VICP Registry Case Source Bundle
Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_14-vv-00340
Package ID: USCOURTS-cofc-1_14-vv-00340
Petitioner: B.O.
Filed: 2014-07-10
Decided: 2014-08-04
Vaccine: MMR
Vaccination date: 2011-06-14
Condition: idiopathic thrombocytopenic purpura (ITP)
Outcome: compensated
Award amount USD: 

AI-assisted case summary:
Crystal La Veck and Mark Osterhoudt, parents of B.O., a minor, filed a petition on July 10, 2014, on behalf of their child seeking compensation under the National Vaccine Injury Compensation Program. They alleged that B.O. suffered idiopathic thrombocytopenic purpura (ITP) as a result of receiving the measles-mumps-rubella (MMR) vaccine on June 14, 2011. The respondent, the Secretary of Health and Human Services, conceded that the claim was compensable. In its Rule 4(c) Report, the respondent stated that the Division of Vaccine Injury Compensation (DVIC) had reviewed the facts and concluded that B.O.'s alleged injury was consistent with ITP as defined in the Vaccine Injury Table and that DVIC did not identify any other causes for B.O.'s ITP. The respondent also acknowledged that the petitioners met all other legal requirements for compensation. Special Master Brian H. Corcoran, based on the respondent's concession and a review of the record, found that B.O. is entitled to compensation for an injury caused-in-fact by a covered vaccine. A separate order for damages was to be issued. The public decision does not describe the onset of symptoms, specific clinical details, or any expert testimony.

Theory of causation field:
Petitioners alleged that minor B.O. suffered idiopathic thrombocytopenic purpura (ITP) as a result of receiving the measles-mumps-rubella (MMR) vaccine on June 14, 2011. The respondent conceded the claim was compensable, stating that B.O.'s alleged injury was consistent with ITP as defined in the Vaccine Injury Table (42 C.F.R. § 100.3(b)(2)) and that no other causes were identified by the Division of Vaccine Injury Compensation (DVIC). Petitioners met all other legal prerequisites for compensation. Special Master Brian H. Corcoran found entitlement based on the respondent's concession and a review of the record, concluding the injury was caused-in-fact by a covered vaccine. A separate damages order was to be issued. The public text does not name specific counsel, detail the mechanism of injury, or identify any experts.

Public staged source text:

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DOCUMENT 1: USCOURTS-cofc-1_14-vv-00340-0
Date issued/filed: 2014-08-04
Pages: 2
Docket text: PUBLIC DECISION (Originally filed: 7/10/2014) regarding 15 Ruling on Entitlement (Signed by Special Master Brian H. Corcoran.)(mpj) Copy to parties.
--------------------------------------------------------------------------------
Case 1:14-vv-00340-UNJ Document 17 Filed 08/04/14 Page 1 of 2
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 14-340V
(Filed July 10, 2014)
NOT TO BE PUBLISHED
* * * * * * * * * * * * * * * * * * * * * * * * *
CRYSTAL LA VECK and MARK *
OSTERHOUDT, parents of B.O., a minor, *
* Special Master Corcoran
Petitioners, *
*
v. * Entitlement; On-Table Injury; Conceded
*
SECRETARY OF HEALTH AND *
HUMAN SERVICES, *
*
Respondent. *
*
* * * * * * * * * * * * * * * * * * * * * * * * *
Ronald C. Homer, Conway, Homer & Chin-Caplan, P.C., Boston, MA, for Petitioners.
Lindsay Corliss, U.S. Dep’t of Justice, Washington, DC, for Respondent.
RULING FINDING ENTITLEMENT1
On April 23, 2014, Petitioners Crystal La Veck and Mark Osterhoudt filed a petition on
behalf of their minor child, B.O., seeking compensation under the National Vaccine Injury
Compensation Program (“the Vaccine Program”).2 Petitioners allege that B.O. suffered
1 Because this ruling contains a reasoned explanation for my action in this case, it will be posted on the United
States Court of Federal Claims’ website, in accordance with the E-Government Act of 2002, Pub. L. No. 107-347, §
205, 116 Stat. 2899, 2913 (codified as amended at 44 U.S.C. § 3501 note (2006)). As provided by 42 U.S.C. §
300aa-12(d)(4)(B), however, the parties may object to the posted ruling’s inclusion of certain kinds of confidential
information. Specifically, under Vaccine Rule 18(b), each party has 14 days within which to request 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). Otherwise, the whole decision will be available to
the public. (Id).
2 The National Vaccine Injury Compensation Program is set forth in Part 2 of the National Childhood Vaccine
Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755, codified as amended, 42 U.S.C.A. ' 300aa-10-' 300aa-34
(West 1991 & Supp. 2002). All citations in this decision to individual sections of the Vaccine Act are to 42 U.S.C.A.
' 300aa.

