In the United States Court of Federal Claims 

OFFICE OF SPECIAL MASTERS 

Filed: September 10, 2018 

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

TABITHA PRICE, as Mother and *

Natural Guardian of D.P., *

 *

 Petitioner, *

 *

v. *

 *

SECRETARY OF HEALTH *

AND HUMAN SERVICES, *

 *

 Respondent. *

 *

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

 UNPUBLISHED 

Special Master Gowen 

 No. 11-442V 

Proffer; DTaP; MMR; 

Prevnar; Anaphylactic 

Reaction; Seizure 

 Disorder; Developmental 

 Delay. 

Clifford John Shoemaker, Shoemaker and Associates, Vienna, VA, for petitioner.

Robert Paul Coleman, III, United States Department of Justice, Washington, DC, for respondent. 

DECISION ON PROFFER1

 On July 7, 2011, 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”), as mother and 

natural guardian of D.P. Petition (ECF No. 1). Petitioner alleged that as a result of receiving 

Diphtheria-Tetanus-acellular-Pertussis (“DTaP”), Measles-Mumps-Rubella (“MMR”) and 

Pneumococcal Conjugate (“Prevnar”) vaccines on August 4, 2008, D.P. had a severe anaphylactic 

reaction within two minutes of the vaccinations, which caused him to suffer a grand mal seizure. 

Petitioner further alleged that several hours later D.P. experienced more seizures and subsequently 

developed a seizure disorder and secondary developmental delay. Id. 

On April 19, 2012, respondent filed his Rule 4(c) Report in which he contested entitlement 

to compensation in this case. Respondent’s Report (ECF No. 24). An entitlement hearing was 

 

1

 Because this decision contains a reasoned explanation for the action in this case, the undersigned intends to post it 

on the website of the United States Court of Federal Claims, pursuant to the E-Government Act of 2002, see 44 

U.S.C. § 3501 note (2012). The court’s website is at http://www.uscfc.uscourts.gov/aggregator/sources/7. Before 

the decision is posted on the court’s website, each party has 14 days to file a motion requesting redaction “of any 

information furnished by that party: (1) that is a trade secret or commercial or financial in substance and is 

privileged or confidential; or (2) that includes medical files or similar files, the disclosure of which would constitute 

a clearly unwarranted invasion of privacy.” Vaccine Rule 18(b). “An objecting party must provide the court with a 

proposed redacted version of the decision.” Id. If neither party files a motion for redaction within 14 days, the 

decision will be posted on the court’s website. Id. 

2

 National 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).
2 

held on September 19, 2014, and a ruling on entitlement was issued on October 29, 2015, finding 

petitioner entitled to compensation. Ruling on Entitlement (ECF No. 91). 

Counsel for the parties have worked extensively with their experts and have come to a 

resolution of damages. Their respective life care planners have agreed on future care issues and 

costs, lost future earnings, pain and suffering, past unreimbursable expenses, and the satisfaction 

of a State of Georgia WellCare Medicaid lien. On September 7, 2018, respondent filed a proffer 

on award of compensation (“Proffer”) indicating petitioner should be awarded: (1) a lump sum 

payment of $1,250,898.64, representing compensation for lost earnings ($889,283.44), pain and 

suffering ($250,000.00), and life care expenses for Year One ($111,615.20); (2) a lump sum 

payment of $17,342.98, representing compensation for satisfaction of the State of Georgia 

WellCare Medicaid lien; and (3) an amount sufficient to purchase the annuity contract described 

in the Proffer. Proffer at 3-4 (ECF No. 187). 

Respondent represented in the Proffer that petitioner agrees with the proffered award. I 

have reviewed the proffer and do award damages in accord with it. The Proffer is incorporated 

herein and made a part hereof as Appendix A. Based on the record as a whole, I find 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 the following in compensation: 

A. A lump sum payment of $1,250,898.64, representing compensation for lost earnings 

($889,283.44), pain and suffering ($250,000.00), and life care expenses for Year One 

($111,615.20), in the form of a check payable to petitioner as guardian/conservator of 

D.P., for the benefit of D.P. No payments shall be made until petitioner provides 

respondent with documentation establishing that she has been appointed as the 

guardian/conservator of D.P.’s estate. If petitioner is not authorized by a court of 

competent jurisdiction to serve as guardian/conservator of the estate of D.P., 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 D.P. upon submission 

of written documentation of such appointment to the Secretary.3

 

B. A lump sum payment of $17,342.98, representing compensation for satisfaction of 

the State of Georgia WellCare Medicaid lien, payable jointly to petitioner and 

Equian, LLC 

P.O. Box 32140 

Louisville, KY 40232-2140 

Equian File No.: 744984-116716

Attn: Stephen Snabb 

Petitioner agrees to endorse this payment to Equian, LLC. 

