loss run-Standard Loss Run.xlsx
XLSX spreadsheet 2 MB Posted
- Solicitation number
- BPM041172
- Issued by
- Maryland
About this file
This document is a Request for Proposals (RFP) issued by the Maryland Uninsured Employers' Fund (UEF) to obtain third party administrator services for all workers compensation claims found compensable by the Maryland Workers Compensation Commission where the claimant was employed by an uninsured employer, or where the UEF has been impleaded as a party to the claim. The selected contractor will provide the full scope of services necessary to function as the processor, investigator and administrator for all relevant UEF claims.
The RFP seeks proposals for the provision of these third party administrator services. The contract term and any renewal options are not specified. Pricing terms, set asides, funding requirements and sources, and other salient commercial details are also not provided in the summary.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP- UEF2024-001.pdf | ||
| Signed fully executed contract UEF.pdf | ||
| Pre Proposal Conference Summary.pdf | ||
| UEF 2024-001FP.xlsx | XLSX spreadsheet | |
| Modification contract pdf 2.5.19 (1).pdf | ||
| Q & A-1.pdf | ||
| Q & A-2.pdf | ||
| Amendment 1.pdf | ||
| PPC Attendance List.pdf | ||
| RFP Amendment 2.pdf |
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Summary
| Standard Loss Run |
| Customer: Maryland Uninsured Employer Fund |
| Valuation Date: Current Date: 01/02/2024 |
| Status: All |
| Location Level: Level 2 |
| Location Description: All |
| Finance Detail Level: Level 2 |
| Finance Category Description: All |
| Finance Amount Detail Level: No Filter |
| Finance Amount Category: All |
| Finance Amount Type: All |
| Finance Amount: None |
| Include Inactive Locations: False |
| Prepared: 01/02/2024 11:37:55 AM |
HIPAA WARNING This report contains protected patient information
| Group: |
| Page: No page groups have been selected |
| Detail: No detail groups have been selected |
| Filters: |
| Administrator Notified Date Range |
| Custom: 01/01/2017 - 10/01/2023; |
Summary
| Open | Reopened | Closed | Total | |
| # of Claims | 509 | 211 | 2,613 | 3,333 |
| Finance Detail Level 2 | Paid-to-Date | Reserve | Incurred |
| ALE | $1,182,097.78 | $14,762,088.30 | $15,944,186.08 |
| IND | $3,103,460.79 | $1,343,236.22 | $4,446,697.01 |
| MED | $5,305,820.03 | $8,547,612.58 | $13,853,432.61 |
| PER | $4,918,400.39 | $5,597,493.09 | $10,515,893.48 |
| REHAB | $0.00 | $0.00 | $0.00 |
| Gross | $14,509,778.99 | $30,250,430.19 | $44,760,209.18 |
| Total Recoveries | $84,252.23 | $84,252.23 | |
| Recoveries Not Impacting Incurred | $0.00 | $0.00 | |
| Recoveries Impacting Incurred | $84,252.23 | $84,252.23 | |
| Net | $14,425,526.76 | $44,675,956.95 |
Data
| HIPAA WARNING - This report contains protected patient information | |||||||||||||||||||||||||||||||||||||||||||||||||
| Claim Number | CNR | Cov Class | |||||||||||||||||||||||||||||||||||||||||||||||
| Sub Class | Coverage Line | Class Code | Sub Class Code | Employee ID | Accident Description | Location Level 1 | Location Level 1 Client Number | Location Level 1 Code | Location Level 1 Name | Location Level 2 Code | Location Level 2 Name | Location Level 3 Code | Location Level 3 Name | Location Level 4 Code | Location Level 4 Name | Location Level 5 Code | Location Level 5 Name | Company Code | Status | Jurisdiction | Claimant Age | Claimant Sex | Status Date | Injury Date | Injury Time | Hired Date | Employer Notification Date | Date Administrator Notified | Date Incident Reported | Work Status | Work Status Date | First Notice of Loss | Claim Level MMI Estimated Date | Claim Level MMI | Overall Impairment Percentage | Location Of Loss | Subrogation | AVG Weekly Wage | Compensation Rate | Adjuster | Adjuster Initial | Adjuster Code | Generic Field 1 | Generic Field 2 | Generic Field 3 | Generic Field 4 | Generic Field 5 | Generic Field 6 | Generic Field 7 |
| 1209-WC-00-0010001 | 1209-WC-00-0010001 | WC/IND/ | WC | IND | NA | IW slipped on wet floor in front of produce. (Unknown) | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 69 | M | 06/09/2020 | 01/20/2000 | 09/09/1999 | 01/20/2000 | 03/05/2018 | 03/05/2018 | Full | 2/20/2000 | 1/21/2000 | 11/20/2006 | 0.00% | A&P Claim | No | $610.00 | $407.00 | Massengill, Stacy J | SVM | 3416 | Nature of Injury: Strain | Part of Body: Lower Leg | Accident Type: *Captured Data | Source of Injury: From Ladder or Scaffolding | ||||
| 1209-WC-00-0010002 | 1209-WC-00-0010002 | WC/IND/ | WC | IND | NA | IW jerked shoulder and neck twisting same. (IW was trying separate two boxes glued together.) | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 66 | M | 03/06/2018 | 08/05/1999 | 01/01/1999 | 08/05/1999 | 03/06/2018 | 08/05/1999 | Full | 8/5/1999 | 10/31/1999 | 0.00% | A& P Claim | No | $374.92 | $250.00 | Massengill, Stacy J | SVM | 3416 | Nature of Injury: Sprain | Part of Body: Multiple Body Parts (Including | Accident Type: *Captured Data | Source of Injury: Pushing or Pulling | |||||
| 1209-WC-00-0010003 | 1209-WC-00-0010003 | WC/IND/ | WC | IND | NA | Occupational hearing loss | MD UEF- Beth Steel ( 000012 ) | 000012 | 358463 | MD UEF- Beth Steel | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 76 | F | 11/23/2020 | 08/01/1999 | 12:00:00 AM | 08/14/2019 | 08/14/2019 | Off | 8/2/1999 | 8/2/1999 | 8/1/1999 | 8/1/1999 | 0.00% | MD UEF- Beth Steel | No | $981.00 | $602.00 | Massengill, Stacy J | SVM | 3416 | Nature of Injury: Hearing Loss or Impairment | Part of Body: Ear(s) | Accident Type: *Captured Data | Source of Injury: Continual Noise | ||||
