If I am determined to be eligible, how is my pension award calculated?
All eligibility determinations and award calculations are made in accordance with DMNA Regulations 27-9 (Pension Eligibility) and 27-10 (Pension Examining Board).
Once it has been determined that a claimant has satisfied all eligibility requirements (WTC-BP Eligibility Tool), and a disability rating (a percentage rating 0%-100%) is assigned by an independent medical examiner, that rating is applied to 75% of the claimant’s final annual State Active Duty (SAD) Pay.
(Final Annual SAD Pay) x (75%) x (Disability Rating) = Annual Pension. *
For example, if the WTC-BP determines a claimant is 100% disabled and their final annual SAD pay was $100,000, they would receive $75,000 dollars annually divided into 12 monthly payment ($6,250).
With a WTC-BP disability rating of 50%, they would receive $37,500 annually divided into 12 monthly payments ($3,125).
With a WTC-BP disability rating of 20%, they would receive $15,000 annually divided into 12 monthly payments ($1,250).
Note: These examples are for illustrative purposes only. Claimants should refer to their detailed award letter for additional information related to their specific circumstances.
*Collateral source offsets may apply to any award made by the WTC-BP.
What are Collateral Source Offsets?
The WTC-BP defines a collateral source offset as a reduction in an award based on payments or benefits the claimant or their beneficiaries have already received from other independent sources related to the same claim. In these instances, the collateral offset factors into a claimant’s WTC-BP Annual Pension Award.
(Annual Pension) – (Collateral Source Offsets) = Annual Award
For example, the WTC-BP will offset (that is, subtract) the amount of compensation that a claimant has already received from the Victim Compensation Fund (VCF) from any award issued by the WTC-BP. If the WTC-BP calculates a claimant’s annual pension to be $50,000 and the claimant already receives the equivalent of $15,000 annually in compensation from the VCF, their annual award from the WTC-BP would be $35,000 annually divided into 12 monthly payments ($2.917.67).
Where collateral source offsets exceed an annual award calculated by the WTC-BP, no award will be made.
The WTC-BP requires all claimants to file DMNA Form 911-F (Collateral Source Offsets Disclosure) before it can make a final eligibility determination and issue an award. The obligation to report collateral source payments is ongoing, until the WTC-BP stops taking claims. If you become entitled to receive additional collateral source payments after an initial notification to the WTC-BP, you will need to submit a new DMNA Form 911-F to advise the WTC-BP of this update within 90-days.
Note: The WTC-BP works collaboratively with the collateral sources outlined in DMNA Form 911-F.
Does the WTC-BP distinguish between Economic and Non-Economic Loss?
The WTC-BP follow the U.S. Military’s approach to disability pensions in that we treat economic and non economic loss as part of a unified disability rating, not as separate, itemized components.
Some compensation systems, such as certain workers’ compensation or tort claims, explicitly separate economic and non economic damages. For example, the September 11th Victim Compensation Fund (VCF) does calculate economic and non economic loss separately. However, this is not how military disability pensions work.
A disability rating assigned by the WTC-BP reflects the overall impact of the disability on the veteran’s ability to work and function, but it is not broken down into “economic” and “non economic” components for payment purposes.
Why does the WTC-BP require claimants to file with the September 11th Victim Compensation Fund (VCF) before it will review my claim?
For WTC-BP purposes, the VCF has primacy over all claims related to participation in World Trade Center rescue, recovery or cleanup efforts in the immediate aftermath of the September 11, 2001, terrorist attacks.
The VCF recognizes a range of World Trade Center (WTC)-related health conditions as qualifying for compensation. These are defined and certified by the World Trade Center Health Program (WTCHP), which must first certify a condition as related to 9/11 exposure before the VCF can approve a claim.
Resolution of VCF claims not only ensure claimants receive no-cost treatment for certified World Trade Center-related health conditions through the WTCHP, it also ensures that the WTC-BP can accurately calculate awards that offset any VCF awards without inadvertently triggering a claw back (that is, taking back money that was already paid) provision under federal regulations 28 CFR § 104.63.
Note: The WTC-BP works closely with the VCF, and other award programs to ensure all awards are subject to collateral source offset disclosures to avoid triggering a claw back.
Note: Several qualifying conditions are recognized by the WTC-BP that are not recognized by the VCF. In these instances, the WTC-BP will review those claims without a final determination from the VCF. However, the WTC-BP cannot render an award determination until all qualifying conditions recognized by the VCF have been resolved.