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WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017

WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

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Page 1: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

WORKERS’ COMPENSATION COMMISSION

WEEKLY BENEFITS TABLES FOR

OCTOBER 1, 2016 - SEPTEMBER 30, 2017

Page 2: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

STATE OF CONNECTICUT

WORKERS’ COMPENSATION COMMISSION

WEEKLY BENEFIT TABLES FOR OCTOBER 1, 2016 TO SEPTEMBER 30, 2017

(BASED ON 75% OF AFTER-TAX AVERAGE WEEKLY WAGE)

The attached tables are provided in accordance with Section 31-310(b) of Connecticut Workers’ Compensation Act as

Amended January 1, 1995 concerning Comprehensive Workers’ Compensation Reform which states that the Chairman of

the Workers’ Compensation Commission shall publish tables of the average weekly wage and 75% of after-tax average

weekly wage. These tables shall be considered conclusive for the purpose of determining the after-tax average weekly

earnings.

• The maximum weekly compensation benefit is $1,292.00 based on the State average weekly wage of $1,291.94.

• Further assistance may be obtained by calling 1-800-223-WORK.

Page 3: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

INSTRUCTIONS

1. Calculate the employee’s average gross weekly wage in accordance with Section 31-310. Find the employee’s

average gross weekly wage in either the right or left column. 2. Determine the employee’s filing status. There are four filing statuses provided: single, head of household,

married filing jointly, and married filing separately. As the eligibility criteria for filing status is discretionary to the taxpayer, care must be taken in applying the married filing separately status. The employee’s filing status and the number of exemptions utilized must be consistent with the position the employee took in filing his or her previous Federal income tax return. If tax status on the date of injury was different than position taken on previous Federal income tax return, documentation must be submitted to commission for review and approval.

3. Determine the employee’s number of exemptions (see #2 above).

4. In the event that the employee or spouse is over sixty-five years of age or blind, the weekly workers’

compensation calculation needs to be performed manually. See Exhibits I-IV for instructions on how to calculate the average weekly benefit.

5. Match the appropriate average weekly wages and filing status with the appropriate number of exemptions.

6. The figure shown is the weekly compensation benefit. Exceptions to this compensation may apply as noted

below and in the tables.

7. See attached Exhibits.

Note: • The following minimum and maximum benefits apply:

Temporary and Permanent Total Disability Maximum weekly compensation benefit is $1,292.00

Minimum weekly compensation benefit is 20% of the maximum weekly benefit ($258.4) not to exceed 75% of the employee’s average weekly wage

Temporary Partial Disability Maximum weekly compensation benefit is $1063.00

No minimum weekly compensation benefit applies

Permanent Partial Disability Maximum weekly compensation benefit is $1063.00

Minimum weekly compensation benefit is $50.00

• Effective October 1, 1991, there are no separate dependency allowances.

Page 4: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

EXHIBIT I

WEEKLY WORKERS’ COMPENSATION BENEFIT CALCULATION BLIND OR 65 OR OLDER

SINGLE Part 1 (Please Review the Examples after Exhibit IV) Calculate the taxable weekly wage as follows: Average Weekly Wage Less: $121.15 standard deduction Less: $29.81 if the employee is blind or 65 or older or $59.62 if the employee is both blind and 65 or older Less: $77.88 x No. of exemptions of the employee Taxable weekly wage Part 2

Calculate the Federal tax on the taxable weekly wage (from Part 1) is:

Over But Not Over The Tax Is Of the Amount Over $ 0 $ 178.37 $ --- + 10% $ 0

178.37 724.04 17.84 + 15% 178.37 724.04 1,752.88 99.69 + 25% 724.04

1752.88 3,656.73 356.9 + 28% 1,752.88 3656.73 7,949.04 889.98 + 33% 3,656.73 7949.04 7,981.73 2306.44 + 35% 7,949.04 7981.73 2317.88 + 39.6% 7,981.73

Part 3 Calculate the FICA and Medicare tax on the Average Weekly Wage as follows:

A. FICA = Average Weekly Wage x .062 (Maximum FICA tax is $141.29) B. Medicare = Average Weekly Wage x .0145 C. Add the smaller of Step A above or $141.29 to Step B

(Example: Step A and Step B or $141.29 + Step B)

Part 4 Calculate the Connecticut State tax on the Average Weekly Wage as follows:

A. Average Weekly Wage (from Part 1) = weekly wage on Table A and Table B B.* Less: Personal Exemption (from Table A) to obtain Connecticut Taxable Income C1. If the amount from Step B is less than or equal to $192.31, multiply the amount by .03 =

Connecticut tax before credit or, C2. If the amount from Step B is greater than $192.31, multiply the excess over $192.31 by .05 and

add $5.77 = Connecticut tax before credit. C3. If the amount from Step B is greater than $961.54, multiply the excess over $961.54 by .055 and

add $44.23 = Connecticut tax before 3% Tax-Rate Phase-Out. C4. If the amount from Step B is greater than $1,923.08, multiply the excess over $1,923.08 by .06

and add $97.12 = Connecticut tax before 3% Tax-Rate Phase-Out. D. Add: 3% Tax-Rate Phase Out (from Table C) to obtain additional income tax from the phase-out

of the 3% tax rate, if applicable, to amount in Step C above. E. Multiply CT Tax Before Credit from Step D by Credit % (from Table B) = Credit F. CT Tax Before Credit - Credit = CT State Tax After Credit

* Note: If average weekly wage after personal exemption is less than or equal to zero, then the Connecticut tax is zero. (Do not proceed with steps C-F of Connecticut Tax computation).

Page 5: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

- 2 -

Part 5

Calculate the after-tax average weekly wage as follows:

Average weekly wage Less: Federal tax (from Part 2) Less: FICA and Medicare tax (from Part 3C) Less: CT State tax (from Part 4F) After-tax average weekly wage

Part 6

Calculate the weekly workers' compensation benefit as follows:

After-tax average weekly wage (from Part 5) x 75% Weekly workers' compensation benefit

Part 7

Determine whether maximum or minimum compensation benefit limitations apply (see instructions).

Page 6: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

EXHIBIT II

WEEKLY WORKERS’ COMPENSATION BENEFIT CALCULATION BLIND OR 65 OR OLDER HEAD OF HOUSEHOLD

Part 1 (Please Review the Examples after Exhibit IV)

Calculate the taxable weekly wage as follows:

Average Weekly Wage Less: $178.85 standard deduction Less: $ 29.81 if the employee is blind or 65 or older

or $59.62 if the employee is both blind and 65 or older

Less: $77.88 x No. of exemptions of the employee Taxable weekly wage

Part 2

Calculate the Federal tax on the taxable weekly wage. If the taxable weekly wage (from Part 1) is:

Over But Not Over The Tax Is Of the Amount Over

$ 0 $ 254.81 $ ---- + 10% $ 0 254.81 969.23 25.48 + 15% 254.81 969.23 2,502.88 132.64 + 25% 969.23 2502.88 4,053.85 516.06 + 28% 2,502.88 4053.85 7,949.04 950.33 + 33% 4,053.85 7949.04 8,480.77 2235.74 + 35% 7,949.04 8480.77 2421.85 + 39.6% 8,480.77

Part 3

Calculate the FICA and Medicare tax on the Average Weekly Wage as follows:

A. FICA = Average Weekly Wage x .062 (Maximum FICA tax is $141.29) B. Medicare = Average Weekly Wage x .0145 C. Add the smaller of Step A above or $141.29 to Step B

(Example: Step A and Step B or $141.29 + Step B)

Part 4 Calculate the Connecticut State tax on the Average Weekly Wage as follows:

A. Average Weekly Wage (from Part 1) = weekly wage on Table A and Table B B.* Less: Personal Exemption (from Table A) to obtain Connecticut Taxable Income C1. If the amount from Step B is less than or equal to $307.69, multiply the amount by .03 =

Connecticut tax before credit or, C2. If the amount from Step B is greater than $307.69, multiply the excess over $307.69 by .05 and

add $9.23 = Connecticut tax before credit. C3. If the amount from Step B is greater than $1,538.46, multiply the excess over $1,538.46 by .055

and add $70.77 = Connecticut tax before 3% Tax-Rate Phase-Out. D. Add: 3% Tax-Rate Phase Out (from Table C) to obtain additional income tax from the phase-out

of the 3% tax rate, if applicable, to amount in Step C above. E. Multiply CT Tax Before Credit from Step D by Credit % (from Table B) = Credit F. CT Tax Before Credit - Credit = CT State Tax After Credit

* Note: If average weekly wage after personal exemption is less than or equal to zero, then the Connecticut tax is zero. (Do not proceed with steps C-F of Connecticut Tax computation).

Page 7: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

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Part 5

Calculate the after-tax average weekly wage as follows:

Average weekly wage Less: Federal tax (from Part 2) Less: FICA and Medicare tax (from Part 3C) Less: CT State tax (from Part 4F) After-tax average weekly wage

Part 6

Calculate the weekly workers' compensation benefit as follows: After-tax average weekly wage (from Part 5) x 75% Weekly workers' compensation benefit

Part 7

Determine whether maximum or minimum compensation benefit limitations apply (see instructions).

Page 8: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

EXHIBIT III

WEEKLY WORKERS’ COMPENSATION BENEFIT CALCULATION BLIND OR 65 OR OLDER

MARRIED FILING JOINTLY Part 1 (Please Review the Examples after Exhibit IV)

Calculate the taxable weekly wage as follows:

Average weekly wage Less: $242.31 standard deduction Less: $ 24.04 if the employee is blind or 65 or older

and/or $ 24.04 if the spouse is blind or 65 or older

and/or $ 48.08 if the employee is both blind and 65 or older

and/or $ 48.08 if the spouse is both blind and 65 or older

Less: $ 77.88 x No. of exemptions of the employee Taxable weekly wage

Part 2

Calculate the Federal tax on the taxable weekly wage. If the taxable weekly wage (from Part 1) is:

Over But Not Over The Tax Is Of the Amount Over $ 0 $ 356.73 $ ---- + 10% $ 0

356.73 1,448.08 35.67 + 15% 356.73 1448.08 2,921.15 199.38 + 25% 1,448.08 2921.15 4,450.96 567.64 + 28% 2,921.15 4450.96 7,949.04 995.99 + 33% 4,450.96 7949.04 8,979.81 2150.36 + 35% 7,949.04 8979.81 2511.13 + 39.6% 8,979.81

Part 3

Calculate the FICA and Medicare tax on the Average Weekly Wage as follows:

A. FICA = Average Weekly Wage x .062 (Maximum FICA tax is $141.29) B. Medicare = Average Weekly Wage x .0145 C. Add the smaller of Step A above or $141.29 to Step B

(Example: Step A and Step B or $141.29 + Step B)

Part 4 Calculate the Connecticut State tax on the Average Weekly Wage as follows:

A. Average Weekly Wage (from Part 1) = weekly wage on Table A and Table B B.* Less: Personal Exemption (from Table A) to obtain Connecticut Taxable Income C1. If the amount from Step B is less than or equal to $384.62, multiply the amount by .03 =

Connecticut tax before credit or, C2. If the amount from Step B is greater than $384.62, multiply the excess over $384.62 by .05 and

add $11.54 = Connecticut tax before credit. C3. If the amount from Step B is greater than $1,923.08, multiply the excess over $1,923.08 by .055

and add $88.46 = Connecticut tax before 3% Tax-Rate Phase-Out. D. Add: 3% Tax-Rate Phase Out (from Table C) to obtain additional income tax from the phase-out

of the 3% tax rate, if applicable, to amount in Step C above. E. Multiply CT Tax Before Credit from Step D by Credit % (from Table B) = Credit F. CT Tax Before Credit - Credit = CT State Tax After Credit

* Note: If average weekly wage after personal exemption is less than or equal to zero, then the Connecticut tax is zero. (Do not proceed with steps C-F of Connecticut Tax computation).

Page 9: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

- 2 -

Part 5

Calculate the after-tax average weekly wage as follows:

Average weekly wage Less: Federal tax (from Part 2) Less: FICA and Medicare tax (from Part 3C) Less: CT State tax (from Part 4F) After-tax average weekly wage

Part 6

Calculate the weekly workers' compensation benefit as follows: After-tax average weekly wage (from Part 5) x 75% Weekly workers' compensation benefit

Part 7

Determine whether maximum or minimum compensation benefit limitations apply (see instructions).

Page 10: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

EXHIBIT IV

WEEKLY WORKERS’ COMPENSATION BENEFIT CALCULATION BLIND OR 65 OR OLDER

MARRIED FILING SEPARATELY

Part 1 (Please Review the Examples after Exhibit IV)

Calculate the taxable weekly wage as follows:

Average weekly wage Less: $121.15 standard deduction Less: $24.04 if the employee is blind or 65 or older

or $48.08 if the employee is both blind and 65 or older

Less: $77.88 x No. of exemptions of the employee Taxable weekly wage

Part 2

Calculate the Federal tax on the taxable weekly wage. If the taxable weekly wage (from Part 1) is:

Over But Not Over The Tax Is Of the Amount Over

$ 0 $ 178.37 $ ---- + 10% $ 0 178.37 724.04 17.84 + 15% 178.37 724.04 1,460.58 99.69 + 25% 724.04

1460.58 2,225.48 283.82 + 28% 1,460.58 2225.48 3,974.52 498 + 33% 2,225.48 3974.52 4,489.90 1075.18 + 35% 3,974.52 4489.90 1255.56 + 39.6% 4,489.90

Part 3

Calculate the FICA and Medicare tax on the Average Weekly Wage as follows:

A. FICA = Average Weekly Wage x .062 (Maximum FICA tax is $141.29) B. Medicare = Average Weekly Wage x .0145 C. Add the smaller of Step A above or $141.29 to Step B (Example: Step A and Step B or $141.29 + Step B)

Part 4 Calculate the Connecticut State tax on the Average Weekly Wage as follows:

A. Average Weekly Wage (from Part 1) = weekly wage on Table A and Table B B.* Less: Personal Exemption (from Table A) to obtain Connecticut Taxable Income C1. If the amount from Step B is less than or equal to $192.31, multiply the amount by .03 =

Connecticut tax before credit or, C2. If the amount from Step B is greater than $192.31, multiply the excess over $192.31 by .05 and

add $5.77 = Connecticut tax before credit. C3. If the amount from Step B is greater than $961.54, multiply the excess over $961.54 by .055 and

add $44.23 = Connecticut tax before 3% Tax-Rate Phase-Out. C4. If the amount from Step B is greater than $1,923.08, multiply the excess over $1,923.08 by .06

and add $97.12 = Connecticut tax before 3% Tax-Rate Phase-Out. D. Add: 3% Tax-Rate Phase Out (from Table C) to obtain additional income tax from the phase-out

of the 3% tax rate, if applicable, to amount in Step C above. E. Multiply CT Tax Before Credit from Step D by Credit % (from Table B) = Credit F. CT Tax Before Credit - Credit = CT State Tax After Credit

* Note: If average weekly wage after personal exemption is less than or equal to zero, then the Connecticut tax is zero. (Do not proceed with steps C-F of Connecticut Tax computation).

Page 11: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

- 2 -

Part 5

Calculate the after-tax average weekly wage as follows:

Average weekly wage Less: Federal tax (from Part 2) Less: FICA and Medicare tax (from Part 3C) Less: CT State tax (from Part 4F) After-tax average weekly wage

Part 6

Calculate the weekly workers' compensation benefit as follows: After-tax average weekly wage (from Part 5) x 75% Weekly workers' compensation benefit

Part 7

Determine whether maximum or minimum compensation benefit limitations apply (see instructions).

Page 12: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

WEEKLY WORKERS' COMPENSATION BENEFIT CALCULATION

Example:

Assume - Single (Exhibit I)

Employee is both blind and greater than 65 years old One exemption claimed on employee's Federal income tax return Average Weekly Wage = $500.00

Part 1

Average Weekly Wage $ 500.00 Less: Standard deduction (121.15) Less: Employee's deduction: blind and 65 or older (59.62) Less: $77.88 x 1 exemptions (77.88)

Taxable Weekly Wage $ 241.35

Part 2

Calculate the Federal tax on the taxable weekly wage as follows:

$241.35 is less than $724.04, therefore, use 15% rate plus $17.84 (($241.35– 178.37) * 15%) + 17.84 = $27.29

Part 3

Calculate the FICA and Medicare tax on the average weekly wage as follows:

A. FICA = $500.00 x .062 = $31.00 (Maximum FICA tax is $141.29)

B. Medicare = $500.00 x .0145 = $7.25

C. Add smaller of Step A or $141.29 to Step B $31.00 + 7.25 = $38.25

Part 4

Calculate the Connecticut State tax on the average weekly wage as follows:

A. Average Weekly Wage $ 500.00 B.* Less: Exemption (Table A) (288.46) Connecticut Taxable Income $ 211.54 C1. $211.54 is greater than $192.31, proceed to Step C2 C2. $211.54 - 192.31 = $19.23 x .05 = $0.96 + $5.77 = $6.73 (CT State Tax Before Credit)

D. 3% Tax-Rate Phase Out (from Table C) - Not applicable in above example E. $6.73 x 25% Credit (Table B) = $1.68 F. $6.73 - $1.68 = $5.05 (CT State Tax After Credit)

* Note: If average weekly wage after personal exemption is less than or equal to zero, then the Connecticut tax is zero. (Do not proceed with steps C-F of Connecticut Tax computation).

Page 13: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

- 2 -

Part 5

Calculate the after-tax weekly wage as follows:

Average weekly wage $ 500.00 Less: Federal tax (from Part 2) (27.29) Less: FICA and Medicare tax (from Part 3) (38.25) Less: CT State tax (from Part 4E) ( 5.05)

After-Tax Average Weekly Wage $ 429.41

Part 6

Calculate weekly workers' compensation benefit as follows:

After-tax average weekly wage (Step 5) $ 429.41 X 75% Weekly Workers' Compensation Benefit $ 322.06

Part 7

The weekly benefit for temporary total disability would be the full $322.06 since it does not exceed the new $1,292.00 maximum.

The weekly benefit for temporary partial disability and permanent partial disability would be the full $322.06, since it does not exceed the new $1063.00 maximum benefit for these categories of disability.

Page 14: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

WEEKLY WORKERS' COMPENSATION BENEFIT CALCULATION

Example:

Assume - Married Filing Joint (Exhibit III)

Employee greater than 65 years old Employee's spouse greater than 65 years old and blind Three exemptions claimed on employee's Federal income tax return Average Weekly Wage = $1,000.00

Part 1

Average Weekly Wage $ 1,000.00 Less: Standard deduction (242.31) Less: Employee's deduction: 65 or older (24.04) Less: Spouse's deduction: blind and 65 or older (48.08) Less: $77.88 x 3 exemptions (233.64)

Taxable Weekly Wage $ 451.93

Part 2

Calculate the Federal tax on the taxable weekly wage as follows:

$451.93 is less than $1,448.08, therefore, use 15% rate plus $35.67 (($451.93 - $356.73) * 15%) + $35.67 = $49.95

Part 3

Calculate the FICA and Medicare tax on the average weekly wage as follows:

A. FICA = $1,000.00 x .062 = $62.00 (Maximum FICA tax is $141.29)

B. Medicare = $1,000.00 x .0145 = $14.50

C. Add smaller of Step A or $141.29 to Step B $62.00 + 14.50 = $76.50

Part 4

Calculate the Connecticut State tax on the average weekly wage as follows:

A. Average Weekly Wage $ 1,000.00 B.* Less: Exemption (Table A) (384.62) Connecticut Taxable Income $ 615.38 C1. $615.38 is greater than $384.62 proceed to step C2. C2. $615.38 - $384.62 = $230.76 x . 05 = $11.54 + $11.54 = $23.08 (CT State Tax Before Credit) D. 3% Tax-Rate Phase Out (from Table C) - Not applicable in above example E. $23.08 x 11% Credit (Table B) = $2.54 F. $23.08 - $2.54 = $20.54 (CT State Tax After Credit)

* Note: If average weekly wage after personal exemption is less than or equal to zero, then the Connecticut tax is zero. (Do

not proceed with steps C-F of Connecticut Tax computation).

Page 15: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

- 2 -

Part 5

Calculate the after-tax weekly wage as follows:

Average weekly wage $ 1,000.00 Less: Federal tax (from Part 2) (49.95) Less: FICA and Medicare tax (from Part 3) (76.50) Less: CT State tax (from Part 4E) (20.54)

After-Tax Average Weekly Wage $ 853.01

Part 6

Calculate weekly workers' compensation benefit as follows:

After-tax average weekly wage (Step 5) $ 853.01

Weekly Workers' Compensation Benefit x 75% $ 639.76

Part 7

The weekly benefit for temporary total disability would be the full $639.76, since it does not exceed the new $1,292.00 maximum benefit.

The weekly benefit for temporary partial disability and permanent partial disability would be the full $639.76, since it does not exceed the new $1063.00 maximum benefit for these categories of disability.

Page 16: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

TABLE ACONNECTICUT TAX EXEMPTION TABLE

WEEKLY WEEKLYCONNECTICUT AGI EXEMPTION CONNECTICUT AGI EXEMPTION CONNECTICUT AGI EXEMPTION CONNECTICUT AGI EXEMPTION

LESS THAN LESS THAN LESS THAN LESS THANMORE THAN OR EQUAL TO MORE THAN OR EQUAL TO MORE THAN OR EQUAL TO MORE THAN OR EQUAL TO

$0.00 $576.92 $288.46 $0.00 $730.77 $365.38 $0.00 $923.08 $461.54 $0.00 $461.54 $230.77$576.92 $596.15 $269.23 $730.77 $750.00 $346.15 $923.08 $942.31 $442.31 $461.54 $480.77 $211.54$596.15 $615.38 $250.00 $750.00 $769.23 $326.92 $942.31 $961.54 $423.08 $480.77 $500.00 $192.31$615.38 $634.62 $230.77 $769.23 $788.46 $307.69 $961.54 $980.77 $403.85 $500.00 $519.23 $173.08$634.62 $653.85 $211.54 $788.46 $807.69 $288.46 $980.77 $1,000.00 $384.62 $519.23 $538.46 $153.85$653.85 $673.08 $192.31 $807.69 $826.92 $269.23 $1,000.00 $1,019.23 $365.38 $538.46 $557.69 $134.62$673.08 $692.31 $173.08 $826.92 $846.15 $250.00 $1,019.23 $1,038.46 $346.15 $557.69 $576.92 $115.38$692.31 $711.54 $153.85 $846.15 $865.38 $230.77 $1,038.46 $1,057.69 $326.92 $576.92 $596.15 $96.15$711.54 $730.77 $134.62 $865.38 $884.62 $211.54 $1,057.69 $1,076.92 $307.69 $596.15 $615.38 $76.92$730.77 $750.00 $115.38 $884.62 $903.85 $192.31 $1,076.92 $1,096.15 $288.46 $615.38 $634.62 $57.69$750.00 $769.23 $96.15 $903.85 $923.08 $173.08 $1,096.15 $1,115.38 $269.23 $634.62 $653.85 $38.46$769.23 $788.46 $76.92 $923.08 $942.31 $153.85 $1,115.38 $1,134.62 $250.00 $653.85 $673.08 $19.23$788.46 $807.69 $57.69 $942.31 $961.54 $134.62 $1,134.62 $1,153.85 $230.77 $673.08$807.69 $826.92 $38.46 $961.54 $980.77 $115.38 $1,153.85 $1,173.08 $211.54$826.92 $846.15 19.23 $980.77 $1,000.00 $96.15 $1,173.08 $1,192.31 $192.31$846.15 $1,000.00 $1,019.23 $76.92 $1,192.31 $1,211.54 $173.08

$1,019.23 $1,038.46 $57.69 $1,211.54 $1,230.77 $153.85$1,038.46 $1,057.69 $38.46 $1,230.77 $1,250.00 $134.62$1,057.69 $1,076.92 $19.23 $1,250.00 $1,269.23 $115.38$1,076.92 $1,269.23 $1,288.46 $96.15

$1,288.46 $1,307.69 $76.92$1,307.69 $1,326.92 $57.69$1,326.92 $1,346.15 $38.46$1,346.15 $1,365.38 $19.23$1,365.38

SINGLE HEAD OF HOUSEHOLD MARRIED FILING JOINTLY/QUALIFYING WIDOW(ER) MARRIED FILING SEPARATELYWEEKLY WEEKLY

Page 17: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

TABLE BCONNECTICUT TAX CREDIT TABLE

WEEKLY WEEKLYCONNECTICUT AGI CREDIT CONNECTICUT AGI CREDIT CONNECTICUT AGI CREDIT CONNECTICUT AGI CREDIT

LESS THAN LESS THAN LESS THAN LESS THANMORE THAN OR EQUAL TO MORE THAN OR EQUAL TO MORE THAN OR EQUAL TO MORE THAN OR EQUAL TO

$288.46 $361.54 75% $365.38 $461.54 75% $461.54 $576.92 75% $230.77 $288.46 75%$361.54 $371.15 70% $461.54 $471.15 70% $576.92 $586.54 70% $288.46 $298.08 70%$371.15 $380.77 65% $471.15 $480.77 65% $586.54 $596.15 65% $298.08 $307.69 65%$380.77 $390.38 60% $480.77 $490.38 60% $596.15 $605.77 60% $307.69 $317.31 60%$390.38 $400.00 55% $490.38 $500.00 55% $605.77 $615.38 55% $317.31 $326.92 55%$400.00 $409.62 50% $500.00 $509.62 50% $615.38 $625.00 50% $326.92 $336.54 50%$409.62 $419.23 45% $509.62 $519.23 45% $625.00 $634.62 45% $336.54 $346.15 45%$419.23 $428.85 40% $519.23 $528.85 40% $634.62 $644.23 40% $346.15 $355.77 40%$428.85 $480.77 35% $528.85 $653.85 35% $644.23 $769.23 35% $355.77 $384.62 35%$480.77 $490.38 30% $653.85 $663.46 30% $769.23 $778.85 30% $384.62 $394.23 30%$490.38 $500.00 25% $663.46 $673.08 25% $778.85 $788.46 25% $394.23 $403.85 25%$500.00 $509.62 20% $673.08 $682.69 20% $788.46 $798.08 20% $403.85 $413.46 20%$509.62 $601.92 15% $682.69 $846.15 15% $798.08 $961.54 15% $413.46 $480.77 15%$601.92 $611.54 14% $846.15 $855.77 14% $961.54 $971.15 14% $480.77 $490.38 14%$611.54 $621.15 13% $855.77 $865.38 13% $971.15 $980.77 13% $490.38 $500.00 13%$621.15 $630.77 12% $865.38 $875.00 12% $980.77 $990.38 12% $500.00 $509.62 12%$630.77 $640.38 11% $875.00 $884.62 11% $990.38 $1,000.00 11% $509.62 $519.23 11%$640.38 $1,153.85 10% $884.62 $1,423.08 10% $1,000.00 $1,846.15 10% $519.23 $923.08 10%

$1,153.85 $1,163.46 9% $1,423.08 $1,432.69 9% $1,846.15 $1,855.77 9% $923.08 $932.69 9%$1,163.46 $1,173.08 8% $1,432.69 $1,442.31 8% $1,855.77 $1,865.38 8% $932.69 $942.31 8%$1,173.08 $1,182.69 7% $1,442.31 $1,451.92 7% $1,865.38 $1,875.00 7% $942.31 $951.92 7%$1,182.69 $1,192.31 6% $1,451.92 $1,461.54 6% $1,875.00 $1,884.62 6% $951.92 $961.54 6%$1,192.31 $1,201.92 5% $1,461.54 $1,471.15 5% $1,884.62 $1,894.23 5% $961.54 $971.15 5%$1,201.92 $1,211.54 4% $1,471.15 $1,480.77 4% $1,894.23 $1,903.85 4% $971.15 $980.77 4%$1,211.54 $1,221.15 3% $1,480.77 $1,490.38 3% $1,903.85 $1,913.46 3% $980.77 $990.38 3%$1,221.15 $1,230.77 2% $1,490.38 $1,500.00 2% $1,913.46 $1,923.08 2% $990.38 $1,000.00 2%$1,230.77 $1,240.38 1% $1,500.00 $1,509.62 1% $1,923.08 $1,932.69 1% $1,000.00 $1,009.62 1%$1,240.38 And Up 0% $1,509.62 And Up 0% $1,932.69 $1,009.62

SINGLE HEAD OF HOUSEHOLD MARRIED FILING JOINTLY/QUALIFYING WIDOW(ER) MARRIED FILING SEPARATELYWEEKLY WEEKLY

Page 18: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

TABLE CCONNECTICUT THREE-PERCENT TAX RATE PHASE-OUT TABLE

WEEKLY WEEKLY

CONNECTICUT AGI CONNECTICUT AGI CONNECTICUT AGI CONNECTICUT AGI

LESS THAN LESS THAN LESS THAN LESS THAN

MORE THAN OR EQUAL TO 3% Phaseout MORE THAN OR EQUAL TO 3% Phaseout MORE THAN OR EQUAL TO 3% Phaseout MORE THAN OR EQUAL TO 3% Phaseout

-$ 1,086.54$ -$ -$ 1,509.62$ -$ -$ 1,932.69$ -$ -$ 966.35$ -$

1,086.54$ 1,182.69$ 0.38$ 1,509.62$ 1,586.54$ 0.62$ 1,932.69$ 2,028.85$ 0.77$ 966.35$ 1,014.42$ 0.38$

1,182.69$ 1,278.85$ 0.77$ 1,586.54$ 1,663.46$ 1.23$ 2,028.85$ 2,125.00$ 1.54$ 1,014.42$ 1,062.50$ 0.77$

1,278.85$ 1,375.00$ 1.15$ 1,663.46$ 1,740.38$ 1.85$ 2,125.00$ 2,221.15$ 2.31$ 1,062.50$ 1,110.58$ 1.15$

1,375.00$ 1,471.15$ 1.54$ 1,740.38$ 1,817.31$ 2.46$ 2,221.15$ 2,317.31$ 3.08$ 1,110.58$ 1,158.65$ 1.54$

1,471.15$ 1,567.31$ 1.92$ 1,817.31$ 1,894.23$ 3.08$ 2,317.31$ 2,413.46$ 3.85$ 1,158.65$ 1,206.73$ 1.92$

1,567.31$ 1,663.46$ 2.31$ 1,894.23$ 1,971.15$ 3.69$ 2,413.46$ 2,509.62$ 4.62$ 1,206.73$ 1,254.81$ 2.31$

1,663.46$ 1,759.62$ 2.69$ 1,971.15$ 2,048.08$ 4.31$ 2,509.62$ 2,605.77$ 5.38$ 1,254.81$ 1,302.88$ 2.69$

1,759.62$ 1,855.77$ 3.08$ 2,048.08$ 2,125.00$ 4.92$ 2,605.77$ 2,701.92$ 6.15$ 1,302.88$ 1,350.96$ 3.08$

1,855.77$ 1,951.92$ 3.46$ 2,125.00$ 2,201.92$ 5.54$ 2,701.92$ 2,798.08$ 6.92$ 1,350.96$ 1,399.04$ 3.46$

1,951.92$ AND UP 3.85$ 2,201.92$ AND UP 6.15$ 2,798.08$ AND UP 7.69$ 1,399.04$ AND UP 3.85$

SINGLE HEAD OF HOUSEHOLD MARRIED FILING JOINTLY/QUALIFYING WIDOW(ER) MARRIED FILING SEPARATELY

WEEKLY WEEKLY

Page 19: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

THIS PAGE INTENTIONALLY LEFT BLANK

Page 20: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

1 Single 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 * 11 Head of Household 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 * 11 Married Filing joint 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 * 11 Married Filling Separate 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 0.69 * 1

2 Single 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 * 22 Head of Household 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 * 22 Married Filing joint 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 * 22 Married Filling Separate 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 1.39 * 2

3 Single 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 * 33 Head of Household 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 * 33 Married Filing joint 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 * 33 Married Filling Separate 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 2.08 * 3

4 Single 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 * 44 Head of Household 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 * 44 Married Filing joint 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 * 44 Married Filling Separate 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 2.77 * 4

5 Single 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 * 55 Head of Household 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 * 55 Married Filing joint 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 * 55 Married Filling Separate 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 3.46 * 5

6 Single 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 * 66 Head of Household 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 * 66 Married Filing joint 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 * 66 Married Filling Separate 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 4.16 * 6

7 Single 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 * 77 Head of Household 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 * 77 Married Filing joint 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 * 77 Married Filling Separate 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 4.85 * 7

8 Single 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 * 88 Head of Household 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 * 88 Married Filing joint 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 * 88 Married Filling Separate 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 5.54 * 8

EXEMPTIONS

Page 21: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

9 Single 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 * 99 Head of Household 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 * 99 Married Filing joint 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 * 99 Married Filling Separate 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 6.23 * 9

10 Single 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 * 1010 Head of Household 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 * 1010 Married Filing joint 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 * 1010 Married Filling Separate 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 6.93 * 10

11 Single 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 * 1111 Head of Household 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 * 1111 Married Filing joint 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 * 1111 Married Filling Separate 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 7.62 * 11

12 Single 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 * 1212 Head of Household 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 * 1212 Married Filing joint 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 * 1212 Married Filling Separate 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 * 12

13 Single 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 * 1313 Head of Household 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 * 1313 Married Filing joint 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 * 1313 Married Filling Separate 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 * 13

14 Single 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 * 1414 Head of Household 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 * 1414 Married Filing joint 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 * 1414 Married Filling Separate 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 9.70 * 14

15 Single 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 * 1515 Head of Household 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 * 1515 Married Filing joint 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 * 1515 Married Filling Separate 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 10.39 * 15

16 Single 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 * 1616 Head of Household 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 * 1616 Married Filing joint 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 * 1616 Married Filling Separate 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 11.08 * 16

Page 22: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

17 Single 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 * 1717 Head of Household 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 * 1717 Married Filing joint 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 * 1717 Married Filling Separate 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 11.77 * 17

18 Single 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 * 1818 Head of Household 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 * 1818 Married Filing joint 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 * 1818 Married Filling Separate 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 12.47 * 18

19 Single 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 * 1919 Head of Household 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 * 1919 Married Filing joint 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 * 1919 Married Filling Separate 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 13.16 * 19

20 Single 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 * 2020 Head of Household 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 * 2020 Married Filing joint 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 * 2020 Married Filling Separate 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 13.85 * 20

21 Single 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 * 2121 Head of Household 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 * 2121 Married Filing joint 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 * 2121 Married Filling Separate 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 14.55 * 21

22 Single 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 * 2222 Head of Household 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 * 2222 Married Filing joint 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 * 2222 Married Filling Separate 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 15.24 * 22

23 Single 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 * 2323 Head of Household 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 * 2323 Married Filing joint 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 * 2323 Married Filling Separate 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 15.93 * 23

24 Single 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 * 2424 Head of Household 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 * 2424 Married Filing joint 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 * 2424 Married Filling Separate 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 16.62 * 24

Page 23: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

25 Single 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 * 2525 Head of Household 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 * 2525 Married Filing joint 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 * 2525 Married Filling Separate 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 17.32 * 25

26 Single 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 * 2626 Head of Household 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 * 2626 Married Filing joint 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 * 2626 Married Filling Separate 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 18.01 * 26

27 Single 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 * 2727 Head of Household 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 * 2727 Married Filing joint 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 * 2727 Married Filling Separate 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 18.70 * 27

28 Single 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 * 2828 Head of Household 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 * 2828 Married Filing joint 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 * 2828 Married Filling Separate 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 19.39 * 28

29 Single 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 * 2929 Head of Household 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 * 2929 Married Filing joint 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 * 2929 Married Filling Separate 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 20.09 * 29

30 Single 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 * 3030 Head of Household 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 * 3030 Married Filing joint 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 * 3030 Married Filling Separate 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 20.78 * 30

31 Single 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 * 3131 Head of Household 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 * 3131 Married Filing joint 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 * 3131 Married Filling Separate 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 21.47 * 31

32 Single 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 * 3232 Head of Household 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 * 3232 Married Filing joint 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 * 3232 Married Filling Separate 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 22.16 * 32

Page 24: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

33 Single 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 * 3333 Head of Household 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 * 3333 Married Filing joint 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 * 3333 Married Filling Separate 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 22.86 * 33

34 Single 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 * 3434 Head of Household 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 * 3434 Married Filing joint 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 * 3434 Married Filling Separate 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 23.55 * 34

35 Single 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 * 3535 Head of Household 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 * 3535 Married Filing joint 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 * 3535 Married Filling Separate 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 24.24 * 35

36 Single 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 * 3636 Head of Household 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 * 3636 Married Filing joint 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 * 3636 Married Filling Separate 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 24.93 * 36

37 Single 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 * 3737 Head of Household 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 * 3737 Married Filing joint 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 * 3737 Married Filling Separate 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 25.63 * 37

38 Single 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 * 3838 Head of Household 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 * 3838 Married Filing joint 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 * 3838 Married Filling Separate 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 26.32 * 38

39 Single 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 * 3939 Head of Household 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 * 3939 Married Filing joint 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 * 3939 Married Filling Separate 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 27.01 * 39

40 Single 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 * 4040 Head of Household 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 * 4040 Married Filing joint 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 * 4040 Married Filling Separate 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 27.71 * 40

Page 25: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

41 Single 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 * 4141 Head of Household 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 * 4141 Married Filing joint 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 * 4141 Married Filling Separate 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 28.40 * 41

42 Single 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 * 4242 Head of Household 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 * 4242 Married Filing joint 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 * 4242 Married Filling Separate 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 29.09 * 42

43 Single 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 * 4343 Head of Household 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 * 4343 Married Filing joint 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 * 4343 Married Filling Separate 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 29.78 * 43

44 Single 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 * 4444 Head of Household 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 * 4444 Married Filing joint 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 * 4444 Married Filling Separate 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 30.48 * 44

45 Single 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 * 4545 Head of Household 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 * 4545 Married Filing joint 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 * 4545 Married Filling Separate 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 31.17 * 45

46 Single 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 * 4646 Head of Household 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 * 4646 Married Filing joint 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 * 4646 Married Filling Separate 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 31.86 * 46

47 Single 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 * 4747 Head of Household 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 * 4747 Married Filing joint 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 * 4747 Married Filling Separate 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 32.55 * 47

48 Single 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 * 4848 Head of Household 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 * 4848 Married Filing joint 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 * 4848 Married Filling Separate 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 33.25 * 48

Page 26: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

49 Single 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 * 4949 Head of Household 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 * 4949 Married Filing joint 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 * 4949 Married Filling Separate 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 33.94 * 49

50 Single 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 * 5050 Head of Household 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 * 5050 Married Filing joint 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 * 5050 Married Filling Separate 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 34.63 * 50

51 Single 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 * 5151 Head of Household 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 * 5151 Married Filing joint 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 * 5151 Married Filling Separate 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 35.32 * 51

52 Single 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 * 5252 Head of Household 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 * 5252 Married Filing joint 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 * 5252 Married Filling Separate 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 36.02 * 52

53 Single 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 * 5353 Head of Household 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 * 5353 Married Filing joint 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 * 5353 Married Filling Separate 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 36.71 * 53

54 Single 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 * 5454 Head of Household 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 * 5454 Married Filing joint 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 * 5454 Married Filling Separate 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 37.40 * 54

55 Single 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 * 5555 Head of Household 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 * 5555 Married Filing joint 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 * 5555 Married Filling Separate 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 38.09 * 55

56 Single 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 * 5656 Head of Household 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 * 5656 Married Filing joint 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 * 5656 Married Filling Separate 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 38.79 * 56

Page 27: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

57 Single 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 * 5757 Head of Household 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 * 5757 Married Filing joint 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 * 5757 Married Filling Separate 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 39.48 * 57

58 Single 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 * 5858 Head of Household 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 * 5858 Married Filing joint 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 * 5858 Married Filling Separate 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 40.17 * 58

59 Single 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 * 5959 Head of Household 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 * 5959 Married Filing joint 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 * 5959 Married Filling Separate 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 40.86 * 59

60 Single 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 * 6060 Head of Household 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 * 6060 Married Filing joint 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 * 6060 Married Filling Separate 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 41.56 * 60

61 Single 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 * 6161 Head of Household 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 * 6161 Married Filing joint 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 * 6161 Married Filling Separate 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 42.25 * 61

62 Single 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 * 6262 Head of Household 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 * 6262 Married Filing joint 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 * 6262 Married Filling Separate 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 42.94 * 62

63 Single 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 * 6363 Head of Household 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 * 6363 Married Filing joint 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 * 6363 Married Filling Separate 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 43.64 * 63

64 Single 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 * 6464 Head of Household 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 * 6464 Married Filing joint 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 * 6464 Married Filling Separate 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 44.33 * 64

Page 28: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

65 Single 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 * 6565 Head of Household 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 * 6565 Married Filing joint 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 * 6565 Married Filling Separate 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 45.02 * 65

66 Single 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 * 6666 Head of Household 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 * 6666 Married Filing joint 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 * 6666 Married Filling Separate 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 45.71 * 66

67 Single 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 * 6767 Head of Household 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 * 6767 Married Filing joint 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 * 6767 Married Filling Separate 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 46.41 * 67

68 Single 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 * 6868 Head of Household 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 * 6868 Married Filing joint 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 * 6868 Married Filling Separate 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 47.10 * 68

69 Single 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 * 6969 Head of Household 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 * 6969 Married Filing joint 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 * 6969 Married Filling Separate 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 47.79 * 69

70 Single 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 * 7070 Head of Household 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 * 7070 Married Filing joint 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 * 7070 Married Filling Separate 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 48.48 * 70

71 Single 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 * 7171 Head of Household 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 * 7171 Married Filing joint 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 * 7171 Married Filling Separate 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 49.18 * 71

72 Single 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 * 7272 Head of Household 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 * 7272 Married Filing joint 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 * 7272 Married Filling Separate 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 49.87 * 72

Page 29: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

73 Single 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 * 7373 Head of Household 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 * 7373 Married Filing joint 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 * 7373 Married Filling Separate 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 50.56 * 73

74 Single 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 * 7474 Head of Household 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 * 7474 Married Filing joint 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 * 7474 Married Filling Separate 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 51.25 * 74

75 Single 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 * 7575 Head of Household 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 * 7575 Married Filing joint 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 * 7575 Married Filling Separate 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 51.95 * 75

76 Single 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 * 7676 Head of Household 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 * 7676 Married Filing joint 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 * 7676 Married Filling Separate 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 52.64 * 76

77 Single 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 * 7777 Head of Household 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 * 7777 Married Filing joint 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 * 7777 Married Filling Separate 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 53.33 * 77

78 Single 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 * 7878 Head of Household 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 * 7878 Married Filing joint 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 * 7878 Married Filling Separate 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 54.02 * 78

79 Single 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 * 7979 Head of Household 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 * 7979 Married Filing joint 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 * 7979 Married Filling Separate 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 54.72 * 79

80 Single 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 * 8080 Head of Household 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 * 8080 Married Filing joint 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 * 8080 Married Filling Separate 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 55.41 * 80

Page 30: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

81 Single 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 * 8181 Head of Household 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 * 8181 Married Filing joint 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 * 8181 Married Filling Separate 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 56.10 * 81

82 Single 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 * 8282 Head of Household 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 * 8282 Married Filing joint 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 * 8282 Married Filling Separate 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 56.80 * 82

83 Single 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 * 8383 Head of Household 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 * 8383 Married Filing joint 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 * 8383 Married Filling Separate 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 57.49 * 83

84 Single 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 * 8484 Head of Household 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 * 8484 Married Filing joint 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 * 8484 Married Filling Separate 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 58.18 * 84

85 Single 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 * 8585 Head of Household 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 * 8585 Married Filing joint 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 * 8585 Married Filling Separate 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 58.87 * 85

86 Single 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 * 8686 Head of Household 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 * 8686 Married Filing joint 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 * 8686 Married Filling Separate 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 59.57 * 86

87 Single 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 * 8787 Head of Household 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 * 8787 Married Filing joint 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 * 8787 Married Filling Separate 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 60.26 * 87

88 Single 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 * 8888 Head of Household 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 * 8888 Married Filing joint 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 * 8888 Married Filling Separate 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 60.95 * 88

Page 31: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

89 Single 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 * 8989 Head of Household 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 * 8989 Married Filing joint 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 * 8989 Married Filling Separate 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 61.64 * 89

90 Single 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 * 9090 Head of Household 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 * 9090 Married Filing joint 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 * 9090 Married Filling Separate 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 62.34 * 90

91 Single 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 * 9191 Head of Household 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 * 9191 Married Filing joint 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 * 9191 Married Filling Separate 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 63.03 * 91

92 Single 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 * 9292 Head of Household 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 * 9292 Married Filing joint 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 * 9292 Married Filling Separate 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 63.72 * 92

93 Single 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 * 9393 Head of Household 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 * 9393 Married Filing joint 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 * 9393 Married Filling Separate 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 64.41 * 93

94 Single 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 * 9494 Head of Household 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 * 9494 Married Filing joint 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 * 9494 Married Filling Separate 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 65.11 * 94

95 Single 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 * 9595 Head of Household 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 * 9595 Married Filing joint 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 * 9595 Married Filling Separate 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 65.80 * 95

96 Single 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 * 9696 Head of Household 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 * 9696 Married Filing joint 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 * 9696 Married Filling Separate 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 66.49 * 96

Page 32: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

97 Single 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 * 9797 Head of Household 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 * 9797 Married Filing joint 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 * 9797 Married Filling Separate 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 67.18 * 97

98 Single 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 * 9898 Head of Household 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 * 9898 Married Filing joint 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 * 9898 Married Filling Separate 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 67.88 * 98

99 Single 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 * 9999 Head of Household 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 * 9999 Married Filing joint 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 * 9999 Married Filling Separate 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 68.57 * 99

100 Single 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 * 100100 Head of Household 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 * 100100 Married Filing joint 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 * 100100 Married Filling Separate 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 69.26 * 100

101 Single 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 * 101101 Head of Household 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 * 101101 Married Filing joint 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 * 101101 Married Filling Separate 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 69.96 * 101

102 Single 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 * 102102 Head of Household 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 * 102102 Married Filing joint 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 * 102102 Married Filling Separate 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 70.65 * 102

103 Single 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 * 103103 Head of Household 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 * 103103 Married Filing joint 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 * 103103 Married Filling Separate 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 71.34 * 103

104 Single 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 * 104104 Head of Household 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 * 104104 Married Filing joint 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 * 104104 Married Filling Separate 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 72.03 * 104

Page 33: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

105 Single 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 * 105105 Head of Household 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 * 105105 Married Filing joint 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 * 105105 Married Filling Separate 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 72.73 * 105

106 Single 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 * 106106 Head of Household 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 * 106106 Married Filing joint 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 * 106106 Married Filling Separate 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 73.42 * 106

107 Single 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 * 107107 Head of Household 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 * 107107 Married Filing joint 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 * 107107 Married Filling Separate 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 74.11 * 107

108 Single 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 * 108108 Head of Household 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 * 108108 Married Filing joint 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 * 108108 Married Filling Separate 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 74.80 * 108

109 Single 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 * 109109 Head of Household 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 * 109109 Married Filing joint 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 * 109109 Married Filling Separate 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 75.50 * 109

110 Single 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 * 110110 Head of Household 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 * 110110 Married Filing joint 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 * 110110 Married Filling Separate 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 76.19 * 110

111 Single 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 * 111111 Head of Household 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 * 111111 Married Filing joint 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 * 111111 Married Filling Separate 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 76.88 * 111

