Donald Presgrave v. Secretary of Health and Human Services

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 12-269V Filed: April 8, 2013 Not for publication ************************************* DONALD PRESGRAVE, * * Petitioner, * * Damages decision based on proffer v. * * SECRETARY OF HEALTH * AND HUMAN SERVICES, * * Respondent. * * ************************************* Ronald C. Homer, Boston, MA, for petitioner. Alexis B. Babcock, Washington, DC, for respondent. MILLMAN, Special Master DECISION AWARDING DAMAGES1 On April 8, 2013, respondent filed a Proffer on Award of Compensation. Based on the record as a whole, the special master finds that petitioner is entitled to the award as stated in the Proffer. Pursuant to the terms stated in the attached Proffer, the court awards petitioner: 1 Because this decision contains a reasoned explanation for the special master's action in this case, the 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, Pub. 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 and 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 disclosure. 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. a. a lump sum payment of $778,627.17, representing compensation for life care expenses for the first year after judgment ($12,713.29), lost earnings ($588,662.36), pain and suffering ($176,832.07), and past unreimbursable expenses ($419.45), in the form of a check payable to Donald Presgrave, petitioner; and b. an amount sufficient to purchase an annuity contract subject to the conditions described in section II. B. 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 judgment herewith.2 IT IS SO ORDERED. Dated: April 8, 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=s filing a notice renouncing the right to seek review. 2 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS __________________________________________ ) DONALD PRESGRAVE, ) ECF ) Petitioner, ) No. 12-269V v. ) Special Master Millman ) SECRETARY OF HEALTH ) AND HUMAN SERVICES, ) ) Respondent. ) __________________________________________) RESPONDENT'S PROFFER ON AWARD OF COMPENSATION I. Items of Compensation A. Life Care Items Respondent engaged life care planner Linda Curtis, RN, MS, CCM, CNLCP, and petitioner engaged Maureen Clancy, RN, BSN, CLCP, to provide an estimation of Donald Presgrave’s future vaccine-injury related needs. For the purposes of this proffer, the term “vaccine related” is as described in respondent’s Rule 4(c) report filed on July 24, 2012. All items of compensation identified in the joint life care plan are supported by the evidence, and are illustrated by the chart entitled Appendix A: Items of Compensation for Donald Presgrave, attached hereto as Tab A. 1 Respondent proffers that Donald Presgrave 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 agrees. 1 The chart at Tab A illustrates the annual benefits provided by the joint 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. -1- B. Lost Future Earnings The parties agree that based upon the evidence of record, Donald Presgrave has suffered a past loss of earnings and will continue to suffer a loss of earnings in the future. Therefore, respondent proffers that Donald Presgrave should be awarded lost earnings as provided under the Vaccine Act, 42 U.S.C. § 300aa-15(a)(3)(A). Respondent proffers that the appropriate award for Donald Presgrave’s lost earnings is $588,662.36. Petitioner agrees. C. Pain and Suffering Respondent proffers that Donald Presgrave should be awarded $176,832.07 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 agrees. D. Past Unreimbursable Expenses Evidence supplied by petitioner documents Donald Presgrave’s expenditure of past unreimbursable expenses related to his vaccine-related injury. Respondent proffers that petitioner should be awarded past unreimbursable expenses in the amount of $419.45. Petitioner agrees. E. Medicaid Lien Petitioner represents that there are no outstanding Medicaid liens against him. II. Form of the Award The parties recommend that the compensation provided to Donald Presgrave 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 $778,627.17, representing compensation for life care -2- expenses expected to be incurred during the first year after judgment ($12,713.29), lost earnings ($588,662.36), pain and suffering ($176,832.07), and past unreimbursable expenses ($419.45), in the form of a check payable to petitioner, Donald Presgrave. B. An amount sufficient to purchase an annuity contract, 2 subject to the conditions described below, that will provide payments for the life care items contained in the joint life care plan, as illustrated by the chart at Tab A. attached hereto, paid to the life insurance company 3 from which the annuity will be purchased. 