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3.3000 679.80 4.9500 1,019.70 6.6000 1,359.60 8.2500 1,699.50 9.9000 2,039.40 11.5500 2,379.30 132000 2,719.20
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0.4000 82.40 0.6000 123.60 0.8000 164.80 1.0000 206.00 1.2000 247.20 1.4000 288.40 1.6000 329.60 2.0000 412,00 3.0000 618.00 4.0000 824.00 5.0000 . 1,030.00 60000 1,236.00 7.0000 1,442.00 8.0000
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0.4000 82.40 0.6000 123.60 0.8000 164.80 1.0000 206.00 1.2000 247.20 1.4000 288.40 1.6000 329.60 2.0000 412.00 3.0000 618.00 40000 824.00 5.0000 1,030.00 6.UUUU 1,236.00 70000 1,442.00 80000 1.64800 9.0000 1,654.00 10.0000 2,060.00 11.0000 2,266.00 12.0000 2,472.00 13.3333 2,746.66 14.0000 2,884.00 15.0000 3,090.00 16.0000 3,296.00 180000 3,708.00 20.0000 4,120.00 22.0000 4,532.00 24.0000 4,944.00 260000 5,356.00 266667 5,493.34 28.0000 5,768.00 30.0000 6,18.0.00 320000 6,592.00 34.0000 7,004,00 36.0000 7,416.00 38.0000 7,828.00 40.0000 8,240.00
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2.0000 412.00 3.0000 618.00 4.0000 824.00 5.0000 1,030.00 6.0000 1,236.00 7.0000 1,442.00 8.0000 1,648.00 10.0000 2,060.00 150000 3,090.00 20.0000 4,120.00 25.0000 5,150.00 30.0000 6,160.00 35.0000 7,210,00 40.0000 6,240.00 45.0000 9,270.00 50.0000 10,300,00 55.0000 11,330.00 60.0000 12,360.00 66.6667 13,733.34 70.0000 14,420.00 75.0000 15,450.00 800000 16,48U.UIJ
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PER CENT
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 / 3 712 40 45 50 55 60 65 662/3 70 75 80 85 90 95 100
2.4500 504.70 3.6750 757.05 49000 1,009.40 6.1250 1,261.75 7.3500 1,514.10 85750 1,766.45 98000 2,018.60 12.2500 2,523.50 18.3750 3,785.25 24.5000 5,047.00 30.6250
6,~0I1.7;
0.7500 154.50 1.1250 231.75 1.5000 309.00 18750 386.25 2.2500 463.50 2.6250 540.75 3.0000 618.00 3.7500 772.50 5.6250 1,158.75 7.5000 1,545.00 9.3750 1,931.25 lU51l1l 2,317.50 13.1250 2,703.75 15.0000
0.5000 103.00 0.7500 154.50 1.0000 206.00 1.2500 257.50 1.5000 309.00 1.7500 360.50 2.0000 412.00 2.5000 515,00 3.7500 n2.50 5.0000 1,030.00 6.2500 1,287.50 7.5000 1,545.00 87500 1,802.50 10.0000 2,060.00 11.2500 2,317.50 12.5000 2,575.00 13.7500 2,832.50 15.0000 3,090,00 16.6667 3,433.34 17.5000 3,605.00 18.7500 3,862.50 20.0000 4.120.00 22.5000 4,635.00 25.0000 5,150.00 275000 5,665,00 30.0000 6,180.00 32.5000 6,695.00 33.3333 6,866.66 35.0000 7,210.00 37.5000 7,725.00 40.0000 8,240,00 42.5000 8,755.00 45.0000
~,27U,00
0.3000 61.80 0.4500 92.70 Q.6000 123.60 0.7500 154.50 0.9000 185.40 1.0500 216.30 1.2000 247.20 1.5000 309.00 2.2500 463.50 30000 618.00 3.7500 n2.50 45000 927.00 5.2500 1,081.50 6.0000 1,236.00 6.7500 1,390.50 7.5000 1,545.00 8.2500 1,699.50 90000 1,854.00 100000 2,060.00 105000 2,163,00 11.2500 2,317.50 12.0000 2,472.00 13.5000 2,781.00 15.0000 3,090.00 16.5000 3,399.00 18.0000 3,708.00 19.5000 4,017.00 20.0000 4,120.00 21.0000 4,326.00 225000 4,635.00 24.0000 4,944.00 25.5000 5,253.00 27.0000 5,562.00 28.5000 5,871.00 300000 6,180,00
