# In the United States Court of Federal Claims

OFFICE OF SPECIAL MASTERS

No. 08

- 402 V

Filed: August 12, 2013

Not for P ublication

*************************************

RICKEY HARRIS and JAMILA HARRIS, *

as parents and natural guardians of *

M.M.H., a minor, *

*

Petitioners, *

* Damages d ecision b ased on p roffer ;

v. * DTaP vaccine; op s oclonus

* myo clonus syndrome

SECRETARY OF HEALTH *

AND HUMAN SERVICES, *

*

Respondent. *

*

*************************************

Anne C. Toale

, Sarasota, FL , for petitioner s

. Voris E. Johnson , Washington, DC, for respondent.

MILLMAN, Special Master

DECISION AWARDING DAMAGES 1



## On June 2 , 200 8 , petitioner s filed a petition under the National Childhood Vaccine Injury

Act , 42 U.S.C. § 300aa

– 10

- 34, alleging that DTaP vaccine significantly aggravated M.M.H. ’ s

a bdominal neuroblastoma, resulting in op s oclonus myo clonus syndrome (OMS). In the

alternative, petitioners alleged that DTaP caused M.M.H

. ’ s OMS. On J uly 20, 2010 , the

1 

## Because this decision contains a reasoned explanation for th e special master's action in this case, t h e

special master intends to post this decision on the United States Court of Federal Claims's website, in

accordance with the E

- Government Act of 2002, P ub. L. No. 107

- 347, 116 Stat. 2899, 2913 (Dec. 17,

2002). Vaccine Rule 18(b) states that all decisions of the special masters will be made available to the

public unless they contain trade secrets or commercial or financial information that is privileged a nd

confidential, or medical or similar information whose disclosure would constitute a clearly unwarranted

invasion of privacy. When such a decision is filed, petitioner has 14 days to identify and move to delete

such information prior to the document = s d isclosure. If the special master, upon review, agrees that the

identified material fits within the banned categories listed above, the special master shall delete such

material from public access.

## 2

undersigned issued a R uling on E nt itlement in favor of petitioner s

.

On May 9 , 2013 , respondent filed a Proffer on Award of Compensation. Based on the

record as a whole, the special master finds that petitioner s are entitled to the award as stated in

the Proffer. Pursuant to the terms stated in the attached Proff er, the court awards petitioner s :

a. a lump sum payment of $ 627,283

. 18 , representing compensation for partial lost future

earnings ($451,138.33), pain and suffering ($1 57,702 .55), and life care expenses for

Year One ($ 18,442.30 ), in the form of a check payable to petitioners as guardians or

conservators of M.M.H., for the benefit of M.M.H. No payments shall be made until

petitioners provide respondent with documentation establishing that they have been

appointed as the guardians or conservators of M. M.H

. ’ s estate. If petitioners are not

authorized by a court of competent jurisdiction to serve as guardians or conservators

of the estate of M.M.H., any such payment shall be made to the party or parties

appointed by a court of competent jurisdiction to serve as guardian(s) or

conservator(s) of the estate of M.M.H. upon submission of written documentation of

su ch appointment to the Secretary ;

b. a lump sum payment of $9,499.63 , representing compensation for past

unreimbursable expenses, payable to Rickey Harris and Jamila Harris, petitioners;

and

c. an amount sufficient to purchase an annuity contract subject to the conditions

described in section II. C . of the attached Proffer.

In the absence of a motion for review filed pursuant to RCFC Appendix B, the clerk of

the court is directed to enter judgme nt herewith. 2



## IT IS SO ORDERED.

Dated: August 12, 2013 /s/ Laura D. Millman

Laura D. Millman

Special Master

2 

## Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by each party , either separately or

jointly, filing a notice renouncing the right to seek review.

## IN THE UNITED STATES COURT OF FEDERAL CLAIMS

OFFICE OF SPECIAL MASTERS

__________________________________________ RICKEY HARRIS and JAMILA HARRIS

, )

as paren ts and natural guardians of )

M.M. H

. , a minor, )

)

Pe titioner s

, )

)

v. ) No. 08

- 402 V

) Special Master

SECRETARY OF THE DEPARTMENT OF ) Laura D. Millman

HEALTH AND HUMAN SERVICES, ) (ECF)

)

Respondent. )

__________________________________________)

RESPONDENT'S PROFFER ON A WARD OF COMPENSATION

I. Items of Compensation

A. Life Care Items

The respondent engaged life care planner

, Shelly Kinney

, RN, MSN, CCM , CNCLP

, to

provide an estimation of M. M

. H

. ’s future vaccine injury

- related needs. For the purposes of this

proffer , the term “vaccine injury ” is as described in the special master’s R uling on E ntitlement

issued on July 20, 2010 . 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

M. M

. H

. , attached hereto as Tab A. 1 

## Respondent proffers that M

. M

. H

. should be awarded all

items of compensation set forth in the joint life care plan and illustrated by the chart attached at

Tab A. Petitioner s agree.