| 1209-WC-00-0010004 | 1209-WC-00-0010004 | WC/IND/ | WC | IND | NA | Occupational Hearing Loss | MD UEF- Beth Steel ( 000012 ) | 000012 | 358463 | MD UEF- Beth Steel | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 66 | M | 10/02/2023 | 01/01/2000 | 12:00:00 AM | 09/09/1999 | 08/28/2019 | 08/28/2019 | Full | 1/2/2000 | 1/2/2000 | 1/2/2000 | 0.00% | MD UEF- Beth Steel | No | $1,230.00 | $631.00 | Massengill, Stacy J | SVM | 3416 | Nature of Injury: Hearing Loss or Impairment | Part of Body: Ear(s) | Accident Type: *Not Coded | Source of Injury: Other-NOC | ||||
| 1209-WC-00-0010005 | 1209-WC-00-0010005 | WC/IND/ | WC | IND | NA | Claimant sustained binaural hearing loss while in scope of his employment. () | MD UEF- Beth Steel ( 000012 ) | 000012 | 358463 | MD UEF- Beth Steel | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 75 | M | 08/10/2021 | 09/09/1999 | 12:00:00 AM | 09/09/1999 | 08/09/2021 | 08/10/2021 | 08/10/2021 | Full | 9/10/1999 | 0.00% | MD UEF- Beth Steel | No | $800.00 | $534.00 | Massengill, Stacy J | SVM | 3416 | Nature of Injury: Hearing Loss or Impairment | Part of Body: Ear(s) | Accident Type: *Not Applicable / None | Source of Injury: Continual Noise | |||||
| 1209-WC-00-0010006 | 1209-WC-00-0010006 | WC/IND/ | WC | IND | NA | The claimant stated a piece of a car motor fell off a table, landing on his left leg, resulting in abrasions and contusions. | MD UEF- MISCELLANEOUS ( 00006 ) | 00006 | 323893 | MD UEF- MISCELLANEOUS | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 23 | M | 09/14/2023 | 08/03/2021 | 01:30:00 PM | 11/05/2018 | 08/03/2021 | 08/25/2021 | 08/25/2021 | Full | 12/7/2021 | 8/4/2021 | 1/3/2022 | 1/3/2022 | 0.00% | 8215 Grey Eagle Dr., Upper Marlboro MD 20772 | No | $1,000.00 | $667.00 | Casselman, Missie L. | MLH | 74 | Nature of Injury: Contusion | Part of Body: Knee | Accident Type: *Not Applicable / None | Source of Injury: Object Being Lifted or Handled-Struck or | ||
| 1209-WC-00-0300001 | 1209-WC-00-0300001 | WC/RO/ | WC | RO | NA | I WA PLACING A CRATE OF CORN IN A CUSTOMERS CAR WHEN I BENT DOWN TO PLACE IT IN I TWISTED MY BACK | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 73 | M | 08/11/2023 | 08/19/1999 | 12:00:00 AM | 01/01/1990 | 08/19/1999 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Lower Back Area | Accident Type: *Not Coded | Source of Injury: Other-NOC | ||||||||
| 1209-WC-00-0300002 | 1209-WC-00-0300002 | WC/RO/ | WC | RO | NA | I WAS WAITING ON CUSTOMER WHEN A ROLL OF PLASTIC FELL AND STRUCK ME ON MY LEFT FOOT | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 77 | F | 08/11/2023 | 08/15/1999 | 12:00:00 AM | 01/01/1990 | 08/15/1999 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Foot | Accident Type: *Not Coded | Source of Injury: Falling or Flying Object | ||||||||
| 1209-WC-00-0300003 | 1209-WC-00-0300003 | WC/IND/ | WC | IND | NA | CLAIMANT WAS PUTTING BAGS OF GROCERIES IN A CART WENT BACK AROUND TO HIS REGISTER STARTED TO SCAN AGAIN AND THE STAND WHERE THE BAGS ARE FELL OFF ONTO HIS RIGHT FOOT. | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 45 | M | 12/13/2023 | 10/24/1999 | 12:00:00 AM | 01/01/1990 | 10/24/1999 | 07/12/2023 | 07/12/2023 | Undetermined | 10/25/1999 | 0.00% | MD UEF- A & P | No | $223.50 | $149.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Toes | Accident Type: *Not Coded | Source of Injury: Falling or Flying Object | |||||
| 1209-WC-00-0300004 | 1209-WC-00-0300004 | WC/IND/ | WC | IND | NA | REPETITIOUS USE OF HER RIGHT HAND DEVELOPED PERMANENT TENDONITIS. | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 58 | F | 12/13/2023 | 11/08/1999 | 12:00:00 AM | 01/01/1990 | 11/08/1999 | 07/12/2023 | 07/12/2023 | Undetermined | 11/9/1999 | 0.00% | MD UEF- A & P | No | $355.20 | $237.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Hand | Accident Type: *Not Coded | Source of Injury: Other-NOC | |||||
| 1209-WC-00-0300005 | 1209-WC-00-0300005 | WC/IND/ | WC | IND | NA | Claimant alleges that he was placing products on a bottom shelf when he got up from kneeling position tripped and fell on his right knee. | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 80 | M | 12/13/2023 | 12/02/1999 | 12:00:00 AM | 01/01/1990 | 12/02/1999 | 07/12/2023 | 07/12/2023 | Off | 12/3/1999 | 12/3/1999 | 12/3/1999 | 0.00% | 7117 Security Blvd | |||||||||||||
| Baltimore, MD 21224 | No | $630.00 | $420.00 | Rudasill, Cathy J | CJR | 4039 | Nature of Injury: Strain | Part of Body: Knee | Accident Type: *Not Applicable / None | Source of Injury: NOC-Fall, Slip, or Trip Injury | Occupation: Employee | Jurisdiction Claim No: B485623 | Type of Loss: Trauma | Injury Type: Medical Only | (0913) DOMESTIC WORKERS?RESIDENCES?FULL-TIME (N/A CT, MA) | No | B485623 | Maryland | Pennsylvania | 526002033 | 07/01/1999 | 06/30/2000 | Employer Name: A & P | Coverage Found: | If Coverage Found: Unknown | County of Employer: Baltimore | $0.00 | $10,250.00 | $10,250.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||
| 1209-WC-00-0300006 | 1209-WC-00-0300006 | WC/RO/ | WC | RO | NA | I WAS PUSHED AGINST A STEEL BALER AND I FELT TO THE FLOOR IT AGRAVATED MY SHOULDER (RIGHT ONE) | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 82 | M | 08/14/2023 | 11/19/1999 | 12:00:00 AM | 01/01/1990 | 11/19/1999 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Shoulder(s) | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | ||||||||
| 1209-WC-00-0300007 | 1209-WC-00-0300007 | WC/IND/ | WC | IND | NA | CAUGHT FOOT BETWEEN TAPE AND PALET CAUSING ME TO FALL | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 49 | M | 12/13/2023 | 04/25/2000 | 12:00:00 AM | 01/01/1990 | 04/25/2000 | 07/12/2023 | 07/12/2023 | Undetermined | 4/26/2000 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Knee | Accident Type: *Not Coded | Source of Injury: Other-NOC | |||||
