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Claimants: Additional Information
: Loss of Income / Loss of Support / Loss of Services in the
Home
Loss of Income / Loss of Support / Loss
of Services in the Home
Do you qualify? (top)
You must be an Approved Class Member before making
a claim for loss of income/services in the home/support. The
Administrator will forward the relevant claim forms to you
if you qualify.
- Approved Class Members may claim loss of income/services
in the home/support if they were approved at disease
level 4, 5 or 6.
- Approved Class Members who were approved at disease
level 3 and who previously elected to waive the $30,000
fixed sum payment (Form GEN
17) may also claim loss of income/services in the home/support.
Amounts Payable (top)
- Loss of Income: payable to Approved Class
Members or the Estate and/or Dependants of the deceased
HCV Infected Person who normally had Earned Income but due
to his or her HCV infection is/was unable to perform
the substantial duties of his or her employment such
that he or she no longer works/ed more than 20% of his or
her usual work week.
Approved Class Members are entitled to claim and receive
compensation for past, present and future loss of income.
Compensation will be paid based on 70% of the Annual
Loss of Net Income for each calendar year where such
loss occurred until he or she attains/ed age 65.
For more information, see:
S.
4.02 (Transfused HCV Plan)
or
S.
4.02 (Hemophiliac HCV Plan).
- Loss of Services in the Home: payable
to Approved Class Members and/or Dependants who were living
with the Deceased HCV Infected Person who performed services
in the home but due to his or her HCV infection or death
is unable to perform the substantial household duties
that he or she would normally provide in his or her home
such that he or she performs no more than 20% of the household
services that the or she would normally provide.
Compensation will be paid based on a hourly rate of $12.00
per hour to a maximum of $240.00 per week.
For more information, see:
S.
4.03 (Transfused HCV Plan)
or
S.
4.03 (Hemophiliac HCV Plan).
- Loss of Support: payable to Dependants
of a deceased HCV Infected Person who was providing
or was under a legal obligation to provide support
on the date of his or her death.
Compensation will be paid based on 70% of the Annual
Loss of Net Income which will be further reduced by 30%
representing the HCV Infected Person's own personal consumption
for each calendar year where such loss occurred. Compensation
will be payable until the deceased HCV infected Person would
have reached his or her 65th birthday.
For more information, see:
S.
6.01 (Transfused HCV Plan)
or
S.
6.01 (Hemophiliac HCV Plan).
Compensation Chart (top)
The following chart will help you better understand whether
or not you qualify to claim compensation for loss of income,
loss of support, or loss of services.
Please Note
"PIP" means the Primarily Infected
Person, and "SIP" means the Secondarily
Infected Person.
| If you are a living eligible PIP
or SIP, you claim compensation for: |
- Loss of Income
OR
- Loss of Services in the home.
|
| In the case of a living eligible
PIP or SIP who is a minor or
a mentally incompetent adult, the Personal
Representative may claim compensation for: |
- Loss of Income
OR
- Loss of Services in the home.
|
| In the case of a deceased PIP or
SIP where it is proven that HCV materially contributed
to the death, the Personal Representative and/or Dependants
may claim compensation for: |
Pre-Death Period (only possible
to claim if the HCV Infected Person died after
January 1, 1999):
- Loss of Income, payable to the
Estate;
OR
- Loss of Services, payable to the
Estate.
Post-Death Period:
- Loss of Support, payable to Dependants
if the deceased was providing support or was under
a legal obligation to provide support to the claimant
at the time of HCV Infected Person's death;
OR
- Loss of Services in the home, payable
to Dependants who were living with the deceased HCV
Infected Person at the time of his or her death.
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Some Helpful Definitions (top)
- "Approved Dependant" means a Dependant
whose Claim made pursuant to Section 3.06 has been accepted
by the Administrator.
- "Average Industrial Wage in Canada" means
the Average Weekly Earnings (all Industries), as published
in Statistics Canada's on-line statistical data base created
from The Canadian Socio-Economic Information Management
System (CANSIM) data base or any successor data base, for
the most recent period for which such information is published
at the date the determination provided for in Section 4.02
or 6.01 is to be made.
- "Class Members" means, collectively,
all Primarily-Infected Persons, all Secondarily-Infected
Persons, all HCV Personal Representatives and all Family
Members but excludes, for greater certainty, all persons
who opt out of a Class Action.
- "Dependant" means a Family Member of
a HCV Infected Person referred to in clauses (a) and (c)
of the definition of a Family Member in this Section 1.01
to whom that HCV Infected Person was providing support or
was under a legal obligation to provide support on the date
of the HCV Infected Person's death.
- "EAP" means the HIV Extraordinary Assistance
Plan announced by the government of Canada on 14 December
1989.
- "MPTAP" means the HIV Multi-Provincial/Territorial
Assistance Program announced by the governments of the Provinces
and Territories on 15 September 1993.
- "Nova Scotia Compensation Plan" means
the Nova Scotia HIV Assistance Program introduced in 1993
which provides financial assistance and other benefits to
persons infected in Nova Scotia by HIV through the Canadian
blood supply.
- "Pension Index" has the meaning set out
in Section 7.02.
- "Prime Rate" means the rate of interest
per annum established and reported by the Bank of Montreal,
or such other bank as the Courts may direct, to the Bank
of Canada from time to time as a reference rate of interest
for the determination of interest rates that the Bank of
Montreal, or such other bank as the Courts may direct, charges
to customers of varying degrees of creditworthiness in Canada
for Canadian dollar loans made by it in Canada.
-
"Spouse" means:
- either of a man and a woman who,
- are married to each other;
- have together entered into a marriage that is voidable
or void, in good faith on the part of the person asserting
a right under this Plan;
- have Cohabited for at least two years; or
- have Cohabited in a relationship of some permanence
if they are the natural Parents of a Child; or
- either of two persons of the same sex who have lived
together in a close personal relationship that would
constitute a conjugal relationship if they were not
of the same sex,
- for at least two years; or
- in a relationship of some permanence if they are
the Parents of a Child.
Periodic Reassessment of Amounts
Payable
The Courts may from time to time, on the recommendation of
the Joint Committee,
amend the current restriction (70% of the PIP's or SIP's Annual
Loss of Net Income) to increase the percentage paid for Annual
Loss of Net Income.
The Courts may also from time to time, on the recommendation
of the Joint Committee, amend the current restriction with
respect to the maximum amount payable of $75,000 for the PIP's
or SIP's Annual Loss of Net Income.
For more information, please consult the following Sections:
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Schedule A (Transfused HCV Plan):
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Schedule B (Hemophiliac HCV Plan):
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Downloading the Forms (top)
You may wish to download the relevant forms in PDF format.
Use them if you need to practice before filling out the actual
printed forms. However, please note that you need to
fill out the official printed forms which the Administrator
will mail to you.
- Form GEN
10: Loss of Income/Support - Master Form
- Form GEN
10A: Supplemental Income/Information Form - Federal
- Form GEN
10B: Supplemental Income/Information Form - Provincial
- Form GEN
10C: Self-Employment Information Form
-
Instructions: GEN 10 Renewal
- Form GEN
10 Renewal: Loss of Income/Support -Renewal Form
- Undertaking
Instructions
- Undertaking
Form : Loss of Services/Support
- Form GEN
11: Activities of Employment (Complete this Form for
some claims for Loss of Income)
- Form GEN
12: Loss of Services in the Home - Master Form
- Form GEN
19: Authorization to Release Employee's Information
Form (Complete this Form if making a claim for Loss of
Income/Loss of Support)
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