Note that this information should be in a letter that was sent to the victim at retirement or in a Federal Retirement Benefits printout: Date that victim entered the FERS system (date used to calculate Creditable Service for Retirement), Total years and months of credited service, Letter from Office of Personnel Management (OPM) confirming that the victims disability retirement has been approved and stating the conditions forming the basis of the disability, Amount of Monthly Disability Pension in first 12 months (already reduced by Social Security benefits), Amount of Disability Pension after 12 months (already reduced by Social Security benefits), Estimate of re-calculated Disability Pension at age 62, Type of survivor benefit (e.g., Basic Employee Death Benefit, Survivor Annuity). The average death claim was compensated at $2,082,128. Understanding the VCF's Claim Review Process As a result of this amendment, if a victim or family member of a decedent has received, or is entitled to receive, payments from the New York State Workers Compensation Board related to an eligible condition, in general, the VCF will offset those payments. Check the following table to see the payout amounts per claimant category in that fiscal year: What Is the Average Compensation for 9/11 Victims? PDF Congressional Budget Office July 11, 2019 Cost Estimate This includes compensation paid to your dependents or to the beneficiaries of a deceased victim as a result of the eligible injury, such as benefits that the Social Security Administration pays to dependents of a disabled or deceased wage earner. Disabling conditions that fall in one category will not be deemed equivalent to conditions that fall in another category. Law No. Please only submit documents that are related to your 9/11-related eligible physical conditions. Federal employees in the Federal Employees Retirement System (FERS) or Civil Service Retirement System (CSRS) who are claiming loss of future earnings/benefits must submit the following: Individuals who receive a disability pension from FERS should also submit: Personal Representatives filing a wrongful death claim must submit a letter from OPM confirming the following: For union members and employees of Con Edison or Verizon, the VCF models typically include: (1)a defined benefit pension equal to 15% of base salary, and (2)an annuity equal to 7% of base salary if your union offers an annuity fund. The expenses are acceptable expenses as outlined in, The claim is submitted with the required documentation and in the required format, as explained in. What is the 9/11 Victim Compensation Fund formula? If you do not submit complete information about your benefits, the VCF will apply its standard default values: a 401k employer contribution equal to 4% of base salary and $2,400 per year for health insurance. Victim Compensation Fund Claims for Cancer | Fuchsberg Law Firm If you are claiming economic loss, we obtain information and documentation from various third parties, such as the Social Security Administration (SSA), the FDNY, the NYPD, and the New York State Workers Compensation Board, regarding your disability, earnings history, and/or pensions if we have not already done so as part of our preliminary eligibility review. To do this, the VCF needs documents describing the pension plan and how the pension would be calculated. The VCF does not reimburse recipients for attorney's fees, which are to be paid by the claimant. 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. This includes information about collateral offsets that apply to both economic and non-economic loss, proof of cause of death for a wrongful death claim, or a missing Exhibit 1, which allows us to receive information from SSA in support of your claim. A personal statement discussing the impact of the eligible conditions on your life. The 2019 reauthorization legislation provides all necessary appropriations for VCF awards and administrative expenses through the end of FY2092. As a result, the VCF has established specific criteria about when and how you should submit your claim for medical expenses. Moreover, the VCF will not disregard a determination that attributed your disability to an ineligible condition, even if it was later changed. Another award is made to a successful applicant for an economic loss, which includes lost benefits, lost earnings, household services, and out of pocket medical expenses. The VCF was reauthorized on December 18, 2015, with the enactment of Title IV of Division O of the Share sensitive information only on official, secure websites. The VCF will calculate pension loss for victims who worked for a New York City agency that is part of the New York City Employees Retirement System (NYCERS)(e.g., NYC Department of Sanitation, the NYC Department of Corrections, or EMS personnel employed by FDNY), and victims who worked for New York State entities that are part of the New York State and Local Retirement System (NYSLRS) (e.g., employees of New York State government agencies, municipalities in New York other than NYC, and other local government entities), if complete documentation is provided. Accordingly, non-economic loss is based generally on the severity of the condition and the effect of the condition on the victims ability to maintain normal activities of daily living. Amount ($000s) 2020 Enacted [37] [29] $0* If you believe you meet this threshold, you should request special circumstances consideration on appeal after your initial award has been determined. Presumptive defined benefit pension values assume a five-year vesting requirement, normal retirement age of 65, and a benefit factor of 1% of average salary for the final five years of employment. If Year 5 total earnings exceed 120% of average, the pension basis will be capped at 120%. 