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SCHEDULE OF DISABILITIES AND MAXIMUM BENEFITS EXCLUSIVE OF AMPUTATION AND ENUCLEATION EFFECTIVE 1/1/2008
RNGERS-SEEFOOTNOTE
PER CENT

TOES
IJJ :1:>< ... w "'w ~o: 00 LL'"
0.2000 39.60 0.3000 59.40 0.4000 79.20 0.5000 99.00 06000 118.80 0.7000 138.60 0.8000 158.40 1.0000 198.00 1.5000 297.00 2.0000 396.00 25000 495.00 30000 594.00 3.5000 693.00 4.0000 792.00 45000 891.00 50000 990.00 5.5000 1,089.00 60000 1,188.00 6.6667 1,320.01 70000 1,386.00 7.5000 1,485.00 80000 1,584.00 90000 1,782.00 10.0000 1,980.00 11.0000 2,178.00 12.0000 2,376.00 130000 2,574.00 133333 2,639.99 14.0000 2,772.00 15.0000 2,970.00 16.0000 3,168.00 170000 3,366.00 18.0000 3,564.00 19.0000 3,762.00 20.0000 3,960.00

HEARING
--'

IJJ >< w w 00: ZIO 2.4500 485.10 3.6750 727.65 49000 970.20 6.1250 1,212.75 7.3500 1,455.30 8.5750 1,697.85 9.8000 1,940.40 12.2500 2,425.50 18.3750 3,638.25 245000 4,851.00 30.6250 6,063.75 36.7500 7,276.50 42.8750 8,489.25 490000 9,702.00 551250 10,914.75 61.2500 12,127.50 67.3750 13,340.25 73.5000 14,553.00 81.6667 16,170.01 857500 16,978.50 91.8750 18,210.00 98.0000 20,404.00 110.2500 23,177.25 122.5000 26,190.50 134.7500 29,453.75 147.0000 32,967.00 159.2500 36,730.25 163.3333 38,036.66 171.5000 40,734.00 1837500 63,577.50 1960000 67,816.00 208.2500 72,054.50 220.5000 87,318.00 232.7500 92,169.00 245.0000 109,025.00

IJJ >< w w :;;0: ",0 33000 653.40 4.9500 980.10 6.6000 1,306.80 8.2500 1,633.50 9.9000 1,960.20 11.5500 2,286.90 13.2000 2,613.60 165000 3,267.00 24.7500 4,900.50 33.0000 6,534.00 41.2500 8,167.50 495000 9,801.00 57.7500 11,434.50 660000 13,068.00 74.2500 14,701.50 82.5000 16,335.00 90.7500 17,976.00 990000 20,622.00 110.0000 23,118.00 115.5000 24,436.50 123.7500 26,511.75 1320000 28,692.00 148.5000 33,412.50 1650000 38,580.00 181.5000 62,799.00 198.0000 68,508.00 214.5000 84,942.00 2200000 87,120.00 2310000 91,476.00 247.5000 110,137.50 264.0000 117,480.00 280.5000 138,847.50 2970000 147,015.00 313.5000 170,544.00 3300000 179,520.00

IJJ >< lllW :;;w ~o: :1:10 .......
07500 148.50 1.1250 222.75 1.5000 297.00 1.8750 371.25 22500 445.50 2.6250 519.75 30000 594.00 3.7500 742.50 56250 1,113.75 7.5000 1,485.00 9.3750 1,856.25 11.2500 2,227.50 131250 2,598.75 15.0000 2,970.00 16.8750 3,341.25 18.7500 3,712.50 20.6250 4,083.75 22.5000 4,455.00 25.0000 4,950.00 262500 5,197.50 28.1250 5,568.75 30.0000 5,940.00 33.7500 6,682.50 37.5000 7,425.00 41.2500 8,167.50 450000 8,910.00 48.7500 9,652.50 50.0000 9,900.00 52.5000 10,395.00 562500 11,137.50 600000 11,880.00 63.7500 12,622.50 67.5000 13,365.00 712500 14,107.50 75.0000 14,850.00