4 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, Donald Presgrave, only so long as Donald Presgrave 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. 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 Paying Ability Rating: AA-, AA, AA+, or AAA. 4 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. -3- 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 agrees. 2. Life-contingent annuity Petitioner will continue to receive the annuity payments from the Life Insurance Company only so long as he, Donald Presgrave, 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 Donald Presgrave’s death. 3. Guardianship Petitioner is a competent adult. Evidence of guardianship is not required in this case. III. Summary of Recommended Payments Following Judgment A. Lump Sum paid to petitioner, Donald Presgrave: $778,627.17 B. An amount sufficient to purchase the annuity contract described above in section II. B. Respectfully submitted, STUART F. DELERY Principal Deputy Assistant Attorney General RUPA BHATTACHARYYA Director Torts Branch, Civil Division VINCENT J. MATANOSKI Deputy Director Torts Branch, Civil Division -4- LINDA S. RENZI Senior Trial Counsel Torts Branch, Civil Division /S/ALEXIS B. BABCOCK ALEXIS B. BABCOCK 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) 616-7678 Dated: April 8, 2013 -5- Appendix A: Items of Compensation for Donald Presgrave Page 1 of 3 Lump Sum Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 2013 2014 2015 2016 2017 2018 2019 2020 Multi Plan Health Premium 5% M 3,017.40 3,017.40 3,017.40 3,017.40 3,017.40 3,017.40 3,017.40 3,017.40 Medicare Part B Deductible 5% Neurologist 5% * 210.00 210.00 35.00 35.00 35.00 35.00 35.00 35.00 Psychologist 5% * 576.00 576.00 576.00 Future Physiatrist/Other Specialist 5% * 35.00 7.00 7.00 7.00 7.00 7.00 7.00 7.00 EMG 5% * 780.00 780.00 780.00 Hydroxyzine 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Buspirone 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Zoloft 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Aspirin 4% 10.66 10.66 10.66 10.66 10.66 10.66 10.66 10.66 Tylenol 4% 94.75 94.75 94.75 94.75 94.75 94.75 94.75 94.75 Advil 4% 68.26 68.26 68.26 68.26 68.26 68.26 68.26 68.26 PT 4% * 864.00 864.00 216.00 216.00 OT 4% * 864.00 864.00 144.00 144.00 Shower Transfer Bench 4% 130.00 18.57 Hand Held Shower 4% 32.00 4.57 Grab Bars 4% 274.00 274.00 Over the Toilet Commode 4% 179.00 25.57 Kitchen/Pers. Care/Adapt. Equip. 4% 250.00 150.00 30.00 30.00 Step Stool 4% 48.95 4.90 4.90 4.90 4.90 4.90 4.90 4.90 YMCA 4% M 446.00 396.00 396.00 396.00 396.00 396.00 396.00 396.00 Home Care 4% M 3,276.00 3,276.00 3,276.00 3,276.00 3,276.00 3,276.00 4,368.00 4,368.00 Handy Man 4% M 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00 Mileage 4% M 1,109.27 1,105.25 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 Lost Earnings 588,662.36 Pain and Suffering 176,832.07 Past Unreimbursable Expenses 419.45 Annual Totals 778,627.17 11,283.22 8,730.92 9,510.92 9,090.92 8,880.92 11,549.92 10,535.63 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 the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner for Yr 1 life care expenses ($12,713.29), lost earnings ($588,662.36), pain and suffering ($176,832.07), and past unreimbursable expenses ($419.45): $778,627.17 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 above in column G.R., compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. At respondent's discretion, items denoted with "M" payable in 12 monthly installments totaling the annual amount indicated. Appendix A: Items of Compensation for Donald Presgrave Page 2 of 3 Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 9 Year 10 Year 11 Year 12 Year 13 Year 14 Years 15-16 Year 17 2021 2022 2023 2024 2025 2026 2027-2028 2029 Multi Plan Health Premium 5% M 3,017.40 3,017.40 3,017.40 3,017.40 3,017.40 3,017.40 3,017.40 Medicare Part B Deductible 5% 147.00 Neurologist 5% * 35.00 