| 1209-WC-00-0300008 | 1209-WC-00-0300008 | WC/IND/ | WC | IND | NA | Claimant alleges while in the freezer, stock fell toward her and she twisted to protect herself and was injured | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 76 | F | 07/12/2023 | 04/15/2000 | 12:00:00 AM | 01/01/1990 | 04/15/2000 | 07/12/2023 | 07/12/2023 | Off | 4/16/2000 | 4/16/2000 | 4/16/2000 | 0.00% | MD UEF- A & P | No | $325.00 | $217.00 | Rudasill, Cathy J | CJR | 4039 | Nature of Injury: Strain | Part of Body: Multiple Upper Extremities | Accident Type: *Not Applicable / None | Source of Injury: Falling or Flying Object | |||
| 1209-WC-00-0300009 | 1209-WC-00-0300009 | WC/IND/ | WC | IND | NA | TWISTED BOTH LEGS ON SLIPPERY FLOOR. | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 64 | M | 07/12/2023 | 05/01/2000 | 12:00:00 AM | 01/01/1990 | 05/01/2000 | 07/12/2023 | 07/12/2023 | Undetermined | 5/2/2000 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Sprain | Part of Body: Lower Leg | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-00-0300010 | 1209-WC-00-0300010 | WC/IND/ | WC | IND | NA | FORKLIFT WAS DRIVEN ON CLAIMANTS LEFT FOOT AND ANKLE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 53 | M | 12/13/2023 | 05/26/2000 | 12:00:00 AM | 01/01/1990 | 05/26/2000 | 07/12/2023 | 07/12/2023 | Undetermined | 5/27/2000 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Contusion | Part of Body: Foot | Accident Type: *Not Coded | Source of Injury: NOC-Motor Vehicle | |||||
| 1209-WC-00-0300011 | 1209-WC-00-0300011 | WC/IND/ | WC | IND | NA | CLAIMANT GOING TO ICE MACHINE FLOOR WET CLAIMANT SLIPPED AND FELL TWISTED RIGHT FOOT AND RIGHT ARM | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 62 | F | 12/13/2023 | 06/23/2000 | 12:00:00 AM | 01/01/1990 | 06/23/2000 | 07/12/2023 | 07/12/2023 | Full | 6/24/2000 | 0.00% | MD UEF- A & P | No | $310.00 | $207.00 | Airey, Alyssa x | A%A | 7383 | Nature of Injury: Strain | Part of Body: Multiple Body Parts (Including | Accident Type: *Not Applicable / None | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-00-0300012 | 1209-WC-00-0300012 | WC/IND/ | WC | IND | NA | TRIPPED OVER WIRE AND FELL AND TWISTED BACK | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 71 | F | 07/12/2023 | 06/16/2000 | 12:00:00 AM | 01/01/1990 | 06/16/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Lower Back Area | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||||
| 1209-WC-00-0300013 | 1209-WC-00-0300013 | WC/RO/ | WC | RO | NA | CHARLES HAD PUT A BROKEN PAMITE AT THE END OF THE WAREHOUSE I CAME AROUND THE CORNER AND DID NOT SEE THE ? AND STEP IN IT AND FELL ON THE HARD CEMETERY FLOOR | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 76 | F | 08/14/2023 | 04/07/2000 | 12:00:00 AM | 01/01/1990 | 04/07/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Lower Leg | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | ||||||||
| 1209-WC-00-0300014 | 1209-WC-00-0300014 | WC/RO/ | WC | RO | NA | SLAMMED L WRIST BONE AGAINST METAL BAR ON BAG HOLDER | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 85 | F | 08/14/2023 | 04/12/2000 | 12:00:00 AM | 01/01/1990 | 04/12/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Wrist(s) & Hand(s) | Accident Type: *Not Coded | Source of Injury: Falling or Flying Object | ||||||||
| 1209-WC-00-0300015 | 1209-WC-00-0300015 | WC/IND/ | WC | IND | NA | WHILE CARRYING A SHIPPING TOTE SLIPPED ON RICE THAT WAS SPILLED ON THE FLOOR JAMMED SHOULDER INTO WALL | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 71 | F | 07/12/2023 | 01/08/2000 | 12:00:00 AM | 01/01/1990 | 01/08/2000 | 07/12/2023 | 07/12/2023 | Off | 1/9/2000 | 1/9/2000 | 1/9/2000 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Rudasill, Cathy J | CJR | 4039 | Nature of Injury: Strain | Part of Body: Multiple Neck Injury | Accident Type: *Not Applicable / None | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||
| 1209-WC-00-0300016 | 1209-WC-00-0300016 | WC/IND/ | WC | IND | NA | I INJURED MY R ARM AND SHOULDER WHILE UNLOADING A TRUCK WHEN I OVER- EXTENDED AND TWISTED AND LOST CONTROL OF A BOX | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 72 | M | 07/12/2023 | 09/30/1999 | 12:00:00 AM | 01/01/1990 | 09/30/1999 | 07/12/2023 | 07/12/2023 | Off | 10/1/1999 | 10/1/1999 | 10/1/1999 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Rudasill, Cathy J | CJR | 4039 | Nature of Injury: Strain | Part of Body: Shoulder(s) | Accident Type: *Not Applicable / None | Source of Injury: Lifting | |||
| 1209-WC-00-0300017 | 1209-WC-00-0300017 | WC/RO/ | WC | RO | NA | SLIPPED ON FOOD AND FELL TO FLOOR | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 78 | F | 08/09/2023 | 06/14/2000 | 12:00:00 AM | 01/01/1990 | 06/14/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Knee | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | ||||||||
| 1209-WC-00-0300018 | 1209-WC-00-0300018 | WC/IND/ | WC | IND | NA | THE GREEN DUMP MACHINE MY MOUTH TWO TOOTH EAR AND THE LEFT SIDE OF MY FACE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 54 | M | 12/13/2023 | 12/23/1999 | 12:00:00 AM | 01/01/1990 | 12/23/1999 | 07/12/2023 | 07/12/2023 | Full | 12/24/1999 | 12/24/1999 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Toussaint, Carly x | C6T | 6051 | Nature of Injury: Puncture | Part of Body: Teeth | Accident Type: *Not Applicable / None | Source of Injury: NOC-Struck or Injured By (Includes Kicke | ||||