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 judgm ent,

and every year thereafter up to the anniversary of the date of judgment.

- 1

-

## B. Pa rtial Lost Future Earnings

The parties agree that based upon the evidence of record, M.M.H. has suffered a partial

loss of future earning capacity . Therefore, respondent proffers that M.M.H. should be awarded

partial lost future earnings as provided unde r the Vaccine Act, 42 U.S.C. § 300aa

- 15(a)(3)(B).

Respondent proffers that the appropriate award for M.M.H. ’ s partial lost future earnings is

$ 451,138.33 . Petitioner s agree.

C. Pain and Suffering

Respondent proffers that M.M.H. should be awarded $ 157 ,702.55 in actual and projected

pain and suffering. This amount reflects that the award for projected pain and suffering has been

reduced to net present value. See 42 U.S.C. § 300aa

- 15(a)(4). Petitioner s agree.

D. Past Unreimbursable Expenses

Evidenc e supplied by petitioner s documents their expenditure of past unreimbursable

expenses related to M.M.H. ’ s vaccine injury. Respondent proffers that petitioners should be

awarded past unreimbursable expenses in the amount of $ 9,499.63 . Petitioner s agree.

E. Medicaid Lien

Petitioner s represent that there are no outstanding Medicaid liens against M.M.H.

.

II. Form of the Award

The parties recommend that the compensation provided to M.M.H. should be made

through a combination of lump sum payments and future annuity payments as described below,

and request that the special master’ s decision and the Court’ s judgment award the following:

A. A lump sum payment of $ 627,283.18 , representing compensation for partial lost

future earning s ($ 451,138.33 ), pain and suffering ($ 157,702.55 ), and life care expenses for Year

- 2

-

## One ($ 18,442.30 ), in the form of a check payable to petitioner s as guardians or conservators of

M.M.H. , for the benefit of M.M.H.

. No payments shall be made until petitione r s provide

respondent with documentation establishing that t he y have been appointed as th e guardians or

conservators of M.M.H. ’ s estate

. If petitioners are not authorized by a court of competent

jurisdiction to serve as guardians or conservators of the es tate of M.M.H. , any such payment

shall be made to the party or parties appointed by a court of competent jurisdiction to serve as

guardian(s) or conservator(s) of the estate of M.M.H. upon submission of written documentation

of such appointment to the Secr etary. ;

B. A lump sum payment of $ 9,499.63 , representing compensation for past

unreimbursable expenses, payable to Rickey Harris and Jamila Harris , petitioner s ;

C . An amount sufficient to purchase the annuity contract, 2 

## 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 3 

## from

2 

## In respondent’s discretion, respondent may purchase one or more annuity contracts from

one or more life insurance companies.

3 

## 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. A.M. 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 Payi ng Ability

Rating: AA

- , AA, AA+, or AAA.

- 3

-

## which the annuity will be purchased. 4 

## Compe nsation for Year Two (beginning on the first

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 petitioner s

as guardian s or conservators of the estate of M.M.H. , for the benefit of M.M.H. , only so long as

M.M.H. is alive at the time a particular pa yment is due. At the Secretary’ s sole discretion, the

periodic payments may be provided to petitioners in monthly, quarterly, annu al or other

i nstallments. The “annual amounts” set forth in the chart at Tab A describe only the total yearly

sum to be paid to petitioners 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 s agree.

2. Life

- contingent annuity

Petit ioner s will continue to receive the annuity payments from the Life Insurance

Company only so long as M.M.H. is alive at the time that a particular payment is due. Written

4 

## Petitioner s authorize the disclosure of certain documents filed by the petitioner s in this case

consistent with the Privacy Act and the routine uses described in the National Vaccine Injury

Compensation Pr ogram System of Records, No. 09

- 15

- 0056.