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 Special Master will exercise discretion in valuing the appropriate deductions for collateral offsets by determining the following: While it is not possible to define in advance every possible collateral source deduction, the following general illustrations should provide guidance: The following are NOT considered collateral offsets: The Special Master has discretion to determine which offsets should be applied to which losses. However, this is not all of what goes into VCF cancer payouts. Please read this letter carefully. [9] The present value adjustments will be based on the period of presumed economic loss (which is in turn based on the age of the victim). For example, you may submit a letter from your employer describing the retirement benefit or paystubs that reflect the employers contribution to your retirement account. Some Workers Compensation laws, both domestic and foreign, contain provisions that would allow the insurance carrier to assert a lien against an award issued from the VCF. Medical Evaluation Board and/or Physician Evaluation Board report). The VCF Actalso requires that the Special Master prioritize claims with the most debilitating physical conditions. As explainedin Section 5, amendments on deceased claims are not otherwise permitted. Under the VCF Act, the VCF does not compensate for potential or anticipated future medical expenses. Please note: For deceased victims, the VCF will submit Personal Representatives Letters of Administration to both NYCERS and NYSLRS along with the completed Exhibit B1 form you provided with the claim. Generally, the Special Master will consider the three calendar years of employment history before the decrease in the victims earnings capacity as a result of the victims disability due to the eligible conditions or the victims death, but the Special Master also may consider other factors or other years or combinations of years in evaluating the claim. 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. A claimant will be considered to have been fully compensated if the compensation s/he received in VCF1 exceeds the amount of compensation s/he is eligible to receive in VCF2 based on his/her eligible conditions and the circumstances of the claim. VCF award amount, but there are limits on the amounts of individual awards for economic and noneconomic losses claimants suffered. This approach was intended to avoid a penalty to the victim. The maximum non-economic loss for any one type of cancer condition is $250,000, and the maximum non-economic loss for any one type of non- cancer condition is $90,000. Other examples include computed tomography scans, x-rays, endoscopies, esophagogastroduodenoscopies, laryngoscopies, polysomnography or sleep studies, or other diagnostic and treatment procedures. Replacement services loss is intended to replace something that was lost that is, something the victim used to do. If you believe that your SSA earnings history does not fully account for future earnings potential, then you must provide documentation supporting any argument that the VCF should take into consideration other information in determining future earnings. Money is also allocated to people who have been diagnosed with cancers, lung diseases, and numerous other non-cancerous medical conditions after being exposed to dust, debris, and other toxins at Ground Zero. 800-887-7299 ENEnglish ESSpanish Our Team Meet Dan Hansen Meet Troy Rosasco Our Team Why Choose Us 9/11 Victim Programs Victim Compensation Fund (VCF) WTC Health Program (WTCHP) Wrongful Death VCF Claims VCF Eligibility & Coverage Appeals & Amendments VCF Proof of Presence Claims Procedures Deadlines Pain & Suffering Damages Melanoma Skin Cancer 9/11 Victim Compensation Fund Law Firm The VCF will consider the WTC Health Program Disability Evaluation report in combination with the facts and circumstances of the claim to determine if a lost earnings award is appropriate. For example, you could submit letters or reports from specialists who treated your eligible conditions. The VCF is required to consider your non-economic loss in the context of the current statutory caps. Independent of life-cycle increases, inflation and real overall productivity increases of 2% and 1%, respectively, are applied each year. If you do not appeal, we authorize payment within 20 days of the end of the 30-day appeal period. 4 You should then deduct the amount you have received or are entitled to receive from any collateral sources as described above. The VCF will compensate for documented out-of-pocket burial or memorial expenses for victims who died as a result of an eligible 9/11-related physical injury. Death claims averaged a compensation amount of $2,082,128. Note that the VCF generally will not compensate for the loss of military earnings and benefits unless you left the service due to an eligible condition. 