VICP Registry Case Source Bundle Canonical URL: https://vicp-registry.org/case/USCOURTS-cofc-1_16-vv-00119 Package ID: USCOURTS-cofc-1_16-vv-00119 Petitioner: O.G.R. Filed: 2016-01-27 Decided: 2018-06-27 Vaccine: MMR Vaccination date: 2013-02-13 Condition: encephalopathy Outcome: compensated Award amount USD: 2513903 AI-assisted case summary: On January 27, 2016, Raymond Roach, on behalf of O.G.R., a minor child, filed a petition for compensation under the National Vaccine Injury Compensation Program. The petition alleged 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. The petitioner alleged that O.G.R.'s encephalopathy was causally related to an adverse reaction to these vaccinations. The case was assigned to the Special Processing Unit. On July 15, 2016, the respondent filed a Rule 4(c) report conceding that O.G.R. was entitled to compensation. The respondent determined that O.G.R.'s encephalopathy first manifested within fifteen days of receipt of the MMR vaccine and that there was no evidence of an unrelated cause. The respondent also agreed that the encephalopathy persisted for more than six months. On July 18, 2016, Chief Special Master Nora Beth Dorsey issued a ruling on entitlement, finding O.G.R. entitled to compensation. Subsequently, on November 17, 2017, the respondent filed a proffer on the award of compensation. The parties agreed to a total award of $2,513,903.79. This award included a lump sum of $1,191,475.29 paid to Regions Bank as Trustee of the Grantor Reversionary Trust for the benefit of O.G.R., which included trust seed funds and life care expenses for the first year after judgment. It also included a lump sum of $1,043,951.66 paid to O.G.R.'s court-appointed guardian(s)/conservator(s) for lost future earnings and pain and suffering. Additionally, a lump sum of $278,476.84 was awarded to satisfy the State of Oklahoma Medicaid lien. The award also included an amount sufficient to purchase an annuity for future life care expenses, with specific growth rates for medical and non-medical items. The Chief Special Master issued a decision awarding damages on June 27, 2018, based on the parties' proffer. The public decision does not describe the specific onset symptoms, diagnostic tests, or treatments for O.G.R.'s encephalopathy. The attorneys involved were Diana Stadelnikas Sedar and Lynne Trautwein for the petitioner, and Camille Collett for the respondent. Chief Special Master Nora Beth Dorsey presided over the case. Theory of causation field: Petitioner O.G.R. received Hepatitis A, Haemophilus influenza type B, measles, mumps and rubella (MMR), Prevnar, and varicella vaccinations on February 13, 2013. Petitioner alleged encephalopathy as a vaccine injury. Respondent conceded entitlement, determining that O.G.R.'s encephalopathy manifested within fifteen days of the MMR vaccine and that there was no evidence of an unrelated cause, satisfying the "Table" theory of causation. The case resulted in a compensated outcome. The award totaled $2,513,903.79, comprising a lump sum of $1,191,475.29 to a trust for O.G.R., a lump sum of $1,043,951.66 to O.G.R.'s guardian for lost earnings and pain and suffering, and $278,476.84 to satisfy the Oklahoma Medicaid lien, plus an amount for a life care annuity. The decision was issued by Chief Special Master Nora Beth Dorsey on June 27, 2018, based on a proffer. Petitioner's counsel included Diana Stadelnikas Sedar and Lynne Trautwein; respondent's counsel was Camille Collett. Public staged source text: ================================================================================ DOCUMENT 1: USCOURTS-cofc-1_16-vv-00119-0 Date issued/filed: 2016-10-05 Pages: 2 Docket text: PUBLIC ORDER/RULING (Originally filed: 07/18/2016) regarding 22 Ruling on Entitlement ( Signed by Chief Special Master Nora Beth Dorsey.)(mpj) Copy to parties. -------------------------------------------------------------------------------- Case 1:16-vv-00119-UNJ Document 31 Filed 10/05/16 Page 1 of 2 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 16-119V Filed: July 18, 2016 UNPUBLISHED * * * * * * * * * * * * * * * * * * * * * * * * * * * * RAYMOND ROACH, on behalf of * O.G.R., a minor child * * Petitioner, * Ruling on Entitlement; Concession; v. * Measles, Mumps and Rubella (“MMR”); * Encephalopathy; SECRETARY OF HEALTH * Special Processing Unit (“SPU”) AND HUMAN SERVICES, * * Respondent. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Diana Stadelnikas Sedar, Maglio Christopher & Toale, PA, Sarasota, FL, for petitioner. Camille Collett, U.S. Department of Justice, Washington, DC, for respondent. RULING ON ENTITLEMENT1 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 1- 2. Petitioner alleges that O.G.R.’s encephalopathy is causally related to an adverse reaction to her vaccinations. Id. The case was assigned to the Special Processing Unit of the Office of Special Masters. On July 15, 2016, respondent filed her Rule 4(c) report in which she concedes that petitioner is entitled to compensation in this case. Respondent’s Rule 4(c) Report at 1. Specifically, respondent “has determined that petitioner has met the requirements 1 Because this unpublished ruling contains a reasoned explanation for the action in this case, the undersigned intends to post it on the United States Court of Federal Claims' website, in accordance with the E-Government Act of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services). In accordance with Vaccine Rule 18(b), petitioner has 14 days to identify and move to redact medical or other information, the disclosure of which would constitute an unwarranted invasion of privacy. If, upon review, the undersigned agrees that the identified material fits within this definition, the undersigned will redact such material from public access. 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). Case 1:16-vv-00119-UNJ Document 31 Filed 10/05/16 Page 2 of 2 for compensation under the Act. The medical evidence demonstrates that petitioner is entitled to a presumption of causation, as O.G.R.’s encephalopathy first manifested within fifteen days of her receipt of her first MMR vaccine, and there is not a preponderance of the evidence that her condition is due to a factor unrelated to his MMR vaccine.” Id. at 7. Respondent further agrees that the encephalopathy persisted for greater than six months. Id. In view of respondent’s concession and the evidence before me, the undersigned finds that petitioner is entitled to compensation. IT IS SO ORDERED. s/Nora Beth Dorsey Nora Beth Dorsey Chief Special Master 2 ================================================================================ DOCUMENT 2: USCOURTS-cofc-1_16-vv-00119-2 Date issued/filed: 2018-06-27 Pages: 25 Docket text: PUBLIC DECISION (Originally filed: 11/20/2017) regarding 59 DECISION Stipulation/Proffer (Signed by Chief Special Master Nora Beth Dorsey.)(mpj) Service on parties made. -------------------------------------------------------------------------------- Case 1:16-vv-00119-UNJ Document 71 Filed 06/27/18 Page 1 of 25 In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 16-119V Filed: November 20, 2017 UNPUBLISHED RAYMOND ROACH, on behalf of Special Processing Unit (SPU); O.G.R., a minor child, Damages Decision Based on Proffer; Measles Mumps Rubella (MMR) Petitioner, Vaccine; Encephalopathy v. SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Diana Lynn Stadelnikas, Maglio Christopher & Toale, PA, Sarasota, FL, for petitioner. Camille Michelle Collett, U.S. Department of Justice, Washington, DC, for respondent. DECISION AWARDING DAMAGES1 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: 1 Because this unpublished decision contains a reasoned explanation for the action in this case, the undersigned intends to post it on the United States Court of Federal Claims' website, in accordance with the E-Government Act of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services). In accordance with Vaccine Rule 18(b), petitioner has 14 days to identify and move to redact medical or other information, the disclosure of which would constitute an unwarranted invasion of privacy. If, upon review, the undersigned agrees that the identified material fits within this definition, the undersigned will redact such material from public access. 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). Case 1:16-vv-00119-UNJ Document 71 Filed 06/27/18 Page 2 of 25 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). 2 Case 1:16-vv-00119-UNJ Document 71 Filed 06/27/18 Page 3 of 25 The clerk of the court is directed to enter judgment in accordance with this decision.3 IT IS SO ORDERED. s/Nora Beth Dorsey Nora Beth Dorsey Chief Special Master 3 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 Case 1 :16-vv-00119-UNJ D ocument 7 1 F iled 0 6/27/18 P age 4 o f 2 5 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS __________________________________________ ) RAYMOND ROACH, on behalf of ) O.G.R., a minor child, ) ) Petitioner, ) ) v. ) No. 16-119V ) Chief Special Master Dorsey SECRETARY OF THE DEPARTMENT 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 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 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. -1- Case 1 :16-vv-00119-UNJ D ocument 7 1 F iled 0 6/27/18 P age 5 o f 2 5 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. -2- Case 1 :16-vv-00119-UNJ D ocument 7 1 F iled 0 6/27/18 P age 6 o f 2 5 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 2 Should O.G.R. 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, future lost earnings, and future pain and suffering. -3- Case 1 :16-vv-00119-UNJ D ocument 7 1 F iled 0 6/27/18 P age 7 o f 2 5 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 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. O.G.R. 