- 4

-

## notice shall be provided to the Secretary of Health and Human Services and the Life Insurance

Company within twenty (20) days of M.M.H. ’s death.

3. Guardianship

No payments shall be made until petitioner s provide respondent with documentation

establishing that they ha ve been appointed as the guardians or conservators of M.M.H. ’ s estat e.

If petitioner s are not authorized by a court of competent juri sdiction to serve as guardians or

conservators of the estate of M.M.H. , any such payment shall be made to the party or parties

appointed by a court of competent juris diction to serve as guar dian(s) or conservator(s) of the

estate of M.M.H. upon submission of written documentation of such appointment to the

Secretary.

III. Summary of Recommended Payments Following Judgment

A. Lump Sum paid to petitioner s as guardians/conservators of

M.M.H

. ’ s estate: $ 627,283.18

B. Lump sum paid to petitioner s : $ 9,499.63

C

. An amount sufficient to purchase the annuity contract described

above in section II. C

.

Respectfully submitted,

STUART F. DELERY

Acting A ssistant Attorney General

RUPA BHATTACHARYYA

Director

Torts Branch, Civil Division

VINCENT J. MATANOSKI

Deputy Director

Torts Branch, Civil Division

- 5

-

## CATHARINE E. REEVES

Assistant Director

To rts Branch, Civil Division

s/Voris E. Johnson, Jr.

