Similarly, if the victim has cancer and severe non-cancer conditions, the Special Master may issue an award that makes an adjustment above $250,000 to account for multiple conditions. For example, the VCF will deduct from the award the amount that an FDNY victim receives under a WTC disability pension provided that the disability pension is for an eligible condition. Note: The non-economic award is not automatically tied to the degree of disability (to the extent there is an occupational disability determination as a result of an eligible 9/11-related physical injury or condition). You must complete and submit a consent for release of SSA information (Exhibit 1 to the Claim Form) in order for the VCF to obtain this information. Here is a look at the September 11th Victim Compensation Fund (VCF) and the James Zadroga 9/11 Health and Compensation Act of 2010.. Facts From 2001 to 2003, the September 11th Victim Compensation . The average death claim was compensated at $2,082,128. Notwithstanding any other provision of this chapter to the contrary, the state insurance fund, if compensation and/or medical benefits be payable therefrom, or otherwise the person, association, corporation, insurance carrier or statutory fund liable for the payment of such compensation and/or medical benefits: (a) shall not have a lien on the proceeds of any award from the September eleventh victim compensation fund of two thousand one established pursuant to title IV of the federal air transportation safety and system stabilization act, public law 107-42, as amended; and (b) shall not terminate or reduce such compensation and/or medical benefits based upon the submission of a claim for an award from such federal fund, and/or the waiver or compromise of any cause of action resulting from such submission.. In order to be compensated for replacement services, the Personal Representative seeking compensation on the claim must demonstrate that the victim performed prior to his or her death from the eligible condition. See the section below about documentation of employment-related benefits. If you were found to be partially disabled due to an eligible condition in VCF1 based on an FDNY disability determination, and the Social Security Administration subsequently determined that you became fully disabled due to the same condition after your VCF1 award was issued, you may be eligible for additional compensation. As an example, in the case of Social Security childrens benefits, the Special Master will determine the monthly benefit to the child, multiply that benefit by the number of months remaining until the child reaches age 18 (taking into account possible limits such as maximum family benefits available), include if consistent with Social Security guidelines a factor for inflation, and then discount the total to present value to determine the amount of the offset. The cost NIOSH incurs in reimbursing treatment under the WTC Health Program. In many cases, these circumstances are best addressed in the context of an appeal hearing. The VCF has an arrangement with the PSOB program to exchange information regarding the status of any claim, the amount of any award determination and payment, and the basis of the award determination. The VCF Actalso requires that the Special Master prioritize claims with the most debilitating physical conditions. The severity of the 9/11 health condition The type of condition, cancer, or illness The ways that the condition has impacted the responder or survivor's life Contact a New York City 9/11 Victim Compensation Fund Attorney Administrators of the VCF fund calculate the award amounts with a complex formula that takes into account where they were located during the period of eligibility and the amount of time they were exposed to toxic elements. When uploading the Supporting Documentation Packet to your claim, select the document type Medical Expense Supporting Documentation Packet. If you fail to include the required supporting documentation, your claim for medical expenses will be denied. The following information, which is used to calculate the victims pension. In addition, the law requires the Special Master, in each case, to take account of the harm to the claimant, the facts of the claims, and the individual circumstances of the claimant. If you are an employee of Con Edison or Verizon, pension calculation statements from Con Edison or Verizon. - An FDNY Lieutenant who became disabled from working by severe WTC related pulmonary conditions at age 52. If a claimant requests and is approved to enter the Process, a WTC Health Program physician will conduct a one-time disability evaluation of the claimant and prepare a disability evaluation report, which the claimant will submit with his/her claim. Only expenses that you have paid out-of-pocket, and that were incurred prior to WTC Health Program certification of the applicable condition, will be reimbursed. Likewise, if you are disabled due to an Obstructive Airways Disease and you have been deemed eligible by the VCF only for Interstitial Lung Disease, the disability determination is not a basis for awarding lost earnings. The lowest compensation amount was $87.02. The VCF awards compensation to 9/11 responders and survivors who have been diagnosed with health conditions linked to the toxins in the dust cloud. If