| 1209-WC-01-0010001 | 1209-WC-01-0010001 | WC/IND/ | WC | IND | NA | IW was stopped on Old Mountain Rd. With my blinkers on, when the other driver passed IW on the left side and hit my vehicle. (Driving) | MD UEF- MISCELLANEOUS ( 00006 ) | 00006 | 323893 | MD UEF- MISCELLANEOUS | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 33 | M | 07/16/2018 | 04/25/2018 | 09/09/1999 | 04/25/2018 | 05/04/2018 | 05/04/2018 | Full | 4/25/2018 | 4/26/2018 | 4/26/2018 | 0.00% | MD UEF- MISCELLANEOUS | No | $1,800.00 | $1,094.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Strain | Part of Body: Multiple Body Parts (Including | Accident Type: *Captured Data | Source of Injury: Collision or Sideswipe With Another Vehi | ||||
| 1209-WC-01-0010002 | 1209-WC-01-0010002 | WC/MO/ | WC | MO | NA | Occupational Hearing loss in both ears. | MD UEF- Beth Steel ( 000012 ) | 000012 | 358463 | MD UEF- Beth Steel | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 84 | M | 11/29/2018 | 07/26/2000 | 08:00:00 PM | 09/08/1999 | 07/26/2000 | 11/22/2018 | 11/22/2018 | Off | 7/27/2000 | 7/27/2000 | 0.00% | MD UEF- MISCELLANEOUS | No | $0.00 | Massengill, Stacy J | SVM | 3416 | Nature of Injury: Hearing Loss or Impairment | Part of Body: Ear(s) | Accident Type: *Captured Data | Source of Injury: NOC-Strain or Injury By | |||||
| 1209-WC-01-0010003 | 1209-WC-01-0010003 | WC/IND/ | WC | IND | NA | Occupational hearing loss and tinnitus | MD UEF- Beth Steel ( 000012 ) | 000012 | 358463 | MD UEF- Beth Steel | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 82 | M | 03/26/2021 | 12/01/2000 | 12:00:00 PM | 09/09/1999 | 07/05/2019 | 07/05/2019 | Full | 12/1/2000 | 12/1/2000 | 12/1/2000 | 0.00% | MD UEF- Beth Steel | No | $1,212.00 | $631.00 | Massengill, Stacy J | SVM | 3416 | Nature of Injury: Hearing Loss or Impairment | Part of Body: Ear(s) | Accident Type: *Captured Data | Source of Injury: Cumulative, NOC; All Other | ||||
| 1209-WC-01-0010004 | 1209-WC-01-0010004 | WC/IND/ | WC | IND | NA | Occupational hearing loss. Both ears. | MD UEF- Beth Steel ( 000012 ) | 000012 | 358463 | MD UEF- Beth Steel | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 87 | M | 06/01/2020 | 12/01/2000 | 12:00:00 AM | 09/09/1999 | 02/20/2020 | 06/01/2020 | 06/01/2020 | Full | 12/1/2000 | 0.00% | MD UEF- Beth Steel | No | $692.31 | $462.00 | Massengill, Stacy J | SVM | 3416 | Nature of Injury: Hearing Loss or Impairment | Part of Body: Ear(s) | Accident Type: *Captured Data | Source of Injury: Continual Noise | |||||
| 1209-WC-01-0300001 | 1209-WC-01-0300001 | WC/IND/ | WC | IND | NA | I WAS CUTTING OPEN A BOX AND THE CUTTER SLIP AND CUT SLIP AND CUT MY FINGER | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 55 | M | 12/13/2023 | 08/04/2000 | 12:00:00 AM | 01/01/1990 | 08/04/2000 | 07/12/2023 | 07/12/2023 | Full | 8/5/2000 | 8/5/2000 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Toussaint, Carly x | C6T | 6051 | Nature of Injury: Puncture | Part of Body: Finger(s) | Accident Type: *Not Applicable / None | Source of Injury: Other-NOC | ||||
| 1209-WC-01-0300002 | 1209-WC-01-0300002 | WC/IND/ | WC | IND | NA | RIGHT FOOT CAUGHT BETWEEN PALLET JACK WHILE PERFORMING DUTIES | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 64 | M | 12/13/2023 | 08/17/2000 | 12:00:00 AM | 01/01/1990 | 08/17/2000 | 07/12/2023 | 07/12/2023 | Full | 8/18/2000 | 8/18/2000 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Toussaint, Carly x | C6T | 6051 | Nature of Injury: Strain | Part of Body: Foot | Accident Type: *Not Applicable / None | Source of Injury: Other-NOC | ||||
| 1209-WC-01-0300003 | 1209-WC-01-0300003 | WC/IND/ | WC | IND | NA | I WAS STANDING IN FRONT OF MY JACK READING MY ORDER WHEN SUDDENLY A CO-WORKER RAN INTO MY FOOT W/HIS JACK | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 43 | M | 12/13/2023 | 09/10/2000 | 12:00:00 AM | 01/01/1990 | 09/10/2000 | 07/12/2023 | 07/12/2023 | Full | 9/11/2000 | 9/11/2000 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Toussaint, Carly x | C6T | 6051 | Nature of Injury: Strain | Part of Body: Foot | Accident Type: *Not Applicable / None | Source of Injury: NOC-Motor Vehicle | ||||
| 1209-WC-01-0300004 | 1209-WC-01-0300004 | WC/RO/ | WC | RO | NA | WALKING FELL BECAUSE OF WATER IN FLOOR | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 68 | F | 08/15/2023 | 09/13/2000 | 12:00:00 AM | 01/01/1990 | 09/13/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Upper Arm | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | ||||||||
| 1209-WC-01-0300005 | 1209-WC-01-0300005 | WC/IND/ | WC | IND | NA | I WAS UNDERNEATH RAILING AND I STOOD UP THINKING I CLEARED IT | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 61 | F | 12/13/2023 | 08/31/2000 | 12:00:00 AM | 01/01/1990 | 08/31/2000 | 07/12/2023 | 07/12/2023 | 9/1/2000 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Puncture | Part of Body: Multiple Head Injury | Accident Type: *Captured Data | Source of Injury: NOC-Striking Against or Stepping On | |||||||
| 1209-WC-01-0300006 | 1209-WC-01-0300006 | WC/IND/ | WC | IND | NA | PALLET WAS BEING AUDITED SELECTOR TRANSFERRING PRODUCT FROM ONE PALLET TO ANOTHER IN THE PROCESS OF I TURNED MY BACK AWAY FROM PALLET PALLET HAD FALLEN TOWARDS ME WHERE I WAS STANDING FREIGHT HAD HIT ME IN THE BACK | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 67 | M | 07/12/2023 | 10/02/2000 | 12:00:00 AM | 01/01/1990 | 10/02/2000 | 07/12/2023 | 07/12/2023 | 10/3/2000 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Strain | Part of Body: Lower Back Area | Accident Type: *Captured Data | Source of Injury: Other-NOC | |||||||