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 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. -4- Case 1 :16-vv-00119-UNJ D ocument 7 1 F iled 0 6/27/18 P age 8 o f 2 5 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 -5- Case 1 :16-vv-00119-UNJ D ocument 7 1 F iled 0 6/27/18 P age 9 o f 2 5 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. Medicaid Lien: $ 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 -6- Case 1 :16-vv-00119-UNJ D ocument 7 1 F iled 0 6/27/18 P age 1 0 of 25 /s/Camille M. Collett CAMILLE M. COLLETT Senior Trial Attorney Torts Branch, Civil Division U. S. Department of Justice P.O. Box l46, Benjamin Franklin Station Washington, D.C. 20044-0146 Direct dial: (202) 616-4098 Dated: November 17, 2017 -7- Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 1 of 25 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% 1 0.54 10.54 10.54 10.54 10.54 10.54 10.54 10.54 Neuro Opthalmologist 5% * Mileage: Neuro Opthalmologist 4% 7 4.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 Nephrology 5% * Mileage: Nephrology 4% 7 4.80 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% 3 7.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 PM&R 5% * Mileage: PM&R 4% 7 4.80 74.80 37.40 37.40 37.40 37.40 37.40 37.40 Dentist 5% 4 14.00 414.00 414.00 414.00 414.00 414.00 414.00 414.00 Mileage: Dentist 4% 1 4.45 14.45 14.45 14.45 14.45 14.45 14.45 14.45 X-rays 5% * Blood Work 5% * Mileage: Blood Work 4% 1 9.04 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% * Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 2 of 25 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% 2 12.92 212.92 212.92 212.92 212.92 212.92 212.92 212.92 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% 5 93.18 593.18 593.18 593.18 593.18 593.18 593.18 593.18 Gloves 4% 2 55.21 255.21 255.21 255.21 255.21 255.21 255.21 255.21 Wipes 4% 1 56.33 156.33 156.33 156.33 156.33 156.33 156.33 156.33 Disp Underpads 4% 1 27.71 127.71 127.71 127.71 127.71 127.71 127.71 127.71 Washable Underpads 4% 8 3.97 83.97 83.97 83.97 83.97 83.97 83.97 83.97 Amazon Prime 4% 9 9.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00 Bibs 4% 3 6.98 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% 2 04.00 204.00 204.00 204.00 204.00 204.00 204.00 204.00 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% 2 04.00 204.00 204.00 204.00 204.00 204.00 204.00 204.00 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% 2 04.00 204.00 204.00 204.00 204.00 204.00 204.00 204.00 Aug Comm Evaluation 4% * 5 00.00 500.00 500.00 500.00 500.00 500.00 500.00 500.00 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% 1 00.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 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 Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 3 of 25 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% 6 00.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00 Tumblefoam Chair 4% 1 ,337.67 1,337.67 Rehab Equipment 4% 8 00.00 800.00 Hand Splints 4% 7 3.32 73.32 73.32 73.32 73.32 73.32 73.32 73.32 Blood Pressure Cuff 4% 23.99 iPad 4% 7 99.00 799.00 iPad Case 4% 1 9.95 19.95 Attendant Care 4% 9 3,960.00 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% 9 49,000.00 Ancillary Services-Housekeeping 4% Home Mods 4% 7 3,768.00 Accessible Van 4% 2 8,500.00 Van Mod Maint 4% 2 00.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 Lost Future Earnings 7 93,951.66 Pain and Suffering 2 50,000.00 Medicaid Lien 2 78,476.84 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. Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 4 of 25 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% * Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 5 of 25 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 Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 6 of 25 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. Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 7 of 25 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% * Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 8 of 25 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 Case 1:16-vv-00119-UNJ Document 71 F iled 0 6/27/18 P age 1 9 of 25 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. Case 1:16-vv-00119-UNJ Documen t 71 F iled 0 6/27/18 P age 2 0 o f 2 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 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% * Case 1:16-vv-00119-UNJ Documen t 71 F iled 0 6/27/18 P age 2 1 o f 2 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 Case 1:16-vv-00119-UNJ Documen t 71 F iled 0 6/27/18 P age 2 2 o f 2 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 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. Case 1:16-vv-00119-UNJ Documen t 71 F iled 0 6/27/18 P age 2 3 o f 2 5 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% * Case 1:16-vv-00119-UNJ Documen t 71 F iled 0 6/27/18 P age 2 4 o f 2 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 Case 1:16-vv-00119-UNJ Documen t 71 F iled 0 6/27/18 P age 2 5 o f 2 5 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.