112 Single 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 * 112112 Head of Household 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 * 112112 Married Filing joint 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 * 112112 Married Filling Separate 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 77.57 * 112

Page 34: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

113 Single 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 * 113113 Head of Household 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 * 113113 Married Filing joint 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 * 113113 Married Filling Separate 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 78.27 * 113

114 Single 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 * 114114 Head of Household 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 * 114114 Married Filing joint 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 * 114114 Married Filling Separate 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 78.96 * 114

115 Single 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 * 115115 Head of Household 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 * 115115 Married Filing joint 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 * 115115 Married Filling Separate 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 79.65 * 115

116 Single 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 * 116116 Head of Household 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 * 116116 Married Filing joint 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 * 116116 Married Filling Separate 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 80.34 * 116

117 Single 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 * 117117 Head of Household 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 * 117117 Married Filing joint 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 * 117117 Married Filling Separate 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 81.04 * 117

118 Single 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 * 118118 Head of Household 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 * 118118 Married Filing joint 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 * 118118 Married Filling Separate 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 81.73 * 118

119 Single 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 * 119119 Head of Household 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 * 119119 Married Filing joint 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 * 119119 Married Filling Separate 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 82.42 * 119

120 Single 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 * 120120 Head of Household 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 * 120120 Married Filing joint 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 * 120120 Married Filling Separate 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 83.12 * 120

Page 35: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

121 Single 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 * 121121 Head of Household 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 * 121121 Married Filing joint 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 * 121121 Married Filling Separate 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 83.81 * 121

122 Single 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 * 122122 Head of Household 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 * 122122 Married Filing joint 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 * 122122 Married Filling Separate 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 84.50 * 122

123 Single 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 * 123123 Head of Household 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 * 123123 Married Filing joint 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 * 123123 Married Filling Separate 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 85.19 * 123

124 Single 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 * 124124 Head of Household 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 * 124124 Married Filing joint 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 * 124124 Married Filling Separate 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 85.89 * 124

125 Single 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 * 125125 Head of Household 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 * 125125 Married Filing joint 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 * 125125 Married Filling Separate 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 86.58 * 125

126 Single 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 * 126126 Head of Household 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 * 126126 Married Filing joint 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 * 126126 Married Filling Separate 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 87.27 * 126

127 Single 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 * 127127 Head of Household 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 * 127127 Married Filing joint 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 * 127127 Married Filling Separate 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 87.96 * 127

128 Single 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 * 128128 Head of Household 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 * 128128 Married Filing joint 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 * 128128 Married Filling Separate 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 88.66 * 128

Page 36: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

129 Single 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 * 129129 Head of Household 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 * 129129 Married Filing joint 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 * 129129 Married Filling Separate 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 89.35 * 129

130 Single 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 * 130130 Head of Household 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 * 130130 Married Filing joint 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 * 130130 Married Filling Separate 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 90.04 * 130

131 Single 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 * 131131 Head of Household 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 * 131131 Married Filing joint 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 * 131131 Married Filling Separate 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 90.73 * 131

132 Single 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 * 132132 Head of Household 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 * 132132 Married Filing joint 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 * 132132 Married Filling Separate 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 91.43 * 132

133 Single 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 * 133133 Head of Household 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 * 133133 Married Filing joint 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 * 133133 Married Filling Separate 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 92.12 * 133

134 Single 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 * 134134 Head of Household 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 * 134134 Married Filing joint 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 * 134134 Married Filling Separate 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 92.81 * 134

135 Single 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 * 135135 Head of Household 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 * 135135 Married Filing joint 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 * 135135 Married Filling Separate 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 93.50 * 135

136 Single 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 * 136136 Head of Household 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 * 136136 Married Filing joint 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 * 136136 Married Filling Separate 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 94.20 * 136

Page 37: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

137 Single 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 * 137137 Head of Household 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 * 137137 Married Filing joint 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 * 137137 Married Filling Separate 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 94.89 * 137

138 Single 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 * 138138 Head of Household 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 * 138138 Married Filing joint 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 * 138138 Married Filling Separate 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 95.58 * 138

139 Single 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 * 139139 Head of Household 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 * 139139 Married Filing joint 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 * 139139 Married Filling Separate 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 96.27 * 139

140 Single 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 * 140140 Head of Household 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 * 140140 Married Filing joint 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 * 140140 Married Filling Separate 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 96.97 * 140

141 Single 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 * 141141 Head of Household 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 * 141141 Married Filing joint 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 * 141141 Married Filling Separate 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 97.66 * 141

142 Single 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 * 142142 Head of Household 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 * 142142 Married Filing joint 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 * 142142 Married Filling Separate 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 98.35 * 142

143 Single 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 * 143143 Head of Household 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 * 143143 Married Filing joint 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 * 143143 Married Filling Separate 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 99.05 * 143

144 Single 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 * 144144 Head of Household 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 * 144144 Married Filing joint 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 * 144144 Married Filling Separate 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 99.74 * 144

Page 38: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

145 Single 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 * 145145 Head of Household 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 * 145145 Married Filing joint 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 * 145145 Married Filling Separate 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 100.43 * 145

146 Single 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 * 146146 Head of Household 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 * 146146 Married Filing joint 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 * 146146 Married Filling Separate 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 101.12 * 146

147 Single 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 * 147147 Head of Household 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 * 147147 Married Filing joint 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 * 147147 Married Filling Separate 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 101.82 * 147

148 Single 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 * 148148 Head of Household 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 * 148148 Married Filing joint 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 * 148148 Married Filling Separate 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 102.51 * 148

149 Single 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 * 149149 Head of Household 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 * 149149 Married Filing joint 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 * 149149 Married Filling Separate 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 103.20 * 149

150 Single 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 * 150150 Head of Household 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 * 150150 Married Filing joint 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 * 150150 Married Filling Separate 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 103.89 * 150

151 Single 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 * 151151 Head of Household 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 * 151151 Married Filing joint 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 * 151151 Married Filling Separate 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 104.59 * 151

152 Single 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 * 152152 Head of Household 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 * 152152 Married Filing joint 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 * 152152 Married Filling Separate 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 105.28 * 152

Page 39: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

153 Single 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 * 153153 Head of Household 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 * 153153 Married Filing joint 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 * 153153 Married Filling Separate 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 105.97 * 153

154 Single 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 * 154154 Head of Household 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 * 154154 Married Filing joint 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 * 154154 Married Filling Separate 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 106.66 * 154

155 Single 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 * 155155 Head of Household 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 * 155155 Married Filing joint 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 * 155155 Married Filling Separate 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 107.36 * 155

156 Single 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 * 156156 Head of Household 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 * 156156 Married Filing joint 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 * 156156 Married Filling Separate 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 108.05 * 156

157 Single 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 * 157157 Head of Household 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 * 157157 Married Filing joint 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 * 157157 Married Filling Separate 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 108.74 * 157

158 Single 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 * 158158 Head of Household 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 * 158158 Married Filing joint 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 * 158158 Married Filling Separate 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 109.43 * 158

159 Single 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 * 159159 Head of Household 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 * 159159 Married Filing joint 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 * 159159 Married Filling Separate 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 110.13 * 159

160 Single 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 * 160160 Head of Household 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 * 160160 Married Filing joint 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 * 160160 Married Filling Separate 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 110.82 * 160

Page 40: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

161 Single 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 * 161161 Head of Household 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 * 161161 Married Filing joint 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 * 161161 Married Filling Separate 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 111.51 * 161

162 Single 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 * 162162 Head of Household 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 * 162162 Married Filing joint 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 * 162162 Married Filling Separate 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 112.21 * 162

163 Single 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 * 163163 Head of Household 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 * 163163 Married Filing joint 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 * 163163 Married Filling Separate 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 112.90 * 163

164 Single 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 * 164164 Head of Household 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 * 164164 Married Filing joint 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 * 164164 Married Filling Separate 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 113.59 * 164

165 Single 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 * 165165 Head of Household 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 * 165165 Married Filing joint 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 * 165165 Married Filling Separate 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 114.28 * 165

166 Single 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 * 166166 Head of Household 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 * 166166 Married Filing joint 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 * 166166 Married Filling Separate 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 114.98 * 166

167 Single 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 * 167167 Head of Household 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 * 167167 Married Filing joint 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 * 167167 Married Filling Separate 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 115.67 * 167

168 Single 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 * 168168 Head of Household 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 * 168168 Married Filing joint 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 * 168168 Married Filling Separate 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 116.36 * 168

Page 41: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

169 Single 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 * 169169 Head of Household 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 * 169169 Married Filing joint 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 * 169169 Married Filling Separate 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 117.05 * 169

170 Single 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 * 170170 Head of Household 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 * 170170 Married Filing joint 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 * 170170 Married Filling Separate 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 117.75 * 170

171 Single 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 * 171171 Head of Household 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 * 171171 Married Filing joint 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 * 171171 Married Filling Separate 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 118.44 * 171

172 Single 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 * 172172 Head of Household 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 * 172172 Married Filing joint 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 * 172172 Married Filling Separate 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 119.13 * 172

173 Single 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 * 173173 Head of Household 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 * 173173 Married Filing joint 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 * 173173 Married Filling Separate 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 119.82 * 173

174 Single 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 * 174174 Head of Household 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 * 174174 Married Filing joint 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 * 174174 Married Filling Separate 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 120.52 * 174

175 Single 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 * 175175 Head of Household 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 * 175175 Married Filing joint 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 * 175175 Married Filling Separate 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 121.21 * 175

176 Single 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 * 176176 Head of Household 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 * 176176 Married Filing joint 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 * 176176 Married Filling Separate 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 121.90 * 176

Page 42: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

177 Single 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 * 177177 Head of Household 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 * 177177 Married Filing joint 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 * 177177 Married Filling Separate 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 122.59 * 177

178 Single 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 * 178178 Head of Household 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 * 178178 Married Filing joint 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 * 178178 Married Filling Separate 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 123.29 * 178

179 Single 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 * 179179 Head of Household 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 * 179179 Married Filing joint 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 * 179179 Married Filling Separate 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 123.98 * 179

180 Single 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 * 180180 Head of Household 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 * 180180 Married Filing joint 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 * 180180 Married Filling Separate 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 124.67 * 180

181 Single 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 * 181181 Head of Household 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 * 181181 Married Filing joint 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 * 181181 Married Filling Separate 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 125.37 * 181

182 Single 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 * 182182 Head of Household 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 * 182182 Married Filing joint 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 * 182182 Married Filling Separate 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 126.06 * 182

183 Single 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 * 183183 Head of Household 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 * 183183 Married Filing joint 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 * 183183 Married Filling Separate 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 126.75 * 183

184 Single 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 * 184184 Head of Household 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 * 184184 Married Filing joint 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 * 184184 Married Filling Separate 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 127.44 * 184

Page 43: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

185 Single 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 * 185185 Head of Household 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 * 185185 Married Filing joint 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 * 185185 Married Filling Separate 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 128.14 * 185

186 Single 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 * 186186 Head of Household 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 * 186186 Married Filing joint 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 * 186186 Married Filling Separate 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 128.83 * 186

187 Single 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 * 187187 Head of Household 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 * 187187 Married Filing joint 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 * 187187 Married Filling Separate 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 129.52 * 187

188 Single 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 * 188188 Head of Household 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 * 188188 Married Filing joint 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 * 188188 Married Filling Separate 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 130.21 * 188

189 Single 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 * 189189 Head of Household 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 * 189189 Married Filing joint 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 * 189189 Married Filling Separate 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 130.91 * 189

190 Single 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 * 190190 Head of Household 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 * 190190 Married Filing joint 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 * 190190 Married Filling Separate 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 131.60 * 190

191 Single 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 * 191191 Head of Household 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 * 191191 Married Filing joint 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 * 191191 Married Filling Separate 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 132.29 * 191

192 Single 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 * 192192 Head of Household 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 * 192192 Married Filing joint 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 * 192192 Married Filling Separate 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 132.98 * 192

Page 44: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

193 Single 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 * 193193 Head of Household 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 * 193193 Married Filing joint 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 * 193193 Married Filling Separate 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 133.68 * 193

194 Single 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 * 194194 Head of Household 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 * 194194 Married Filing joint 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 * 194194 Married Filling Separate 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 134.37 * 194

195 Single 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 * 195195 Head of Household 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 * 195195 Married Filing joint 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 * 195195 Married Filling Separate 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 135.06 * 195

196 Single 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 * 196196 Head of Household 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 * 196196 Married Filing joint 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 * 196196 Married Filling Separate 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 135.75 * 196

197 Single 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 * 197197 Head of Household 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 * 197197 Married Filing joint 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 * 197197 Married Filling Separate 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 136.45 * 197

198 Single 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 * 198198 Head of Household 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 * 198198 Married Filing joint 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 * 198198 Married Filling Separate 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 137.14 * 198

199 Single 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 * 199199 Head of Household 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 * 199199 Married Filing joint 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 * 199199 Married Filling Separate 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 137.83 * 199

200 Single 138.45 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 * 200200 Head of Household 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 * 200200 Married Filing joint 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 * 200200 Married Filling Separate 138.45 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 138.53 * 200

Page 45: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

201 Single 139.07 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 * 201201 Head of Household 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 * 201201 Married Filing joint 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 * 201201 Married Filling Separate 139.07 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 139.22 * 201

202 Single 139.69 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 * 202202 Head of Household 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 * 202202 Married Filing joint 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 * 202202 Married Filling Separate 139.69 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 139.91 * 202

203 Single 140.31 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 * 203203 Head of Household 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 * 203203 Married Filing joint 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 * 203203 Married Filling Separate 140.31 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 140.60 * 203

204 Single 140.92 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 * 204204 Head of Household 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 * 204204 Married Filing joint 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 * 204204 Married Filling Separate 140.92 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 141.30 * 204

205 Single 141.54 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 * 205205 Head of Household 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 * 205205 Married Filing joint 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 * 205205 Married Filling Separate 141.54 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 141.99 * 205

206 Single 142.16 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 * 206206 Head of Household 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 * 206206 Married Filing joint 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 * 206206 Married Filling Separate 142.16 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 142.68 * 206

207 Single 142.78 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 * 207207 Head of Household 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 * 207207 Married Filing joint 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 * 207207 Married Filling Separate 142.78 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 143.37 * 207

208 Single 143.39 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 * 208208 Head of Household 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 * 208208 Married Filing joint 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 * 208208 Married Filling Separate 143.39 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 144.07 * 208

Page 46: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

209 Single 144.01 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 * 209209 Head of Household 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 * 209209 Married Filing joint 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 * 209209 Married Filling Separate 144.01 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 144.76 * 209

210 Single 144.63 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 * 210210 Head of Household 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 * 210210 Married Filing joint 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 * 210210 Married Filling Separate 144.63 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 145.45 * 210

211 Single 145.25 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 * 211211 Head of Household 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 * 211211 Married Filing joint 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 * 211211 Married Filling Separate 145.25 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 146.14 * 211

212 Single 145.86 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 * 212212 Head of Household 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 * 212212 Married Filing joint 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 * 212212 Married Filling Separate 145.86 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 146.84 * 212

213 Single 146.48 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 * 213213 Head of Household 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 * 213213 Married Filing joint 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 * 213213 Married Filling Separate 146.48 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 147.53 * 213

214 Single 147.10 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 * 214214 Head of Household 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 * 214214 Married Filing joint 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 * 214214 Married Filling Separate 147.10 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 148.22 * 214

215 Single 147.72 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 * 215215 Head of Household 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 * 215215 Married Filing joint 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 * 215215 Married Filling Separate 147.72 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 148.91 * 215

216 Single 148.33 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 * 216216 Head of Household 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 * 216216 Married Filing joint 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 * 216216 Married Filling Separate 148.33 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 149.61 * 216

Page 47: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

217 Single 148.95 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 * 217217 Head of Household 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 * 217217 Married Filing joint 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 * 217217 Married Filling Separate 148.95 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 150.30 * 217

218 Single 149.57 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 * 218218 Head of Household 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 * 218218 Married Filing joint 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 * 218218 Married Filling Separate 149.57 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 150.99 * 218

219 Single 150.19 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 * 219219 Head of Household 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 * 219219 Married Filing joint 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 * 219219 Married Filling Separate 150.19 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 151.68 * 219

220 Single 150.80 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 * 220220 Head of Household 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 * 220220 Married Filing joint 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 * 220220 Married Filling Separate 150.80 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 152.38 * 220

221 Single 151.42 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 * 221221 Head of Household 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 * 221221 Married Filing joint 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 * 221221 Married Filling Separate 151.42 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 153.07 * 221

222 Single 152.04 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 * 222222 Head of Household 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 * 222222 Married Filing joint 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 * 222222 Married Filling Separate 152.04 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 153.76 * 222

223 Single 152.66 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 * 223223 Head of Household 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 * 223223 Married Filing joint 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 * 223223 Married Filling Separate 152.66 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 154.46 * 223

224 Single 153.28 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 * 224224 Head of Household 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 * 224224 Married Filing joint 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 * 224224 Married Filling Separate 153.28 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 155.15 * 224

Page 48: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

225 Single 153.89 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 * 225225 Head of Household 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 * 225225 Married Filing joint 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 * 225225 Married Filling Separate 153.89 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 155.84 * 225

226 Single 154.51 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 * 226226 Head of Household 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 * 226226 Married Filing joint 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 * 226226 Married Filling Separate 154.51 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 156.53 * 226

227 Single 155.13 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 * 227227 Head of Household 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 * 227227 Married Filing joint 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 * 227227 Married Filling Separate 155.13 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 157.23 * 227

228 Single 155.75 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 * 228228 Head of Household 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 * 228228 Married Filing joint 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 * 228228 Married Filling Separate 155.75 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 157.92 * 228

229 Single 156.36 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 * 229229 Head of Household 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 * 229229 Married Filing joint 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 * 229229 Married Filling Separate 156.36 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 158.61 * 229

230 Single 156.98 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 * 230230 Head of Household 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 * 230230 Married Filing joint 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 * 230230 Married Filling Separate 156.98 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 159.30 * 230

231 Single 157.60 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 * 231231 Head of Household 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 * 231231 Married Filing joint 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 * 231231 Married Filling Separate 157.60 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 160.00 * 231

232 Single 158.22 160.69 160.69 160.69 160.69 160.69 160.69 160.69 160.69 160.69 * 232232 Head of Household 160.69 160.69 160.69 160.69 160.69 160.69 160.69 160.69 160.69 160.69 * 232232 Married Filing joint 160.69 160.69 160.69 160.69 160.69 160.69 160.69 160.69 160.69 * 232232 Married Filling Separate 158.21 160.68 160.68 160.68 160.68 160.68 160.68 160.68 160.68 160.68 * 232

Page 49: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

233 Single 158.83 161.38 161.38 161.38 161.38 161.38 161.38 161.38 161.38 161.38 * 233233 Head of Household 161.38 161.38 161.38 161.38 161.38 161.38 161.38 161.38 161.38 161.38 * 233233 Married Filing joint 161.38 161.38 161.38 161.38 161.38 161.38 161.38 161.38 161.38 * 233233 Married Filling Separate 158.82 161.37 161.37 161.37 161.37 161.37 161.37 161.37 161.37 161.37 * 233

234 Single 159.45 162.07 162.07 162.07 162.07 162.07 162.07 162.07 162.07 162.07 * 234234 Head of Household 162.07 162.07 162.07 162.07 162.07 162.07 162.07 162.07 162.07 162.07 * 234234 Married Filing joint 162.07 162.07 162.07 162.07 162.07 162.07 162.07 162.07 162.07 * 234234 Married Filling Separate 159.43 162.06 162.06 162.06 162.06 162.06 162.06 162.06 162.06 162.06 * 234

235 Single 160.07 162.77 162.77 162.77 162.77 162.77 162.77 162.77 162.77 162.77 * 235235 Head of Household 162.77 162.77 162.77 162.77 162.77 162.77 162.77 162.77 162.77 162.77 * 235235 Married Filing joint 162.77 162.77 162.77 162.77 162.77 162.77 162.77 162.77 162.77 * 235235 Married Filling Separate 160.05 162.74 162.74 162.74 162.74 162.74 162.74 162.74 162.74 162.74 * 235

236 Single 160.69 163.46 163.46 163.46 163.46 163.46 163.46 163.46 163.46 163.46 * 236236 Head of Household 163.46 163.46 163.46 163.46 163.46 163.46 163.46 163.46 163.46 163.46 * 236236 Married Filing joint 163.46 163.46 163.46 163.46 163.46 163.46 163.46 163.46 163.46 * 236236 Married Filling Separate 160.66 163.43 163.43 163.43 163.43 163.43 163.43 163.43 163.43 163.43 * 236

237 Single 161.30 164.15 164.15 164.15 164.15 164.15 164.15 164.15 164.15 164.15 * 237237 Head of Household 164.15 164.15 164.15 164.15 164.15 164.15 164.15 164.15 164.15 164.15 * 237237 Married Filing joint 164.15 164.15 164.15 164.15 164.15 164.15 164.15 164.15 164.15 * 237237 Married Filling Separate 161.27 164.12 164.12 164.12 164.12 164.12 164.12 164.12 164.12 164.12 * 237

238 Single 161.92 164.84 164.84 164.84 164.84 164.84 164.84 164.84 164.84 164.84 * 238238 Head of Household 164.84 164.84 164.84 164.84 164.84 164.84 164.84 164.84 164.84 164.84 * 238238 Married Filing joint 164.84 164.84 164.84 164.84 164.84 164.84 164.84 164.84 164.84 * 238238 Married Filling Separate 161.88 164.80 164.80 164.80 164.80 164.80 164.80 164.80 164.80 164.80 * 238

239 Single 162.54 165.54 165.54 165.54 165.54 165.54 165.54 165.54 165.54 165.54 * 239239 Head of Household 165.54 165.54 165.54 165.54 165.54 165.54 165.54 165.54 165.54 165.54 * 239239 Married Filing joint 165.54 165.54 165.54 165.54 165.54 165.54 165.54 165.54 165.54 * 239239 Married Filling Separate 162.49 165.49 165.49 165.49 165.49 165.49 165.49 165.49 165.49 165.49 * 239

240 Single 163.16 166.23 166.23 166.23 166.23 166.23 166.23 166.23 166.23 166.23 * 240240 Head of Household 166.23 166.23 166.23 166.23 166.23 166.23 166.23 166.23 166.23 166.23 * 240240 Married Filing joint 166.23 166.23 166.23 166.23 166.23 166.23 166.23 166.23 166.23 * 240240 Married Filling Separate 163.11 166.18 166.18 166.18 166.18 166.18 166.18 166.18 166.18 166.18 * 240

Page 50: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

241 Single 163.77 166.92 166.92 166.92 166.92 166.92 166.92 166.92 166.92 166.92 * 241241 Head of Household 166.92 166.92 166.92 166.92 166.92 166.92 166.92 166.92 166.92 166.92 * 241241 Married Filing joint 166.92 166.92 166.92 166.92 166.92 166.92 166.92 166.92 166.92 * 241241 Married Filling Separate 163.72 166.87 166.87 166.87 166.87 166.87 166.87 166.87 166.87 166.87 * 241

242 Single 164.39 167.62 167.62 167.62 167.62 167.62 167.62 167.62 167.62 167.62 * 242242 Head of Household 167.62 167.62 167.62 167.62 167.62 167.62 167.62 167.62 167.62 167.62 * 242242 Married Filing joint 167.62 167.62 167.62 167.62 167.62 167.62 167.62 167.62 167.62 * 242242 Married Filling Separate 164.33 167.55 167.55 167.55 167.55 167.55 167.55 167.55 167.55 167.55 * 242

243 Single 165.01 168.31 168.31 168.31 168.31 168.31 168.31 168.31 168.31 168.31 * 243243 Head of Household 168.31 168.31 168.31 168.31 168.31 168.31 168.31 168.31 168.31 168.31 * 243243 Married Filing joint 168.31 168.31 168.31 168.31 168.31 168.31 168.31 168.31 168.31 * 243243 Married Filling Separate 164.94 168.24 168.24 168.24 168.24 168.24 168.24 168.24 168.24 168.24 * 243

244 Single 165.63 169.00 169.00 169.00 169.00 169.00 169.00 169.00 169.00 169.00 * 244244 Head of Household 169.00 169.00 169.00 169.00 169.00 169.00 169.00 169.00 169.00 169.00 * 244244 Married Filing joint 169.00 169.00 169.00 169.00 169.00 169.00 169.00 169.00 169.00 * 244244 Married Filling Separate 165.55 168.93 168.93 168.93 168.93 168.93 168.93 168.93 168.93 168.93 * 244

245 Single 166.25 169.69 169.69 169.69 169.69 169.69 169.69 169.69 169.69 169.69 * 245245 Head of Household 169.69 169.69 169.69 169.69 169.69 169.69 169.69 169.69 169.69 169.69 * 245245 Married Filing joint 169.69 169.69 169.69 169.69 169.69 169.69 169.69 169.69 169.69 * 245245 Married Filling Separate 166.17 169.61 169.61 169.61 169.61 169.61 169.61 169.61 169.61 169.61 * 245

246 Single 166.86 170.39 170.39 170.39 170.39 170.39 170.39 170.39 170.39 170.39 * 246246 Head of Household 170.39 170.39 170.39 170.39 170.39 170.39 170.39 170.39 170.39 170.39 * 246246 Married Filing joint 170.39 170.39 170.39 170.39 170.39 170.39 170.39 170.39 170.39 * 246246 Married Filling Separate 166.78 170.30 170.30 170.30 170.30 170.30 170.30 170.30 170.30 170.30 * 246

247 Single 167.48 171.08 171.08 171.08 171.08 171.08 171.08 171.08 171.08 171.08 * 247247 Head of Household 171.08 171.08 171.08 171.08 171.08 171.08 171.08 171.08 171.08 171.08 * 247247 Married Filing joint 171.08 171.08 171.08 171.08 171.08 171.08 171.08 171.08 171.08 * 247247 Married Filling Separate 167.39 170.99 170.99 170.99 170.99 170.99 170.99 170.99 170.99 170.99 * 247

248 Single 168.10 171.77 171.77 171.77 171.77 171.77 171.77 171.77 171.77 171.77 * 248248 Head of Household 171.77 171.77 171.77 171.77 171.77 171.77 171.77 171.77 171.77 171.77 * 248248 Married Filing joint 171.77 171.77 171.77 171.77 171.77 171.77 171.77 171.77 171.77 * 248248 Married Filling Separate 168.00 171.67 171.67 171.67 171.67 171.67 171.67 171.67 171.67 171.67 * 248

Page 51: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

249 Single 168.72 172.46 172.46 172.46 172.46 172.46 172.46 172.46 172.46 172.46 * 249249 Head of Household 172.46 172.46 172.46 172.46 172.46 172.46 172.46 172.46 172.46 172.46 * 249249 Married Filing joint 172.46 172.46 172.46 172.46 172.46 172.46 172.46 172.46 172.46 * 249249 Married Filling Separate 168.61 172.36 172.36 172.36 172.36 172.36 172.36 172.36 172.36 172.36 * 249

250 Single 169.33 173.16 173.16 173.16 173.16 173.16 173.16 173.16 173.16 173.16 * 250250 Head of Household 173.16 173.16 173.16 173.16 173.16 173.16 173.16 173.16 173.16 173.16 * 250250 Married Filing joint 173.16 173.16 173.16 173.16 173.16 173.16 173.16 173.16 173.16 * 250250 Married Filling Separate 169.23 173.05 173.05 173.05 173.05 173.05 173.05 173.05 173.05 173.05 * 250

251 Single 169.95 173.85 173.85 173.85 173.85 173.85 173.85 173.85 173.85 173.85 * 251251 Head of Household 173.85 173.85 173.85 173.85 173.85 173.85 173.85 173.85 173.85 173.85 * 251251 Married Filing joint 173.85 173.85 173.85 173.85 173.85 173.85 173.85 173.85 173.85 * 251251 Married Filling Separate 169.84 173.74 173.74 173.74 173.74 173.74 173.74 173.74 173.74 173.74 * 251

252 Single 170.57 174.54 174.54 174.54 174.54 174.54 174.54 174.54 174.54 174.54 * 252252 Head of Household 174.54 174.54 174.54 174.54 174.54 174.54 174.54 174.54 174.54 174.54 * 252252 Married Filing joint 174.54 174.54 174.54 174.54 174.54 174.54 174.54 174.54 174.54 * 252252 Married Filling Separate 170.45 174.42 174.42 174.42 174.42 174.42 174.42 174.42 174.42 174.42 * 252

253 Single 171.19 175.23 175.23 175.23 175.23 175.23 175.23 175.23 175.23 175.23 * 253253 Head of Household 175.23 175.23 175.23 175.23 175.23 175.23 175.23 175.23 175.23 175.23 * 253253 Married Filing joint 175.23 175.23 175.23 175.23 175.23 175.23 175.23 175.23 175.23 * 253253 Married Filling Separate 171.06 175.11 175.11 175.11 175.11 175.11 175.11 175.11 175.11 175.11 * 253

254 Single 171.80 175.93 175.93 175.93 175.93 175.93 175.93 175.93 175.93 175.93 * 254254 Head of Household 175.93 175.93 175.93 175.93 175.93 175.93 175.93 175.93 175.93 175.93 * 254254 Married Filing joint 175.93 175.93 175.93 175.93 175.93 175.93 175.93 175.93 175.93 * 254254 Married Filling Separate 171.67 175.80 175.80 175.80 175.80 175.80 175.80 175.80 175.80 175.80 * 254

255 Single 172.42 176.62 176.62 176.62 176.62 176.62 176.62 176.62 176.62 176.62 * 255255 Head of Household 176.62 176.62 176.62 176.62 176.62 176.62 176.62 176.62 176.62 176.62 * 255255 Married Filing joint 176.62 176.62 176.62 176.62 176.62 176.62 176.62 176.62 176.62 * 255255 Married Filling Separate 172.29 176.48 176.48 176.48 176.48 176.48 176.48 176.48 176.48 176.48 * 255

256 Single 173.04 177.31 177.31 177.31 177.31 177.31 177.31 177.31 177.31 177.31 * 256256 Head of Household 177.31 177.31 177.31 177.31 177.31 177.31 177.31 177.31 177.31 177.31 * 256256 Married Filing joint 177.31 177.31 177.31 177.31 177.31 177.31 177.31 177.31 177.31 * 256256 Married Filling Separate 172.90 177.17 177.17 177.17 177.17 177.17 177.17 177.17 177.17 177.17 * 256

Page 52: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

257 Single 173.66 178.00 178.00 178.00 178.00 178.00 178.00 178.00 178.00 178.00 * 257257 Head of Household 177.98 178.00 178.00 178.00 178.00 178.00 178.00 178.00 178.00 178.00 * 257257 Married Filing joint 178.00 178.00 178.00 178.00 178.00 178.00 178.00 178.00 178.00 * 257257 Married Filling Separate 173.51 177.86 177.86 177.86 177.86 177.86 177.86 177.86 177.86 177.86 * 257

258 Single 174.27 178.70 178.70 178.70 178.70 178.70 178.70 178.70 178.70 178.70 * 258258 Head of Household 178.60 178.70 178.70 178.70 178.70 178.70 178.70 178.70 178.70 178.70 * 258258 Married Filing joint 178.70 178.70 178.70 178.70 178.70 178.70 178.70 178.70 178.70 * 258258 Married Filling Separate 174.12 178.54 178.54 178.54 178.54 178.54 178.54 178.54 178.54 178.54 * 258

259 Single 174.89 179.39 179.39 179.39 179.39 179.39 179.39 179.39 179.39 179.39 * 259259 Head of Household 179.22 179.39 179.39 179.39 179.39 179.39 179.39 179.39 179.39 179.39 * 259259 Married Filing joint 179.39 179.39 179.39 179.39 179.39 179.39 179.39 179.39 179.39 * 259259 Married Filling Separate 174.73 179.23 179.23 179.23 179.23 179.23 179.23 179.23 179.23 179.23 * 259

260 Single 175.51 180.08 180.08 180.08 180.08 180.08 180.08 180.08 180.08 180.08 * 260260 Head of Household 179.84 180.08 180.08 180.08 180.08 180.08 180.08 180.08 180.08 180.08 * 260260 Married Filing joint 180.08 180.08 180.08 180.08 180.08 180.08 180.08 180.08 180.08 * 260260 Married Filling Separate 175.35 179.92 179.92 179.92 179.92 179.92 179.92 179.92 179.92 179.92 * 260

261 Single 176.13 180.78 180.78 180.78 180.78 180.78 180.78 180.78 180.78 180.78 * 261261 Head of Household 180.45 180.78 180.78 180.78 180.78 180.78 180.78 180.78 180.78 180.78 * 261261 Married Filing joint 180.78 180.78 180.78 180.78 180.78 180.78 180.78 180.78 180.78 * 261261 Married Filling Separate 175.96 180.61 180.61 180.61 180.61 180.61 180.61 180.61 180.61 180.61 * 261

262 Single 176.75 181.47 181.47 181.47 181.47 181.47 181.47 181.47 181.47 181.47 * 262262 Head of Household 181.07 181.47 181.47 181.47 181.47 181.47 181.47 181.47 181.47 181.47 * 262262 Married Filing joint 181.47 181.47 181.47 181.47 181.47 181.47 181.47 181.47 181.47 * 262262 Married Filling Separate 176.57 181.29 181.29 181.29 181.29 181.29 181.29 181.29 181.29 181.29 * 262

263 Single 177.36 182.16 182.16 182.16 182.16 182.16 182.16 182.16 182.16 182.16 * 263263 Head of Household 181.69 182.16 182.16 182.16 182.16 182.16 182.16 182.16 182.16 182.16 * 263263 Married Filing joint 182.16 182.16 182.16 182.16 182.16 182.16 182.16 182.16 182.16 * 263263 Married Filling Separate 177.18 181.98 181.98 181.98 181.98 181.98 181.98 181.98 181.98 181.98 * 263

264 Single 177.98 182.85 182.85 182.85 182.85 182.85 182.85 182.85 182.85 182.85 * 264264 Head of Household 182.31 182.85 182.85 182.85 182.85 182.85 182.85 182.85 182.85 182.85 * 264264 Married Filing joint 182.85 182.85 182.85 182.85 182.85 182.85 182.85 182.85 182.85 * 264264 Married Filling Separate 177.79 182.67 182.67 182.67 182.67 182.67 182.67 182.67 182.67 182.67 * 264

Page 53: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

265 Single 178.60 183.55 183.55 183.55 183.55 183.55 183.55 183.55 183.55 183.55 * 265265 Head of Household 182.93 183.55 183.55 183.55 183.55 183.55 183.55 183.55 183.55 183.55 * 265265 Married Filing joint 183.55 183.55 183.55 183.55 183.55 183.55 183.55 183.55 183.55 * 265265 Married Filling Separate 178.41 183.35 183.35 183.35 183.35 183.35 183.35 183.35 183.35 183.35 * 265

266 Single 179.22 184.24 184.24 184.24 184.24 184.24 184.24 184.24 184.24 184.24 * 266266 Head of Household 183.54 184.24 184.24 184.24 184.24 184.24 184.24 184.24 184.24 184.24 * 266266 Married Filing joint 184.24 184.24 184.24 184.24 184.24 184.24 184.24 184.24 184.24 * 266266 Married Filling Separate 179.02 184.04 184.04 184.04 184.04 184.04 184.04 184.04 184.04 184.04 * 266

267 Single 179.83 184.93 184.93 184.93 184.93 184.93 184.93 184.93 184.93 184.93 * 267267 Head of Household 184.16 184.93 184.93 184.93 184.93 184.93 184.93 184.93 184.93 184.93 * 267267 Married Filing joint 184.93 184.93 184.93 184.93 184.93 184.93 184.93 184.93 184.93 * 267267 Married Filling Separate 179.63 184.73 184.73 184.73 184.73 184.73 184.73 184.73 184.73 184.73 * 267

268 Single 180.45 185.62 185.62 185.62 185.62 185.62 185.62 185.62 185.62 185.62 * 268268 Head of Household 184.78 185.62 185.62 185.62 185.62 185.62 185.62 185.62 185.62 185.62 * 268268 Married Filing joint 185.62 185.62 185.62 185.62 185.62 185.62 185.62 185.62 185.62 * 268268 Married Filling Separate 180.24 185.41 185.41 185.41 185.41 185.41 185.41 185.41 185.41 185.41 * 268

269 Single 181.07 186.32 186.32 186.32 186.32 186.32 186.32 186.32 186.32 186.32 * 269269 Head of Household 185.40 186.32 186.32 186.32 186.32 186.32 186.32 186.32 186.32 186.32 * 269269 Married Filing joint 186.32 186.32 186.32 186.32 186.32 186.32 186.32 186.32 186.32 * 269269 Married Filling Separate 180.85 186.10 186.10 186.10 186.10 186.10 186.10 186.10 186.10 186.10 * 269

270 Single 181.69 187.01 187.01 187.01 187.01 187.01 187.01 187.01 187.01 187.01 * 270270 Head of Household 186.01 187.01 187.01 187.01 187.01 187.01 187.01 187.01 187.01 187.01 * 270270 Married Filing joint 187.01 187.01 187.01 187.01 187.01 187.01 187.01 187.01 187.01 * 270270 Married Filling Separate 181.47 186.79 186.79 186.79 186.79 186.79 186.79 186.79 186.79 186.79 * 270

271 Single 182.30 187.70 187.70 187.70 187.70 187.70 187.70 187.70 187.70 187.70 * 271271 Head of Household 186.63 187.70 187.70 187.70 187.70 187.70 187.70 187.70 187.70 187.70 * 271271 Married Filing joint 187.70 187.70 187.70 187.70 187.70 187.70 187.70 187.70 187.70 * 271271 Married Filling Separate 182.08 187.48 187.48 187.48 187.48 187.48 187.48 187.48 187.48 187.48 * 271

272 Single 182.92 188.39 188.39 188.39 188.39 188.39 188.39 188.39 188.39 188.39 * 272272 Head of Household 187.25 188.39 188.39 188.39 188.39 188.39 188.39 188.39 188.39 188.39 * 272272 Married Filing joint 188.39 188.39 188.39 188.39 188.39 188.39 188.39 188.39 188.39 * 272272 Married Filling Separate 182.69 188.16 188.16 188.16 188.16 188.16 188.16 188.16 188.16 188.16 * 272

Page 54: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

273 Single 183.54 189.09 189.09 189.09 189.09 189.09 189.09 189.09 189.09 189.09 * 273273 Head of Household 187.87 189.09 189.09 189.09 189.09 189.09 189.09 189.09 189.09 189.09 * 273273 Married Filing joint 189.09 189.09 189.09 189.09 189.09 189.09 189.09 189.09 189.09 * 273273 Married Filling Separate 183.30 188.85 188.85 188.85 188.85 188.85 188.85 188.85 188.85 188.85 * 273

274 Single 184.16 189.78 189.78 189.78 189.78 189.78 189.78 189.78 189.78 189.78 * 274274 Head of Household 188.48 189.78 189.78 189.78 189.78 189.78 189.78 189.78 189.78 189.78 * 274274 Married Filing joint 189.78 189.78 189.78 189.78 189.78 189.78 189.78 189.78 189.78 * 274274 Married Filling Separate 183.91 189.54 189.54 189.54 189.54 189.54 189.54 189.54 189.54 189.54 * 274

275 Single 184.77 190.47 190.47 190.47 190.47 190.47 190.47 190.47 190.47 190.47 * 275275 Head of Household 189.10 190.47 190.47 190.47 190.47 190.47 190.47 190.47 190.47 190.47 * 275275 Married Filing joint 190.47 190.47 190.47 190.47 190.47 190.47 190.47 190.47 190.47 * 275275 Married Filling Separate 184.53 190.22 190.22 190.22 190.22 190.22 190.22 190.22 190.22 190.22 * 275

276 Single 185.39 191.16 191.16 191.16 191.16 191.16 191.16 191.16 191.16 191.16 * 276276 Head of Household 189.72 191.16 191.16 191.16 191.16 191.16 191.16 191.16 191.16 191.16 * 276276 Married Filing joint 191.16 191.16 191.16 191.16 191.16 191.16 191.16 191.16 191.16 * 276276 Married Filling Separate 185.14 190.91 190.91 190.91 190.91 190.91 190.91 190.91 190.91 190.91 * 276

277 Single 186.01 191.85 191.86 191.86 191.86 191.86 191.86 191.86 191.86 191.86 * 277277 Head of Household 190.34 191.86 191.86 191.86 191.86 191.86 191.86 191.86 191.86 191.86 * 277277 Married Filing joint 191.86 191.86 191.86 191.86 191.86 191.86 191.86 191.86 191.86 * 277277 Married Filling Separate 185.75 191.59 191.60 191.60 191.60 191.60 191.60 191.60 191.60 191.60 * 277

278 Single 186.63 192.47 192.55 192.55 192.55 192.55 192.55 192.55 192.55 192.55 * 278278 Head of Household 190.95 192.55 192.55 192.55 192.55 192.55 192.55 192.55 192.55 192.55 * 278278 Married Filing joint 192.55 192.55 192.55 192.55 192.55 192.55 192.55 192.55 192.55 * 278278 Married Filling Separate 186.36 192.20 192.28 192.28 192.28 192.28 192.28 192.28 192.28 192.28 * 278

279 Single 187.24 193.09 193.24 193.24 193.24 193.24 193.24 193.24 193.24 193.24 * 279279 Head of Household 191.57 193.24 193.24 193.24 193.24 193.24 193.24 193.24 193.24 193.24 * 279279 Married Filing joint 193.24 193.24 193.24 193.24 193.24 193.24 193.24 193.24 193.24 * 279279 Married Filling Separate 186.97 192.81 192.97 192.97 192.97 192.97 192.97 192.97 192.97 192.97 * 279

280 Single 187.86 193.70 193.94 193.94 193.94 193.94 193.94 193.94 193.94 193.94 * 280280 Head of Household 192.19 193.94 193.94 193.94 193.94 193.94 193.94 193.94 193.94 193.94 * 280280 Married Filing joint 193.94 193.94 193.94 193.94 193.94 193.94 193.94 193.94 193.94 * 280280 Married Filling Separate 187.59 193.43 193.66 193.66 193.66 193.66 193.66 193.66 193.66 193.66 * 280

Page 55: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

281 Single 188.48 194.32 194.63 194.63 194.63 194.63 194.63 194.63 194.63 194.63 * 281281 Head of Household 192.81 194.63 194.63 194.63 194.63 194.63 194.63 194.63 194.63 194.63 * 281281 Married Filing joint 194.63 194.63 194.63 194.63 194.63 194.63 194.63 194.63 194.63 * 281281 Married Filling Separate 188.20 194.04 194.35 194.35 194.35 194.35 194.35 194.35 194.35 194.35 * 281

282 Single 189.10 194.94 195.32 195.32 195.32 195.32 195.32 195.32 195.32 195.32 * 282282 Head of Household 193.43 195.32 195.32 195.32 195.32 195.32 195.32 195.32 195.32 195.32 * 282282 Married Filing joint 195.32 195.32 195.32 195.32 195.32 195.32 195.32 195.32 195.32 * 282282 Married Filling Separate 188.81 194.65 195.03 195.03 195.03 195.03 195.03 195.03 195.03 195.03 * 282

283 Single 189.72 195.56 196.01 196.01 196.01 196.01 196.01 196.01 196.01 196.01 * 283283 Head of Household 194.04 196.01 196.01 196.01 196.01 196.01 196.01 196.01 196.01 196.01 * 283283 Married Filing joint 196.01 196.01 196.01 196.01 196.01 196.01 196.01 196.01 196.01 * 283283 Married Filling Separate 189.42 195.26 195.72 195.72 195.72 195.72 195.72 195.72 195.72 195.72 * 283

284 Single 190.33 196.17 196.71 196.71 196.71 196.71 196.71 196.71 196.71 196.71 * 284284 Head of Household 194.66 196.71 196.71 196.71 196.71 196.71 196.71 196.71 196.71 196.71 * 284284 Married Filing joint 196.71 196.71 196.71 196.71 196.71 196.71 196.71 196.71 196.71 * 284284 Married Filling Separate 190.03 195.87 196.41 196.41 196.41 196.41 196.41 196.41 196.41 196.41 * 284

285 Single 190.95 196.79 197.40 197.40 197.40 197.40 197.40 197.40 197.40 197.40 * 285285 Head of Household 195.28 197.40 197.40 197.40 197.40 197.40 197.40 197.40 197.40 197.40 * 285285 Married Filing joint 197.40 197.40 197.40 197.40 197.40 197.40 197.40 197.40 197.40 * 285285 Married Filling Separate 190.65 196.49 197.09 197.09 197.09 197.09 197.09 197.09 197.09 197.09 * 285

286 Single 191.57 197.41 198.09 198.09 198.09 198.09 198.09 198.09 198.09 198.09 * 286286 Head of Household 195.90 198.09 198.09 198.09 198.09 198.09 198.09 198.09 198.09 198.09 * 286286 Married Filing joint 198.09 198.09 198.09 198.09 198.09 198.09 198.09 198.09 198.09 * 286286 Married Filling Separate 191.26 197.10 197.78 197.78 197.78 197.78 197.78 197.78 197.78 197.78 * 286

287 Single 192.19 198.03 198.78 198.78 198.78 198.78 198.78 198.78 198.78 198.78 * 287287 Head of Household 196.51 198.78 198.78 198.78 198.78 198.78 198.78 198.78 198.78 198.78 * 287287 Married Filing joint 198.78 198.78 198.78 198.78 198.78 198.78 198.78 198.78 198.78 * 287287 Married Filling Separate 191.87 197.71 198.47 198.47 198.47 198.47 198.47 198.47 198.47 198.47 * 287

288 Single 192.80 198.64 199.48 199.48 199.48 199.48 199.48 199.48 199.48 199.48 * 288288 Head of Household 197.13 199.48 199.48 199.48 199.48 199.48 199.48 199.48 199.48 199.48 * 288288 Married Filing joint 199.48 199.48 199.48 199.48 199.48 199.48 199.48 199.48 199.48 * 288288 Married Filling Separate 192.48 198.32 199.15 199.15 199.15 199.15 199.15 199.15 199.15 199.15 * 288

Page 56: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

289 Single 193.42 199.26 200.17 200.17 200.17 200.17 200.17 200.17 200.17 200.17 * 289289 Head of Household 197.75 200.17 200.17 200.17 200.17 200.17 200.17 200.17 200.17 200.17 * 289289 Married Filing joint 200.17 200.17 200.17 200.17 200.17 200.17 200.17 200.17 200.17 * 289289 Married Filling Separate 193.03 198.87 199.78 199.78 199.78 199.78 199.78 199.78 199.78 199.78 * 289

290 Single 194.03 199.87 200.85 200.85 200.85 200.85 200.85 200.85 200.85 200.85 * 290290 Head of Household 198.37 200.86 200.86 200.86 200.86 200.86 200.86 200.86 200.86 200.86 * 290290 Married Filing joint 200.86 200.86 200.86 200.86 200.86 200.86 200.86 200.86 200.86 * 290290 Married Filling Separate 193.64 199.48 200.46 200.46 200.46 200.46 200.46 200.46 200.46 200.46 * 290

291 Single 194.64 200.48 201.54 201.54 201.54 201.54 201.54 201.54 201.54 201.54 * 291291 Head of Household 198.98 201.55 201.55 201.55 201.55 201.55 201.55 201.55 201.55 201.55 * 291291 Married Filing joint 201.55 201.55 201.55 201.55 201.55 201.55 201.55 201.55 201.55 * 291291 Married Filling Separate 194.25 200.09 201.15 201.15 201.15 201.15 201.15 201.15 201.15 201.15 * 291