Case 1:14-vv-00340-UNJ Document 17 Filed 08/04/14 Page 2 of 2
idiopathic thrombocytopenic purpura (ITP) as a result of receiving the measles-mumps-rubella
vaccine on June 14, 2011.
In the Rule 4(c) Report, Respondent stated that the Petitioners’ claim is compensable
under the Act. Respondent specifically stated that the Division of Vaccine Injury Compensation
(DVIC), Department of Health and Human Services, has reviewed the facts of this case and has
concluded that the Petitioners are entitled to a vaccine award because “B.O’s alleged injury is
consistent with ITP as defined in the Vaccine Injury Table, 42 C.F.R. § 100.3(b)(2)” and “DVIC
did not identify any other causes for B.O,’s ITP.” (Rule 4(c) Report at 5). Additionally, the Rule
4(c) Report acknowledges that Petitioners have satisfied all the other legal prerequisites for
compensation under the Vaccine Act. Id.
In view of Respondent’s concession, and based on my own review of the record (See §
300aa-13(a)(1)), I find that Petitioners are entitled to compensation for an injury that was caused-
in-fact by a covered vaccine. 42 C.F.R. §§ 100.3(a)(XIV) and 100.3(b)(2). A separate damages
order will issue shortly.
Any questions may be directed to my law clerk, Kevin Eagen, at (202) 357-6391.
IT IS SO ORDERED.
/s/ Brian H. Corcoran
Brian H. Corcoran
Special Master

================================================================================
DOCUMENT 2: USCOURTS-cofc-1_14-vv-00340-1
Date issued/filed: 2015-12-16
Pages: 15
Docket text: PUBLIC DECISION (Originally filed: 09/11/2015) Regarding 37 DECISION Proffer (Signed by Special Master Brian H. Corcoran). (ay) Copy to parties.
--------------------------------------------------------------------------------
Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 1 of 15
In the United States Court of Federal Claims
OFFICE OF SPECIAL MASTERS
No. 14-340V
(Not to be Published)
* * * * * * * * * * * * * * * * * * * * * * * * *
CRYSTAL LA VECK and MARK *
OSTERHOUDT, Parents of B.O., a minor, *
*
Petitioners, * Filed: September 11, 2015
*
v. * Decision by Proffer; Damages
* Measles-Mumps-Rubella (“MMR”)
SECRETARY OF HEALTH * Vaccination; Idiopathic
AND HUMAN SERVICES, * Thrombocytopenic Purpura (“ITP”)
*
Respondent. *
*
* * * * * * * * * * * * * * * * * * * * * * * * *
Ronald C. Homer, Conway, Homer & Chin-Caplan, P.C., Boston, MA, for Petitioner.
Sarah C. Duncan, U.S. Dep’t of Justice, Washington, DC, for Respondent.
DECISION AWARDING DAMAGES1
On April 23, 2014, Crystal La Veck and Mark Osterhoudt, as parents of their minor child
B.O., field a petition seeking compensation under the National Vaccine Injury Compensation
Program.2 Petitioners alleges that O.B. suffered from idiopathic thrombocytopenic purpura
(“ITP”) as a result of receiving the measles-mumps-rubella (“MMR”) vaccination on June 14,
2011.
1 Because this decision contains a reasoned explanation for my actions in this case, I will post it on the United States
Court of Federal Claims website, in accordance with the E-Government Act of 2002, Pub. L. No. 107-347, § 205, 116
Stat. 2899, 2913 (Dec. 17, 2002) (current version at 44 U.S.C. § 3501 (2014)). As provided by 42 U.S.C. § 300aa-
12(d)(4)(B), however, the parties may object to the published decision’s inclusion of certain kinds of confidential
information. Specifically, under Vaccine Rule 18(b), each party has fourteen days within which to request 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). Otherwise, the whole decision will be available to
the public. Id.
2 The National Vaccine Injury Compensation Program comprises Part 2 of the National Childhood Vaccine Injury Act
of 1986, Pub. L. No. 99-660, 100 Stat. 3755 (codified as amended at 42 U.S.C. § 300aa-10 through 34 (2012)).

Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 2 of 15
In her Rule 4(c) report, filed on July 9, 2014, Respondent stated that the Division of
Vaccine Injury Compensation (“DVIC”), Department of Health and Human Services, had
reviewed the facts of this case and concluded that “B.O.’s alleged injury is consistent with ITP as
defined in the Vaccine Injury Table, 42 C.F.R. § 100.3(b)(2).” Accordingly, “Petitioners are entitled
to a presumption of causation, as B.O.’s ITP manifested between seven and thirty days after his MMR
vaccination.” The report indicated that Respondent therefore determined that “she will not further
defend entitlement in this case.” Moreover, “DVIC did not identify any other causes for B.O.’s ITP,
and based upon the medical records outlined above, [P]etitioners met the statutory requirement to show
that B.O. suffered the requisite six months of residuals from his ITP. See 42 U.S.C. § 300aa-
13(a)(1)(B); 42 U.S.C. § 300aa-11(c)(D)(I).”
In view of Respondent’s concession, and based on my own review of the record, I issued
a ruling on July 10, 2014, finding that Petitioners had established that they were entitled to
compensation for B.O.’s injury.
On September 9, 2015, Respondent filed a proffer proposing an award of compensation. I
have reviewed the file, and based upon that review I conclude that the Respondent’s proffer (as
attached hereto) is reasonable. I therefore adopt it as my decision in awarding damages on the
terms set forth therein.
The proffer awards:
 A lump sum payment of $147,889.83, representing compensation for life care
expenses for Year One ($10,889.83) and pain and suffering ($137,000.00), in the form
of a check payable to Petitioners as guardian(s)/conservator(s) of B.O.’s estate, for the
benefit of B.O.;
 A lump sum payment of $1,414.06 representing compensation for past unreimbursable
expenses, in the form of a check payable to Petitioners Crystal La Veck and Mark
Osterhoudt;
 A lump sum payment of $12,392.95, representing compensation for satisfaction of the
Otsego County Department of Social Services Medicaid lien, payable jointly to
Petitioners and
NYS Department of Health
CIN: EK 25886J
NYS DOH P.O. Box 415874
Boston, MA 02241; and
2

Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 3 of 15
 An amount sufficient to purchase the annuity contract, subject to the conditions
described in the attached proffer, that will provide payments for life case items
contained in the parties’ joint life care plan, paid to the insurance company from which
the annuity will be purchased.
These amounts represents compensation for all elements of compensation under 42 U.S.C. §
300aa-15(a) to which Petitioners are entitled. Proffer at 1.
I approve a Vaccine Program award in the requested amounts set forth above to be made
to Petitioner. In the absence of a motion for review filed pursuant to RCFC Appendix B, the clerk
of the court is directed to enter judgment herewith.3
IT IS SO ORDERED.
/s/ Brian H. Corcoran
Brian H. Corcoran
Special Master
3 Pursuant to Vaccine Rule 11(a), the parties may expedite entry of judgment by each filing (either jointly or separately)
a notice renouncing their right to seek review.
3

Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 4 of 15
IN THE UNITED STATES COURT OF FEDERAL CLAIMS
OFFICE OF SPECIAL MASTERS
)
CRYSTAL LA VECK and MARK )
OSTERHOUDT, Parents of B.O., a minor, )
)
Petitioners, ) No. 14-0340V
) Special Master Corcoran
v. ) ECF
)
SECRETARY OF 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, M. Virginia NeSmith Walton, RN, MSN, FNP,
CNCLP, and petitioners engaged Maureen Clancy, RN, BSN, CNLCP, to provide an estimation
of B.O.’s future vaccine-injury related needs. For the purposes of this proffer, the term “vaccine
related” is as described in respondent’s Rule 4(c) Report filed on July 9, 2014. All items of
compensation identified in the joint life care plan, as amended, filed on January 21, 2015 as
Petitioner’s Exhibit 13 (Dkt. 25), are supported by the evidence, and are illustrated by the chart
entitled Appendix A: Items of Compensation for B.O., attached hereto as Tab A.1 Respondent
proffers that B.O. should be awarded all items of compensation set forth in the joint life care plan
and illustrated by the chart attached at Tab A. Petitioners agree.
1 The chart at Tab A illustrates the annual benefits provided by the joint 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.
-1-

Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 5 of 15
B. Lost Future Earnings
The parties agree that based upon the evidence of record, B.O. more likely than not will
be gainfully employed in the future. Therefore, respondent proffers that B.O. should not be
awarded lost future earnings as provided under the Vaccine Act, 42 U.S.C. § 300aa-15(a)(3)(B).
Petitioners agree.
C. Pain and Suffering
Respondent proffers that B.O. should be awarded $137,000.00 in actual and projected
pain and suffering. This amount reflects that the award for projected pain and suffering has been
reduced to net present value. See 42 U.S.C. § 300aa-15(a)(4). Petitioners agree.
D. Past Unreimbursable Expenses
Evidence supplied by petitioners documents their expenditure of past unreimbursable
expenses related to B.O.’s vaccine-related injury. Respondent proffers that petitioners should be
awarded past unreimbursable expenses in the amount of $1,414.06. Petitioners agree.
E. Medicaid Lien
Respondent proffers that B.O. should be awarded funds to satisfy the Otsego County
Department of Social Services, New York, lien in the amount of $12,392.95, which represents
full satisfaction of any right of subrogation, assignment, claim, lien, or cause of action the
Otsego County Department of Social Services may have against any individual as a result of any
Medicaid payments the Otsego County Department of Social Services has made to or on behalf
of B.O. 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 June 14, 2011, under Title XIX of the
Social Security Act.
-2-

Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 6 of 15
II. Form of the Award
The parties recommend that the compensation provided to B.O. 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 following2:
A. A lump sum payment of $147,889.83, representing compensation for life care
expenses for Year One ($10,889.83 ) and pain and suffering ($137,000.00), in the form of a
check payable to petitioners as guardian(s)/conservator(s) of B.O., for the benefit of B.O. No
payments shall be made until petitioners provide respondent with documentation establishing
that they have been appointed as the guardian(s)/conservator(s) of B.O.’s estate. If petitioners
are not authorized by a court of competent jurisdiction to serve as guardian(s)/conservator(s) of
the estate of B.O., 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 B.O. upon
submission of written documentation of such appointment to the Secretary.
B. A lump sum payment of $1,414.06 representing compensation for past
unreimbursable expenses, in the form of a check payable to petitioners, Crystal La Veck and
Mark Osterhoudt.
C. A lump sum payment of $12,392.95, representing compensation for satisfaction of the
Otsego County Department of Social Services Medicaid lien, payable jointly to petitioners and
NYS Department of Health
CIN: EK 25886J
NYS DOH P.O. Box 415874
Boston, MA 02241
Petitioners agree to endorse this payment to the New York State Department of Health.
2 Should B.O. die prior to the 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 and future pain and suffering.
-3-

Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 7 of 15
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 joint 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 petitioners
as guardian(s)/conservator(s) of the estate of B.O., only so long as B.O. is alive at the time a
particular payment is due. At the Secretary’s sole discretion, the periodic payments may be
provided to petitioners 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
petitioners and do not require that the payment be made in one annual installment.
3 In respondent’s discretion, respondent may purchase one or more annuity contracts from one or more life
insurance companies.
4 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. A.M. 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.
5 Petitioners authorize the disclosure of certain documents filed by the petitioners 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.
-4-

Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 8 of 15
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. Petitioners agree.
2. Life-Contingent Annuity
Petitioners will continue to receive the annuity payments from the Life Insurance
Company only so long as B.O. 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 B.O.’s death.
3. Guardianship
No payments shall be made until petitioners provide respondent with documentation
establishing that they have been appointed as the guardian(s)/conservator(s) of B.O.’s estate. If
petitioners are not authorized by a court of competent jurisdiction to serve as
guardian(s)/conservator(s) of the estate of B.O., 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 B.O. upon submission of written documentation of such appointment to the
Secretary.
-5-

Case 1:14-vv-00340-UNJ Document 41 Filed 12/16/15 Page 9 of 15
III. Summary of Recommended Payments Following Judgment
A. Lump sum paid to petitioners as court-appointed
guardian(s)/conservator(s) of B.O.’s estate: $ 147,889.83
B. Paid to petitioners, Crystal La Veck and Mark Osterhoudt: $ 1,414.06
C. Medicaid Lien: $ 12,392.95
D. An amount sufficient to purchase the annuity contract described
above in section II.D.
Respectfully submitted,
BENJAMIN C. MIZER
Principal Deputy Assistant Attorney General
RUPA BHATTACHARYYA
Director
Torts Branch, Civil Division
VINCENT J. MATANOSKI
Deputy Director
Torts Branch, Civil Division
MICHAEL P. MILMOE
Senior Trial Counsel
Torts Branch, Civil Division
s/ Sarah C. Duncan
Sarah C. Duncan
Trial Attorney
Torts Branch, Civil Division
U.S. Department of Justice
P.O. Box 146
Benjamin Franklin Station
Washington, D.C. 20044-0146
Tel: (202) 514-9729
Dated: September 9, 2015 Fax: (202) 616-4310
-6-

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Page 1 of 6
Lump Sum
ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
COMPENSATION G.R. * M Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9
2015 2016 2017 2018 2019 2020 2021 2022 2023
BCBS Premium 5% M 3,513.00 3,513.00 3,513.00 3,513.00 3,513.00 3,513.00 3,513.00 3,513.00 3,513.00
BCBS Excellus Prem. 5% M
BCBS Excellus Ded. 5%
Medicare Part B Prem. 5% M
Medicare Part B Ded. 5%
PCP 5% * 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
Hematologist 5% * 70.00 70.00 70.00 70.00 70.00 70.00 70.00 70.00 70.00
Dentist 5% *
ER 5% * 100.00
CBC 5% * 315.00 315.00 315.00 315.00 315.00 315.00 315.00 315.00 315.00
CAT Scan/ MRI 5% * 35.00
Counseling 4% * 90.00 90.00 90.00 90.00 90.00
ITP Conference 4% 1,359.00 1,359.00 1,359.00 1,359.00 1,359.00 1,359.00 1,359.00 1,359.00
Rubber Bath Mat 4% 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99
Portable Grab Bars 4% 209.85
Faucet Cover 4% 12.99 12.99 12.99 12.99 12.99 12.99
Helmet 4% 145.00 145.00 145.00 145.00 145.00 145.00 145.00 145.00
Supplies 4% 13.13 13.13 13.13 13.13 13.13 13.13 13.13 13.13 13.13
Medical Alert Bracelet 4% 49.95 49.95 49.95 49.95 49.95 49.95 49.95 49.95 49.95
Cold Compress 4% 10.33 10.33 10.33 10.33 10.33 10.33 10.33 10.33 10.33
YMCA 4% M 180.00 180.00 180.00 180.00 180.00 180.00 180.00 180.00 180.00
Home Care Aide 4% M 3,840.00 3,840.00 3,840.00 3,840.00 3,840.00 3,840.00
Handyman 4%
Mileage: PCP 4% 6.80 6.80 6.80 6.80 6.80 6.80 6.80 6.80 6.80
Mileage: Hematologist 4% 64.73 64.73 64.73 64.73 64.73 64.73 64.73 64.73 64.73
Mileage: CBC 4% 54.43 54.43 54.43 54.43 54.43 54.43 54.43 54.43 54.43
Mileage: MRI 4% 6.80
Mileage: Counselor 4% 22.88 22.88 22.88 22.88 22.88
Mileage: YMCA 4% M 902.75 902.75 902.75 902.75 902.75 902.75 902.75 902.75 902.75
Mileage: Camp 4% 34.50 34.50 34.50 34.50 34.50 34.50 34.50
Pain and Suffering 137,000.00

