In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS Filed: September 10, 2018
* * * * * * * * * * * * * TABITHA PRICE, as Mother and * UNPUBLISHED Natural Guardian of D.P., * * Special Master Gowen Petitioner, * * No. 11-442V v. * Proffer; DTaP; MMR; * Prevnar; Anaphylactic SECRETARY OF HEALTH * Reaction; Seizure AND HUMAN SERVICES, * * Disorder; Developmental Respondent. * Delay. * * * * * * * * * * * * * *
Clifford John Shoemaker, Shoemaker and Associates, Vienna, VA, for petitioner. Robert Paul Coleman, III, United States Department of Justice, Washington, DC, for respondent.
DECISION ON PROFFER1
On July 7, 2011, 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”), as mother and natural guardian of D.P. Petition (ECF No. 1). Petitioner alleged that as a result of receiving Diphtheria-Tetanus-acellular-Pertussis (“DTaP”), Measles-Mumps-Rubella (“MMR”) and Pneumococcal Conjugate (“Prevnar”) vaccines on August 4, 2008, D.P. had a severe anaphylactic reaction within two minutes of the vaccinations, which caused him to suffer a grand mal seizure. Petitioner further alleged that several hours later D.P. experienced more seizures and subsequently developed a seizure disorder and secondary developmental delay. Id.
On April 19, 2012, respondent filed his Rule 4(c) Report in which he contested entitlement to compensation in this case. Respondent’s Report (ECF No. 24). An entitlement hearing was
1 Because this decision contains a reasoned explanation for the action in this case, the undersigned intends to post it on the website of the United States Court of Federal Claims, pursuant to the E-Government Act of 2002, see 44 U.S.C. § 3501 note (2012). The court’s website is at http://www.uscfc.uscourts.gov/aggregator/sources/7. Before the decision is posted on the court’s website, each party has 14 days to file a motion requesting redaction “of any information furnished by that party: (1) that is a trade secret or commercial or financial in substance and is privileged or confidential; or (2) that includes medical files or similar files, the disclosure of which would constitute a clearly unwarranted invasion of privacy.” Vaccine Rule 18(b). “An objecting party must provide the court with a proposed redacted version of the decision.” Id. If neither party files a motion for redaction within 14 days, the decision will be posted on the court’s website. Id. 2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). held on September 19, 2014, and a ruling on entitlement was issued on October 29, 2015, finding petitioner entitled to compensation. Ruling on Entitlement (ECF No. 91).
Counsel for the parties have worked extensively with their experts and have come to a resolution of damages. Their respective life care planners have agreed on future care issues and costs, lost future earnings, pain and suffering, past unreimbursable expenses, and the satisfaction of a State of Georgia WellCare Medicaid lien. On September 7, 2018, respondent filed a proffer on award of compensation (“Proffer”) indicating petitioner should be awarded: (1) a lump sum payment of $1,250,898.64, representing compensation for lost earnings ($889,283.44), pain and suffering ($250,000.00), and life care expenses for Year One ($111,615.20); (2) a lump sum payment of $17,342.98, representing compensation for satisfaction of the State of Georgia WellCare Medicaid lien; and (3) an amount sufficient to purchase the annuity contract described in the Proffer. Proffer at 3-4 (ECF No. 187).
Respondent represented in the Proffer that petitioner agrees with the proffered award. I have reviewed the proffer and do award damages in accord with it. The Proffer is incorporated herein and made a part hereof as Appendix A. Based on the record as a whole, I find 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 the following in compensation:
A. A lump sum payment of $1,250,898.64, representing compensation for lost earnings ($889,283.44), pain and suffering ($250,000.00), and life care expenses for Year One ($111,615.20), in the form of a check payable to petitioner as guardian/conservator of D.P., for the benefit of D.P. No payments shall be made until petitioner provides respondent with documentation establishing that she has been appointed as the guardian/conservator of D.P.’s estate. If petitioner is not authorized by a court of competent jurisdiction to serve as guardian/conservator of the estate of D.P., 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 D.P. upon submission of written documentation of such appointment to the Secretary.3
B. A lump sum payment of $17,342.98, representing compensation for satisfaction of the State of Georgia WellCare Medicaid lien, payable jointly to petitioner and
Equian, LLC P.O. Box 32140 Louisville, KY 40232-2140 Equian File No.: 744984-116716 Attn: Stephen Snabb
Petitioner agrees to endorse this payment to Equian, LLC.
