TO:
All Workers’ Compensation Insurance Carriers, Adjusters and Self-Insureds
FROM:
J. Stephen Monahan, Director
Workers’ Compensation and Safety Division
DATE:
July 11, 2016
SUBJECT:
Annual Adjustment of Workers’ Compensation Benefits
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The new Form 28(FY17) and the Form 28A(FY17), which you
should use to update claimant’s rates as of July 1, 2016, are now
available. You can download both forms from the web site at: http://labor.vermont.gov/forms/#comp.
The new maximum for those injuries arising after June 30,
1986 is $1,259.00. The new maximum for injuries prior to that date is
$839.00. The minimum in all cases is $420.00.
Historical wage rates are available http://labor.vermont.gov/wordpress/wp-content/uploads/historicalrates.pdf
Please be aware of the new requirement to forward a copy to
the injured worker or dependent:
Rule 8.2010 The employer or insurance carrier shall file a Notice of Change in Compensation Rate (Form
28) with the Commissioner by July 1st annually as to any injured worker or dependent who is receiving
indemnity benefits as of that date and who is entitled to an adjustment of compensation in accordance
with this Rule. Concurrent with the filing, the employer or insurance carrier shall mail a copy of the
Notice of Change in Compensation Rate to the injured worker or if appropriate, to his or her
dependent(s).