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. Moreover, computation of the after-tax discount rate using a relatively high combined New York income tax rate, compared to other states, results in a lower after-tax discount rate. 2. See the Collateral Source Offsets section for more information. The 9/11 Victim Count Is Still Climbing, and Hundreds of - Newsweek In some cases, even where the record supports the determination that the victims death was related to an eligible condition, it is not clear that the victims death resulted in a compensable loss. You should not contact NYCERS or NYSLRS directly to obtain this information. If you are filing on behalf of a deceased victim and you have provided sufficient evidence that the cause of death was related to aneligible condition, the VCF will generally calculate lost earnings and benefits resulting from the victims death if it is clear from the information in the claim file that the victims death resulted in a compensable loss. After extensive fact finding, public outreach, and review of public comments in the original VCF, the Special Master and the Department of Justice concluded that the most rational and just way to approach the difficult task of placing a dollar amount on the pain and emotional suffering experienced by the thousands of individuals killed or injured by the September 11th attacks was to assess the non-economic losses for categories of victims. There are some cases, however, where a victim continued to earn income at the same level after s/he was determined to be disabled by a governmental entity. Here are popular VCF payout questions answered: The VCF may also, in an appropriate case, make a replacement services award in a personal injury claim where the claimant did not have prior earned income or worked only part-time outside the home. To learn more about the World Trade Center Health Program or the World Trade Center Victim's Compensation Fund, . PDF The September 11th Victim Compensation Fund (VCF): Background and Therefore, this information should be viewed as a general guide to how the VCF implements our fundamental principles: fairness to the claimants, faithfulness to the statute, and accountability to the public, in the service of compensating demonstrable loss caused by an eligible condition. You do not need to resubmit documents in support of your medical expenses claim if you already submitted them with your claim form, although you may submit additional documentation. The VCF will evaluate these types of payments on a case-by-case basis. If you submit medical records, please highlight the relevant information in the records so the VCF can easily find the pertinent information or provide a written guide or statement directing us to the relevant pages. Claimants receiving benefits through the Workers Compensation WTC Volunteer Fund should provide the VCF with their Workers Compensation file number. The amendment may be filed at any time following receipt of your initial award determination, but no later than October 1, 2090. Pain and Suffering Damages From 9/11 | WTC VCF Awards Some categories of offsets apply only to certain categories of loss. 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. While every individual's claim is different depending on their individual circumstances, this is a standard calculation used for everyone who has an eligible condition to file a claim. His VCF award was $1,012,392 reduced by offsets for a pension and prior lawsuit of $404,833, for a total award of $607,558. Note that, in all cases, even though the conditions may be treated as equivalent when deciding whether a disabling condition is the same as your eligible conditions, these conditions are NOT equivalent for the purposes of determining the appropriate non-economic loss award amount, as discussed in Section 2.1 above. In general, this is based on the higher of Year 5 earnings or 3-year-average. The Special Master uses effective income tax rates derived from published Internal Revenue Service (IRS) data on selected income and tax items for Individual Income Tax Returns by State. Thus, for example, the Special Master has determined that Workers Compensation benefits that are payable only if the spouse does not remarry will be offset throughout the period of compensated loss unless evidence is submitted that the spouse in fact remarried and the benefits in fact terminated. Compensation Programs - WTC Health Program - CDC 911 Cancer Claim | 911 Cancer Fund & VCF Cancer Awards Explained This further lessens the resulting subtraction, compared to personal consumption rates typically applied in litigation, if there are other earners in the household. It is not possible to define and categorize in advance every possible collateral source deduction. The Special Master has the discretion to exclude from consideration life insurance proceeds that are distributed to persons other than the beneficiaries of the VCF award. Musculoskeletal Disorders (Responders only) Acute Traumatic Injury. During the course of an individuals career, the rate of annual real life-cycle growth tends to gradually decline until a peak real earnings level is attained. To determine the amount, the VCF will consider how the injury affects your daily life, what kind of condition you have, and the severity. [2] Effective income tax rates derived from IRS data for New York are shown in Table 1 below. Add this amount to the total computed above. 