3 Petitioner is directed to act expeditiously to have an appropriate guardian appointed in Georgia so that payments under the Proffer may be made.
2 C. An amount sufficient to purchase an annuity contract as described in Section II. C of the Proffer attached herein as Appendix A, that will provide payments for the life care items contained in the life care plan, as illustrated by the chart attached as Tab A to the Proffer, paid to the life insurance company from which the annuity will be purchased.
The Clerk of the Court is directed to enter judgment in accordance with this Decision.4
IT IS SO ORDERED.
s/Thomas L. Gowen Thomas L. Gowen Special Master
4 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by the parties’ joint filing of notice renouncing the right to seek review.
3 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS __________________________________________ ) TABITHA PRICE, as Mother and Natural ) Guardian of D.P., ) ) Petitioner, ) ) v. ) No. 11-442V ) Special Master Gowen SECRETARY OF THE DEPARTMENT OF ) ECF HEALTH AND HUMAN SERVICES, ) ) Respondent. ) __________________________________________)
RESPONDENT'S PROFFER ON AWARD OF COMPENSATION
I. Items of Compensation
A. Life Care Items
The respondent engaged life care planner, Laura E. Fox, MSN, RN, CDDN, CNLCP, and
petitioner engaged Tresa Johnson, RN, BSN, CNLCP, to provide an estimation of D.P.’s future
vaccine-injury related needs. For the purposes of this proffer, the term “vaccine related” is as
described in the Special Master’s Ruling on Entitlement, filed October 29, 2015. 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 D.P., attached hereto as Tab A. 1
Respondent proffers that D.P. should be awarded all items of compensation set forth in the life
care plan and illustrated by the chart attached at Tab A. 2 Petitioner agrees.
1 The chart at Tab A illustrates the annual benefits provided by the life care plan. The annual benefit years run from the date of judgment up to the first anniversary of the date of judgment, and every year thereafter up to the anniversary of the date of judgment. 2 The parties have no objection to the proffered award of damages. Assuming the Special Master issues a damages decision in conformity with this proffer, the parties intend to waive their right -1- B. Lost Future Earnings
The parties agree that based upon the evidence of record, D.P. will not be gainfully
employed in the future. Therefore, respondent proffers that D.P. 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 D.P.'s lost earnings is $889,283.44. Petitioner agrees.
C. Pain and Suffering
Respondent proffers that D.P. 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 she has not incurred past unreimbursable expenses related to
D.P.’s vaccine-related injury.
E. Medicaid Lien
Respondent proffers that D.P. should be awarded funds to satisfy a State of Georgia
WellCare Medicaid lien in the amount of $17,342.98, which represents full satisfaction of any
right of subrogation, assignment, claim, lien, or cause of action the State of Georgia WellCare
may have against any individual as a result of any Medicaid payments the State of Georgia
WellCare has made to or on behalf of D.P. from the date of his eligibility for benefits through the
date of judgment in this case as a result of his vaccine-related injury suffered on or about August
4, 2008, under Title XIX of the Social Security Act.
to seek review of such damages decision, recognizing that respondent reserves his right, pursuant to 42 U.S.C. § 300aa-12(f), to seek review of the Special Master’s October 29, 2015, decision finding petitioner entitled to an award under the Vaccine Act. This right accrues following entry of judgment.
-2- II. Form of the Award
The parties recommend that the compensation provided to D.P. should be made through a
combination of lump sum payments and future annuity payments as described below, and request
that the Special Master’s decision and the Court’s judgment award the following: 3
A. A lump sum payment of $1,250,898.64 representing compensation for lost earnings
($889,283.44), pain and suffering ($250,000.00), and life care expenses for Year One
($111,615.20), in the form of a check payable to petitioner as guardian/conservator of D.P., for
the benefit of D.P. No payments shall be made until petitioner provides respondent with
documentation establishing that she has been appointed as the guardian/conservator of D.P.’s
estate. If petitioner is not authorized by a court of competent jurisdiction to serve as
guardian/conservator of the estate of D.P., 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 D.P. upon submission of written documentation of such appointment to the Secretary.
B. A lump sum payment of $17,342.98, representing compensation for satisfaction of the
State of Georgia WellCare Medicaid lien, payable jointly to petitioner and
Equian, LLC P.O. Box 32140 Louisville, KY 40232-2140 Equian File No.: 744984-116716 Attn: Stephen Snabb
3 Should D.P. die prior to entry of judgment, the parties reserve the right to move the Court for appropriate relief. In particular, respondent would oppose any award for future medical expenses, lost future earnings, and future pain and suffering.