your claim is missing documentation that we need in order to calculate your award, you will receive a missing information letter. See Table 7: Which Offsets Apply to Which Types of Loss. The VCF enables compensation for the following categories: Victims of the 9/11 attack Family members of the deceased victims The 9/11 attorneys at Gregory J. Cannata & Associates are highly experienced and regarded in gathering and reviewing the appropriate information to help ensure the success of an award. See Required Documents to Support Lost Earnings for Certain Unions and Employers. Thus, if you retired on a disability pension due to an eligible condition, the VCF will only offset that pension to the extent it is greater than the amount you were entitled to receive as a service pension. Kreindler has been helping 9/11 victims since 2001, and to-date, we have helped our clients recover more than $3 billion through the Victim Compensation Fund. The methodology computes the loss in each year (including pensions) and caps the loss at $200,000 in each year. Required Documents to Support Lost Earnings for Certain Unions and Employers, Documentation Required to Support a Medical Expenses Claim, Civil Division Freedom of Information Act. A claimant may be partially disabled from performing a certain occupation due to his/her eligible injury or condition but the fact of an occupational disability alone will not warrant a non-economic award higher than the presumptive base value. As a result, and consistent with the statute and regulations governing the VCF, the VCFwill offset any indemnity benefits a VCF claimant receives, or is entitled to receive in the future, from the WTC Volunteer Fund for an eligible condition. If you have had such tests, please submit the test results including the physicians interpretation of the tests. It is not an appropriate use of SSAs resources to request re-evaluation for this purpose. Please read this letter carefully. And third, because we are spending public funds, we must ensure that every aspect of the award is adequately justified and documented. Work-life expectancy: Determine a measure of the victims expected remaining years of workforce participation using the tabulated work-life expectancies for the victims age at the time of death or at the time the victim was unable to work, or had to reduce work, as a result of eligible conditions contained in the publication, Gary R. Skoog, James E. Ciecka, Kurt V. Krueger, The Markov Model of Labor Force Activity 2012-17: Extended Tables of Central Tendency, Shape, Percentile Points, and Bootstrap Standard Errors, Journal of Forensic Economics, Volume 28, Issue 1 (2019), pp. While unpaid volunteers are normally ineligible for Workers' Compensation benefits, the New York Workers' Compensation Law was amended to provide a unique exception for certain volunteers who assisted with World Trade Center rescue, recovery, and clean-up efforts. In such a case, if medical records submitted provide no other discernable basis for the claimants SSA disability, then it will be presumed that the eligible Interstitial Lung Disease is the same as the disabling condition. Compensation that would have been payable upon retirement or death regardless of when or why the victim retired or died is not payable as a result of the terrorist-related aircraft crashes of September 11, 2001, and therefore is not collateral source compensation. You must submit any claim for burial or memorial service costs with the initial claim submission. If you are not receiving a pension, submit a letter from your union/Con Edison/Verizon stating that you are not receiving a pension. In some cases, even where the record supports the determination that your disability is related to an eligible condition, it is not clear that your disability resulted in a compensable loss. Collateral offsets are compensation from other sources that you received or became entitled to receive as a result of your eligible injury and must be subtracted from the award. For those who have been granted a WTC disability or reclassification, the pension value is 75% of the higher value, with the exception noted above. Those registered . We are committed to representing our fellow New Yorkers to secure all of the compensation your sacrifices have entitled you to. For example, the Special Master considered that over the course of their projected careers, younger victims could expect to cross into higher income brackets, and be subject to corresponding higher income tax rates, on account of experience-based real lifetime earnings growth in excess of economy-wide national wage increases. Because published estimated work-life expectancies by gender are lower for women than men, this specification increases the duration of estimated foregone earnings, and thus presumed economic losses, for female victims and was implemented by the Special Master to accommodate for potential increases in labor force participation rates of women. The exception will be made only in the small number of non-cancer claims where the claimant has an interstitial lung disease (ILD) or other pulmonary illness where the effects of the condition are so severe that they are similar in all relevant respects to what a claimant with lung cancer might suffer. If you have applied or plan to apply to PSOB Programs