I

IJJ >< w ... w 1JJ0: !!:o LLIO
0.5000 99.00 07500 148.50 1.0000 198.00 1.2500 247.50 1.5000 297.00 1.7500 346.50 20000 396.00 2.5000 495.00 3.7500 742.50 50000 990.00 6.2500 1,237.50 7.5000 1,485.00 8.7500 1,732.50 10.0000 1,980.00 11.2500 2,227.50 12.5000 2,475.00 13.7500 2,722.50 150000 2,970.00 166667 3,300.01 17.5000 3,465.00 18.7500 3,712.50 20.0000 3,960.00 225000 4,455.00 250000 4,950.00 27.5000 5,445.00 300000 5,940.00 325000 6,435.00 333333 6,599.99 35.0000 6,930.00 37.5000 7,425.00 40.0000 7,920.00 42.5000 8,415.00 45.0000 8,910.00 47.5000 9,405.00 50.0000 9,900.00

IJJ 0>< ZW Ow uo: Wo IJJ.,.
0.4000 79.20 0.6000 118.80 08000 158.40 10000 198.00 1.2000 237.60 1.4000 277.20 1.6000 316.80 20000 396.00 30000 594.00 4.0000 792.00 5.0000 990.00 60000 1,188.00 7.0000 1,386.00 80000 1,584.00 9.0000 1,782.00 100000 1,980.00 11.0000 2,178.00 12.0000 2,376.00 13.3333 2,639.99 140000 2,772.00 150000 2,970.00 16.0000 3,168.00 18.0000 3,564.00 20.0000 3,960.00 220000 4,356.00 24.0000 4,752.00 26.0000 5,148.00 26.6667 5,280.01 28.0000 5,544.00 30.0000 5,940.00 32.0000 6,336.00 34.0000 6,732.00 36.0000 7,128.00 380000 7,524.00 40.0000 7,920.00

IJJ >< w Ow !!:o: :1:0

IJJ >< w w ClO:
w~ --''''

IJJ >< w w tio: LL'"
O~

W OIJJ ... >< wo: "'0 Cl.,.
0.4000 79.20 06000 118.80 08000 158.40 1.0000 198.00 1.2000 237.60 1.4000 277.20 1.6000 316.80 2.0000 396.00 3.0000 594.00 4.0000 792.00 50000 990.00 60000 1,188.00 7.0000 1,386.00 80000 1,584.00 90000 1,782.00 10.0000 1,980.00 11.0000 2,178.00 12.0000 2,376.00 133333 2,639.99 140000 2,772.00 15.0000 2,970.00 16.0000 3,168.00 18.0000 3,564.00 200000 3,960.00 220000 4,356.00 24.0000 4,752.00 26.0000 5,148.00 26.6667 5,280.01 28.0000 5,544.00 30.0000 5,940.00 320000 6,336.00 340000 6,732.00 36.0000 7,128.00 380000 7,524.00 40.0000 7,920.00

~tl1

... '"

W OIJJ ... >< "'w WW :1:0: "'10 O~
0.1500 29.70 0.2250 44.55 0.3000 59.40 03750 74.25 0.4500 89.10 0.5250 103.95 06000 118.80 0.7500 148.50 1.1250 222.75 1.5000 297.00 1.8750 371.25 22500 445.50 2.6250 519.75 3.0000 594.00 3.3750 668.25 37500 742.50 41250 816.75 4.5000 891.00 5.0000 990.00 5.2500 1,039.50 56250 1,113.75 6.0000 1,188.00 6.7500 1,336.50 7.5000 1,485.00 82500 1,633.50 9.0000 1,782.00 9.7500 1,930.50 10.0000 1,980.00 10.5000 2,079.00 11.2500 2,227.50 12.0000 2,376.00 12.7500 2,524.50 135000 2,673.00 142500 2,821.50 15.0000 2,970.00

w~

IJJ >< w w wO: >0

IJJ >< w "'w ~

IJJ >< w IJJw "'0:

'" '"
2.0000 396.00 3.0000 594.00 40000 792.00 50000 990.00 6.0000 1,188.00 7.0000 1,386.00 80000 1,584.00 10.0000 1,980.00 15.0000 2,970.00 20.0000 3,960.00 25.0000 4,950.00 30.0000 5,940.00 35.0000 6,930.00 400000 7,920.00 45.0000 8,910.00 50.0000 9,900.00 550000 10,890.00 60.0000 11,880.00 66.6667 13,200.01 700000 13,860.00 750000 14,850.00 800000 15,840.00 90.0000 17,820.00 100.0000 20,840.00 1100000 23,118.00 1200000 25,548.00 130.0000 28,158.00 133.3333 29,061.32 140.0000 30,928.00 150.0000 33,858.00 160.0000 36,968.00 170.0000 40,230.00 1800000 43,650.00 190.0000 65,740.00 2000000 69,200.00