292 Single 195.25 201.09 202.23 202.23 202.23 202.23 202.23 202.23 202.23 202.23 * 292292 Head of Household 199.60 202.25 202.25 202.25 202.25 202.25 202.25 202.25 202.25 202.25 * 292292 Married Filing joint 202.25 202.25 202.25 202.25 202.25 202.25 202.25 202.25 202.25 * 292292 Married Filling Separate 194.86 200.70 201.83 201.83 201.83 201.83 201.83 201.83 201.83 201.83 * 292

293 Single 195.87 201.71 202.91 202.91 202.91 202.91 202.91 202.91 202.91 202.91 * 293293 Head of Household 200.22 202.94 202.94 202.94 202.94 202.94 202.94 202.94 202.94 202.94 * 293293 Married Filing joint 202.94 202.94 202.94 202.94 202.94 202.94 202.94 202.94 202.94 * 293293 Married Filling Separate 195.47 201.31 202.52 202.52 202.52 202.52 202.52 202.52 202.52 202.52 * 293

294 Single 196.48 202.32 203.60 203.60 203.60 203.60 203.60 203.60 203.60 203.60 * 294294 Head of Household 200.84 203.63 203.63 203.63 203.63 203.63 203.63 203.63 203.63 203.63 * 294294 Married Filing joint 203.63 203.63 203.63 203.63 203.63 203.63 203.63 203.63 203.63 * 294294 Married Filling Separate 196.08 201.92 203.20 203.20 203.20 203.20 203.20 203.20 203.20 203.20 * 294

295 Single 197.09 202.93 204.29 204.29 204.29 204.29 204.29 204.29 204.29 204.29 * 295295 Head of Household 201.45 204.32 204.32 204.32 204.32 204.32 204.32 204.32 204.32 204.32 * 295295 Married Filing joint 204.32 204.32 204.32 204.32 204.32 204.32 204.32 204.32 204.32 * 295295 Married Filling Separate 196.69 202.53 203.89 203.89 203.89 203.89 203.89 203.89 203.89 203.89 * 295

296 Single 197.70 203.54 204.97 204.97 204.97 204.97 204.97 204.97 204.97 204.97 * 296296 Head of Household 202.07 205.02 205.02 205.02 205.02 205.02 205.02 205.02 205.02 205.02 * 296296 Married Filing joint 205.02 205.02 205.02 205.02 205.02 205.02 205.02 205.02 205.02 * 296296 Married Filling Separate 197.30 203.14 204.58 204.58 204.58 204.58 204.58 204.58 204.58 204.58 * 296

Page 57: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

297 Single 198.31 204.15 205.66 205.66 205.66 205.66 205.66 205.66 205.66 205.66 * 297297 Head of Household 202.69 205.71 205.71 205.71 205.71 205.71 205.71 205.71 205.71 205.71 * 297297 Married Filing joint 205.71 205.71 205.71 205.71 205.71 205.71 205.71 205.71 205.71 * 297297 Married Filling Separate 197.91 203.76 205.26 205.26 205.26 205.26 205.26 205.26 205.26 205.26 * 297

298 Single 198.93 204.77 206.35 206.35 206.35 206.35 206.35 206.35 206.35 206.35 * 298298 Head of Household 203.31 206.40 206.40 206.40 206.40 206.40 206.40 206.40 206.40 206.40 * 298298 Married Filing joint 206.40 206.40 206.40 206.40 206.40 206.40 206.40 206.40 206.40 * 298298 Married Filling Separate 198.53 204.37 205.95 205.95 205.95 205.95 205.95 205.95 205.95 205.95 * 298

299 Single 199.54 205.38 207.04 207.04 207.04 207.04 207.04 207.04 207.04 207.04 * 299299 Head of Household 203.92 207.09 207.09 207.09 207.09 207.09 207.09 207.09 207.09 207.09 * 299299 Married Filing joint 207.09 207.09 207.09 207.09 207.09 207.09 207.09 207.09 207.09 * 299299 Married Filling Separate 199.06 204.90 206.56 206.56 206.56 206.56 206.56 206.56 206.56 206.56 * 299

300 Single 200.15 205.99 207.72 207.72 207.72 207.72 207.72 207.72 207.72 207.72 * 300300 Head of Household 204.54 207.79 207.79 207.79 207.79 207.79 207.79 207.79 207.79 207.79 * 300300 Married Filing joint 207.79 207.79 207.79 207.79 207.79 207.79 207.79 207.79 207.79 * 300300 Married Filling Separate 199.67 205.51 207.24 207.24 207.24 207.24 207.24 207.24 207.24 207.24 * 300

301 Single 200.76 206.60 208.41 208.41 208.41 208.41 208.41 208.41 208.41 208.41 * 301301 Head of Household 205.16 208.48 208.48 208.48 208.48 208.48 208.48 208.48 208.48 208.48 * 301301 Married Filing joint 208.48 208.48 208.48 208.48 208.48 208.48 208.48 208.48 208.48 * 301301 Married Filling Separate 200.28 206.12 207.93 207.93 207.93 207.93 207.93 207.93 207.93 207.93 * 301

302 Single 201.37 207.21 209.10 209.10 209.10 209.10 209.10 209.10 209.10 209.10 * 302302 Head of Household 205.78 209.17 209.17 209.17 209.17 209.17 209.17 209.17 209.17 209.17 * 302302 Married Filing joint 209.17 209.17 209.17 209.17 209.17 209.17 209.17 209.17 209.17 * 302302 Married Filling Separate 200.89 206.73 208.61 208.61 208.61 208.61 208.61 208.61 208.61 208.61 * 302

303 Single 201.99 207.83 209.78 209.78 209.78 209.78 209.78 209.78 209.78 209.78 * 303303 Head of Household 206.40 209.87 209.87 209.87 209.87 209.87 209.87 209.87 209.87 209.87 * 303303 Married Filing joint 209.87 209.87 209.87 209.87 209.87 209.87 209.87 209.87 209.87 * 303303 Married Filling Separate 201.50 207.34 209.30 209.30 209.30 209.30 209.30 209.30 209.30 209.30 * 303

304 Single 202.60 208.44 210.47 210.47 210.47 210.47 210.47 210.47 210.47 210.47 * 304304 Head of Household 207.01 210.56 210.56 210.56 210.56 210.56 210.56 210.56 210.56 210.56 * 304304 Married Filing joint 210.56 210.56 210.56 210.56 210.56 210.56 210.56 210.56 210.56 * 304304 Married Filling Separate 202.11 207.95 209.98 209.98 209.98 209.98 209.98 209.98 209.98 209.98 * 304

Page 58: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

305 Single 203.21 209.05 211.16 211.16 211.16 211.16 211.16 211.16 211.16 211.16 * 305305 Head of Household 207.63 211.25 211.25 211.25 211.25 211.25 211.25 211.25 211.25 211.25 * 305305 Married Filing joint 211.25 211.25 211.25 211.25 211.25 211.25 211.25 211.25 211.25 * 305305 Married Filling Separate 202.72 208.56 210.67 210.67 210.67 210.67 210.67 210.67 210.67 210.67 * 305

306 Single 203.82 209.66 211.84 211.84 211.84 211.84 211.84 211.84 211.84 211.84 * 306306 Head of Household 208.25 211.94 211.94 211.94 211.94 211.94 211.94 211.94 211.94 211.94 * 306306 Married Filing joint 211.94 211.94 211.94 211.94 211.94 211.94 211.94 211.94 211.94 * 306306 Married Filling Separate 203.33 209.17 211.35 211.35 211.35 211.35 211.35 211.35 211.35 211.35 * 306

307 Single 204.43 210.27 212.53 212.53 212.53 212.53 212.53 212.53 212.53 212.53 * 307307 Head of Household 208.87 212.64 212.64 212.64 212.64 212.64 212.64 212.64 212.64 212.64 * 307307 Married Filing joint 212.64 212.64 212.64 212.64 212.64 212.64 212.64 212.64 212.64 * 307307 Married Filling Separate 203.94 209.78 212.04 212.04 212.04 212.04 212.04 212.04 212.04 212.04 * 307

308 Single 205.05 210.89 213.22 213.22 213.22 213.22 213.22 213.22 213.22 213.22 * 308308 Head of Household 209.48 213.33 213.33 213.33 213.33 213.33 213.33 213.33 213.33 213.33 * 308308 Married Filing joint 213.33 213.33 213.33 213.33 213.33 213.33 213.33 213.33 213.33 * 308308 Married Filling Separate 204.46 210.30 212.63 212.63 212.63 212.63 212.63 212.63 212.63 212.63 * 308

309 Single 205.66 211.50 213.91 213.91 213.91 213.91 213.91 213.91 213.91 213.91 * 309309 Head of Household 210.10 214.02 214.02 214.02 214.02 214.02 214.02 214.02 214.02 214.02 * 309309 Married Filing joint 214.02 214.02 214.02 214.02 214.02 214.02 214.02 214.02 214.02 * 309309 Married Filling Separate 205.07 210.91 213.32 213.32 213.32 213.32 213.32 213.32 213.32 213.32 * 309

310 Single 206.27 212.11 214.59 214.59 214.59 214.59 214.59 214.59 214.59 214.59 * 310310 Head of Household 210.72 214.71 214.71 214.71 214.71 214.71 214.71 214.71 214.71 214.71 * 310310 Married Filing joint 214.71 214.71 214.71 214.71 214.71 214.71 214.71 214.71 214.71 * 310310 Married Filling Separate 205.68 211.52 214.00 214.00 214.00 214.00 214.00 214.00 214.00 214.00 * 310

311 Single 206.88 212.72 215.28 215.28 215.28 215.28 215.28 215.28 215.28 215.28 * 311311 Head of Household 211.34 215.41 215.41 215.41 215.41 215.41 215.41 215.41 215.41 215.41 * 311311 Married Filing joint 215.41 215.41 215.41 215.41 215.41 215.41 215.41 215.41 215.41 * 311311 Married Filling Separate 206.29 212.13 214.68 214.68 214.68 214.68 214.68 214.68 214.68 214.68 * 311

312 Single 207.49 213.33 215.97 215.97 215.97 215.97 215.97 215.97 215.97 215.97 * 312312 Head of Household 211.95 216.10 216.10 216.10 216.10 216.10 216.10 216.10 216.10 216.10 * 312312 Married Filing joint 216.10 216.10 216.10 216.10 216.10 216.10 216.10 216.10 216.10 * 312312 Married Filling Separate 206.90 212.74 215.37 215.37 215.37 215.37 215.37 215.37 215.37 215.37 * 312

Page 59: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

313 Single 208.11 213.95 216.65 216.65 216.65 216.65 216.65 216.65 216.65 216.65 * 313313 Head of Household 212.57 216.79 216.79 216.79 216.79 216.79 216.79 216.79 216.79 216.79 * 313313 Married Filing joint 216.79 216.79 216.79 216.79 216.79 216.79 216.79 216.79 216.79 * 313313 Married Filling Separate 207.50 213.34 216.05 216.05 216.05 216.05 216.05 216.05 216.05 216.05 * 313

314 Single 208.72 214.56 217.34 217.34 217.34 217.34 217.34 217.34 217.34 217.34 * 314314 Head of Household 213.19 217.48 217.48 217.48 217.48 217.48 217.48 217.48 217.48 217.48 * 314314 Married Filing joint 217.48 217.48 217.48 217.48 217.48 217.48 217.48 217.48 217.48 * 314314 Married Filling Separate 208.11 213.95 216.74 216.74 216.74 216.74 216.74 216.74 216.74 216.74 * 314

315 Single 209.33 215.17 218.03 218.03 218.03 218.03 218.03 218.03 218.03 218.03 * 315315 Head of Household 213.81 218.18 218.18 218.18 218.18 218.18 218.18 218.18 218.18 218.18 * 315315 Married Filing joint 218.18 218.18 218.18 218.18 218.18 218.18 218.18 218.18 218.18 * 315315 Married Filling Separate 208.72 214.56 217.42 217.42 217.42 217.42 217.42 217.42 217.42 217.42 * 315

316 Single 209.94 215.78 218.71 218.71 218.71 218.71 218.71 218.71 218.71 218.71 * 316316 Head of Household 214.42 218.87 218.87 218.87 218.87 218.87 218.87 218.87 218.87 218.87 * 316316 Married Filing joint 218.87 218.87 218.87 218.87 218.87 218.87 218.87 218.87 218.87 * 316316 Married Filling Separate 209.33 215.17 218.10 218.10 218.10 218.10 218.10 218.10 218.10 218.10 * 316

317 Single 210.55 216.39 219.40 219.40 219.40 219.40 219.40 219.40 219.40 219.40 * 317317 Head of Household 215.04 219.56 219.56 219.56 219.56 219.56 219.56 219.56 219.56 219.56 * 317317 Married Filing joint 219.56 219.56 219.56 219.56 219.56 219.56 219.56 219.56 219.56 * 317317 Married Filling Separate 209.94 215.78 218.79 218.79 218.79 218.79 218.79 218.79 218.79 218.79 * 317

318 Single 211.17 217.01 220.09 220.09 220.09 220.09 220.09 220.09 220.09 220.09 * 318318 Head of Household 215.66 220.25 220.25 220.25 220.25 220.25 220.25 220.25 220.25 220.25 * 318318 Married Filing joint 220.25 220.25 220.25 220.25 220.25 220.25 220.25 220.25 220.25 * 318318 Married Filling Separate 210.45 216.29 219.37 219.37 219.37 219.37 219.37 219.37 219.37 219.37 * 318

319 Single 211.78 217.62 220.78 220.78 220.78 220.78 220.78 220.78 220.78 220.78 * 319319 Head of Household 216.28 220.95 220.95 220.95 220.95 220.95 220.95 220.95 220.95 220.95 * 319319 Married Filing joint 220.95 220.95 220.95 220.95 220.95 220.95 220.95 220.95 220.95 * 319319 Married Filling Separate 211.06 216.90 220.05 220.05 220.05 220.05 220.05 220.05 220.05 220.05 * 319

320 Single 212.39 218.23 221.46 221.46 221.46 221.46 221.46 221.46 221.46 221.46 * 320320 Head of Household 216.89 221.64 221.64 221.64 221.64 221.64 221.64 221.64 221.64 221.64 * 320320 Married Filing joint 221.64 221.64 221.64 221.64 221.64 221.64 221.64 221.64 221.64 * 320320 Married Filling Separate 211.66 217.50 220.74 220.74 220.74 220.74 220.74 220.74 220.74 220.74 * 320

Page 60: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

321 Single 213.00 218.84 222.15 222.15 222.15 222.15 222.15 222.15 222.15 222.15 * 321321 Head of Household 217.51 222.33 222.33 222.33 222.33 222.33 222.33 222.33 222.33 222.33 * 321321 Married Filing joint 222.33 222.33 222.33 222.33 222.33 222.33 222.33 222.33 222.33 * 321321 Married Filling Separate 212.27 218.11 221.42 221.42 221.42 221.42 221.42 221.42 221.42 221.42 * 321

322 Single 213.61 219.45 222.84 222.84 222.84 222.84 222.84 222.84 222.84 222.84 * 322322 Head of Household 218.13 223.03 223.03 223.03 223.03 223.03 223.03 223.03 223.03 223.03 * 322322 Married Filing joint 223.03 223.03 223.03 223.03 223.03 223.03 223.03 223.03 223.03 * 322322 Married Filling Separate 212.88 218.72 222.10 222.10 222.10 222.10 222.10 222.10 222.10 222.10 * 322

323 Single 214.23 220.07 223.52 223.52 223.52 223.52 223.52 223.52 223.52 223.52 * 323323 Head of Household 218.75 223.72 223.72 223.72 223.72 223.72 223.72 223.72 223.72 223.72 * 323323 Married Filing joint 223.72 223.72 223.72 223.72 223.72 223.72 223.72 223.72 223.72 * 323323 Married Filling Separate 213.49 219.33 222.78 222.78 222.78 222.78 222.78 222.78 222.78 222.78 * 323

324 Single 214.84 220.68 224.21 224.21 224.21 224.21 224.21 224.21 224.21 224.21 * 324324 Head of Household 219.37 224.41 224.41 224.41 224.41 224.41 224.41 224.41 224.41 224.41 * 324324 Married Filing joint 224.41 224.41 224.41 224.41 224.41 224.41 224.41 224.41 224.41 * 324324 Married Filling Separate 214.09 219.93 223.47 223.47 223.47 223.47 223.47 223.47 223.47 223.47 * 324

325 Single 215.45 221.29 224.90 224.90 224.90 224.90 224.90 224.90 224.90 224.90 * 325325 Head of Household 219.98 225.10 225.10 225.10 225.10 225.10 225.10 225.10 225.10 225.10 * 325325 Married Filing joint 225.10 225.10 225.10 225.10 225.10 225.10 225.10 225.10 225.10 * 325325 Married Filling Separate 214.70 220.54 224.15 224.15 224.15 224.15 224.15 224.15 224.15 224.15 * 325

326 Single 216.06 221.90 225.58 225.58 225.58 225.58 225.58 225.58 225.58 225.58 * 326326 Head of Household 220.60 225.80 225.80 225.80 225.80 225.80 225.80 225.80 225.80 225.80 * 326326 Married Filing joint 225.80 225.80 225.80 225.80 225.80 225.80 225.80 225.80 225.80 * 326326 Married Filling Separate 215.31 221.15 224.83 224.83 224.83 224.83 224.83 224.83 224.83 224.83 * 326

327 Single 216.67 222.51 226.27 226.27 226.27 226.27 226.27 226.27 226.27 226.27 * 327327 Head of Household 221.22 226.49 226.49 226.49 226.49 226.49 226.49 226.49 226.49 226.49 * 327327 Married Filing joint 226.49 226.49 226.49 226.49 226.49 226.49 226.49 226.49 226.49 * 327327 Married Filling Separate 215.81 221.65 225.41 225.41 225.41 225.41 225.41 225.41 225.41 225.41 * 327

328 Single 217.29 223.13 226.96 226.96 226.96 226.96 226.96 226.96 226.96 226.96 * 328328 Head of Household 221.84 227.18 227.18 227.18 227.18 227.18 227.18 227.18 227.18 227.18 * 328328 Married Filing joint 227.18 227.18 227.18 227.18 227.18 227.18 227.18 227.18 227.18 * 328328 Married Filling Separate 216.41 222.26 226.09 226.09 226.09 226.09 226.09 226.09 226.09 226.09 * 328

Page 61: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

329 Single 217.90 223.74 227.65 227.65 227.65 227.65 227.65 227.65 227.65 227.65 * 329329 Head of Household 222.45 227.87 227.87 227.87 227.87 227.87 227.87 227.87 227.87 227.87 * 329329 Married Filing joint 227.87 227.87 227.87 227.87 227.87 227.87 227.87 227.87 227.87 * 329329 Married Filling Separate 217.02 222.86 226.77 226.77 226.77 226.77 226.77 226.77 226.77 226.77 * 329

330 Single 218.51 224.35 228.33 228.33 228.33 228.33 228.33 228.33 228.33 228.33 * 330330 Head of Household 223.07 228.57 228.57 228.57 228.57 228.57 228.57 228.57 228.57 228.57 * 330330 Married Filing joint 228.57 228.57 228.57 228.57 228.57 228.57 228.57 228.57 228.57 * 330330 Married Filling Separate 217.63 223.47 227.45 227.45 227.45 227.45 227.45 227.45 227.45 227.45 * 330

331 Single 219.12 224.96 229.02 229.02 229.02 229.02 229.02 229.02 229.02 229.02 * 331331 Head of Household 223.69 229.26 229.26 229.26 229.26 229.26 229.26 229.26 229.26 229.26 * 331331 Married Filing joint 229.26 229.26 229.26 229.26 229.26 229.26 229.26 229.26 229.26 * 331331 Married Filling Separate 218.23 224.07 228.13 228.13 228.13 228.13 228.13 228.13 228.13 228.13 * 331

332 Single 219.73 225.57 229.71 229.71 229.71 229.71 229.71 229.71 229.71 229.71 * 332332 Head of Household 224.31 229.95 229.95 229.95 229.95 229.95 229.95 229.95 229.95 229.95 * 332332 Married Filing joint 229.95 229.95 229.95 229.95 229.95 229.95 229.95 229.95 229.95 * 332332 Married Filling Separate 218.84 224.68 228.81 228.81 228.81 228.81 228.81 228.81 228.81 228.81 * 332

333 Single 220.35 226.19 230.39 230.39 230.39 230.39 230.39 230.39 230.39 230.39 * 333333 Head of Household 224.92 230.64 230.64 230.64 230.64 230.64 230.64 230.64 230.64 230.64 * 333333 Married Filing joint 230.64 230.64 230.64 230.64 230.64 230.64 230.64 230.64 230.64 * 333333 Married Filling Separate 219.45 225.29 229.49 229.49 229.49 229.49 229.49 229.49 229.49 229.49 * 333

334 Single 220.96 226.80 231.08 231.08 231.08 231.08 231.08 231.08 231.08 231.08 * 334334 Head of Household 225.54 231.34 231.34 231.34 231.34 231.34 231.34 231.34 231.34 231.34 * 334334 Married Filing joint 231.34 231.34 231.34 231.34 231.34 231.34 231.34 231.34 231.34 * 334334 Married Filling Separate 220.05 225.89 230.18 230.18 230.18 230.18 230.18 230.18 230.18 230.18 * 334

335 Single 221.57 227.41 231.77 231.77 231.77 231.77 231.77 231.77 231.77 231.77 * 335335 Head of Household 226.16 232.00 232.03 232.03 232.03 232.03 232.03 232.03 232.03 232.03 * 335335 Married Filing joint 232.03 232.03 232.03 232.03 232.03 232.03 232.03 232.03 232.03 * 335335 Married Filling Separate 220.66 226.50 230.86 230.86 230.86 230.86 230.86 230.86 230.86 230.86 * 335

336 Single 222.18 228.02 232.45 232.45 232.45 232.45 232.45 232.45 232.45 232.45 * 336336 Head of Household 226.78 232.62 232.72 232.72 232.72 232.72 232.72 232.72 232.72 232.72 * 336336 Married Filing joint 232.72 232.72 232.72 232.72 232.72 232.72 232.72 232.72 232.72 * 336336 Married Filling Separate 221.27 227.11 231.54 231.54 231.54 231.54 231.54 231.54 231.54 231.54 * 336

Page 62: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

337 Single 222.79 228.63 233.14 233.14 233.14 233.14 233.14 233.14 233.14 233.14 * 337337 Head of Household 227.39 233.24 233.41 233.41 233.41 233.41 233.41 233.41 233.41 233.41 * 337337 Married Filing joint 233.41 233.41 233.41 233.41 233.41 233.41 233.41 233.41 233.41 * 337337 Married Filling Separate 221.75 227.59 232.10 232.10 232.10 232.10 232.10 232.10 232.10 232.10 * 337

338 Single 223.41 229.25 233.83 233.83 233.83 233.83 233.83 233.83 233.83 233.83 * 338338 Head of Household 228.01 233.85 234.11 234.11 234.11 234.11 234.11 234.11 234.11 234.11 * 338338 Married Filing joint 234.11 234.11 234.11 234.11 234.11 234.11 234.11 234.11 234.11 * 338338 Married Filling Separate 222.36 228.20 232.78 232.78 232.78 232.78 232.78 232.78 232.78 232.78 * 338

339 Single 224.02 229.86 234.52 234.52 234.52 234.52 234.52 234.52 234.52 234.52 * 339339 Head of Household 228.63 234.47 234.80 234.80 234.80 234.80 234.80 234.80 234.80 234.80 * 339339 Married Filing joint 234.80 234.80 234.80 234.80 234.80 234.80 234.80 234.80 234.80 * 339339 Married Filling Separate 222.96 228.80 233.46 233.46 233.46 233.46 233.46 233.46 233.46 233.46 * 339

340 Single 224.63 230.47 235.20 235.20 235.20 235.20 235.20 235.20 235.20 235.20 * 340340 Head of Household 229.25 235.09 235.49 235.49 235.49 235.49 235.49 235.49 235.49 235.49 * 340340 Married Filing joint 235.49 235.49 235.49 235.49 235.49 235.49 235.49 235.49 235.49 * 340340 Married Filling Separate 223.57 229.41 234.14 234.14 234.14 234.14 234.14 234.14 234.14 234.14 * 340

341 Single 225.24 231.08 235.89 235.89 235.89 235.89 235.89 235.89 235.89 235.89 * 341341 Head of Household 229.86 235.71 236.19 236.19 236.19 236.19 236.19 236.19 236.19 236.19 * 341341 Married Filing joint 236.19 236.19 236.19 236.19 236.19 236.19 236.19 236.19 236.19 * 341341 Married Filling Separate 224.17 230.01 234.82 234.82 234.82 234.82 234.82 234.82 234.82 234.82 * 341

342 Single 225.85 231.69 236.58 236.58 236.58 236.58 236.58 236.58 236.58 236.58 * 342342 Head of Household 230.48 236.32 236.88 236.88 236.88 236.88 236.88 236.88 236.88 236.88 * 342342 Married Filing joint 236.88 236.88 236.88 236.88 236.88 236.88 236.88 236.88 236.88 * 342342 Married Filling Separate 224.78 230.62 235.50 235.50 235.50 235.50 235.50 235.50 235.50 235.50 * 342

343 Single 226.47 232.31 237.26 237.26 237.26 237.26 237.26 237.26 237.26 237.26 * 343343 Head of Household 231.10 236.94 237.57 237.57 237.57 237.57 237.57 237.57 237.57 237.57 * 343343 Married Filing joint 237.57 237.57 237.57 237.57 237.57 237.57 237.57 237.57 237.57 * 343343 Married Filling Separate 225.38 231.22 236.18 236.18 236.18 236.18 236.18 236.18 236.18 236.18 * 343

344 Single 227.08 232.92 237.95 237.95 237.95 237.95 237.95 237.95 237.95 237.95 * 344344 Head of Household 231.72 237.56 238.26 238.26 238.26 238.26 238.26 238.26 238.26 238.26 * 344344 Married Filing joint 238.26 238.26 238.26 238.26 238.26 238.26 238.26 238.26 238.26 * 344344 Married Filling Separate 225.99 231.83 236.86 236.86 236.86 236.86 236.86 236.86 236.86 236.86 * 344

Page 63: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

345 Single 227.69 233.53 238.64 238.64 238.64 238.64 238.64 238.64 238.64 238.64 * 345345 Head of Household 232.34 238.18 238.96 238.96 238.96 238.96 238.96 238.96 238.96 238.96 * 345345 Married Filing joint 238.96 238.96 238.96 238.96 238.96 238.96 238.96 238.96 238.96 * 345345 Married Filling Separate 226.59 232.44 237.54 237.54 237.54 237.54 237.54 237.54 237.54 237.54 * 345

346 Single 228.30 234.14 239.32 239.32 239.32 239.32 239.32 239.32 239.32 239.32 * 346346 Head of Household 232.95 238.79 239.65 239.65 239.65 239.65 239.65 239.65 239.65 239.65 * 346346 Married Filing joint 239.65 239.65 239.65 239.65 239.65 239.65 239.65 239.65 239.65 * 346346 Married Filling Separate 227.20 233.04 238.22 238.22 238.22 238.22 238.22 238.22 238.22 238.22 * 346

347 Single 228.91 234.75 240.01 240.01 240.01 240.01 240.01 240.01 240.01 240.01 * 347347 Head of Household 233.57 239.41 240.34 240.34 240.34 240.34 240.34 240.34 240.34 240.34 * 347347 Married Filing joint 240.34 240.34 240.34 240.34 240.34 240.34 240.34 240.34 240.34 * 347347 Married Filling Separate 227.67 233.52 238.77 238.77 238.77 238.77 238.77 238.77 238.77 238.77 * 347

348 Single 229.53 235.37 240.70 240.70 240.70 240.70 240.70 240.70 240.70 240.70 * 348348 Head of Household 234.19 240.03 241.03 241.03 241.03 241.03 241.03 241.03 241.03 241.03 * 348348 Married Filing joint 241.03 241.03 241.03 241.03 241.03 241.03 241.03 241.03 241.03 * 348348 Married Filling Separate 228.28 234.12 239.45 239.45 239.45 239.45 239.45 239.45 239.45 239.45 * 348

349 Single 230.14 235.98 241.39 241.39 241.39 241.39 241.39 241.39 241.39 241.39 * 349349 Head of Household 234.81 240.65 241.73 241.73 241.73 241.73 241.73 241.73 241.73 241.73 * 349349 Married Filing joint 241.73 241.73 241.73 241.73 241.73 241.73 241.73 241.73 241.73 * 349349 Married Filling Separate 228.88 234.72 240.13 240.13 240.13 240.13 240.13 240.13 240.13 240.13 * 349

350 Single 230.75 236.59 242.07 242.07 242.07 242.07 242.07 242.07 242.07 242.07 * 350350 Head of Household 235.42 241.26 242.42 242.42 242.42 242.42 242.42 242.42 242.42 242.42 * 350350 Married Filing joint 242.42 242.42 242.42 242.42 242.42 242.42 242.42 242.42 242.42 * 350350 Married Filling Separate 229.49 235.33 240.81 240.81 240.81 240.81 240.81 240.81 240.81 240.81 * 350

351 Single 231.36 237.20 242.76 242.76 242.76 242.76 242.76 242.76 242.76 242.76 * 351351 Head of Household 236.04 241.88 243.11 243.11 243.11 243.11 243.11 243.11 243.11 243.11 * 351351 Married Filing joint 243.11 243.11 243.11 243.11 243.11 243.11 243.11 243.11 243.11 * 351351 Married Filling Separate 230.09 235.93 241.49 241.49 241.49 241.49 241.49 241.49 241.49 241.49 * 351

352 Single 231.97 237.81 243.45 243.45 243.45 243.45 243.45 243.45 243.45 243.45 * 352352 Head of Household 236.66 242.50 243.80 243.80 243.80 243.80 243.80 243.80 243.80 243.80 * 352352 Married Filing joint 243.80 243.80 243.80 243.80 243.80 243.80 243.80 243.80 243.80 * 352352 Married Filling Separate 230.69 236.54 242.17 242.17 242.17 242.17 242.17 242.17 242.17 242.17 * 352

Page 64: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

353 Single 232.59 238.43 244.13 244.13 244.13 244.13 244.13 244.13 244.13 244.13 * 353353 Head of Household 237.28 243.12 244.50 244.50 244.50 244.50 244.50 244.50 244.50 244.50 * 353353 Married Filing joint 244.50 244.50 244.50 244.50 244.50 244.50 244.50 244.50 244.50 * 353353 Married Filling Separate 231.30 237.14 242.85 242.85 242.85 242.85 242.85 242.85 242.85 242.85 * 353

354 Single 233.20 239.04 244.82 244.82 244.82 244.82 244.82 244.82 244.82 244.82 * 354354 Head of Household 237.89 243.74 245.19 245.19 245.19 245.19 245.19 245.19 245.19 245.19 * 354354 Married Filing joint 245.19 245.19 245.19 245.19 245.19 245.19 245.19 245.19 245.19 * 354354 Married Filling Separate 231.90 237.74 243.53 243.53 243.53 243.53 243.53 243.53 243.53 243.53 * 354

355 Single 233.81 239.65 245.49 245.51 245.51 245.51 245.51 245.51 245.51 245.51 * 355355 Head of Household 238.51 244.35 245.88 245.88 245.88 245.88 245.88 245.88 245.88 245.88 * 355355 Married Filing joint 245.88 245.88 245.88 245.88 245.88 245.88 245.88 245.88 245.88 * 355355 Married Filling Separate 232.51 238.35 244.19 244.20 244.20 244.20 244.20 244.20 244.20 244.20 * 355

356 Single 234.42 240.26 246.10 246.19 246.19 246.19 246.19 246.19 246.19 246.19 * 356356 Head of Household 239.13 244.97 246.57 246.57 246.57 246.57 246.57 246.57 246.57 246.57 * 356356 Married Filing joint 246.57 246.57 246.57 246.57 246.57 246.57 246.57 246.57 246.57 * 356356 Married Filling Separate 232.97 238.81 244.65 244.74 244.74 244.74 244.74 244.74 244.74 244.74 * 356

357 Single 235.03 240.87 246.72 246.88 246.88 246.88 246.88 246.88 246.88 246.88 * 357357 Head of Household 239.75 245.59 247.27 247.27 247.27 247.27 247.27 247.27 247.27 247.27 * 357357 Married Filing joint 247.27 247.27 247.27 247.27 247.27 247.27 247.27 247.27 247.27 * 357357 Married Filling Separate 233.57 239.41 245.26 245.42 245.42 245.42 245.42 245.42 245.42 245.42 * 357

358 Single 235.65 241.49 247.33 247.57 247.57 247.57 247.57 247.57 247.57 247.57 * 358358 Head of Household 240.36 246.21 247.96 247.96 247.96 247.96 247.96 247.96 247.96 247.96 * 358358 Married Filing joint 247.96 247.96 247.96 247.96 247.96 247.96 247.96 247.96 247.96 * 358358 Married Filling Separate 234.18 240.02 245.86 246.10 246.10 246.10 246.10 246.10 246.10 246.10 * 358

359 Single 236.26 242.10 247.94 248.26 248.26 248.26 248.26 248.26 248.26 248.26 * 359359 Head of Household 240.98 246.82 248.65 248.65 248.65 248.65 248.65 248.65 248.65 248.65 * 359359 Married Filing joint 248.65 248.65 248.65 248.65 248.65 248.65 248.65 248.65 248.65 * 359359 Married Filling Separate 234.78 240.62 246.46 246.78 246.78 246.78 246.78 246.78 246.78 246.78 * 359

360 Single 236.87 242.71 248.55 248.94 248.94 248.94 248.94 248.94 248.94 248.94 * 360360 Head of Household 241.60 247.44 249.35 249.35 249.35 249.35 249.35 249.35 249.35 249.35 * 360360 Married Filing joint 249.35 249.35 249.35 249.35 249.35 249.35 249.35 249.35 249.35 * 360360 Married Filling Separate 235.38 241.22 247.06 247.46 247.46 247.46 247.46 247.46 247.46 247.46 * 360

Page 65: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

361 Single 237.48 243.32 249.16 249.63 249.63 249.63 249.63 249.63 249.63 249.63 * 361361 Head of Household 242.22 248.06 250.04 250.04 250.04 250.04 250.04 250.04 250.04 250.04 * 361361 Married Filing joint 250.04 250.04 250.04 250.04 250.04 250.04 250.04 250.04 250.04 * 361361 Married Filling Separate 235.99 241.83 247.67 248.13 248.13 248.13 248.13 248.13 248.13 248.13 * 361

362 Single 238.01 243.85 249.69 250.23 250.23 250.23 250.23 250.23 250.23 250.23 * 362362 Head of Household 242.84 248.68 250.73 250.73 250.73 250.73 250.73 250.73 250.73 250.73 * 362362 Married Filing joint 250.73 250.73 250.73 250.73 250.73 250.73 250.73 250.73 250.73 * 362362 Married Filling Separate 236.59 242.43 248.27 248.81 248.81 248.81 248.81 248.81 248.81 248.81 * 362

363 Single 238.62 244.46 250.30 250.92 250.92 250.92 250.92 250.92 250.92 250.92 * 363363 Head of Household 243.45 249.29 251.42 251.42 251.42 251.42 251.42 251.42 251.42 251.42 * 363363 Married Filing joint 251.42 251.42 251.42 251.42 251.42 251.42 251.42 251.42 251.42 * 363363 Married Filling Separate 237.19 243.03 248.87 249.49 249.49 249.49 249.49 249.49 249.49 249.49 * 363

364 Single 239.23 245.07 250.91 251.61 251.61 251.61 251.61 251.61 251.61 251.61 * 364364 Head of Household 244.07 249.91 252.12 252.12 252.12 252.12 252.12 252.12 252.12 252.12 * 364364 Married Filing joint 252.12 252.12 252.12 252.12 252.12 252.12 252.12 252.12 252.12 * 364364 Married Filling Separate 237.79 243.64 249.48 250.17 250.17 250.17 250.17 250.17 250.17 250.17 * 364

365 Single 239.84 245.68 251.53 252.29 252.29 252.29 252.29 252.29 252.29 252.29 * 365365 Head of Household 244.69 250.53 252.81 252.81 252.81 252.81 252.81 252.81 252.81 252.81 * 365365 Married Filing joint 252.81 252.81 252.81 252.81 252.81 252.81 252.81 252.81 252.81 * 365365 Married Filling Separate 238.40 244.24 250.08 250.85 250.85 250.85 250.85 250.85 250.85 250.85 * 365

366 Single 240.45 246.30 252.14 252.98 252.98 252.98 252.98 252.98 252.98 252.98 * 366366 Head of Household 245.30 251.14 253.50 253.50 253.50 253.50 253.50 253.50 253.50 253.50 * 366366 Married Filing joint 253.50 253.50 253.50 253.50 253.50 253.50 253.50 253.50 253.50 * 366366 Married Filling Separate 239.00 244.84 250.68 251.52 251.52 251.52 251.52 251.52 251.52 251.52 * 366

367 Single 241.07 246.91 252.75 253.66 253.66 253.66 253.66 253.66 253.66 253.66 * 367367 Head of Household 245.91 251.76 254.18 254.18 254.18 254.18 254.18 254.18 254.18 254.18 * 367367 Married Filing joint 254.19 254.19 254.19 254.19 254.19 254.19 254.19 254.19 254.19 * 367367 Married Filling Separate 239.60 245.44 251.29 252.20 252.20 252.20 252.20 252.20 252.20 252.20 * 367

368 Single 241.68 247.52 253.36 254.35 254.35 254.35 254.35 254.35 254.35 254.35 * 368368 Head of Household 246.53 252.37 254.87 254.87 254.87 254.87 254.87 254.87 254.87 254.87 * 368368 Married Filing joint 254.89 254.89 254.89 254.89 254.89 254.89 254.89 254.89 254.89 * 368368 Married Filling Separate 240.21 246.05 251.89 252.88 252.88 252.88 252.88 252.88 252.88 252.88 * 368

Page 66: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

369 Single 242.29 248.13 253.97 255.03 255.03 255.03 255.03 255.03 255.03 255.03 * 369369 Head of Household 247.14 252.98 255.56 255.56 255.56 255.56 255.56 255.56 255.56 255.56 * 369369 Married Filing joint 255.58 255.58 255.58 255.58 255.58 255.58 255.58 255.58 255.58 * 369369 Married Filling Separate 240.81 246.65 252.49 253.56 253.56 253.56 253.56 253.56 253.56 253.56 * 369

370 Single 242.90 248.74 254.58 255.72 255.72 255.72 255.72 255.72 255.72 255.72 * 370370 Head of Household 247.75 253.59 256.25 256.25 256.25 256.25 256.25 256.25 256.25 256.25 * 370370 Married Filing joint 256.27 256.27 256.27 256.27 256.27 256.27 256.27 256.27 256.27 * 370370 Married Filling Separate 241.41 247.25 253.09 254.24 254.24 254.24 254.24 254.24 254.24 254.24 * 370

371 Single 243.51 249.35 255.19 256.41 256.41 256.41 256.41 256.41 256.41 256.41 * 371371 Head of Household 248.36 254.20 256.93 256.93 256.93 256.93 256.93 256.93 256.93 256.93 * 371371 Married Filing joint 256.96 256.96 256.96 256.96 256.96 256.96 256.96 256.96 256.96 * 371371 Married Filling Separate 242.02 247.86 253.70 254.91 254.91 254.91 254.91 254.91 254.91 254.91 * 371

372 Single 244.03 249.87 255.71 257.00 257.00 257.00 257.00 257.00 257.00 257.00 * 372372 Head of Household 248.97 254.82 257.62 257.62 257.62 257.62 257.62 257.62 257.62 257.62 * 372372 Married Filing joint 257.66 257.66 257.66 257.66 257.66 257.66 257.66 257.66 257.66 * 372372 Married Filling Separate 242.62 248.46 254.30 255.59 255.59 255.59 255.59 255.59 255.59 255.59 * 372

373 Single 244.64 250.48 256.32 257.68 257.68 257.68 257.68 257.68 257.68 257.68 * 373373 Head of Household 249.59 255.43 258.31 258.31 258.31 258.31 258.31 258.31 258.31 258.31 * 373373 Married Filing joint 258.35 258.35 258.35 258.35 258.35 258.35 258.35 258.35 258.35 * 373373 Married Filling Separate 243.22 249.06 254.90 256.27 256.27 256.27 256.27 256.27 256.27 256.27 * 373

374 Single 245.25 251.09 256.93 258.37 258.37 258.37 258.37 258.37 258.37 258.37 * 374374 Head of Household 250.20 256.04 258.99 258.99 258.99 258.99 258.99 258.99 258.99 258.99 * 374374 Married Filing joint 259.04 259.04 259.04 259.04 259.04 259.04 259.04 259.04 259.04 374374 Married Filling Separate 243.82 249.67 255.51 256.95 256.95 256.95 256.95 256.95 256.95 256.95 * 374

375 Single 245.86 251.70 257.54 259.05 259.05 259.05 259.05 259.05 259.05 259.05 * 375375 Head of Household 250.81 256.65 259.68 259.68 259.68 259.68 259.68 259.68 259.68 259.68 * 375375 Married Filing joint 259.73 259.73 259.73 259.73 259.73 259.73 259.73 259.73 259.73 375375 Married Filling Separate 244.43 250.27 256.11 257.63 257.63 257.63 257.63 257.63 257.63 257.63 * 375

376 Single 246.46 252.31 258.15 259.74 259.74 259.74 259.74 259.74 259.74 259.74 * 376376 Head of Household 251.42 257.26 260.37 260.37 260.37 260.37 260.37 260.37 260.37 260.37 * 376376 Married Filing joint 260.43 260.43 260.43 260.43 260.43 260.43 260.43 260.43 260.43 376376 Married Filling Separate 245.03 250.87 256.71 258.30 258.30 258.30 258.30 258.30 258.30 258.30 * 376

Page 67: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

377 Single 247.07 252.92 258.76 260.42 260.42 260.42 260.42 260.42 260.42 260.42 * 377377 Head of Household 252.03 257.88 261.05 261.05 261.05 261.05 261.05 261.05 261.05 261.05 * 377377 Married Filing joint 261.12 261.12 261.12 261.12 261.12 261.12 261.12 261.12 261.12 377377 Married Filling Separate 245.63 251.47 257.32 258.98 258.98 258.98 258.98 258.98 258.98 258.98 * 377

378 Single 247.66 253.53 259.37 261.11 261.11 261.11 261.11 261.11 261.11 261.11 * 378378 Head of Household 252.65 258.49 261.74 261.74 261.74 261.74 261.74 261.74 261.74 261.74 * 378378 Married Filing joint 261.81 261.81 261.81 261.81 261.81 261.81 261.81 261.81 261.81 378378 Married Filling Separate 246.21 252.08 257.92 259.66 259.66 259.66 259.66 259.66 259.66 259.66 * 378

379 Single 248.23 254.14 259.98 261.79 261.79 261.79 261.79 261.79 261.79 261.79 * 379379 Head of Household 253.26 259.10 262.43 262.43 262.43 262.43 262.43 262.43 262.43 262.43 * 379379 Married Filing joint 262.50 262.50 262.50 262.50 262.50 262.50 262.50 262.50 262.50 379379 Married Filling Separate 246.78 252.68 258.52 260.34 260.34 260.34 260.34 260.34 260.34 260.34 * 379

380 Single 248.81 254.74 260.59 262.48 262.48 262.48 262.48 262.48 262.48 262.48 * 380380 Head of Household 253.87 259.71 263.12 263.12 263.12 263.12 263.12 263.12 263.12 263.12 * 380380 Married Filing joint 263.20 263.20 263.20 263.20 263.20 263.20 263.20 263.20 263.20 380380 Married Filling Separate 247.34 253.28 259.12 261.02 261.02 261.02 261.02 261.02 261.02 261.02 * 380

381 Single 249.27 255.25 261.09 263.06 263.06 263.06 263.06 263.06 263.06 263.06 * 381381 Head of Household 254.48 260.32 263.80 263.80 263.80 263.80 263.80 263.80 263.80 263.80 * 381381 Married Filing joint 263.89 263.89 263.89 263.89 263.89 263.89 263.89 263.89 263.89 381381 Married Filling Separate 247.91 253.89 259.73 261.69 261.69 261.69 261.69 261.69 261.69 261.69 * 381

382 Single 249.85 255.86 261.70 263.74 263.74 263.74 263.74 263.74 263.74 263.74 * 382382 Head of Household 255.09 260.94 264.49 264.49 264.49 264.49 264.49 264.49 264.49 264.49 * 382382 Married Filing joint 264.58 264.58 264.58 264.58 264.58 264.58 264.58 264.58 264.58 382382 Married Filling Separate 248.48 254.49 260.33 262.37 262.37 262.37 262.37 262.37 262.37 262.37 * 382

383 Single 250.42 256.47 262.31 264.42 264.42 264.42 264.42 264.42 264.42 264.42 * 383383 Head of Household 255.71 261.55 265.18 265.18 265.18 265.18 265.18 265.18 265.18 265.18 * 383383 Married Filing joint 265.28 265.28 265.28 265.28 265.28 265.28 265.28 265.28 265.28 383383 Married Filling Separate 249.04 255.09 260.93 263.05 263.05 263.05 263.05 263.05 263.05 263.05 * 383

384 Single 250.99 257.08 262.92 265.11 265.11 265.11 265.11 265.11 265.11 265.11 * 384384 Head of Household 256.32 262.16 265.86 265.86 265.86 265.86 265.86 265.86 265.86 265.86 * 384384 Married Filing joint 265.97 265.97 265.97 265.97 265.97 265.97 265.97 265.97 265.97 384384 Married Filling Separate 249.61 255.70 261.54 263.73 263.73 263.73 263.73 263.73 263.73 263.73 * 384

Page 68: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

385 Single 251.56 257.69 263.53 265.79 265.79 265.79 265.79 265.79 265.79 265.79 * 385385 Head of Household 256.93 262.77 266.55 266.55 266.55 266.55 266.55 266.55 266.55 266.55 * 385385 Married Filing joint 266.66 266.66 266.66 266.66 266.66 266.66 266.66 266.66 266.66 385385 Married Filling Separate 250.00 256.12 261.97 264.23 264.23 264.23 264.23 264.23 264.23 264.23 * 385

386 Single 252.13 258.29 264.13 266.48 266.48 266.48 266.48 266.48 266.48 266.48 * 386386 Head of Household 257.54 263.38 267.24 267.24 267.24 267.24 267.24 267.24 267.24 267.24 * 386386 Married Filing joint 267.35 267.35 267.35 267.35 267.35 267.35 267.35 267.35 267.35 386386 Married Filling Separate 250.56 256.73 262.57 264.91 264.91 264.91 264.91 264.91 264.91 264.91 * 386

387 Single 252.70 258.90 264.74 267.16 267.16 267.16 267.16 267.16 267.16 267.16 * 387387 Head of Household 258.15 264.00 267.92 267.92 267.92 267.92 267.92 267.92 267.92 267.92 * 387387 Married Filing joint 268.05 268.05 268.05 268.05 268.05 268.05 268.05 268.05 268.05 387387 Married Filling Separate 251.13 257.33 263.17 265.59 265.59 265.59 265.59 265.59 265.59 265.59 * 387