02000 41.20 0.3000 61.80 0.4000 82.40 0.5000 103.00 0.6000 123.60 0.7000 14420 0.8000 164.60 1.0000 206.00
31500 648.90 4.7250 973.35 6.3000 1,297.80 7.8750 1,622.25 9.4500 1,946.70 11.0250 2,271.15 12.6000 2,595.60 15.7500 3,244.50 23.6250 4,866.75 315000 6,189,00 39.3750 8,111,26 47.2500 9,733.50 551250 11,355.75 63.0000 12,978.00 70.6750 14,600.25 78.7500 16,222.50 88.8250 17,844.75 94.5000 20,506.50 105.0000 22,905.00 110.2500 24,174.00 118.1250 26,168.25 126.0000 28,280.00 1417500 32,783.25 157.5000 37,725.00 173.2500 43,092.75 189.0000 68,229.00 204.7500 73,914.75 210.0000 75,810.00 220.5000 91,066.50 236.2500 97,571:25 252.0000 116,928.00 287.7500 124,236.00 283.5000 146,288,00 299.2500 154,413.00 315.0000 178,605.00
2.3000 473.80 3.4500 710.70 4.6000 947.60 5.7500 1,184.50 6.9000 1,421.40 8.0500 1,658.30 9.2000 1,895.20 11.5000 2,369.00 17.2500 3,553.50 23.0000 4,738.00 28.7500 6,822.60 34.5000 7,107.00 40.2500 8,291.50 46.0000 9,47600 51.7500 10,660.50 57.5000 11,845.00 63.2500 13,029,50 69.0000 14,214.00 766667 15,793.34 60.5000 16,583.00 86.2500 17,767.50 920000 19,964.00 103.5000 22,549.50 115.0000 25,362,00 126.5000 28,399.00 138.0000 31,662.00 1495000 35,155.50 153.3333 36,376.66 161.0000 38,880,00 172.5000 42,829.50 184.0000 66,424.00 195.5000 70,575.50 207.0000 74,727.00 218.5000 90,240.50 230.0000 94,990.00
0.1500 30.90 0.2250 46.35 03000 61.80 03750 n.25 0.4500 92.70 0.5250 108.15 06000 123.60 0.7500 154.50 1.1250 231.75 1.5000 309.00 1.8750
386.~5
2.0000 412.00 3.0000 618.00 4.0000 824.00 5.0000 1,030.00 60000 1,236.00 7.0000 1,442.00 8.0000 1,848.00 10.0000 2,060.00 15,0000 3,090.00 20.0000 4,120.00 250000 ;,l;n.OO 30.0000 6,180.00 35.0000 7,210,00 40.0000 6,240.00 45.0000 9,270,00 500000 10,300.00 550000 11,330.00 60.0000 12,360.00 666667 13,733.34 70.0000 14,420.00 75.0000 15,450.00 80.0000 lb,4llU.UIJ 90.0000 18,540.00 100.0000 21,740.00 1100000 24,112.00 120.0000 26,652.00 130.0000 29,372.00 133.3333 30,313.32 140.0000 32,260.00 150.0000 35,310,00 1600000 38,550.00 170.0000 41,952.00 180.0000 45,522.00 190.0000 68,590.00 200.0000 72,200,00
0.6000 123.60 0.9000 185.40 1.2000 247.20 1.5000 309.00 1.8000 370.80 2.1000 432.60 2.4000 494.40 3.0000 618.00 4.5000 927,00 6.0000 1,236.00 7.5000 1,54500 9.0000 1,854.00 10.5000 2,163.00 12.0000 2,472.00 13.5000 2,781.00 15.0000 3,090.00 165000 3,399.00 18.0000 3,708.00 20.0000 4,120.00 210000 4,326.00 22.5000 4,635.00 240000
4,~44.UIJ
60000 1,236.00 90000 1,854.00 120000 2,472.00 15.0000 3,090.00 18.0000 3,708.00 21.0000 4,326.00 24.0000 4,944.00 30.0000 6,180.00 450000 9,270.00 60.0000 12,360,00 75.0000
15,4~O.OO
1 11/2 2 21/2 3 31/2 4 5 71/2 10 121/2 15 171/2 I