-3- C. An amount sufficient to purchase the annuity contract, 4 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 company 5 from
which the annuity will be purchased. 6 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 petitioner as
guardian of the estate of D.P., only so long as D.P. is alive at the time a particular payment is
due. At the Secretary's sole discretion, the periodic payments may be provided to petitioner 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 petitioner and do not require that the
payment be made in one annual installment.
4 In respondent’s discretion, respondent may purchase one or more annuity contracts from one or more life insurance companies. 5 The Life Insurance Company must have a minimum of $250,000,000 capital and surplus, exclusive of any mandatory security valuation reserve. The Life Insurance Company must have one of the following ratings from two of the following rating organizations:
a. D.P. Best Company: A++, A+, A+g, A+p, A+r, or A+s;
b. Moody's Investor Service Claims Paying Rating: Aa3, Aa2, Aa1, or Aaa;
c. Standard and Poor's Corporation Insurer Claims-Paying Ability Rating: AA-, AA, AA+, or AAA;
d. Fitch Credit Rating Company, Insurance Company Claims Paying Ability Rating: AA-, AA, AA+, or AAA.
-4- 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
Petitioner will continue to receive the annuity payments from the Life Insurance
Company only so long as D.P. is alive at the time that a particular payment is due. Written
notice shall be provided to the Secretary of Health and Human Services and the Life Insurance
Company within twenty (20) days of D.P.’s death.
3. Guardianship
No payments shall be made until petitioner provides respondent with documentation
establishing that she has been appointed as the guardian/conservator of D.P.’s estate. If
petitioner is not authorized by a court of competent jurisdiction to serve as guardian/conservator
of the estate of D.P., 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 D.P. upon
submission of written documentation of such appointment to the Secretary.
6 Petitioner authorizes the disclosure of certain documents filed by the petitioner in this case consistent with the Privacy Act and the routine uses described in the National Vaccine Injury Compensation Program System of Records, No. 09-15-0056.
-5- III. Summary of Recommended Payments Following Judgment
A. Lump sum paid to petitioner as court-appointed guardian/conservator of D.P.’s estate: $1,250,898.64
B. Medicaid Lien: $ 17,342.98
C. An amount sufficient to purchase the annuity contract described above in section II. C.
Respectfully submitted,
JOSEPH H. HUNT Assistant Attorney General
C. SALVATORE D’ALESSIO Acting Director Torts Branch, Civil Division
CATHARINE E. REEVES Deputy Director Torts Branch, Civil Division
GABRIELLE M. FIELDING Assistant Director Torts Branch, Civil Division
/S/ Robert P. Coleman III ROBERT P. COLEMAN III Trial Attorney Torts Branch, Civil Division U.S. Department of Justice P.O. Box 146 Benjamin Franklin Station Washington, D.C. 20044-0146 Telephone: (202) 305-0274
Dated: September 7, 2018
-6- Appendix A: Items of Compensation for D.P.
Page 1 of 6
Lump Sum Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 1 Year 2 Year 3 Years 4-6 Years 7-8 Years 9-10 Year 11 Year 12 2018 2019 2020 2021-2023 2024-2025 2026-2027 2028 2029 Medical Ins 5% M 3,094.80 3,094.80 3,094.80 3,094.80 3,094.80 3,094.80 3,094.80 3,094.80 Anthem MOP 5% 6,350.00 3,456.00 3,456.00 3,456.00 3,456.00 3,456.00 3,456.00 3,456.00 Medicare Part B Premium 5% M Medicare Part B Deductible 5% Medigap G 5% M Medicare Part D & Meds 5% M Primary Care 5% * Mileage: PCP 4% 2.70 2.70 2.70 2.70 2.70 2.70 2.70 2.70 Neurologist 5% * 280.00 280.00 280.00 280.00 280.00 Mileage: Neurologist 4% 92.88 92.88 92.88 92.88 92.88 92.88 92.88 92.88 EEG 5% * MRI 5% * Vision Therapy 4% * Vision Therapy Follow Up 4% * Psychiatrist 5% * Mileage: Psychiatrist 4% 11.34 11.34 11.34 11.34 11.34 11.34 11.34 11.34 Dentist 5% * 300.00 300.00 300.00 300.00 300.00 300.00 300.00 300.00 Mileage: Dentist 4% 5.76 5.76 5.76 5.76 5.76 5.76 5.76 5.76 Night Guard 4% * 27.70 27.70 27.70 27.70 27.70 27.70 27.70 27.70 ER 5% * Hospitalization 5% * Orthopedic Surgeon for Scoliosis 5% * PT Eval 4% * 400.00 400.00 400.00 400.00 200.00 200.00 200.00 200.00 Mileage: PT Eval 4% 5.76 5.76 5.76 5.76 2.88 2.88 2.88 2.88 PT 4% * M 12,000.00 12,000.00 12,000.00 12,000.00 6,000.00 Mileage: PT 4% 276.48 276.48 276.48 276.48 138.24 138.24 138.24 138.24 PT Eval for Home Exercise Prgm 4% * OT Eval 4% * 200.00 200.00 200.00 200.00 200.00 OT 4% * M 6,000.00 6,000.00 6,000.00 6,000.00 6,000.00 ST Eval 4% * 200.00 200.00 200.00 200.00 200.00 ST 4% * M 4,680.00 4,680.00 3,120.00 3,120.00 3,120.00 Price v. HHS, No. 11-442V Appendix A: Items of Compensation for D.P.