388 Single 253.27 259.51 265.35 267.84 267.84 267.84 267.84 267.84 267.84 267.84 * 388388 Head of Household 258.77 264.61 268.61 268.61 268.61 268.61 268.61 268.61 268.61 268.61 388388 Married Filing joint 268.74 268.74 268.74 268.74 268.74 268.74 268.74 268.74 268.74 388388 Married Filling Separate 251.69 257.93 263.77 266.26 266.26 266.26 266.26 266.26 266.26 266.26 * 388

389 Single 253.84 260.12 265.96 268.53 268.53 268.53 268.53 268.53 268.53 268.53 * 389389 Head of Household 259.38 265.22 269.30 269.30 269.30 269.30 269.30 269.30 269.30 269.30 389389 Married Filing joint 269.43 269.43 269.43 269.43 269.43 269.43 269.43 269.43 269.43 389389 Married Filling Separate 252.26 258.53 264.37 266.94 266.94 266.94 266.94 266.94 266.94 266.94 * 389

390 Single 254.41 260.73 266.57 269.21 269.21 269.21 269.21 269.21 269.21 269.21 * 390390 Head of Household 259.99 265.83 269.99 269.99 269.99 269.99 269.99 269.99 269.99 269.99 390390 Married Filing joint 270.12 270.12 270.12 270.12 270.12 270.12 270.12 270.12 270.12 390390 Married Filling Separate 252.82 259.13 264.98 267.62 267.62 267.62 267.62 267.62 267.62 267.62 * 390

391 Single 254.87 261.22 267.06 269.78 269.78 269.78 269.78 269.78 269.78 269.78 * 391391 Head of Household 260.60 266.44 270.67 270.67 270.67 270.67 270.67 270.67 270.67 270.67 391391 Married Filing joint 270.82 270.82 270.82 270.82 270.82 270.82 270.82 270.82 270.82 391391 Married Filling Separate 253.39 259.74 265.58 268.29 268.29 268.29 268.29 268.29 268.29 268.29 * 391

392 Single 255.44 261.83 267.67 270.46 270.46 270.46 270.46 270.46 270.46 270.46 * 392392 Head of Household 261.21 267.06 271.36 271.36 271.36 271.36 271.36 271.36 271.36 271.36 392392 Married Filing joint 271.51 271.51 271.51 271.51 271.51 271.51 271.51 271.51 271.51 392392 Married Filling Separate 253.95 260.34 266.18 268.97 268.97 268.97 268.97 268.97 268.97 268.97 * 392

Page 69: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

393 Single 256.01 262.44 268.28 271.14 271.14 271.14 271.14 271.14 271.14 271.14 * 393393 Head of Household 261.83 267.67 272.05 272.05 272.05 272.05 272.05 272.05 272.05 272.05 393393 Married Filing joint 272.20 272.20 272.20 272.20 272.20 272.20 272.20 272.20 272.20 393393 Married Filling Separate 254.51 260.94 266.78 269.65 269.65 269.65 269.65 269.65 269.65 269.65 * 393

394 Single 256.58 263.04 268.88 271.83 271.83 271.83 271.83 271.83 271.83 271.83 * 394394 Head of Household 262.44 268.28 272.73 272.73 272.73 272.73 272.73 272.73 272.73 272.73 394394 Married Filing joint 272.89 272.89 272.89 272.89 272.89 272.89 272.89 272.89 272.89 394394 Married Filling Separate 255.08 261.54 267.38 270.32 270.32 270.32 270.32 270.32 270.32 270.32 * 394

395 Single 257.15 263.65 269.49 272.51 272.51 272.51 272.51 272.51 272.51 272.51 * 395395 Head of Household 263.05 268.89 273.42 273.42 273.42 273.42 273.42 273.42 273.42 273.42 395395 Married Filing joint 273.59 273.59 273.59 273.59 273.59 273.59 273.59 273.59 273.59 395395 Married Filling Separate 255.46 261.96 267.80 270.82 270.82 270.82 270.82 270.82 270.82 270.82 * 395

396 Single 257.72 264.26 270.10 273.19 273.19 273.19 273.19 273.19 273.19 273.19 * 396396 Head of Household 263.66 269.50 274.11 274.11 274.11 274.11 274.11 274.11 274.11 274.11 396396 Married Filing joint 274.28 274.28 274.28 274.28 274.28 274.28 274.28 274.28 274.28 396396 Married Filling Separate 256.02 262.56 268.40 271.49 271.49 271.49 271.49 271.49 271.49 271.49 * 396

397 Single 258.29 264.87 270.71 273.87 273.87 273.87 273.87 273.87 273.87 273.87 * 397397 Head of Household 264.27 270.12 274.79 274.79 274.79 274.79 274.79 274.79 274.79 274.79 397397 Married Filing joint 274.97 274.97 274.97 274.97 274.97 274.97 274.97 274.97 274.97 397397 Married Filling Separate 256.58 263.16 269.00 272.17 272.17 272.17 272.17 272.17 272.17 272.17 * 397

398 Single 258.86 265.47 271.31 274.56 274.56 274.56 274.56 274.56 274.56 274.56 398398 Head of Household 264.89 270.73 275.48 275.48 275.48 275.48 275.48 275.48 275.48 275.48 398398 Married Filing joint 275.66 275.66 275.66 275.66 275.66 275.66 275.66 275.66 275.66 398398 Married Filling Separate 257.15 263.76 269.60 272.84 272.84 272.84 272.84 272.84 272.84 272.84 * 398

399 Single 259.43 266.08 271.92 275.24 275.24 275.24 275.24 275.24 275.24 275.24 399399 Head of Household 265.50 271.34 276.17 276.17 276.17 276.17 276.17 276.17 276.17 276.17 399399 Married Filing joint 276.29 276.36 276.36 276.36 276.36 276.36 276.36 276.36 276.36 399399 Married Filling Separate 257.71 264.36 270.20 273.52 273.52 273.52 273.52 273.52 273.52 273.52 * 399

400 Single 260.00 266.69 272.53 275.92 275.92 275.92 275.92 275.92 275.92 275.92 400400 Head of Household 266.11 271.95 276.86 276.86 276.86 276.86 276.86 276.86 276.86 276.86 400400 Married Filing joint 276.91 277.05 277.05 277.05 277.05 277.05 277.05 277.05 277.05 400400 Married Filling Separate 258.27 264.96 270.80 274.19 274.19 274.19 274.19 274.19 274.19 274.19 * 400

Page 70: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

401 Single 260.44 267.17 273.01 276.48 276.48 276.48 276.48 276.48 276.48 276.48 401401 Head of Household 266.72 272.56 277.54 277.54 277.54 277.54 277.54 277.54 277.54 277.54 401401 Married Filing joint 277.52 277.74 277.74 277.74 277.74 277.74 277.74 277.74 277.74 401401 Married Filling Separate 258.84 265.56 271.40 274.87 274.87 274.87 274.87 274.87 274.87 274.87 401

402 Single 261.01 267.78 273.62 277.16 277.16 277.16 277.16 277.16 277.16 277.16 402402 Head of Household 267.33 273.18 278.23 278.23 278.23 278.23 278.23 278.23 278.23 278.23 402402 Married Filing joint 278.14 278.44 278.44 278.44 278.44 278.44 278.44 278.44 278.44 402402 Married Filling Separate 259.40 266.16 272.00 275.55 275.55 275.55 275.55 275.55 275.55 275.55 402

403 Single 261.58 268.38 274.22 277.84 277.84 277.84 277.84 277.84 277.84 277.84 403403 Head of Household 267.95 273.79 278.92 278.92 278.92 278.92 278.92 278.92 278.92 278.92 403403 Married Filing joint 278.76 279.13 279.13 279.13 279.13 279.13 279.13 279.13 279.13 403403 Married Filling Separate 259.96 266.76 272.61 276.22 276.22 276.22 276.22 276.22 276.22 276.22 403

404 Single 262.15 268.99 274.83 278.52 278.52 278.52 278.52 278.52 278.52 278.52 404404 Head of Household 268.56 274.40 279.60 279.60 279.60 279.60 279.60 279.60 279.60 279.60 404404 Married Filing joint 279.38 279.82 279.82 279.82 279.82 279.82 279.82 279.82 279.82 404404 Married Filling Separate 260.33 267.17 273.01 276.70 276.70 276.70 276.70 276.70 276.70 276.70 404

405 Single 262.72 269.60 275.44 279.20 279.20 279.20 279.20 279.20 279.20 279.20 405405 Head of Household 269.17 275.01 280.29 280.29 280.29 280.29 280.29 280.29 280.29 280.29 405405 Married Filing joint 279.99 280.51 280.51 280.51 280.51 280.51 280.51 280.51 280.51 405405 Married Filling Separate 260.89 267.77 273.61 277.38 277.38 277.38 277.38 277.38 277.38 277.38 405

406 Single 263.29 270.20 276.04 279.88 279.88 279.88 279.88 279.88 279.88 279.88 406406 Head of Household 269.78 275.62 280.98 280.98 280.98 280.98 280.98 280.98 280.98 280.98 406406 Married Filing joint 280.61 281.21 281.21 281.21 281.21 281.21 281.21 281.21 281.21 406406 Married Filling Separate 261.46 268.37 274.21 278.05 278.05 278.05 278.05 278.05 278.05 278.05 406

407 Single 263.86 270.81 276.65 280.56 280.56 280.56 280.56 280.56 280.56 280.56 407407 Head of Household 270.39 276.24 281.66 281.66 281.66 281.66 281.66 281.66 281.66 281.66 407407 Married Filing joint 281.23 281.90 281.90 281.90 281.90 281.90 281.90 281.90 281.90 407407 Married Filling Separate 262.02 268.97 274.81 278.73 278.73 278.73 278.73 278.73 278.73 278.73 407

408 Single 264.43 271.41 277.26 281.25 281.25 281.25 281.25 281.25 281.25 281.25 408408 Head of Household 271.01 276.85 282.35 282.35 282.35 282.35 282.35 282.35 282.35 282.35 408408 Married Filing joint 281.85 282.59 282.59 282.59 282.59 282.59 282.59 282.59 282.59 408408 Married Filling Separate 262.58 269.57 275.41 279.40 279.40 279.40 279.40 279.40 279.40 279.40 408

Page 71: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

409 Single 264.99 272.02 277.86 281.93 281.93 281.93 281.93 281.93 281.93 281.93 409409 Head of Household 271.62 277.46 283.04 283.04 283.04 283.04 283.04 283.04 283.04 283.04 409409 Married Filing joint 282.46 283.28 283.28 283.28 283.28 283.28 283.28 283.28 283.28 409409 Married Filling Separate 263.14 270.17 276.01 280.08 280.08 280.08 280.08 280.08 280.08 280.08 409

410 Single 265.43 272.49 278.33 282.47 282.47 282.47 282.47 282.47 282.47 282.47 410410 Head of Household 272.23 278.07 283.73 283.73 283.73 283.73 283.73 283.73 283.73 283.73 410410 Married Filing joint 283.08 283.98 283.98 283.98 283.98 283.98 283.98 283.98 283.98 410410 Married Filling Separate 263.70 270.77 276.61 280.75 280.75 280.75 280.75 280.75 280.75 280.75 410

411 Single 265.99 273.10 278.94 283.15 283.15 283.15 283.15 283.15 283.15 283.15 411411 Head of Household 272.84 278.68 284.41 284.41 284.41 284.41 284.41 284.41 284.41 284.41 411411 Married Filing joint 283.70 284.67 284.67 284.67 284.67 284.67 284.67 284.67 284.67 411411 Married Filling Separate 264.27 271.37 277.21 281.42 281.42 281.42 281.42 281.42 281.42 281.42 411

412 Single 266.56 273.70 279.54 283.83 283.83 283.83 283.83 283.83 283.83 283.83 412412 Head of Household 273.45 279.30 285.10 285.10 285.10 285.10 285.10 285.10 285.10 285.10 412412 Married Filing joint 284.32 285.36 285.36 285.36 285.36 285.36 285.36 285.36 285.36 412412 Married Filling Separate 264.83 271.97 277.81 282.10 282.10 282.10 282.10 282.10 282.10 282.10 412

413 Single 267.13 274.31 280.15 284.51 284.51 284.51 284.51 284.51 284.51 284.51 413413 Head of Household 274.07 279.91 285.75 285.79 285.79 285.79 285.79 285.79 285.79 285.79 413413 Married Filing joint 284.93 286.05 286.05 286.05 286.05 286.05 286.05 286.05 286.05 413413 Married Filling Separate 265.39 272.57 278.41 282.77 282.77 282.77 282.77 282.77 282.77 282.77 413

414 Single 267.70 274.91 280.75 285.19 285.19 285.19 285.19 285.19 285.19 285.19 414414 Head of Household 274.68 280.52 286.36 286.47 286.47 286.47 286.47 286.47 286.47 286.47 414414 Married Filing joint 285.55 286.75 286.75 286.75 286.75 286.75 286.75 286.75 286.75 414414 Married Filling Separate 265.75 272.96 278.80 283.24 283.24 283.24 283.24 283.24 283.24 283.24 414

415 Single 268.27 275.52 281.36 285.87 285.87 285.87 285.87 285.87 285.87 285.87 415415 Head of Household 275.29 281.13 286.97 287.16 287.16 287.16 287.16 287.16 287.16 287.16 415415 Married Filing joint 286.17 287.44 287.44 287.44 287.44 287.44 287.44 287.44 287.44 415415 Married Filling Separate 266.31 273.56 279.40 283.92 283.92 283.92 283.92 283.92 283.92 283.92 415

416 Single 268.83 276.12 281.96 286.55 286.55 286.55 286.55 286.55 286.55 286.55 416416 Head of Household 275.90 281.74 287.58 287.85 287.85 287.85 287.85 287.85 287.85 287.85 416416 Married Filing joint 286.79 288.13 288.13 288.13 288.13 288.13 288.13 288.13 288.13 416416 Married Filling Separate 266.87 274.16 280.00 284.59 284.59 284.59 284.59 284.59 284.59 284.59 416

Page 72: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

417 Single 269.40 276.73 282.57 287.23 287.23 287.23 287.23 287.23 287.23 287.23 417417 Head of Household 276.51 282.36 288.20 288.53 288.53 288.53 288.53 288.53 288.53 288.53 417417 Married Filing joint 287.40 288.82 288.82 288.82 288.82 288.82 288.82 288.82 288.82 417417 Married Filling Separate 267.43 274.76 280.60 285.26 285.26 285.26 285.26 285.26 285.26 285.26 417

418 Single 269.97 277.33 283.17 287.91 287.91 287.91 287.91 287.91 287.91 287.91 418418 Head of Household 277.13 282.97 288.81 289.22 289.22 289.22 289.22 289.22 289.22 289.22 418418 Married Filing joint 288.02 289.52 289.52 289.52 289.52 289.52 289.52 289.52 289.52 418418 Married Filling Separate 267.99 275.35 281.20 285.94 285.94 285.94 285.94 285.94 285.94 285.94 418

419 Single 270.54 277.94 283.78 288.59 288.59 288.59 288.59 288.59 288.59 288.59 419419 Head of Household 277.74 283.58 289.42 289.91 289.91 289.91 289.91 289.91 289.91 289.91 419419 Married Filing joint 288.64 290.21 290.21 290.21 290.21 290.21 290.21 290.21 290.21 419419 Married Filling Separate 268.55 275.95 281.79 286.61 286.61 286.61 286.61 286.61 286.61 286.61 419

420 Single 270.96 278.39 284.24 289.13 289.13 289.13 289.13 289.13 289.13 289.13 420420 Head of Household 278.35 284.19 290.03 290.60 290.60 290.60 290.60 290.60 290.60 290.60 420420 Married Filing joint 289.26 290.90 290.90 290.90 290.90 290.90 290.90 290.90 290.90 420420 Married Filling Separate 269.11 276.55 282.39 287.28 287.28 287.28 287.28 287.28 287.28 287.28 420

421 Single 271.52 279.00 284.84 289.81 289.81 289.81 289.81 289.81 289.81 289.81 421421 Head of Household 278.96 284.80 290.64 291.28 291.28 291.28 291.28 291.28 291.28 291.28 421421 Married Filing joint 289.88 291.60 291.60 291.60 291.60 291.60 291.60 291.60 291.60 421421 Married Filling Separate 269.67 277.15 282.99 287.96 287.96 287.96 287.96 287.96 287.96 287.96 421

422 Single 272.09 279.60 285.44 290.48 290.48 290.48 290.48 290.48 290.48 290.48 422422 Head of Household 279.57 285.42 291.26 291.97 291.97 291.97 291.97 291.97 291.97 291.97 422422 Married Filing joint 290.49 292.29 292.29 292.29 292.29 292.29 292.29 292.29 292.29 422422 Married Filling Separate 270.24 277.75 283.59 288.63 288.63 288.63 288.63 288.63 288.63 288.63 422

423 Single 272.66 280.21 286.05 291.16 291.16 291.16 291.16 291.16 291.16 291.16 423423 Head of Household 280.19 286.03 291.87 292.66 292.66 292.66 292.66 292.66 292.66 292.66 423423 Married Filing joint 291.11 292.98 292.98 292.98 292.98 292.98 292.98 292.98 292.98 423423 Married Filling Separate 270.80 278.35 284.19 289.30 289.30 289.30 289.30 289.30 289.30 289.30 423

424 Single 273.22 280.81 286.65 291.84 291.84 291.84 291.84 291.84 291.84 291.84 424424 Head of Household 280.80 286.64 292.48 293.34 293.34 293.34 293.34 293.34 293.34 293.34 424424 Married Filing joint 291.73 293.67 293.67 293.67 293.67 293.67 293.67 293.67 293.67 424424 Married Filling Separate 271.35 278.93 284.77 289.97 289.97 289.97 289.97 289.97 289.97 289.97 424

Page 73: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

425 Single 273.79 281.42 287.26 292.52 292.52 292.52 292.52 292.52 292.52 292.52 425425 Head of Household 281.41 287.25 293.09 294.03 294.03 294.03 294.03 294.03 294.03 294.03 425425 Married Filing joint 292.35 294.37 294.37 294.37 294.37 294.37 294.37 294.37 294.37 425425 Married Filling Separate 271.89 279.52 285.36 290.63 290.63 290.63 290.63 290.63 290.63 290.63 425

426 Single 274.36 282.02 287.86 293.20 293.20 293.20 293.20 293.20 293.20 293.20 426426 Head of Household 282.02 287.86 293.70 294.72 294.72 294.72 294.72 294.72 294.72 294.72 426426 Married Filing joint 292.96 295.06 295.06 295.06 295.06 295.06 295.06 295.06 295.06 426426 Married Filling Separate 272.44 280.11 285.95 291.29 291.29 291.29 291.29 291.29 291.29 291.29 426

427 Single 274.92 282.62 288.46 293.88 293.88 293.88 293.88 293.88 293.88 293.88 427427 Head of Household 282.63 288.48 294.32 295.40 295.40 295.40 295.40 295.40 295.40 295.40 427427 Married Filing joint 293.58 295.75 295.75 295.75 295.75 295.75 295.75 295.75 295.75 427427 Married Filling Separate 272.99 280.69 286.53 291.95 291.95 291.95 291.95 291.95 291.95 291.95 427

428 Single 275.49 283.23 289.07 294.56 294.56 294.56 294.56 294.56 294.56 294.56 428428 Head of Household 283.25 289.09 294.93 296.09 296.09 296.09 296.09 296.09 296.09 296.09 428428 Married Filing joint 294.20 296.44 296.44 296.44 296.44 296.44 296.44 296.44 296.44 428428 Married Filling Separate 273.54 281.28 287.12 292.61 292.61 292.61 292.61 292.61 292.61 292.61 428

429 Single 275.90 283.67 289.51 295.08 295.08 295.08 295.08 295.08 295.08 295.08 429429 Head of Household 283.86 289.70 295.54 296.78 296.78 296.78 296.78 296.78 296.78 296.78 429429 Married Filing joint 294.82 297.14 297.14 297.14 297.14 297.14 297.14 297.14 297.14 429429 Married Filling Separate 274.09 281.86 287.70 293.27 293.27 293.27 293.27 293.27 293.27 293.27 429

430 Single 276.46 284.28 290.12 295.76 295.76 295.76 295.76 295.76 295.76 295.76 430430 Head of Household 284.47 290.31 296.15 297.47 297.47 297.47 297.47 297.47 297.47 297.47 430430 Married Filing joint 295.43 297.83 297.83 297.83 297.83 297.83 297.83 297.83 297.83 430430 Married Filling Separate 274.63 282.45 288.29 293.93 293.93 293.93 293.93 293.93 293.93 293.93 430

431 Single 277.03 284.88 290.72 296.44 296.44 296.44 296.44 296.44 296.44 296.44 431431 Head of Household 285.08 290.92 296.76 298.15 298.15 298.15 298.15 298.15 298.15 298.15 431431 Married Filing joint 296.05 298.52 298.52 298.52 298.52 298.52 298.52 298.52 298.52 431431 Married Filling Separate 275.18 283.03 288.88 294.59 294.59 294.59 294.59 294.59 294.59 294.59 431

432 Single 277.59 285.48 291.32 297.11 297.11 297.11 297.11 297.11 297.11 297.11 432432 Head of Household 285.69 291.54 297.38 298.84 298.84 298.84 298.84 298.84 298.84 298.84 432432 Married Filing joint 296.67 299.21 299.21 299.21 299.21 299.21 299.21 299.21 299.21 432432 Married Filling Separate 275.73 283.62 289.46 295.25 295.25 295.25 295.25 295.25 295.25 295.25 432

Page 74: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

433 Single 278.16 286.09 291.93 297.77 297.79 297.79 297.79 297.79 297.79 297.79 433433 Head of Household 286.31 292.15 297.99 299.53 299.53 299.53 299.53 299.53 299.53 299.53 433433 Married Filing joint 297.29 299.91 299.91 299.91 299.91 299.91 299.91 299.91 299.91 433433 Married Filling Separate 276.28 284.21 290.05 295.89 295.91 295.91 295.91 295.91 295.91 295.91 433

434 Single 278.73 286.69 292.53 298.37 298.47 298.47 298.47 298.47 298.47 298.47 434434 Head of Household 286.92 292.76 298.60 300.21 300.21 300.21 300.21 300.21 300.21 300.21 434434 Married Filing joint 297.90 300.60 300.60 300.60 300.60 300.60 300.60 300.60 300.60 434434 Married Filling Separate 276.83 284.79 290.63 296.47 296.57 296.57 296.57 296.57 296.57 296.57 434

435 Single 279.29 287.29 293.13 298.97 299.15 299.15 299.15 299.15 299.15 299.15 435435 Head of Household 287.53 293.37 299.21 300.90 300.90 300.90 300.90 300.90 300.90 300.90 435435 Married Filing joint 298.52 301.29 301.29 301.29 301.29 301.29 301.29 301.29 301.29 435435 Married Filling Separate 277.38 285.38 291.22 297.06 297.23 297.23 297.23 297.23 297.23 297.23 435

436 Single 279.86 287.89 293.74 299.58 299.83 299.83 299.83 299.83 299.83 299.83 436436 Head of Household 288.14 293.98 299.82 301.59 301.59 301.59 301.59 301.59 301.59 301.59 436436 Married Filing joint 299.14 301.98 301.98 301.98 301.98 301.98 301.98 301.98 301.98 436436 Married Filling Separate 277.92 285.96 291.80 297.64 297.89 297.89 297.89 297.89 297.89 297.89 436

437 Single 280.42 288.50 294.34 300.18 300.50 300.50 300.50 300.50 300.50 300.50 437437 Head of Household 288.75 294.60 300.44 302.27 302.27 302.27 302.27 302.27 302.27 302.27 437437 Married Filing joint 299.76 302.68 302.68 302.68 302.68 302.68 302.68 302.68 302.68 437437 Married Filling Separate 278.47 286.55 292.39 298.23 298.56 298.56 298.56 298.56 298.56 298.56 437

438 Single 280.99 289.10 294.94 300.78 301.18 301.18 301.18 301.18 301.18 301.18 438438 Head of Household 289.37 295.21 301.05 302.96 302.96 302.96 302.96 302.96 302.96 302.96 438438 Married Filing joint 300.38 303.37 303.37 303.37 303.37 303.37 303.37 303.37 303.37 438438 Married Filling Separate 279.02 287.13 292.98 298.82 299.22 299.22 299.22 299.22 299.22 299.22 438

439 Single 281.55 289.70 295.54 301.39 301.86 301.86 301.86 301.86 301.86 301.86 439439 Head of Household 289.98 295.82 301.66 303.65 303.65 303.65 303.65 303.65 303.65 303.65 439439 Married Filing joint 300.99 304.06 304.06 304.06 304.06 304.06 304.06 304.06 304.06 439439 Married Filling Separate 279.57 287.72 293.56 299.40 299.88 299.88 299.88 299.88 299.88 299.88 439

440 Single 282.12 290.31 296.15 301.99 302.54 302.54 302.54 302.54 302.54 302.54 440440 Head of Household 290.59 296.43 302.27 304.34 304.34 304.34 304.34 304.34 304.34 304.34 440440 Married Filing joint 301.61 304.76 304.76 304.76 304.76 304.76 304.76 304.76 304.76 440440 Married Filling Separate 280.12 288.31 294.15 299.99 300.54 300.54 300.54 300.54 300.54 300.54 440

Page 75: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

441 Single 282.68 290.91 296.75 302.59 303.22 303.22 303.22 303.22 303.22 303.22 441441 Head of Household 291.20 297.04 302.88 305.02 305.02 305.02 305.02 305.02 305.02 305.02 441441 Married Filing joint 302.23 305.45 305.45 305.45 305.45 305.45 305.45 305.45 305.45 441441 Married Filling Separate 280.67 288.89 294.73 300.57 301.20 301.20 301.20 301.20 301.20 301.20 441

442 Single 283.25 291.51 297.35 303.19 303.89 303.89 303.89 303.89 303.89 303.89 442442 Head of Household 291.81 297.66 303.50 305.71 305.71 305.71 305.71 305.71 305.71 305.71 442442 Married Filing joint 302.85 306.14 306.14 306.14 306.14 306.14 306.14 306.14 306.14 442442 Married Filling Separate 281.21 289.48 295.32 301.16 301.86 301.86 301.86 301.86 301.86 301.86 442

443 Single 283.81 292.12 297.96 303.80 304.57 304.57 304.57 304.57 304.57 304.57 443443 Head of Household 292.43 298.27 304.11 306.40 306.40 306.40 306.40 306.40 306.40 306.40 443443 Married Filing joint 303.46 306.83 306.83 306.83 306.83 306.83 306.83 306.83 306.83 443443 Married Filling Separate 281.76 290.06 295.90 301.75 302.52 302.52 302.52 302.52 302.52 302.52 443

444 Single 284.38 292.72 298.56 304.40 305.25 305.25 305.25 305.25 305.25 305.25 444444 Head of Household 293.04 298.88 304.72 307.08 307.08 307.08 307.08 307.08 307.08 307.08 444444 Married Filing joint 304.08 307.53 307.53 307.53 307.53 307.53 307.53 307.53 307.53 444444 Married Filling Separate 282.31 290.65 296.49 302.33 303.18 303.18 303.18 303.18 303.18 303.18 444

445 Single 284.95 293.32 299.16 305.00 305.93 305.93 305.93 305.93 305.93 305.93 445445 Head of Household 293.65 299.49 305.33 307.77 307.77 307.77 307.77 307.77 307.77 307.77 445445 Married Filing joint 304.70 308.22 308.22 308.22 308.22 308.22 308.22 308.22 308.22 445445 Married Filling Separate 282.86 291.23 297.08 302.92 303.84 303.84 303.84 303.84 303.84 303.84 445

446 Single 285.51 293.92 299.77 305.61 306.61 306.61 306.61 306.61 306.61 306.61 446446 Head of Household 294.26 300.10 305.94 308.46 308.46 308.46 308.46 308.46 308.46 308.46 446446 Married Filing joint 305.32 308.91 308.91 308.91 308.91 308.91 308.91 308.91 308.91 446446 Married Filling Separate 283.41 291.82 297.66 303.50 304.50 304.50 304.50 304.50 304.50 304.50 446

447 Single 286.08 294.53 300.37 306.21 307.28 307.28 307.28 307.28 307.28 307.28 447447 Head of Household 294.87 300.72 306.56 309.14 309.14 309.14 309.14 309.14 309.14 309.14 447447 Married Filing joint 305.93 309.60 309.60 309.60 309.60 309.60 309.60 309.60 309.60 447447 Married Filling Separate 283.96 292.41 298.25 304.09 305.16 305.16 305.16 305.16 305.16 305.16 447

448 Single 286.64 295.13 300.97 306.81 307.96 307.96 307.96 307.96 307.96 307.96 448448 Head of Household 295.49 301.33 307.17 309.83 309.83 309.83 309.83 309.83 309.83 309.83 448448 Married Filing joint 306.55 310.30 310.30 310.30 310.30 310.30 310.30 310.30 310.30 448448 Married Filling Separate 284.50 292.99 298.83 304.67 305.82 305.82 305.82 305.82 305.82 305.82 448

Page 76: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

449 Single 287.21 295.73 301.57 307.42 308.64 308.64 308.64 308.64 308.64 308.64 449449 Head of Household 296.10 301.94 307.78 310.52 310.52 310.52 310.52 310.52 310.52 310.52 449449 Married Filing joint 307.17 310.99 310.99 310.99 310.99 310.99 310.99 310.99 310.99 449449 Married Filling Separate 285.05 293.58 299.42 305.26 306.48 306.48 306.48 306.48 306.48 306.48 449

450 Single 287.77 296.34 302.18 308.02 309.32 309.32 309.32 309.32 309.32 309.32 450450 Head of Household 296.71 302.55 308.39 311.21 311.21 311.21 311.21 311.21 311.21 311.21 450450 Married Filing joint 307.79 311.68 311.68 311.68 311.68 311.68 311.68 311.68 311.68 450450 Married Filling Separate 285.60 294.16 300.00 305.85 307.15 307.15 307.15 307.15 307.15 307.15 450

451 Single 288.34 296.94 302.78 308.62 310.00 310.00 310.00 310.00 310.00 310.00 451451 Head of Household 297.32 303.16 309.00 311.89 311.89 311.89 311.89 311.89 311.89 311.89 451451 Married Filing joint 308.40 312.37 312.37 312.37 312.37 312.37 312.37 312.37 312.37 451451 Married Filling Separate 286.15 294.75 300.59 306.43 307.81 307.81 307.81 307.81 307.81 307.81 451

452 Single 288.90 297.54 303.38 309.22 310.67 310.67 310.67 310.67 310.67 310.67 452452 Head of Household 297.93 303.78 309.62 312.58 312.58 312.58 312.58 312.58 312.58 312.58 452452 Married Filing joint 309.02 313.07 313.07 313.07 313.07 313.07 313.07 313.07 313.07 452452 Married Filling Separate 286.70 295.33 301.18 307.02 308.47 308.47 308.47 308.47 308.47 308.47 452

453 Single 289.47 298.15 303.99 309.83 311.35 311.35 311.35 311.35 311.35 311.35 453453 Head of Household 298.55 304.39 310.23 313.27 313.27 313.27 313.27 313.27 313.27 313.27 453453 Married Filing joint 309.64 313.76 313.76 313.76 313.76 313.76 313.76 313.76 313.76 453453 Married Filling Separate 287.24 295.92 301.76 307.60 309.13 309.13 309.13 309.13 309.13 309.13 453

454 Single 290.04 298.75 304.59 310.43 312.03 312.03 312.03 312.03 312.03 312.03 454454 Head of Household 299.16 305.00 310.84 313.95 313.95 313.95 313.95 313.95 313.95 313.95 454454 Married Filing joint 310.26 314.45 314.45 314.45 314.45 314.45 314.45 314.45 314.45 454454 Married Filling Separate 287.79 296.51 302.35 308.19 309.79 309.79 309.79 309.79 309.79 309.79 454

455 Single 290.60 299.35 305.19 311.03 312.71 312.71 312.71 312.71 312.71 312.71 455455 Head of Household 299.77 305.61 311.45 314.64 314.64 314.64 314.64 314.64 314.64 314.64 455455 Married Filing joint 310.87 315.14 315.14 315.14 315.14 315.14 315.14 315.14 315.14 455455 Married Filling Separate 288.34 297.09 302.93 308.77 310.45 310.45 310.45 310.45 310.45 310.45 455

456 Single 291.17 299.93 305.80 311.64 313.39 313.39 313.39 313.39 313.39 313.39 456456 Head of Household 300.38 306.22 312.06 315.33 315.33 315.33 315.33 315.33 315.33 315.33 456456 Married Filing joint 311.49 315.84 315.84 315.84 315.84 315.84 315.84 315.84 315.84 456456 Married Filling Separate 288.89 297.65 303.52 309.36 311.11 311.11 311.11 311.11 311.11 311.11 456

Page 77: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

457 Single 291.73 300.49 306.40 312.24 314.06 314.06 314.06 314.06 314.06 314.06 457457 Head of Household 300.99 306.84 312.68 316.01 316.01 316.01 316.01 316.01 316.01 316.01 457457 Married Filing joint 312.11 316.53 316.53 316.53 316.53 316.53 316.53 316.53 316.53 457457 Married Filling Separate 289.44 298.20 304.10 309.95 311.77 311.77 311.77 311.77 311.77 311.77 457

458 Single 292.30 301.06 307.00 312.84 314.74 314.74 314.74 314.74 314.74 314.74 458458 Head of Household 301.61 307.45 313.29 316.70 316.70 316.70 316.70 316.70 316.70 316.70 458458 Married Filing joint 312.73 317.22 317.22 317.22 317.22 317.22 317.22 317.22 317.22 458458 Married Filling Separate 289.99 298.75 304.69 310.53 312.43 312.43 312.43 312.43 312.43 312.43 458

459 Single 292.86 301.62 307.60 313.45 315.42 315.42 315.42 315.42 315.42 315.42 459459 Head of Household 302.22 308.06 313.90 317.39 317.39 317.39 317.39 317.39 317.39 317.39 459459 Married Filing joint 313.35 317.91 317.91 317.91 317.91 317.91 317.91 317.91 317.91 459459 Married Filling Separate 290.53 299.30 305.28 311.12 313.09 313.09 313.09 313.09 313.09 313.09 459

460 Single 293.43 302.19 308.21 314.05 316.10 316.10 316.10 316.10 316.10 316.10 460460 Head of Household 302.83 308.67 314.51 318.08 318.08 318.08 318.08 318.08 318.08 318.08 460460 Married Filing joint 313.96 318.61 318.61 318.61 318.61 318.61 318.61 318.61 318.61 460460 Married Filling Separate 291.08 299.84 305.86 311.70 313.75 313.75 313.75 313.75 313.75 313.75 460

461 Single 293.99 302.76 308.81 314.65 316.78 316.78 316.78 316.78 316.78 316.78 461461 Head of Household 303.44 309.28 315.12 318.76 318.76 318.76 318.76 318.76 318.76 318.76 461461 Married Filing joint 314.58 319.30 319.30 319.30 319.30 319.30 319.30 319.30 319.30 461461 Married Filling Separate 291.63 300.39 306.45 312.29 314.41 314.41 314.41 314.41 314.41 314.41 461

462 Single 294.56 303.32 309.41 315.25 317.45 317.45 317.45 317.45 317.45 317.45 462462 Head of Household 303.95 309.79 315.63 319.34 319.34 319.34 319.34 319.34 319.34 319.34 462462 Married Filing joint 315.20 319.99 319.99 319.99 319.99 319.99 319.99 319.99 319.99 462462 Married Filling Separate 291.57 300.33 306.42 312.26 314.46 314.46 314.46 314.46 314.46 314.46 462

463 Single 295.12 303.89 310.02 315.86 318.13 318.13 318.13 318.13 318.13 318.13 463463 Head of Household 304.56 310.40 316.24 320.03 320.03 320.03 320.03 320.03 320.03 320.03 463463 Married Filing joint 315.81 320.68 320.68 320.68 320.68 320.68 320.68 320.68 320.68 463463 Married Filling Separate 292.11 300.88 307.01 312.85 315.12 315.12 315.12 315.12 315.12 315.12 463

464 Single 295.69 304.45 310.62 316.46 318.81 318.81 318.81 318.81 318.81 318.81 464464 Head of Household 305.17 311.01 316.85 320.71 320.71 320.71 320.71 320.71 320.71 320.71 464464 Married Filing joint 316.42 321.36 321.36 321.36 321.36 321.36 321.36 321.36 321.36 464464 Married Filling Separate 292.66 301.42 307.59 313.43 315.78 315.78 315.78 315.78 315.78 315.78 464

Page 78: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

465 Single 296.26 305.02 311.22 317.06 319.49 319.49 319.49 319.49 319.49 319.49 465465 Head of Household 305.78 311.62 317.46 321.40 321.40 321.40 321.40 321.40 321.40 321.40 465465 Married Filing joint 317.03 322.05 322.05 322.05 322.05 322.05 322.05 322.05 322.05 465465 Married Filling Separate 293.21 301.97 308.18 314.02 316.44 316.44 316.44 316.44 316.44 316.44 465

466 Single 296.82 305.58 311.83 317.67 320.17 320.17 320.17 320.17 320.17 320.17 466466 Head of Household 306.39 312.23 318.07 322.08 322.08 322.08 322.08 322.08 322.08 322.08 466466 Married Filing joint 317.64 322.74 322.74 322.74 322.74 322.74 322.74 322.74 322.74 466466 Married Filling Separate 293.76 302.52 308.76 314.60 317.10 317.10 317.10 317.10 317.10 317.10 466

467 Single 297.39 306.15 312.43 318.27 320.84 320.84 320.84 320.84 320.84 320.84 467467 Head of Household 307.00 312.84 318.68 322.77 322.77 322.77 322.77 322.77 322.77 322.77 467467 Married Filing joint 318.26 323.43 323.43 323.43 323.43 323.43 323.43 323.43 323.43 467467 Married Filling Separate 294.31 303.07 309.35 315.19 317.77 317.77 317.77 317.77 317.77 317.77 467

468 Single 297.95 306.71 313.03 318.87 321.52 321.52 321.52 321.52 321.52 321.52 468468 Head of Household 307.61 313.45 319.29 323.46 323.46 323.46 323.46 323.46 323.46 323.46 468468 Married Filing joint 318.87 324.11 324.11 324.11 324.11 324.11 324.11 324.11 324.11 468468 Married Filling Separate 294.86 303.62 309.94 315.78 318.43 318.43 318.43 318.43 318.43 318.43 468

469 Single 298.52 307.28 313.63 319.48 322.20 322.20 322.20 322.20 322.20 322.20 469469 Head of Household 308.22 314.06 319.90 324.14 324.14 324.14 324.14 324.14 324.14 324.14 469469 Married Filing joint 319.48 324.80 324.80 324.80 324.80 324.80 324.80 324.80 324.80 469469 Married Filling Separate 295.40 304.17 310.52 316.36 319.09 319.09 319.09 319.09 319.09 319.09 469

470 Single 299.08 307.84 314.24 320.08 322.88 322.88 322.88 322.88 322.88 322.88 470470 Head of Household 308.83 314.67 320.51 324.83 324.83 324.83 324.83 324.83 324.83 324.83 470470 Married Filing joint 320.09 325.49 325.49 325.49 325.49 325.49 325.49 325.49 325.49 470470 Married Filling Separate 295.95 304.71 311.11 316.95 319.75 319.75 319.75 319.75 319.75 319.75 470

471 Single 299.65 308.41 314.84 320.68 323.56 323.56 323.56 323.56 323.56 323.56 471471 Head of Household 309.44 315.28 321.13 325.51 325.51 325.51 325.51 325.51 325.51 325.51 471471 Married Filing joint 320.70 326.17 326.17 326.17 326.17 326.17 326.17 326.17 326.17 471471 Married Filling Separate 296.50 305.26 311.69 317.53 320.41 320.41 320.41 320.41 320.41 320.41 471

472 Single 300.21 308.98 315.44 321.28 324.23 324.23 324.23 324.23 324.23 324.23 472472 Head of Household 309.93 315.78 321.62 326.08 326.08 326.08 326.08 326.08 326.08 326.08 472472 Married Filing joint 321.32 326.86 326.86 326.86 326.86 326.86 326.86 326.86 326.86 472472 Married Filling Separate 297.05 305.81 312.28 318.12 321.07 321.07 321.07 321.07 321.07 321.07 472

Page 79: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

473 Single 300.78 309.54 316.05 321.89 324.91 324.91 324.91 324.91 324.91 324.91 473473 Head of Household 310.54 316.38 322.23 326.76 326.76 326.76 326.76 326.76 326.76 326.76 473473 Married Filing joint 321.93 327.55 327.55 327.55 327.55 327.55 327.55 327.55 327.55 473473 Married Filling Separate 297.60 306.36 312.86 318.70 321.73 321.73 321.73 321.73 321.73 321.73 473

474 Single 301.35 310.11 316.65 322.49 325.59 325.59 325.59 325.59 325.59 325.59 474474 Head of Household 311.15 316.99 322.84 327.45 327.45 327.45 327.45 327.45 327.45 327.45 474474 Married Filing joint 322.54 328.23 328.23 328.23 328.23 328.23 328.23 328.23 328.23 474474 Married Filling Separate 298.15 306.91 313.45 319.29 322.39 322.39 322.39 322.39 322.39 322.39 474

475 Single 301.91 310.67 317.25 323.09 326.27 326.27 326.27 326.27 326.27 326.27 475475 Head of Household 311.76 317.60 323.45 328.13 328.13 328.13 328.13 328.13 328.13 328.13 475475 Married Filing joint 323.15 328.92 328.92 328.92 328.92 328.92 328.92 328.92 328.92 475475 Married Filling Separate 298.69 307.45 314.04 319.88 323.05 323.05 323.05 323.05 323.05 323.05 475

476 Single 302.48 311.24 317.86 323.70 326.95 326.95 326.95 326.95 326.95 326.95 476476 Head of Household 312.37 318.21 324.06 328.82 328.82 328.82 328.82 328.82 328.82 328.82 476476 Married Filing joint 323.76 329.60 329.61 329.61 329.61 329.61 329.61 329.61 329.61 476476 Married Filling Separate 299.24 308.00 314.62 320.46 323.71 323.71 323.71 323.71 323.71 323.71 476

477 Single 303.04 311.80 318.46 324.30 327.62 327.62 327.62 327.62 327.62 327.62 477477 Head of Household 312.98 318.82 324.66 329.50 329.50 329.50 329.50 329.50 329.50 329.50 477477 Married Filing joint 324.38 330.22 330.30 330.30 330.30 330.30 330.30 330.30 330.30 477477 Married Filling Separate 299.79 308.55 315.21 321.05 324.37 324.37 324.37 324.37 324.37 324.37 477

478 Single 303.61 312.37 319.06 324.90 328.30 328.30 328.30 328.30 328.30 328.30 478478 Head of Household 313.59 319.43 325.27 330.19 330.19 330.19 330.19 330.19 330.19 330.19 478478 Married Filing joint 324.99 330.83 330.98 330.98 330.98 330.98 330.98 330.98 330.98 478478 Married Filling Separate 300.34 309.10 315.79 321.63 325.03 325.03 325.03 325.03 325.03 325.03 478

479 Single 304.17 312.93 319.66 325.51 328.98 328.98 328.98 328.98 328.98 328.98 479479 Head of Household 314.20 320.04 325.88 330.87 330.87 330.87 330.87 330.87 330.87 330.87 479479 Married Filing joint 325.60 331.44 331.67 331.67 331.67 331.67 331.67 331.67 331.67 479479 Married Filling Separate 300.89 309.65 316.38 322.22 325.69 325.69 325.69 325.69 325.69 325.69 479

480 Single 304.74 313.50 320.27 326.11 329.66 329.66 329.66 329.66 329.66 329.66 480480 Head of Household 314.81 320.65 326.49 331.56 331.56 331.56 331.56 331.56 331.56 331.56 480480 Married Filing joint 326.21 332.05 332.36 332.36 332.36 332.36 332.36 332.36 332.36 480480 Married Filling Separate 301.43 310.20 316.96 322.81 326.35 326.35 326.35 326.35 326.35 326.35 480

Page 80: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

481 Single 305.08 313.85 320.65 326.49 330.12 330.12 330.12 330.12 330.12 330.12 481481 Head of Household 315.29 321.13 326.97 332.11 332.11 332.11 332.11 332.11 332.11 332.11 481481 Married Filing joint 326.82 332.66 333.04 333.04 333.04 333.04 333.04 333.04 333.04 481481 Married Filling Separate 301.29 310.05 316.86 322.70 326.32 326.32 326.32 326.32 326.32 326.32 481

482 Single 305.64 314.40 321.24 327.08 330.78 330.78 330.78 330.78 330.78 330.78 482482 Head of Household 315.90 321.74 327.58 332.80 332.80 332.80 332.80 332.80 332.80 332.80 482482 Married Filing joint 327.44 333.28 333.73 333.73 333.73 333.73 333.73 333.73 333.73 482482 Married Filling Separate 301.84 310.60 317.44 323.28 326.98 326.98 326.98 326.98 326.98 326.98 482

483 Single 306.19 314.95 321.83 327.68 331.45 331.45 331.45 331.45 331.45 331.45 483483 Head of Household 316.51 322.35 328.19 333.48 333.48 333.48 333.48 333.48 333.48 333.48 483483 Married Filing joint 328.05 333.89 334.42 334.42 334.42 334.42 334.42 334.42 334.42 483483 Married Filling Separate 302.39 311.15 318.03 323.87 327.64 327.64 327.64 327.64 327.64 327.64 483

484 Single 306.75 315.51 322.43 328.27 332.12 332.12 332.12 332.12 332.12 332.12 484484 Head of Household 317.12 322.96 328.80 334.16 334.16 334.16 334.16 334.16 334.16 334.16 484484 Married Filing joint 328.66 334.50 335.10 335.10 335.10 335.10 335.10 335.10 335.10 484484 Married Filling Separate 302.93 311.70 318.61 324.45 328.30 328.30 328.30 328.30 328.30 328.30 484

485 Single 307.30 316.06 323.02 328.86 332.78 332.78 332.78 332.78 332.78 332.78 485485 Head of Household 317.73 323.57 329.41 334.85 334.85 334.85 334.85 334.85 334.85 334.85 485485 Married Filing joint 329.27 335.11 335.79 335.79 335.79 335.79 335.79 335.79 335.79 485485 Married Filling Separate 303.48 312.24 319.20 325.04 328.96 328.96 328.96 328.96 328.96 328.96 485

486 Single 307.85 316.62 323.61 329.45 333.45 333.45 333.45 333.45 333.45 333.45 486486 Head of Household 318.33 324.18 330.02 335.53 335.53 335.53 335.53 335.53 335.53 335.53 486486 Married Filing joint 329.88 335.72 336.48 336.48 336.48 336.48 336.48 336.48 336.48 486486 Married Filling Separate 304.03 312.79 319.78 325.63 329.63 329.63 329.63 329.63 329.63 329.63 486

487 Single 308.41 317.17 324.20 330.04 334.12 334.12 334.12 334.12 334.12 334.12 487487 Head of Household 318.94 324.78 330.63 336.21 336.21 336.21 336.21 336.21 336.21 336.21 487487 Married Filing joint 330.50 336.34 337.17 337.17 337.17 337.17 337.17 337.17 337.17 487487 Married Filling Separate 304.58 313.34 320.37 326.21 330.29 330.29 330.29 330.29 330.29 330.29 487

