Employment Injury Death Benefit

 



EARNINGS CLASS

Injury Benefit Weekly Payments

Injury Benefit Monthly Payments

DEATH BENEFIT WEEKLY AND MONTHLY BENEFIT

Weekly Widow / Widower

Monthly Widow / Widower

 Weekly Dependent Child

 Monthly Dependent Child

 Weekly Dependent Parents

 Monthly Dependent Parents

 I

              106.84

              462.97

     64.00

     277.33

        32.00

      138.67

        32.00

      138.67

 II

              158.49

              686.79

     95.24

     412.71

        47.00

      203.67

        47.00

      203.67

 III

              209.36

              907.23

  126.00

     546.00

        63.00

      273.00

        63.00

      273.00

 IV

              267.86

           1,160.73

  160.75

     696.58

        79.75

      345.58

        79.75

      345.58

 V

              335.86

           1,455.39

  201.25

     872.08

      101.25

      438.75

      101.25

      438.75

 VI

              407.36

           1,765.23

  244.49

  1,059.46

      122.25

      529.75

      122.25

      529.75

 VII

              478.03

           2,071.46

  287.24

  1,244.71

      143.00

      619.67

      143.00

      619.67

 VIII

              548.73

           2,377.83

  328.76

  1,424.63

      165.00

      715.00

      165.00

      715.00

 IX

              627.07

           2,717.30

  376.76

  1,632.63

      187.76

      813.63

      187.76

      813.63

 X

              709.75

           3,075.58

  425.51

  1,843.88

      212.76

      921.96

      212.76

      921.96

 XI

              792.41

           3,433.78

  475.51

  2,060.54

      237.76

   1,030.29

      237.76

   1,030.29

 XII

              881.82

           3,821.22

  529.37

  2,293.94

      264.68

   1,146.95

      264.68

   1,146.95

 XIII

              983.33

           4,261.10

  590.00

  2,556.67

      295.00

   1,278.33

      295.00

   1,278.33

 XIV

           1,090.00

           4,723.33

  654.00

  2,834.00

      327.00

   1,417.00

      327.00

   1,417.00

 XV

           1,211.67

           5,250.57

  727.00

  3,150.33

      363.50

   1,575.17

      363.50

   1,575.17

 XVI

           1,276.67

           5,532.24

  766.00

  3,319.33

      383.00

   1,659.67

      383.00

   1,659.67

 

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