| 1209-WC-01-0300007 | 1209-WC-01-0300007 | WC/IND/ | WC | IND | NA | LIFTING MILK CRATES | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 73 | M | 07/12/2023 | 08/14/2000 | 12:00:00 AM | 01/01/1990 | 08/14/2000 | 07/12/2023 | 07/12/2023 | 8/15/2000 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Strain | Part of Body: Upper Arm | Accident Type: *Captured Data | Source of Injury: Lifting | |||||||
| 1209-WC-01-0300008 | 1209-WC-01-0300008 | WC/IND/ | WC | IND | NA | WHEN REACHING UP TO PULL CLOSE ROLL UP DOOR CAME DOWN AND LANDED ON LEFT KNEE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 73 | M | 07/12/2023 | 08/14/2000 | 12:00:00 AM | 01/01/1990 | 08/14/2000 | 07/12/2023 | 07/12/2023 | 8/15/2000 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Strain | Part of Body: Knee | Accident Type: *Captured Data | Source of Injury: Stationary Object | |||||||
| 1209-WC-01-0300009 | 1209-WC-01-0300009 | WC/IND/ | WC | IND | NA | MVA TRACTOR AND TRAILER RAN ME OFF THE ROAD I HIT EMBANKMENT LIGHT POLE AND GUARD RAIL I BUMPED MY HEAD IN THE ACCIDENT AS WAS VERY STIFF AND SORE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 53 | F | 12/13/2023 | 09/12/2000 | 12:00:00 AM | 01/01/1990 | 09/12/2000 | 07/12/2023 | 07/12/2023 | 9/13/2000 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Multiple Injuries Including Both Physical and Psychological | Part of Body: Multiple Upper Extremities | Accident Type: *Captured Data | Source of Injury: NOC-Motor Vehicle | |||||||
| 1209-WC-01-0300010 | 1209-WC-01-0300010 | WC/MO/ | WC | MO | NA | SLIPPED ON PALLET AND FELL | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 46 | M | 08/21/2023 | 10/25/2000 | 12:00:00 AM | 01/01/1990 | 10/25/2000 | 07/12/2023 | 07/12/2023 | 10/26/2000 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Sprain | Part of Body: Hand | Accident Type: *Captured Data | Source of Injury: Other-NOC | |||||||
| 1209-WC-01-0300011 | 1209-WC-01-0300011 | WC/IND/ | WC | IND | NA | I WAS CUTTING PORK CHOPS FOR A CUSTOMER & CUT MY FINGER ALONG WITH THE CHOPS | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 53 | M | 12/13/2023 | 09/21/2000 | 12:00:00 AM | 01/01/1990 | 09/21/2000 | 07/12/2023 | 07/12/2023 | 9/22/2000 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Puncture | Part of Body: Finger(s) | Accident Type: *Captured Data | Source of Injury: Stationary Object | |||||||
| 1209-WC-01-0300012 | 1209-WC-01-0300012 | WC/IND/ | WC | IND | NA | CASE OF CANNED GOODS FELL OFF TOP OF PALLET ONTO 3 TOES OF LEFT FOOT | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 58 | M | 12/13/2023 | 10/14/2000 | 12:00:00 AM | 01/01/1990 | 10/14/2000 | 07/12/2023 | 07/12/2023 | 10/15/2000 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Strain | Part of Body: Toes | Accident Type: *Captured Data | Source of Injury: Falling or Flying Object | |||||||
| 1209-WC-01-0300013 | 1209-WC-01-0300013 | WC/RO/ | WC | RO | NA | I WAS MOVING A MANUAL PALLET JACK AND AS I WAS TURNING THE JACK IT BOUNCED BACK AND HIT ME WHICH I FELL BACKWARDS ON ANOTHER PALLET | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 86 | F | 08/11/2023 | 10/19/2000 | 12:00:00 AM | 01/01/1990 | 10/19/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Multiple Body Parts (Including | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | ||||||||
| 1209-WC-01-0300014 | 1209-WC-01-0300014 | WC/RO/ | WC | RO | NA | LIFTING EMPTY PALLET WHICH WAS STUCK ON A DOUBLE STACKED PALLET | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 64 | M | 08/18/2023 | 10/27/2000 | 12:00:00 AM | 01/01/1990 | 10/27/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Soft Tissue-Neck | Accident Type: *Not Coded | Source of Injury: Lifting | ||||||||
| 1209-WC-01-0300015 | 1209-WC-01-0300015 | WC/IND/ | WC | IND | NA | I WAS TRYING TO PUT BOXES TOGETHER | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 69 | F | 07/12/2023 | 09/25/2000 | 12:00:00 AM | 01/01/1990 | 09/25/2000 | 07/12/2023 | 07/12/2023 | Full | 9/26/2000 | 8/29/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Strain | Part of Body: Hand | Accident Type: *Captured Data | Source of Injury: Other-NOC | |||||
| 1209-WC-01-0300016 | 1209-WC-01-0300016 | WC/IND/ | WC | IND | NA | I WAS LIFTING A BOX FROM ONE PALLET TO ANOTHER AND MY RIGHT SHOULDER STRUCK A RACK AS I WAS COMING UP WITH THE LOAD | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 53 | M | 12/13/2023 | 08/13/2000 | 12:00:00 AM | 01/01/1990 | 08/13/2000 | 07/12/2023 | 07/12/2023 | Undetermined | 8/14/2000 | 0.00% | MD UEF- A & P | No | $600.00 | $400.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Shoulder(s) | Accident Type: *Not Coded | Source of Injury: NOC-Striking Against or Stepping On | |||||
| 1209-WC-01-0300017 | 1209-WC-01-0300017 | WC/IND/ | WC | IND | NA | CLAIMANT ON PALLET JACK PUT IN REVERSE LOST BALANCE PINNED R ANKLE BETWEEN HIM & POLE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 51 | M | 12/13/2023 | 11/05/2000 | 12:00:00 AM | 01/01/1990 | 11/05/2000 | 07/12/2023 | 07/12/2023 | Full | 11/6/2000 | 8/29/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Fracture | Part of Body: Ankle | Accident Type: *Captured Data | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-01-0300018 | 1209-WC-01-0300018 | WC/IND/ | WC | IND | NA | WHILE REMOVING MEAT FROM THE COOLER I TRIPPED OVER PLASTIC WRAP THAT GOT CAUGHT AROUND MY FEET CAUSING ME TO FALL TO THE FLOOR WITH GREAT FORCE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 66 | M | 12/13/2023 | 08/26/2000 | 12:00:00 AM | 01/01/1990 | 08/26/2000 | 07/12/2023 | 07/12/2023 | Full | 8/26/2000 | 8/29/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Strain | Part of Body: Shoulder(s) | Accident Type: *Captured Data | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-01-0300019 | 1209-WC-01-0300019 | WC/IND/ | WC | IND | NA | VEHICLE ENTERING HIGHWAY DID NOT YIELD TO TRAFFIC OR MERGE JUST TURNED DIRECTLY INTO MY TRAFFIC LANE IN FRONT OF MY VEHICLE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 69 | M | 07/12/2023 | 11/09/2000 | 12:00:00 AM | 01/01/1990 | 11/09/2000 | 07/12/2023 | 07/12/2023 | Full | 11/10/2000 | 8/29/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Multiple Injuries Including Both Physical and Psychological | Part of Body: Multiple Body Parts (Including | Accident Type: *Captured Data | Source of Injury: NOC-Motor Vehicle | |||||