488 Single 308.96 317.72 324.79 330.63 334.78 334.78 334.78 334.78 334.78 334.78 488488 Head of Household 319.55 325.39 331.23 336.90 336.90 336.90 336.90 336.90 336.90 336.90 488488 Married Filing joint 331.11 336.95 337.85 337.85 337.85 337.85 337.85 337.85 337.85 488488 Married Filling Separate 305.13 313.89 320.96 326.80 330.95 330.95 330.95 330.95 330.95 330.95 488

Page 81: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

489 Single 309.52 318.28 325.38 331.22 335.45 335.45 335.45 335.45 335.45 335.45 489489 Head of Household 320.16 326.00 331.84 337.58 337.58 337.58 337.58 337.58 337.58 337.58 489489 Married Filing joint 331.72 337.56 338.54 338.54 338.54 338.54 338.54 338.54 338.54 489489 Married Filling Separate 305.67 314.43 321.54 327.38 331.61 331.61 331.61 331.61 331.61 331.61 489

490 Single 310.07 318.83 325.97 331.82 336.12 336.12 336.12 336.12 336.12 336.12 490490 Head of Household 320.77 326.61 332.45 338.26 338.26 338.26 338.26 338.26 338.26 338.26 490490 Married Filing joint 332.33 338.17 339.23 339.23 339.23 339.23 339.23 339.23 339.23 490490 Married Filling Separate 306.22 314.98 322.13 327.97 332.27 332.27 332.27 332.27 332.27 332.27 490

491 Single 310.39 319.15 326.33 332.17 336.55 336.55 336.55 336.55 336.55 336.55 491491 Head of Household 321.24 327.08 332.92 338.76 338.81 338.81 338.81 338.81 338.81 338.81 491491 Married Filing joint 332.94 338.78 339.91 339.91 339.91 339.91 339.91 339.91 339.91 491491 Married Filling Separate 306.69 315.45 322.63 328.47 332.84 332.84 332.84 332.84 332.84 332.84 491

492 Single 310.94 319.70 326.92 332.76 337.21 337.21 337.21 337.21 337.21 337.21 492492 Head of Household 321.84 327.69 333.53 339.37 339.49 339.49 339.49 339.49 339.49 339.49 492492 Married Filing joint 333.56 339.40 340.60 340.60 340.60 340.60 340.60 340.60 340.60 492492 Married Filling Separate 307.23 316.00 323.21 329.05 333.50 333.50 333.50 333.50 333.50 333.50 492

493 Single 311.49 320.25 327.51 333.35 337.87 337.87 337.87 337.87 337.87 337.87 493493 Head of Household 322.45 328.29 334.13 339.97 340.17 340.17 340.17 340.17 340.17 340.17 493493 Married Filing joint 334.17 340.01 341.29 341.29 341.29 341.29 341.29 341.29 341.29 493493 Married Filling Separate 307.78 316.54 323.80 329.64 334.16 334.16 334.16 334.16 334.16 334.16 493

494 Single 312.04 320.81 328.10 333.94 338.54 338.54 338.54 338.54 338.54 338.54 494494 Head of Household 323.06 328.90 334.74 340.58 340.85 340.85 340.85 340.85 340.85 340.85 494494 Married Filing joint 334.78 340.62 341.97 341.97 341.97 341.97 341.97 341.97 341.97 494494 Married Filling Separate 308.33 317.09 324.38 330.22 334.82 334.82 334.82 334.82 334.82 334.82 494

495 Single 312.60 321.36 328.69 334.53 339.20 339.20 339.20 339.20 339.20 339.20 495495 Head of Household 323.67 329.51 335.35 341.19 341.54 341.54 341.54 341.54 341.54 341.54 495495 Married Filing joint 335.39 341.23 342.66 342.66 342.66 342.66 342.66 342.66 342.66 495495 Married Filling Separate 308.88 317.64 324.97 330.81 335.48 335.48 335.48 335.48 335.48 335.48 495

496 Single 313.15 321.91 329.28 335.12 339.87 339.87 339.87 339.87 339.87 339.87 496496 Head of Household 324.27 330.12 335.96 341.80 342.22 342.22 342.22 342.22 342.22 342.22 496496 Married Filing joint 336.00 341.84 343.35 343.35 343.35 343.35 343.35 343.35 343.35 496496 Married Filling Separate 309.42 318.19 325.55 331.39 336.14 336.14 336.14 336.14 336.14 336.14 496

Page 82: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

497 Single 313.70 322.46 329.87 335.71 340.53 340.53 340.53 340.53 340.53 340.53 497497 Head of Household 324.88 330.72 336.56 342.40 342.90 342.90 342.90 342.90 342.90 342.90 497497 Married Filing joint 336.62 342.46 344.04 344.04 344.04 344.04 344.04 344.04 344.04 497497 Married Filling Separate 309.97 318.73 326.14 331.98 336.80 336.80 336.80 336.80 336.80 336.80 497

498 Single 314.25 323.01 330.46 336.30 341.20 341.20 341.20 341.20 341.20 341.20 498498 Head of Household 325.49 331.33 337.17 343.01 343.58 343.58 343.58 343.58 343.58 343.58 498498 Married Filing joint 337.23 343.07 344.72 344.72 344.72 344.72 344.72 344.72 344.72 498498 Married Filling Separate 310.52 319.28 326.72 332.56 337.46 337.46 337.46 337.46 337.46 337.46 498

499 Single 314.80 323.57 331.05 336.89 341.86 341.86 341.86 341.86 341.86 341.86 499499 Head of Household 326.10 331.94 337.78 343.62 344.27 344.27 344.27 344.27 344.27 344.27 499499 Married Filing joint 337.84 343.68 345.41 345.41 345.41 345.41 345.41 345.41 345.41 499499 Married Filling Separate 311.07 319.83 327.31 333.15 338.12 338.12 338.12 338.12 338.12 338.12 499

500 Single 315.36 324.12 331.64 337.48 342.53 342.53 342.53 342.53 342.53 342.53 500500 Head of Household 326.70 332.55 338.39 344.23 344.95 344.95 344.95 344.95 344.95 344.95 500500 Married Filing joint 338.45 344.29 346.10 346.10 346.10 346.10 346.10 346.10 346.10 500500 Married Filling Separate 311.61 320.38 327.89 333.73 338.78 338.78 338.78 338.78 338.78 338.78 500

501 Single 315.65 324.42 331.97 337.81 342.94 342.94 342.94 342.94 342.94 342.94 501501 Head of Household 327.16 333.00 338.84 344.68 345.48 345.48 345.48 345.48 345.48 345.48 501501 Married Filing joint 339.06 344.90 346.78 346.78 346.78 346.78 346.78 346.78 346.78 501501 Married Filling Separate 311.44 320.20 327.76 333.60 338.72 338.72 338.72 338.72 338.72 338.72 501

502 Single 316.20 324.97 332.56 338.40 343.60 343.60 343.60 343.60 343.60 343.60 502502 Head of Household 327.77 333.61 339.45 345.29 346.16 346.16 346.16 346.16 346.16 346.16 502502 Married Filing joint 339.68 345.52 347.47 347.47 347.47 347.47 347.47 347.47 347.47 502502 Married Filling Separate 311.99 320.75 328.34 334.18 339.38 339.38 339.38 339.38 339.38 339.38 502

503 Single 316.75 325.52 333.15 338.99 344.26 344.26 344.26 344.26 344.26 344.26 503503 Head of Household 328.37 334.21 340.05 345.89 346.84 346.84 346.84 346.84 346.84 346.84 503503 Married Filing joint 340.29 346.13 348.16 348.16 348.16 348.16 348.16 348.16 348.16 503503 Married Filling Separate 312.53 321.30 328.93 334.77 340.04 340.04 340.04 340.04 340.04 340.04 503

504 Single 317.30 326.07 333.73 339.57 344.92 344.92 344.92 344.92 344.92 344.92 504504 Head of Household 328.98 334.82 340.66 346.50 347.52 347.52 347.52 347.52 347.52 347.52 504504 Married Filing joint 340.90 346.74 348.84 348.84 348.84 348.84 348.84 348.84 348.84 504504 Married Filling Separate 313.08 321.84 329.51 335.35 340.70 340.70 340.70 340.70 340.70 340.70 504

Page 83: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

505 Single 317.85 326.62 334.32 340.16 345.59 345.59 345.59 345.59 345.59 345.59 505505 Head of Household 329.58 335.43 341.27 347.11 348.20 348.20 348.20 348.20 348.20 348.20 505505 Married Filing joint 341.51 347.35 349.53 349.53 349.53 349.53 349.53 349.53 349.53 505505 Married Filling Separate 313.63 322.39 330.10 335.94 341.36 341.36 341.36 341.36 341.36 341.36 505

506 Single 318.40 327.17 334.91 340.75 346.25 346.25 346.25 346.25 346.25 346.25 506506 Head of Household 330.19 336.03 341.87 347.71 348.89 348.89 348.89 348.89 348.89 348.89 506506 Married Filing joint 342.12 347.96 350.22 350.22 350.22 350.22 350.22 350.22 350.22 506506 Married Filling Separate 314.18 322.94 330.68 336.52 342.02 342.02 342.02 342.02 342.02 342.02 506

507 Single 318.95 327.72 335.50 341.34 346.91 346.91 346.91 346.91 346.91 346.91 507507 Head of Household 330.80 336.64 342.48 348.32 349.57 349.57 349.57 349.57 349.57 349.57 507507 Married Filing joint 342.74 348.58 350.91 350.91 350.91 350.91 350.91 350.91 350.91 507507 Married Filling Separate 314.72 323.48 331.26 337.11 342.68 342.68 342.68 342.68 342.68 342.68 507

508 Single 319.50 328.27 336.08 341.93 347.58 347.58 347.58 347.58 347.58 347.58 508508 Head of Household 331.40 337.24 343.09 348.93 350.25 350.25 350.25 350.25 350.25 350.25 508508 Married Filing joint 343.35 349.19 351.59 351.59 351.59 351.59 351.59 351.59 351.59 508508 Married Filling Separate 315.27 324.03 331.85 337.69 343.34 343.34 343.34 343.34 343.34 343.34 508

509 Single 320.05 328.82 336.67 342.51 348.24 348.24 348.24 348.24 348.24 348.24 509509 Head of Household 332.01 337.85 343.69 349.53 350.93 350.93 350.93 350.93 350.93 350.93 509509 Married Filing joint 343.96 349.80 352.28 352.28 352.28 352.28 352.28 352.28 352.28 509509 Married Filling Separate 315.82 324.58 332.43 338.27 344.00 344.00 344.00 344.00 344.00 344.00 509

510 Single 320.33 329.10 336.99 342.83 348.63 348.63 348.63 348.63 348.63 348.63 510510 Head of Household 332.45 338.29 344.14 349.98 351.45 351.45 351.45 351.45 351.45 351.45 510510 Married Filing joint 344.57 350.41 352.97 352.97 352.97 352.97 352.97 352.97 352.97 510510 Married Filling Separate 316.27 325.03 332.92 338.76 344.56 344.56 344.56 344.56 344.56 344.56 510

511 Single 320.88 329.64 337.57 343.42 349.26 349.29 349.29 349.29 349.29 349.29 511511 Head of Household 333.06 338.90 344.74 350.58 352.13 352.13 352.13 352.13 352.13 352.13 511511 Married Filing joint 345.18 351.02 353.65 353.65 353.65 353.65 353.65 353.65 353.65 511511 Married Filling Separate 316.81 325.57 333.50 339.35 345.19 345.22 345.22 345.22 345.22 345.22 511

512 Single 321.43 330.19 338.16 344.00 349.84 349.95 349.95 349.95 349.95 349.95 512512 Head of Household 333.65 339.51 345.35 351.19 352.81 352.81 352.81 352.81 352.81 352.81 512512 Married Filing joint 345.80 351.64 354.34 354.34 354.34 354.34 354.34 354.34 354.34 512512 Married Filling Separate 317.36 326.12 334.09 339.93 345.77 345.88 345.88 345.88 345.88 345.88 512

Page 84: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

513 Single 321.98 330.74 338.75 344.59 350.43 350.61 350.61 350.61 350.61 350.61 513513 Head of Household 334.21 340.11 345.95 351.79 353.49 353.49 353.49 353.49 353.49 353.49 513513 Married Filing joint 346.41 352.25 355.03 355.03 355.03 355.03 355.03 355.03 355.03 513513 Married Filling Separate 317.91 326.67 334.67 340.51 346.36 346.54 346.54 346.54 346.54 346.54 513

514 Single 322.53 331.29 339.33 345.17 351.01 351.27 351.27 351.27 351.27 351.27 514514 Head of Household 334.78 340.72 346.56 352.40 354.17 354.17 354.17 354.17 354.17 354.17 514514 Married Filing joint 347.02 352.86 355.71 355.71 355.71 355.71 355.71 355.71 355.71 514514 Married Filling Separate 318.45 327.21 335.26 341.10 346.94 347.20 347.20 347.20 347.20 347.20 514

515 Single 323.08 331.84 339.92 345.76 351.60 351.93 351.93 351.93 351.93 351.93 515515 Head of Household 335.35 341.32 347.16 353.00 354.85 354.85 354.85 354.85 354.85 354.85 515515 Married Filing joint 347.63 353.47 356.40 356.40 356.40 356.40 356.40 356.40 356.40 515515 Married Filling Separate 319.00 327.76 335.84 341.68 347.52 347.86 347.86 347.86 347.86 347.86 515

516 Single 323.62 332.38 340.50 346.34 352.18 352.59 352.59 352.59 352.59 352.59 516516 Head of Household 335.92 341.93 347.77 353.61 355.53 355.53 355.53 355.53 355.53 355.53 516516 Married Filing joint 348.24 354.08 357.09 357.09 357.09 357.09 357.09 357.09 357.09 516516 Married Filling Separate 319.55 328.31 336.43 342.27 348.11 348.52 348.52 348.52 348.52 348.52 516

517 Single 324.17 332.93 341.09 346.93 352.77 353.25 353.25 353.25 353.25 353.25 517517 Head of Household 336.49 342.53 348.37 354.21 356.21 356.21 356.21 356.21 356.21 356.21 517517 Married Filing joint 348.86 354.70 357.78 357.78 357.78 357.78 357.78 357.78 357.78 517517 Married Filling Separate 320.09 328.85 337.01 342.85 348.69 349.18 349.18 349.18 349.18 349.18 517

518 Single 324.72 333.48 341.67 347.52 353.36 353.92 353.92 353.92 353.92 353.92 518518 Head of Household 337.05 343.14 348.98 354.82 356.89 356.89 356.89 356.89 356.89 356.89 518518 Married Filing joint 349.47 355.31 358.46 358.46 358.46 358.46 358.46 358.46 358.46 518518 Married Filling Separate 320.64 329.40 337.59 343.44 349.28 349.84 349.84 349.84 349.84 349.84 518

519 Single 325.27 334.03 342.26 348.10 353.94 354.58 354.58 354.58 354.58 354.58 519519 Head of Household 337.62 343.74 349.58 355.42 357.57 357.57 357.57 357.57 357.57 357.57 519519 Married Filing joint 350.08 355.92 359.15 359.15 359.15 359.15 359.15 359.15 359.15 519519 Married Filling Separate 321.19 329.95 338.18 344.02 349.86 350.49 350.49 350.49 350.49 350.49 519

520 Single 325.82 334.58 342.85 348.69 354.53 355.24 355.24 355.24 355.24 355.24 520520 Head of Household 338.02 344.17 350.01 355.86 358.08 358.08 358.08 358.08 358.08 358.08 520520 Married Filing joint 350.69 356.53 359.84 359.84 359.84 359.84 359.84 359.84 359.84 520520 Married Filling Separate 320.98 329.74 338.01 343.85 349.69 350.40 350.40 350.40 350.40 350.40 520

Page 85: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

521 Single 326.36 335.13 343.43 349.27 355.11 355.90 355.90 355.90 355.90 355.90 521521 Head of Household 338.58 344.78 350.62 356.46 358.76 358.76 358.76 358.76 358.76 358.76 521521 Married Filing joint 351.30 357.14 360.52 360.52 360.52 360.52 360.52 360.52 360.52 521521 Married Filling Separate 321.53 330.29 338.60 344.44 350.28 351.06 351.06 351.06 351.06 351.06 521

522 Single 326.91 335.67 344.02 349.86 355.70 356.56 356.56 356.56 356.56 356.56 522522 Head of Household 339.15 345.38 351.22 357.06 359.44 359.44 359.44 359.44 359.44 359.44 522522 Married Filing joint 351.92 357.76 361.21 361.21 361.21 361.21 361.21 361.21 361.21 522522 Married Filling Separate 322.08 330.84 339.18 345.02 350.86 351.72 351.72 351.72 351.72 351.72 522

523 Single 327.46 336.22 344.60 350.44 356.29 357.22 357.22 357.22 357.22 357.22 523523 Head of Household 339.72 345.99 351.83 357.67 360.12 360.12 360.12 360.12 360.12 360.12 523523 Married Filing joint 352.53 358.37 361.90 361.90 361.90 361.90 361.90 361.90 361.90 523523 Married Filling Separate 322.62 331.38 339.76 345.61 351.45 352.38 352.38 352.38 352.38 352.38 523

524 Single 328.01 336.77 345.19 351.03 356.87 357.88 357.88 357.88 357.88 357.88 524524 Head of Household 340.28 346.59 352.43 358.27 360.79 360.79 360.79 360.79 360.79 360.79 524524 Married Filing joint 353.14 358.98 362.58 362.58 362.58 362.58 362.58 362.58 362.58 524524 Married Filling Separate 323.17 331.93 340.35 346.19 352.03 353.04 353.04 353.04 353.04 353.04 524

525 Single 328.56 337.32 345.77 351.62 357.46 358.54 358.54 358.54 358.54 358.54 525525 Head of Household 340.85 347.19 353.04 358.88 361.47 361.47 361.47 361.47 361.47 361.47 525525 Married Filing joint 353.75 359.59 363.27 363.27 363.27 363.27 363.27 363.27 363.27 525525 Married Filling Separate 323.72 332.48 340.93 346.77 352.61 353.70 353.70 353.70 353.70 353.70 525

526 Single 329.11 337.87 346.36 352.20 358.04 359.20 359.20 359.20 359.20 359.20 526526 Head of Household 341.41 347.80 353.64 359.48 362.15 362.15 362.15 362.15 362.15 362.15 526526 Married Filing joint 354.36 360.20 363.96 363.96 363.96 363.96 363.96 363.96 363.96 526526 Married Filling Separate 324.26 333.02 341.52 347.36 353.20 354.36 354.36 354.36 354.36 354.36 526

527 Single 329.65 338.42 346.95 352.79 358.63 359.86 359.86 359.86 359.86 359.86 527527 Head of Household 341.98 348.40 354.24 360.08 362.83 362.83 362.83 362.83 362.83 362.83 527527 Married Filing joint 354.98 360.82 364.65 364.65 364.65 364.65 364.65 364.65 364.65 527527 Married Filling Separate 324.81 333.57 342.10 347.94 353.78 355.02 355.02 355.02 355.02 355.02 527

528 Single 330.20 338.96 347.53 353.37 359.21 360.52 360.52 360.52 360.52 360.52 528528 Head of Household 342.55 349.01 354.85 360.69 363.51 363.51 363.51 363.51 363.51 363.51 528528 Married Filing joint 355.59 361.43 365.33 365.33 365.33 365.33 365.33 365.33 365.33 528528 Married Filling Separate 325.35 334.12 342.68 348.52 354.37 355.67 355.67 355.67 355.67 355.67 528

Page 86: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

529 Single 330.75 339.51 348.12 353.96 359.80 361.18 361.18 361.18 361.18 361.18 529529 Head of Household 342.93 349.43 355.27 361.11 364.01 364.01 364.01 364.01 364.01 364.01 529529 Married Filing joint 356.20 362.04 366.02 366.02 366.02 366.02 366.02 366.02 366.02 529529 Married Filling Separate 325.90 334.66 343.27 349.11 354.95 356.33 356.33 356.33 356.33 356.33 529

530 Single 331.30 340.06 348.70 354.54 360.39 361.84 361.84 361.84 361.84 361.84 530530 Head of Household 343.50 350.03 355.87 361.71 364.68 364.68 364.68 364.68 364.68 364.68 530530 Married Filing joint 356.81 362.65 366.71 366.71 366.71 366.71 366.71 366.71 366.71 530530 Married Filling Separate 326.45 335.21 343.85 349.69 355.53 356.99 356.99 356.99 356.99 356.99 530

531 Single 331.85 340.61 349.29 355.13 360.97 362.50 362.50 362.50 362.50 362.50 531531 Head of Household 344.06 350.63 356.47 362.31 365.36 365.36 365.36 365.36 365.36 365.36 531531 Married Filing joint 357.42 363.26 367.39 367.39 367.39 367.39 367.39 367.39 367.39 531531 Married Filling Separate 326.99 335.75 344.44 350.28 356.12 357.65 357.65 357.65 357.65 357.65 531

532 Single 332.40 341.16 349.87 355.72 361.56 363.17 363.17 363.17 363.17 363.17 532532 Head of Household 344.63 351.24 357.08 362.92 366.04 366.04 366.04 366.04 366.04 366.04 532532 Married Filing joint 358.04 363.88 368.08 368.08 368.08 368.08 368.08 368.08 368.08 532532 Married Filling Separate 327.54 336.30 345.02 350.86 356.70 358.31 358.31 358.31 358.31 358.31 532

533 Single 332.94 341.71 350.46 356.30 362.14 363.83 363.83 363.83 363.83 363.83 533533 Head of Household 345.19 351.84 357.68 363.52 366.72 366.72 366.72 366.72 366.72 366.72 533533 Married Filing joint 358.65 364.49 368.77 368.77 368.77 368.77 368.77 368.77 368.77 533533 Married Filling Separate 328.09 336.85 345.60 351.44 357.29 358.97 358.97 358.97 358.97 358.97 533

534 Single 333.49 342.25 351.01 356.89 362.73 364.49 364.49 364.49 364.49 364.49 534534 Head of Household 345.76 352.44 358.28 364.12 367.40 367.40 367.40 367.40 367.40 367.40 534534 Married Filing joint 359.26 365.10 369.45 369.45 369.45 369.45 369.45 369.45 369.45 534534 Married Filling Separate 328.63 337.39 346.16 352.03 357.87 359.63 359.63 359.63 359.63 359.63 534

535 Single 334.04 342.80 351.56 357.47 363.31 365.15 365.15 365.15 365.15 365.15 535535 Head of Household 346.32 353.04 358.89 364.73 368.07 368.07 368.07 368.07 368.07 368.07 535535 Married Filing joint 359.87 365.71 370.14 370.14 370.14 370.14 370.14 370.14 370.14 535535 Married Filling Separate 329.18 337.94 346.70 352.61 358.45 360.29 360.29 360.29 360.29 360.29 535

536 Single 334.59 343.35 352.11 358.06 363.90 365.81 365.81 365.81 365.81 365.81 536536 Head of Household 346.89 353.65 359.49 365.33 368.75 368.75 368.75 368.75 368.75 368.75 536536 Married Filing joint 360.48 366.32 370.83 370.83 370.83 370.83 370.83 370.83 370.83 536536 Married Filling Separate 329.73 338.49 347.25 353.20 359.04 360.95 360.95 360.95 360.95 360.95 536

Page 87: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

537 Single 335.14 343.90 352.66 358.64 364.49 366.47 366.47 366.47 366.47 366.47 537537 Head of Household 347.45 354.25 360.09 365.93 369.43 369.43 369.43 369.43 369.43 369.43 537537 Married Filing joint 361.10 366.94 371.52 371.52 371.52 371.52 371.52 371.52 371.52 537537 Married Filling Separate 330.27 339.03 347.79 353.78 359.62 361.60 361.60 361.60 361.60 361.60 537

538 Single 335.68 344.45 353.21 359.23 365.07 367.13 367.13 367.13 367.13 367.13 538538 Head of Household 348.02 354.85 360.69 366.54 370.11 370.11 370.11 370.11 370.11 370.11 538538 Married Filing joint 361.71 367.55 372.20 372.20 372.20 372.20 372.20 372.20 372.20 538538 Married Filling Separate 330.82 339.58 348.34 354.36 360.20 362.26 362.26 362.26 362.26 362.26 538

539 Single 336.23 344.99 353.76 359.82 365.66 367.79 367.79 367.79 367.79 367.79 539539 Head of Household 348.59 355.46 361.30 367.14 370.79 370.79 370.79 370.79 370.79 370.79 539539 Married Filing joint 362.32 368.16 372.89 372.89 372.89 372.89 372.89 372.89 372.89 539539 Married Filling Separate 330.72 339.48 348.24 354.30 360.14 362.27 362.27 362.27 362.27 362.27 539

540 Single 336.78 345.54 354.30 360.40 366.24 368.45 368.45 368.45 368.45 368.45 540540 Head of Household 349.15 356.06 361.90 367.74 371.46 371.46 371.46 371.46 371.46 371.46 540540 Married Filing joint 362.93 368.77 373.58 373.58 373.58 373.58 373.58 373.58 373.58 540540 Married Filling Separate 331.26 340.02 348.78 354.88 360.72 362.93 362.93 362.93 362.93 362.93 540

541 Single 337.33 346.09 354.85 360.99 366.83 369.11 369.11 369.11 369.11 369.11 541541 Head of Household 349.72 356.66 362.50 368.34 372.14 372.14 372.14 372.14 372.14 372.14 541541 Married Filing joint 363.54 369.38 374.26 374.26 374.26 374.26 374.26 374.26 374.26 541541 Married Filling Separate 331.81 340.57 349.33 355.47 361.31 363.59 363.59 363.59 363.59 363.59 541

542 Single 337.88 346.64 355.40 361.57 367.41 369.77 369.77 369.77 369.77 369.77 542542 Head of Household 350.28 357.27 363.11 368.95 372.82 372.82 372.82 372.82 372.82 372.82 542542 Married Filing joint 364.16 370.00 374.95 374.95 374.95 374.95 374.95 374.95 374.95 542542 Married Filling Separate 332.35 341.12 349.88 356.05 361.89 364.25 364.25 364.25 364.25 364.25 542

543 Single 338.43 347.19 355.95 362.16 368.00 370.43 370.43 370.43 370.43 370.43 543543 Head of Household 350.85 357.87 363.71 369.55 373.50 373.50 373.50 373.50 373.50 373.50 543543 Married Filing joint 364.77 370.61 375.64 375.64 375.64 375.64 375.64 375.64 375.64 543543 Married Filling Separate 332.90 341.66 350.42 356.63 362.47 364.91 364.91 364.91 364.91 364.91 543

544 Single 338.97 347.74 356.50 362.74 368.59 371.09 371.09 371.09 371.09 371.09 544544 Head of Household 351.41 358.47 364.31 370.15 374.18 374.18 374.18 374.18 374.18 374.18 544544 Married Filing joint 365.38 371.22 376.32 376.32 376.32 376.32 376.32 376.32 376.32 544544 Married Filling Separate 333.45 342.21 350.97 357.22 363.06 365.57 365.57 365.57 365.57 365.57 544

Page 88: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

545 Single 339.52 348.28 357.05 363.33 369.17 371.76 371.76 371.76 371.76 371.76 545545 Head of Household 351.98 359.07 364.92 370.76 374.85 374.85 374.85 374.85 374.85 374.85 545545 Married Filing joint 365.99 371.83 377.01 377.01 377.01 377.01 377.01 377.01 377.01 545545 Married Filling Separate 333.99 342.76 351.52 357.80 363.64 366.23 366.23 366.23 366.23 366.23 545

546 Single 340.07 348.83 357.59 363.92 369.76 372.42 372.42 372.42 372.42 372.42 546546 Head of Household 352.54 359.68 365.52 371.36 375.53 375.53 375.53 375.53 375.53 375.53 546546 Married Filing joint 366.60 372.44 377.70 377.70 377.70 377.70 377.70 377.70 377.70 546546 Married Filling Separate 334.54 343.30 352.06 358.39 364.23 366.89 366.89 366.89 366.89 366.89 546

547 Single 340.62 349.38 358.14 364.50 370.34 373.08 373.08 373.08 373.08 373.08 547547 Head of Household 353.11 360.28 366.12 371.96 376.21 376.21 376.21 376.21 376.21 376.21 547547 Married Filing joint 367.22 373.06 378.39 378.39 378.39 378.39 378.39 378.39 378.39 547547 Married Filling Separate 335.09 343.85 352.61 358.97 364.81 367.54 367.54 367.54 367.54 367.54 547

548 Single 341.17 349.93 358.69 365.09 370.93 373.74 373.74 373.74 373.74 373.74 548548 Head of Household 353.68 360.88 366.72 372.57 376.89 376.89 376.89 376.89 376.89 376.89 548548 Married Filing joint 367.83 373.67 379.07 379.07 379.07 379.07 379.07 379.07 379.07 548548 Married Filling Separate 335.63 344.39 353.16 359.55 365.39 368.20 368.20 368.20 368.20 368.20 548

549 Single 341.72 350.48 359.24 365.67 371.51 374.40 374.40 374.40 374.40 374.40 549549 Head of Household 354.24 361.49 367.33 373.17 377.57 377.57 377.57 377.57 377.57 377.57 549549 Married Filing joint 368.44 374.28 379.76 379.76 379.76 379.76 379.76 379.76 379.76 549549 Married Filling Separate 336.18 344.94 353.70 360.14 365.98 368.86 368.86 368.86 368.86 368.86 549

550 Single 342.26 351.03 359.79 366.26 372.10 375.06 375.06 375.06 375.06 375.06 550550 Head of Household 354.81 362.09 367.93 373.77 378.24 378.24 378.24 378.24 378.24 378.24 550550 Married Filing joint 369.05 374.89 380.45 380.45 380.45 380.45 380.45 380.45 380.45 550550 Married Filling Separate 336.73 345.49 354.25 360.72 366.56 369.52 369.52 369.52 369.52 369.52 550

551 Single 342.81 351.57 360.34 366.85 372.69 375.72 375.72 375.72 375.72 375.72 551551 Head of Household 355.37 362.69 368.53 374.37 378.92 378.92 378.92 378.92 378.92 378.92 551551 Married Filing joint 369.66 375.50 381.13 381.13 381.13 381.13 381.13 381.13 381.13 551551 Married Filling Separate 337.27 346.03 354.79 361.30 367.15 370.18 370.18 370.18 370.18 370.18 551

552 Single 343.36 352.12 360.88 367.43 373.27 376.38 376.38 376.38 376.38 376.38 552552 Head of Household 355.94 363.30 369.14 374.98 379.60 379.60 379.60 379.60 379.60 379.60 552552 Married Filing joint 370.28 376.12 381.82 381.82 381.82 381.82 381.82 381.82 381.82 552552 Married Filling Separate 337.82 346.58 355.34 361.89 367.73 370.84 370.84 370.84 370.84 370.84 552

Page 89: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

553 Single 343.91 352.67 361.43 368.02 373.86 377.04 377.04 377.04 377.04 377.04 553553 Head of Household 356.50 363.90 369.74 375.58 380.28 380.28 380.28 380.28 380.28 380.28 553553 Married Filing joint 370.89 376.73 382.51 382.51 382.51 382.51 382.51 382.51 382.51 553553 Married Filling Separate 338.36 347.13 355.89 362.47 368.31 371.50 371.50 371.50 371.50 371.50 553

554 Single 344.46 353.22 361.98 368.60 374.44 377.70 377.70 377.70 377.70 377.70 554554 Head of Household 357.07 364.50 370.34 376.18 380.96 380.96 380.96 380.96 380.96 380.96 554554 Married Filing joint 371.50 377.34 383.18 383.19 383.19 383.19 383.19 383.19 383.19 554554 Married Filling Separate 338.91 347.67 356.43 363.06 368.90 372.16 372.16 372.16 372.16 372.16 554

555 Single 345.01 353.77 362.53 369.19 375.03 378.36 378.36 378.36 378.36 378.36 555555 Head of Household 357.63 365.10 370.95 376.79 381.63 381.63 381.63 381.63 381.63 381.63 555555 Married Filing joint 372.11 377.95 383.79 383.88 383.88 383.88 383.88 383.88 383.88 555555 Married Filling Separate 339.46 348.22 356.98 363.64 369.48 372.82 372.82 372.82 372.82 372.82 555

556 Single 345.55 354.31 363.08 369.77 375.61 379.02 379.02 379.02 379.02 379.02 556556 Head of Household 358.20 365.71 371.55 377.39 382.31 382.31 382.31 382.31 382.31 382.31 556556 Married Filing joint 372.72 378.56 384.41 384.57 384.57 384.57 384.57 384.57 384.57 556556 Married Filling Separate 340.00 348.77 357.53 364.22 370.07 373.47 373.47 373.47 373.47 373.47 556

557 Single 346.10 354.86 363.62 370.36 376.20 379.68 379.68 379.68 379.68 379.68 557557 Head of Household 358.76 366.31 372.15 377.99 382.99 382.99 382.99 382.99 382.99 382.99 557557 Married Filing joint 373.34 379.18 385.02 385.26 385.26 385.26 385.26 385.26 385.26 557557 Married Filling Separate 340.55 349.31 358.07 364.81 370.65 374.13 374.13 374.13 374.13 374.13 557

558 Single 346.65 355.41 364.17 370.95 376.79 380.35 380.35 380.35 380.35 380.35 558558 Head of Household 359.33 366.91 372.75 378.60 383.67 383.67 383.67 383.67 383.67 383.67 558558 Married Filing joint 373.95 379.79 385.63 385.94 385.94 385.94 385.94 385.94 385.94 558558 Married Filling Separate 340.45 349.21 357.97 364.74 370.58 374.14 374.14 374.14 374.14 374.14 558

559 Single 347.20 355.96 364.72 371.53 377.37 381.01 381.01 381.01 381.01 381.01 559559 Head of Household 359.90 367.52 373.36 379.20 384.35 384.35 384.35 384.35 384.35 384.35 559559 Married Filing joint 374.56 380.40 386.24 386.63 386.63 386.63 386.63 386.63 386.63 559559 Married Filling Separate 340.99 349.76 358.52 365.33 371.17 374.80 374.80 374.80 374.80 374.80 559

560 Single 347.75 356.51 365.27 372.12 377.96 381.67 381.67 381.67 381.67 381.67 560560 Head of Household 360.46 368.12 373.96 379.80 385.02 385.02 385.02 385.02 385.02 385.02 560560 Married Filing joint 375.17 381.01 386.85 387.32 387.32 387.32 387.32 387.32 387.32 560560 Married Filling Separate 341.54 350.30 359.06 365.91 371.75 375.46 375.46 375.46 375.46 375.46 560

Page 90: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

561 Single 348.29 357.06 365.82 372.70 378.54 382.33 382.33 382.33 382.33 382.33 561561 Head of Household 361.03 368.72 374.56 380.40 385.70 385.70 385.70 385.70 385.70 385.70 561561 Married Filing joint 375.78 381.62 387.47 388.00 388.00 388.00 388.00 388.00 388.00 561561 Married Filling Separate 342.09 350.85 359.61 366.49 372.34 376.12 376.12 376.12 376.12 376.12 561

562 Single 348.84 357.60 366.37 373.29 379.13 382.99 382.99 382.99 382.99 382.99 562562 Head of Household 361.59 369.33 375.17 381.01 386.38 386.38 386.38 386.38 386.38 386.38 562562 Married Filing joint 376.40 382.24 388.08 388.69 388.69 388.69 388.69 388.69 388.69 562562 Married Filling Separate 342.63 351.39 360.16 367.08 372.92 376.78 376.78 376.78 376.78 376.78 562

563 Single 349.39 358.15 366.91 373.87 379.72 383.65 383.65 383.65 383.65 383.65 563563 Head of Household 362.16 369.93 375.77 381.61 387.06 387.06 387.06 387.06 387.06 387.06 563563 Married Filing joint 377.01 382.85 388.69 389.38 389.38 389.38 389.38 389.38 389.38 563563 Married Filling Separate 343.18 351.94 360.70 367.66 373.50 377.44 377.44 377.44 377.44 377.44 563

564 Single 349.94 358.70 367.46 374.46 380.30 384.31 384.31 384.31 384.31 384.31 564564 Head of Household 362.72 370.53 376.37 382.21 387.74 387.74 387.74 387.74 387.74 387.74 564564 Married Filing joint 377.62 383.46 389.30 390.06 390.06 390.06 390.06 390.06 390.06 564564 Married Filling Separate 343.73 352.49 361.25 368.25 374.09 378.10 378.10 378.10 378.10 378.10 564

565 Single 350.49 359.25 368.01 375.05 380.89 384.97 384.97 384.97 384.97 384.97 565565 Head of Household 363.29 371.13 376.98 382.82 388.41 388.41 388.41 388.41 388.41 388.41 565565 Married Filing joint 378.23 384.07 389.91 390.75 390.75 390.75 390.75 390.75 390.75 565565 Married Filling Separate 344.27 353.03 361.79 368.83 374.67 378.75 378.75 378.75 378.75 378.75 565

566 Single 351.04 359.80 368.56 375.63 381.47 385.63 385.63 385.63 385.63 385.63 566566 Head of Household 363.85 371.74 377.58 383.42 389.09 389.09 389.09 389.09 389.09 389.09 566566 Married Filing joint 378.84 384.68 390.53 391.44 391.44 391.44 391.44 391.44 391.44 566566 Married Filling Separate 344.82 353.58 362.34 369.41 375.25 379.41 379.41 379.41 379.41 379.41 566

567 Single 351.58 360.35 369.11 376.22 382.06 386.29 386.29 386.29 386.29 386.29 567567 Head of Household 364.42 372.34 378.18 384.02 389.77 389.77 389.77 389.77 389.77 389.77 567567 Married Filing joint 379.46 385.30 391.14 392.13 392.13 392.13 392.13 392.13 392.13 567567 Married Filling Separate 345.36 354.13 362.89 370.00 375.84 380.07 380.07 380.07 380.07 380.07 567

568 Single 352.13 360.89 369.66 376.80 382.64 386.95 386.95 386.95 386.95 386.95 568568 Head of Household 364.99 372.94 378.78 384.63 390.45 390.45 390.45 390.45 390.45 390.45 568568 Married Filing joint 380.07 385.91 391.75 392.81 392.81 392.81 392.81 392.81 392.81 568568 Married Filling Separate 345.91 354.67 363.43 370.58 376.42 380.73 380.73 380.73 380.73 380.73 568

Page 91: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

569 Single 352.68 361.44 370.20 377.39 383.23 387.61 387.61 387.61 387.61 387.61 569569 Head of Household 365.55 373.55 379.39 385.23 391.07 391.13 391.13 391.13 391.13 391.13 569569 Married Filing joint 380.68 386.52 392.36 393.50 393.50 393.50 393.50 393.50 393.50 569569 Married Filling Separate 346.46 355.22 363.98 371.17 377.01 381.39 381.39 381.39 381.39 381.39 569

570 Single 353.23 361.99 370.75 377.97 383.82 388.27 388.27 388.27 388.27 388.27 570570 Head of Household 366.12 374.15 379.99 385.83 391.67 391.80 391.80 391.80 391.80 391.80 570570 Married Filing joint 381.29 387.13 392.97 394.19 394.19 394.19 394.19 394.19 394.19 570570 Married Filling Separate 347.00 355.77 364.53 371.75 377.59 382.05 382.05 382.05 382.05 382.05 570

571 Single 353.78 362.54 371.30 378.56 384.40 388.93 388.93 388.93 388.93 388.93 571571 Head of Household 366.68 374.75 380.59 386.43 392.28 392.48 392.48 392.48 392.48 392.48 571571 Married Filing joint 381.90 387.74 393.59 394.87 394.87 394.87 394.87 394.87 394.87 571571 Married Filling Separate 347.55 356.31 365.07 372.33 378.17 382.71 382.71 382.71 382.71 382.71 571

572 Single 354.33 363.09 371.85 379.15 384.99 389.60 389.60 389.60 389.60 389.60 572572 Head of Household 367.25 375.36 381.20 387.04 392.88 393.16 393.16 393.16 393.16 393.16 572572 Married Filing joint 382.52 388.36 394.20 395.56 395.56 395.56 395.56 395.56 395.56 572572 Married Filling Separate 348.10 356.86 365.62 372.92 378.76 383.37 383.37 383.37 383.37 383.37 572

573 Single 354.87 363.64 372.40 379.73 385.57 390.26 390.26 390.26 390.26 390.26 573573 Head of Household 367.81 375.96 381.80 387.64 393.48 393.84 393.84 393.84 393.84 393.84 573573 Married Filing joint 383.13 388.97 394.81 396.25 396.25 396.25 396.25 396.25 396.25 573573 Married Filling Separate 348.64 357.40 366.17 373.50 379.34 384.03 384.03 384.03 384.03 384.03 573

574 Single 355.42 364.18 372.94 380.32 386.16 390.92 390.92 390.92 390.92 390.92 574574 Head of Household 368.38 376.56 382.40 388.24 394.08 394.52 394.52 394.52 394.52 394.52 574574 Married Filing joint 383.74 389.58 395.42 396.93 396.93 396.93 396.93 396.93 396.93 574574 Married Filling Separate 349.19 357.95 366.71 374.08 379.93 384.68 384.68 384.68 384.68 384.68 574

575 Single 355.97 364.73 373.49 380.90 386.74 391.58 391.58 391.58 391.58 391.58 575575 Head of Household 368.94 377.16 383.01 388.85 394.69 395.19 395.19 395.19 395.19 395.19 575575 Married Filing joint 384.35 390.19 396.03 397.62 397.62 397.62 397.62 397.62 397.62 575575 Married Filling Separate 349.74 358.50 367.26 374.67 380.51 385.34 385.34 385.34 385.34 385.34 575

576 Single 356.52 365.28 374.04 381.49 387.33 392.24 392.24 392.24 392.24 392.24 576576 Head of Household 369.51 377.77 383.61 389.45 395.29 395.87 395.87 395.87 395.87 395.87 576576 Married Filing joint 384.96 390.80 396.65 398.31 398.31 398.31 398.31 398.31 398.31 576576 Married Filling Separate 350.28 359.04 367.81 375.25 381.09 386.00 386.00 386.00 386.00 386.00 576

Page 92: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

577 Single 356.45 365.22 373.98 381.46 387.30 392.29 392.29 392.29 392.29 392.29 577577 Head of Household 370.07 378.37 384.21 390.05 395.89 396.55 396.55 396.55 396.55 396.55 577577 Married Filing joint 385.45 391.29 397.13 398.87 398.87 398.87 398.87 398.87 398.87 577577 Married Filling Separate 350.18 358.94 367.70 375.19 381.03 386.01 386.01 386.01 386.01 386.01 577

578 Single 357.00 365.76 374.52 382.05 387.89 392.95 392.95 392.95 392.95 392.95 578578 Head of Household 370.64 378.97 384.81 390.66 396.50 397.23 397.23 397.23 397.23 397.23 578578 Married Filing joint 386.06 391.90 397.74 399.55 399.55 399.55 399.55 399.55 399.55 578578 Married Filling Separate 350.73 359.49 368.25 375.77 381.61 386.67 386.67 386.67 386.67 386.67 578

579 Single 357.55 366.31 375.07 382.63 388.47 393.61 393.61 393.61 393.61 393.61 579579 Head of Household 371.21 379.58 385.42 391.26 397.10 397.91 397.91 397.91 397.91 397.91 579579 Married Filing joint 386.67 392.51 398.35 400.24 400.24 400.24 400.24 400.24 400.24 579579 Married Filling Separate 351.27 360.03 368.80 376.36 382.20 387.33 387.33 387.33 387.33 387.33 579

580 Single 358.10 366.86 375.62 383.22 389.06 394.27 394.27 394.27 394.27 394.27 580580 Head of Household 371.77 380.18 386.02 391.86 397.70 398.58 398.58 398.58 398.58 398.58 580580 Married Filing joint 387.28 393.12 398.96 400.92 400.92 400.92 400.92 400.92 400.92 580580 Married Filling Separate 351.82 360.58 369.34 376.94 382.78 387.99 387.99 387.99 387.99 387.99 580

581 Single 358.65 367.41 376.17 383.80 389.65 394.93 394.93 394.93 394.93 394.93 581581 Head of Household 372.34 380.78 386.62 392.46 398.31 399.26 399.26 399.26 399.26 399.26 581581 Married Filing joint 387.89 393.73 399.57 401.61 401.61 401.61 401.61 401.61 401.61 581581 Married Filling Separate 352.36 361.13 369.89 377.52 383.36 388.65 388.65 388.65 388.65 388.65 581

582 Single 359.19 367.96 376.72 384.39 390.23 395.59 395.59 395.59 395.59 395.59 582582 Head of Household 372.90 381.39 387.23 393.07 398.91 399.94 399.94 399.94 399.94 399.94 582582 Married Filing joint 388.50 394.34 400.18 402.29 402.29 402.29 402.29 402.29 402.29 582582 Married Filling Separate 352.91 361.67 370.43 378.11 383.95 389.31 389.31 389.31 389.31 389.31 582

583 Single 359.74 368.50 377.27 384.98 390.82 396.25 396.25 396.25 396.25 396.25 583583 Head of Household 373.47 381.99 387.83 393.67 399.51 400.62 400.62 400.62 400.62 400.62 583583 Married Filing joint 389.11 394.95 400.79 402.98 402.98 402.98 402.98 402.98 402.98 583583 Married Filling Separate 353.46 362.22 370.98 378.69 384.53 389.97 389.97 389.97 389.97 389.97 583

584 Single 360.29 369.05 377.81 385.56 391.40 396.91 396.91 396.91 396.91 396.91 584584 Head of Household 374.03 382.59 388.43 394.27 400.11 401.30 401.30 401.30 401.30 401.30 584584 Married Filing joint 389.72 395.56 401.40 403.67 403.67 403.67 403.67 403.67 403.67 584584 Married Filling Separate 354.00 362.77 371.53 379.27 385.12 390.62 390.62 390.62 390.62 390.62 584

Page 93: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

585 Single 360.84 369.60 378.36 386.15 391.99 397.57 397.57 397.57 397.57 397.57 585585 Head of Household 374.60 383.19 389.04 394.88 400.72 401.97 401.97 401.97 401.97 401.97 585585 Married Filing joint 390.33 396.17 402.01 404.35 404.35 404.35 404.35 404.35 404.35 585585 Married Filling Separate 354.55 363.31 372.07 379.86 385.70 391.28 391.28 391.28 391.28 391.28 585

586 Single 361.39 370.15 378.91 386.73 392.57 398.23 398.23 398.23 398.23 398.23 586586 Head of Household 375.16 383.80 389.64 395.48 401.32 402.65 402.65 402.65 402.65 402.65 586586 Married Filing joint 390.94 396.78 402.63 405.04 405.04 405.04 405.04 405.04 405.04 586586 Married Filling Separate 355.10 363.86 372.62 380.44 386.28 391.94 391.94 391.94 391.94 391.94 586

587 Single 361.94 370.70 379.46 387.32 393.16 398.89 398.89 398.89 398.89 398.89 587587 Head of Household 375.73 384.40 390.24 396.08 401.92 403.33 403.33 403.33 403.33 403.33 587587 Married Filing joint 391.41 397.25 403.10 405.58 405.58 405.58 405.58 405.58 405.58 587587 Married Filling Separate 355.64 364.40 373.17 381.03 386.87 392.60 392.60 392.60 392.60 392.60 587

