MEMORANDUM
TO:
All Workers’ Compensation Insurance Carriers, Adjusters and Self-Insureds
FROM:
J. Stephen Monahan, Director
Workers’ Compensation and Safety Division
DATE:
June 7, 2019
SUBJECT:
Annual Adjustment of Workers’ Compensation Benefits
The new Form 28(FY20) and the Form 28A(FY20), which you
should use to update claimant’s rates as of July 1, 2019, are now
available. You can download both forms from our web site at: http://labor.vermont.gov/forms/#comp.
Please make copies as needed.
The new maximum for those injuries arising after June 30,
1986 is $1,353.00. The new maximum for injuries prior to that date is $902.00.
The minimum in all cases is $451.00.
Please be aware of the requirement to forward a copy of the
Form 28 to the injured worker or dependent.
The multiplier for FY 2020 is 1.032.