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. In many cases, these issues are best addressed in the context of an appeal hearing. The VCF (which stands for "Victim Compensation Fund") provides financial compensation for those who were physically injured or died as a result of an eligible 9/11-related illness (these include cancer claims ). Similarly, payments from other government or private entities that are subject to liens may not be offset from the VCF award if sufficient evidence of the lien is submitted. For married or single individuals with dependents,[5] these expenditure categories include Food, Apparel & Services, Transportation, Entertainment, Personal Care Products and Services, and Miscellaneous. . Recent medical records documenting severity and/or effect of the condition on daily life. Obstructive Airways Diseases include asthma, bronchiectasis, chronic airway obstruction, chronic bronchitis, chronic obstructive pulmonary disease (COPD), emphysema, reactive airways disease, reactive airways dysfunction, and respiratory conditions due to fumes and vapors. Claims that have more complex compensation information take more time to review. If you withdraw all of your economic loss claims, the VCF will then review your claim for non-economic loss only. In addition, if you filed your initial claim before December 18, 2020, and you did not claim medical expenses in your initial claim, you may file an amendment for medical expenses, and we will consider it, subject to the other requirements discussed in this document. The VCF will also use the standard default values if you did not have benefits or if your benefits were less than the standard default values. Personal consumption adjustment for decedents: For claims for deceased victims whose death was related to an eligible condition, the VCF subtracts from annual projected compensable income and benefits the decedents share of household expenditures or consumption as a percentage of income, using expenditure data by income level obtained from Table 2. The VCF considers the fact that you became more (fully) disabled after your VCF1 award was issued as evidence that your same, eligible condition has worsened and that you suffered losses that were not previously fully compensated. Because your VCF1 non-economic loss exceeds the maximum amount allowed by law for those conditions ($90,000), no additional losses will be awarded. Such a statement is most helpful if it provides a timeline and details on the medical treatments you have experienced. Do not hesitate to contact us toll-free at 844-982-2667 if we may be of service. Do not contact NYCERS if we ask you for updated LOAs as the one-year rule applies to all requests for documents and this will burden their limited resources and delay the process. Specifically, the NY Workers Compensation law, Section 29(1-b) provides as follows: 1-b. Anybody with a physical health certification from the WTC Health Program and/or medical proof that they suffer from a condition the federal government has linked to 9/11 can qualify for an award for "pain and suffering", also known as "non-economic loss." 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. If you do not notify the VCF, we will assume that there are no liens. The VCF has arrangements with NYCERS and NYSLRS, whereby these entities provide directly to the VCF the information and documentation needed to evaluate disability, lost earnings, and pension benefits for its members (living and deceased), upon receipt of a completed Exhibit B1. If your medical expenses claim does not meet the documentation requirements described in this section, the VCF reserves the right to deny the claim. The $7.3 billion fund has already paid out about $5 billion. If you have a diagnosis of melanoma skin cancer that you believe may be related to 9/11, click or call our Kreindler 9/11 VCF team at 877-505-0090 for helpful answers about your eligibility for compensation. 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. If you are physically injured as a result of an eligible condition, you can make a claim for earnings/benefits you lost before you submitted your claim to the VCF, and you can make a claim for earnings/benefits you expect to lose in the future (after submission of your claim) as a result of your eligible condition. Deceased Claims:If you filed an amendment for medical expenses on a deceased claim on or before December 18, 2020 we will review the amendment, and will consider reimbursement for medical expenses subject to the other requirements discussed in this document. The expenses were paid prior to the date the WTC Health Program certified the applicable condition as eligible for treatment (applicable condition refers to the specific condition for which the expenses were incurred). Barasch & McGarry is the leading law firm helping . The September 11th Victim Compensation Fund (VCF) For that reason, even if a claimants eligible condition has worsened since VCF1, s/he may not qualify for additional losses. If the governmental agency determines that the cause of disability is a condition that the VCF has found eligible, then the disability determination will provide a basis for a determination of future loss of earnings/benefits. Tax benefits received from the Federal Government as a result of the enactment of the Victims of Terrorism Tax Relief Act of 2001 (Pub. The VCF will treat all conditions in the category of Obstructive Airways Diseases (OAD) as equivalent. 