| 1209-WC-01-0300020 | 1209-WC-01-0300020 | WC/RO/ | WC | RO | NA | WHILE LINING UP GROCERY CARTS FOOT SLIPPED OFF CURB TWISTED AND CRACKED BACK | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 92 | M | 08/10/2023 | 10/09/2000 | 12:00:00 AM | 01/01/1990 | 10/09/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Lower Leg | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | ||||||||
| 1209-WC-01-0300021 | 1209-WC-01-0300021 | WC/IND/ | WC | IND | NA | REPETITIVE TWISTING AND BENDING OF BOTH WRISTS AND ARMS CAUSED PROBLEMS | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 81 | F | 07/12/2023 | 12/21/2000 | 12:00:00 AM | 01/01/1990 | 12/21/2000 | 07/12/2023 | 07/12/2023 | Full | 12/22/2000 | 9/5/2023 | 0.00% | MD UEF- A & P | No | $100.00 | $50.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Strain | Part of Body: Multiple Upper Extremities | Accident Type: *Not Coded | Source of Injury: Other-NOC | ||||
| 1209-WC-01-0300022 | 1209-WC-01-0300022 | WC/IND/ | WC | IND | NA | REACHED OUT STOP LARGER BASKET FULL OF TURKEYS FROM FALLING OVER AND BUCKET BENT THUMB BACK | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 57 | M | 12/13/2023 | 12/19/2000 | 12:00:00 AM | 01/01/1990 | 12/19/2000 | 07/12/2023 | 07/12/2023 | Full | 12/20/2000 | 9/5/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Strain | Part of Body: Thumb | Accident Type: *Captured Data | Source of Injury: Falling or Flying Object | |||||
| 1209-WC-01-0300023 | 1209-WC-01-0300023 | WC/IND/ | WC | IND | NA | SCRAPPING FROZEN FOOD DOORS CLEAN W/RAZOR BLADE SLIPPED STABBED MYSELF IN L HAND | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 40 | M | 12/13/2023 | 09/23/2000 | 12:00:00 AM | 01/01/1990 | 09/23/2000 | 07/12/2023 | 07/12/2023 | Full | 9/24/2000 | 9/5/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Laceration | Part of Body: Hand | Accident Type: *Captured Data | Source of Injury: Other-NOC | |||||
| 1209-WC-01-0300024 | 1209-WC-01-0300024 | WC/IND/ | WC | IND | NA | I HAD ROSES IN MY HAND GOING INTO THE WALK IN COOLER I TURNED AROUND TO SAY SOMETHING TO SOMEONE IN THE PRODUCE ROOM THERE WAS A BOX THAT HAD FALLEN IN THE COOLER I DIDN'T SEE IT & FELL OVER IT INJURED BOTH KNEES & MY LEFT HAND WRIST | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 68 | F | 07/12/2023 | 12/23/2000 | 12:00:00 AM | 01/01/1990 | 12/23/2000 | 07/12/2023 | 07/12/2023 | Full | 12/24/2000 | 9/5/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Strain | Part of Body: Multiple Body Parts (Including | Accident Type: *Captured Data | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-01-0300025 | 1209-WC-01-0300025 | WC/IND/ | WC | IND | NA | I SLIPPED WHEN I TRIED TO MOVE A POWER JACK THAT HAD DEAD BATTERIES WHILE THE FLOOR WAS STILL DAMP | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 52 | M | 12/13/2023 | 01/05/2001 | 12:00:00 AM | 01/01/1990 | 01/05/2001 | 07/12/2023 | 07/12/2023 | Full | 1/6/2001 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Strain | Part of Body: Multiple Neck Injury | Accident Type: *Not Coded | Source of Injury: Other-NOC | |||||
| 1209-WC-01-0300026 | 1209-WC-01-0300026 | WC/IND/ | WC | IND | NA | CUT FINGER ON BANDSAW | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 51 | M | 12/13/2023 | 12/30/2000 | 12:00:00 AM | 01/01/1990 | 12/30/2000 | 07/12/2023 | 07/12/2023 | Full | 12/31/2000 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Puncture | Part of Body: Finger(s) | Accident Type: *Not Coded | Source of Injury: Other-NOC | |||||
| 1209-WC-01-0300027 | 1209-WC-01-0300027 | WC/IND/ | WC | IND | NA | WE WERE WORKING ON THE TRAILER PULLING THE BAGS OF BEAN FROM TRAILER THE TRAILER WAS TIPPING WE WERE RUNNING OUT OF IT I HIT MY LEFT FOOT ? KNEE IT SWELL AND PUT ME TO DISABLE 12/11/2000 TO 1/8/01 | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 54 | M | 12/13/2023 | 12/11/2000 | 12:00:00 AM | 01/01/1990 | 12/11/2000 | 07/12/2023 | 07/12/2023 | Full | 12/12/2000 | 12/12/2000 | 0.00% | MD UEF- A & P | No | $700.00 | $467.00 | Toussaint, Carly x | C6T | 6051 | Nature of Injury: Strain | Part of Body: Lower Leg | Accident Type: *Not Applicable / None | Source of Injury: Falling or Flying Object | ||||
| 1209-WC-01-0300028 | 1209-WC-01-0300028 | WC/IND/ | WC | IND | NA | WAS CLEANING SLICER WASN'T CLOSED ALL THE WAY AND CUT FINGER | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 73 | F | 07/12/2023 | 01/24/2001 | 12:00:00 AM | 01/01/1990 | 01/24/2001 | 07/12/2023 | 07/12/2023 | Full | 1/25/2001 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Puncture | Part of Body: Finger(s) | Accident Type: *Not Coded | Source of Injury: Other-NOC | |||||
| 1209-WC-01-0300029 | 1209-WC-01-0300029 | WC/RO/ | WC | RO | NA | PALLET OF ORANGE JUICE TOPPLED OVER ONTO EMPLOYEE PUSHING HIM TO FLOOR | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 83 | M | 08/11/2023 | 01/30/2001 | 12:00:00 AM | 01/01/1990 | 01/30/2001 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Multiple Body Parts (Including | Accident Type: *Not Coded | Source of Injury: Falling or Flying Object | ||||||||
