See Section 5 for additional information about amending your claim. 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. 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. How Much Am I Eligible For? See the section below about documentation of employment-related benefits. For example, an employer might provide a statement showing your compensation history and time periods where you missed work and were not compensated. Collateral sources may include life insurance, pension funds, death benefit programs, settlement payments from September 11th-related lawsuits, and payments by federal, state, or local governments related to the terrorist-related aircraft crashes of September 11, 2001, or debris removal in the immediate aftermath. The VCF Act establishes certain caps on non-economic awards for physical injury claims. 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 consider claims for medical expenses only if the total amount legitimately claimed in your amendment exceeds $5,000. The start date and amount of the victims pension. See Section 2.3 for a detailed explanation of the methodology used to calculate future lost earnings. 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. Where survivor benefits being paid to a disabled child may continue after age 18 but are subject to evaluation for continuing disability, the Special Master has discretion not to deduct them to extent they cannot be determined with reasonable certainty. The VCF must consider evidence of an eligible disability in light of all the evidence, including an ineligible condition that is also disabling. Historical earnings: this includes last 5-year total earnings and 3-year average of highest 3 of 5 years, Pension amount: In general, this is based on the higher of Year 5 earnings or 3-year average, Type of retirement: WTC Accidental or Reclassification, Accidental Disability (not WTC-related), Ordinary Disability (not WTC-related), or Service Retirement, Date of retirement and, if reclassified, date of WTC reclassification, Basis of disability determination generally: e.g., pulmonary, GERD, cancer, orthopedic, Date of initial entry to military service (DIEMS), Pay Date (Per Leave and Earnings Statement), Type of retirement from the military (e.g. Employer-provided benefits: Add the value of employer-provided benefits (or other benefits received through employment, such as from a union or government pension program). If Year 5 total earnings exceed 120% of average, the pension basis will be capped at 120%. The VCF also offers compensation for non-economic losses to the families of 9/11 victims who died as a result of the attacks or subsequent debris removal. service, disability). You must be certain any documentation you provide meets the requirements outlined in Documentation Required to Support a Medical Expenses Claim below. Some categories of offsets apply only to certain categories of loss. When the victim demonstrates mild or negligible impairment on daily life, or if the eligible conditions have resolved over time or are reasonably well-controlled through over-the- counter medication, the non-economic award begins at $10,000 and may increase depending on the severity of the condition as demonstrated by recent medical records (medical records that are dated within three years of the claim submission date). The Special Master has the discretion to adjust the amount of offsets to exclude premiums or assets that were accumulated by the victim through self-contributions paid into a life insurance program to build up a tax-deferred cash value. Treatment expenses billed to you as a co-payment, after denial of insurance coverage, or that you pay because they fall within your insurance deductible, may be reimbursed if appropriate documentation is submitted. If the paid medical expenses you incurred meet the VCF criteria, and you want to seek reimbursement of the expenses, you must submit an amendment to reactivate your request. VCF Factsheet - WTC Health Program - CDC It was determined that the net effect of these and other facilitating assumptions was to increase the potential amount of presumed economic loss to the benefit of the victim. Fact Sheet on HR. 1786/ S.928, What is the goal of the reopened The VCF Act defines non-economic loss as losses for physical and emotional pain, suffering, inconvenience, physical impairment, mental anguish, disfigurement, loss of enjoyment of life, loss of society and companionship, loss of consortium (other than loss of domestic service), hedonic damages, injury to reputation, and all other non-pecuniary losses of any kind or nature. Records of state and federal agency proceedings or private insurance records that address your medical condition. 7. Are VCF Awards Taxable? A 9/11 Attorney Explains Each of these types of loss is explained in the sections below. Deferred or vested compensation from employment. In general, this is based on the higher of Year 5 earnings or 3-year-average. More information about Non-Economic Loss, Economic Loss, and Collateral Offsets can be found in the sections below. If you did not have SSA earnings (e.g., worked outside the United States or do not have a Social Security number), then you must provide other documents demonstrating earnings including tax returns, statements of profit/loss from a business (if self- employed), W2 forms, 1099 forms, pay stubs, or employment offer letters. 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 An additional $9 million was provided by the State of New York in 2016. 