Filed: Nov. 20, 2017
Latest Update: Nov. 20, 2017
Summary: DECISION AWARDING DAMAGES 1 NORA BETH DORSEY , Chief Special Master . On January 27, 2016, petitioner filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. 300aa-10, et seq., 2 (the "Vaccine Act"). Petitioner alleges that O.G.R. was diagnosed with encephalopathy following receipt of Hepatitis A, Haemophilus influenza type B, measles, mumps and rubella (MMR), Prevnar, and varicella vaccinations on February 13, 2013. Petition at 2. The case
Summary: DECISION AWARDING DAMAGES 1 NORA BETH DORSEY , Chief Special Master . On January 27, 2016, petitioner filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. 300aa-10, et seq., 2 (the "Vaccine Act"). Petitioner alleges that O.G.R. was diagnosed with encephalopathy following receipt of Hepatitis A, Haemophilus influenza type B, measles, mumps and rubella (MMR), Prevnar, and varicella vaccinations on February 13, 2013. Petition at 2. The case w..
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DECISION AWARDING DAMAGES1
NORA BETH DORSEY, Chief Special Master.
On January 27, 2016, petitioner filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.,2 (the "Vaccine Act"). Petitioner alleges that O.G.R. was diagnosed with encephalopathy following receipt of Hepatitis A, Haemophilus influenza type B, measles, mumps and rubella (MMR), Prevnar, and varicella vaccinations on February 13, 2013. Petition at 2. The case was assigned to the Special Processing Unit of the Office of Special Masters.
On July 18, 2016, a ruling on entitlement was issued, finding petitioner entitled to compensation for O.G.R.'s encephalopathy injury. On November 17, 2017, respondent filed a proffer on award of compensation ("Proffer"). Respondent proffers that, based upon her review of the evidence of record, petitioner should be awarded:
A. A lump sum in the amount of $1,191,475.29 paid to Regions Bank, as Trustee of the Grantor Reversionary Trust for the benefit of O.G.R.;
B. A lump sum in the amount of $1,043,951.66 paid to the court-appointed guardian(s)/conservator(s) of the estate of O.G.R for the benefit of O.G.R.;
C. A lump sum payment of $278,476.84, representing compensation for satisfaction of the State of Oklahoma Medicaid lien; and
D. An amount sufficient to purchase the annuity contract described above in section II.D.
In the Proffer, respondent represented that petitioner agrees with the proffered award. Based on the record as a whole, the undersigned finds that petitioner is entitled to an award as stated in the Proffer.
Pursuant to the terms stated in the attached Proffer, the undersigned awards petitioner:
A. A lump sum in the amount of $1,191,475.29 paid to Regions Bank, as Trustee of the Grantor Reversionary Trust for the benefit of O.G.R.;
B. A lump sum in the amount of $1,043,951.66 paid to the court-appointed guardian(s)/conservator(s) of the estate of O.G.R for the benefit of O.G.R.;
C. A lump sum payment of $278,476.84, representing compensation for satisfaction of the State of Oklahoma Medicaid lien payable jointly to petitioner and
Oklahoma Health Care Authority
P.O. Box 18497
Oklahoma City, Oklahoma 73154
Attn: Susan L. Eads
c/o Legal Unit
OHCA Case No: 502137
Petitioner agrees to endorse this payment to the State of Oklahoma.; and
D. An amount sufficient to purchase the annuity contract described in Proffer Section II.D.
This amount represents compensation for all damages that would be available under § 300aa-15(a).
The clerk of the court is directed to enter judgment in accordance with this decision.3
IT IS SO ORDERED.
RESPONDENT'S PROFFER ON AWARD OF COMPENSATION
I. Items of Compensation
A. Life Care Items
The respondent engaged life care planner, M. Virginia NeSmith Walton, RN, MSN, FNP, CNCLP, and petitioner engaged Lynne Trautwein, MSN, RN, CCM, CMAC, CNLCP, to provide an estimation of O.G.R.'s future vaccine-injury related needs. For the purposes of this proffer, the term "vaccine related" is as described in the Chief Special Master's Ruling on Entitlement, filed July 18, 2016. All items of compensation identified in the life care plan are supported by the evidence, and are illustrated by the chart entitled Appendix A: Items of Compensation for O.G.R., attached hereto as Tab A.1 Respondent proffers that O.G.R. should be awarded all items of compensation set forth in the life care plan and illustrated by the chart attached at Tab A. Petitioner agrees.
B. Lost Future Earnings
The parties agree that based upon the evidence of record, O.G.R. will not be gainfully employed in the future. Therefore, respondent proffers that O.G.R. should be awarded lost future earnings as provided under the Vaccine Act, 42 U.S.C. § 300aa-15(a)(3)(B). Respondent proffers that the appropriate award for O.G.R.'s lost future earnings is $793,951.66. Petitioner agrees.
C. Pain and Suffering
Respondent proffers that O.G.R. should be awarded $250,000.00 in actual pain and suffering. See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees.
D. Past Unreimbursable Expenses
Petitioner represents that he has not incurred past unreimbursable expenses related to O.G.R.'s vaccine-related injury.
