FINGERS - SEE FOOTNOTE
w om >-:.: >-w
TOES
w om >-:.: a: w Ww :1:;;: >-",
o~
HEARING
PER CENT
m :.: w w 0;;: z'" < .. :1:"
24500 465.50 36750 698.25 49000 931.00 6.1250 1,163,75 7.3500 1,396.50
m :.: w w ::;;;: a: o
<~
m :.: lDw ::;w =>;;: :1:", > ....
Ol500 142.50 11250 213,75 1.5000 285,00
m :.: w >-w m;;: !!o u.",
05000 95,00 07500 142,50 I DODD 190,00 I 2500 237,50 15000 285,00 17500 332.50 2.0000 380,00 25000 475,00 37500 712.50 5.0000 950.00 62500 1,187.50
75000 1,425.00
m ZW ow u;;: wo m ..
0:':
!!;;:
m :.: ottj
:1:0 >-'"
03000 57,00
0.4500
m :1::': >-w a: w =>;;: 00
u."
02000 38.00 0.3000 57.00 04000 76,00 0.5000 95,00 0.6000 114.00 0.7000 133.00 0.8000 152.00 ',DODD 190,00 1.5000 285,00 2.0000 380,00 2.5000 475,00 30000 570,00
:.:
w~
...J",
3.1500 598,50 47250 897,75
c..:l~
m w w
m :.: w w >-;;: 0 0 0",
u."
2.3000 437.00 3.4500 655,50 4.6000 874,00
m :.: w w ;;: wo >0 w"
2.0000 380.00 30000 570.00
~~
m :.: w a:w <;;:
m :.: mttj a:;;: <0 wo
~z~ ...J°w
o..lD",
;::
...J
PER CENT
""
~~g
6.0000 1,140.00 9.0000 1,710.00
1 11/2 2 21/2 3 31/2 4 5 71/2 10 121/2 15 171/2 20 221/2 25 271/2 30 331/3 35 371/2 40 45 50 55 60 65 662/3 70 75 80 85 90 95
3.3000 627.00 49500 940,50 6.6000 1,254,00
0.4000 76.00 0.6000 114.00 0.8000 152.00 10000 190.00
01500 28.50 0.2250 42.75
06000 114,00 09000 171.00 12000 228,00 1.5000 285,00
2 DODD 380,00 3.0000 570.00
1 11/2 2 21/2 3 31/2 4 5 71/2 10 121/2 15 171/2 20 221/2 25 271/2 30 331/3 35 371/2 40 45 50 55 60 65 662/3 70 75 80 85 90 95 100
85.50 0.6000 114,00
6JOOO 1,197.00
0.3000 57.00
03750 71,25 0.4500 85.50 05250 9915 0.6000 114,00 07500 142.50
4.0000 760,00
5.0000 950.00
4.0000 760.00
5.0000 950,00
12.0000 2,280,00
15.0000 2,850.00
8.2500 1,567,50 99000 1,881,00
115500 2,194.50 13.2000 2.508,00 16.5000 3,135,00 24.7500 4,702,50
1.8750 356,25
2.2500 427.50 2.6250 498,75 30000 570.00 31500 712.50 5.6250 1.068.75
0.7500 142,50
0.9000 171.00 10500 199,50 1.2000 228,00 15000 285,00 2,2500 427,50 3,0000 570.00 3.7500 712.50 45000 855,00 52500 997,50 60000 1.140.00 67500 1,282,50 7.5000 1,425,00 8.2500 1,567,50 9.0000 1,710,00 10.0000 1,900.00 10.5000 1,995,00 112500 2.137,50 12.0000 2,280.00 13.5000 2,565.00 150000 2,850,00 16.5000 3,135,00 18.0000 3.420,00 195000 3,705,00 20.0000 3.800.00 21 DODD 3,990,00 22.5000 4,275,00 24.0000 4,560.00 255000 4,845.00 27 DODD 5,130,00 285000 5.415.00 3D0000 5,700,00
78750 1,496.25 9.4500 1,795.50
110250 2,094l5 12.6000 2,394.00 15.7500 2,992,50 236250 4,488,75 315000 5,985.00
5.7500 1,092,50 6.9000 1.311.00
80500 1,529.50 92000 1,748,00 11.5000 2,185,00 17.2500 3,277,50 23.0000 4,370,00 28.7500 5,462,50 345000 6,555,00 402500 7,647.50 46.0000 8,740.00 51.7500 9.832,50
',2000 228,00
14000 266.00 1,6000 304.00 2.0000 380.00 3 DODD 570,00 4.0000 760,00 5.0000 950.00 6.0000 1,140,00 7 DODD 1,330,00 8.0000 1.520,00 9.0000 1.710.00 100000 1.900.00 II DODO 2.090,00 120000 2,280.00 13.3333 2,533,33 14DODD 2,660,00 150000 2,850,00 160000 3,040,00 18.0000 3,420,00 200000 3.800.00 220000 4.180.00 24.0000 4,560.00 26.0000 4,940.00 266667 5,066,67 280000 5,320,00 3DDODD 5,700,00 32.0000 6,080.00 340000 6,460,00 36.0000 6,840,00 38,0000 7,220,00 40.0000 7,600.00