588 Single 362.48 371.25 380.01 387.90 393.75 399.55 399.55 399.55 399.55 399.55 588588 Head of Household 376.30 385.00 390.84 396.69 402.53 404.01 404.01 404.01 404.01 404.01 588588 Married Filing joint 392.02 397.86 403.70 406.27 406.27 406.27 406.27 406.27 406.27 588588 Married Filling Separate 356.19 364.95 373.71 381.61 387.45 393.26 393.26 393.26 393.26 393.26 588

589 Single 363.03 371.79 380.56 388.49 394.33 400.17 400.22 400.22 400.22 400.22 589589 Head of Household 376.86 385.61 391.45 397.29 403.13 404.69 404.69 404.69 404.69 404.69 589589 Married Filing joint 392.63 398.47 404.31 406.95 406.95 406.95 406.95 406.95 406.95 589589 Married Filling Separate 356.74 365.50 374.26 382.19 388.03 393.88 393.92 393.92 393.92 393.92 589

590 Single 363.58 372.34 381.10 389.08 394.92 400.76 400.88 400.88 400.88 400.88 590590 Head of Household 377.43 386.19 392.05 397.89 403.73 405.36 405.36 405.36 405.36 405.36 590590 Married Filing joint 393.24 399.08 404.92 407.64 407.64 407.64 407.64 407.64 407.64 590590 Married Filling Separate 357.28 366.04 374.81 382.78 388.62 394.46 394.58 394.58 394.58 394.58 590

591 Single 364.13 372.89 381.65 389.66 395.50 401.34 401.54 401.54 401.54 401.54 591591 Head of Household 377.99 386.75 392.65 398.49 404.34 406.04 406.04 406.04 406.04 406.04 591591 Married Filing joint 393.85 399.69 405.53 408.32 408.32 408.32 408.32 408.32 408.32 591591 Married Filling Separate 357.83 366.59 375.35 383.36 389.20 395.04 395.24 395.24 395.24 395.24 591

592 Single 364.68 373.44 382.20 390.25 396.09 401.93 402.20 402.20 402.20 402.20 592592 Head of Household 378.56 387.32 393.26 399.10 404.94 406.72 406.72 406.72 406.72 406.72 592592 Married Filing joint 394.46 400.30 406.14 409.01 409.01 409.01 409.01 409.01 409.01 592592 Married Filling Separate 358.37 367.14 375.90 383.95 389.79 395.63 395.90 395.90 395.90 395.90 592

Page 94: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

593 Single 365.23 373.99 382.75 390.83 396.67 402.52 402.86 402.86 402.86 402.86 593593 Head of Household 379.12 387.88 393.86 399.70 405.54 407.40 407.40 407.40 407.40 407.40 593593 Married Filing joint 395.07 400.91 406.75 409.69 409.69 409.69 409.69 409.69 409.69 593593 Married Filling Separate 358.92 367.68 376.44 384.53 390.37 396.21 396.55 396.55 396.55 396.55 593

594 Single 365.77 374.54 383.30 391.42 397.26 403.10 403.52 403.52 403.52 403.52 594594 Head of Household 379.69 388.45 394.46 400.30 406.14 408.08 408.08 408.08 408.08 408.08 594594 Married Filing joint 395.68 401.52 407.36 410.38 410.38 410.38 410.38 410.38 410.38 594594 Married Filling Separate 359.47 368.23 376.99 385.11 390.95 396.80 397.21 397.21 397.21 397.21 594

595 Single 366.32 375.08 383.85 392.01 397.85 403.69 404.18 404.18 404.18 404.18 595595 Head of Household 380.25 389.02 395.07 400.91 406.75 408.75 408.75 408.75 408.75 408.75 595595 Married Filing joint 396.29 402.13 407.97 411.06 411.06 411.06 411.06 411.06 411.06 595595 Married Filling Separate 360.01 368.78 377.54 385.70 391.54 397.38 397.87 397.87 397.87 397.87 595

596 Single 366.87 375.63 384.39 392.59 398.43 404.27 404.84 404.84 404.84 404.84 596596 Head of Household 380.82 389.58 395.67 401.51 407.35 409.43 409.43 409.43 409.43 409.43 596596 Married Filing joint 396.90 402.74 408.58 411.75 411.75 411.75 411.75 411.75 411.75 596596 Married Filling Separate 360.56 369.32 378.08 386.28 392.12 397.96 398.53 398.53 398.53 398.53 596

597 Single 366.81 375.57 384.33 392.56 398.40 404.25 404.89 404.89 404.89 404.89 597597 Head of Household 381.38 390.15 396.27 402.11 407.95 410.11 410.11 410.11 410.11 410.11 597597 Married Filing joint 397.36 403.20 409.04 412.28 412.28 412.28 412.28 412.28 412.28 597597 Married Filling Separate 360.46 369.22 377.98 386.22 392.06 397.90 398.54 398.54 398.54 398.54 597

598 Single 367.35 376.12 384.88 393.15 398.99 404.83 405.55 405.55 405.55 405.55 598598 Head of Household 381.95 390.71 396.87 402.72 408.56 410.79 410.79 410.79 410.79 410.79 598598 Married Filing joint 397.97 403.81 409.65 412.96 412.96 412.96 412.96 412.96 412.96 598598 Married Filling Separate 361.00 369.77 378.53 386.80 392.64 398.48 399.20 399.20 399.20 399.20 598

599 Single 367.90 376.66 385.43 393.74 399.58 405.42 406.21 406.21 406.21 406.21 599599 Head of Household 382.52 391.28 397.48 403.32 409.16 411.47 411.47 411.47 411.47 411.47 599599 Married Filing joint 398.58 404.42 410.26 413.65 413.65 413.65 413.65 413.65 413.65 599599 Married Filling Separate 361.55 370.31 379.07 387.38 393.22 399.07 399.86 399.86 399.86 399.86 599

600 Single 368.45 377.21 385.97 394.32 400.16 406.00 406.87 406.87 406.87 406.87 600600 Head of Household 383.08 391.84 398.08 403.92 409.76 412.14 412.14 412.14 412.14 412.14 600600 Married Filing joint 399.18 405.03 410.87 414.33 414.33 414.33 414.33 414.33 414.33 600600 Married Filling Separate 362.10 370.86 379.62 387.97 393.81 399.65 400.52 400.52 400.52 400.52 600

Page 95: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

601 Single 369.00 377.76 386.52 394.91 400.75 406.59 407.53 407.53 407.53 407.53 601601 Head of Household 383.65 392.41 398.68 404.52 410.37 412.82 412.82 412.82 412.82 412.82 601601 Married Filing joint 399.79 405.63 411.47 415.01 415.01 415.01 415.01 415.01 415.01 601601 Married Filling Separate 362.64 371.40 380.17 388.55 394.39 400.23 401.18 401.18 401.18 401.18 601

602 Single 369.44 378.21 386.97 395.39 401.23 407.07 408.09 408.09 408.09 408.09 602602 Head of Household 384.21 392.97 399.29 405.13 410.97 413.50 413.50 413.50 413.50 413.50 602602 Married Filing joint 400.40 406.24 412.08 415.70 415.70 415.70 415.70 415.70 415.70 602602 Married Filling Separate 363.19 371.95 380.71 389.14 394.98 400.82 401.83 401.83 401.83 401.83 602

603 Single 369.99 378.75 387.51 395.97 401.82 407.66 408.75 408.75 408.75 408.75 603603 Head of Household 384.78 393.54 399.89 405.73 411.57 414.18 414.18 414.18 414.18 414.18 603603 Married Filing joint 401.01 406.85 412.69 416.38 416.38 416.38 416.38 416.38 416.38 603603 Married Filling Separate 363.74 372.50 381.26 389.72 395.56 401.40 402.49 402.49 402.49 402.49 603

604 Single 370.54 379.30 388.06 396.56 402.40 408.24 409.41 409.41 409.41 409.41 604604 Head of Household 385.34 394.10 400.49 406.33 412.17 414.86 414.86 414.86 414.86 414.86 604604 Married Filing joint 401.62 407.46 413.30 417.06 417.06 417.06 417.06 417.06 417.06 604604 Married Filling Separate 364.28 373.04 381.81 390.30 396.14 401.98 403.15 403.15 403.15 403.15 604

605 Single 371.09 379.85 388.61 397.15 402.99 408.83 410.07 410.07 410.07 410.07 605605 Head of Household 385.91 394.67 401.10 406.94 412.78 415.53 415.53 415.53 415.53 415.53 605605 Married Filing joint 402.23 408.07 413.91 417.75 417.75 417.75 417.75 417.75 417.75 605605 Married Filling Separate 364.83 373.59 382.35 390.89 396.73 402.57 403.81 403.81 403.81 403.81 605

606 Single 371.64 380.40 389.16 397.73 403.57 409.41 410.73 410.73 410.73 410.73 606606 Head of Household 386.47 395.24 401.70 407.54 413.38 416.21 416.21 416.21 416.21 416.21 606606 Married Filing joint 402.67 408.51 414.36 418.27 418.27 418.27 418.27 418.27 418.27 606606 Married Filling Separate 365.38 374.14 382.90 391.47 397.31 403.15 404.47 404.47 404.47 404.47 606

607 Single 372.18 380.94 389.71 398.32 404.16 410.00 411.39 411.39 411.39 411.39 607607 Head of Household 387.04 395.80 402.30 408.14 413.98 416.89 416.89 416.89 416.89 416.89 607607 Married Filing joint 403.28 409.12 414.96 418.95 418.95 418.95 418.95 418.95 418.95 607607 Married Filling Separate 365.92 374.68 383.44 392.05 397.90 403.74 405.13 405.13 405.13 405.13 607

608 Single 372.73 381.49 390.25 398.90 404.74 410.58 412.05 412.05 412.05 412.05 608608 Head of Household 387.61 396.37 402.90 408.75 414.59 417.57 417.57 417.57 417.57 417.57 608608 Married Filing joint 403.89 409.73 415.57 419.63 419.63 419.63 419.63 419.63 419.63 608608 Married Filling Separate 366.47 375.23 383.99 392.64 398.48 404.32 405.79 405.79 405.79 405.79 608

Page 96: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

609 Single 373.28 382.04 390.80 399.49 405.33 411.17 412.71 412.71 412.71 412.71 609609 Head of Household 388.17 396.93 403.51 409.35 415.19 418.25 418.25 418.25 418.25 418.25 609609 Married Filing joint 404.50 410.34 416.18 420.32 420.32 420.32 420.32 420.32 420.32 609609 Married Filling Separate 367.01 375.78 384.54 393.22 399.06 404.90 406.45 406.45 406.45 406.45 609

610 Single 373.83 382.59 391.35 400.07 405.91 411.75 413.37 413.37 413.37 413.37 610610 Head of Household 388.74 397.50 404.11 409.95 415.79 418.92 418.92 418.92 418.92 418.92 610610 Married Filing joint 405.10 410.94 416.79 421.00 421.00 421.00 421.00 421.00 421.00 610610 Married Filling Separate 367.56 376.32 385.08 393.81 399.65 405.49 407.11 407.11 407.11 407.11 610

611 Single 374.37 383.14 391.90 400.66 406.50 412.34 414.03 414.03 414.03 414.03 611611 Head of Household 389.30 398.06 404.71 410.55 416.40 419.60 419.60 419.60 419.60 419.60 611611 Married Filing joint 405.71 411.55 417.39 421.68 421.68 421.68 421.68 421.68 421.68 611611 Married Filling Separate 368.11 376.87 385.63 394.39 400.23 406.07 407.76 407.76 407.76 407.76 611

612 Single 374.82 383.58 392.34 401.10 406.98 412.82 414.59 414.59 414.59 414.59 612612 Head of Household 389.87 398.63 405.32 411.16 417.00 420.28 420.28 420.28 420.28 420.28 612612 Married Filing joint 406.32 412.16 418.00 422.36 422.36 422.36 422.36 422.36 422.36 612612 Married Filling Separate 368.65 377.41 386.18 394.94 400.81 406.66 408.42 408.42 408.42 408.42 612

613 Single 375.36 384.12 392.89 401.65 407.56 413.40 415.25 415.25 415.25 415.25 613613 Head of Household 390.43 399.19 405.92 411.76 417.60 420.96 420.96 420.96 420.96 420.96 613613 Married Filing joint 406.93 412.77 418.61 423.05 423.05 423.05 423.05 423.05 423.05 613613 Married Filling Separate 369.20 377.96 386.72 395.48 401.40 407.24 409.08 409.08 409.08 409.08 613

614 Single 375.91 384.67 393.43 402.20 408.15 413.99 415.91 415.91 415.91 415.91 614614 Head of Household 391.00 399.76 406.52 412.36 418.20 421.64 421.64 421.64 421.64 421.64 614614 Married Filing joint 407.53 413.37 419.22 423.73 423.73 423.73 423.73 423.73 423.73 614614 Married Filling Separate 369.75 378.51 387.27 396.03 401.98 407.82 409.74 409.74 409.74 409.74 614

615 Single 376.46 385.22 393.98 402.74 408.73 414.57 416.57 416.57 416.57 416.57 615615 Head of Household 391.56 400.33 407.13 412.97 418.81 422.31 422.31 422.31 422.31 422.31 615615 Married Filing joint 408.14 413.98 419.82 424.41 424.41 424.41 424.41 424.41 424.41 615615 Married Filling Separate 370.29 379.05 387.82 396.58 402.57 408.41 410.40 410.40 410.40 410.40 615

616 Single 376.38 385.14 393.90 402.66 408.69 414.53 416.60 416.60 416.60 416.60 616616 Head of Household 392.13 400.89 407.73 413.57 419.41 422.99 422.99 422.99 422.99 422.99 616616 Married Filing joint 408.57 414.42 420.26 424.92 424.92 424.92 424.92 424.92 424.92 616616 Married Filling Separate 370.19 378.95 387.71 396.47 402.50 408.34 410.41 410.41 410.41 410.41 616

Page 97: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

617 Single 376.93 385.69 394.45 403.21 409.27 415.12 417.26 417.26 417.26 417.26 617617 Head of Household 392.69 401.46 408.33 414.17 420.01 423.67 423.67 423.67 423.67 423.67 617617 Married Filing joint 409.18 415.02 420.86 425.60 425.60 425.60 425.60 425.60 425.60 617617 Married Filling Separate 370.74 379.50 388.26 397.02 403.09 408.93 411.07 411.07 411.07 411.07 617

618 Single 377.47 386.23 395.00 403.76 409.86 415.70 417.92 417.92 417.92 417.92 618618 Head of Household 393.26 402.02 408.93 414.78 420.62 424.35 424.35 424.35 424.35 424.35 618618 Married Filing joint 409.79 415.63 421.47 426.28 426.28 426.28 426.28 426.28 426.28 618618 Married Filling Separate 371.28 380.04 388.81 397.57 403.67 409.51 411.73 411.73 411.73 411.73 618

619 Single 378.02 386.78 395.54 404.31 410.44 416.29 418.58 418.58 418.58 418.58 619619 Head of Household 393.83 402.59 409.54 415.38 421.22 425.03 425.03 425.03 425.03 425.03 619619 Married Filing joint 410.39 416.23 422.08 426.96 426.96 426.96 426.96 426.96 426.96 619619 Married Filling Separate 371.83 380.59 389.35 398.11 404.25 410.09 412.39 412.39 412.39 412.39 619

620 Single 378.57 387.33 396.09 404.85 411.03 416.87 419.24 419.24 419.24 419.24 620620 Head of Household 394.39 403.15 410.14 415.98 421.82 425.70 425.70 425.70 425.70 425.70 620620 Married Filing joint 411.00 416.84 422.68 427.64 427.64 427.64 427.64 427.64 427.64 620620 Married Filling Separate 372.38 381.14 389.90 398.66 404.84 410.68 413.05 413.05 413.05 413.05 620

621 Single 379.12 387.88 396.64 405.40 411.61 417.46 419.90 419.90 419.90 419.90 621621 Head of Household 394.96 403.72 410.74 416.58 422.43 426.38 426.38 426.38 426.38 426.38 621621 Married Filing joint 411.61 417.45 423.29 428.33 428.33 428.33 428.33 428.33 428.33 621621 Married Filling Separate 372.92 381.68 390.44 399.21 405.42 411.26 413.70 413.70 413.70 413.70 621

622 Single 379.55 388.31 397.07 405.83 412.08 417.92 420.44 420.44 420.44 420.44 622622 Head of Household 395.52 404.28 411.35 417.19 423.03 427.06 427.06 427.06 427.06 427.06 622622 Married Filing joint 412.21 418.05 423.89 429.01 429.01 429.01 429.01 429.01 429.01 622622 Married Filling Separate 373.47 382.23 390.99 399.75 406.00 411.85 414.36 414.36 414.36 414.36 622

623 Single 380.09 388.85 397.62 406.38 412.67 418.51 421.10 421.10 421.10 421.10 623623 Head of Household 396.09 404.85 411.95 417.79 423.63 427.74 427.74 427.74 427.74 427.74 623623 Married Filing joint 412.82 418.66 424.50 429.69 429.69 429.69 429.69 429.69 429.69 623623 Married Filling Separate 374.01 382.78 391.54 400.30 406.59 412.43 415.02 415.02 415.02 415.02 623

624 Single 380.64 389.40 398.16 406.92 413.25 419.09 421.76 421.76 421.76 421.76 624624 Head of Household 396.65 405.41 412.55 418.39 424.23 428.42 428.42 428.42 428.42 428.42 624624 Married Filing joint 413.43 419.27 425.11 430.37 430.37 430.37 430.37 430.37 430.37 624624 Married Filling Separate 374.56 383.32 392.08 400.85 407.17 413.01 415.68 415.68 415.68 415.68 624

Page 98: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

625 Single 381.19 389.95 398.71 407.47 413.84 419.68 422.42 422.42 422.42 422.42 625625 Head of Household 397.22 405.98 413.16 419.00 424.84 429.09 429.09 429.09 429.09 429.09 625625 Married Filing joint 414.03 419.87 425.71 431.05 431.05 431.05 431.05 431.05 431.05 625625 Married Filling Separate 375.11 383.87 392.63 401.39 407.76 413.60 416.34 416.34 416.34 416.34 625

626 Single 381.73 390.50 399.26 408.02 414.42 420.26 423.08 423.08 423.08 423.08 626626 Head of Household 397.78 406.55 413.76 419.60 425.44 429.77 429.77 429.77 429.77 429.77 626626 Married Filing joint 414.45 420.29 426.14 431.55 431.55 431.55 431.55 431.55 431.55 626626 Married Filling Separate 375.65 384.42 393.18 401.94 408.34 414.18 417.00 417.00 417.00 417.00 626

627 Single 382.28 391.04 399.80 408.57 415.01 420.85 423.74 423.74 423.74 423.74 627627 Head of Household 398.35 407.11 414.36 420.20 426.04 430.45 430.45 430.45 430.45 430.45 627627 Married Filing joint 415.06 420.90 426.74 432.23 432.23 432.23 432.23 432.23 432.23 627627 Married Filling Separate 376.20 384.96 393.72 402.48 408.92 414.77 417.66 417.66 417.66 417.66 627

628 Single 382.83 391.59 400.35 409.11 415.59 421.43 424.40 424.40 424.40 424.40 628628 Head of Household 398.92 407.68 414.96 420.81 426.65 431.13 431.13 431.13 431.13 431.13 628628 Married Filing joint 415.66 421.50 427.35 432.91 432.91 432.91 432.91 432.91 432.91 628628 Married Filling Separate 376.75 385.51 394.27 403.03 409.51 415.35 418.32 418.32 418.32 418.32 628

629 Single 383.38 392.14 400.90 409.66 416.17 422.02 425.06 425.06 425.06 425.06 629629 Head of Household 399.48 408.24 415.57 421.41 427.25 431.81 431.81 431.81 431.81 431.81 629629 Married Filing joint 416.27 422.11 427.95 433.59 433.59 433.59 433.59 433.59 433.59 629629 Married Filling Separate 377.29 386.05 394.82 403.58 410.09 415.93 418.98 418.98 418.98 418.98 629

630 Single 383.92 392.68 401.45 410.21 416.76 422.60 425.72 425.72 425.72 425.72 630630 Head of Household 400.05 408.81 416.17 422.01 427.85 432.48 432.48 432.48 432.48 432.48 630630 Married Filing joint 416.87 422.72 428.56 434.27 434.27 434.27 434.27 434.27 434.27 630630 Married Filling Separate 377.84 386.60 395.36 404.12 410.68 416.52 419.63 419.63 419.63 419.63 630

631 Single 384.35 393.11 401.87 410.63 417.22 423.06 426.26 426.26 426.26 426.26 631631 Head of Household 400.61 409.37 416.77 422.61 428.46 433.16 433.16 433.16 433.16 433.16 631631 Married Filing joint 417.48 423.32 429.16 434.95 434.95 434.95 434.95 434.95 434.95 631631 Married Filling Separate 378.39 387.15 395.91 404.67 411.26 417.10 420.29 420.29 420.29 420.29 631

632 Single 384.90 393.66 402.42 411.18 417.81 423.65 426.92 426.92 426.92 426.92 632632 Head of Household 401.18 409.94 417.38 423.22 429.06 433.84 433.84 433.84 433.84 433.84 632632 Married Filing joint 418.08 423.93 429.77 435.61 435.63 435.63 435.63 435.63 435.63 632632 Married Filling Separate 378.93 387.69 396.45 405.22 411.84 417.68 420.95 420.95 420.95 420.95 632

Page 99: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

633 Single 385.44 394.20 402.96 411.73 418.39 424.23 427.57 427.57 427.57 427.57 633633 Head of Household 401.74 410.50 417.98 423.82 429.66 434.52 434.52 434.52 434.52 434.52 633633 Married Filing joint 418.69 424.53 430.37 436.21 436.31 436.31 436.31 436.31 436.31 633633 Married Filling Separate 379.48 388.24 397.00 405.76 412.43 418.27 421.61 421.61 421.61 421.61 633

634 Single 385.99 394.75 403.51 412.27 418.98 424.82 428.23 428.23 428.23 428.23 634634 Head of Household 402.31 411.07 418.58 424.42 430.26 435.20 435.20 435.20 435.20 435.20 634634 Married Filing joint 419.30 425.14 430.98 436.82 436.99 436.99 436.99 436.99 436.99 634634 Married Filling Separate 380.02 388.79 397.55 406.31 413.01 418.85 422.27 422.27 422.27 422.27 634

635 Single 385.89 394.65 403.42 412.18 418.92 424.76 428.25 428.25 428.25 428.25 635635 Head of Household 402.87 411.64 419.19 425.03 430.87 435.87 435.87 435.87 435.87 435.87 635635 Married Filing joint 419.71 425.55 431.39 437.23 437.48 437.48 437.48 437.48 437.48 635635 Married Filling Separate 379.92 388.68 397.45 406.21 412.95 418.79 422.28 422.28 422.28 422.28 635

636 Single 386.44 395.20 403.96 412.72 419.50 425.34 428.91 428.91 428.91 428.91 636636 Head of Household 403.44 412.20 419.79 425.63 431.47 436.55 436.55 436.55 436.55 436.55 636636 Married Filing joint 420.31 426.15 431.99 437.83 438.15 438.15 438.15 438.15 438.15 636636 Married Filling Separate 380.47 389.23 397.99 406.75 413.53 419.37 422.94 422.94 422.94 422.94 636

637 Single 386.99 395.75 404.51 413.27 420.09 425.93 429.57 429.57 429.57 429.57 637637 Head of Household 404.00 412.77 420.39 426.23 432.07 437.23 437.23 437.23 437.23 437.23 637637 Married Filing joint 420.91 426.75 432.60 438.44 438.83 438.83 438.83 438.83 438.83 637637 Married Filling Separate 381.01 389.78 398.54 407.30 414.11 419.95 423.60 423.60 423.60 423.60 637

638 Single 387.53 396.30 405.06 413.82 420.67 426.51 430.23 430.23 430.23 430.23 638638 Head of Household 404.57 413.33 420.99 426.84 432.68 437.91 437.91 437.91 437.91 437.91 638638 Married Filing joint 421.52 427.36 433.20 439.04 439.51 439.51 439.51 439.51 439.51 638638 Married Filling Separate 381.56 390.32 399.08 407.85 414.70 420.54 424.26 424.26 424.26 424.26 638

639 Single 388.08 396.84 405.60 414.36 421.25 427.10 430.89 430.89 430.89 430.89 639639 Head of Household 405.14 413.90 421.60 427.44 433.28 438.59 438.59 438.59 438.59 438.59 639639 Married Filing joint 422.12 427.96 433.80 439.64 440.19 440.19 440.19 440.19 440.19 639639 Married Filling Separate 382.11 390.87 399.63 408.39 415.28 421.12 424.92 424.92 424.92 424.92 639

640 Single 388.63 397.39 406.15 414.91 421.84 427.68 431.55 431.55 431.55 431.55 640640 Head of Household 405.70 414.46 422.20 428.04 433.88 439.26 439.26 439.26 439.26 439.26 640640 Married Filing joint 422.73 428.57 434.41 440.25 440.87 440.87 440.87 440.87 440.87 640640 Married Filling Separate 382.65 391.42 400.18 408.94 415.87 421.71 425.57 425.57 425.57 425.57 640

Page 100: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

641 Single 389.04 397.80 406.56 415.33 422.29 428.13 432.07 432.07 432.07 432.07 641641 Head of Household 406.27 415.03 422.80 428.64 434.49 439.94 439.94 439.94 439.94 439.94 641641 Married Filing joint 423.33 429.17 435.01 440.85 441.55 441.55 441.55 441.55 441.55 641641 Married Filling Separate 383.20 391.96 400.72 409.48 416.45 422.29 426.23 426.23 426.23 426.23 641

642 Single 389.59 398.35 407.11 415.87 422.87 428.72 432.73 432.73 432.73 432.73 642642 Head of Household 406.83 415.59 423.41 429.25 435.09 440.62 440.62 440.62 440.62 440.62 642642 Married Filing joint 423.93 429.78 435.62 441.46 442.23 442.23 442.23 442.23 442.23 642642 Married Filling Separate 383.75 392.51 401.27 410.03 417.03 422.87 426.89 426.89 426.89 426.89 642

643 Single 390.13 398.90 407.66 416.42 423.46 429.30 433.39 433.39 433.39 433.39 643643 Head of Household 407.40 416.16 424.01 429.85 435.69 441.30 441.30 441.30 441.30 441.30 643643 Married Filing joint 424.54 430.38 436.22 442.06 442.91 442.91 442.91 442.91 442.91 643643 Married Filling Separate 384.29 393.05 401.82 410.58 417.62 423.46 427.55 427.55 427.55 427.55 643

644 Single 390.68 399.44 408.20 416.97 424.04 429.88 434.05 434.05 434.05 434.05 644644 Head of Household 407.96 416.72 424.61 430.45 436.29 441.98 441.98 441.98 441.98 441.98 644644 Married Filing joint 425.14 430.98 436.82 442.67 443.59 443.59 443.59 443.59 443.59 644644 Married Filling Separate 384.84 393.60 402.36 411.12 418.20 424.04 428.21 428.21 428.21 428.21 644

645 Single 391.23 399.99 408.75 417.51 424.63 430.47 434.71 434.71 434.71 434.71 645645 Head of Household 408.53 417.29 425.22 431.06 436.90 442.65 442.65 442.65 442.65 442.65 645645 Married Filing joint 425.54 431.38 437.22 443.06 444.06 444.06 444.06 444.06 444.06 645645 Married Filling Separate 385.39 394.15 402.91 411.67 418.78 424.63 428.87 428.87 428.87 428.87 645

646 Single 391.77 400.54 409.30 418.06 425.21 431.05 435.37 435.37 435.37 435.37 646646 Head of Household 409.09 417.86 425.82 431.66 437.50 443.33 443.33 443.33 443.33 443.33 646646 Married Filing joint 426.14 431.98 437.83 443.67 444.74 444.74 444.74 444.74 444.74 646646 Married Filling Separate 385.93 394.69 403.46 412.22 419.37 425.21 429.53 429.53 429.53 429.53 646

647 Single 392.32 401.08 409.84 418.60 425.79 431.64 436.03 436.03 436.03 436.03 647647 Head of Household 409.66 418.42 426.42 432.26 438.10 443.94 444.01 444.01 444.01 444.01 647647 Married Filing joint 426.75 432.59 438.43 444.27 445.42 445.42 445.42 445.42 445.42 647647 Married Filling Separate 386.48 395.24 404.00 412.76 419.95 425.79 430.19 430.19 430.19 430.19 647

648 Single 392.87 401.63 410.39 419.15 426.38 432.22 436.69 436.69 436.69 436.69 648648 Head of Household 410.23 418.99 427.02 432.87 438.71 444.55 444.69 444.69 444.69 444.69 648648 Married Filing joint 427.35 433.19 439.03 444.87 446.09 446.09 446.09 446.09 446.09 648648 Married Filling Separate 387.02 395.79 404.55 413.31 420.54 426.38 430.85 430.85 430.85 430.85 648

Page 101: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

649 Single 393.41 402.17 410.94 419.70 426.96 432.80 437.35 437.35 437.35 437.35 649649 Head of Household 410.79 419.55 427.63 433.47 439.31 445.15 445.37 445.37 445.37 445.37 649649 Married Filing joint 427.95 433.79 439.63 445.48 446.77 446.77 446.77 446.77 446.77 649649 Married Filling Separate 387.57 396.33 405.09 413.86 421.12 426.96 431.50 431.50 431.50 431.50 649

650 Single 393.96 402.72 411.48 420.24 427.55 433.39 438.00 438.00 438.00 438.00 650650 Head of Household 411.36 420.12 428.23 434.07 439.91 445.75 446.04 446.04 446.04 446.04 650650 Married Filing joint 428.56 434.40 440.24 446.08 447.45 447.45 447.45 447.45 447.45 650650 Married Filling Separate 388.12 396.88 405.64 414.40 421.70 427.55 432.16 432.16 432.16 432.16 650

651 Single 394.51 403.27 412.03 420.79 428.13 433.97 438.66 438.66 438.66 438.66 651651 Head of Household 411.92 420.68 428.83 434.67 440.52 446.36 446.72 446.72 446.72 446.72 651651 Married Filing joint 429.16 435.00 440.84 446.68 448.13 448.13 448.13 448.13 448.13 651651 Married Filling Separate 388.66 397.43 406.19 414.95 422.29 428.13 432.82 432.82 432.82 432.82 651

652 Single 395.05 403.81 412.57 421.34 428.71 434.55 439.32 439.32 439.32 439.32 652652 Head of Household 412.49 421.25 429.44 435.28 441.12 446.96 447.40 447.40 447.40 447.40 652652 Married Filing joint 429.76 435.60 441.44 447.28 448.81 448.81 448.81 448.81 448.81 652652 Married Filling Separate 389.21 397.97 406.73 415.49 422.87 428.71 433.48 433.48 433.48 433.48 652

653 Single 395.60 404.36 413.12 421.88 429.30 435.14 439.98 439.98 439.98 439.98 653653 Head of Household 413.05 421.81 430.04 435.88 441.72 447.56 448.08 448.08 448.08 448.08 653653 Married Filing joint 430.36 436.21 442.05 447.89 449.48 449.48 449.48 449.48 449.48 653653 Married Filling Separate 389.76 398.52 407.28 416.04 423.46 429.30 434.14 434.14 434.14 434.14 653

654 Single 395.50 404.26 413.02 421.78 429.23 435.07 439.99 439.99 439.99 439.99 654654 Head of Household 413.29 422.05 430.32 436.16 442.00 447.84 448.43 448.43 448.43 448.43 654654 Married Filing joint 430.97 436.81 442.65 448.49 450.16 450.16 450.16 450.16 450.16 654654 Married Filling Separate 389.65 398.42 407.18 415.94 423.39 429.23 434.15 434.15 434.15 434.15 654

655 Single 396.04 404.80 413.57 422.33 429.82 435.66 440.65 440.65 440.65 440.65 655655 Head of Household 413.86 422.62 430.92 436.76 442.60 448.44 449.11 449.11 449.11 449.11 655655 Married Filing joint 431.57 437.41 443.25 449.09 450.84 450.84 450.84 450.84 450.84 655655 Married Filling Separate 390.20 398.96 407.72 416.49 423.97 429.82 434.81 434.81 434.81 434.81 655

656 Single 396.59 405.35 414.11 422.87 430.40 436.24 441.31 441.31 441.31 441.31 656656 Head of Household 414.42 423.18 431.52 437.36 443.20 449.04 449.78 449.78 449.78 449.78 656656 Married Filing joint 432.17 438.01 443.86 449.70 451.52 451.52 451.52 451.52 451.52 656656 Married Filling Separate 390.75 399.51 408.27 417.03 424.56 430.40 435.47 435.47 435.47 435.47 656

Page 102: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

657 Single 397.13 405.90 414.66 423.42 430.98 436.82 441.97 441.97 441.97 441.97 657657 Head of Household 414.99 423.75 432.12 437.96 443.81 449.65 450.46 450.46 450.46 450.46 657657 Married Filing joint 432.78 438.62 444.46 450.30 452.20 452.20 452.20 452.20 452.20 657657 Married Filling Separate 391.29 400.05 408.82 417.58 425.14 430.98 436.13 436.13 436.13 436.13 657

658 Single 397.68 406.44 415.20 423.97 431.57 437.41 442.63 442.63 442.63 442.63 658658 Head of Household 415.55 424.31 432.73 438.57 444.41 450.25 451.14 451.14 451.14 451.14 658658 Married Filing joint 433.38 439.22 445.06 450.90 452.87 452.87 452.87 452.87 452.87 658658 Married Filling Separate 391.84 400.60 409.36 418.12 425.73 431.57 436.78 436.78 436.78 436.78 658

659 Single 398.23 406.99 415.75 424.51 432.15 437.99 443.29 443.29 443.29 443.29 659659 Head of Household 416.12 424.88 433.33 439.17 445.01 450.85 451.82 451.82 451.82 451.82 659659 Married Filing joint 433.98 439.82 445.66 451.51 453.55 453.55 453.55 453.55 453.55 659659 Married Filling Separate 392.39 401.15 409.91 418.67 426.31 432.15 437.44 437.44 437.44 437.44 659

660 Single 398.77 407.54 416.30 425.06 432.74 438.58 443.94 443.94 443.94 443.94 660660 Head of Household 416.68 425.44 433.93 439.77 445.61 451.45 452.49 452.49 452.49 452.49 660660 Married Filing joint 434.59 440.43 446.27 452.11 454.23 454.23 454.23 454.23 454.23 660660 Married Filling Separate 392.93 401.69 410.46 419.22 426.89 432.73 438.10 438.10 438.10 438.10 660

661 Single 399.32 408.08 416.84 425.60 433.32 439.16 444.60 444.60 444.60 444.60 661661 Head of Household 417.24 426.01 434.53 440.37 446.21 452.05 453.17 453.17 453.17 453.17 661661 Married Filing joint 435.19 441.03 446.87 452.71 454.91 454.91 454.91 454.91 454.91 661661 Married Filling Separate 393.48 402.24 411.00 419.76 427.48 433.32 438.76 438.76 438.76 438.76 661

662 Single 399.87 408.63 417.39 426.15 433.90 439.74 445.26 445.26 445.26 445.26 662662 Head of Household 417.81 426.57 435.13 440.97 446.81 452.66 453.85 453.85 453.85 453.85 662662 Married Filing joint 435.79 441.63 447.47 453.31 455.59 455.59 455.59 455.59 455.59 662662 Married Filling Separate 394.03 402.79 411.55 420.31 428.06 433.90 439.42 439.42 439.42 439.42 662

663 Single 400.41 409.17 417.94 426.70 434.49 440.33 445.92 445.92 445.92 445.92 663663 Head of Household 418.37 427.13 435.73 441.58 447.42 453.26 454.52 454.52 454.52 454.52 663663 Married Filing joint 436.39 442.24 448.08 453.92 456.26 456.26 456.26 456.26 456.26 663663 Married Filling Separate 394.57 403.33 412.09 420.86 428.65 434.49 440.08 440.08 440.08 440.08 663

664 Single 400.96 409.72 418.48 427.24 435.07 440.91 446.58 446.58 446.58 446.58 664664 Head of Household 418.60 427.36 436.00 441.84 447.68 453.52 454.86 454.86 454.86 454.86 664664 Married Filing joint 437.00 442.84 448.68 454.52 456.94 456.94 456.94 456.94 456.94 664664 Married Filling Separate 395.12 403.88 412.64 421.40 429.23 435.07 440.74 440.74 440.74 440.74 664

Page 103: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

665 Single 401.51 410.27 419.03 427.79 435.65 441.50 447.24 447.24 447.24 447.24 665665 Head of Household 419.16 427.93 436.60 442.44 448.28 454.12 455.54 455.54 455.54 455.54 665665 Married Filing joint 437.60 443.44 449.28 455.12 457.62 457.62 457.62 457.62 457.62 665665 Married Filling Separate 395.66 404.43 413.19 421.95 429.81 435.65 441.40 441.40 441.40 441.40 665

666 Single 402.05 410.81 419.58 428.34 436.24 442.08 447.90 447.90 447.90 447.90 666666 Head of Household 419.73 428.49 437.20 443.04 448.88 454.73 456.22 456.22 456.22 456.22 666666 Married Filing joint 438.20 444.04 449.89 455.73 458.30 458.30 458.30 458.30 458.30 666666 Married Filling Separate 396.21 404.97 413.73 422.50 430.40 436.24 442.06 442.06 442.06 442.06 666

667 Single 402.60 411.36 420.12 428.88 436.82 442.66 448.50 448.56 448.56 448.56 667667 Head of Household 420.29 429.05 437.80 443.64 449.48 455.33 456.89 456.89 456.89 456.89 667667 Married Filing joint 438.81 444.65 450.49 456.33 458.98 458.98 458.98 458.98 458.98 667667 Married Filling Separate 396.76 405.52 414.28 423.04 430.98 436.82 442.66 442.71 442.71 442.71 667

668 Single 403.14 411.91 420.67 429.43 437.41 443.25 449.09 449.22 449.22 449.22 668668 Head of Household 420.85 429.62 438.38 444.24 450.09 455.93 457.57 457.57 457.57 457.57 668668 Married Filing joint 439.41 445.25 451.09 456.93 459.65 459.65 459.65 459.65 459.65 668668 Married Filling Separate 397.30 406.06 414.83 423.59 431.56 437.41 443.25 443.37 443.37 443.37 668

669 Single 403.69 412.45 421.21 429.98 437.99 443.83 449.67 449.87 449.87 449.87 669669 Head of Household 421.42 430.18 438.94 444.85 450.69 456.53 458.24 458.24 458.24 458.24 669669 Married Filing joint 440.01 445.85 451.69 457.54 460.33 460.33 460.33 460.33 460.33 669669 Married Filling Separate 397.85 406.61 415.37 424.13 432.15 437.99 443.83 444.03 444.03 444.03 669

670 Single 404.24 413.00 421.76 430.52 438.57 444.42 450.26 450.53 450.53 450.53 670670 Head of Household 421.98 430.74 439.50 445.45 451.29 457.13 458.92 458.92 458.92 458.92 670670 Married Filing joint 440.62 446.46 452.30 458.14 461.01 461.01 461.01 461.01 461.01 670670 Married Filling Separate 398.40 407.16 415.92 424.68 432.73 438.57 444.41 444.69 444.69 444.69 670

671 Single 404.78 413.55 422.31 431.07 439.16 445.00 450.84 451.19 451.19 451.19 671671 Head of Household 422.54 431.31 440.07 446.05 451.89 457.73 459.59 459.59 459.59 459.59 671671 Married Filing joint 441.22 447.06 452.90 458.74 461.69 461.69 461.69 461.69 461.69 671671 Married Filling Separate 398.94 407.70 416.47 425.23 433.32 439.16 445.00 445.35 445.35 445.35 671

672 Single 405.33 414.09 422.85 431.61 439.74 445.58 451.42 451.85 451.85 451.85 672672 Head of Household 423.11 431.87 440.63 446.65 452.49 458.33 460.27 460.27 460.27 460.27 672672 Married Filing joint 441.82 447.66 453.50 459.34 462.37 462.37 462.37 462.37 462.37 672672 Married Filling Separate 399.49 408.25 417.01 425.77 433.90 439.74 445.58 446.01 446.01 446.01 672

Page 104: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

673 Single 405.88 414.64 423.40 432.16 440.33 446.17 452.01 452.51 452.51 452.51 673673 Head of Household 423.67 432.43 441.19 447.25 453.09 458.93 460.95 460.95 460.95 460.95 673673 Married Filing joint 442.42 448.27 454.11 459.95 463.04 463.04 463.04 463.04 463.04 673673 Married Filling Separate 400.04 408.80 417.56 426.32 434.48 440.33 446.17 446.67 446.67 446.67 673

674 Single 405.77 414.54 423.30 432.06 440.26 446.10 451.94 452.52 452.52 452.52 674674 Head of Household 423.88 432.64 441.40 447.49 453.33 459.17 461.26 461.26 461.26 461.26 674674 Married Filing joint 443.03 448.87 454.71 460.55 463.72 463.72 463.72 463.72 463.72 674674 Married Filling Separate 399.93 408.69 417.46 426.22 434.42 440.26 446.10 446.68 446.68 446.68 674

675 Single 406.32 415.08 423.84 432.61 440.84 446.69 452.53 453.18 453.18 453.18 675675 Head of Household 424.43 433.19 441.95 448.08 453.92 459.76 461.93 461.93 461.93 461.93 675675 Married Filing joint 443.63 449.47 455.31 461.15 464.40 464.40 464.40 464.40 464.40 675675 Married Filling Separate 400.48 409.24 418.00 426.76 435.00 440.84 446.69 447.34 447.34 447.34 675

676 Single 406.87 415.63 424.39 433.15 441.43 447.27 453.11 453.84 453.84 453.84 676676 Head of Household 424.98 433.74 442.50 448.67 454.51 460.35 462.59 462.59 462.59 462.59 676676 Married Filing joint 444.23 450.07 455.92 461.76 465.08 465.08 465.08 465.08 465.08 676676 Married Filling Separate 401.03 409.79 418.55 427.31 435.59 441.43 447.27 448.00 448.00 448.00 676

677 Single 407.41 416.17 424.94 433.70 442.01 447.85 453.69 454.50 454.50 454.50 677677 Head of Household 425.53 434.29 443.05 449.25 455.09 460.94 463.25 463.25 463.25 463.25 677677 Married Filing joint 444.84 450.68 456.52 462.36 465.76 465.76 465.76 465.76 465.76 677677 Married Filling Separate 401.57 410.33 419.09 427.86 436.17 442.01 447.85 448.65 448.65 448.65 677

678 Single 407.96 416.72 425.48 434.24 442.60 448.44 454.28 455.15 455.15 455.15 678678 Head of Household 426.08 434.84 443.60 449.84 455.68 461.52 463.91 463.91 463.91 463.91 678678 Married Filing joint 445.44 451.28 457.12 462.96 466.43 466.43 466.43 466.43 466.43 678678 Married Filling Separate 402.12 410.88 419.64 428.40 436.75 442.60 448.44 449.31 449.31 449.31 678

679 Single 408.51 417.27 426.03 434.79 443.18 449.02 454.86 455.81 455.81 455.81 679679 Head of Household 426.63 435.39 444.15 450.43 456.27 462.11 464.58 464.58 464.58 464.58 679679 Married Filing joint 446.04 451.88 457.72 463.57 467.11 467.11 467.11 467.11 467.11 679679 Married Filling Separate 402.66 411.43 420.19 428.95 437.34 443.18 449.02 449.97 449.97 449.97 679

680 Single 409.05 417.81 426.58 435.34 443.76 449.60 455.45 456.47 456.47 456.47 680680 Head of Household 427.18 435.94 444.70 451.02 456.86 462.70 465.24 465.24 465.24 465.24 680680 Married Filing joint 446.65 452.49 458.33 464.17 467.79 467.79 467.79 467.79 467.79 680680 Married Filling Separate 403.21 411.97 420.73 429.50 437.92 443.76 449.60 450.63 450.63 450.63 680

Page 105: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

681 Single 409.60 418.36 427.12 435.88 444.35 450.19 456.03 457.13 457.13 457.13 681681 Head of Household 427.73 436.49 445.25 451.60 457.45 463.29 465.90 465.90 465.90 465.90 681681 Married Filing joint 447.25 453.09 458.93 464.77 468.47 468.47 468.47 468.47 468.47 681681 Married Filling Separate 403.76 412.52 421.28 430.04 438.51 444.35 450.19 451.29 451.29 451.29 681

682 Single 410.15 418.91 427.67 436.43 444.93 450.77 456.61 457.79 457.79 457.79 682682 Head of Household 428.28 437.04 445.80 452.19 458.03 463.87 466.56 466.56 466.56 466.56 682682 Married Filing joint 447.85 453.69 459.53 465.37 469.15 469.15 469.15 469.15 469.15 682682 Married Filling Separate 404.30 413.07 421.83 430.59 439.09 444.93 450.77 451.95 451.95 451.95 682

683 Single 410.69 419.45 428.21 436.98 445.52 451.36 457.20 458.45 458.45 458.45 683683 Head of Household 428.46 437.22 445.98 452.41 458.26 464.10 466.86 466.86 466.86 466.86 683683 Married Filing joint 448.45 454.30 460.14 465.98 469.82 469.82 469.82 469.82 469.82 683683 Married Filling Separate 404.85 413.61 422.37 431.13 439.67 445.52 451.36 452.61 452.61 452.61 683

684 Single 411.24 420.00 428.76 437.52 446.10 451.94 457.78 459.11 459.11 459.11 684684 Head of Household 429.01 437.77 446.53 453.00 458.84 464.68 467.52 467.52 467.52 467.52 684684 Married Filing joint 449.06 454.90 460.74 466.58 470.50 470.50 470.50 470.50 470.50 684684 Married Filling Separate 405.40 414.16 422.92 431.68 440.26 446.10 451.94 453.27 453.27 453.27 684

685 Single 411.78 420.55 429.31 438.07 446.68 452.52 458.37 459.77 459.77 459.77 685685 Head of Household 429.56 438.32 447.08 453.59 459.43 465.27 468.18 468.18 468.18 468.18 685685 Married Filing joint 449.66 455.50 461.34 467.18 471.18 471.18 471.18 471.18 471.18 685685 Married Filling Separate 405.94 414.70 423.47 432.23 440.84 446.68 452.52 453.93 453.93 453.93 685

686 Single 412.33 421.09 429.85 438.62 447.27 453.11 458.95 460.43 460.43 460.43 686686 Head of Household 430.11 438.87 447.63 454.17 460.01 465.85 468.84 468.84 468.84 468.84 686686 Married Filing joint 450.26 456.10 461.95 467.79 471.86 471.86 471.86 471.86 471.86 686686 Married Filling Separate 406.49 415.25 424.01 432.77 441.43 447.27 453.11 454.58 454.58 454.58 686

687 Single 412.88 421.64 430.40 439.16 447.85 453.69 459.53 461.08 461.08 461.08 687687 Head of Household 430.65 439.42 448.18 454.76 460.60 466.44 469.50 469.50 469.50 469.50 687687 Married Filing joint 450.87 456.71 462.55 468.39 472.54 472.54 472.54 472.54 472.54 687687 Married Filling Separate 407.04 415.80 424.56 433.32 442.01 447.85 453.69 455.24 455.24 455.24 687