35.00 35.00 35.00 35.00 35.00 35.00 18.80 Psychologist 5% * 576.00 192.00 Future Physiatrist/Other Specialist 5% * 7.00 7.00 7.00 7.00 7.00 7.00 7.00 12.00 EMG 5% * 780.00 780.00 Hydroxyzine 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Buspirone 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Zoloft 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Aspirin 4% 10.66 10.66 10.66 10.66 10.66 10.66 10.66 10.66 Tylenol 4% 94.75 94.75 94.75 94.75 94.75 94.75 94.75 94.75 Advil 4% 68.26 68.26 68.26 68.26 68.26 68.26 68.26 68.26 PT 4% * 216.00 216.00 72.00 OT 4% * 144.00 144.00 48.00 Shower Transfer Bench 4% 18.57 18.57 18.57 18.57 18.57 18.57 18.57 18.57 Hand Held Shower 4% 4.57 4.57 4.57 4.57 4.57 4.57 4.57 4.57 Grab Bars 4% 39.14 39.14 39.14 39.14 39.14 39.14 39.14 39.14 Over the Toilet Commode 4% 25.57 25.57 25.57 25.57 25.57 25.57 25.57 25.57 Kitchen/Pers. Care/Adapt. Equip. 4% 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 Step Stool 4% 4.90 4.90 4.90 4.90 4.90 4.90 4.90 4.90 YMCA 4% M 396.00 396.00 396.00 396.00 396.00 396.00 396.00 348.00 Home Care 4% M 4,368.00 4,368.00 4,368.00 4,368.00 4,368.00 4,368.00 4,368.00 6,552.00 Handy Man 4% M 600.00 600.00 600.00 600.00 600.00 600.00 600.00 600.00 Mileage 4% M 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 Lost Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 9,940.77 10,720.77 10,300.77 10,516.77 10,720.77 10,300.77 9,940.77 9,507.17 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 the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner for Yr 1 life care expenses ($12,713.29), lost earnings ($588,662.36), pain and suffering ($176,832.07), and past unreimbursable expenses ($419.45): $778,627.17 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 above in column G.R., compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. At respondent's discretion, items denoted with "M" payable in 12 monthly installments totaling the annual amount indicated. Appendix A: Items of Compensation for Donald Presgrave Page 3 of 3 Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 18 Year 19 Year 20 Year 21 Year 22 Year 23 Year 24 Years 25-Life 2030 2031 2032 2033 2034 2035 2036 2037-Life Multi Plan Health Premium 5% M Medicare Part B Deductible 5% 147.00 147.00 147.00 147.00 147.00 147.00 147.00 147.00 Neurologist 5% * 18.80 18.80 18.80 18.80 18.80 18.80 18.80 18.80 Psychologist 5% * 38.40 38.40 38.40 38.40 38.40 38.40 38.40 38.40 Future Physiatrist/Other Specialist 5% * 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 EMG 5% * 260.00 52.00 52.00 52.00 52.00 52.00 52.00 52.00 Hydroxyzine 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Buspirone 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Zoloft 5% * 63.00 63.00 63.00 63.00 63.00 63.00 63.00 63.00 Aspirin 4% 10.66 10.66 10.66 10.66 10.66 10.66 10.66 10.66 Tylenol 4% 94.75 94.75 94.75 94.75 94.75 94.75 94.75 94.75 Advil 4% 68.26 68.26 68.26 68.26 68.26 68.26 68.26 68.26 PT 4% * 72.00 72.00 360.00 120.00 OT 4% * 48.00 48.00 240.00 80.00 Shower Transfer Bench 4% 18.57 18.57 18.57 18.57 18.57 18.57 18.57 18.57 Hand Held Shower 4% 4.57 4.57 4.57 4.57 4.57 4.57 4.57 4.57 Grab Bars 4% 39.14 39.14 39.14 39.14 39.14 39.14 39.14 39.14 Over the Toilet Commode 4% 25.57 25.57 25.57 25.57 25.57 25.57 25.57 25.57 Kitchen/Pers. Care/Adapt. Equip. 4% 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 Step Stool 4% 4.90 4.90 4.90 4.90 YMCA 4% M 348.00 348.00 348.00 348.00 348.00 348.00 348.00 348.00 Home Care 4% M 6,552.00 6,552.00 6,552.00 6,552.00 6,552.00 6,552.00 6,552.00 6,552.00 Handy Man 4% M 600.00 600.00 600.00 600.00 600.00 Mileage 4% M 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 1,031.95 Lost Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 9,493.57 9,285.57 9,405.57 9,285.57 9,280.67 8,800.67 9,280.67 8,880.67 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 the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner for Yr 1 life care expenses ($12,713.29), lost earnings ($588,662.36), pain and suffering ($176,832.07), and past unreimbursable expenses ($419.45): $778,627.17 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 above in column G.R., compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. At respondent's discretion, items denoted with "M" payable in 12 monthly installments totaling the annual amount indicated.