6.0000 1,140,00
70000 1,330,00 8.0000 1.520.00 10.0000 1,900.00 15.0000 2,850.00 20.0000 3,800,00 25.0000 4,750,00 3DDODO 5.700,00 35.0000 6,650.00 40 DODO 7,600,00 45.0000 8,550,00 500000 9,500,00 55.0000 10,450,00 600000 11.400.00 666667 12.666,67 700000 13,300.00 750000 14,250,00 80.0000 15,200,00 90.0000 17,100,00 100.0000 19,936,00 1100000 22,114,00 1200000 24.444.00 130.0000 26.944.00 133.3333 27,809.32 140.0000 29,596.00 150 DODD 32.400.00 1600000 35.376.00 170.0000 38,504.00 180.0000 41,784,00 1900000 63,080,00 2000000 66.400,00
1.8000 342.00
2 IDOO 399,00 2AOOO 456,00 30000 570.00 45000 855.00 60000 1,140,00 75000 1,425,00 90000 1,710,00 105000 1.995.00 12.0000 2,280,00 135000 2,565,00 150000 2,850.00
60000 1,140,00
7 DODD 1,330,00 80000 1,520,00 100000 1,900,00 150000 2,850,00 20 DODD 3.800,00 25 DODD 4,750.00 3DDODD 5,700,00 35 DODD 6.650,00 400000 7,600.00 45.0000 8,550.00 500000 9,500.00
180000 3,420,00
21.0000 3.990,00 24 DODD 4,560,00 3DDODD 5,700,00 450000 8.550,00
8.5750 1,629,25
98000 1.862,00 12.2500 2,327.50 183750 3,491,25 24.5000 4,655.00
1.1250 213,75
15000 285.00 18750 356.25 22500 427,50
33.0000 6.270,00
412500 7,837.50 495000 9,405,00 57 7500 10,972.50 66.0000 12,540.00 742500 14,107,50 825000 15,675,00 907500 17.249.25 99 DODD 19,728.00 1100000 22,114.00 1155000 23,377.50 123.7500 25.366.50 1320000 27.456.00 1485000 31,974,00 1650000 36.921.00 181 5000 60,258,00 198.0000 65,736,00 2145000 81.295.50 2200000 83.380.00 2310000 87,549,00 2475000 105,435,00 2640000 112,464,00 2805000 132,957.00 2970000 140,778,00 313.5000 163,333.50
7.5000 1,425.00
93750 1,781,25
1'12500
60.0000 11,400,00
750000 14,250,00 90.0000 17,100,00 1D50000 21,006,00 120.0000 24,444,00 1350000 28,251.00
306250 5,818.75
367500 6,982,50
393750 7,481,25
47.2500 8,977,50 55.1250 10,473.75 630000 11,970,00 708750 13,466,25 787500 14,962,50 86.6250 16,458l5 94.5000 17,995,50 1D5.0000 21.006.00 110.2500 22,170.75 118.1250 23,999,63 126.0000 25,920.00 1417500 30,077.25 157.5000 34,618,50 173,2500 39,550,50 189,0000 62.748,00 204.7500 67,977.00 2100000 69,720.00 220.5000 83.569,50 2362500 89,538,75 2520000 107,352.00 2677500 114,061,50 283.5000 134,379,00 2992500 141.844,50 3150000 164,115,00
2.137,50
131250 2.493l5 150000 2,850.00 16.3750 3,206,25
428750 8,146,25 490000 9,310,00
55 1250 10,473l5 61.2500 11,637,50 673750 12,801.25 735000 13,965,00 31 6667 15,516,67 857500 16,292,50 91 8750 17,473.13 980000 19,520,00 lID 2500 22.170l5 1225000 25,059,00 1347500 28,184.75 1470000 31,548.00 159.2500 35,148l5 163.3333 36.399,32 1715000 38,987.00 1837500 61,005.00 1960000 65,072.00 2082500 69,139,00 2205000 83,569,50 2327500 88,212.25
81500 1,662.50
100000 1.900,00 112500 2.137,50 12.5000 2,375,00 13,7500 2,612.50 150000 2.850.00 166667 3.166,67 175000 3,325,00 18.7500 3,562.50 200000 3.800,00 225000 4.275,00 250000 4,750.00 275000 5,225.00 30.0000 5,700,00 32.5000 6,175.00 333333 6.333.33 35 DODO 6,650.00 375000 7,125,00 400000 7,600,00 425000 8.075.00 450000 8,550.00 475000 9,025,00 500000 9,500,00
3.5000 665,00
4.0000 760.00
2.6250 498,75 3.0000 570,00 33750 641,25