E. Medicaid Lien
Respondent proffers that O.G.R. should be awarded funds to satisfy a State of Oklahoma lien in the amount of $278,476.84, which represents full satisfaction of any right of subrogation, assignment, claim, lien, or cause of action the State of Oklahoma may have against any individual as a result of any Medicaid payments the State of Oklahoma has made to or on behalf of O.G.R. from the date of her eligibility for benefits through the date of judgment in this case as a result of her vaccine-related injury suffered on or about February 13, 2013, under Title XIX of the Social Security Act.
II. Form of the Award
The parties recommend that the compensation provided to O.G.R. should be made through a combination of lump sum payments and future annuity payments as described below, and request that the Chief Special Master's decision and the Court's judgment award the following:2
A. A lump sum payment of $1,191,475.29, representing trust seed funds consisting of the present year cost of compensation for residential facility expenses in Compensation Year 2062 through Compensation Year 2066 ($949,000.00) and life care expenses in the first year after judgment ($242,475.29), in the form of a check payable to Regions Bank, as Trustee of the Grantor Reversionary Trust established for the benefit of O.G.R., as set forth in Appendix A: Items of Compensation for O.G.R.;
B. A lump sum payment of $1,043,951.66, representing compensation for lost future earnings ($793,951.66) and pain and suffering ($250,000.00), in the form of a check payable to petitioner as guardian(s)/conservator(s) of O.G.R., for the benefit of O.G.R. No payments shall be made until petitioner provides respondent with documentation establishing that he has been appointed as the guardian(s)/conservator(s) of O.G.R.'s estate. If petitioner is not authorized by a court of competent jurisdiction to serve as guardian of the estate of O.G.R., any such payment shall be made to the party or parties appointed by a court of competent jurisdiction to serve as guardian(s)/conservator(s) of the estate of O.G.R. upon submission of written documentation of such appointment to the Secretary.
C. A lump sum payment of $278,476.84, representing compensation for satisfaction of the State of Oklahoma Medicaid lien, payable jointly to petitioner and
Oklahoma Health Care Authority
P.O. Box 18497
Oklahoma City, Oklahoma 73154
Attn: Susan L. Eads
c/o Legal Unit
OHCA Case No: 502137
Petitioner agrees to endorse this payment to the State of Oklahoma.
D. An amount sufficient to purchase the annuity contract,3 subject to the conditions described below, that will provide payments for the life care items contained in the life care plan, as illustrated by the chart at Tab A attached hereto, paid to the life insurance company4 from which the annuity will be purchased.5 Compensation for Year Two (beginning on the first anniversary of the date of judgment) and all subsequent years shall be provided through respondent's purchase of an annuity, which annuity shall make payments directly to the trustee only so long as O.G.R. is alive at the time a particular payment is due. At the Secretary's sole discretion, the periodic payments may be provided to the trustee in monthly, quarterly, annual or other installments. The "annual amounts" set forth in the chart at Tab A describe only the total yearly sum to be paid to the trustee and do not require that the payment be made in one annual installment.
1. Growth Rate
Respondent proffers that a four percent (4%) growth rate should be applied to all non-medical life care items, and a five percent (5%) growth rate should be applied to all medical life care items. Thus, the benefits illustrated in the chart at Tab A that are to be paid through annuity payments should grow as follows: four percent (4%) compounded annually from the date of judgment for non-medical items, and five percent (5%) compounded annually from the date of judgment for medical items. Petitioner agrees.
2. Life-Contingent Annuity
The trustee will continue to receive the annuity payments from the Life Insurance Company only so long as O.G.R. is alive at the time that a particular payment is due. Written notice shall be provided to the trustee and the Secretary of Health and Human Services and the Life Insurance Company within twenty (20) days of O.G.R.'s death.
3. Guardianship
No payments shall be made until petitioner provides respondent with documentation establishing that he has been appointed as the guardian of O.G.R.'s estate. If petitioner is not authorized by a court of competent jurisdiction to serve as guardian of the estate of O.G.R., any such payment shall be made to the party or parties appointed by a court of competent jurisdiction to serve as guardian(s)/conservator(s) of the estate of O.G.R. upon submission of written documentation of such appointment to the Secretary.
III. Summary of Recommended Payments Following Judgment
A. Lump Sum paid to Regions Bank, as Trustee of the Grantor
Reversionary Trust for the benefit of O.G.R.: $1,191,475.29
B. Lump Sum paid to the court-appointed guardian(s)/
conservator(s) of the estate of O.G.R for
the benefit of O.G.R.: $1,043,951.66
C. MedicaidLien: $278,476.84
D. An amount sufficient to purchase the annuity contract described
above in section II. D.