 

3

 Petitioner is directed to act expeditiously to have an appropriate guardian appointed in Georgia so that payments 

under the Proffer may be made. 
3 

C. An amount sufficient to purchase an annuity contract as described in Section II. C of 

the Proffer attached herein as Appendix A, that will provide payments for the life care 

items contained in the life care plan, as illustrated by the chart attached as Tab A to the 

Proffer, paid to the life insurance company from which the annuity will be purchased. 

The Clerk of the Court is directed to enter judgment in accordance with this Decision.4 

IT IS SO ORDERED.

 s/Thomas L. Gowen 

 Thomas L. Gowen 

 Special Master 

 

4 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.
-1-

IN THE UNITED STATES COURT OF FEDERAL CLAIMS

OFFICE OF SPECIAL MASTERS

__________________________________________ 

) 

TABITHA PRICE, as Mother and Natural ) 

Guardian of D.P., )

)

Petitioner, )

)

v. ) No. 11-442V 

) Special Master Gowen

SECRETARY OF THE DEPARTMENT OF ) ECF

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, Laura E. Fox, MSN, RN, CDDN, CNLCP, and 

petitioner engaged Tresa Johnson, RN, BSN, CNLCP, to provide an estimation of D.P.’s future 

vaccine-injury related needs. For the purposes of this proffer, the term “vaccine related” is as 

described in the Special Master’s Ruling on Entitlement, filed October 29, 2015. 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 D.P., attached hereto as Tab A.1

 

Respondent proffers that D.P. should be awarded all items of compensation set forth in the life 

care plan and illustrated by the chart attached at Tab A.2 Petitioner agrees. 

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. 

2

 The parties have no objection to the proffered award of damages. Assuming the Special Master 

issues a damages decision in conformity with this proffer, the parties intend to waive their right 
-2-

B. Lost Future Earnings 

The parties agree that based upon the evidence of record, D.P. will not be gainfully 

employed in the future. Therefore, respondent proffers that D.P. 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 D.P.'s lost earnings is $889,283.44. Petitioner agrees. 

C. Pain and Suffering 

Respondent proffers that D.P. 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 she has not incurred past unreimbursable expenses related to 

D.P.’s vaccine-related injury. 

E. Medicaid Lien

Respondent proffers that D.P. should be awarded funds to satisfy a State of Georgia

WellCare Medicaid lien in the amount of $17,342.98, which represents full satisfaction of any 

right of subrogation, assignment, claim, lien, or cause of action the State of Georgia WellCare 

may have against any individual as a result of any Medicaid payments the State of Georgia

WellCare has made to or on behalf of D.P. from the date of his eligibility for benefits through the 

date of judgment in this case as a result of his vaccine-related injury suffered on or about August 

4, 2008, under Title XIX of the Social Security Act. 

to seek review of such damages decision, recognizing that respondent reserves his right, pursuant 

to 42 U.S.C. § 300aa-12(f), to seek review of the Special Master’s October 29, 2015, decision 

finding petitioner entitled to an award under the Vaccine Act. This right accrues following entry 

of judgment. 
-3-

II. Form of the Award

The parties recommend that the compensation provided to D.P. 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:3

A. A lump sum payment of $1,250,898.64 representing compensation for lost earnings 

($889,283.44), pain and suffering ($250,000.00), and life care expenses for Year One 

($111,615.20), in the form of a check payable to petitioner as guardian/conservator of D.P., for 

the benefit of D.P. No payments shall be made until petitioner provides respondent with 

documentation establishing that she has been appointed as the guardian/conservator of D.P.’s 

estate. If petitioner is not authorized by a court of competent jurisdiction to serve as 

guardian/conservator of the estate of D.P., 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 D.P. upon submission of written documentation of such appointment to the Secretary. 