16.5000 3,399.00 24.7500 5,098.50 33.0000 6,798.00 41.2500 8,497sn 48.OUOO 10,197.00 57.7500 11,896.50 66.0000 13,596.00 74.2500 15,295.50 82.5000 16,995.00 90.7500 19,692.75 99.0000 21,513.00 110.0000 24,112.00 115.5000 25,491.00 123.7500 27,657.00 132.0000 29,920.00 148.5000 34,846.50 165.0000 40,230.00 181.5000 65,521.50 198.0000 71,478.00 2145000 88,588.50 220.0000 90,860.00 231.0000 95,403.00 247.5000 114,840.00 264.0000 122,496.00 280.5000 144,738.00 297.0000 153,252,00 313.5000 In,754.50 330,0000 187,110.00
i.scoo
309.00 2.0000 412.00 25000 515,00
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OU.lOUU 7,570.50 42.8750 8,83225 49.0000 10,094.00 55.1250 11,355.75 61.2500 12,617.50 67.3750 13,879.25 73.5000 15,141.00 81.6667 16,823.34 857500 17,664.50 91.8750 19,936.88 98.0000 21,206.00 110.2500 24,174.00 122.5000 27,322.00 134.7500 30,722.75 1470000 34,38.3.00 159.2500 38,302.50 1633333 39,663.32 171.5000 42,478.50 183.7500 66,333.75 196.0000 70,756.00 208.2500 75,17825 220.5000 91.066,50 232.7500 96,125.75 245.0000 113,680.00
618.00 3.5000 721.00 4.0000 824,00 4.5000 927.00 5.0000 1,030.00
G.!:iOOO
".2500 463.50 2.6250 540.75 3.0000 81600 3.3750 695,25 3.7500 n2.50 4.1250 849.75 4.5000 927.00 50000 1,030.00 52500 1,081.50 5.6250 1,158.75 6.0000 1,236.00 6.7500 1,390.50 7.5000 1,545,00 8.2500 1,699.50 9.0000 1,854.00 9.7500 2,008.50 10.0000 2,060.00 10.5000 2,163.00 11.2500 2,317.50 12.0000 2,472.00 127500 2,626.50 13.5000 2,781.00 14.2500 2,935.50 150000 3,090.00
00.0000 18,540.00 1050000 22,905,00 120.0000 26,652.00 135.0000 30,795.00 150.0000 35,310.00 165.0000 40.230,00 180.0000 45,522.00 2000000 72,200.00 210.0000 75,810.00 225.0000 92,925.00 240.0000 99,120.00
3,000·00
16.8750 3,476.25 18.7500 3,862.50
20.6250 4,248.75
20
9.0000 1,854.00 10.0000 . 2,060,00 11.0000 2,266,00 12.0000 2,472.00 13.3333 2,746,66 14.0000 2,884.00 150000 3,090.00 16.0000 3,2911.00 18.0000 3,708.00 20.0000 4,120.00 220000 4,532.00 24.0000 4,944,00 26.0000 5,356.00 26.6667 5,493.34 28.0000 5,768.00 30.0000 6,18.0.00 32.0000 6,592.00 34.0000 7,004.00 360000 7,416.00 380000 7,828,00 400000 8,240.00
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
1,133.00 6.0000 1,236.00 6.6667 1,373.34 7.0000 1,442.00 7.5000 1,545.00 8.0000 1,848.00 9.0000 1,8.54.00 10.0000 2,060.00 11.0000 2,266.00 12.0000 2,472.00 13.0000 2,678.00 13.3333 2,746.66 14.0000 2,884,00 15.0000 3,090.00 16.0000 3,296.00 170000 3,502.00 18.0000 3,708.00 190000 3,914.00 20.0000 4,120.00
225000 4,635.00 25.0000 5,150.00 26.2500 5,407.50 281250 5,793.75 300000 G,l00.00 33.7500 6,952.50 37.5000 7,725,00 41.2500 8,497.50 45.0000 9,270.00 48.7500 10,042.50 500000 10,300,00 52.5000 10,815.00 56.2500 11,587.50 60.0000 12,360.00 63.7500 13,132.50 67.5000 13,900.00 71.2500 14,677.50 75.0000 15,450.00
1