4. This includes determining the types of loss being claimed. A special responsibility - Harvard Law School These claimants might require lung transplants (sometimes double lung transplants), or significant mechanical respiratory assistance on a daily basis. 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. The VCF makes one award for the non-economic loss, also referred to as pain and suffering. Sections 2.2.f-i contain information specific to victims who worked for New York City (including FDNY and NYPD) and the Federal government (including military and military reserve); and. This is the bar by which the Special Master will measure the appropriateness of an increase above the cap, and it will be done in consideration of all other circumstances of the claim and the totality of the award. If you have been found partially or totally disabled by the Department of Veterans Affairs (VA) because of your military service, notify the VCF. [7] These alternative techniques included an analysis of BLS data on household expenditures reported by household size, with expenditure categories allocated equally among household members or allocated according to the methodology suggested by authors Robert Patton & David Nelson in their 1991 Journal of Forensic Economics article, Estimating Personal Consumption Costs in Wrongful Death Cases.. VCF Policies and Procedures Section 3: Awards and Payment Date effective November 16, 2022 When the VCF has made an award determination for your claim, you will receive a letter notifying you of the amount of your award. Typically, the VCF's . The lower the after-tax discount rate, the higher the present value of presumed economic loss. The Special Master may reduce the amount of the offset for a pension to take account of self-contributions to that plan over the injured victims or decedents lifetime. The VCF can award a 9/11 cancer victim up to $250,000 for pain, suffering and loss of enjoyment of life. . If you are requesting economic loss but you have a disability application pending, and if your application for disability is based on a condition that is eligible for the VCF, or if you intend to file for a disability based on your VCF-eligible condition, you should wait to submit your claim until the application is decided. See the section below about documentation of employment-related benefits. 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). Rupa Bhattacharyya works to ensure that fair compensation goes to the victims of the September 11th attacks. To help the VCF understand the severity and effect of your condition, you may want to submit supporting documents related to your condition with your claim. Post 9/11 & VCF Frequently Asked Questions | Barasch & McGarry You do not need to resubmit documents you have already submitted in support of your amendment, but you must be certain the documentation you provided meets the requirements outlined in Documentation Required to Support a Medical Expenses Claim below. 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. Application of statutory limitation on annual gross income: In accordance withthe VCF Act, for each year of loss, the methodology limits the annual loss of earnings and other benefits related to employment that fall under the definition of gross income in section 61 of the Internal Revenue Code of 1986 to $200,000. How Much Money Do World Trade Center Victims Get? The VCF will treat all conditions in the category of Interstitial Lung Diseases (ILD) as equivalent. If you notify the VCF within 90 days of the date you learned that you were entitled to receive a new or revised collateral source payment, your determined or paid award will not be adjusted to reflect the new or revised entitlement or payment. It may facilitate the processing of your claim, however, if you submit to the VCF any determination you have received from the PSOB program, or documentation of a payment from the PSOB program, when you submit your claim. It may also include documentation that was included in the claimants pension file and was reviewed in the course of the disability determination process. To request a review in the case of a decrease in a collateral source payment when the higher payment was used in the calculation of your award, you must file an amendment. If you receive, or become entitled to receive, any additional payment that constitutes a collateral offset at any time after you submit your claim including after any award has been determined and paid until the VCF closes on October 1, 2090, you are required to notify the VCF in writing within 90 days by completing and submitting the Collateral Offset Update Form found under Forms and Resources on the VCF website.
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