Respectfully submitted,
CHAD A. READLER
Acting Assistant Attorney General
C. SALVATORE D'ALESSIO
Acting Director
Torts Branch, Civil Division
CATHARINE E. REEVES
Deputy Director
Torts Branch, Civil Division
HEATHER L. PEARLMAN
Assistant Director
Torts Branch, Civil Division
/s/Camille M. Collett
CAMILLE M. COLLETT
Senior Trial Attorney
Torts Branch, Civil Division
U. S. Department of Justice
P.O. Box 146, Benjamin Franklin Station
Washington, D.C. 20044-0146
Direct dial: (202) 616-4098
Dated: November 17, 2017
Lump Sum
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
2017 2018 2019 2020 2021 2022 2023 2024
BCBS Premium 5% 4,341.36 4,341.36 4,341.36 4,341.36 4,341.36 4,341.36 4,341.36 4,341.36
BCBS MOP 5% 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00
Medicare Part A Deductible 5%
Medicare Part B Premium 5%
Medicare Part B Deductible 5%
Medigap 5%
Medicare Part D 5%
Primary Care Physician 5% *
Mileage: PCP 4% 1.36 1.36 1.36 1.36 1.36 1.36 1.36 1.36
Neurologist 5% *
Mileage: Neurologist 4% 10.54 10.54 10.54 10.54 10.54 10.54 10.54 10.54
Neuro Opthalmologist 5% *
Mileage: Neuro Opthalmologist 4% 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80
Nephrology 5% *
Mileage: Nephrology 4% 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80
Gastroenterologist 5% *
Mileage: Gastroenterologist 4% 7.82 7.82 7.82 7.82 7.82 7.82 7.82 7.82
General Surgery 5% *
Mileage: General Surgery 4% 9.18 9.18 9.18 9.18 9.18 9.18 9.18 9.18
Orthopedic Surgery 5% *
Mileage: Orthopedic Surgery 4% 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40
PM&R 5% *
Mileage: PM&R 4% 74.80 74.80 37.40 37.40 37.40 37.40 37.40 37.40
Dentist 5% 414.00 414.00 414.00 414.00 414.00 414.00 414.00 414.00
Mileage: Dentist 4% 14.45 14.45 14.45 14.45 14.45 14.45 14.45 14.45
X-rays 5% *
Blood Work 5% *
Mileage: Blood Work 4% 19.04 19.04 19.04 19.04 19.04 19.04 19.04 19.04
Emergency Room 5% *
Care Management 4% 7,740.00 5,160.00 5,160.00 5,160.00 2,580.00 2,580.00 2,580.00 2,580.00
Lactulose 5% *
Ciprodex Otic 5% *
Keppra 5% *
Epaned Oral 5% *
Lump Sum
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
2017 2018 2019 2020 2021 2022 2023 2024
Nebulizer 5% *
Disposable Nebulizer Supplies 5% *
Omeprazol 4% 212.92 212.92 212.92 212.92 212.92 212.92 212.92 212.92
Kenalog 5% *
Pediasure Peptide 4% *
Pediasure 4% *
Real Food Blends 4% 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25
Feeding Pump 4% *
Gastrostomy Tube Supplies 4% *
Diapers 4% 593.18 593.18 593.18 593.18 593.18 593.18 593.18 593.18
Gloves 4% 255.21 255.21 255.21 255.21 255.21 255.21 255.21 255.21
Wipes 4% 156.33 156.33 156.33 156.33 156.33 156.33 156.33 156.33
Disp Underpads 4% 127.71 127.71 127.71 127.71 127.71 127.71 127.71 127.71
Washable Underpads 4% 83.97 83.97 83.97 83.97 83.97 83.97 83.97 83.97
Amazon Prime 4% 99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00
Bibs 4% 36.98 36.98 36.98 36.98 36.98 36.98 36.98 36.98
Physical Therapy 4% * 2,070.00 2,070.00 2,070.00 2,070.00 2,070.00 2,070.00 2,070.00 2,070.00
Mileage: Physical Therapy 4% 204.00 204.00 204.00 204.00 204.00 204.00 204.00 204.00
Occupational Therapy 4% 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00
Mileage: Occupational Therapy 4% 204.00 204.00 204.00 204.00 204.00 204.00 204.00 204.00
Speech Therapy 4% 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00
Mileage: Speech Therapy 4% 204.00 204.00 204.00 204.00 204.00 204.00 204.00 204.00
Aug Comm Evaluation 4% * 500.00 500.00 500.00 500.00 500.00 500.00 500.00 500.00
Mileage: Aug Comm Evaluation 4% 4.25 4.25 4.25 4.25 4.25 4.25 4.25 4.25
Aug Comm Devices 4% 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
Special Needs Camp 4% 300.00 300.00 300.00 300.00 300.00
Overnight Camp 4% 325.00 325.00 325.00 325.00 325.00
Mileage: Camp 4% 68.17 68.17 68.17 68.17 68.17
Wheelchair 4% *
Sit & Stander 4% *
Shower Chair 4% 300.00 50.00 50.00
Kid Walk 4% 5,000.00
Hoyer Lift 4% *
Lift Slings 4% 68.00 68.00 68.00
Lump Sum
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
2017 2018 2019 2020 2021 2022 2023 2024
AFOs 4% *
Orthotic Shoes 4% 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00
Tumblefoam Chair 4% 1,337.67 1,337.67
Rehab Equipment 4% 800.00 800.00
Hand Splints 4% 73.32 73.32 73.32 73.32 73.32 73.32 73.32 73.32
Blood Pressure Cuff 4% 23.99
iPad 4% 799.00 799.00
iPad Case 4% 19.95 19.95
Attendant Care 4% 93,960.00 93,960.00 93,960.00 100,440.00 100,440.00 100,440.00 100,440.00 100,440.00
Respite Care 4% 7,560.00 7,560.00 7,560.00 7,560.00 7,560.00 7,560.00 7,560.00 7,560.00
McCarty Cntr 4% 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00
Attendant Care and Trust Seed 4% 949,000.00
Ancillary Services-Housekeeping 4%
Home Mods 4% 73,768.00
Accessible Van 4% 28,500.00
Van Mod Maint 4% 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00
Lost Future Earnings 793,951.66
Pain and Suffering 250,000.00
Medicaid Lien 278,476.84
Annual Totals 2,513,903.79 134,670.67 134,633.27 146,806.44 139,226.44 142,551.06 139,368.43 139,344.44
Note: Compensation Year 1 consists of the 12 month period following the date of judgment.
Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment.
As soon as practicable after entry of judgment, respondent shall make the following payment to Regions Bank, Trustee of the
Grantor Reversionary Trust established for the benefit of O.G.R. for trust seed funds ($949,000.00) and Year 1 life care
expenses ($242,475.29): $1,191,475.29.
As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/
conservator(s) of O.G.R. for lost future earnings ($793,951.66) and pain and suffering ($250,000.00): $1,043,951.66.
As soon as practicable after entry of judgment, respondent shall make the following payment jointly to
petitioners and the State of Oklahoma, as reimbursement of the state's Medicaid lien: $278,476.84.
Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment.
Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment.
Items denoted with an asterisk (*) covered by health insurance and/or Medicare.
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 9 Year 10 Year 11 Year 12 Year 13 Year 14 Year 15 Year 16
2025 2026 2027 2028 2029 2030 2031 2032
BCBS Premium 5% 4,341.36 4,341.36 4,341.36 4,341.36 4,341.36 4,341.36 4,341.36 4,341.36
BCBS MOP 5% 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00
Medicare Part A Deductible 5%
Medicare Part B Premium 5%
Medicare Part B Deductible 5%
Medigap 5%
Medicare Part D 5%
Primary Care Physician 5% *
Mileage: PCP 4% 1.36 1.36 1.36 1.36 1.36 1.36 1.36 1.36
Neurologist 5% *
Mileage: Neurologist 4% 10.54 10.54 10.54 10.54 10.54 10.54 10.54 10.54
Neuro Opthalmologist 5% *
Mileage: Neuro Opthalmologist 4% 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80
Nephrology 5% *
Mileage: Nephrology 4% 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80
Gastroenterologist 5% *
Mileage: Gastroenterologist 4% 7.82 7.82 7.82 7.82 7.82 7.82 7.82 7.82
General Surgery 5% *
Mileage: General Surgery 4% 9.18 9.18 9.18 9.18 9.18 9.18 9.18 9.18
Orthopedic Surgery 5% *
Mileage: Orthopedic Surgery 4% 37.40 37.40 37.40 37.40 37.40 37.40
PM&R 5% *
Mileage: PM&R 4% 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40
Dentist 5% 414.00 414.00 414.00 414.00 414.00 414.00 414.00 414.00
Mileage: Dentist 4% 14.45 14.45 14.45 14.45 14.45 14.45 14.45 14.45
X-rays 5% *
Blood Work 5% *
Mileage: Blood Work 4% 19.04 19.04 19.04 19.04 4.08 4.08 4.08 4.08
Emergency Room 5% *
Care Management 4% 2,580.00 2,580.00 2,580.00 2,580.00 2,580.00 2,580.00 2,580.00 7,740.00
Lactulose 5% *
Ciprodex Otic 5% *
Keppra 5% *
Epaned Oral 5% *
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 9 Year 10 Year 11 Year 12 Year 13 Year 14 Year 15 Year 16
2025 2026 2027 2028 2029 2030 2031 2032
Nebulizer 5% *
Disposable Nebulizer Supplies 5% *
Omeprazol 4% 212.92 212.92 212.92 212.92 212.92 212.92 212.92 212.92
Kenalog 5% *
Pediasure Peptide 4% *
Pediasure 4% *
Real Food Blends 4% 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25
Feeding Pump 4% *
Gastrostomy Tube Supplies 4% *
Diapers 4% 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14
Gloves 4% 255.21 255.21 255.21 255.21 255.21 255.21 255.21 255.21
Wipes 4% 156.33 156.33 156.33 156.33 156.33 156.33 156.33 156.33
Disp Underpads 4% 127.71 127.71 127.71 127.71 127.71 127.71 127.71 127.71
Washable Underpads 4% 83.97 83.97 83.97 83.97 83.97 83.97 83.97 83.97
Amazon Prime 4% 99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00
Bibs 4% 36.98 36.98 36.98 36.98 36.98 36.98 36.98 36.98
Physical Therapy 4% *
Mileage: Physical Therapy 4% 102.00 102.00 102.00 102.00 102.00 102.00 25.50 25.50
Occupational Therapy 4% 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00 4,390.00
Mileage: Occupational Therapy 4% 204.00 204.00 204.00 204.00 204.00 204.00
Speech Therapy 4% 2,230.00 2,230.00 2,230.00 2,230.00 2,230.00 2,230.00
Mileage: Speech Therapy 4% 102.00 102.00 102.00 102.00 102.00 102.00
Aug Comm Evaluation 4% * 500.00 500.00 500.00 500.00 500.00 500.00