27.0000 5,562.00 300000 6,180.00 33.0000 6,798.00 36.0000 7,416,00 390000 8,034.00 40.0000 8,240,00 42.0000 8,652.00 450000 9,270.00 480000 9,688.00 51.0000 10,506.00 540000 11,124.00 57.0000 11,742.00 00.0000 12,360.00
900000 270.0000 18,540.00 125,280.00 100.0000 21,740.00 110.0000 24,112.00 120.0000 26,652,00 130.0000 29,372.00 133.3333 30,313.32 140.0000 32,260.00 300.0000 154,BOO.00 330.0000 187,110.00 3600000 222,840.00 3900000 261,300.00 4000000 288,BOO.00 420.0000 303,240,00
150.0000 450.0000 35.310.00 347,850.00 1600000 38,550.00 170.0000 41,952.00 180.0000 45,522.00 1900000 68,590.00 200.0000 72,200.00 480.0000 371,040.00 510.0000 394,230.00 540.0000 417,420.00 570.0000 440,610.00 800.0000 XXXXXXXX
47.5000 9,785.00 500000 10,300.00
Footnote: Hand orThumb 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 (10/08)
301 SULLIVAN WAY,WEST TRENTON, N.J. 08628
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
18.540
20'1'.
SAWW $1,031.28 Maximum Rate $773.00 Maximum Rate Chart Permanent Partial Disability Compensation Rate - 70% 01Wage Minimum Rate $35.00 per week Amputation - 30% 01 Award - Added no counsel1ee 25 Weeks Additional lor Enucleation 01 Eye
1-------
20.832
22,194
23,616
25,104
26,652
28,260 29,928
31,662
33,456
35,310
37,230
39,210
41,250
43,356
45,522
90 91 TO 96 97 TO 102 109 TO 114
olSAWW
206
217
217
217
217
227
217
217
227
237
217
217
227
237
248
217
217
227
237
248
258
217
217
227
237
248
258
268
217
217
227
237
248
258
268
278
217
217
227
237
248
258
268
278
289
217
217
227
237
248
258
268
278
289
299
217
217
227
237
248
258
268
278
289
299
309
217
217
227
237
248
258
268
278
289
299
309
320
217
217
227
237
248
258
268
278
289
299
309
320
330
217
217
227
237
248
258
268
278
289
299
309
320
330
340
217
217
227
237
248
258
268
278
289
299
309
320
330
340
351
217
217
227
237
248
258
268
278
-
21%
olSAWW
c-
1--------
22%
olSAWW
103 TO 108 of;~~W
01
;~~w
115 TO 120 'f;~~W
121 TO 126 OI;~~W 127 TO 132 ,,;:Ww
133 TO 138 'f;~~W
139 TO 144 'f;~W
145 TO 150 OI~';.";'W
151 TO 156 'f~~~W
157 TO 162 ,'~;:;'W
163 TO 168
=t
.e,
.e,
169TO 174 OI~~W
175 TO 180 181 TO 21 0 ,,;~W 211 TO 240 ol~~~W
241 TO 270 'f~~~W 271 TO 300 Of~~~W
301 TO 330 '1~~W 331 TO 360 ,'~~~W
361 TO 390 O,~~W
391 TO 420 OI;~~W
421 TO 600 OI~~W
2~912~9
.
309
320
330
340
351
361
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
+=
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
361
-
413
-
-
-
-
-
-
-
464
-
516
-
567
-
619
-
-
-
670
-
-
-
-
722
II
-
773
11112009
TOTAL PERMANENT DISABILITY - - 70% of Wages - Maximum $773.00 - Minimum $206.00 - 450 Weeks, Plus Additional Benefits as Set Forth in R.S. 34:15-12(b)
TEMPORARY DISABILITY - 70% of Wages - Maximum $773.00 - Minimum $206.00 - Maximum 400 Weeks
DEATH BENEFITS - 70% of Wages - 450 Weeks Plus Spouse's Statutory Benefits - Maximum Rate $773.00
FUNERAL ALLOWANCE - Not to Exceed $3,500.00
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