VORIS E. JOHNSON , JR

Assistant Director

Torts Branch, Civil Division

U.S. Department of Justice

P.O. Box 146

Benjamin Franklin Station

Washington, D.C. 20044

- 0 146

Telephone: (202) 616

- 4136

Dated: May 9 , 2013

- 6

-Appendix A: Items of Compensation for M. M. H.Page 1 of 14ITEMS OF COMPENSATION G.R. * MLump SumCompensationYear 1CompensationYears 2-3CompensationYear 4CompensationYears 5-6CompensationYear 7CompensationYear 8CompensationYear 9CompensationYear 102013 2014-2015 2016 2017-2018 2019 2020 2021 2022BCBS Deductible 5% 350.00350.00350.00350.00350.00350.00350.00350.00BCBS MOP 5% 7,000.007,000.007,000.007,000.007,000.007,000.007,000.007,000.00AHIP Premium 5% MAHIP Deductible 5%AHIP MOP 5%Medicare Part B Premium 5% MMedicare Part B Deductible 5% *Medigap F 5% MNeurology: Dr. Schub 5% *Mileage: Neurology 4% 221.76221.76221.76221.76221.76221.76221.76221.76Neurology: Dr. Pranzatelli 5% *Travel: Dr. Pranzatelli 4% M 2,000.002,000.002,000.002,000.002,000.002,000.002,000.002,000.00Neurospych Eval. 4% *Psych Counseling 4% *Mileage: Counseling 4% 41.6041.6041.6041.6041.6041.6041.6041.60Care Mngt 4% M 1,986.001,986.001,986.001,986.001,986.001,986.001,986.001,986.00OT 4% *Mileage: OT 4% 384.00PT 4% *Mileage: PT 4% 216.00ST 4% *Mileage: ST 4% 288.00Software 4% 139.94139.94139.94139.94Shower Chair 4% 122.50122.50Grab Bars 4% 347.50Hand Held Shower 4% 65.00Tutor 4% M 5,280.005,280.005,280.005,280.005,280.005,280.005,280.005,280.00Assisted Living 4% MAssistance w/ Personal Finances 4%Acute Care Hospitalization 4% *Skilled Nursing Facility 4%Appendix A: Items of Compensation for M. M. H.Page 2 of 14ITEMS OF COMPENSATION G.R. * MLump SumCompensationYear 1CompensationYears 2-3CompensationYear 4CompensationYears 5-6CompensationYear 7CompensationYear 8CompensationYear 9CompensationYear 102013 2014-2015 2016 2017-2018 2019 2020 2021 2022Home Health Aide 4%Home Care Nurse 4% *PT 4% *OT 4% *ST 4% *Neuropsych Testing 4% *Partial Lost Future Earnings 451,138.33Pain and Suffering 157,702.55Past Unreimbursable Expenses 9,499.63Annual Totals 636,782.8116,879.3617,019.3016,879.3617,019.3017,001.8616,879.3617,019.30Note: 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 the court-appointed guardian(s)/conservators(s) of the estate of M. M. H., for the benefit of M. M. H. for lost future earnings ($451,138.33),pain and suffering ($157,702.55), and Yr 1 life care expenses ($18,442.30): $627,283.18.As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners, Rickey Harris andJamila Harris, for past un-reimbursable expenses: $9,499.63.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.Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.Appendix A: Items of Compensation for M. M. H.Page 3 of 14ITEMS OF COMPENSATION G.R. * MBCBS Deductible 5%BCBS MOP 5%AHIP Premium 5% MAHIP Deductible 5%AHIP MOP 5%Medicare Part B Premium 5% MMedicare Part B Deductible 5% *Medigap F 5% MNeurology: Dr. Schub 5% *Mileage: Neurology 4%Neurology: Dr. Pranzatelli 5% *Travel: Dr. Pranzatelli 4% MNeurospych Eval. 4% *Psych Counseling 4% *Mileage: Counseling 4%Care Mngt 4% MOT 4% *Mileage: OT 4%PT 4% *Mileage: PT 4%ST 4% *Mileage: ST 4%Software 4%Shower Chair 4%Grab Bars 4%Hand Held Shower 4%Tutor 4% MAssisted Living 4% MAssistance w/ Personal Finances 4%Acute Care Hospitalization 4% *Skilled Nursing Facility 4%CompensationYear 11CompensationYear 12CompensationYear 13CompensationYear 14CompensationYear 15CompensationYear 16CompensationYears 17-18CompensationYear 192023 2024 2025 2026 2027 2028 2029-2030 2031350.00350.00350.00350.00350.00350.007,000.007,000.007,000.007,000.007,000.007,000.004,404.004,404.002,500.002,500.001,500.001,500.00221.76221.76221.76221.76221.76221.76221.76221.762,000.002,000.002,000.002,000.002,000.002,000.002,000.002,000.0041.6041.6041.6041.6041.6041.6041.6041.601,986.001,986.001,986.001,986.001,986.001,986.001,986.001,986.00209.94209.94209.94122.50347.5065.005,280.005,280.00768.00768.00768.00768.00768.00768.0011,220.00Appendix A: Items of Compensation for M. M. H.Page 4 of 14ITEMS OF COMPENSATION G.R. * MHome Health Aide 4%Home Care Nurse 4% *PT 4% *OT 4% *ST 4% *Neuropsych Testing 4% *Partial Lost Future EarningsPain and SufferingPast Unreimbursable ExpensesAnnual