Page 2 of 6
Lump Sum Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 1 Year 2 Year 3 Years 4-6 Years 7-8 Years 9-10 Year 11 Year 12 2018 2019 2020 2021-2023 2024-2025 2026-2027 2028 2029 Mileage: ST, OT 4% 207.36 207.36 207.36 207.36 138.24 138.24 138.24 138.24 Listening Therapy 4% 39.99 Lamictal 150 mg 5% * Lamictal 50 mg 5% * Diazepam 5% * Klonopin 5% * Fiber Gummies 4% 36.46 36.46 36.46 36.46 36.46 36.46 36.46 36.46 Pediasure 4% 454.88 454.88 454.88 454.88 454.88 454.88 454.88 Manual WC 4% * Shower Chair 4% 64.45 12.89 12.89 12.89 12.89 12.89 Rifton Bike 4% * Free Weights 4% 38.33 3.83 3.83 3.83 3.83 3.83 3.83 3.83 Ankle Weights 4% 36.49 3.65 3.65 3.65 3.65 3.65 3.65 3.65 Floor Mat 4% 279.00 279.00 Therabands 4% 36.65 12.22 12.22 12.22 12.22 12.22 12.22 12.22 Vestibular Swing 4% 943.64 Lycra Swing 4% 90.00 Glider 4% 118.95 Scooter Board 4% 139.95 139.95 ADL Items 4% 350.00 150.00 150.00 150.00 150.00 150.00 150.00 25.00 Social Skills Group 4% 450.00 225.00 225.00 225.00 225.00 225.00 225.00 Mileage: Social Skills Group 4% 241.92 120.96 120.96 120.96 120.96 120.96 120.96 Summer Camp 4% 300.00 300.00 300.00 300.00 300.00 300.00 300.00 Mileage: Summer Camp 4% 20.16 20.16 20.16 20.16 20.16 20.16 20.16 Psychologist 4% * Mileage: Psychologist 4% 28.80 28.80 28.80 Case Mngt 4% M 4,080.00 4,080.00 3,060.00 3,060.00 2,040.00 2,040.00 2,040.00 2,040.00 Home Mods 4% 15,000.00 Bruno Seat 4% 8,500.00 1,214.28 1,214.28 1,214.28 1,214.28 1,214.28 1,214.28 1,214.28 Non Skilled Care School Days 4% M 19,980.00 19,980.00 19,980.00 19,980.00 19,980.00 19,980.00 19,980.00 Non Skilled Care Non School Days 4% M 26,344.00 26,344.00 26,344.00 26,344.00 26,344.00 26,344.00 26,344.00 Price v. HHS, No. 11-442V Appendix A: Items of Compensation for D.P.
