1,297.66 | 0.00 | 1,297.66 | ||
| Indemnity | Closed | 10/11/22 | 10/25/22 | Texas | 400.00 | 300 | Laceration, open wound | Thumbs | Hands | Cut by object being lifted or handled | Contact with or by | Knife | Objects | Farm | Not in Suit | No | 74.00 | 0.00 | 74.00 | 0.00 | 74.00 | 74.00 | 74.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 10/25/22 | 10/28/22 | Texas | 100.00 | 0 | Laceration, open wound | Fingers | Hands | Cut by object being lifted or handled | Contact with or by | Stationary object | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 1,396.70 | 0.00 | 1,396.70 | 0.00 | 1,396.70 | 1,396.70 | 1,396.70 | 0.00 | 0.00 | 0.00 | 0.00 | 1,100.70 | 0.00 | 1,100.70 | 296.00 | 0.00 | 296.00 | ||
| Indemnity | Closed | 10/26/22 | 10/28/22 | Texas | 400.00 | 300 | Strain | Knee, left | Knee | Exertion - repetitive motion | Overexertion (Material handling) | Human Action, NOC | Human Action | Farm | Not in Suit | No | 5,880.28 | 0.00 | 5,880.28 | 0.00 | 5,880.28 | 5,880.28 | 5,880.28 | 0.00 | 0.00 | 0.00 | 0.00 | 4,989.62 | 0.00 | 4,989.62 | 890.66 | 0.00 | 890.66 | ||
| Indemnity | Closed | 10/16/22 | 10/28/22 | Texas | 400.00 | 300 | Sprain | Neck soft tissue | Neck | Vehicle collision/sideswipe | Vehicle Accident | Vehicle Accident | Vehicle Accident | Farm | Not in Suit | No | 6,534.72 | 0.00 | 6,534.72 | 0.00 | 6,534.72 | 6,534.72 | 6,534.72 | 0.00 | 0.00 | 0.00 | 0.00 | 5,678.40 | 0.00 | 5,678.40 | 856.32 | 0.00 | 856.32 | ||
| Indemnity | Closed | 10/27/22 | 10/31/22 | Texas | 600.00 | 420 | Sprain | Knees | Knee | Slip, trip, fall - on ice, snow or water | Slip, trip, fall | Water | Water or Steam | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 2,354.17 | 0.00 | 2,354.17 | 0.00 | 2,354.17 | 2,354.17 | 2,354.17 | 0.00 | 0.00 | 0.00 | 0.00 | 1,974.17 | 0.00 | 1,974.17 | 380.00 | 0.00 | 380.00 | ||
| Medical | Closed | 10/29/22 | 11/2/22 | Texas | 100.00 | 0 | Contusion, bruise | Head | Head | Struck by falling object | Struck by | Box, barrel, container | Objects | HOSPITAL: PROFESSIONAL EMPLOYEES | Not in Suit | No | 194.34 | 0.00 | 194.34 | 0.00 | 194.34 | 194.34 | 194.34 | 0.00 | 0.00 | 0.00 | 0.00 | 46.34 | 0.00 | 46.34 | 148.00 | 0.00 | 148.00 | ||
| Medical | Closed | 10/28/22 | 11/3/22 | Texas | 100.00 | 0 | Contusion, bruise | Chest and/or ribs | Chest | Slip,trip or fall-same level | Slip, trip, fall | Ground/floor | Surface | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 9/30/22 | 10/24/22 | Texas | 100.00 | 0 | Multiple physical injuries | Face | Head | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | 8858 | Not in Suit | No | 449.03 | 0.00 | 449.03 | 0.00 | 449.03 | 449.03 | 449.03 | 0.00 | 0.00 | 0.00 | 0.00 | 338.03 | 0.00 | 338.03 | 111.00 | 0.00 | 111.00 | ||
| Indemnity | Closed | 9/30/22 | 10/21/22 | Texas | 600.00 | 420 | Contusion, bruise | Head | Head | Struck by moving object | Struck by | Stationary object | Objects | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 10/19/22 | 10/28/22 | Texas | 100.00 | 0 | Contusion, bruise | Back, lower | Back | Slip,trip or fall-elevated surfaces | Slip, trip, fall | Ground/floor | Surface | Farm | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Indemnity | Closed | 10/18/22 | 10/28/22 | Texas | 100.00 | 66 | Occupational health disorder, NOC | Eye, right | Eyes | Contact with/by Bodily Fluids | Contact with or by | Infectious, parasitic agents, NOC - W.C. | Medical | HOSPITAL: ALL OTHER EMPLOYEES | Not in Suit | No | 1,580.32 | 0.00 | 1,580.32 | 0.00 | 1,580.32 | 1,580.32 | 1,580.32 | 0.00 | 0.00 | 0.00 | 0.00 | 1,234.32 | 0.00 | 1,234.32 | 346.00 | 0.00 | 346.00 | ||