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Page 2 of 6
Lump Sum
ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
COMPENSATION G.R. * M Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9
2015 2016 2017 2018 2019 2020 2021 2022 2023
Past Unreimbursable
Expenses 1,414.06
Medicaid Lien 12,392.95
Annual Totals 161,696.84 10,567.10 10,856.28 10,601.60 10,714.48 10,601.60 6,861.49 6,748.61 5,357.49
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 B.O. for the benefit of B.O., for pain and suffering ($137,000.00),
and Yr 1 life care expenses ($10,889.83): $147,889.83.
As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners,
Crystal La Veck and Mark Osterhoudt, for past un-reimbursable expenses: $1,414.06.
As soon as practicable after entry of judgment, respondent shall make the following payment jointly to
petitioners and the Ostego County Department of Social Services, as reimbursement of the county's Medicaid lien: $12,392.95.
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.

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Page 3 of 6
ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
COMPENSATION G.R. * M Year 10 Year 11 Year 12 Year 13 Year 14 Year 15 Year 16 Year 17 Years 18-21
2024 2025 2026 2027 2028 2029 2030 2031 2032-2035
BCBS Premium 5% M 3,513.00 3,513.00 3,513.00 3,513.00 3,513.00 3,513.00 3,513.00
BCBS Excellus Prem. 5% M 6,412.44 6,412.44
BCBS Excellus Ded. 5% 2,000.00 2,000.00
Medicare Part B Prem. 5% M
Medicare Part B Ded. 5%
PCP 5% * 15.00 15.00 15.00 15.00 15.00 15.00 15.00 35.00 35.00
Hematologist 5% * 70.00 70.00 70.00 70.00 70.00 70.00 70.00 100.00 100.00
Dentist 5% * 274.00 274.00
ER 5% * 100.00 150.00
CBC 5% * 315.00 315.00 315.00 315.00 315.00 315.00 315.00 450.00 450.00
CAT Scan/ MRI 5% * 35.00 50.00
Counseling 4% * 90.00 90.00 90.00 210.00
ITP Conference 4%
Rubber Bath Mat 4% 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99
Portable Grab Bars 4% 209.85 13.99 13.99
Faucet Cover 4%
Helmet 4%
Supplies 4% 13.13 13.13 13.13 13.13 13.13 13.13 13.13 13.13 13.13
Medical Alert Bracelet 4% 49.95 49.95 49.95 49.95 49.95 49.95 24.98 24.98 24.98
Cold Compress 4% 10.33 10.33 10.33 10.33 10.33 10.33 10.33 10.33 10.33
YMCA 4% M 180.00 180.00 180.00 180.00 180.00 180.00 180.00 180.00 180.00
Home Care Aide 4% M
Handyman 4%
Mileage: PCP 4% 6.80 6.80 6.80 6.80 6.80 6.80 6.80 6.80 6.80
Mileage: Hematologist 4% 64.73 64.73 64.73 64.73 64.73 64.73 64.73 64.73 64.73
Mileage: CBC 4% 54.43 54.43 54.43 54.43 54.43 54.43 54.43 54.43 54.43
Mileage: MRI 4% 6.80 6.80
Mileage: Counselor 4% 22.88 22.88 22.88 22.88
Mileage: YMCA 4% M 902.75 902.75 902.75 902.75 902.75 902.75 902.75 902.75 902.75
Mileage: Camp 4% 34.50 34.50 34.50 34.50
Pain and Suffering