Mileage: Aug Comm Evaluation 4% 4.25 4.25 4.25 4.25 4.25 4.25 4.25 4.25
Aug Comm Devices 4% 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
Special Needs Camp 4% 300.00 300.00 300.00 300.00 300.00 300.00
Overnight Camp 4% 325.00 325.00 325.00 325.00 325.00 325.00
Mileage: Camp 4% 68.17 68.17 68.17 68.17 68.17 68.17
Wheelchair 4% *
Sit & Stander 4% *
Shower Chair 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00
Kid Walk 4% 5,000.00 5,000.00
Hoyer Lift 4% *
Lift Slings 4% 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 9 Year 10 Year 11 Year 12 Year 13 Year 14 Year 15 Year 16
2025 2026 2027 2028 2029 2030 2031 2032
AFOs 4% *
Orthotic Shoes 4% 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00
Tumblefoam Chair 4% 1,337.67 1,337.67
Rehab Equipment 4% 800.00 800.00
Hand Splints 4% 73.32 73.32 73.32 73.32 73.32 73.32 73.32 73.32
Blood Pressure Cuff 4% 34.90 3.49 3.49
iPad 4% 799.00 799.00
iPad Case 4% 19.95 19.95
Attendant Care 4% 155,520.00 155,520.00 155,520.00 155,520.00 155,520.00 155,520.00 157,140.00 157,140.00
Respite Care 4% 7,560.00 7,560.00 7,560.00 7,560.00 7,560.00 7,560.00 7,560.00 7,560.00
McCarty Cntr 4% 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00 1,000.00
Attendant Care and Trust Seed 4%
Ancillary Services-Housekeeping 4% 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00
Home Mods 4%
Accessible Van 4% 28,500.00
Van Mod Maint 4% 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00
Lost Future Earnings
Pain and Suffering
Medicaid Lien
Annual Totals 192,159.40 197,159.40 223,616.02 193,797.40 193,782.44 193,817.34 187,172.86 200,289.48
Note: Compensation Year 1 consists of the 12 month period following the date of judgment.
Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment.
As soon as practicable after entry of judgment, respondent shall make the following payment to Regions Bank, Trustee of the
Grantor Reversionary Trust established for the benefit of O.G.R. for trust seed funds ($949,000.00) and Year 1 life care
expenses ($242,475.29): $1,191,475.29.
As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/
conservator(s) of O.G.R. for lost future earnings ($793,951.66) and pain and suffering ($250,000.00): $1,043,951.66.
As soon as practicable after entry of judgment, respondent shall make the following payment jointly to
petitioners and the State of Oklahoma, as reimbursement of the state's Medicaid lien: $278,476.84.
Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment.
Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment.
Items denoted with an asterisk (*) covered by health insurance and/or Medicare.
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 17 Year 18 Years 19-20 Year 21 Year 22 Year 23 Year 24 Year 25
2033 2034 2035-2036 2037 2038 2039 2040 2041
BCBS Premium 5% 6,836.76 6,836.76 6,836.76 6,864.12 7,000.80 7,164.84 7,431.48 7,650.24
BCBS MOP 5% 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00
Medicare Part A Deductible 5%
Medicare Part B Premium 5%
Medicare Part B Deductible 5%
Medigap 5%
Medicare Part D 5%
Primary Care Physician 5% *
Mileage: PCP 4% 1.36 1.36 1.36 1.36 1.36 1.36 1.36 1.36
Neurologist 5% *
Mileage: Neurologist 4% 10.54 10.54 10.54 10.54 10.54 10.54 10.54 10.54
Neuro Opthalmologist 5% *
Mileage: Neuro Opthalmologist 4% 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80
Nephrology 5% *
Mileage: Nephrology 4% 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80
Gastroenterologist 5% *
Mileage: Gastroenterologist 4% 7.82 7.82 7.82 7.82 7.82 7.82 7.82 7.82
General Surgery 5% *
Mileage: General Surgery 4% 9.18 9.18 9.18 9.18 9.18 9.18 9.18 9.18
Orthopedic Surgery 5% *
Mileage: Orthopedic Surgery 4%
PM&R 5% *
Mileage: PM&R 4% 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40
Dentist 5% 414.00 414.00 414.00 414.00 414.00 414.00 414.00 414.00
Mileage: Dentist 4% 14.45 14.45 14.45 14.45 14.45 14.45 14.45 14.45
X-rays 5% *
Blood Work 5% *