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Lump Sum Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 1 Year 2 Year 3 Years 4-6 Years 7-8 Years 9-10 Year 11 Year 12 2018 2019 2020 2021-2023 2024-2025 2026-2027 2028 2029 Adult Non Skilled Care 4% M 95,812.50 Lost Future Earnings 889,283.44 Pain and Suffering 250,000.00 Medicaid Lien 17,342.98 Annual Totals 1,268,241.62 84,215.02 81,699.47 81,647.91 74,188.87 58,388.87 58,807.82 106,631.37 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 the court-appointed guardian(s)/conservators(s) of the estate of D.P. for the benefit of D.P., for lost future earnings ($889,283.44), pain and suffering ($250,000.00), and Yr 1 life care expenses ($111,615.20): $1,250,898.64. As soon as practicable after entry of judgment, respondent shall make the following payment jointly to petitioner and Equian, LLC, as reimbursement of the Wellcare Medicaid lien: $17,342.98. 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. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.
Price v. HHS, No. 11-442V Appendix A: Items of Compensation for D.P.
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Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Years 13-15 Years 16-20 Year 21 Years 22-Life 2030-2032 2033-2037 2038 2039-Life Medical Ins 5% M 3,094.80 3,094.80 Anthem MOP 5% 3,456.00 3,456.00 Medicare Part B Premium 5% M 1,608.00 1,608.00 Medicare Part B Deductible 5% 183.00 183.00 Medigap G 5% M 1,548.00 1,548.00 Medicare Part D & Meds 5% M 721.02 721.02 Primary Care 5% * Mileage: PCP 4% 2.70 2.70 2.70 2.70 Neurologist 5% * Mileage: Neurologist 4% 92.88 92.88 92.88 92.88 EEG 5% * MRI 5% * Vision Therapy 4% * Vision Therapy Follow Up 4% * Psychiatrist 5% * Mileage: Psychiatrist 4% 11.34 11.34 11.34 11.34 Dentist 5% * 300.00 300.00 300.00 300.00 Mileage: Dentist 4% 5.76 5.76 5.76 5.76 Night Guard 4% * 27.70 138.50 138.50 138.50 ER 5% * Hospitalization 5% * Orthopedic Surgeon for Scoliosis 5% * PT Eval 4% * 200.00 Mileage: PT Eval 4% 2.88 PT 4% * M Mileage: PT 4% PT Eval for Home Exercise Prgm 4% * OT Eval 4% * OT 4% * M ST Eval 4% * ST 4% * M Price v. HHS, No. 11-442V Appendix A: Items of Compensation for D.P.
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Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Years 13-15 Years 16-20 Year 21 Years 22-Life 2030-2032 2033-2037 2038 2039-Life Mileage: ST, OT 4% Listening Therapy 4% Lamictal 150 mg 5% * Lamictal 50 mg 5% * Diazepam 5% * Klonopin 5% * Fiber Gummies 4% 36.46 36.46 36.46 36.46 Pediasure 4% Manual WC 4% * Shower Chair 4% 12.89 12.89 12.89 12.89 Rifton Bike 4% * Free Weights 4% 3.83 3.83 3.83 3.83 Ankle Weights 4% 3.65 3.65 3.65 3.65 Floor Mat 4% 19.99 2.00 Therabands 4% 12.22 12.22 12.22 12.22 Vestibular Swing 4% Lycra Swing 4% Glider 4% Scooter Board 4% ADL Items 4% 25.00 25.00 25.00 25.00 Social Skills Group 4% Mileage: Social Skills Group 4% Summer Camp 4% Mileage: Summer Camp 4% Psychologist 4% * Mileage: Psychologist 4% Case Mngt 4% M 1,530.00 1,530.00 1,530.00 1,530.00 Home Mods 4% Bruno Seat 4% 1,214.28 1,214.28 1,214.28 1,214.28 Non Skilled Care School Days 4% M Non Skilled Care Non School Days 4% M Price v. HHS, No. 11-442V Appendix A: Items of Compensation for D.P.
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Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Years 13-15 Years 16-20 Year 21 Years 22-Life 2030-2032 2033-2037 2038 2039-Life Adult Non Skilled Care 4% M 95,812.50 95,812.50 95,812.50 95,812.50 Lost Future Earnings Pain and Suffering Medicaid Lien Annual Totals 105,844.89 105,752.81 103,282.02 103,264.03 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 the court-appointed guardian(s)/conservators(s) of the estate of D.P. for the benefit of D.P., for lost future earnings ($889,283.44), pain and suffering ($250,000.00), and Yr 1 life care expenses ($111,615.20): $1,250,898.64. As soon as practicable after entry of judgment, respondent shall make the following payment jointly to petitioner and Equian, LLC, as reimbursement of the Wellcare Medicaid lien: $17,342.98. 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. Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.
Price v. HHS, No. 11-442V