688 Single 413.42 422.18 430.95 439.71 448.43 454.28 460.12 461.74 461.74 461.74 688688 Head of Household 431.20 439.96 448.73 455.34 461.18 467.03 470.17 470.17 470.17 470.17 688688 Married Filing joint 451.47 457.31 463.15 468.99 473.21 473.21 473.21 473.21 473.21 688688 Married Filling Separate 407.58 416.34 425.10 433.87 442.59 448.43 454.28 455.90 455.90 455.90 688

Page 106: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

689 Single 413.97 422.73 431.49 440.25 449.02 454.86 460.70 462.40 462.40 462.40 689689 Head of Household 431.75 440.51 449.27 455.93 461.77 467.61 470.83 470.83 470.83 470.83 689689 Married Filing joint 452.07 457.91 463.75 469.60 473.89 473.89 473.89 473.89 473.89 689689 Married Filling Separate 408.13 416.89 425.65 434.41 443.17 449.02 454.86 456.56 456.56 456.56 689

690 Single 414.52 423.28 432.04 440.80 449.56 455.44 461.28 463.06 463.06 463.06 690690 Head of Household 432.30 441.06 449.82 456.51 462.36 468.20 471.49 471.49 471.49 471.49 690690 Married Filing joint 452.68 458.52 464.36 470.20 474.57 474.57 474.57 474.57 474.57 690690 Married Filling Separate 408.67 417.44 426.20 434.96 443.72 449.60 455.44 457.22 457.22 457.22 690

691 Single 415.06 423.82 432.59 441.35 450.11 456.03 461.87 463.72 463.72 463.72 691691 Head of Household 432.85 441.61 450.37 457.10 462.94 468.78 472.15 472.15 472.15 472.15 691691 Married Filing joint 453.28 459.12 464.96 470.80 475.25 475.25 475.25 475.25 475.25 691691 Married Filling Separate 409.22 417.98 426.74 435.51 444.27 450.19 456.03 457.88 457.88 457.88 691

692 Single 415.61 424.37 433.13 441.89 450.65 456.61 462.45 464.38 464.38 464.38 692692 Head of Household 433.40 442.16 450.92 457.69 463.53 469.37 472.81 472.81 472.81 472.81 692692 Married Filing joint 453.88 459.72 465.56 471.40 475.93 475.93 475.93 475.93 475.93 692692 Married Filling Separate 409.77 418.53 427.29 436.05 444.81 450.77 456.61 458.54 458.54 458.54 692

693 Single 415.51 424.27 433.03 441.79 450.55 456.55 462.39 464.39 464.39 464.39 693693 Head of Household 433.94 442.71 451.47 458.27 464.11 469.95 473.47 473.47 473.47 473.47 693693 Married Filing joint 454.48 460.33 466.17 472.01 476.60 476.60 476.60 476.60 476.60 693693 Married Filling Separate 410.31 419.08 427.84 436.60 445.36 451.35 457.19 459.20 459.20 459.20 693

694 Single 416.05 424.81 433.58 442.34 451.10 457.13 462.97 465.05 465.05 465.05 694694 Head of Household 434.49 443.25 452.02 458.86 464.70 470.54 474.13 474.13 474.13 474.13 694694 Married Filing joint 455.09 460.93 466.77 472.61 477.28 477.28 477.28 477.28 477.28 694694 Married Filling Separate 410.86 419.62 428.38 437.14 445.91 451.94 457.78 459.86 459.86 459.86 694

695 Single 416.60 425.36 434.12 442.88 451.64 457.71 463.55 465.71 465.71 465.71 695695 Head of Household 435.04 443.80 452.56 459.44 465.28 471.13 474.79 474.79 474.79 474.79 695695 Married Filing joint 455.69 461.53 467.37 473.21 477.96 477.96 477.96 477.96 477.96 695695 Married Filling Separate 411.41 420.17 428.93 437.69 446.45 452.52 458.36 460.51 460.51 460.51 695

696 Single 417.15 425.91 434.67 443.43 452.19 458.30 464.14 466.37 466.37 466.37 696696 Head of Household 435.59 444.35 453.11 460.03 465.87 471.71 475.45 475.45 475.45 475.45 696696 Married Filing joint 456.29 462.13 467.98 473.82 478.64 478.64 478.64 478.64 478.64 696696 Married Filling Separate 411.95 420.71 429.48 438.24 447.00 453.11 458.95 461.17 461.17 461.17 696

Page 107: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

697 Single 417.69 426.45 435.21 443.98 452.74 458.88 464.72 467.02 467.02 467.02 697697 Head of Household 436.14 444.90 453.66 460.62 466.46 472.30 476.11 476.11 476.11 476.11 697697 Married Filing joint 456.90 462.74 468.58 474.42 479.32 479.32 479.32 479.32 479.32 697697 Married Filling Separate 412.50 421.26 430.02 438.78 447.55 453.69 459.53 461.83 461.83 461.83 697

698 Single 418.24 427.00 435.76 444.52 453.28 459.47 465.31 467.68 467.68 467.68 698698 Head of Household 436.69 445.45 454.21 461.20 467.04 472.88 476.77 476.77 476.77 476.77 698698 Married Filing joint 457.50 463.34 469.18 475.02 479.99 479.99 479.99 479.99 479.99 698698 Married Filling Separate 413.05 421.81 430.57 439.33 448.09 454.27 460.11 462.49 462.49 462.49 698

699 Single 418.78 427.55 436.31 445.07 453.83 460.05 465.89 468.34 468.34 468.34 699699 Head of Household 437.23 446.00 454.76 461.79 467.63 473.47 477.43 477.43 477.43 477.43 699699 Married Filing joint 458.10 463.94 469.78 475.63 480.67 480.67 480.67 480.67 480.67 699699 Married Filling Separate 413.59 422.35 431.12 439.88 448.64 454.86 460.70 463.15 463.15 463.15 699

700 Single 419.33 428.09 436.85 445.62 454.38 460.63 466.47 469.00 469.00 469.00 700700 Head of Household 437.78 446.54 455.31 462.37 468.21 474.05 478.09 478.09 478.09 478.09 700700 Married Filing joint 458.71 464.55 470.39 476.23 481.35 481.35 481.35 481.35 481.35 700700 Married Filling Separate 414.14 422.90 431.66 440.42 449.18 455.44 461.28 463.81 463.81 463.81 700

701 Single 419.88 428.64 437.40 446.16 454.92 461.22 467.06 469.66 469.66 469.66 701701 Head of Household 438.33 447.09 455.85 462.96 468.80 474.64 478.76 478.76 478.76 478.76 701701 Married Filing joint 459.31 465.15 470.99 476.83 482.03 482.03 482.03 482.03 482.03 701701 Married Filling Separate 414.68 423.45 432.21 440.97 449.73 456.02 461.87 464.47 464.47 464.47 701

702 Single 420.42 429.19 437.95 446.71 455.47 461.80 467.64 470.32 470.32 470.32 702702 Head of Household 438.88 447.64 456.40 463.54 469.38 475.23 479.42 479.42 479.42 479.42 702702 Married Filing joint 459.91 465.75 471.59 477.43 482.71 482.71 482.71 482.71 482.71 702702 Married Filling Separate 415.23 423.99 432.75 441.52 450.28 456.61 462.45 465.13 465.13 465.13 702

703 Single 420.97 429.73 438.49 447.25 456.02 462.38 468.23 470.98 470.98 470.98 703703 Head of Household 439.43 448.19 456.95 464.13 469.97 475.81 480.08 480.08 480.08 480.08 703703 Married Filing joint 460.51 466.36 472.20 478.04 483.38 483.38 483.38 483.38 483.38 703703 Married Filling Separate 415.78 424.54 433.30 442.06 450.82 457.19 463.03 465.79 465.79 465.79 703

704 Single 421.52 430.28 439.04 447.80 456.56 462.97 468.81 471.64 471.64 471.64 704704 Head of Household 439.98 448.74 457.50 464.72 470.56 476.40 480.74 480.74 480.74 480.74 704704 Married Filing joint 461.12 466.96 472.80 478.64 484.06 484.06 484.06 484.06 484.06 704704 Married Filling Separate 416.32 425.09 433.85 442.61 451.37 457.78 463.62 466.44 466.44 466.44 704

Page 108: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

705 Single 422.06 430.82 439.59 448.35 457.11 463.55 469.39 472.30 472.30 472.30 705705 Head of Household 440.52 449.28 458.05 465.30 471.14 476.98 481.40 481.40 481.40 481.40 705705 Married Filing joint 461.72 467.56 473.40 479.24 484.74 484.74 484.74 484.74 484.74 705705 Married Filling Separate 416.87 425.63 434.39 443.15 451.92 458.36 464.20 467.10 467.10 467.10 705

706 Single 422.61 431.37 440.13 448.89 457.66 464.14 469.98 472.95 472.95 472.95 706706 Head of Household 441.07 449.83 458.59 465.89 471.73 477.57 482.06 482.06 482.06 482.06 706706 Married Filing joint 462.32 468.16 474.01 479.85 485.42 485.42 485.42 485.42 485.42 706706 Married Filling Separate 417.42 426.18 434.94 443.70 452.46 458.94 464.79 467.76 467.76 467.76 706

707 Single 423.16 431.92 440.68 449.44 458.20 464.72 470.56 473.61 473.61 473.61 707707 Head of Household 441.62 450.38 459.14 466.47 472.31 478.15 482.72 482.72 482.72 482.72 707707 Married Filing joint 462.93 468.77 474.61 480.45 486.10 486.10 486.10 486.10 486.10 707707 Married Filling Separate 417.96 426.72 435.49 444.25 453.01 459.53 465.37 468.42 468.42 468.42 707

708 Single 423.70 432.46 441.22 449.99 458.75 465.30 471.15 474.27 474.27 474.27 708708 Head of Household 442.17 450.93 459.69 467.06 472.90 478.74 483.38 483.38 483.38 483.38 708708 Married Filing joint 463.53 469.37 475.21 481.05 486.77 486.77 486.77 486.77 486.77 708708 Married Filling Separate 418.51 427.27 436.03 444.79 453.56 460.11 465.95 469.08 469.08 469.08 708

709 Single 424.25 433.01 441.77 450.53 459.29 465.89 471.73 474.93 474.93 474.93 709709 Head of Household 442.72 451.48 460.24 467.64 473.49 479.33 484.04 484.04 484.04 484.04 709709 Married Filing joint 464.13 469.97 475.81 481.66 487.45 487.45 487.45 487.45 487.45 709709 Married Filling Separate 419.06 427.82 436.58 445.34 454.10 460.70 466.54 469.74 469.74 469.74 709

710 Single 424.79 433.56 442.32 451.08 459.84 466.47 472.31 475.59 475.59 475.59 710710 Head of Household 443.26 452.03 460.79 468.23 474.07 479.91 484.70 484.70 484.70 484.70 710710 Married Filing joint 464.74 470.58 476.42 482.26 488.10 488.13 488.13 488.13 488.13 710710 Married Filling Separate 419.60 428.36 437.13 445.89 454.65 461.28 467.12 470.40 470.40 470.40 710

711 Single 425.34 434.10 442.86 451.63 460.39 467.06 472.90 476.25 476.25 476.25 711711 Head of Household 443.81 452.57 461.34 468.82 474.66 480.50 485.36 485.36 485.36 485.36 711711 Married Filing joint 465.34 471.18 477.02 482.86 488.70 488.81 488.81 488.81 488.81 711711 Married Filling Separate 420.15 428.91 437.67 446.43 455.19 461.86 467.70 471.06 471.06 471.06 711

712 Single 425.24 434.00 442.76 451.52 460.28 466.99 472.83 476.26 476.26 476.26 712712 Head of Household 444.36 453.12 461.88 469.40 475.24 481.08 486.02 486.02 486.02 486.02 712712 Married Filing joint 465.94 471.78 477.62 483.46 489.31 489.49 489.49 489.49 489.49 712712 Married Filling Separate 420.69 429.46 438.22 446.98 455.74 462.45 468.29 471.72 471.72 471.72 712

Page 109: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

713 Single 425.78 434.55 443.31 452.07 460.83 467.57 473.42 476.92 476.92 476.92 713713 Head of Household 444.91 453.67 462.43 469.99 475.83 481.67 486.68 486.68 486.68 486.68 713713 Married Filing joint 466.54 472.39 478.23 484.07 489.91 490.16 490.16 490.16 490.16 713713 Married Filling Separate 421.24 430.00 438.76 447.53 456.29 463.03 468.87 472.37 472.37 472.37 713

714 Single 426.33 435.09 443.85 452.62 461.38 468.16 474.00 477.58 477.58 477.58 714714 Head of Household 445.46 454.22 462.98 470.57 476.41 482.25 487.35 487.35 487.35 487.35 714714 Married Filing joint 467.15 472.99 478.83 484.67 490.51 490.84 490.84 490.84 490.84 714714 Married Filling Separate 421.79 430.55 439.31 448.07 456.83 463.62 469.46 473.03 473.03 473.03 714

715 Single 426.88 435.64 444.40 453.16 461.92 468.74 474.58 478.24 478.24 478.24 715715 Head of Household 446.01 454.77 463.53 471.16 477.00 482.84 488.01 488.01 488.01 488.01 715715 Married Filing joint 467.75 473.59 479.43 485.27 491.11 491.52 491.52 491.52 491.52 715715 Married Filling Separate 422.33 431.10 439.86 448.62 457.38 464.20 470.04 473.69 473.69 473.69 715

716 Single 427.42 436.19 444.95 453.71 462.47 469.33 475.17 478.89 478.89 478.89 716716 Head of Household 446.55 455.32 464.08 471.74 477.59 483.43 488.67 488.67 488.67 488.67 716716 Married Filing joint 468.35 474.19 480.04 485.88 491.72 492.20 492.20 492.20 492.20 716716 Married Filling Separate 422.88 431.64 440.40 449.16 457.93 464.78 470.62 474.35 474.35 474.35 716

717 Single 427.97 436.73 445.49 454.25 463.02 469.91 475.75 479.55 479.55 479.55 717717 Head of Household 447.10 455.86 464.63 472.33 478.17 484.01 489.33 489.33 489.33 489.33 717717 Married Filing joint 468.96 474.80 480.64 486.48 492.32 492.88 492.88 492.88 492.88 717717 Married Filling Separate 423.43 432.19 440.95 449.71 458.47 465.37 471.21 475.01 475.01 475.01 717

718 Single 428.52 437.28 446.04 454.80 463.56 470.49 476.34 480.21 480.21 480.21 718718 Head of Household 447.65 456.41 465.17 472.92 478.76 484.60 489.99 489.99 489.99 489.99 718718 Married Filing joint 469.56 475.40 481.24 487.08 492.92 493.55 493.55 493.55 493.55 718718 Married Filling Separate 423.97 432.73 441.50 450.26 459.02 465.95 471.79 475.67 475.67 475.67 718

719 Single 429.06 437.82 446.59 455.35 464.11 471.08 476.92 480.87 480.87 480.87 719719 Head of Household 448.20 456.96 465.72 473.50 479.34 485.18 490.65 490.65 490.65 490.65 719719 Married Filing joint 470.16 476.00 481.84 487.69 493.53 494.23 494.23 494.23 494.23 719719 Married Filling Separate 424.52 433.28 442.04 450.80 459.57 466.53 472.38 476.33 476.33 476.33 719

720 Single 429.61 438.37 447.13 455.89 464.66 471.66 477.50 481.53 481.53 481.53 720720 Head of Household 448.75 457.51 466.27 474.09 479.93 485.77 491.31 491.31 491.31 491.31 720720 Married Filing joint 470.77 476.61 482.45 488.29 494.13 494.91 494.91 494.91 494.91 720720 Married Filling Separate 425.07 433.83 442.59 451.35 460.11 467.12 472.96 476.99 476.99 476.99 720

Page 110: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

721 Single 430.16 438.92 447.68 456.44 465.20 472.25 478.09 482.19 482.19 482.19 721721 Head of Household 449.30 458.06 466.82 474.67 480.51 486.36 491.97 491.97 491.97 491.97 721721 Married Filing joint 471.37 477.21 483.05 488.89 494.73 495.59 495.59 495.59 495.59 721721 Married Filling Separate 425.61 434.37 443.14 451.90 460.66 467.70 473.54 477.65 477.65 477.65 721

722 Single 430.70 439.46 448.23 456.99 465.75 472.83 478.67 482.85 482.85 482.85 722722 Head of Household 449.84 458.61 467.37 475.26 481.10 486.94 492.63 492.63 492.63 492.63 722722 Married Filing joint 471.97 477.81 483.65 489.49 495.34 496.27 496.27 496.27 496.27 722722 Married Filling Separate 426.16 434.92 443.68 452.44 461.20 468.29 474.13 478.30 478.30 478.30 722

723 Single 431.25 440.01 448.77 457.53 466.29 473.41 479.25 483.51 483.51 483.51 723723 Head of Household 450.39 459.15 467.91 475.84 481.69 487.53 493.29 493.29 493.29 493.29 723723 Married Filing joint 472.57 478.42 484.26 490.10 495.94 496.94 496.94 496.94 496.94 723723 Married Filling Separate 426.71 435.47 444.23 452.99 461.75 468.87 474.71 478.96 478.96 478.96 723

724 Single 431.79 440.56 449.32 458.08 466.84 474.00 479.84 484.17 484.17 484.17 724724 Head of Household 450.94 459.70 468.46 476.43 482.27 488.11 493.95 493.95 493.95 493.95 724724 Married Filing joint 473.18 479.02 484.86 490.70 496.54 497.62 497.62 497.62 497.62 724724 Married Filling Separate 427.25 436.01 444.77 453.54 462.30 469.45 475.29 479.62 479.62 479.62 724

725 Single 432.34 441.10 449.86 458.63 467.39 474.58 480.42 484.82 484.82 484.82 725725 Head of Household 451.49 460.25 469.01 477.02 482.86 488.70 494.54 494.61 494.61 494.61 725725 Married Filing joint 473.78 479.62 485.46 491.30 497.14 498.30 498.30 498.30 498.30 725725 Married Filling Separate 427.80 436.56 445.32 454.08 462.84 470.04 475.88 480.28 480.28 480.28 725

726 Single 432.89 441.65 450.41 459.17 467.93 475.17 481.01 485.48 485.48 485.48 726726 Head of Household 452.04 460.80 469.56 477.60 483.44 489.28 495.12 495.27 495.27 495.27 726726 Married Filing joint 474.38 480.22 486.07 491.91 497.75 498.98 498.98 498.98 498.98 726726 Married Filling Separate 428.34 437.11 445.87 454.63 463.39 470.62 476.46 480.94 480.94 480.94 726

727 Single 433.43 442.20 450.96 459.72 468.48 475.75 481.59 486.14 486.14 486.14 727727 Head of Household 452.58 461.35 470.11 478.19 484.03 489.87 495.71 495.93 495.93 495.93 727727 Married Filing joint 474.99 480.83 486.67 492.51 498.35 499.66 499.66 499.66 499.66 727727 Married Filling Separate 428.89 437.65 446.41 455.18 463.94 471.21 477.05 481.60 481.60 481.60 727

728 Single 433.98 442.74 451.50 460.26 469.03 476.33 482.17 486.80 486.80 486.80 728728 Head of Household 453.13 461.89 470.66 478.77 484.61 490.46 496.30 496.60 496.60 496.60 728728 Married Filing joint 475.59 481.43 487.27 493.11 498.95 500.33 500.33 500.33 500.33 728728 Married Filling Separate 429.44 438.20 446.96 455.72 464.48 471.79 477.63 482.26 482.26 482.26 728

Page 111: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

729 Single 434.53 443.29 452.05 460.81 469.57 476.92 482.76 487.46 487.46 487.46 729729 Head of Household 453.68 462.44 471.20 479.36 485.20 491.04 496.88 497.26 497.26 497.26 729729 Married Filing joint 476.19 482.03 487.87 493.72 499.56 501.01 501.01 501.01 501.01 729729 Married Filling Separate 429.98 438.74 447.51 456.27 465.03 472.37 478.21 482.92 482.92 482.92 729

730 Single 435.07 443.83 452.60 461.36 470.12 477.50 483.34 488.12 488.12 488.12 730730 Head of Household 454.23 462.99 471.75 479.94 485.79 491.63 497.47 497.92 497.92 497.92 730730 Married Filing joint 476.80 482.64 488.48 494.32 500.16 501.69 501.69 501.69 501.69 730730 Married Filling Separate 430.53 439.29 448.05 456.81 465.58 472.96 478.80 483.57 483.57 483.57 730

731 Single 434.97 443.73 452.49 461.25 470.02 477.44 483.28 488.13 488.13 488.13 731731 Head of Household 454.16 462.93 471.69 479.92 485.76 491.60 497.44 497.96 497.96 497.96 731731 Married Filing joint 477.40 483.24 489.08 494.92 500.76 502.37 502.37 502.37 502.37 731731 Married Filling Separate 431.08 439.84 448.60 457.36 466.12 473.54 479.38 484.23 484.23 484.23 731

732 Single 435.52 444.28 453.04 461.80 470.56 478.02 483.86 488.79 488.79 488.79 732732 Head of Household 454.71 463.47 472.24 480.50 486.34 492.19 498.03 498.63 498.63 498.63 732732 Married Filing joint 478.00 483.84 489.68 495.52 501.37 503.05 503.05 503.05 503.05 732732 Married Filling Separate 431.62 440.38 449.15 457.91 466.67 474.12 479.97 484.89 484.89 484.89 732

733 Single 436.06 444.82 453.59 462.35 471.11 478.60 484.44 489.45 489.45 489.45 733733 Head of Household 455.26 464.02 472.78 481.09 486.93 492.77 498.61 499.29 499.29 499.29 733733 Married Filing joint 478.60 484.45 490.29 496.13 501.97 503.72 503.72 503.72 503.72 733733 Married Filling Separate 432.17 440.93 449.69 458.45 467.21 474.71 480.55 485.55 485.55 485.55 733

734 Single 436.61 445.37 454.13 462.89 471.66 479.19 485.03 490.10 490.10 490.10 734734 Head of Household 455.81 464.57 473.33 481.67 487.52 493.36 499.20 499.95 499.95 499.95 734734 Married Filing joint 479.21 485.05 490.89 496.73 502.57 504.40 504.40 504.40 504.40 734734 Married Filling Separate 432.72 441.48 450.24 459.00 467.76 475.29 481.13 486.21 486.21 486.21 734

735 Single 437.16 445.92 454.68 463.44 472.20 479.77 485.61 490.76 490.76 490.76 735735 Head of Household 456.36 465.12 473.88 482.26 488.10 493.94 499.78 500.61 500.61 500.61 735735 Married Filing joint 479.81 485.65 491.49 497.33 503.17 505.08 505.08 505.08 505.08 735735 Married Filling Separate 433.26 442.02 450.78 459.55 468.31 475.88 481.72 486.87 486.87 486.87 735

736 Single 437.70 446.46 455.23 463.99 472.75 480.35 486.20 491.42 491.42 491.42 736736 Head of Household 456.91 465.67 474.43 482.85 488.69 494.53 500.37 501.27 501.27 501.27 736736 Married Filing joint 480.41 486.25 492.10 497.94 503.78 505.76 505.76 505.76 505.76 736736 Married Filling Separate 433.81 442.57 451.33 460.09 468.85 476.46 482.30 487.53 487.53 487.53 736

Page 112: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

737 Single 438.25 447.01 455.77 464.53 473.29 480.94 486.78 492.08 492.08 492.08 737737 Head of Household 457.45 466.22 474.98 483.43 489.27 495.11 500.96 501.93 501.93 501.93 737737 Married Filing joint 481.02 486.86 492.70 498.54 504.38 506.44 506.44 506.44 506.44 737737 Married Filling Separate 434.35 443.12 451.88 460.64 469.40 477.04 482.89 488.19 488.19 488.19 737

738 Single 438.79 447.56 456.32 465.08 473.84 481.52 487.36 492.74 492.74 492.74 738738 Head of Household 458.00 466.76 475.53 484.02 489.86 495.70 501.54 502.59 502.59 502.59 738738 Married Filing joint 481.62 487.46 493.30 499.14 504.98 507.11 507.11 507.11 507.11 738738 Married Filling Separate 434.90 443.66 452.42 461.19 469.95 477.63 483.47 488.85 488.85 488.85 738

739 Single 439.34 448.10 456.86 465.63 474.39 482.11 487.95 493.40 493.40 493.40 739739 Head of Household 458.55 467.31 476.07 484.60 490.44 496.29 502.13 503.25 503.25 503.25 739739 Married Filing joint 482.22 488.06 493.90 499.75 505.59 507.79 507.79 507.79 507.79 739739 Married Filling Separate 435.45 444.21 452.97 461.73 470.49 478.21 484.05 489.50 489.50 489.50 739

740 Single 439.89 448.65 457.41 466.17 474.93 482.69 488.53 494.06 494.06 494.06 740740 Head of Household 459.10 467.86 476.62 485.19 491.03 496.87 502.71 503.91 503.91 503.91 740740 Married Filing joint 482.83 488.67 494.51 500.35 506.19 508.47 508.47 508.47 508.47 740740 Married Filling Separate 435.99 444.75 453.52 462.28 471.04 478.80 484.64 490.16 490.16 490.16 740

741 Single 440.43 449.20 457.96 466.72 475.48 483.27 489.11 494.72 494.72 494.72 741741 Head of Household 459.65 468.41 477.17 485.78 491.62 497.46 503.30 504.57 504.57 504.57 741741 Married Filing joint 483.43 489.27 495.11 500.95 506.79 509.15 509.15 509.15 509.15 741741 Married Filling Separate 436.54 445.30 454.06 462.82 471.59 479.38 485.22 490.82 490.82 490.82 741

742 Single 440.98 449.74 458.50 467.26 476.03 483.86 489.70 495.38 495.38 495.38 742742 Head of Household 460.20 468.96 477.72 486.36 492.20 498.04 503.88 505.23 505.23 505.23 742742 Married Filing joint 484.03 489.87 495.71 501.55 507.40 509.83 509.83 509.83 509.83 742742 Married Filling Separate 437.09 445.85 454.61 463.37 472.13 479.96 485.80 491.48 491.48 491.48 742

743 Single 441.53 450.29 459.05 467.81 476.57 484.44 490.28 496.03 496.03 496.03 743743 Head of Household 460.74 469.51 478.27 486.95 492.79 498.63 504.47 505.89 505.89 505.89 743743 Married Filing joint 484.63 490.48 496.32 502.16 508.00 510.50 510.50 510.50 510.50 743743 Married Filling Separate 437.63 446.39 455.16 463.92 472.68 480.55 486.39 492.14 492.14 492.14 743

744 Single 442.07 450.83 459.60 468.36 477.12 485.03 490.87 496.69 496.69 496.69 744744 Head of Household 461.29 470.05 478.82 487.53 493.37 499.21 505.06 506.55 506.55 506.55 744744 Married Filing joint 485.24 491.08 496.92 502.76 508.60 511.18 511.18 511.18 511.18 744744 Married Filling Separate 438.18 446.94 455.70 464.46 473.22 481.13 486.97 492.80 492.80 492.80 744

Page 113: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

745 Single 442.62 451.38 460.14 468.90 477.67 485.61 491.45 497.29 497.35 497.35 745745 Head of Household 461.84 470.60 479.36 488.12 493.96 499.80 505.64 507.22 507.22 507.22 745745 Married Filing joint 485.84 491.68 497.52 503.36 509.20 511.86 511.86 511.86 511.86 745745 Married Filling Separate 438.73 447.49 456.25 465.01 473.77 481.72 487.56 493.40 493.46 493.46 745

746 Single 443.17 451.93 460.69 469.45 478.21 486.19 492.03 497.88 498.01 498.01 746746 Head of Household 462.39 471.15 479.91 488.67 494.54 500.39 506.23 507.88 507.88 507.88 746746 Married Filing joint 486.44 492.28 498.13 503.97 509.81 512.54 512.54 512.54 512.54 746746 Married Filling Separate 439.27 448.03 456.79 465.56 474.32 482.30 488.14 493.98 494.12 494.12 746

747 Single 443.71 452.47 461.24 470.00 478.76 486.78 492.62 498.46 498.67 498.67 747747 Head of Household 462.94 471.70 480.46 489.22 495.13 500.97 506.81 508.54 508.54 508.54 747747 Married Filing joint 487.05 492.89 498.73 504.57 510.41 513.22 513.22 513.22 513.22 747747 Married Filling Separate 439.82 448.58 457.34 466.10 474.86 482.88 488.72 494.57 494.78 494.78 747

748 Single 444.26 453.02 461.78 470.54 479.30 487.36 493.20 499.04 499.33 499.33 748748 Head of Household 463.49 472.25 481.01 489.77 495.72 501.56 507.40 509.20 509.20 509.20 748748 Married Filing joint 487.65 493.49 499.33 505.17 511.01 513.89 513.89 513.89 513.89 748748 Married Filling Separate 440.36 449.13 457.89 466.65 475.41 483.47 489.31 495.15 495.43 495.43 748

749 Single 444.80 453.57 462.33 471.09 479.85 487.94 493.79 499.63 499.99 499.99 749749 Head of Household 464.03 472.79 481.56 490.32 496.30 502.14 507.98 509.86 509.86 509.86 749749 Married Filing joint 488.25 494.09 499.93 505.78 511.62 514.57 514.57 514.57 514.57 749749 Married Filling Separate 440.91 449.67 458.43 467.20 475.96 484.05 489.89 495.73 496.09 496.09 749

750 Single 445.35 454.11 462.87 471.64 480.40 488.53 494.37 500.21 500.65 500.65 750750 Head of Household 464.58 473.34 482.10 490.87 496.89 502.73 508.57 510.52 510.52 510.52 750750 Married Filing joint 488.86 494.70 500.54 506.38 512.22 515.25 515.25 515.25 515.25 750750 Married Filling Separate 441.46 450.22 458.98 467.74 476.50 484.63 490.48 496.32 496.75 496.75 750

751 Single 445.25 454.01 462.77 471.53 480.29 488.46 494.30 500.15 500.66 500.66 751751 Head of Household 464.52 473.28 482.04 490.80 496.86 502.70 508.54 510.57 510.57 510.57 751751 Married Filing joint 489.46 495.30 501.14 506.98 512.82 515.93 515.93 515.93 515.93 751751 Married Filling Separate 442.00 450.77 459.53 468.29 477.05 485.22 491.06 496.90 497.41 497.41 751

752 Single 445.79 454.56 463.32 472.08 480.84 489.05 494.89 500.73 501.32 501.32 752752 Head of Household 465.07 473.83 482.59 491.35 497.45 503.29 509.13 511.23 511.23 511.23 752752 Married Filing joint 490.06 495.90 501.74 507.58 513.43 516.61 516.61 516.61 516.61 752752 Married Filling Separate 442.55 451.31 460.07 468.83 477.60 485.80 491.64 497.48 498.07 498.07 752

Page 114: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

753 Single 446.34 455.10 463.86 472.63 481.39 489.63 495.47 501.31 501.97 501.97 753753 Head of Household 465.61 474.37 483.14 491.90 498.03 503.87 509.71 511.89 511.89 511.89 753753 Married Filing joint 490.66 496.51 502.35 508.19 514.03 517.28 517.28 517.28 517.28 753753 Married Filling Separate 443.10 451.86 460.62 469.38 478.14 486.39 492.23 498.07 498.73 498.73 753

754 Single 446.89 455.65 464.41 473.17 481.93 490.22 496.06 501.90 502.63 502.63 754754 Head of Household 466.16 474.92 483.68 492.45 498.62 504.46 510.30 512.55 512.55 512.55 754754 Married Filing joint 491.27 497.11 502.95 508.79 514.63 517.96 517.96 517.96 517.96 754754 Married Filling Separate 443.64 452.40 461.17 469.93 478.69 486.97 492.81 498.65 499.39 499.39 754

755 Single 447.43 456.20 464.96 473.72 482.48 490.80 496.64 502.48 503.29 503.29 755755 Head of Household 466.71 475.47 484.23 492.99 499.20 505.04 510.89 513.21 513.21 513.21 755755 Married Filing joint 491.86 497.71 503.55 509.39 515.23 518.64 518.64 518.64 518.64 755755 Married Filling Separate 444.19 452.95 461.71 470.47 479.24 487.55 493.40 499.24 500.05 500.05 755

756 Single 447.98 456.74 465.50 474.26 483.03 491.38 497.22 503.06 503.95 503.95 756756 Head of Household 467.26 476.02 484.78 493.54 499.79 505.63 511.47 513.87 513.87 513.87 756756 Married Filing joint 492.43 498.31 504.16 510.00 515.84 519.32 519.32 519.32 519.32 756756 Married Filling Separate 444.74 453.50 462.26 471.02 479.78 488.14 493.98 499.82 500.71 500.71 756

757 Single 448.53 457.29 466.05 474.81 483.57 491.97 497.81 503.65 504.61 504.61 757757 Head of Household 467.81 476.57 485.33 494.09 500.38 506.22 512.06 514.53 514.53 514.53 757757 Married Filing joint 492.99 498.92 504.76 510.60 516.44 520.00 520.00 520.00 520.00 757757 Married Filling Separate 445.28 454.04 462.80 471.57 480.33 488.72 494.56 500.40 501.36 501.36 757

758 Single 449.07 457.83 466.60 475.36 484.12 492.55 498.39 504.23 505.27 505.27 758758 Head of Household 468.35 477.12 485.88 494.64 500.96 506.80 512.64 515.19 515.19 515.19 758758 Married Filing joint 493.56 499.52 505.36 511.20 517.04 520.67 520.67 520.67 520.67 758758 Married Filling Separate 445.83 454.59 463.35 472.11 480.87 489.31 495.15 500.99 502.02 502.02 758

759 Single 449.62 458.38 467.14 475.90 484.67 493.13 498.98 504.82 505.93 505.93 759759 Head of Household 468.90 477.66 486.43 495.19 501.55 507.39 513.23 515.85 515.85 515.85 759759 Married Filing joint 494.12 500.12 505.96 511.81 517.65 521.35 521.35 521.35 521.35 759759 Married Filling Separate 446.37 455.14 463.90 472.66 481.42 489.89 495.73 501.57 502.68 502.68 759

760 Single 450.17 458.93 467.69 476.45 485.21 493.72 499.56 505.40 506.59 506.59 760760 Head of Household 469.45 478.21 486.97 495.74 502.13 507.97 513.81 516.51 516.51 516.51 760760 Married Filing joint 494.69 500.73 506.57 512.41 518.25 522.03 522.03 522.03 522.03 760760 Married Filling Separate 446.92 455.68 464.44 473.21 481.97 490.47 496.31 502.16 503.34 503.34 760

Page 115: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

761 Single 450.71 459.47 468.24 477.00 485.76 494.30 500.14 505.98 507.25 507.25 761761 Head of Household 470.00 478.76 487.52 496.28 502.72 508.56 514.40 517.17 517.17 517.17 761761 Married Filing joint 495.26 501.33 507.17 513.01 518.85 522.71 522.71 522.71 522.71 761761 Married Filling Separate 447.47 456.23 464.99 473.75 482.51 491.06 496.90 502.74 504.00 504.00 761

762 Single 451.26 460.02 468.78 477.54 486.30 494.89 500.73 506.57 507.90 507.90 762762 Head of Household 470.55 479.31 488.07 496.83 503.30 509.14 514.99 517.84 517.84 517.84 762762 Married Filing joint 495.82 501.93 507.77 513.61 519.46 523.39 523.39 523.39 523.39 762762 Married Filling Separate 448.01 456.78 465.54 474.30 483.06 491.64 497.48 503.32 504.66 504.66 762

763 Single 451.81 460.57 469.33 478.09 486.85 495.47 501.31 507.15 508.56 508.56 763763 Head of Household 471.10 479.86 488.62 497.38 503.89 509.73 515.57 518.50 518.50 518.50 763763 Married Filing joint 496.39 502.54 508.38 514.22 520.06 524.06 524.06 524.06 524.06 763763 Married Filling Separate 448.56 457.32 466.08 474.84 483.61 492.23 498.07 503.91 505.32 505.32 763

764 Single 452.35 461.11 469.87 478.64 487.40 496.05 501.89 507.74 509.22 509.22 764764 Head of Household 471.64 480.41 489.17 497.93 504.48 510.32 516.16 519.16 519.16 519.16 764764 Married Filing joint 496.95 503.14 508.98 514.82 520.66 524.74 524.74 524.74 524.74 764764 Married Filling Separate 449.11 457.87 466.63 475.39 484.15 492.81 498.65 504.49 505.98 505.98 764

765 Single 452.90 461.66 470.42 479.18 487.94 496.64 502.48 508.32 509.88 509.88 765765 Head of Household 472.19 480.95 489.72 498.48 505.06 510.90 516.74 519.82 519.82 519.82 765765 Married Filing joint 497.52 503.74 509.58 515.42 521.26 525.42 525.42 525.42 525.42 765765 Married Filling Separate 449.65 458.41 467.18 475.94 484.70 493.39 499.23 505.07 506.64 506.64 765

766 Single 453.44 462.21 470.97 479.73 488.49 497.22 503.06 508.90 510.54 510.54 766766 Head of Household 472.74 481.50 490.26 499.03 505.65 511.49 517.33 520.48 520.48 520.48 766766 Married Filing joint 498.08 504.34 510.19 516.03 521.87 526.10 526.10 526.10 526.10 766766 Married Filling Separate 450.20 458.96 467.72 476.48 485.25 493.98 499.82 505.66 507.29 507.29 766

767 Single 453.99 462.75 471.51 480.28 489.04 497.80 503.65 509.49 511.20 511.20 767767 Head of Household 473.29 482.05 490.81 499.57 506.23 512.07 517.91 521.14 521.14 521.14 767767 Married Filing joint 498.65 504.95 510.79 516.63 522.47 526.78 526.78 526.78 526.78 767767 Married Filling Separate 450.75 459.51 468.27 477.03 485.79 494.55 500.40 506.24 507.95 507.95 767

768 Single 454.54 463.30 472.06 480.82 489.58 498.34 504.23 510.07 511.86 511.86 768768 Head of Household 473.84 482.60 491.36 500.12 506.82 512.66 518.50 521.80 521.80 521.80 768768 Married Filing joint 499.21 505.55 511.39 517.23 523.07 527.45 527.45 527.45 527.45 768768 Married Filling Separate 451.29 460.05 468.81 477.58 486.34 495.10 500.99 506.83 508.61 508.61 768

Page 116: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

769 Single 455.08 463.84 472.61 481.37 490.13 498.89 504.81 510.66 512.52 512.52 769769 Head of Household 474.39 483.15 491.91 500.67 507.40 513.25 519.09 522.46 522.46 522.46 769769 Married Filing joint 499.78 506.15 511.99 517.84 523.68 528.13 528.13 528.13 528.13 769769 Married Filling Separate 451.84 460.60 469.36 478.12 486.88 495.65 501.57 507.41 509.27 509.27 769

770 Single 454.98 463.74 472.50 481.27 490.03 498.79 504.75 510.59 512.53 512.53 770770 Head of Household 474.32 483.08 491.84 500.61 507.38 513.22 519.06 522.51 522.51 522.51 770770 Married Filing joint 500.00 506.41 512.25 518.09 523.93 528.46 528.46 528.46 528.46 770770 Married Filling Separate 452.38 461.15 469.91 478.67 487.43 496.19 502.15 507.99 509.93 509.93 770

771 Single 455.53 464.29 473.05 481.81 490.57 499.33 505.33 511.17 513.18 513.18 771771 Head of Household 474.87 483.63 492.39 501.15 507.96 513.80 519.64 523.17 523.17 523.17 771771 Married Filing joint 500.56 507.01 512.85 518.69 524.53 529.14 529.14 529.14 529.14 771771 Married Filling Separate 452.93 461.69 470.45 479.22 487.98 496.74 502.74 508.58 510.59 510.59 771

772 Single 456.07 464.83 473.60 482.36 491.12 499.88 505.92 511.76 513.84 513.84 772772 Head of Household 475.42 484.18 492.94 501.70 508.55 514.39 520.23 523.83 523.83 523.83 772772 Married Filing joint 501.13 507.61 513.45 519.30 525.14 529.82 529.82 529.82 529.82 772772 Married Filling Separate 453.48 462.24 471.00 479.76 488.52 497.28 503.32 509.16 511.25 511.25 772

773 Single 456.62 465.38 474.14 482.90 491.67 500.43 506.50 512.34 514.50 514.50 773773 Head of Household 475.97 484.73 493.49 502.25 509.13 514.98 520.82 524.49 524.49 524.49 773773 Married Filing joint 501.69 508.21 514.06 519.90 525.74 530.49 530.49 530.49 530.49 773773 Married Filling Separate 454.02 462.79 471.55 480.31 489.07 497.83 503.90 509.75 511.91 511.91 773

774 Single 457.17 465.93 474.69 483.45 492.21 500.97 507.08 512.93 515.16 515.16 774774 Head of Household 476.51 485.28 494.04 502.80 509.72 515.56 521.40 525.15 525.15 525.15 774774 Married Filing joint 502.26 508.82 514.66 520.50 526.34 531.17 531.17 531.17 531.17 774774 Married Filling Separate 454.57 463.33 472.09 480.85 489.62 498.38 504.49 510.33 512.57 512.57 774

775 Single 457.71 466.47 475.24 484.00 492.76 501.52 507.67 513.51 515.82 515.82 775775 Head of Household 477.06 485.82 494.58 503.35 510.31 516.15 521.99 525.81 525.81 525.81 775775 Married Filing joint 502.82 509.42 515.26 521.10 526.94 531.85 531.85 531.85 531.85 775775 Married Filling Separate 455.12 463.88 472.64 481.40 490.16 498.92 505.07 510.91 513.22 513.22 775

776 Single 458.26 467.02 475.78 484.54 493.30 502.07 508.25 514.09 516.48 516.48 776776 Head of Household 477.61 486.37 495.13 503.89 510.89 516.73 522.57 526.47 526.47 526.47 776776 Married Filing joint 503.38 510.02 515.86 521.70 527.54 532.52 532.52 532.52 532.52 776776 Married Filling Separate 455.66 464.42 473.19 481.95 490.71 499.47 505.66 511.50 513.88 513.88 776

Page 117: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

777 Single 458.81 467.57 476.33 485.09 493.85 502.61 508.84 514.68 517.14 517.14 777777 Head of Household 478.16 486.92 495.68 504.44 511.48 517.32 523.16 527.13 527.13 527.13 777777 Married Filing joint 503.95 510.62 516.46 522.30 528.15 533.20 533.20 533.20 533.20 777777 Married Filling Separate 456.21 464.97 473.73 482.49 491.26 500.02 506.24 512.08 514.54 514.54 777

778 Single 459.35 468.11 476.87 485.64 494.40 503.16 509.42 515.26 517.80 517.80 778778 Head of Household 478.71 487.47 496.23 504.99 512.06 517.90 523.74 527.79 527.79 527.79 778778 Married Filing joint 504.51 511.22 517.07 522.91 528.75 533.88 533.88 533.88 533.88 778778 Married Filling Separate 456.76 465.52 474.28 483.04 491.80 500.56 506.82 512.67 515.20 515.20 778

779 Single 459.90 468.66 477.42 486.18 494.94 503.71 510.00 515.85 518.46 518.46 779779 Head of Household 479.25 488.02 496.78 505.54 512.65 518.49 524.33 528.45 528.45 528.45 779779 Married Filing joint 504.72 511.47 517.31 523.15 528.99 534.20 534.20 534.20 534.20 779779 Married Filling Separate 457.30 466.06 474.83 483.59 492.35 501.11 507.41 513.25 515.86 515.86 779

780 Single 460.44 469.21 477.97 486.73 495.49 504.25 510.59 516.43 519.11 519.11 780780 Head of Household 479.80 488.56 497.33 506.09 513.23 519.08 524.92 529.12 529.12 529.12 780780 Married Filing joint 505.28 512.07 517.91 523.75 529.59 534.87 534.87 534.87 534.87 780780 Married Filling Separate 457.85 466.61 475.37 484.13 492.89 501.66 507.99 513.83 516.52 516.52 780

781 Single 460.99 469.75 478.51 487.28 496.04 504.80 511.17 517.01 519.77 519.77 781781 Head of Household 480.35 489.11 497.87 506.64 513.82 519.66 525.50 529.78 529.78 529.78 781781 Married Filing joint 505.85 512.67 518.51 524.35 530.19 535.55 535.55 535.55 535.55 781781 Married Filling Separate 458.39 467.16 475.92 484.68 493.44 502.20 508.58 514.42 517.18 517.18 781

782 Single 461.54 470.30 479.06 487.82 496.58 505.34 511.76 517.60 520.43 520.43 782782 Head of Household 480.90 489.66 498.42 507.18 514.41 520.25 526.09 530.44 530.44 530.44 782782 Married Filing joint 506.41 513.27 519.11 524.95 530.79 536.22 536.22 536.22 536.22 782782 Married Filling Separate 458.94 467.70 476.46 485.23 493.99 502.75 509.16 515.00 517.84 517.84 782

783 Single 462.08 470.85 479.61 488.37 497.13 505.89 512.34 518.18 521.09 521.09 783783 Head of Household 481.45 490.21 498.97 507.73 514.99 520.83 526.67 531.10 531.10 531.10 783783 Married Filing joint 506.97 513.87 519.71 525.55 531.39 536.90 536.90 536.90 536.90 783783 Married Filling Separate 459.49 468.25 477.01 485.77 494.53 503.30 509.74 515.58 518.50 518.50 783

784 Single 462.63 471.39 480.15 488.91 497.68 506.44 512.92 518.76 521.75 521.75 784784 Head of Household 482.00 490.76 499.52 508.28 515.58 521.42 527.26 531.76 531.76 531.76 784784 Married Filing joint 507.54 514.47 520.31 526.15 532.00 537.58 537.58 537.58 537.58 784784 Married Filling Separate 460.03 468.80 477.56 486.32 495.08 503.84 510.33 516.17 519.15 519.15 784

Page 118: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

785 Single 463.18 471.94 480.70 489.46 498.22 506.98 513.51 519.35 522.41 522.41 785785 Head of Household 482.54 491.31 500.07 508.83 516.16 522.00 527.85 532.42 532.42 532.42 785785 Married Filing joint 508.10 515.07 520.91 526.76 532.60 538.25 538.25 538.25 538.25 785785 Married Filling Separate 460.58 469.34 478.10 486.86 495.63 504.39 510.91 516.75 519.81 519.81 785

786 Single 463.72 472.48 481.25 490.01 498.77 507.53 514.09 519.93 523.07 523.07 786786 Head of Household 483.09 491.85 500.62 509.38 516.75 522.59 528.43 533.08 533.08 533.08 786786 Married Filing joint 508.66 515.67 521.52 527.36 533.20 538.93 538.93 538.93 538.93 786786 Married Filling Separate 461.13 469.89 478.65 487.41 496.17 504.93 511.50 517.34 520.47 520.47 786

787 Single 464.27 473.03 481.79 490.55 499.32 508.08 514.68 520.52 523.73 523.73 787787 Head of Household 483.64 492.40 501.16 509.93 517.33 523.18 529.02 533.74 533.74 533.74 787787 Married Filing joint 509.23 516.27 522.12 527.96 533.80 539.60 539.60 539.60 539.60 787787 Married Filling Separate 461.67 470.43 479.20 487.96 496.72 505.48 512.08 517.92 521.13 521.13 787