TotalsCompensationYear 11CompensationYear 12CompensationYear 13CompensationYear 14CompensationYear 15CompensationYear 16CompensationYears 17-18CompensationYear 192023 2024 2025 2026 2027 2028 2029-2030 20317,168.003,675.0017,291.8638,942.3612,577.3012,367.3612,489.8612,577.3013,421.3613,631.30Note: 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 the court-appointed guardian(s)/conservators(s) of the estate of M. M. H., for the benefit of M. M. H. for lost future earnings ($451,138.33),pain and suffering ($157,702.55), and Yr 1 life care expenses ($18,442.30): $627,283.18.As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners, Rickey Harris andJamila Harris, for past un-reimbursable expenses: $9,499.63.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.Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.Appendix A: Items of Compensation for M. M. H.Page 5 of 14ITEMS OF COMPENSATION G.R. * MBCBS Deductible 5%BCBS MOP 5%AHIP Premium 5% MAHIP Deductible 5%AHIP MOP 5%Medicare Part B Premium 5% MMedicare Part B Deductible 5% *Medigap F 5% MNeurology: Dr. Schub 5% *Mileage: Neurology 4%Neurology: Dr. Pranzatelli 5% *Travel: Dr. Pranzatelli 4% MNeurospych Eval. 4% *Psych Counseling 4% *Mileage: Counseling 4%Care Mngt 4% MOT 4% *Mileage: OT 4%PT 4% *Mileage: PT 4%ST 4% *Mileage: ST 4%Software 4%Shower Chair 4%Grab Bars 4%Hand Held Shower 4%Tutor 4% MAssisted Living 4% MAssistance w/ Personal Finances 4%Acute Care Hospitalization 4% *Skilled Nursing Facility 4%CompensationYear 20CompensationYear 21CompensationYear 22CompensationYear 23CompensationYears 24-27CompensationYear 28CompensationYear 29CompensationYear 302032 2033 2034 2035 2036-2039 2040 2041 20424,404.004,404.004,416.004,416.004,440.004,464.004,524.004,620.002,500.002,500.002,500.002,500.002,500.002,500.002,500.002,500.001,500.001,500.001,500.001,500.001,500.001,500.001,500.001,500.00221.76221.76221.76221.76221.76221.76221.76221.762,000.002,000.002,000.002,000.002,000.002,000.002,000.002,000.0041.6041.6041.6041.6041.6041.6041.6041.601,986.001,986.001,986.001,986.001,986.001,986.001,986.001,986.0069.9869.9869.9869.9869.9869.9869.9869.98122.5017.5017.5017.5017.5017.50347.5034.7534.7534.7534.7534.7534.7565.006.506.506.506.506.506.50768.00768.00768.00768.00768.00768.00768.00768.00Appendix A: Items of Compensation for M. M. H.Page 6 of 14ITEMS OF COMPENSATION G.R. * MHome Health Aide 4%Home Care Nurse 4% *PT 4% *OT 4% *ST 4% *Neuropsych Testing 4% *Partial Lost Future EarningsPain and SufferingPast Unreimbursable ExpensesAnnual TotalsCompensationYear 20CompensationYear 21CompensationYear 22CompensationYear 23CompensationYears 24-27CompensationYear 28CompensationYear 29CompensationYear 302032 2033 2034 2035 2036-2039 2040 2041 204213,491.3413,903.8413,667.0913,562.0913,586.0913,610.0913,670.0913,766.09Note: 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 the court-appointed guardian(s)/conservators(s) of the estate of M. M. H., for the benefit of M. M. H. for lost future earnings ($451,138.33),pain and suffering ($157,702.55), and Yr 1 life care expenses ($18,442.30): $627,283.18.As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners, Rickey Harris andJamila Harris, for past un-reimbursable expenses: $9,499.63.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.Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.Appendix A: Items of Compensation for M. M. H.Page 7 of 14ITEMS OF COMPENSATION G.R. * MBCBS Deductible 5%BCBS MOP 5%AHIP Premium 5% MAHIP Deductible 5%AHIP MOP 5%Medicare Part B Premium 5% MMedicare Part B Deductible 5% *Medigap F 5% MNeurology: Dr. Schub 5% *Mileage: Neurology 4%Neurology: Dr. Pranzatelli 5% *Travel: Dr. Pranzatelli 4% MNeurospych Eval. 4% *Psych Counseling 4% *Mileage: Counseling 4%Care Mngt 4% MOT 4% *Mileage: OT 4%PT 4% *Mileage: PT 4%ST 4% *Mileage: ST 4%Software 4%Shower Chair 4%Grab Bars 4%Hand Held Shower 4%Tutor 4% MAssisted Living 4% MAssistance w/ Personal Finances 4%Acute Care Hospitalization 4% *Skilled Nursing Facility 4%CompensationYear 31CompensationYear 32CompensationYear 33CompensationYear 34CompensationYear 35CompensationYear 36CompensationYear 37CompensationYear 382043 2044 2045 2046 2047 2048 2049 