3.7500 712.50 4.1250 783,75 4.5000 855,00 50000 950,00 52500 997,50 56250 1.068l5 60000 1.140,00 6.7500 1,282,50 7.5000 1,425,00 82500 1,567,50 90000 1,710,00 97500 1,852,50 10.0000 1,900,00 10 5000 1,995,00 112500 2.137,50 120000 2,280,00 127500 2,422.50 135000 2,565,00 14.2500 2,707,50 IS 0000 2,850,00
4.5000 855,00
5.0000 950,00 55000 1,045,00 60000 1.140,00 66667 1,266.67 7.0000 1,330,00 7.5000 1,425.00 8.0000 1,520,00 9.0000 1.710,00 10 DODO 1,900,00 110000 2,090,00 12.0000 2,280,00 13.0000 2,470,00 13.3333 2,533,33 14.0000 2.660.00 15.0000 2,850,00 160000 3,040,00 170000 3,230,00 180000 3,420,00 19.0000 3,610.00 20.0000 3.800.00
181500 3,562.50
206250 3.918,75 225000 4,275,00 25.0000 4,750.00 262500 4,987,50 28 1250 5.343l5 300000 5l00.00 337500 6,412,50 375000 7,125,00 41 2500 7.837,50 450000 8,550,00 487500 9.262.50 500000 9.500,00 52.5000 9,975,00 56.2500 10,687,50 60.0000 11.400.00 637500 12,112,50 675000 12,825,00 71 2500 13,537,50 750000 14.250.00
575000 10.925,00
63.2500 12,017,50 69.0000 13,110.00 76.6667 14,566.67 80.5000 15.295,00 36 2500 16.387,50 92.0000 17,498,00 1035000 20,679.00 1150000 23,259,00 1265000 26,048,00 1380000 29,046,00 1495000 32,258.00 153.3333 33,379.99 1610000 35.679.00 172.5000 39,309,00 184.0000 61,088.00 1955000 64,906,00 207.0000 68,724.00 218.5000 82,811.50 230.0000 87,170,00
100000 1,900,00
110000 2,090,00 12.0000 2,280,00 13.3333 2,533.33 14.0000 2,660,00 150000 2,850,00 160000 3,040,00 180000 3.420,00 200000 3,800,00 220000 4,180.00 24.0000 4,560,00 26.0000 4.940,00 26.6667 5,066.67 28.0000 5,320,00 3DDODD 5,700.00 320000 6,080,00 34.0000 6.460.00 360000 6,840.00 38.0000 7,220.00 40 DODD 7,600.00
150 DODD 32,400.00
1650000 36.921.00 1800000 41.784.00 200 DODD 66,400.00 2'00 0000 69,720,00 225.0000 85,275,00 2400000 90.960,00 2700000 115,020.00 300.0000 142,200,00 330.0000 171.930,00 360.0000 204,840.00 390 DODD 240,240.00 400 DODD 265,200.00 420 DODD 278,460,00 450 DODD 319,950,00 4800000 341.280.00 51D.0000 362,610.00 540.0000 383.940,00 570.0000 405,270.00 6000000
165000 3,135,00
18.0000 3.420.00 20.0000 3,800,00 21 0000 3,990.00 225000 4,275,00 240000 4.560,00 270000 5,130.00 300000 5,700,00 330000 6,270.00 36.0000 6,840.00 39 DODD 7.410,00 400000 7,600,00 42 DODD 7,980,00 45 DODD 8,550,00 480000 9,120.00 51 0000 9,690.00 54.0000 10,260.00 570000 10,830,00 600000 11.400,00
550000 10,450.00
60 DODD 11.400.00 666667 12,666,67 700000 13.300,00 75.0000 14,250,00 800000 15,200,00 900000 17,100.00 IDO.OOOO 19,936,00 11D.0000 22,114,00 120.0000 24,444,00 1300000 26.944,00 1333333 27.809,32 1400000 29,596,00 1500000 32,400,00 160.0000 35,376.00 1700000 38,504,00 1800000 41,784.00 1900000 63,080,00 200.0000 66,400.00
100
245.0000 330.0000 104,370.00 171,930,00
XXXXXXXX
Footnote: Hand or Thumb and First and Second Fingers (on 1 Hand) or 4 Fingers (on 1 Hand)
EXPLANATION: The percent columns on the outside of the chart represent percentage of disability. The remaining columns show this percentage in terms of weeks and total benefits. The top figure in each box represents weeks, and the lower figure is dollar benefits.