| Medical | Closed | 10/27/22 | 11/2/22 | Texas | 0.00 | 0 | Strain | Multiple Body Parts | Multiple | Vehicle collision/sideswipe | Vehicle Accident | Vehicle Accident | Vehicle Accident | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 394.26 | 0.00 | 394.26 | 0.00 | 394.26 | 394.26 | 394.26 | 0.00 | 0.00 | 0.00 | 0.00 | 283.26 | 0.00 | 283.26 | 111.00 | 0.00 | 111.00 | ||
| Medical | Closed | 11/1/22 | 11/3/22 | Arizona | 0.00 | 0 | Foreign body | Eyes | Eyes | Foreign body in eye | Contact with or by | Not Otherwise Classified | Miscellaneous | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 573.24 | 0.00 | 573.24 | 0.00 | 573.24 | 573.24 | 573.24 | 0.00 | 0.00 | 0.00 | 0.00 | 503.24 | 0.00 | 503.24 | 70.00 | 0.00 | 70.00 | ||
| Indemnity | Closed | 11/2/22 | 11/4/22 | Arizona | 0.00 | 1 | Contusion, bruise | Face | Head | Struck by object being lifted or handled | Struck by | Office or Restaurant Furniture | Objects | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 1,151.78 | 0.00 | 1,151.78 | 0.00 | 1,151.78 | 1,151.78 | 1,151.78 | 0.00 | 0.00 | 0.00 | 0.00 | 966.78 | 0.00 | 966.78 | 185.00 | 0.00 | 185.00 | ||
| Medical | Closed | 10/31/22 | 11/4/22 | Arizona | 0.00 | 0 | Strain | Knee, left | Knee | Exertion - twisting, turning, bending | Overexertion (Material handling) | Not Otherwise Classified | Miscellaneous | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 3,342.60 | 0.00 | 3,342.60 | 0.00 | 3,342.60 | 3,342.60 | 3,342.60 | 0.00 | 0.00 | 0.00 | 0.00 | 2,957.60 | 0.00 | 2,957.60 | 385.00 | 0.00 | 385.00 | ||
| Indemnity | Closed | 10/24/22 | 10/28/22 | Texas | 400.00 | 300 | Sprain | Neck soft tissue | Neck | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | Farm | Not in Suit | No | 129.09 | 0.00 | 129.09 | 0.00 | 129.09 | 129.09 | 129.09 | 0.00 | 0.00 | 0.00 | 0.00 | 18.09 | 0.00 | 18.09 | 111.00 | 0.00 | 111.00 | ||
| Medical | Closed | 10/8/22 | 11/4/22 | Arizona | 0.00 | 0 | Hearing Loss | Ears (internal & external) | Ears | Noise Exposure | Exposure To | Noise | Human Action | CHARITABLE OR WELFARE ORGANIZATION-PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Medical | Closed | 11/3/22 | 11/7/22 | Arizona | 0.00 | 0 | No physical injury | Not Otherwise Classified | Other | No specific accident or injury | Miscellaneous | Not Otherwise Classified | Miscellaneous | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 766.82 | 0.00 | 766.82 | 0.00 | 766.82 | 766.82 | 766.82 | 0.00 | 0.00 | 0.00 | 0.00 | 661.82 | 0.00 | 661.82 | 105.00 | 0.00 | 105.00 | ||
| Medical | Closed | 11/3/22 | 11/8/22 | Arizona | 0.00 | 0 | Not Otherwise Classified | Multiple Body Parts | Multiple | Not Otherwise Classified | Miscellaneous | Not Otherwise Classified | Miscellaneous | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Indemnity | Closed | 11/3/22 | 11/9/22 | Arizona | 1.00 | 1 | Contusion, bruise | Buttocks | Buttocks | Alleged assault | Crime | Patient, Child | Patient, Child | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 1,868.70 | 0.00 | 1,868.70 | 0.00 | 1,868.70 | 1,868.70 | 1,868.70 | 0.00 | 0.00 | 0.00 | 0.00 | 1,403.70 | 0.00 | 1,403.70 | 465.00 | 0.00 | 465.00 | ||