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. Please be sure to refer to the most recent chartprior to filing your amendment for medical expenses. By law, the VCF can only compensate for losses caused by eligible conditions related to the events of September 11, 2001. 5. 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. 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. In certain situations, we may deactivate your claim and stop our review if we are missing critical information. Examples of the types of tasks that are considered for replacement services compensation are services that the victim provided to the family, such as cleaning, cooking, child care, home maintenance and repairs, and financial services. Thus, if you are disabled due to an Interstitial Lung Disease and you have been deemed eligible by the VCF only for Obstructive Airways Diseases, the disability determination is not a basis for awarding lost earnings. If you submit medical records that fall outside of the three-year timeframe, you must highlight them and provide an explanation about why they are important. How are Economic Loss and Non-Economic Loss Determined for VCF Awards 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. As a general rule, under the terms of the VCF Act, the Special Master has identified the following conditions as presumptively severe and debilitating and warranting the highest allowable non-economic loss award for a non-cancer condition, without any further documentation: Emphysema, Interstitial Lung Disease (including Asbestosis), and Sarcoidosis. The Special Master has determined that individual age-specific growth rates, rather than growth independent of a particular age bracket at death, better reflects the expected pattern of earnings over ones career[3] and results in more equitable and consistent projections for victims close to each other in age with otherwise similar family and employment characteristics. Under the VCF Act, the VCF does not compensate for potential or anticipated future medical expenses. A Pension Work History or similar document from the union, showing the number of hours worked and credits earned in every year of work. Bankruptcy Bankruptcy courts treat VCF benefits differently according to the facts of the individual case. 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. 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. The types of documents listed below can assist the VCF in the evaluation of your claim: A document from your physician summarizing the medical history of your condition and treatment will often be sufficient to prove the extent of your non-economic loss. 1/60th calculation (for those who served over 20 years), Total annual retirement salary (i.e., pension amount). Recent medical records documenting severity and/or effect of the condition on daily life. Present value: Calculate the present value of projected earnings and fringe benefits using discount rates based on a weighted average of historical yields on mid- to long-term U.S. Treasury securities, adjusted for income taxes using a mid-range effective tax rate. 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. The VCF Act establishescertain caps on non-economic awards for physical injury claims. If you're preparing to submit a claim to the VCF, you may have many questions about the September 11 th Victim Compensation Fund ("VCF") claim review process. If, as a benefit of your employment, you are a member of a defined benefit pension plan, and you submit documentation of all information required to calculate a pension benefit under your plan, the VCF generally will calculate your benefits using that data. This survey is widely recognized as a primary source of data on employment status and workforce characteristics of the civilian non-institutional population ages 16 years and older. Recent medical documents that show the type and frequency of medical treatments you have had for your condition. Once the VCF confirms that you have met the eligibility criteria, we begin initial review of your compensation information. See theWTC Health Program Disability Evaluation Process for complete details on the Process. This has the effect of decreasing offsets and, thus, increasing the amount of VCF awards. If you are receiving a lump sum pension, the amount of the lump sum pension. dollars for the family of an NYPD police officer who died as a result of 9/11 related cancer. 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. 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. An exception to this general rule may arise in those cases where a claimant is found disabled by the SSA due to Chronic Pulmonary Insufficiency or Chronic Respiratory Disorders and his or her only eligible condition is an Interstitial Lung Disease (e.g., sarcoidosis or pulmonary fibrosis). If you received $125,000 of non-economic loss in VCF1 for asthma, and you amend in VCF2 for additional non-economic loss for newly certified interstitial lung disease and emphysema that have progressively worsened, the VCF will consider you to be fully compensated for your eligible conditions and will not award additional non-economic loss. This means you must submit an amendment and request re-review of your economic loss claim. 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. Non-Cancer VCF Payouts. Victim Compensation Fund Claims for Cancer | Fuchsberg Law Firm The VCF Actalso requires that the Special Master prioritize claims with the most debilitating physical conditions. If you are an employee of Con Edison or Verizon, pension calculation statements from Con Edison or Verizon. 