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ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation
COMPENSATION G.R. * M Year 10 Year 11 Year 12 Year 13 Year 14 Year 15 Year 16 Year 17 Years 18-21
2024 2025 2026 2027 2028 2029 2030 2031 2032-2035
Past Unreimbursable
Expenses
Medicaid Lien
Annual Totals 5,386.41 5,357.49 5,244.61 5,357.49 5,210.11 5,322.99 5,394.99 10,997.25 10,557.57
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 B.O. for the benefit of B.O., for pain and suffering ($137,000.00),
and Yr 1 life care expenses ($10,889.83): $147,889.83.
As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners,
Crystal La Veck and Mark Osterhoudt, for past un-reimbursable expenses: $1,414.06.
As soon as practicable after entry of judgment, respondent shall make the following payment jointly to
petitioners and the Ostego County Department of Social Services, as reimbursement of the county's Medicaid lien: $12,392.95.
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.

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ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation
COMPENSATION G.R. * M Year 22 Years 23-25 Years 26-42 Years 43-57 Years 58-60 Years 61-66 Years 67-Life
2036 2037-2039 2040-2056 2057-2071 2072-2074 2075-2080 2081-Life
BCBS Premium 5% M
BCBS Excellus Prem. 5% M
BCBS Excellus Ded. 5%
Medicare Part B Prem. 5% M 1,258.80 1,258.80
Medicare Part B Ded. 5% 147.00 147.00
PCP 5% * 35.00 35.00 35.00 35.00 35.00 35.00 35.00
Hematologist 5% * 100.00 100.00 100.00 100.00 100.00 80.00 80.00
Dentist 5% *
ER 5% *
CBC 5% * 450.00 450.00 450.00 450.00 450.00
CAT Scan/ MRI 5% *
Counseling 4% * 210.00 42.00 42.00
ITP Conference 4%
Rubber Bath Mat 4% 14.99 14.99 14.99 14.99 14.99 14.99 14.99
Portable Grab Bars 4% 13.99 13.99 13.99 13.99 13.99 13.99 13.99
Faucet Cover 4%
Helmet 4%
Supplies 4% 13.13 13.13 13.13 13.13 13.13 13.13 13.13
Medical Alert Bracelet 4% 24.98 24.98 24.98 24.98 24.98 24.98 24.98
Cold Compress 4% 10.33 10.33 10.33 10.33 10.33 10.33 10.33
YMCA 4% M 330.00 330.00 330.00 330.00 213.00 213.00 213.00
Home Care Aide 4% M
Handyman 4% 300.00 300.00 300.00 300.00
Mileage: PCP 4% 6.80 6.80 6.80 6.80 6.80 6.80 6.80
Mileage: Hematologist 4% 64.73 64.73 64.73 64.73 64.73 64.73 64.73
Mileage: CBC 4% 54.43 54.43 54.43 54.43 54.43 54.43 54.43
Mileage: MRI 4%
Mileage: Counselor 4% 22.88 4.58 4.58
Mileage: YMCA 4% M 902.75 902.75 902.75 902.75 902.75 902.75 902.75
Mileage: Camp 4%
Pain and Suffering

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ITEMS OF Compensation Compensation Compensation Compensation Compensation Compensation Compensation
COMPENSATION G.R. * M Year 22 Years 23-25 Years 26-42 Years 43-57 Years 58-60 Years 61-66 Years 67-Life
2036 2037-2039 2040-2056 2057-2071 2072-2074 2075-2080 2081-Life
Past Unreimbursable
Expenses
Medicaid Lien
Annual Totals 2,254.01 2,067.71 2,367.71 2,321.13 2,204.13 3,139.93 2,839.93
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 B.O. for the benefit of B.O., for pain and suffering ($137,000.00),
and Yr 1 life care expenses ($10,889.83): $147,889.83.
As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners,
Crystal La Veck and Mark Osterhoudt, for past un-reimbursable expenses: $1,414.06.
As soon as practicable after entry of judgment, respondent shall make the following payment jointly to
petitioners and the Ostego County Department of Social Services, as reimbursement of the county's Medicaid lien: $12,392.95.
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.