| Medical | Closed | 9/19/22 | 11/3/22 | Texas | 0.00 | 0 | Strain | Arms | Arms | No specific accident or injury | Miscellaneous | Stationary object | Objects | CLERICAL OFFICE EMPLOYEES NOC | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 11/3/22 | 11/9/22 | Arizona | 0.00 | 0 | Contusion, bruise | Head | Head | Struck by object being lifted or handled | Struck by | Not Otherwise Classified | Miscellaneous | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 10.00 | 0.00 | 10.00 | 0.00 | 10.00 | 10.00 | 10.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 10.00 | 0.00 | 10.00 | ||
| Medical | Closed | 10/31/22 | 11/10/22 | Arizona | 0.00 | 0 | Strain | Back, lower | Back | Exertion - lifting | Overexertion (Material handling) | Office or Restaurant Furniture | Objects | GROUP HOMES-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 1,986.65 | 0.00 | 1,986.65 | 0.00 | 1,986.65 | 1,986.65 | 1,986.65 | 0.00 | 0.00 | 0.00 | 0.00 | 1,776.65 | 0.00 | 1,776.65 | 210.00 | 0.00 | 210.00 | ||
| Indemnity | Reopened | 1/8/23 | 1/13/23 | Texas | 720.00 | 504 | Fracture | Fingers | Hands | Struck by Object Handled by Others | Struck against | Stationary object | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 4,894.43 | 12,678.00 | 12,678.00 | 0.00 | 12,678.00 | 12,678.00 | 4,894.43 | 12,678.00 | 2,382.86 | 4,416.00 | 4,416.00 | 2,051.91 | 7,052.00 | 7,052.00 | 459.66 | 1,210.00 | 1,210.00 | ||
| Indemnity | Reopened | 1/27/23 | 1/28/23 | Texas | 400.00 | 300 | Dermatitis, skin disease or disorder | Hands | Hands | Contact with chemicals,caustics,acids,oils | Contact with or by | Stationary object | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 1,087.59 | 1,300.00 | 1,300.00 | 0.00 | 1,300.00 | 1,300.00 | 1,087.59 | 1,300.00 | 512.16 | 700.00 | 700.00 | 488.43 | 500.00 | 500.00 | 87.00 | 100.00 | 100.00 | ||
| Medical | Closed | 10/22/22 | 11/7/22 | Texas | 100.00 | 0 | Concussion | Head | Head | Struck by Employee/fellow worker/patientBI | Struck by | Patient, Child | Patient, Child | Farm | Not in Suit | No | 489.27 | 0.00 | 489.27 | 0.00 | 489.27 | 489.27 | 489.27 | 0.00 | 0.00 | 0.00 | 0.00 | 415.27 | 0.00 | 415.27 | 74.00 | 0.00 | 74.00 | ||
| Medical | Closed | 11/2/22 | 11/7/22 | Texas | 100.00 | 0 | Strain | Abdomen | Abdomen | Exertion - lifting | Overexertion (Material handling) | Patient, Child | Patient, Child | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 489.95 | 0.00 | 489.95 | 0.00 | 489.95 | 489.95 | 489.95 | 0.00 | 0.00 | 0.00 | 0.00 | 378.95 | 0.00 | 378.95 | 111.00 | 0.00 | 111.00 | ||
| Medical | Closed | 10/31/22 | 11/8/22 | Texas | 0.00 | 0 | Contusion, bruise | Knee, right | Knee | Strike against,stationary or moving object | Struck against | Stationary object | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 1,088.24 | 0.00 | 1,088.24 | 0.00 | 1,088.24 | 1,088.24 | 1,088.24 | 0.00 | 0.00 | 0.00 | 0.00 | 893.24 | 0.00 | 893.24 | 195.00 | 0.00 | 195.00 | ||
