Employee: Debra Highley
Injury No: 03-138799
Before the
DIVISION OF WORKERS'
COMPENSATION
Department of Labor and Industrial Relations of Missouri
Jefferson City, Missouri
Dependents: ---
Employer: Von Weise Gear (previously settled)
Additional Party State Treasurer, as custodian of the Second Injury Fund
Insurer: Travelers Insurance
Checked by: KD/bb
The claimant, Ms. Debra Highley, and the State Treasurer, as Custodian of the Second Injury Fund, appeared at hearing by and through their counsel and entered into certain stipulations and agreements as to the issues and evidence to be presented in this claim for compensation as against the Second Injury Fund only. The primary claim as against the involved employer, Von Weise Gear, and its insurer, Travelers Insurance, was previously settled.
The parties have stipulated that the involved work injury resulted in a permanent partial disability of each of the wrists equivalent to 15 % of each the left and right upper extremities at the 175 week level, see Section 287.190.1(5) RSMo. The parties have further stipulated that the applicable rate for permanent partial disability is
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CC1. Certified medical records of Missouri Baptist Medical Center (55 pages)
CC2. Certified medical records of Missouri Baptist Medical Center (5 pages)
DD. Medical report of Gary J. Schmidt. M.D., dated 6/7/04
EE1. Certified medical records of Parkcrest Orthopedics (8 pages)
EE2. Certified medical records of Parkcrest Orthopedics (4 pages)
EE3. Certified medical records of Parkcrest Orthopedics (1 page)
FF. Certified medical records of The Orthopedics Center of St. Louis
GG. Certified medical records of N.E.I. of St. Louis (Dr. Peeples)
HH. Certified medical records of Barnes-Jewish Hospital, Washington University Pain Management Center
II. Certified medical records of Phelps County Regional Medical Center
JJ. Stipulations for Compromise Settlement, Injury Number 88-175230
KK. Stipulation for Compromise Settlement, Injury Number 90-119626
LL. Stipulation for Compromise Settlement, Injury Number 94-041560
MM. Stipulation for Compromise Settlement, Injury Number 94-201421
NN. Stipulation for Compromise Settlement, Injury Number 95-155295
OO. Stipulation for Compromise Settlement, Injury Number 00-167193
PP. Stipulation for Compromise Settlement, Injury Number 01-113837
QQ. Stipulation for Compromise Settlement, Injury Number 03-138799
RR. Deposition of Debra K. Highley, taken on 8/04/06
SS. Wage statement