I look forward to working together with you to resolve your case. Please send the following information to me by email, fax, or U.S. mail, whichever is easiest for you.

• The names and addresses of all the parties including the Social Security number, Date of Birth, and Date of Injury of the applicant. Ideally you can forward an intake document containing this information.
• A few recent medical reports that outline your client’s current condition, including non-industrial medical conditions. They do not have to be medical/legal reports. I am looking for reports that include the factors that are of importance in calculating a “rated age.” Anything that points out conditions such as obesity, smoking, hypertension, heart condition, or diabetes is usually what the annuity companies are looking for, in addition to the industrial factors.
• If you want an evaluation of the value of future medical costs, I will need recent medical reports and a 2-year payment history from the carrier.
• Status of the MSA, if required. If it has already been completed, please send it to me.
• Also valuable is any information regarding other factors impacting the value of the case, such as the level of permanent disability, PD rates if it is a split, apportionment, UR issues. etc.
• If this is a death case, I will need the DOI, Death Benefit start date, the rate of payment, and the DOBs of all the dependants. No medicals required.

Ellen J. Langell
Langell Settlement Consultants
5050 Laguna Blvd., Suite 112, #579
Elk Grove, CA 95758
Phone: 800.215.9180
Fax: 916.880.5494
Email: [email protected]
CA Lic. #OG57649