B. A lump sum payment of $17,342.98, representing compensation for satisfaction of the 

State of Georgia WellCare Medicaid lien, payable jointly to petitioner and 

Equian, LLC

P.O. Box 32140 

Louisville, KY 40232-2140 

Equian File No.: 744984-116716 

Attn: Stephen Snabb 

Petitioner agrees to endorse this payment to Equian, LLC. 

3 Should D.P. 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, lost future earnings, and future pain and suffering.
-4-

C. An amount sufficient to purchase the annuity contract,4 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 company5 from

which the annuity will be purchased.6 Compensation 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 as 

guardian of the estate of D.P., only so long as D.P. is alive at the time a particular payment is 

due. At the Secretary's sole discretion, the periodic payments may be provided to petitioner 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 petitioner and do not require that the 

payment be made in one annual installment.

4

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

or more life insurance companies.

5

 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. D.P. 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-

1. Growth Rate

Respondent proffers that a four percent (4%) growth rate should be applied to all nonmedical 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

 Petitioner will continue to receive the annuity payments from the Life Insurance 

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

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

Company within twenty (20) days of D.P.’s death.

3. Guardianship

No payments shall be made until petitioner provides respondent with documentation 

establishing that she has been appointed as the guardian/conservator of D.P.’s estate. If 

petitioner is not authorized by a court of competent jurisdiction to serve as guardian/conservator 

of the estate of D.P., 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 D.P. upon 

submission of written documentation of such appointment to the Secretary. 

6

 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. 
-6-

III. Summary of Recommended Payments Following Judgment

A. Lump sum paid to petitioner as court-appointed 

guardian/conservator of D.P.’s estate: $1,250,898.64 

B. Medicaid Lien: $ 17,342.98 

C. An amount sufficient to purchase the annuity contract described 

above in section II. C. 

Respectfully submitted,

JOSEPH H. HUNT 

Assistant Attorney General

C. SALVATORE D’ALESSIO

Acting Director

Torts Branch, Civil Division 

CATHARINE E. REEVES

Deputy Director

Torts Branch, Civil Division 

GABRIELLE M. FIELDING

Assistant Director 

Torts Branch, Civil Division 

/S/ Robert P. Coleman III 

ROBERT P. COLEMAN III

Trial Attorney

Torts Branch, Civil Division 

U.S. Department of Justice 

P.O. Box 146 

Benjamin Franklin Station 

Washington, D.C. 20044-0146 

Telephone: (202) 305-0274 

Dated: September 7, 2018 
Appendix A: Items of Compensation for D.P.

ITEMS OF COMPENSATION G.R. * M

Lump Sum 

Compensation 

Year 1

Compensation 

Year 2

Compensation 

Year 3

Compensation 

Years 4-6

Compensation 

Years 7-8

Compens

Years 9

2018 2019 2020 2021-2023 2024-2025 2026-2

Medical Ins 5% M 3,094.80 3,094.80 3,094.80 3,094.80 3,094.80 3,0

Anthem MOP 5% 6,350.00 3,456.00 3,456.00 3,456.00 3,456.00 3,4

Medicare Part B Premium 5% MMedicare Part B Deductible 5%Medigap G 5% MMedicare Part D & Meds 5% MPrimary Care 5% *Mileage: PCP 4% 2.70 2.70 2.70 2.70 2.70 

Neurologist 5% * 280.00 280.00 280.00 280.00 280.00

Mileage: Neurologist 4% 92.88 92.88 92.88 92.88 92.88 

EEG 5% *MRI 5% *Vision Therapy 4% *Vision Therapy Follow Up 4% *Psychiatrist 5% *Mileage: Psychiatrist 4% 11.34 11.34 11.34 11.34 11.34 

Dentist 5% * 300.00 300.00 300.00 300.00 300.00 3

Mileage: Dentist 4% 5.76 5.76 5.76 5.76 5.76 

Night Guard 4% * 27.70 27.70 27.70 27.70 27.70 

ER 5% *Hospitalization 5% *Orthopedic Surgeon for Scoliosis 5% *PT Eval 4% * 400.00 400.00 400.00 400.00 200.00 2

Mileage: PT Eval 4% 5.76 5.76 5.76 5.76 2.88 

PT 4% * M 12,000.00 12,000.00 12,000.00 12,000.00 6,000.00

Mileage: PT 4% 276.48 276.48 276.48 276.48 138.24 1

PT Eval for Home Exercise Prgm 4% *OT Eval 4% * 200.00 200.00 200.00 200.00 200.00

OT 4% * M 6,000.00 6,000.00 6,000.00 6,000.00 6,000.00

ST Eval 4% * 200.00 200.00 200.00 200.00 200.00

ST 4% * M 4,680.00 4,680.00 3,120.00 3,120.00 3,120.00

Price v. HHS, No. 11-442V
Appendix A: Items of Compensation for D.P.

