Employment Injury Death Benefit
|
|
Injury Benefit Weekly Payments |
Injury Benefit Monthly Payments |
DEATH BENEFIT WEEKLY AND MONTHLY BENEFIT |
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|
Weekly Widow / Widower |
Monthly Widow / Widower |
Weekly Dependent Child |
Monthly Dependent Child |
Weekly Dependent Parents |
Monthly Dependent Parents |
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|
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 |