Richard Sample
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Job-Related (Presumptive) |
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Fremont Fire |
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Source |
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Lump Sum |
Monthly |
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1. Employer Insurance |
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$25,000 |
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2. Workers Compensation |
($160,000 @ $490 / week) |
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$5,000 |
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$2,123 |
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3. State Association |
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4. Association ~ Union |
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$22,000 |
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5. Retirement System |
(Lifetime Allowance) |
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$2,620 |
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6. Other Insurance |
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Total (Presumptive) |
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$52,000 |
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$4,743 |
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Job-Related (Violent) |
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1. Federal Death Benefit |
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$250,000 |
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2. Retirement System |
(Two children - until age 22) |
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$1,048 |
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3. Other Insurance |
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Total (Job-Related Violent) |
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$302,000 |
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$5,791 |
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Non Job-Related |
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1. Employer Insurance |
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$25,000 |
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2. State Association |
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3. Association ~ Union |
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$22,000 |
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4. Retirement System |
(Basic Death Benefit) |
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$131,440 |
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$840 |
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5. Other Insurance |
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Total (Non Job-Related) |
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$178,440 |
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$840 |
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