Step 1
|
Make an appointment
to see the treating physician who must complete Form
TRAN 2 - Section G Disability Information. The diagram
immediately below outlines the distinction between
the pre-claim period and the post-claim period. |
| |
 |
Step 2
|
Determine
date that the HCV Infected Person died = date of
death. |
Step 3
|
Select
three consecutive years of highest Pre-Claim
Gross Income by doing the following:
- Identify
and review the annual "Earned
Income" for each and every year pre-dating
the date of death.
- Among
these years, select three consecutive years.
In order to maximize your compensation, you must
choose the three consecutive years that represent
the highest Pre-Claim Gross Income.
| Special
Note: If you can demonstrate that on
a balance of probabilities, the pre-claim
gross income could have been higher than
the actual average pre-claim income had
you never been infected with HCV, you may
submit proof to this effect to the Administrator
for consideration. |
|
Step 4
|
Calculate
your Average Pre-Claim Gross Income by doing
the following:
- Calculate
the average of these three (3) highest
consecutive years of Pre-Claim Gross Income. This
number is fundamental to proceeding with next
steps.
- The
amount equal to the average of the three highest
consecutive years must next be multiplied by the
ratio of the Pension Index for the current year.
-
The middle year of the selected three consecutive
years determines the Pension Index rate that will
be used to upwardly adjust the amount equal to
the average into current year dollars. Lastly,
the amount equal to the average will be multiplied
by the ratio of the Pension Index for the post-claim
year (post-claim year=2001, Pension Index rate
for 2001=112.9) being claimed by the pension
index rate for the middle year. These two rates
are used to determine the Pension
Index Ratio.
The
amount in par. 3 (above) =
your pre-claim (calculation in par. 2 (above))
gross income which the Administrator will use
to calculate the Annual Loss of Net Income.
|
Step 5
|
Calculate Indexed Pre-Claim Gross Income by
doing the following:
- Multiply the average by the ratio of the Pension
Index for each Post-claim year.
The ratio of the Pension Index for that post-claim
year divided by the pension index for the middle
year of the three (3) highest consecutive year.
Please click here
to view the Pension Index Table
|
Step 6
|
Calculate
the deceased HCV Infected Person's post-claim gross
income by doing the following:
- Identify
and review the annual income for each and every
year postdating the date of death.
| 1998 |
Year
of disability |
= |
post-claim
year 1 |
- |
$ |
20,000 |
| 1999 |
Disabled |
= |
post-claim
year 2 |
- |
$ |
15,000 |
| 2000 |
Year
of death |
= |
post-claim
year 3 |
- |
$ |
7,000 |
| 2001 |
Deceased |
= |
post-claim
year 4 |
- |
$ |
0 |
- Complete
and submit to the Administrator a post-claim submission
(Form GEN 10 - Section E) for every post-death
calendar year during which the deceased's
infection with HCV caused a loss of income.*
| *Special
Note: If the Administrator can demonstrate
that on a balance of probabilities, your
post-claim income for any year would have
been higher than the actual post-claim income
had the deceased never been infected with
HCV, your post-claim income will be accordingly
adjusted. |
|
Step 7
|
Submit
supporting financial/income tax documentation:
Provide the Administrator
with the necessary financial/income
tax
documentation
in order to confirm both your pre-claim and post-claim
gross incomes.
|
Step 8
|
Upon
receipt of all necessary documentation, the Administrator
will evaluate the claim for loss of support and determine
the amount payable. Your claim will
be processed most quickly if you can attach a complete
copy of all required income tax returns and Notices
of Assessment. |