ITEMS OF COMPENSATION G.R. * M

Lump Sum 

Compensation 

Year 1

Compensation 

Year 2

Compensation 

Year 3

Compensation 

Years 4-6

Compensation 

Years 7-8

Compens

Years 9

2018 2019 2020 2021-2023 2024-2025 2026-2

Mileage: ST, OT 4% 207.36 207.36 207.36 207.36 138.24 1

Listening Therapy 4% 39.99Lamictal 150 mg 5% *Lamictal 50 mg 5% *Diazepam 5% *Klonopin 5% *Fiber Gummies 4% 36.46 36.46 36.46 36.46 36.46 

Pediasure 4% 454.88 454.88 454.88 454.88 454.88 4

Manual WC 4% *Shower Chair 4% 64.45 12.89 12.89 

Rifton Bike 4% *Free Weights 4% 38.33 3.83 3.83 3.83 3.83 

Ankle Weights 4% 36.49 3.65 3.65 3.65 3.65 

Floor Mat 4% 279.00 

Therabands 4% 36.65 12.22 12.22 12.22 12.22 

Vestibular Swing 4% 943.64

Lycra Swing 4% 90.00

Glider 4% 118.95

Scooter Board 4% 139.95 

ADL Items 4% 350.00 150.00 150.00 150.00 150.00 1

Social Skills Group 4% 450.00 225.00 225.00 225.00 225.00 2

Mileage: Social Skills Group 4% 241.92 120.96 120.96 120.96 120.96 1

Summer Camp 4% 300.00 300.00 300.00 300.00 300.00 30

Mileage: Summer Camp 4% 20.16 20.16 20.16 20.16 20.16 

Psychologist 4% *Mileage: Psychologist 4% 28.80 28.80 28.80

Case Mngt 4% M 4,080.00 4,080.00 3,060.00 3,060.00 2,040.00 2,04

Home Mods 4% 15,000.00

Bruno Seat 4% 8,500.00 1,214.28 1,214.28 1,214.28 1,214.28 1,2

Non Skilled Care School Days 4% M 19,980.00 19,980.00 19,980.00 19,980.00 19,980.00 19,9

Non Skilled Care Non School Days 4% M 26,344.00 26,344.00 26,344.00 26,344.00 26,344.00 26,34

Price v. HHS, No. 11-442V
Appendix A: Items of Compensation for D.P.

ITEMS OF COMPENSATION G.R. * M

Lump Sum 

Compensation 

Year 1

Compensation 

Year 2

Compensation 

Year 3

Compensation 

Years 4-6

Compensation 

Years 7-8

Compens

Years 9

2018 2019 2020 2021-2023 2024-2025 2026-2

Adult Non Skilled Care 4% M 

Lost Future Earnings 889,283.44

Pain and Suffering 250,000.00

Medicaid Lien 17,342.98

Annual Totals 1,268,241.62 84,215.02 81,699.47 81,647.91 74,188.87 58,3

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 thAs soon as practicable after entry of judgment, respondent shall make the following payment to guardian(s)/conservators(s) of the estate of D.P. for the benefit of D.P., for lost future earnings (pain and suffering ($250,000.00), and Yr 1 life care expenses ($111,615.20): $1,250,898.64.As soon as practicable after entry of judgment, respondent shall make the following payment joipetitioner and Equian, LLC, as reimbursement of the Wellcare Medicaid lien: $17,342.98.Annual amounts payable through an annuity for future Compensation Years follow the anniversaAnnual amounts shall increase at the rates indicated in column "G.R." above, compounded annuItems 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. 

Price v. HHS, No. 11-442V
Appendix A: Items of Compensation for D.P.