| 1209-WC-01-0300030 | 1209-WC-01-0300030 | WC/IND/ | WC | IND | NA | FELL IN BACK ROOM OVER A PIECE OF WOOD BROKEN FROM A PALLET | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 54 | F | 12/13/2023 | 02/06/2001 | 12:00:00 AM | 01/01/1990 | 02/06/2001 | 07/12/2023 | 07/12/2023 | Full | 2/7/2001 | 0.00% | MD UEF- A & P | No | $6,680.00 | $668.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Strain | Part of Body: Ankle | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-01-0300031 | 1209-WC-01-0300031 | WC/IND/ | WC | IND | NA | While setting up frozen bread for the next morning, a box of frozen bread fell on claimant's left foot, breaking her big toe. | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 76 | F | 07/12/2023 | 02/13/2001 | 03:00:00 PM | 01/02/2000 | 02/13/2001 | 07/12/2023 | 07/12/2023 | Full | 2/14/2001 | 2/21/2001 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Casselman, Missie L. | MLH | 74 | Nature of Injury: Fracture | Part of Body: Great Toe | Accident Type: *Not Applicable / None | Source of Injury: Object Being Lifted or Handled-Struck or | ||||
| 1209-WC-01-0300032 | 1209-WC-01-0300032 | WC/RO/ | WC | RO | NA | CLEANING THE FRYER I LIFTED BOTTOM TO GET THE OIL OUT IT WAS HEAVY | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 88 | F | 07/25/2023 | 02/05/2001 | 12:00:00 AM | 01/01/1990 | 02/05/2001 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Finger(s) | Accident Type: *Not Coded | Source of Injury: Lifting | ||||||||
| 1209-WC-01-0300033 | 1209-WC-01-0300033 | WC/IND/ | WC | IND | NA | FINGER CUT IN MEAT SLICER IN DELI | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 72 | F | 07/12/2023 | 02/25/2001 | 12:00:00 AM | 01/01/1990 | 02/25/2001 | 07/12/2023 | 07/12/2023 | Full | 2/26/2001 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Puncture | Part of Body: Finger(s) | Accident Type: *Not Coded | Source of Injury: Other-NOC | |||||
| 1209-WC-01-0300034 | 1209-WC-01-0300034 | WC/IND/ | WC | IND | NA | A BOX OF PRODUCE FELL ON TOP OF CLAIMANT HE WENT UNCONSCIOUS AND WAS INJURED | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 43 | M | 12/13/2023 | 03/16/2001 | 12:00:00 AM | 01/01/1990 | 03/16/2001 | 07/12/2023 | 07/12/2023 | Full | 3/17/2001 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Multiple Injuries Including Both Physical and Psychological | Part of Body: Multiple Body Parts (Including | Accident Type: *Not Coded | Source of Injury: Falling or Flying Object | |||||
| 1209-WC-01-0300035 | 1209-WC-01-0300035 | WC/RO/ | WC | RO | NA | REPEATED LEFT HAND MOVEMENT HAS CAUSED CARPAL TUNNEL SYNDROME | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 84 | M | 08/15/2023 | 12/18/2000 | 12:00:00 AM | 01/01/1990 | 12/18/2000 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Hand | Accident Type: *Not Coded | Source of Injury: Other-NOC | ||||||||
| 1209-WC-01-0300036 | 1209-WC-01-0300036 | WC/IND/ | WC | IND | NA | IT WAS SNOWING AND VERY COLD THE CAR BEHIND ME COULD NOT STOP AND RAN INTO THE REAR OF MY CAR | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 66 | F | 07/12/2023 | 02/22/2001 | 12:00:00 AM | 01/01/1990 | 02/22/2001 | 07/12/2023 | 07/12/2023 | Full | 2/23/2001 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Strain | Part of Body: Multiple Neck Injury | Accident Type: *Not Coded | Source of Injury: NOC-Motor Vehicle | |||||
| 1209-WC-01-0300037 | 1209-WC-01-0300037 | WC/IND/ | WC | IND | NA | Claimant alleges that she was pulling cart with food bowl on it went into fridge and steel door jammed right arm and elbow in door. | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 76 | F | 07/12/2023 | 02/14/2001 | 12:00:00 AM | 01/01/1990 | 02/14/2001 | 07/12/2023 | 07/12/2023 | 2/15/2001 | 0.00% | MD UEF- A & P | No | $332.97 | $222.00 | Rudasill, Cathy J | CJR | 4039 | Nature of Injury: Strain | Part of Body: Elbow | Accident Type: *Not Applicable / None | Source of Injury: Falling or Flying Object | ||||||
| 1209-WC-01-0300038 | 1209-WC-01-0300038 | WC/IND/ | WC | IND | NA | FELL OFF EMPTY PALLETS TRYING TO GET BASKETS OUT OF LORT FELL BACK- WARDS HURTING KNEE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 77 | M | 07/12/2023 | 03/10/2001 | 12:00:00 AM | 01/01/1990 | 03/10/2001 | 07/12/2023 | 07/12/2023 | Full | 3/11/2001 | 0.00% | MD UEF- A & P | No | $810.00 | $540.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Strain | Part of Body: Knee | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-01-0300039 | 1209-WC-01-0300039 | WC/IND/ | WC | IND | NA | Claimant states he was run over by a pallet jack, injuring his right foot. | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 56 | M | 07/12/2023 | 04/02/2001 | 07:00:00 AM | 01/02/2001 | 04/02/2001 | 07/12/2023 | 07/12/2023 | Full | 4/3/2001 | 4/3/2001 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Casselman, Missie L. | MLH | 74 | Nature of Injury: Strain | Part of Body: Foot | Accident Type: *Not Applicable / None | Source of Injury: Machine or Machinery | ||||
| 1209-WC-01-0300040 | 1209-WC-01-0300040 | WC/IND/ | WC | IND | NA | I WAS WORKING AND CUTTING STUFF FOR SALAD BAT I PUT THE KNIFE ON THE TABLE THEN THE KNIFE FALL DOWN ON RIGHT FOOT AND BLEEDING STARTED | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 70 | F | 07/12/2023 | 03/12/2001 | 12:00:00 AM | 01/01/1990 | 03/12/2001 | 07/12/2023 | 07/12/2023 | Full | 3/13/2001 | 8/17/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Puncture | Part of Body: Foot | Accident Type: *Captured Data | Source of Injury: Falling or Flying Object | |||||
