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Indemnity Benefits
Hartman Language
Attorney's Fee
WC Lien
SS Offset
Life Expectancy
Indemnity Benefits
Hartman Language
Attorney's Fee
WC Lien
SS Offset
Life Expectancy
SS Offset Calculator (Form DWC-33)
Date of Accident
AWW
Monthly PIA
80% Monthly ACE
Maximum Family Benefit (MFB)
Date of PTD Acceptance
Calculate SS Offset
Benefits Information
Weekly Compensation:
$0.00
Average Weekly Wage:
$0.00
multiplied by .80 = 80% AWW:
$0.00
Monthly PIA:
$0.00
divided by 4.3 = Weekly PIA:
$0.00
Monthly ACE:
$0.00
divided by 4.3 = Weekly ACE:
$0.00
Maximum Family Benefit (MFB):
$0.00
divided by 4.3 = Weekly MFB:
$0.00
Offset Calculation
$0.00
Weekly Compensation (or applicable Max rate)
$0.00
Weekly PIA or MFB (whichever applies)
$0.00
5% PT supplemental benefits (3% for D/A on or after 10/1/2003)
$0.00
Combined Weekly Benefits
$0.00
Greater of 80% AWW or 80% weekly ACE
$0.00
Total Offset Available (shall not exceed applicable PIA or MFB weekly compensation)
$0.00
Base PTD Benefits Payable After Offset