NEW JERSEY MAl~UFACTURERSINSURANCE COMPANY
WCC-231 (B/06)
301 SULLIVAN WAY,WEST TRENTON, N.J. 08628
WEEKS
... --,-.-
90
90 97 103
109
115
121
127
133
139
145
151
157
163
169
175
96
102
108
114
120
126
132
138
144
150
156
162
168
174
180
SAWW $947.64 Maximum Rate $711.00 Maximum Rate Chart Permanent Partial Disability
Compensation Rate - 70% of Wage
21,660 25.920 37,860 39,792 23,022 24,444 27,456 29,046 30,696 32,400 34,164 35,982 41,784
MAX. DOLLAR AMT.
17,100
19,104
20,352
2(,%
o1SAWW
21o/Q olSAWW
Minimum Rate $35.00 per week Amputation - 30% or Award - Added
no counsel fee
,,%
olSAWW
25 Weeks Additional for Enucleation or Eye
90 91 TO 96
97 TO 102 103 TO 108 OI~~~W 227
227
237
227
227
227
227
227
227
227
227
227
227
256
256
256
256
256
256
256
256
256
265
265
265
265
265
265
265
265
275
275
275
275
275
275
275
284
284
294
284
294
284
294
284
294
284
294
303
303
313
303
313
322
303
313
322
332
-
190
199
199
199
109 TO 114 OI~~~W 199
115 TO 120 OI~~~W
199
121 TO 126 OI~~~W
199
127 TO 132 OI~:~W
199
133 TO 138 Ol~~~
199
139 TO 144 oI~~~W
199
145 TO 150 OI~':,W
199
151 TO 156 oI~~~W
199
157 TO 162 OI~~~W
199
163 TO 168 OI~~~W
199
169TO 174 oI~~~W
199
175 TO 180 OI~~~W
199
218
218
218
218
218
218
218
218
218
218
218
218
218
237
237
237
237
237
237
237
237
237
237
246
246
246
246
246
246
246
246
246
246
-
199
199
199
199
199
199
199
199
199
199
199
199
199
199
199
208
208
208
208
208
208
208
208
208
208
208
208
208
208
-
-
-
-
-
332
-
-
-
-
379
426
-
-
-
oI;':,W
-
-
-
-
-
-
474
-
181 TO 210 OI~~~W
211 TO 240 OI~~~W
241 TO 270 OI~~~W
271 TO 300
301 TO 330 Ol;~~
-
-
-
-
521
569
oI~~WW
-
-
OI~~~W
-
-
-
-
616
-
OI~':,W
-
-
663
331 TO 360 361 TO 390 391 TO 420 421 TO 600
OI~~~W
-
-
-
-
-
-
-
-
-
-
-
-
-
711
1/1/2007 TOTAL PERMANENT DISABILITY - 70% of Wages - Maximum 711.00 - Minimum $190.00 - 450 Weeks, Plus Additional Benefits as Set Forth in R.S. 34:15-12(b) TEMPORARY DISABILITY - 70% of Wages - Maximum $711.00 - Minimum $190.00 - Maximum 400 Weeks DEATH BENEFITS - 70% of Wages - 450 Weeks Plus Spouse's Statutory Benefits - Maximum Rate $711.00 FUNERAL ALLOWANCE - Not to Exceed $3,500.00
United States Free Forms
Canada Free Forms
United Kingdom Free Forms
Australia Free Forms