| 1209-WC-01-0300041 | 1209-WC-01-0300041 | WC/IND/ | WC | IND | NA | A STEEL FASTENER FELL ON MY HEAD KNOCKING ME UNCONSCIOUS | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 41 | F | 12/13/2023 | 03/19/2001 | 12:00:00 AM | 01/01/1990 | 03/19/2001 | 07/12/2023 | 07/12/2023 | Full | 3/20/2001 | 0.00% | MD UEF- A & P | No | $202.00 | $135.00 | Amenta, Steven D | S5A | 4010 | Nature of Injury: Multiple Injuries Including Both Physical and Psychological | Part of Body: Multiple Neck Injury | Accident Type: *Not Coded | Source of Injury: Falling or Flying Object | |||||
| 1209-WC-01-0300042 | 1209-WC-01-0300042 | WC/IND/ | WC | IND | NA | Claimant alleges he slipped on ice inside the walk-in freezer, resulting in juries to her lower back and legs. | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 61 | F | 07/12/2023 | 03/15/2001 | 12:00:00 AM | 01/02/2001 | 03/15/2001 | 07/12/2023 | 07/12/2023 | Full | 3/16/2001 | 3/16/2001 | 0.00% | MD UEF- A & P | No | $500.00 | $334.00 | Casselman, Missie L. | MLH | 74 | Nature of Injury: Strain | Part of Body: Multiple Body Parts (Including | Accident Type: *Not Applicable / None | Source of Injury: On Ice or Snow | ||||
| 1209-WC-01-0300043 | 1209-WC-01-0300043 | WC/IND/ | WC | IND | NA | SUBJECT FELL ON LEFT LEG | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 74 | M | 07/12/2023 | 04/17/2001 | 12:00:00 AM | 01/01/1990 | 04/17/2001 | 07/12/2023 | 07/12/2023 | 4/18/2001 | 0.00% | MD UEF- A & P | No | $0.00 | Joseph, Kathy A | KAJ | 3350 | Nature of Injury: Strain | Part of Body: Knee | Accident Type: *Captured Data | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||||
| 1209-WC-01-0300044 | 1209-WC-01-0300044 | WC/IND/ | WC | IND | NA | SLIPPED IN SEAFOOD DEPT AREA AND FELL HARD ON LEFT KNEE | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 52 | M | 12/13/2023 | 04/02/2001 | 12:00:00 AM | 01/01/1990 | 04/02/2001 | 07/12/2023 | 07/12/2023 | Full | 4/3/2001 | 8/29/2023 | 0.00% | MD UEF- A & P | No | $500.00 | Maszon, Michele D | 0MD | 4009 | Nature of Injury: Strain | Part of Body: Multiple Lower Extremities | Accident Type: *Captured Data | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-01-0300045 | 1209-WC-01-0300045 | WC/RO/ | WC | RO | NA | WHILE LOOKING FOR MEAT SCRAPER IN SINK WATE CUT HAND ON KNIVE THAT WAS IN WATER | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Closed | Maryland | 80 | M | 08/11/2023 | 03/30/2001 | 12:00:00 AM | 01/01/1990 | 03/30/2001 | 07/12/2023 | 07/12/2023 | 0.00% | MD UEF- A & P | No | $0.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Puncture | Part of Body: Finger(s) | Accident Type: *Not Coded | Source of Injury: NOC-Striking Against or Stepping On | ||||||||
| 1209-WC-01-0300046 | 1209-WC-01-0300046 | WC/IND/ | WC | IND | NA | Claimant alleges that accident occurred while unloading freight off of pallet | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 44 | M | 12/13/2023 | 03/17/2001 | 12:00:00 AM | 01/01/1990 | 03/17/2001 | 07/12/2023 | 07/12/2023 | Off | 3/18/2001 | 3/18/2001 | 3/18/2020 | 0.00% | MD UEF- A & P | No | $275.00 | $184.00 | Rudasill, Cathy J | CJR | 4039 | Nature of Injury: Strain | Part of Body: Upper Leg | Accident Type: *Not Applicable / None | Source of Injury: Other-NOC | |||
| 1209-WC-01-0300047 | 1209-WC-01-0300047 | WC/IND/ | WC | IND | NA | WAS PULLING CASES OF WATER THAT STARTED TO FALL I TOOK 2 OR 3 STEPS BACK TO AVOID GETTING HIT I STUMBLED OVER PALLET WITH A CASE OF WATER IN MY HAND I TWISTED MY LEFT LEG | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 53 | M | 12/13/2023 | 03/31/2001 | 12:00:00 AM | 01/01/1990 | 03/31/2001 | 07/12/2023 | 07/12/2023 | Undetermined | 4/1/2001 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Knee | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-01-0300048 | 1209-WC-01-0300048 | WC/IND/ | WC | IND | NA | FELL NEAR TIME CLOCK | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Open | Maryland | 64 | F | 07/12/2023 | 04/07/2001 | 12:00:00 AM | 01/01/1990 | 04/07/2001 | 07/12/2023 | 07/12/2023 | Undetermined | 4/8/2001 | 0.00% | MD UEF- A & P | No | $250.00 | $167.00 | Schaffer, Michael L. | MLS | 46 | Nature of Injury: Strain | Part of Body: Hand | Accident Type: *Not Coded | Source of Injury: NOC-Fall, Slip, or Trip Injury | |||||
| 1209-WC-01-0300049 | 1209-WC-01-0300049 | WC/IND/ | WC | IND | NA | Claimant alleges that he was walking backwards putting bail on a truck when he slipped between the dock and the truck | MD UEF- A & P ( 000011 ) | 000011 | 358462 | MD UEF- A & P | LL2RES | LL2 RESERVED | LL3RES | LL3 RESERVED | LL4RES | LL4 RESERVED | 1209L5 | Location Level 5 is not used | 1209 | Re-open | Maryland | 80 | M | 12/13/2023 | 03/24/2001 | 12:00:00 AM | 01/01/1990 | 03/24/2001 | 07/12/2023 | 07/12/2023 | Off | 3/25/2001 | 3/25/2001 | 3/25/2001 | 0.00% | 7005 Security Blvd | |||||||||||||
| Baltimore, MD 21207 | No | $250.00 | $167.00 | Rudasill, Cathy J | CJR | 4039 | Nature of Injury: Strain | Part of Body: Knee | Accident Type: *Not Applicable / None | Source of Injury: NOC-Fall, Slip, or Trip Injury | Occupation: Employee | Jurisdiction Claim No: B523268 | Type of Loss: Trauma | Injury Type: Medical Only | (0913) DOMESTIC WORKERS?RESIDENCES?FULL-TIME (N/A CT, MA) | No | B523268 | Maryland | Pennsylvania | 526002033 | 07/01/2000 | 06/30/2001 | Employer Name: A & P | Coverage Found: | If Coverage Found: Unknown | County of Employer: Baltimore | $0.00 | $10,250.00 | $10,250.00 | $0.00 | $0.00 | $0.00 | $0.00 |
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