~g

~ 12z~ --,Ow =wo: "'1JJ 0
6.0000 1,188.00 90000 1,782.00 12.0000 2,376.00 15.0000 2,970.00 18.0000 3,564.00 21.0000 4,158.00 24.0000 4,752.00 30.0000 5,940.00 45.0000 8,910.00 600000 11,880.00 750000 14,850.00 90.0000 17,820.00

PER CENT

1 11/2 2 21/2 3 31/2 4 5 71/2

0.3000 59.40 0.4500 89.10 0.6000 118.80 07500 148.50 09000 178.20 1.0500 207.90 1.2000 237.60 1.5000 297.00 2.2500 445.50 30000 594.00 3.7500 742.50 4.5000 891.00 52500 1,039.50 6.0000 1,188.00 6.7500 1,336.50 7.5000 1,485.00 82500 1,633.50 9.0000 1,782.00 10.0000 1,980.00 10.5000 2,079.00 11.2500 2,227.50 120000 2,376.00 135000 2,673.00 15.0000 2,970.00 16.5000 3,267.00 180000 3,564.00 19.5000 3,861.00 20.0000 3,960.00 210000 4,158.00 225000 4,455.00 24.0000 4,752.00 25.5000 5,049.00 27.0000 5,346.00 28.5000 5,643.00 30.0000 5,940.00

3.1500 623.70 4.7250 935.55 6.3000 1,247.40 7.8750 1,559.25 9.4500 1,871.10 11.0250 2,182.95 126000 2,494.80 157500 3,118.50 23.6250 4,677.75 31.5000 6,237.00 39.3750 7,796.25 47.2500 9,355.50 551250 10,914.75 630000 12,474.00 70.8750 14,033.25 78.7500 15,592.50 866250 17,151.75 94.5000 18,756.00 105.0000 21,960.00 1102500 23,177.25 118.1250 25,084.88 126.0000 27,090.00 141.7500 31,430.25 157.5000 36,175.50 1732500 41,322.00 189.0000 65,394.00 204.7500 70,843.50 210.0000 72,660.00 2205000 87,318.00 2362500 93,555.00 252.0000 112,140.00 267.7500 119,148.75 283.5000 140,332.50 299.2500 148,128.75 315.0000 171,360.00

23000 455.40 3.4500 683.10 4.6000 910.80 57500 1,138.50 69000 1,366.20 8.0500 1,593.90 9.2000 1,821.60 11.5000 2,277.00 17.2500 3,415.50 23.0000 4,554.00 28.7500 5,692.50 34.5000 6,831.00 40.2500 7,969.50 460000 9,108.00 517500 10,246.50 57.5000 11,385.00 63.2500 12,523.50 690000 13,662.00 76.6667 15,180.01 80.5000 15,939.00 86.2500 17,077.50 920000 18,236.00 103.5000 21,618.00 115.0000 24,313.00 126.5000 27,223.50 1380000 30,354.00 1495000 33,709.50 153.3333 34,881.32 161.0000 37,285.00 172.5000 41,070.00 184.0000 63,664.00 195.5000 67,643.00 207.0000 71,622.00 2185000 86,526.00 230.0000 91,OSO.00

20000 396.00 30000 594.00 4.0000 792.00 50000 990.00 6.0000 1,188.00 7.0000 1,386.00 8.0000 1,584.00 100000 1,980.00 150000 2,970.00 20.0000 3,960.00 25.0000 4,950.00 300000 5,940.00 350000 6,930.00 400000 7,920.00 45.0000 8,910.00 500000 9,900.00 55.0000 10,890.00 600000 11,880.00 66.6667 13,200.01 70.0000 13,860.00 75.0000 14,850.00 800000 15,840.00 900000 17,820.00 100.0000 20,840.00 110.0000 23,118.00 1200000 25,548.00 1300000 28,158.00 133.3333 29,061.32 140.0000 30,928.00 1500000 33,858.00 1600000 36,968.00 110.0000 40,230.00 180.0000 43,650.00 190.0000 65,740.00 200.0000 69,200.00