Mileage: Blood Work 4% 4.08 4.08 4.08 4.08 4.08 4.08 4.08 4.08
Emergency Room 5% *
Care Management 4% 5,160.00 5,160.00 5,160.00 5,160.00 5,160.00 5,160.00 5,160.00 5,160.00
Lactulose 5% *
Ciprodex Otic 5% *
Keppra 5% *
Epaned Oral 5% *
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 17 Year 18 Years 19-20 Year 21 Year 22 Year 23 Year 24 Year 25
2033 2034 2035-2036 2037 2038 2039 2040 2041
Nebulizer 5% *
Disposable Nebulizer Supplies 5% *
Omeprazol 4% 212.92 212.92 212.92 212.92 212.92 212.92 212.92 212.92
Kenalog 5% *
Pediasure Peptide 4% *
Pediasure 4% *
Real Food Blends 4% 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25
Feeding Pump 4% *
Gastrostomy Tube Supplies 4% *
Diapers 4% 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14
Gloves 4% 255.21 255.21 255.21 255.21 255.21 255.21 255.21 255.21
Wipes 4% 156.33 156.33 156.33 156.33 156.33 156.33 156.33 156.33
Disp Underpads 4% 127.71 127.71 127.71 127.71 127.71 127.71 127.71 127.71
Washable Underpads 4% 83.97 83.97 83.97 83.97 83.97 83.97 83.97 83.97
Amazon Prime 4% 99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00
Bibs 4% 36.98 36.98 36.98 36.98 36.98 36.98 36.98 36.98
Physical Therapy 4% *
Mileage: Physical Therapy 4% 25.50 25.50 25.50 25.50 25.50 25.50 25.50 25.50
Occupational Therapy 4%
Mileage: Occupational Therapy 4%
Speech Therapy 4%
Mileage: Speech Therapy 4%
Aug Comm Evaluation 4% *
Mileage: Aug Comm Evaluation 4% 4.25 4.25 4.25 4.25 4.25 4.25 4.25 4.25
Aug Comm Devices 4% 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
Special Needs Camp 4%
Overnight Camp 4%
Mileage: Camp 4%
Wheelchair 4% *
Sit & Stander 4% *
Shower Chair 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00
Kid Walk 4% 5,000.00 833.33 833.33 833.33
Hoyer Lift 4% *
Lift Slings 4% 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 17 Year 18 Years 19-20 Year 21 Year 22 Year 23 Year 24 Year 25
2033 2034 2035-2036 2037 2038 2039 2040 2041
AFOs 4% *
Orthotic Shoes 4% 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00
Tumblefoam Chair 4% 1,337.67 267.53 267.53 267.53 267.53
Rehab Equipment 4% 800.00 160.00 160.00 160.00 160.00
Hand Splints 4% 73.32 73.32 73.32 73.32 73.32 73.32 73.32 73.32
Blood Pressure Cuff 4% 3.49 3.49 3.49 3.49 3.49 3.49 3.49 3.49
iPad 4% 799.00 159.80 159.80 159.80 159.80
iPad Case 4% 19.95 3.99 3.99 3.99 3.99
Attendant Care 4% 157,140.00
Respite Care 4% 7,560.00
McCarty Cntr 4% 1,000.00
Attendant Care and Trust Seed 4% 189,800.00 189,800.00 189,800.00 189,800.00 189,800.00 189,800.00 189,800.00
Ancillary Services-Housekeeping 4% 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00
Home Mods 4% 73,768.00
Accessible Van 4% 28,500.00 2,850.00 2,850.00 2,850.00 2,850.00
Van Mod Maint 4% 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00
Lost Future Earnings
Pain and Suffering
Medicaid Lien
Annual Totals 192,248.26 290,116.26 216,348.26 247,832.24 224,953.62 220,950.99 221,217.63 221,436.39
Note: Compensation Year 1 consists of the 12 month period following the date of judgment.
Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment.
As soon as practicable after entry of judgment, respondent shall make the following payment to Regions Bank, Trustee of the
Grantor Reversionary Trust established for the benefit of O.G.R. for trust seed funds ($949,000.00) and Year 1 life care
expenses ($242,475.29): $1,191,475.29.
As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/
conservator(s) of O.G.R. for lost future earnings ($793,951.66) and pain and suffering ($250,000.00): $1,043,951.66.
As soon as practicable after entry of judgment, respondent shall make the following payment jointly to
petitioners and the State of Oklahoma, as reimbursement of the state's Medicaid lien: $278,476.84.
Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment.
Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment.
Items denoted with an asterisk (*) covered by health insurance and/or Medicare.
