Roach v. Secretary of Health and Human Services ( 2018 )


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  •          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    UNPUBLISHED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
    O.G.R., a minor child,                                   Special Processing Unit (SPU);
    Damages Decision Based on Proffer;
    Petitioner,                          Measles Mumps Rubella (MMR)
    v.                                                       Vaccine; Encephalopathy
    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    1 Because this unpublished decision contains a reasoned explanation for the action in this case, the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.
    2National 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).
    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
    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
    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-
    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-
    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-
    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 company 4 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-
    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-
    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-
    /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-
    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%                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          37.40          37.40
    PM&R                            5%     *
    Mileage: PM&R                   4%                74.80           74.80          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          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%     *
    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%               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%                593.18         593.18         593.18         593.18         593.18         593.18         593.18         593.18
    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%     *        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%                204.00         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%                204.00         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%                204.00         204.00         204.00         204.00         204.00         204.00         204.00         204.00
    Aug Comm Evaluation             4%     *          500.00         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%                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
    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
    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%                   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%                                                                                                                         23.99
    iPad                              4%                  799.00                                                                              799.00
    iPad Case                         4%                   19.95                                                                               19.95
    Attendant Care                    4%               93,960.00        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%              949,000.00
    Ancillary Services-Housekeeping   4%
    Home Mods                         4%               73,768.00
    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                              793,951.66
    Pain and Suffering                                250,000.00
    Medicaid Lien                                     278,476.84
    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.
    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%     *
    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
    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.
    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%     *
    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
    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.
    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%     *
    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
    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.
    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%     *
    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
    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.
    

Document Info

Docket Number: 16-119

Judges: Nora Beth Dorsey

Filed Date: 6/27/2018

Precedential Status: Non-Precedential

Modified Date: 6/27/2018