0.6000 118.80 09000 178.20 12000 237.60 1.5000 297.00 1.8000 356.40 2.1000 415.80 2.4000 475.20 3.0000 594.00 4.5000 891.00 6.0000 1,188.00 75000 1,485.00 90000 1,782.00 10.5000 2,079.00 12.0000 2,376.00 13.5000 2,673.00 150000 2,970.00 16.5000 3,267.00 18.0000 3,564.00 20.0000 3,960.00 21.0000 4,158.00 22.5000 4,455.00 240000 4,752.00 270000 5,346.00 30.0000 5,940.00 33.0000 6,534.00 360000 7,128.00 390000 7,722.00 40.0000 7,920.00 42.0000 8,316.00 45.0000 8,910.00 48.0000 9,504.00 51.0000 10,098.00 54.0000 10,692.00 57.0000 11,286.00 600000 11,880.00

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

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

105.0000 21,960.00 120.0000 25,548.00 135.0000 29,523.00 150.0000 33,858.00 1650000 38,580.00 180.0000 43,650.00 200.0000 69,200.00 210.0000 72,660.00 225.0000 89,100.00 240.0000 95,040.00 2700000 120,150.00 300.0000 148,500.00 3300000 179,520.00 360.0000 213,840.00 390.0000 250,770.00 400.0000 276,800.00 420.0000 290,640.00 4500000 333,900.00 480.0000 356,160.00 510.0000 378,420.00 540.0000 400,680.00 570.0000 422,940.00 6000000 XXXXXXXX

100

100

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 MANUFACTURERS INSURANCE COMPANY
WCC-231 (8/07)

301 SULLIVAN WAY, WEST TRENTON, N.J. 08628

I

WEEKS
MAX. DOLLAR AMT.

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

17,820 19.968 21,276 22,644 24.066
20% olSAWW
21%

SAWW $ 989.23 Maximum Rate $742.00 Maximum Rate Chart Permanent Partial Disability Compensation Rate - 70% of Wage

25.548 27.090 28,692

30.354 32.076

33.858

35.700 37,602

39,558

41,574

43.650

90 91 TO 96 97 TO 102 103 TO 108 109 TO 114 115 TO 120 121 TO 126 127 TO 132 133 TO 138 139 TO 144

orSAWW
22%
otsAWW

Ol;~~
ot;~;:'w

ot;~WW


ot;~~W
ot;~;:'w


Ol;~~

ot;~~w


145 TO 150 Ol~~~
151 TO 156 ot~~;:'w
157 TO 162 ot~~~
163 TO 168 of~~;:'W
169 TO 174 ot~~~w
175 TO 180 ot~~ww
181 TO 21 0 OI~~~W
211 TO 240 of~~;:'W
241 TO 270 ot~~Ww
271 TO 300 ot;~;:'w
301 TO 330 ot;~~w
331 TO 360 ot~~;:'w
361 TO 390 o,~~ww
391 TO 420 421 TO 600
ot~~~
ot~~W


198
208
208
208
208
208
208
208
208
208
208
208
208
208
208
208


208
208
208
208
208
208
208
208
208
208
208
208
208
208
208

-

Minimum Rate $35.00 per week Amputation - 30% of Award - Added

-

218
218
218
218
218
218
218
218
218
218
218
218
218
218


no counsel fee

25 Weeks Additional for Enucleation

228
228
228
228
228
228
228
228
228
228
228
228
228

-

of Eye

237
237
237
237
237
237
237
237
237
237
237
237


247
247
247
247
247
247
247
247
247
247
247

-

257
257
257
257
257
257
257
257
257
257


267
267
267
267
267
267
267
267
267


277
277
277
277
277
277
277
277

-

287
287
287
287
287
287
287


297
297
297
297
297
297

-

307
307
307
307
307

-

317
317
326
317
326
336
317
326
336
346


-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

346


-

-

396

-

445


-

-

-

-

-

-

-

-

-

-

495

-

544

-

594


-

-

-

643


-

692

-

742


1/112008 TOTAL PERMANENT DISABILITY - - 70% of Wages - Maximum $742.00 - Minimum $198.00 - 450 Weeks, Plus Additional Benefits as Set Forth in R.S. 34:15-12(b) TEMPORARY DISABILITY - 70% of Wages - Maximum $742.00 - Minimum $198.00 - Maximum 400 Weeks DEATH BENEFITS - 70% of Wages - 450 Weeks Plus Spouse's Statutory Benefits - Maximum Rate $742.00 FUNERAL ALLOWANCE - Not to Exceed $3,500.00