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. 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. If you do not notify the VCF, we will assume that there are no liens. 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. Examples of such documentation might include a medical report explaining that you had to miss work because of your eligible condition, determinations by an insurance carrier that provided disability coverage and which specify the disabling condition, or Workers Compensation records. 300mm-22(a). If you withdraw all of your economic loss claims, the VCF will then review your claim for non-economic loss only. The VCF may also accept a determination of disability made by a private insurer or a treating physician if they are sufficiently detailed as to the effect of the VCF eligible condition, distinguish those effects from those of ineligible conditions, and provide sufficient information from which the onset and severity of the disabling condition may be determined. If the VCF, with reasonable effort, cannot clearly identify the required documentation necessary to support each claimed medical expense, the VCF reserves the right to deny your medical expenses claim. After your award is received, any changes in entitlement to survivor benefits, such as a determination of continuing disability at age 18, should be reported on the Collateral Offset Update Form.. Facts From 2001 to 2003, the September . Rupa Bhattacharyya works to ensure that fair compensation goes to the victims of the September 11th attacks. For each FDNY victim who is claiming loss of future earnings and benefits and has provided the appropriate authorization, the FDNY sends the VCF the following information, which the VCF uses to calculate economic loss: Generally speaking, because we receive this information directly from the FDNY, anFDNY victim who has been granted a disability pension does not need to submit any additional pension documentation unless the claimant asserts loss from non-FDNY employment. 107). The Special Master will use the expected work-life for active males, with a full-time beginning labor force state, to compute expected remaining years of workforce participation for both male and female victims. PDF Congressional Budget Office July 11, 2019 Cost Estimate Chronic obstructive pulmonary disease (COPD), Respiratory conditions due to fumes and vapors, Cyclosporine (Restasis, Sandimmune, Neoral, Gengraf, Apo- Cyclosporine), Methotrexate (Trexall, Rheeumatrex, Rasuvo, Otrexup), Pathology Esophagus, gastric, duodenum specimens, Cryotherapy ( also known as cryoabalation, cryosurgery). The VCF focuses on recent documentation, from within three years of the claim submission date, when evaluating non-economic loss. It may also include documentation that was included in the claimants pension file and was reviewed in the course of the disability determination process. 25 . For example, if the victim left the workforce more than one year before death without a permanent partial or total occupational disability determination based on an eligible 9/11-related physical health condition, the VCF will consider the reasons the victim originally left the workforce and the likelihood that the victim would have returned to the workforce were it not for the victims eligible condition in determining whether the victim actually lost compensation as a result of an eligible condition. The fund, which was opened in 2011, compensates for deaths and illnesses due to exposure to toxins at the sites of the Sept. 11 attacks. There is a cap on certain types of non-economic awards According to VCF.gov, the maximum noneconomic award for any single type of cancer is $250,000, except skin cancer, which is in the range of $90,000. We are committed to representing our fellow New Yorkers to secure all of the compensation your sacrifices have entitled you to. For married or single individuals with dependents,[5] these expenditure categories include Food, Apparel & Services, Transportation, Entertainment, Personal Care Products and Services, and Miscellaneous. As explainedin Section 5, amendments on deceased claims are not otherwise permitted. If an individual is eligible for VCF compensation and is also receiving payments from the WTC Volunteer Fund, the VCF will offset certain payments made by the WTC Volunteer Fund. Work-life expectancies are based on actual experiences and behavior of the general population and measure the estimated time in years an individual of a given age will remain in the labor force (either employed or actively seeking work), allowing for age-specific mortality risks and rates of workforce transitions. The VCF is required by the VCF Actto offset (that is, subtract) from the calculated loss the amount of compensation that you have received, or are entitled to receive, from certain collateral sources as a result of the injury that is eligible for compensation. Claimants who receive disability benefits under the federal Supplemental Security Income (SSI) program: If you receive disability benefits under the federal Supplemental Security Income (SSI) program (administered by Social Security) as opposed to under the regular Social Security Disability Income (SSDI) program, please indicate that you are receiving SSI benefits when you file the claim and file an Exhibit 1, making sure to select the box requesting release of Current monthly Supplemental Security Income payment amount. The information that the VCF receives from the SSAwill include information about SSI benefits if applicable.

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