ITEMS OF COMPENSATION G.R. * M

Medical Ins 5% MAnthem MOP 5%Medicare Part B Premium 5% MMedicare Part B Deductible 5%Medigap G 5% MMedicare Part D & Meds 5% MPrimary Care 5% *Mileage: PCP 4%Neurologist 5% *Mileage: Neurologist 4%EEG 5% *MRI 5% *Vision Therapy 4% *Vision Therapy Follow Up 4% *Psychiatrist 5% *Mileage: Psychiatrist 4%Dentist 5% *Mileage: Dentist 4%Night Guard 4% *ER 5% *Hospitalization 5% *Orthopedic Surgeon for Scoliosis 5% *PT Eval 4% *Mileage: PT Eval 4%PT 4% * MMileage: PT 4%PT Eval for Home Exercise Prgm 4% *OT Eval 4% *OT 4% * MST Eval 4% *ST 4% * M

Compensation 

Years 13-15

Compensation 

Years 16-20

Compensation 

Year 21

Compensation 

Years 22-Life

2030-2032 2033-2037 2038 2039-Life

 3,094.80 3,094.80

 3,456.00 3,456.00

1,608.00 1,608.00

183.00 183.00

1,548.00 1,548.00

721.02 721.02

2.70 2.70 2.70 2.70

92.88 92.88 92.88 92.88

11.34 11.34 11.34 11.34

300.00 300.00 300.00 300.00

5.76 5.76 5.76 5.76

27.70 138.50 138.50 138.50

200.00

2.88

Price v. HHS, No. 11-442V
Appendix A: Items of Compensation for D.P.

ITEMS OF COMPENSATION G.R. * M

Mileage: ST, OT 4%Listening Therapy 4%Lamictal 150 mg 5% *Lamictal 50 mg 5% *Diazepam 5% *Klonopin 5% *Fiber Gummies 4%Pediasure 4%Manual WC 4% *Shower Chair 4%Rifton Bike 4% *Free Weights 4%Ankle Weights 4%Floor Mat 4%Therabands 4%Vestibular Swing 4%Lycra Swing 4%Glider 4%Scooter Board 4%ADL Items 4%Social Skills Group 4%Mileage: Social Skills Group 4%Summer Camp 4%Mileage: Summer Camp 4%Psychologist 4% *Mileage: Psychologist 4%Case Mngt 4% MHome Mods 4%Bruno Seat 4%Non Skilled Care School Days 4% MNon Skilled Care Non School Days 4% M

Compensation 

Years 13-15

Compensation 

Years 16-20

Compensation 

Year 21

Compensation 

Years 22-Life

2030-2032 2033-2037 2038 2039-Life

 36.46 36.46 36.46 36.46

12.89 12.89 12.89 12.89

3.83 3.83 3.83 3.83

3.65 3.65 3.65 3.65

19.99 2.00

12.22 12.22 12.22 12.22

25.00 25.00 25.00 25.00

1,530.00 1,530.00 1,530.00 1,530.00

1,214.28 1,214.28 1,214.28 1,214.28

Price v. HHS, No. 11-442V
Appendix A: Items of Compensation for D.P.

ITEMS OF COMPENSATION G.R. * M

Adult Non Skilled Care 4% MLost Future EarningsPain and SufferingMedicaid LienAnnual Totals

Compensation 

Years 13-15

Compensation 

Years 16-20

Compensation 

Year 21

Compensation 

Years 22-Life

2030-2032 2033-2037 2038 2039-Life

 95,812.50 95,812.50 95,812.50 95,812.50

105,844.89 105,752.81 103,282.02 103,264.03

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 thAs soon as practicable after entry of judgment, respondent shall make the following payment to guardian(s)/conservators(s) of the estate of D.P. for the benefit of D.P., for lost future earnings (pain and suffering ($250,000.00), and Yr 1 life care expenses ($111,615.20): $1,250,898.64.As soon as practicable after entry of judgment, respondent shall make the following payment joipetitioner and Equian, LLC, as reimbursement of the Wellcare Medicaid lien: $17,342.98.Annual amounts payable through an annuity for future Compensation Years follow the anniversaAnnual amounts shall increase at the rates indicated in column "G.R." above, compounded annuItems 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. 

Price v. HHS, No. 11-442V