| Indemnity | Closed | 11/6/22 | 11/10/22 | Arizona | 0.00 | 1 | Contusion, bruise | Multiple Body Parts | Multiple | Struck by Object Handled by Others | Struck against | Stationary object | Objects | CHARITABLE OR WELFARE ORGANIZATION-PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 1,986.20 | 0.00 | 1,986.20 | 0.00 | 1,986.20 | 1,986.20 | 1,986.20 | 0.00 | 0.00 | 0.00 | 0.00 | 1,741.20 | 0.00 | 1,741.20 | 245.00 | 0.00 | 245.00 | ||
| Medical | Closed | 10/25/22 | 10/26/22 | Arizona | 0.00 | 0 | Contusion, bruise | Chest and/or ribs | Chest | Struck by object being lifted or handled | Struck by | Not Otherwise Classified | Miscellaneous | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | Not in Suit | No | 411.53 | 0.00 | 411.53 | 0.00 | 411.53 | 411.53 | 411.53 | 0.00 | 0.00 | 0.00 | 0.00 | 376.53 | 0.00 | 376.53 | 35.00 | 0.00 | 35.00 | ||
| Medical | Closed | 10/30/22 | 11/2/22 | Texas | 100.00 | 0 | Bite or sting | Lower Leg, right | Legs | Insect bite, sting | Animal/Insect | Animal, Insect - W.C. | Animal or Insect | College-All Other Employee | Not in Suit | No | 37.00 | 0.00 | 37.00 | 0.00 | 37.00 | 37.00 | 37.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 37.00 | 0.00 | 37.00 | ||
| Medical | Closed | 11/4/22 | 11/7/22 | Texas | 100.00 | 0 | Contusion, bruise | Multiple Body Parts | Multiple | Strike against,stationary or moving object | Struck against | Furniture, fixture | Objects | COLLEGE: PROFESSIONAL EMPLOYEES & CLERICAL | Not in Suit | No | 273.57 | 0.00 | 273.57 | 0.00 | 273.57 | 273.57 | 273.57 | 0.00 | 0.00 | 0.00 | 0.00 | 236.57 | 0.00 | 236.57 | 37.00 | 0.00 | 37.00 | ||
| Indemnity | Reopened | 3/5/23 | 3/9/23 | Arizona | 966.84 | 645 | Contusion, bruise | Knee, left | Knee | Slip, trip, fall - on ice, snow or water | Slip, trip, fall | Ground/floor | Surface | SOCIAL SERVICES ORGANIZATION-ALL EMPLOYEES & SALESPERSONS, DRIVERS | In Suit | 5/31/23 | No | 5,601.67 | 15,195.00 | 15,195.00 | 0.00 | 15,195.00 | 15,195.00 | 5,601.67 | 15,195.00 | 1,933.68 | 2,001.00 | 2,001.00 | 1,736.98 | 6,314.00 | 6,314.00 | 1,931.01 | 6,880.00 | 6,880.00 | |
| Medical | Closed | 10/24/22 | 11/7/22 | Texas | 100.00 | 0 | Sprain | Back, upper (thoracic) | Back | Vehicle Accident | Vehicle Accident | Vehicle Accident | Vehicle Accident | College-All Other Employee | Not in Suit | No | 349.31 | 0.00 | 349.31 | 0.00 | 349.31 | 349.31 | 349.31 | 0.00 | 0.00 | 0.00 | 0.00 | 238.31 | 0.00 | 238.31 | 111.00 | 0.00 | 111.00 | ||
| Indemnity | Closed | 11/4/22 | 11/7/22 | Texas | 400.00 | 300 | Contusion, bruise | Upper Leg, right | Caught in, Under, between object handled | Caught in, under, between | Stationary object | Objects | Farm | Not in Suit | No | 230.82 | 0.00 | 230.82 | 0.00 | 230.82 | 230.82 | 230.82 | 0.00 | 0.00 | 0.00 | 0.00 | 193.82 | 0.00 | 193.82 | 37.00 | 0.00 | 37.00 | |||
| Medical | Closed | 11/4/22 | 11/10/22 | Texas | 100.00 | 0 | Contusion, bruise | Head | Head | Struck by flying object | Struck by | Stationary object | Objects | Charitable or Religious Organization—Welfare—All Operations & Drivers | Not in Suit | No | 10.00 | 0.00 | 10.00 | 0.00 | 10.00 | 10.00 | 10.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 10.00 | 0.00 | 10.00 |
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File details come from the government source that posted it. Updated .