for a September 11th-related injury, you should note the PSOB application in the Collateral Offsets section of the claim form. If your employer provided benefits such as a 401K match or other types of benefits that you would ordinarily receive at the time of retirement, you should submit proof of such benefits in order for the VCF to compute the loss. A personal statement discussing the impact of the eligible conditions on your life. Recommendation of the FDNY Pension Fund re: Accident Disability: This is a recommendation of the 1-B Medical Board on FDNY letterhead regarding whether the individual should be awarded an accident disability retirement. If services are no longer relevant, they will not be compensated (for example, child care services will not be compensated after the child reaches age 18). A member of the Kreindler 9/11 VCF team can discuss all of these factors with you. In addition to evidence of a disability and a compensable loss, you must submit information about collateral source payments that the VCF may be required to offset against a lost earnings award. NYPD victims who retired on a non-WTC-related accidental pension, ordinary disability pension that is not based on VCF-eligible conditions, or service pension will not be eligible for a lost earnings award unless they can provide a disability determination from a third-party entity such as the Social Security Administration or a treating physician that identifies a VCF-eligible condition as a basis of the disability determination. Compensation for military service members and uniformed service members is based on the amount of your basic pay (BPY), which is the largest component of military pay, plus any additional factors influencing military pay (e.g. The VCF will also consider when and how a claimant left the workforce, particularly if the claimant stopped working before the disability onset date identified in the disability determination. Once you receive your award determination, you will need to determine if the out-of-pocket medical expenses you incurred meet the $5,000 minimum threshold and other criteria noted above and are acceptable expenses as described in Acceptable Medical Expenses Claims below. If SSA or another entity found you disabled based on a condition that is not eligible for compensation by the VCF, please do not contact SSA or the other entity to request that they change your disability determination solely for the purpose of obtaining VCF compensation. See the Collateral Source Offsets section for more information. This means that we consider both fairness to the individual claimant as well as fairness to the entire claimant population, with priority given to those who suffer from the most debilitating physical conditions. payments under the September 11th Victim Compensation Fund of 2001 . When filing your amendment, you must identify the specific type(s) of economic loss claim(s) you are withdrawing: past lost earnings, future lost earnings, replacement services, and/or medical expenses. The VCF will not compensate for any travel expenses you incurred while seeking medical treatment, including the cost of gas, public transportation, hotels, and meals, except in extraordinary circumstances. There are limited circumstances in which the VCF may assume that the victim would have continued working past age 65, such as where the victim was providing financial support to minor children. If you believe that your eligible condition has caused a loss of earnings that is distinct from any loss of earnings due to an ineligible condition, you must provide evidence to the VCF to substantiate your claim. Recent medical documents that show the type and frequency of medical treatments you have had for your condition. Congress amended the Public Safety Officers Benefits Act (42 U.S.C. . If you have already filed your claim requesting economic loss, but you have a disability application pending or you are qualified to apply for disability, you should notify the VCF immediately that there is a pending disability application or that you intend to apply. dollars for the family of an NYPD police officer who died as a result of 9/11 related cancer. To that end, the sections below provide detailed information about how we generally evaluate and calculate compensation for non-economic and economic loss. Recent documentation of the medications required to manage your condition and how often you take those medications. More information about Non-Economic Loss, Economic Loss, and Collateral Offsets can be found in the sections below. Letter from the Board of Trustees of the Fire Department Pension Fund Regarding Award of Accident Disability Retirement: This is a letter issued to the individual on FDNY letterhead from the Director of the Board of Trustees of the Fire Department Pension Fund regarding whether the Board approved or disapproved the victims application for accident disability retirement. If the service or medication is provided to you by the WTC Health Program, it is not eligible for reimbursement from the VCF and you should not include it with your claim. Our claim analysis therefore always begins with three essential questions: was there a demonstrable loss, can we reasonably conclude the loss was caused by a WTC-related eligible condition, and what makes sense in the context