Compensation up to $250,000 and payment of medical expenses
- Impairment compensation- based on a decrease in the functioning of a body part on organ as it affects the whole body, as a result of a covered illness.
An impairment rating is performed by a qualified physician once the claimant has reached Maximum Medical Improvement (i.e. the condition is unlikely to improve with additional medical treatment). Impairment compensation is calculated at:
- $2500 for each one percent of whole body impairment
- Wage loss compensation- based on the number of years that the employee sustained a reduction in earnings as a result of a covered illness. Wage loss compensation is payable for years of lost wages that are prior to regular Social Security Retirement age (usually age 65).
Wage loss compensation is calculated at:
- $10,000 for each year in which wages were 25-50% less than the Average Annual Wage (AAW).
The AAW is the average earnings for the 12 quarters (36 months) prior to the first quarter of wage loss.
- $15,000 for each year in which wages were less than 50% of the AAW
Eligible survivors may receive compensation of $125,000 if the employee's death was caused, contributed to or aggravated by the covered illness. Eligible survivors include:
- A spouse who was married to the employee for one year prior to his/her death.
- If there is no surviving spouse, then compensation may be awarded to a covered child if, at the time of the employee's death, the child was under the age of 18, under the age of 23 years and a full-time student, or any age and incapable of self support .
- Survivor benefits may be increased if the employee sustained wage loss prior to retirement age as a result of the covered illness, as follows:
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An additional $25,000 – if the employee had between 10 and 19 years of wage loss or
- An additional $50,000 – if the employee had 20 years or more wage loss
Medical expenses awarded are in addition to and not included in calculating the $250,000 maximum compensation amount.