20504,680.004,716.004,776.004,908.005,004.005,112.005,256.005,328.002,500.002,500.002,500.002,500.002,500.002,500.002,500.002,500.001,500.001,500.001,500.001,500.001,500.001,500.001,500.001,500.00221.76221.76221.76221.76221.76221.76221.76221.762,000.002,000.002,000.002,000.002,000.002,000.002,000.002,000.001,986.001,986.001,986.001,986.001,986.001,986.001,986.001,986.0069.9869.9869.9869.9869.9869.9869.9869.9817.5017.5017.5017.5017.5017.5017.5017.5034.7534.7534.7534.7534.7534.7534.7534.756.506.506.506.506.506.506.506.50768.00768.00768.00768.00768.00768.00768.00768.0011,220.00Appendix A: Items of Compensation for M. M. H.Page 8 of 14ITEMS OF COMPENSATION G.R. * MHome Health Aide 4%Home Care Nurse 4% *PT 4% *OT 4% *ST 4% *Neuropsych Testing 4% *Partial Lost Future EarningsPain and SufferingPast Unreimbursable ExpensesAnnual TotalsCompensationYear 31CompensationYear 32CompensationYear 33CompensationYear 34CompensationYear 35CompensationYear 36CompensationYear 37CompensationYear 382043 2044 2045 2046 2047 2048 2049 20507,168.0013,784.4932,208.4913,880.4914,012.4914,108.4914,216.4914,360.4914,432.49Note: 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 the court-appointed guardian(s)/conservators(s) of the estate of M. M. H., for the benefit of M. M. H. for lost future earnings ($451,138.33),pain and suffering ($157,702.55), and Yr 1 life care expenses ($18,442.30): $627,283.18.As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners, Rickey Harris andJamila Harris, for past un-reimbursable expenses: $9,499.63.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.Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.Appendix A: Items of Compensation for M. M. H.Page 9 of 14ITEMS OF COMPENSATION G.R. * MBCBS Deductible 5%BCBS MOP 5%AHIP Premium 5% MAHIP Deductible 5%AHIP MOP 5%Medicare Part B Premium 5% MMedicare Part B Deductible 5% *Medigap F 5% MNeurology: Dr. Schub 5% *Mileage: Neurology 4%Neurology: Dr. Pranzatelli 5% *Travel: Dr. Pranzatelli 4% MNeurospych Eval. 4% *Psych Counseling 4% *Mileage: Counseling 4%Care Mngt 4% MOT 4% *Mileage: OT 4%PT 4% *Mileage: PT 4%ST 4% *Mileage: ST 4%Software 4%Shower Chair 4%Grab Bars 4%Hand Held Shower 4%Tutor 4% MAssisted Living 4% MAssistance w/ Personal Finances 4%Acute Care Hospitalization 4% *Skilled Nursing Facility 4%CompensationYear 39CompensationYear 40CompensationYear 41CompensationYear 42CompensationYear 43CompensationYear 44CompensationYear 45CompensationYear 462051 2052 2053 2054 2055 2056 2057 20585,448.005,616.005,724.005,844.006,024.006,144.006,312.006,432.002,500.002,500.002,500.002,500.002,500.002,500.002,500.002,500.001,500.001,500.001,500.001,500.001,500.001,500.001,500.001,500.00221.76221.76221.76221.76221.76221.76221.76221.762,000.002,000.002,000.002,000.002,000.002,000.002,000.002,000.001,986.001,986.001,986.001,986.001,986.001,986.001,986.001,986.0069.9869.9869.9869.9869.9869.9869.9869.9817.5017.5017.5017.5017.5017.5017.5017.5034.7534.7534.7534.7534.7534.7534.7534.756.506.506.506.506.506.506.506.5029,484.00768.00768.00768.00768.00768.00768.00768.00768.00Appendix A: Items of Compensation for M. M. H.Page 10 of 14ITEMS OF COMPENSATION G.R. * MHome Health Aide 4%Home Care Nurse 4% *PT 4% *OT 4% *ST 4% *Neuropsych Testing 4% *Partial Lost Future EarningsPain and SufferingPast Unreimbursable ExpensesAnnual TotalsCompensationYear 39CompensationYear 40CompensationYear 41CompensationYear 42CompensationYear 43CompensationYear 44CompensationYear 45CompensationYear 462051 2052 2053 2054 2055 2056 2057 205814,552.4914,720.4914,828.4914,948.4915,128.4915,248.4915,416.4945,020.49Note: 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 the court-appointed guardian(s)/conservators(s) of the estate of M. M. H., for the benefit of M. M. H. for lost future earnings ($451,138.33),pain and suffering ($157,702.55), and Yr 1 life care expenses ($18,442.30): $627,283.18.As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners, Rickey Harris andJamila Harris, for past un-reimbursable expenses: $9,499.63.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.Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.Appendix A: Items of Compensation for M. M. H.Page 11 of 14ITEMS OF COMPENSATION G.R. * MBCBS Deductible 5%BCBS MOP 5%AHIP Premium 5% MAHIP Deductible 5%AHIP MOP 5%Medicare Part B Premium 5% MMedicare Part B Deductible 5% *Medigap F 5% MNeurology: Dr. Schub 5% *Mileage: Neurology 4%Neurology: Dr. Pranzatelli 5% *Travel: Dr. Pranzatelli 4% MNeurospych Eval. 4% *Psych Counseling 4% *Mileage: Counseling 4%Care Mngt 4% MOT 4% *Mileage: OT 4%PT 4% *Mileage: PT 4%ST 4% *Mileage: ST 4%Software 4%Shower Chair 4%Grab Bars 4%Hand Held Shower 4%Tutor 4% MAssisted Living 4% MAssistance w/ Personal Finances 4%Acute Care Hospitalization 4% *Skilled Nursing Facility 4%CompensationYear 47CompensationYear 48CompensationYear 49CompensationYear 50CompensationYear 51CompensationYear 52CompensationYear 53CompensationYear 542059 2060 2061 2062 2063 2064 2065 20666,612.006,732.006,924.007,068.007,236.007,428.007,632.007,896.002,500.002,500.002,500.002,500.002,500.002,500.002,500.002,500.001,500.001,500.001,500.001,500.001,500.001,500.001,500.001,500.00221.76221.76221.76221.76221.76221.76221.76221.762,000.002,000.002,000.002,000.002,000.002,000.002,000.002,000.001,986.001,986.001,986.001,986.001,986.001,986.001,986.001,986.0069.9869.9869.9869.9869.9869.9869.9869.9817.5017.5017.5017.5017.5017.5017.5017.5034.7534.7534.7534.7534.7534.7534.7534.756.506.506.506.506.506.506.506.5029,484.0029,484.0029,484.0029,484.0029,484.0029,484.0029,484.0029,484.00768.00768.00768.00768.00768.00768.00768.00768.0011,220.00Appendix A: Items of Compensation for M. M. H.Page 12 of 14ITEMS OF COMPENSATION G.R. * MHome Health Aide 4%Home Care Nurse 4% *PT 4% *OT 4% *ST 4% *Neuropsych Testing 4% *Partial Lost Future EarningsPain and SufferingPast Unreimbursable ExpensesAnnual TotalsCompensationYear 47CompensationYear 48CompensationYear 49CompensationYear 50CompensationYear 51CompensationYear 52CompensationYear 53CompensationYear 542059 2060 2061 2062 2063 2064 2065 20667,168.0045,200.4945,320.4945,512.4945,656.4945,824.4964,404.4946,220.4946,484.49Note: 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 the court-appointed guardian(s)/conservators(s) of the estate of M. M. H., for the benefit of M. M. H. for lost future earnings ($451,138.33),pain and suffering ($157,702.55), and Yr 1 life care expenses ($18,442.30): $627,283.18.As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners, Rickey Harris andJamila Harris, for past un-reimbursable expenses: $9,499.63.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.Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.Appendix A: Items of Compensation for M. M. H.Page 13 of 14ITEMS OF COMPENSATION G.R. * MBCBS Deductible 5%BCBS MOP 5%AHIP Premium 5% MAHIP Deductible 5%AHIP MOP 5%Medicare Part B Premium 5% MMedicare Part B Deductible 5% *Medigap F 5% MNeurology: Dr. Schub 5% *Mileage: Neurology 4%Neurology: Dr. Pranzatelli 5% *Travel: Dr. Pranzatelli 4% MNeurospych Eval. 4% *Psych Counseling 4% *Mileage: Counseling 4%Care Mngt 4% MOT 4% *Mileage: OT 4%PT 4% *Mileage: PT 4%ST 4% *Mileage: ST 4%Software 4%Shower Chair 4%Grab Bars 4%Hand Held Shower 4%Tutor 4% MAssisted Living 4% MAssistance w/ Personal Finances 4%Acute Care Hospitalization 4% *Skilled Nursing Facility 4%CompensationYear 55CompensationYears 56-Life2067 2068-Life8,112.002,500.001,500.001,258.801,698.00221.76221.762,000.002,000.001,986.001,986.0069.9869.9817.5017.5034.7534.756.506.5029,484.0029,484.00768.00768.00Appendix A: Items of Compensation for M. M. H.Page 14 of 14ITEMS OF COMPENSATION G.R. * MHome Health Aide 4%Home Care Nurse 4% *PT 4% *OT 4% *ST 4% *Neuropsych Testing 4% *Partial Lost Future EarningsPain and SufferingPast Unreimbursable ExpensesAnnual TotalsCompensationYear 55CompensationYears 56-Life2067 2068-Life46,700.4937,545.29Note: 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 the court-appointed guardian(s)/conservators(s) of the estate of M. M. H., for the benefit of M. M. H. for lost future earnings ($451,138.33),pain and suffering ($157,702.55), and Yr 1 life care expenses ($18,442.30): $627,283.18.As soon as practicable after entry of judgment, respondent shall make the following payment to petitioners, Rickey Harris andJamila Harris, for past un-reimbursable expenses: $9,499.63.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.Items denoted with an "M" payable in 12 monthly installments at the discretion of respondent.