of this claimant and the individual circumstances of this claim? Because claims for reimbursement of out-of-pocket medical expenses require the submission and review of significant documentation establishing that the claimed medical expense was related to your eligible condition, that you personally paid for the expense out of pocket, and that the expense was incurred prior to your WTC Health Program certification for the applicable condition, processing these claims takes time and can delay your award. CNN Editorial Research Here is a look at the September 11th Victim Compensation Fund (VCF) and the James Zadroga 9/11 Health and Compensation Act of 2010. He was earning about $100,000 per year at the time of his disability. Replacement services loss is intended to replace something that was lost that is, something the victim used to do. You will need to submit documents to show the benefits you received before the eligible injury/death and any claimed losses associated with employer-provided benefits. Official websites use .gov (LockA locked padlock) In many cases, these issues are best addressed in the context of an appeal hearing. Under the VCF Act, the VCF does not compensate for potential or anticipated future medical expenses. For these claims, it may be necessary to provide a disability determination or other documentation that explains the relationship between the loss of earnings and the eligible condition. Although CPS and other data used to study lifetime earnings profiles indicate that peak real earnings typically decline at some point, in calculating life-cycle earnings growth in excess of inflation and overall productivity adjustments for victims, the Special Master has assumed that peak earnings are maintained. Consumption rates calculated using alternative techniques were considered but found to produce higher personal consumption rates and were not ultimately used to determine the decedents household consumption adjustment. The VCF will treat all conditions in the category of Interstitial Lung Diseases (ILD) as equivalent. Bankruptcy Bankruptcy courts treat VCF benefits differently according to the facts of the individual case. Each of these types of loss is explained in the sections below. Each person who was killed or injured in the September 11th attacks suffered grievous harm, and each person experienced the unspeakable events of that day in a unique way. In some cases,the VCF may estimate your benefits using presumptive values. However, the VCF requires that claimants be enrolled in and have their physical condition (s) certified for treatment by the WTC Health Program in order to process a VCF claim and award compensation. If you know that payments or benefits you have received are subject to a lien, you must notify the VCF. The VCF focuses on recent documentation, from within three years of the claim submission date, when evaluating non-economic loss. Given the volume and variability of claims, and the legal requirement that the Special Master consider individual circumstances in each case, however, it is not possible to cover every potential situation in this document. [2] Average combined effective income tax rates by earnings bracket were calculated based on an analysis of IRS data for the most recent tax years available: 2007, 2008, and 2009. In the event these funds are also exhausted, the NY Workers Compensation Law now provides that WTC volunteers may receive benefits directly from the Uninsured Employers Fund, which is funded by fines paid by employers who do not comply with insurance coverage requirements. [3] Real life-cycle increases are typically higher in the earlier stages of ones career, one reason being unrealized opportunities for advancement and promotion that individuals in later stages of their careers have already experienced. The maximum noneconomic award for any one type of noncancerous condition is $90,000. This means you must submit an amendment and request re-review of your economic loss claim. If Year 5 total earnings exceed 120% of average, the pension basis will be capped at 120%. The VCF will not reimburse expenses that were covered by another entity, and will only reimburse that portion of the expenses that is directly related to the death of the victim or to memorializing his or her passing. The $250,000 cap for a single cancer condition will not be exceeded under this authority. When considering whether the disabling condition identified in the disability determination is the same as your VCF-eligible condition, the VCF will apply the following presumptions: Thus, in each of the cases identified above, if you have been deemed disabled due to one of the listed conditions, and another condition treated as equivalent has been deemed eligible for compensation by the VCF, your disability determination supports a lost earnings award. In order to accelerate the review of claims for all claimants, the VCF will not review voluminous medical records (i.e., 75 pages or more) that are submitted without highlighting or a written guide. Although it is recognized that a different after-tax interest rate could theoretically be calculated for each age, income, and state combination, such a computation was impracticable for the large-scale valuations to be undertaken here.
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