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 26 Year 27 Year 28 Year 29 Year 30 Year 31 Year 32 Years 33-45
2042 2043 2044 2045 2046 2047 2048 2049-2061
BCBS Premium 5% 7,759.68 7,923.72 8,087.88 8,190.36 8,299.80 8,354.52 8,409.12
BCBS MOP 5% 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00 3,300.00
Medicare Part A Deductible 5% 1,316.00
Medicare Part B Premium 5% 1,608.00
Medicare Part B Deductible 5% 183.00
Medigap 5% 3,147.00
Medicare Part D 5% 406.00
Primary Care Physician 5% *
Mileage: PCP 4% 1.36 1.36 1.36 1.36 1.36 1.36 1.36 1.36
Neurologist 5% *
Mileage: Neurologist 4% 10.54 10.54 10.54 10.54 10.54 10.54 10.54 10.54
Neuro Opthalmologist 5% *
Mileage: Neuro Opthalmologist 4% 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80
Nephrology 5% *
Mileage: Nephrology 4% 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80
Gastroenterologist 5% *
Mileage: Gastroenterologist 4% 7.82 7.82 7.82 7.82 7.82 7.82 7.82 7.82
General Surgery 5% *
Mileage: General Surgery 4% 9.18 9.18 9.18 9.18 9.18 9.18 9.18 9.18
Orthopedic Surgery 5% *
Mileage: Orthopedic Surgery 4%
PM&R 5% *
Mileage: PM&R 4% 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40
Dentist 5% 414.00 414.00 414.00 414.00 414.00 414.00 414.00 414.00
Mileage: Dentist 4% 14.45 14.45 14.45 14.45 14.45 14.45 14.45 14.45
X-rays 5% *
Blood Work 5% *
Mileage: Blood Work 4% 4.08 4.08 4.08 4.08 4.08 4.08 4.08 4.08
Emergency Room 5% *
Care Management 4% 5,160.00 5,160.00 5,160.00 5,160.00 5,160.00 5,160.00 5,160.00 5,160.00
Lactulose 5% *
Ciprodex Otic 5% *
Keppra 5% *
Epaned Oral 5% *
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 26 Year 27 Year 28 Year 29 Year 30 Year 31 Year 32 Years 33-45
2042 2043 2044 2045 2046 2047 2048 2049-2061
Nebulizer 5% *
Disposable Nebulizer Supplies 5% *
Omeprazol 4% 212.92 212.92 212.92 212.92 212.92 212.92 212.92 212.92
Kenalog 5% *
Pediasure Peptide 4% *
Pediasure 4% *
Real Food Blends 4% 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25 4,106.25
Feeding Pump 4% *
Gastrostomy Tube Supplies 4% *
Diapers 4% 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14 2,762.14
Gloves 4% 255.21 255.21 255.21 255.21 255.21 255.21 255.21 255.21
Wipes 4% 156.33 156.33 156.33 156.33 156.33 156.33 156.33 156.33
Disp Underpads 4% 127.71 127.71 127.71 127.71 127.71 127.71 127.71 127.71
Washable Underpads 4% 83.97 83.97 83.97 83.97 83.97 83.97 83.97 83.97
Amazon Prime 4% 99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00
Bibs 4% 36.98 36.98 36.98 36.98 36.98 36.98 36.98 36.98
Physical Therapy 4% *
Mileage: Physical Therapy 4% 25.50 25.50 25.50 25.50 25.50 25.50 25.50 25.50
Occupational Therapy 4%
Mileage: Occupational Therapy 4%
Speech Therapy 4%
Mileage: Speech Therapy 4%
Aug Comm Evaluation 4% *
Mileage: Aug Comm Evaluation 4% 4.25 4.25 4.25 4.25 4.25 4.25 4.25 4.25
Aug Comm Devices 4% 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
Special Needs Camp 4%
Overnight Camp 4%
Mileage: Camp 4%
Wheelchair 4% *
Sit & Stander 4% *
Shower Chair 4% 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00
Kid Walk 4% 833.33 833.33 833.33 833.33 833.33 833.33 833.33 833.33
Hoyer Lift 4% *
Lift Slings 4% 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00
Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Year 26 Year 27 Year 28 Year 29 Year 30 Year 31 Year 32 Years 33-45
2042 2043 2044 2045 2046 2047 2048 2049-2061
AFOs 4% *
Orthotic Shoes 4% 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00
Tumblefoam Chair 4% 267.53 267.53 267.53 267.53 267.53 267.53 267.53 267.53
Rehab Equipment 4% 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00
Hand Splints 4% 73.32 73.32 73.32 73.32 73.32 73.32 73.32 73.32
Blood Pressure Cuff 4% 3.49 3.49 3.49 3.49 3.49 3.49 3.49 3.49
iPad 4% 159.80 159.80 159.80 159.80 159.80 159.80 159.80 159.80
iPad Case 4% 3.99 3.99 3.99 3.99 3.99 3.99 3.99 3.99
Attendant Care 4%
Respite Care 4%
McCarty Cntr 4%
Attendant Care and Trust Seed 4% 189,800.00 189,800.00 189,800.00 189,800.00 189,800.00 189,800.00 189,800.00 189,800.00
Ancillary Services-Housekeeping 4% 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00 1,638.00
Home Mods 4%
Accessible Van 4% 2,850.00 2,850.00 2,850.00 2,850.00 2,850.00 2,850.00 2,850.00 2,850.00
Van Mod Maint 4% 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00
Lost Future Earnings
Pain and Suffering
Medicaid Lien
Annual Totals 221,545.83 221,709.87 221,874.03 221,976.51 222,085.95 222,140.67 222,195.27 217,146.15
Note: Compensation Year 1 consists of the 12 month period following the date of judgment.
Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment.
As soon as practicable after entry of judgment, respondent shall make the following payment to Regions Bank, Trustee of the
Grantor Reversionary Trust established for the benefit of O.G.R. for trust seed funds ($949,000.00) and Year 1 life care
expenses ($242,475.29): $1,191,475.29.
As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/
conservator(s) of O.G.R. for lost future earnings ($793,951.66) and pain and suffering ($250,000.00): $1,043,951.66.
As soon as practicable after entry of judgment, respondent shall make the following payment jointly to
petitioners and the State of Oklahoma, as reimbursement of the state's Medicaid lien: $278,476.84.
Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment.
Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment.
Items denoted with an asterisk (*) covered by health insurance and/or Medicare.
Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Years 46-50 Years 51-60 Years 61-Life
2062-2066 2067-2076 2077-Life
BCBS Premium 5%
BCBS MOP 5%
Medicare Part A Deductible 5% 1,316.00 1,316.00
Medicare Part B Premium 5% 1,608.00 1,608.00 1,608.00
Medicare Part B Deductible 5% 183.00 183.00 183.00
Medigap 5% 3,147.00 3,147.00 1,707.48
Medicare Part D 5% 406.00 406.00 406.00
Primary Care Physician 5% *
Mileage: PCP 4% 1.36 1.36 1.36
Neurologist 5% *
Mileage: Neurologist 4% 10.54 10.54 10.54
Neuro Opthalmologist 5% *
Mileage: Neuro Opthalmologist 4% 74.80 74.80 74.80
Nephrology 5% *
Mileage: Nephrology 4% 74.80 74.80 74.80
Gastroenterologist 5% *
Mileage: Gastroenterologist 4% 7.82 7.82 7.82
General Surgery 5% *
Mileage: General Surgery 4% 9.18 9.18 9.18
Orthopedic Surgery 5% *
Mileage: Orthopedic Surgery 4%
PM&R 5% *
Mileage: PM&R 4% 37.40 37.40 37.40
Dentist 5% 414.00 414.00 414.00
Mileage: Dentist 4% 14.45 14.45 14.45
X-rays 5% *
Blood Work 5% *
Mileage: Blood Work 4% 4.08 4.08 4.08
Emergency Room 5% *
Care Management 4% 5,160.00 5,160.00 5,160.00
Lactulose 5% *
Ciprodex Otic 5% *
Keppra 5% *
Epaned Oral 5% *
Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Years 46-50 Years 51-60 Years 61-Life
2062-2066 2067-2076 2077-Life
Nebulizer 5% *
Disposable Nebulizer Supplies 5% *
Omeprazol 4% 212.92 212.92 212.92
Kenalog 5% *
Pediasure Peptide 4% *
Pediasure 4% *
Real Food Blends 4% 4,106.25 4,106.25 4,106.25
Feeding Pump 4% *
Gastrostomy Tube Supplies 4% *
Diapers 4% 2,762.14 2,762.14 2,762.14
Gloves 4% 255.21 255.21 255.21
Wipes 4% 156.33 156.33 156.33
Disp Underpads 4% 127.71 127.71 127.71
Washable Underpads 4% 83.97 83.97 83.97
Amazon Prime 4% 99.00 99.00 99.00
Bibs 4% 36.98 36.98 36.98
Physical Therapy 4% *
Mileage: Physical Therapy 4% 25.50 25.50 25.50
Occupational Therapy 4%
Mileage: Occupational Therapy 4%
Speech Therapy 4%
Mileage: Speech Therapy 4%
Aug Comm Evaluation 4% *
Mileage: Aug Comm Evaluation 4% 4.25 4.25 4.25
Aug Comm Devices 4% 100.00 100.00 100.00
Special Needs Camp 4%
Overnight Camp 4%
Mileage: Camp 4%
Wheelchair 4% *
Sit & Stander 4% *
Shower Chair 4% 50.00 50.00 50.00
Kid Walk 4% 833.33 833.33 833.33
Hoyer Lift 4% *
Lift Slings 4% 68.00 68.00 68.00
Compensation Compensation Compensation
ITEMS OF COMPENSATION G.R. * Years 46-50 Years 51-60 Years 61-Life
2062-2066 2067-2076 2077-Life
AFOs 4% *
Orthotic Shoes 4% 600.00 600.00 600.00
Tumblefoam Chair 4% 267.53 267.53 267.53
Rehab Equipment 4% 160.00 160.00 160.00
Hand Splints 4% 73.32 73.32 73.32
Blood Pressure Cuff 4% 3.49 3.49 3.49
iPad 4% 159.80 159.80 159.80
iPad Case 4% 3.99 3.99 3.99
Attendant Care 4%
Respite Care 4%
McCarty Cntr 4%
Attendant Care and Trust Seed 4% - 189,800.00 189,800.00
Ancillary Services-Housekeeping 4% 1,638.00 1,638.00 1,638.00
Home Mods 4%
Accessible Van 4% 2,850.00 2,850.00 2,850.00
Van Mod Maint 4% 200.00 200.00 200.00
Lost Future Earnings
Pain and Suffering
Medicaid Lien
Annual Totals 27,346.15 217,146.15 214,390.63
Note: Compensation Year 1 consists of the 12 month period following the date of judgment.
Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment.
As soon as practicable after entry of judgment, respondent shall make the following payment to Regions Bank, Trustee of the
Grantor Reversionary Trust established for the benefit of O.G.R. for trust seed funds ($949,000.00) and Year 1 life care
expenses ($242,475.29): $1,191,475.29.
As soon as practicable after entry of judgment, respondent shall make the following payment to the court-appointed guardian(s)/
conservator(s) of O.G.R. for lost future earnings ($793,951.66) and pain and suffering ($250,000.00): $1,043,951.66.
As soon as practicable after entry of judgment, respondent shall make the following payment jointly to
petitioners and the State of Oklahoma, as reimbursement of the state's Medicaid lien: $278,476.84.
Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment.
Annual amounts shall increase at the rates indicated in column "G.R." above, compounded annually from the date of judgment.
Items denoted with an asterisk (*) covered by health insurance and/or Medicare.