788 Single 464.82 473.58 482.34 491.10 499.86 508.62 515.26 521.10 524.39 524.39 788788 Head of Household 484.19 492.95 501.71 510.47 517.92 523.76 529.60 534.40 534.40 534.40 788788 Married Filing joint 509.79 516.88 522.72 528.56 534.40 540.24 540.28 540.28 540.28 788788 Married Filling Separate 462.22 470.98 479.74 488.50 497.27 506.03 512.66 518.50 521.79 521.79 788

789 Single 464.71 473.47 482.24 491.00 499.76 508.52 515.19 521.03 524.40 524.40 789789 Head of Household 484.12 492.89 501.65 510.41 517.89 523.73 529.58 534.45 534.45 534.45 789789 Married Filing joint 509.98 517.11 522.95 528.79 534.63 540.47 540.59 540.59 540.59 789789 Married Filling Separate 462.77 471.53 480.29 489.05 497.81 506.57 513.25 519.09 522.45 522.45 789

790 Single 465.26 474.02 482.78 491.54 500.31 509.07 515.78 521.62 525.05 525.05 790790 Head of Household 484.67 493.43 502.20 510.96 518.48 524.32 530.16 535.11 535.11 535.11 790790 Married Filing joint 510.55 517.71 523.55 529.39 535.23 541.07 541.26 541.26 541.26 790790 Married Filling Separate 463.31 472.07 480.84 489.60 498.36 507.12 513.83 519.67 523.11 523.11 790

791 Single 465.81 474.57 483.33 492.09 500.85 509.61 516.36 522.20 525.71 525.71 791791 Head of Household 485.22 493.98 502.74 511.51 519.06 524.91 530.75 535.77 535.77 535.77 791791 Married Filing joint 511.11 518.31 524.15 529.99 535.83 541.67 541.94 541.94 541.94 791791 Married Filling Separate 463.86 472.62 481.38 490.14 498.90 507.67 514.41 520.26 523.77 523.77 791

792 Single 466.35 475.11 483.87 492.64 501.40 510.16 516.95 522.79 526.37 526.37 792792 Head of Household 485.77 494.53 503.29 512.05 519.65 525.49 531.33 536.43 536.43 536.43 792792 Married Filing joint 511.67 518.91 524.75 530.59 536.43 542.27 542.61 542.61 542.61 792792 Married Filling Separate 464.40 473.17 481.93 490.69 499.45 508.21 515.00 520.84 524.43 524.43 792

Page 119: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

793 Single 466.90 475.66 484.42 493.18 501.94 510.71 517.53 523.37 527.03 527.03 793793 Head of Household 486.32 495.08 503.84 512.60 520.24 526.08 531.92 537.09 537.09 537.09 793793 Married Filing joint 512.23 519.51 525.35 531.19 537.03 542.87 543.29 543.29 543.29 793793 Married Filling Separate 464.95 473.71 482.47 491.24 500.00 508.76 515.58 521.42 525.08 525.08 793

794 Single 467.44 476.21 484.97 493.73 502.49 511.25 518.11 523.95 527.69 527.69 794794 Head of Household 486.87 495.63 504.39 513.15 520.82 526.66 532.50 537.75 537.75 537.75 794794 Married Filing joint 512.80 520.11 525.95 531.79 537.63 543.47 543.96 543.96 543.96 794794 Married Filling Separate 465.50 474.26 483.02 491.78 500.54 509.31 516.17 522.01 525.74 525.74 794

795 Single 467.99 476.75 485.51 494.28 503.04 511.80 518.70 524.54 528.35 528.35 795795 Head of Household 487.41 496.18 504.94 513.70 521.41 527.25 533.09 538.41 538.41 538.41 795795 Married Filing joint 513.36 520.71 526.55 532.39 538.23 544.07 544.63 544.63 544.63 795795 Married Filling Separate 466.04 474.81 483.57 492.33 501.09 509.85 516.75 522.59 526.40 526.40 795

796 Single 468.54 477.30 486.06 494.82 503.58 512.34 519.28 525.12 529.01 529.01 796796 Head of Household 487.96 496.72 505.49 514.25 521.99 527.83 533.68 539.07 539.07 539.07 796796 Married Filing joint 513.92 521.31 527.15 532.99 538.83 544.67 545.31 545.31 545.31 796796 Married Filling Separate 466.59 475.35 484.11 492.87 501.64 510.40 517.33 523.17 527.06 527.06 796

797 Single 469.08 477.85 486.61 495.37 504.13 512.89 519.86 525.71 529.67 529.67 797797 Head of Household 488.51 497.27 506.03 514.79 522.58 528.42 534.26 539.74 539.74 539.74 797797 Married Filing joint 514.48 521.91 527.75 533.59 539.43 545.27 545.98 545.98 545.98 797797 Married Filling Separate 467.14 475.90 484.66 493.42 502.18 510.94 517.92 523.76 527.72 527.72 797

798 Single 469.63 478.39 487.15 495.91 504.68 513.44 520.45 526.29 530.33 530.33 798798 Head of Household 489.06 497.82 506.58 515.34 523.16 529.01 534.85 540.40 540.40 540.40 798798 Married Filing joint 515.04 522.50 528.35 534.19 540.03 545.87 546.66 546.66 546.66 798798 Married Filling Separate 467.68 476.44 485.21 493.97 502.73 511.49 518.50 524.34 528.38 528.38 798

799 Single 470.18 478.94 487.70 496.46 505.22 513.98 521.03 526.87 530.98 530.98 799799 Head of Household 489.61 498.37 507.13 515.89 523.75 529.59 535.43 541.06 541.06 541.06 799799 Married Filing joint 515.23 522.72 528.57 534.41 540.25 546.09 546.95 546.95 546.95 799799 Married Filling Separate 468.23 476.99 485.75 494.51 503.28 512.04 519.09 524.93 529.04 529.04 799

800 Single 470.72 479.48 488.25 497.01 505.77 514.53 521.62 527.46 531.64 531.64 800800 Head of Household 490.16 498.92 507.68 516.44 524.34 530.18 536.02 541.72 541.72 541.72 800800 Married Filing joint 515.79 523.32 529.16 535.01 540.85 546.69 547.63 547.63 547.63 800800 Married Filling Separate 468.78 477.54 486.30 495.06 503.82 512.58 519.67 525.51 529.70 529.70 800

Page 120: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

801 Single 471.27 480.03 488.79 497.55 506.32 515.08 522.20 528.04 532.30 532.30 801801 Head of Household 490.70 499.46 508.23 516.99 524.92 530.76 536.60 542.38 542.38 542.38 801801 Married Filing joint 516.35 523.92 529.76 535.60 541.44 547.29 548.30 548.30 548.30 801801 Married Filling Separate 469.32 478.08 486.85 495.61 504.37 513.13 520.25 526.09 530.36 530.36 801

802 Single 471.82 480.58 489.34 498.10 506.86 515.62 522.78 528.63 532.96 532.96 802802 Head of Household 491.25 500.01 508.77 517.54 525.51 531.35 537.19 543.03 543.04 543.04 802802 Married Filing joint 516.91 524.52 530.36 536.20 542.04 547.88 548.97 548.97 548.97 802802 Married Filling Separate 469.87 478.63 487.39 496.15 504.91 513.68 520.84 526.68 531.01 531.01 802

803 Single 472.36 481.12 489.89 498.65 507.41 516.17 523.37 529.21 533.62 533.62 803803 Head of Household 491.80 500.56 509.32 518.08 526.09 531.93 537.78 543.62 543.70 543.70 803803 Married Filing joint 517.47 525.12 530.96 536.80 542.64 548.48 549.65 549.65 549.65 803803 Married Filling Separate 470.42 479.18 487.94 496.70 505.46 514.22 521.42 527.26 531.67 531.67 803

804 Single 472.91 481.67 490.43 499.19 507.95 516.72 523.95 529.79 534.28 534.28 804804 Head of Household 492.35 501.11 509.87 518.63 526.68 532.52 538.36 544.20 544.36 544.36 804804 Married Filing joint 518.03 525.72 531.56 537.40 543.24 549.08 550.32 550.32 550.32 804804 Married Filling Separate 470.96 479.72 488.48 497.25 506.01 514.77 522.00 527.85 532.33 532.33 804

805 Single 473.45 482.22 490.98 499.74 508.50 517.26 524.54 530.38 534.94 534.94 805805 Head of Household 492.90 501.66 510.42 519.18 527.27 533.11 538.95 544.79 545.02 545.02 805805 Married Filing joint 518.59 526.32 532.16 538.00 543.84 549.68 550.99 550.99 550.99 805805 Married Filling Separate 471.51 480.27 489.03 497.79 506.55 515.32 522.59 528.43 532.99 532.99 805

806 Single 474.00 482.76 491.52 500.29 509.05 517.81 525.12 530.96 535.60 535.60 806806 Head of Household 493.44 502.21 510.97 519.73 527.85 533.69 539.53 545.37 545.68 545.68 806806 Married Filing joint 519.15 526.91 532.76 538.60 544.44 550.28 551.67 551.67 551.67 806806 Married Filling Separate 472.05 480.82 489.58 498.34 507.10 515.86 523.17 529.01 533.65 533.65 806

807 Single 474.55 483.31 492.07 500.83 509.59 518.36 525.70 531.54 536.26 536.26 807807 Head of Household 493.99 502.75 511.52 520.28 528.44 534.28 540.12 545.96 546.34 546.34 807807 Married Filing joint 519.71 527.51 533.35 539.19 545.04 550.88 552.34 552.34 552.34 807807 Married Filling Separate 472.60 481.36 490.12 498.89 507.65 516.41 523.76 529.60 534.31 534.31 807

808 Single 474.44 483.21 491.97 500.73 509.49 518.25 525.64 531.48 536.27 536.27 808808 Head of Household 493.93 502.69 511.45 520.21 528.41 534.25 540.09 545.93 546.39 546.39 808808 Married Filing joint 520.28 528.11 533.95 539.79 545.63 551.48 553.01 553.01 553.01 808808 Married Filling Separate 473.15 481.91 490.67 499.43 508.19 516.95 524.34 530.18 534.97 534.97 808

Page 121: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

809 Single 474.99 483.75 492.51 501.28 510.04 518.80 526.22 532.06 536.92 536.92 809809 Head of Household 494.48 503.24 512.00 520.76 529.00 534.84 540.68 546.52 547.05 547.05 809809 Married Filing joint 520.84 528.71 534.55 540.39 546.23 552.07 553.69 553.69 553.69 809809 Married Filling Separate 473.69 482.45 491.22 499.98 508.74 517.50 524.92 530.77 535.63 535.63 809

810 Single 475.54 484.30 493.06 501.82 510.58 519.35 526.81 532.65 537.58 537.58 810810 Head of Household 495.02 503.79 512.55 521.31 529.58 535.42 541.26 547.10 547.71 547.71 810810 Married Filing joint 521.40 529.31 535.15 540.99 546.83 552.67 554.36 554.36 554.36 810810 Married Filling Separate 474.24 483.00 491.76 500.52 509.29 518.05 525.51 531.35 536.28 536.28 810

811 Single 476.08 484.85 493.61 502.37 511.13 519.89 527.39 533.23 538.24 538.24 811811 Head of Household 495.57 504.33 513.10 521.86 530.17 536.01 541.85 547.69 548.37 548.37 811811 Married Filing joint 521.96 529.91 535.75 541.59 547.43 553.27 555.04 555.04 555.04 811811 Married Filling Separate 474.79 483.55 492.31 501.07 509.83 518.59 526.09 531.93 536.94 536.94 811

812 Single 476.63 485.39 494.15 502.91 511.68 520.44 527.97 533.81 538.90 538.90 812812 Head of Household 496.12 504.88 513.64 522.41 530.75 536.59 542.43 548.28 549.03 549.03 812812 Married Filing joint 522.52 530.51 536.35 542.19 548.03 553.87 555.71 555.71 555.71 812812 Married Filling Separate 475.33 484.09 492.86 501.62 510.38 519.14 526.68 532.52 537.60 537.60 812

813 Single 477.18 485.94 494.70 503.46 512.22 520.98 528.56 534.40 539.56 539.56 813813 Head of Household 496.67 505.43 514.19 522.95 531.34 537.18 543.02 548.86 549.69 549.69 813813 Married Filing joint 523.08 531.10 536.94 542.79 548.63 554.47 556.38 556.38 556.38 813813 Married Filling Separate 475.88 484.64 493.40 502.16 510.92 519.69 527.26 533.10 538.26 538.26 813

814 Single 477.72 486.48 495.25 504.01 512.77 521.53 529.14 534.98 540.22 540.22 814814 Head of Household 497.22 505.98 514.74 523.50 531.92 537.77 543.61 549.45 550.36 550.36 814814 Married Filing joint 523.64 531.70 537.54 543.38 549.23 555.07 557.06 557.06 557.06 814814 Married Filling Separate 476.43 485.19 493.95 502.71 511.47 520.23 527.84 533.68 538.92 538.92 814

815 Single 478.27 487.03 495.79 504.55 513.32 522.08 529.73 535.57 540.88 540.88 815815 Head of Household 497.77 506.53 515.29 524.05 532.51 538.35 544.19 550.03 551.02 551.02 815815 Married Filing joint 524.20 532.30 538.14 543.98 549.82 555.66 557.73 557.73 557.73 815815 Married Filling Separate 476.97 485.73 494.49 503.26 512.02 520.78 528.43 534.27 539.58 539.58 815

816 Single 478.82 487.58 496.34 505.10 513.86 522.62 530.31 536.15 541.54 541.54 816816 Head of Household 498.31 507.08 515.84 524.60 533.10 538.94 544.78 550.62 551.68 551.68 816816 Married Filing joint 524.76 532.90 538.74 544.58 550.42 556.26 558.40 558.40 558.40 816816 Married Filling Separate 477.52 486.28 495.04 503.80 512.56 521.33 529.01 534.85 540.24 540.24 816

Page 122: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

817 Single 479.36 488.12 496.89 505.65 514.41 523.17 530.89 536.73 542.20 542.20 817817 Head of Household 498.86 507.62 516.39 525.15 533.68 539.52 545.36 551.20 552.34 552.34 817817 Married Filing joint 525.32 533.50 539.34 545.18 551.02 556.86 559.08 559.08 559.08 817817 Married Filling Separate 478.06 486.83 495.59 504.35 513.11 521.87 529.60 535.44 540.90 540.90 817

818 Single 479.91 488.67 497.43 506.19 514.95 523.72 531.48 537.32 542.85 542.85 818818 Head of Household 499.41 508.17 516.93 525.70 534.27 540.11 545.95 551.79 553.00 553.00 818818 Married Filing joint 525.89 534.10 539.94 545.78 551.62 557.46 559.75 559.75 559.75 818818 Married Filling Separate 478.61 487.37 496.13 504.90 513.66 522.42 530.18 536.02 541.56 541.56 818

819 Single 480.46 489.22 497.98 506.74 515.50 524.26 532.06 537.90 543.51 543.51 819819 Head of Household 499.96 508.72 517.48 526.24 534.85 540.69 546.53 552.38 553.66 553.66 819819 Married Filing joint 526.45 534.69 540.54 546.38 552.22 558.06 560.42 560.42 560.42 819819 Married Filling Separate 479.16 487.92 496.68 505.44 514.20 522.96 530.76 536.60 542.21 542.21 819

820 Single 481.00 489.76 498.52 507.29 516.05 524.81 532.64 538.49 544.17 544.17 820820 Head of Household 500.51 509.27 518.03 526.79 535.44 541.28 547.12 552.96 554.32 554.32 820820 Married Filing joint 527.01 535.29 541.13 546.98 552.82 558.66 561.10 561.10 561.10 820820 Married Filling Separate 479.70 488.46 497.23 505.99 514.75 523.51 531.35 537.19 542.87 542.87 820

821 Single 481.55 490.31 499.07 507.83 516.59 525.36 533.23 539.07 544.83 544.83 821821 Head of Household 501.06 509.82 518.58 527.34 536.02 541.87 547.71 553.55 554.98 554.98 821821 Married Filing joint 527.57 535.89 541.73 547.57 553.41 559.26 561.77 561.77 561.77 821821 Married Filling Separate 480.25 489.01 497.77 506.53 515.30 524.06 531.93 537.77 543.53 543.53 821

822 Single 482.09 490.86 499.62 508.38 517.14 525.90 533.81 539.65 545.49 545.49 822822 Head of Household 501.60 510.37 519.13 527.89 536.61 542.45 548.29 554.13 555.64 555.64 822822 Married Filing joint 528.13 536.49 542.33 548.17 554.01 559.85 562.44 562.44 562.44 822822 Married Filling Separate 480.80 489.56 498.32 507.08 515.84 524.60 532.51 538.36 544.19 544.19 822

823 Single 482.64 491.40 500.16 508.93 517.69 526.45 534.40 540.24 546.08 546.15 823823 Head of Household 502.15 510.91 519.68 528.44 537.20 543.04 548.88 554.72 556.30 556.30 823823 Married Filing joint 528.69 537.09 542.93 548.77 554.61 560.45 563.12 563.12 563.12 823823 Married Filling Separate 481.34 490.10 498.87 507.63 516.39 525.15 533.10 538.94 544.78 544.85 823

824 Single 483.19 491.95 500.71 509.47 518.23 526.99 534.98 540.82 546.66 546.81 824824 Head of Household 502.70 511.46 520.22 528.98 537.75 543.62 549.46 555.30 556.96 556.96 824824 Married Filing joint 529.25 537.69 543.53 549.37 555.21 561.05 563.79 563.79 563.79 824824 Married Filling Separate 481.89 490.65 499.41 508.17 516.93 525.70 533.68 539.52 545.36 545.51 824

Page 123: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

825 Single 483.73 492.49 501.26 510.02 518.78 527.54 535.56 541.41 547.25 547.47 825825 Head of Household 503.25 512.01 520.77 529.53 538.29 544.21 550.05 555.89 557.62 557.62 825825 Married Filing joint 529.81 538.29 544.13 549.97 555.81 561.65 564.46 564.46 564.46 825825 Married Filling Separate 482.44 491.20 499.96 508.72 517.48 526.24 534.27 540.11 545.95 546.17 825

826 Single 484.28 493.04 501.80 510.56 519.33 528.09 536.15 541.99 547.83 548.12 826826 Head of Household 503.80 512.56 521.32 530.08 538.84 544.79 550.64 556.48 558.28 558.28 826826 Married Filing joint 530.37 538.88 544.73 550.57 556.41 562.25 565.14 565.14 565.14 826826 Married Filling Separate 482.98 491.74 500.50 509.27 518.03 526.79 534.85 540.69 546.53 546.83 826

827 Single 484.18 492.94 501.70 510.46 519.22 527.98 536.08 541.92 547.77 548.13 827827 Head of Household 503.73 512.49 521.26 530.02 538.78 544.77 550.61 556.45 558.33 558.33 827827 Married Filing joint 530.93 539.48 545.32 551.16 557.01 562.85 565.81 565.81 565.81 827827 Married Filling Separate 483.53 492.29 501.05 509.81 518.57 527.34 535.43 541.28 547.12 547.49 827

828 Single 484.72 493.48 502.25 511.01 519.77 528.53 536.67 542.51 548.35 548.79 828828 Head of Household 504.28 513.04 521.80 530.56 539.33 545.35 551.19 557.03 558.99 558.99 828828 Married Filing joint 531.50 540.08 545.92 551.76 557.60 563.45 566.48 566.48 566.48 828828 Married Filling Separate 484.07 492.84 501.60 510.36 519.12 527.88 536.02 541.86 547.70 548.14 828

829 Single 485.27 494.03 502.79 511.55 520.32 529.08 537.25 543.09 548.93 549.45 829829 Head of Household 504.83 513.59 522.35 531.11 539.87 545.94 551.78 557.62 559.65 559.65 829829 Married Filing joint 532.06 540.68 546.52 552.36 558.20 564.04 567.16 567.16 567.16 829829 Married Filling Separate 484.62 493.38 502.14 510.91 519.67 528.43 536.60 542.44 548.28 548.80 829

830 Single 485.82 494.58 503.34 512.10 520.86 529.62 537.83 543.68 549.52 550.11 830830 Head of Household 505.38 514.14 522.90 531.66 540.42 546.52 552.37 558.21 560.31 560.31 830830 Married Filing joint 532.62 541.28 547.12 552.96 558.80 564.64 567.83 567.83 567.83 830830 Married Filling Separate 485.17 493.93 502.69 511.45 520.21 528.97 537.19 543.03 548.87 549.46 830

831 Single 486.36 495.12 503.89 512.65 521.41 530.17 538.42 544.26 550.10 550.77 831831 Head of Household 505.93 514.69 523.45 532.21 540.97 547.11 552.95 558.79 560.98 560.98 831831 Married Filing joint 533.18 541.88 547.72 553.56 559.40 565.24 568.51 568.51 568.51 831831 Married Filling Separate 485.71 494.48 503.24 512.00 520.76 529.52 537.77 543.61 549.45 550.12 831

832 Single 486.91 495.67 504.43 513.19 521.95 530.72 539.00 544.84 550.68 551.43 832832 Head of Household 506.47 515.23 524.00 532.76 541.52 547.70 553.54 559.38 561.64 561.64 832832 Married Filing joint 533.74 542.48 548.32 554.16 560.00 565.84 569.18 569.18 569.18 832832 Married Filling Separate 486.26 495.02 503.78 512.54 521.31 530.07 538.35 544.19 550.04 550.78 832

Page 124: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

833 Single 487.46 496.22 504.98 513.74 522.50 531.26 539.59 545.43 551.27 552.09 833833 Head of Household 507.02 515.78 524.54 533.31 542.07 548.28 554.12 559.96 562.30 562.30 833833 Married Filing joint 534.30 543.06 548.91 554.76 560.60 566.44 569.85 569.85 569.85 833833 Married Filling Separate 486.81 495.57 504.33 513.09 521.85 530.61 538.94 544.78 550.62 551.44 833

834 Single 488.00 496.76 505.52 514.29 523.05 531.81 540.17 546.01 551.85 552.75 834834 Head of Household 507.57 516.33 525.09 533.85 542.62 548.87 554.71 560.55 562.96 562.96 834834 Married Filing joint 534.86 543.62 549.51 555.35 561.20 567.04 570.53 570.53 570.53 834834 Married Filling Separate 487.35 496.11 504.88 513.64 522.40 531.16 539.52 545.36 551.20 552.10 834

835 Single 488.55 497.31 506.07 514.83 523.59 532.36 540.75 546.60 552.44 553.41 835835 Head of Household 508.12 516.88 525.64 534.40 543.16 549.45 555.29 561.13 563.62 563.62 835835 Married Filing joint 535.42 544.18 550.11 555.95 561.79 567.63 571.20 571.20 571.20 835835 Married Filling Separate 487.90 496.66 505.42 514.18 522.95 531.71 540.11 545.95 551.79 552.76 835

836 Single 489.09 497.86 506.62 515.38 524.14 532.90 541.34 547.18 553.02 554.06 836836 Head of Household 508.67 517.43 526.19 534.95 543.71 550.04 555.88 561.72 564.28 564.28 836836 Married Filing joint 535.98 544.74 550.71 556.55 562.39 568.23 571.87 571.87 571.87 836836 Married Filling Separate 488.45 497.21 505.97 514.73 523.49 532.25 540.69 546.53 552.37 553.42 836

837 Single 489.64 498.40 507.16 515.93 524.69 533.45 541.92 547.76 553.60 554.72 837837 Head of Household 509.21 517.98 526.74 535.50 544.26 550.62 556.47 562.31 564.94 564.94 837837 Married Filing joint 536.54 545.31 551.31 557.15 562.99 568.83 572.55 572.55 572.55 837837 Married Filling Separate 488.99 497.75 506.51 515.28 524.04 532.80 541.27 547.11 552.95 554.07 837

838 Single 490.19 498.95 507.71 516.47 525.23 533.99 542.51 548.35 554.19 555.38 838838 Head of Household 509.76 518.52 527.29 536.05 544.81 551.21 557.05 562.89 565.60 565.60 838838 Married Filing joint 537.11 545.87 551.91 557.75 563.59 569.43 573.22 573.22 573.22 838838 Married Filling Separate 489.54 498.30 507.06 515.82 524.58 533.35 541.86 547.70 553.54 554.73 838

839 Single 490.73 499.50 508.26 517.02 525.78 534.54 543.09 548.93 554.77 556.04 839839 Head of Household 510.31 519.07 527.83 536.60 545.36 551.80 557.64 563.48 566.26 566.26 839839 Married Filing joint 537.67 546.43 552.51 558.35 564.19 570.03 573.89 573.89 573.89 839839 Married Filling Separate 490.08 498.85 507.61 516.37 525.13 533.89 542.44 548.28 554.12 555.39 839

840 Single 491.28 500.04 508.80 517.56 526.33 535.09 543.67 549.51 555.36 556.70 840840 Head of Household 510.86 519.62 528.38 537.14 545.91 552.38 558.22 564.06 566.92 566.92 840840 Married Filing joint 538.23 546.99 553.10 558.95 564.79 570.63 574.57 574.57 574.57 840840 Married Filling Separate 490.63 499.39 508.15 516.92 525.68 534.44 543.02 548.87 554.71 556.05 840

Page 125: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

841 Single 491.83 500.59 509.35 518.11 526.87 535.63 544.26 550.10 555.94 557.36 841841 Head of Household 511.41 520.17 528.93 537.69 546.45 552.97 558.81 564.65 567.58 567.58 841841 Married Filing joint 538.79 547.55 553.70 559.54 565.38 571.23 575.24 575.24 575.24 841841 Married Filling Separate 491.18 499.94 508.70 517.46 526.22 534.98 543.61 549.45 555.29 556.71 841

842 Single 492.37 501.13 509.90 518.66 527.42 536.18 544.84 550.68 556.52 558.02 842842 Head of Household 511.96 520.72 529.48 538.24 547.00 553.55 559.39 565.24 568.24 568.24 842842 Married Filing joint 539.35 548.11 554.30 560.14 565.98 571.82 575.91 575.91 575.91 842842 Married Filling Separate 491.72 500.49 509.25 518.01 526.77 535.53 544.19 550.03 555.87 557.37 842

843 Single 492.92 501.68 510.44 519.20 527.97 536.73 545.43 551.27 557.11 558.68 843843 Head of Household 512.50 521.27 530.03 538.79 547.55 554.14 559.98 565.82 568.90 568.90 843843 Married Filing joint 539.91 548.67 554.90 560.74 566.58 572.42 576.59 576.59 576.59 843843 Married Filling Separate 492.27 501.03 509.79 518.55 527.32 536.08 544.78 550.62 556.46 558.03 843

844 Single 493.47 502.23 510.99 519.75 528.51 537.27 546.01 551.85 557.69 559.34 844844 Head of Household 513.05 521.81 530.58 539.34 548.10 554.72 560.57 566.41 569.56 569.56 844844 Married Filing joint 540.47 549.23 555.50 561.34 567.18 573.02 577.26 577.26 577.26 844844 Married Filling Separate 492.82 501.58 510.34 519.10 527.86 536.62 545.36 551.20 557.04 558.69 844

845 Single 494.01 502.77 511.53 520.30 529.06 537.82 546.58 552.43 558.27 559.99 845845 Head of Household 513.60 522.36 531.12 539.89 548.65 555.31 561.15 566.99 570.23 570.23 845845 Married Filing joint 541.03 549.79 556.10 561.94 567.78 573.62 577.93 577.93 577.93 845845 Married Filling Separate 493.36 502.12 510.89 519.65 528.41 537.17 545.93 551.78 557.63 559.35 845

846 Single 494.56 503.32 512.08 520.84 529.60 538.37 547.13 553.02 558.86 560.65 846846 Head of Household 514.15 522.91 531.67 540.43 549.19 555.90 561.74 567.58 570.89 570.89 846846 Married Filing joint 541.59 550.35 556.70 562.54 568.38 574.22 578.61 578.61 578.61 846846 Married Filling Separate 493.91 502.67 511.43 520.19 528.96 537.72 546.48 552.37 558.21 560.00 846

847 Single 494.46 503.22 511.98 520.74 529.50 538.26 547.02 552.95 558.79 560.66 847847 Head of Household 513.90 522.66 531.42 540.18 548.95 555.68 561.52 567.37 570.75 570.75 847847 Married Filing joint 542.14 550.90 557.28 563.12 568.96 574.81 579.27 579.27 579.27 847847 Married Filling Separate 494.46 503.22 511.98 520.74 529.50 538.26 547.02 552.95 558.79 560.66 847

848 Single 495.00 503.76 512.52 521.29 530.05 538.81 547.57 553.54 559.38 561.32 848848 Head of Household 514.45 523.21 531.97 540.73 549.49 556.27 562.11 567.95 571.41 571.41 848848 Married Filing joint 542.69 551.45 557.87 563.71 569.55 575.39 579.93 579.93 579.93 848848 Married Filling Separate 495.00 503.76 512.52 521.29 530.05 538.81 547.57 553.54 559.38 561.32 848

Page 126: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

849 Single 495.55 504.31 513.07 521.83 530.59 539.36 548.12 554.12 559.96 561.98 849849 Head of Household 514.99 523.76 532.52 541.28 550.04 556.85 562.70 568.54 572.07 572.07 849849 Married Filing joint 543.24 552.00 558.45 564.30 570.14 575.98 580.59 580.59 580.59 849849 Married Filling Separate 495.55 504.31 513.07 521.83 530.59 539.36 548.12 554.12 559.96 561.98 849

850 Single 496.09 504.86 513.62 522.38 531.14 539.90 548.66 554.70 560.55 562.64 850850 Head of Household 515.54 524.30 533.07 541.83 550.59 557.44 563.28 569.12 572.73 572.73 850850 Married Filing joint 543.79 552.55 559.04 564.88 570.72 576.56 581.25 581.25 581.25 850850 Married Filling Separate 496.09 504.86 513.62 522.38 531.14 539.90 548.66 554.70 560.55 562.64 850

851 Single 496.64 505.40 514.16 522.93 531.69 540.45 549.21 555.29 561.13 563.30 851851 Head of Household 516.09 524.85 533.61 542.38 551.14 558.03 563.87 569.71 573.39 573.39 851851 Married Filing joint 544.34 553.10 559.63 565.47 571.31 577.15 581.91 581.91 581.91 851851 Married Filling Separate 496.64 505.40 514.16 522.93 531.69 540.45 549.21 555.29 561.13 563.30 851

852 Single 497.19 505.95 514.71 523.47 532.23 540.99 549.76 555.87 561.71 563.96 852852 Head of Household 516.64 525.40 534.16 542.92 551.68 558.61 564.45 570.29 574.05 574.05 852852 Married Filing joint 544.88 553.65 560.21 566.05 571.89 577.73 582.57 582.57 582.57 852852 Married Filling Separate 497.19 505.95 514.71 523.47 532.23 540.99 549.76 555.87 561.71 563.96 852

853 Single 497.73 506.50 515.26 524.02 532.78 541.54 550.30 556.46 562.30 564.62 853853 Head of Household 517.19 525.95 534.71 543.47 552.23 559.20 565.04 570.88 574.71 574.71 853853 Married Filing joint 545.43 554.19 560.80 566.64 572.48 578.32 583.24 583.24 583.24 853853 Married Filling Separate 497.73 506.50 515.26 524.02 532.78 541.54 550.30 556.46 562.30 564.62 853

854 Single 498.28 507.04 515.80 524.56 533.33 542.09 550.85 557.04 562.88 565.28 854854 Head of Household 517.73 526.50 535.26 544.02 552.78 559.78 565.62 571.46 575.37 575.37 854854 Married Filing joint 545.98 554.74 561.38 567.22 573.07 578.91 583.90 583.90 583.90 854854 Married Filling Separate 498.28 507.04 515.80 524.56 533.33 542.09 550.85 557.04 562.88 565.28 854

855 Single 498.83 507.59 516.35 525.11 533.87 542.63 551.40 557.62 563.46 565.93 855855 Head of Household 518.28 527.04 535.81 544.57 553.33 560.37 566.21 572.05 576.03 576.03 855855 Married Filing joint 546.53 555.29 561.97 567.81 573.65 579.49 584.56 584.56 584.56 855855 Married Filling Separate 498.83 507.59 516.35 525.11 533.87 542.63 551.40 557.62 563.46 565.93 855

856 Single 499.37 508.13 516.90 525.66 534.42 543.18 551.94 558.21 564.05 566.59 856856 Head of Household 518.64 527.40 536.16 544.93 553.69 560.76 566.60 572.45 576.50 576.50 856856 Married Filing joint 547.08 555.84 562.55 568.40 574.24 580.08 585.22 585.22 585.22 856856 Married Filling Separate 499.37 508.13 516.90 525.66 534.42 543.18 551.94 558.21 564.05 566.59 856

Page 127: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

857 Single 499.92 508.68 517.44 526.20 534.97 543.73 552.49 558.79 564.63 567.25 857857 Head of Household 519.19 527.95 536.71 545.47 554.24 561.35 567.19 573.03 577.16 577.16 857857 Married Filing joint 547.63 556.39 563.14 568.98 574.82 580.66 585.88 585.88 585.88 857857 Married Filling Separate 499.92 508.68 517.44 526.20 534.97 543.73 552.49 558.79 564.63 567.25 857

858 Single 500.47 509.23 517.99 526.75 535.51 544.27 553.03 559.38 565.22 567.91 858858 Head of Household 519.74 528.50 537.26 546.02 554.78 561.93 567.77 573.62 577.82 577.82 858858 Married Filing joint 548.17 556.94 563.73 569.57 575.41 581.25 586.54 586.54 586.54 858858 Married Filling Separate 500.47 509.23 517.99 526.75 535.51 544.27 553.03 559.38 565.22 567.91 858

859 Single 501.01 509.77 518.54 527.30 536.06 544.82 553.58 559.96 565.80 568.57 859859 Head of Household 520.28 529.05 537.81 546.57 555.33 562.52 568.36 574.20 578.48 578.48 859859 Married Filing joint 548.72 557.48 564.31 570.15 575.99 581.83 587.20 587.20 587.20 859859 Married Filling Separate 501.01 509.77 518.54 527.30 536.06 544.82 553.58 559.96 565.80 568.57 859

860 Single 501.56 510.32 519.08 527.84 536.60 545.37 554.13 560.54 566.38 569.23 860860 Head of Household 520.83 529.59 538.35 547.12 555.88 563.10 568.94 574.79 579.14 579.14 860860 Married Filing joint 549.27 558.03 564.90 570.74 576.58 582.42 587.86 587.86 587.86 860860 Married Filling Separate 501.56 510.32 519.08 527.84 536.60 545.37 554.13 560.54 566.38 569.23 860

861 Single 502.10 510.87 519.63 528.39 537.15 545.91 554.67 561.13 566.97 569.89 861861 Head of Household 521.38 530.14 538.90 547.66 556.43 563.69 569.53 575.37 579.80 579.80 861861 Married Filing joint 549.82 558.58 565.48 571.32 577.17 583.01 588.52 588.52 588.52 861861 Married Filling Separate 502.10 510.87 519.63 528.39 537.15 545.91 554.67 561.13 566.97 569.89 861

862 Single 502.65 511.41 520.17 528.94 537.70 546.46 555.22 561.71 567.55 570.55 862862 Head of Household 521.93 530.69 539.45 548.21 556.97 564.27 570.11 575.96 580.46 580.46 862862 Married Filing joint 550.37 559.13 566.07 571.91 577.75 583.59 589.18 589.18 589.18 862862 Married Filling Separate 502.65 511.41 520.17 528.94 537.70 546.46 555.22 561.71 567.55 570.55 862

863 Single 503.20 511.96 520.72 529.48 538.24 547.01 555.77 562.29 568.14 571.21 863863 Head of Household 522.47 531.24 540.00 548.76 557.52 564.86 570.70 576.54 581.12 581.12 863863 Married Filing joint 550.92 559.68 566.65 572.50 578.34 584.18 589.84 589.84 589.84 863863 Married Filling Separate 503.20 511.96 520.72 529.48 538.24 547.01 555.77 562.29 568.14 571.21 863

864 Single 503.74 512.51 521.27 530.03 538.79 547.55 556.31 562.88 568.72 571.86 864864 Head of Household 523.02 531.78 540.54 549.31 558.07 565.44 571.28 577.13 581.78 581.78 864864 Married Filing joint 551.46 560.23 567.24 573.08 578.92 584.76 590.50 590.50 590.50 864864 Married Filling Separate 503.74 512.51 521.27 530.03 538.79 547.55 556.31 562.88 568.72 571.86 864

Page 128: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

865 Single 504.29 513.05 521.81 530.57 539.34 548.10 556.86 563.46 569.30 572.52 865865 Head of Household 523.57 532.33 541.09 549.85 558.62 566.03 571.87 577.71 582.44 582.44 865865 Married Filing joint 552.01 560.77 567.83 573.67 579.51 585.35 591.16 591.16 591.16 865865 Married Filling Separate 504.29 513.05 521.81 530.57 539.34 548.10 556.86 563.46 569.30 572.52 865

866 Single 504.84 513.60 522.36 531.12 539.88 548.64 557.41 564.05 569.89 573.18 866866 Head of Household 523.29 532.05 540.81 549.57 558.34 565.79 571.63 577.47 582.28 582.28 866866 Married Filing joint 552.56 561.32 568.41 574.25 580.09 585.94 591.78 591.82 591.82 866866 Married Filling Separate 504.84 513.60 522.36 531.12 539.88 548.64 557.41 564.05 569.89 573.18 866

867 Single 505.38 514.14 522.91 531.67 540.43 549.19 557.95 564.63 570.47 573.84 867867 Head of Household 523.84 532.60 541.36 550.12 558.88 566.37 572.21 578.05 582.94 582.94 867867 Married Filing joint 553.11 561.87 569.00 574.84 580.68 586.52 592.36 592.49 592.49 867867 Married Filling Separate 505.38 514.14 522.91 531.67 540.43 549.19 557.95 564.63 570.47 573.84 867

868 Single 505.93 514.69 523.45 532.21 540.98 549.74 558.50 565.21 571.05 574.50 868868 Head of Household 524.38 533.15 541.91 550.67 559.43 566.96 572.80 578.64 583.60 583.60 868868 Married Filing joint 553.66 562.42 569.58 575.42 581.27 587.11 592.95 593.15 593.15 868868 Married Filling Separate 505.93 514.69 523.45 532.21 540.98 549.74 558.50 565.21 571.05 574.50 868

869 Single 506.48 515.24 524.00 532.76 541.52 550.28 559.04 565.80 571.64 575.16 869869 Head of Household 524.93 533.69 542.45 551.22 559.98 567.54 573.38 579.22 584.26 584.26 869869 Married Filing joint 554.20 562.97 570.17 576.01 581.85 587.69 593.53 593.81 593.81 869869 Married Filling Separate 506.48 515.24 524.00 532.76 541.52 550.28 559.04 565.80 571.64 575.16 869

870 Single 507.02 515.78 524.55 533.31 542.07 550.83 559.59 566.38 572.22 575.82 870870 Head of Household 525.48 534.24 543.00 551.76 560.52 568.13 573.97 579.81 584.92 584.92 870870 Married Filing joint 554.75 563.51 570.76 576.60 582.44 588.28 594.12 594.47 594.47 870870 Married Filling Separate 507.02 515.78 524.55 533.31 542.07 550.83 559.59 566.38 572.22 575.82 870

871 Single 507.57 516.33 525.09 533.85 542.61 551.38 560.14 566.97 572.81 576.48 871871 Head of Household 526.03 534.79 543.55 552.31 561.07 568.71 574.55 580.39 585.58 585.58 871871 Married Filing joint 555.30 564.06 571.34 577.18 583.02 588.86 594.70 595.13 595.13 871871 Married Filling Separate 507.57 516.33 525.09 533.85 542.61 551.38 560.14 566.97 572.81 576.48 871

872 Single 508.11 516.88 525.64 534.40 543.16 551.92 560.68 567.55 573.39 577.14 872872 Head of Household 526.57 535.33 544.10 552.86 561.62 569.30 575.14 580.98 586.24 586.24 872872 Married Filing joint 555.85 564.61 571.93 577.77 583.61 589.45 595.29 595.79 595.79 872872 Married Filling Separate 508.11 516.88 525.64 534.40 543.16 551.92 560.68 567.55 573.39 577.14 872

Page 129: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

873 Single 508.66 517.42 526.18 534.95 543.71 552.47 561.23 568.13 573.97 577.79 873873 Head of Household 527.12 535.88 544.64 553.40 562.17 569.88 575.72 581.56 586.89 586.89 873873 Married Filing joint 556.40 565.16 572.51 578.35 584.19 590.04 595.88 596.45 596.45 873873 Married Filling Separate 508.66 517.42 526.18 534.95 543.71 552.47 561.23 568.13 573.97 577.79 873

874 Single 509.21 517.97 526.73 535.49 544.25 553.02 561.78 568.72 574.56 578.45 874874 Head of Household 527.67 536.43 545.19 553.95 562.71 570.46 576.31 582.15 587.55 587.55 874874 Married Filing joint 556.95 565.71 573.10 578.94 584.78 590.62 596.46 597.11 597.11 874874 Married Filling Separate 509.21 517.97 526.73 535.49 544.25 553.02 561.78 568.72 574.56 578.45 874

875 Single 509.75 518.52 527.28 536.04 544.80 553.56 562.32 569.30 575.14 579.11 875875 Head of Household 528.21 536.98 545.74 554.50 563.26 571.05 576.89 582.73 588.21 588.21 875875 Married Filing joint 557.49 566.26 573.68 579.52 585.37 591.21 597.05 597.77 597.77 875875 Married Filling Separate 509.75 518.52 527.28 536.04 544.80 553.56 562.32 569.30 575.14 579.11 875

876 Single 510.30 519.06 527.82 536.58 545.35 554.11 562.87 569.88 575.73 579.77 876876 Head of Household 528.56 537.32 546.08 554.84 563.60 571.43 577.27 583.11 588.67 588.67 876876 Married Filing joint 558.04 566.80 574.27 580.11 585.95 591.79 597.63 598.43 598.43 876876 Married Filling Separate 510.30 519.06 527.82 536.58 545.35 554.11 562.87 569.88 575.73 579.77 876

877 Single 510.85 519.61 528.37 537.13 545.89 554.65 563.42 570.47 576.31 580.43 877877 Head of Household 529.11 537.87 546.63 555.39 564.15 572.01 577.86 583.70 589.33 589.33 877877 Married Filing joint 558.59 567.35 574.86 580.70 586.54 592.38 598.22 599.09 599.09 877877 Married Filling Separate 510.85 519.61 528.37 537.13 545.89 554.65 563.42 570.47 576.31 580.43 877

878 Single 511.39 520.15 528.92 537.68 546.44 555.20 563.96 571.05 576.89 581.09 878878 Head of Household 529.65 538.41 547.17 555.94 564.70 572.60 578.44 584.28 589.99 589.99 878878 Married Filing joint 559.14 567.90 575.44 581.28 587.12 592.96 598.81 599.75 599.75 878878 Married Filling Separate 511.39 520.15 528.92 537.68 546.44 555.20 563.96 571.05 576.89 581.09 878

879 Single 511.94 520.70 529.46 538.22 546.99 555.75 564.51 571.64 577.48 581.75 879879 Head of Household 530.20 538.96 547.72 556.48 565.24 573.18 579.02 584.87 590.65 590.65 879879 Married Filing joint 559.69 568.45 576.03 581.87 587.71 593.55 599.39 600.41 600.41 879879 Married Filling Separate 511.94 520.70 529.46 538.22 546.99 555.75 564.51 571.64 577.48 581.75 879

880 Single 512.49 521.25 530.01 538.77 547.53 556.29 565.05 572.22 578.06 582.41 880880 Head of Household 530.75 539.51 548.27 557.03 565.79 573.77 579.61 585.45 591.29 591.31 880880 Married Filing joint 560.24 569.00 576.61 582.45 588.29 594.14 599.98 601.08 601.08 880880 Married Filling Separate 512.49 521.25 530.01 538.77 547.53 556.29 565.05 572.22 578.06 582.41 880

Page 130: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

881 Single 513.03 521.79 530.56 539.32 548.08 556.84 565.60 572.80 578.65 583.07 881881 Head of Household 531.29 540.05 548.82 557.58 566.34 574.35 580.19 586.03 591.87 591.97 881881 Married Filing joint 560.78 569.55 577.20 583.04 588.88 594.72 600.56 601.74 601.74 881881 Married Filling Separate 513.03 521.79 530.56 539.32 548.08 556.84 565.60 572.80 578.65 583.07 881

882 Single 513.58 522.34 531.10 539.86 548.62 557.39 566.15 573.39 579.23 583.72 882882 Head of Household 531.84 540.60 549.36 558.12 566.88 574.94 580.78 586.62 592.46 592.63 882882 Married Filing joint 561.33 570.09 577.78 583.63 589.47 595.31 601.15 602.40 602.40 882882 Married Filling Separate 513.58 522.34 531.10 539.86 548.62 557.39 566.15 573.39 579.23 583.72 882

883 Single 514.13 522.89 531.65 540.41 549.17 557.93 566.69 573.97 579.81 584.38 883883 Head of Household 532.39 541.15 549.91 558.67 567.43 575.52 581.36 587.20 593.04 593.29 883883 Married Filing joint 561.88 570.64 578.37 584.21 590.05 595.89 601.73 603.06 603.06 883883 Married Filling Separate 514.13 522.89 531.65 540.41 549.17 557.93 566.69 573.97 579.81 584.38 883

884 Single 514.67 523.43 532.19 540.96 549.72 558.48 567.24 574.56 580.40 585.04 884884 Head of Household 532.93 541.69 550.46 559.22 567.98 576.10 581.95 587.79 593.63 593.94 884884 Married Filing joint 562.43 571.19 578.96 584.80 590.64 596.48 602.32 603.72 603.72 884884 Married Filling Separate 514.67 523.43 532.19 540.96 549.72 558.48 567.24 574.56 580.40 585.04 884

885 Single 515.22 523.98 532.74 541.50 550.26 559.03 567.79 575.14 580.98 585.70 885885 Head of Household 532.62 541.39 550.15 558.91 567.67 575.83 581.67 587.52 593.36 593.75 885885 Married Filing joint 562.98 571.74 579.54 585.38 591.22 597.06 602.91 604.38 604.38 885885 Married Filling Separate 515.22 523.98 532.74 541.50 550.26 559.03 567.79 575.14 580.98 585.70 885

886 Single 515.76 524.53 533.29 542.05 550.81 559.57 568.33 575.72 581.56 586.36 886886 Head of Household 533.17 541.93 550.69 559.45 568.22 576.42 582.26 588.10 593.94 594.41 886886 Married Filing joint 563.53 572.29 580.13 585.97 591.81 597.65 603.49 605.04 605.04 886886 Married Filling Separate 515.76 524.53 533.29 542.05 550.81 559.57 568.33 575.72 581.56 586.36 886

887 Single 516.31 525.07 533.83 542.60 551.36 560.12 568.88 576.31 582.15 587.02 887887 Head of Household 533.72 542.48 551.24 560.00 568.76 577.00 582.84 588.68 594.52 595.07 887887 Married Filing joint 564.07 572.83 580.71 586.55 592.39 598.24 604.08 605.70 605.70 887887 Married Filling Separate 516.31 525.07 533.83 542.60 551.36 560.12 568.88 576.31 582.15 587.02 887

888 Single 516.86 525.62 534.38 543.14 551.90 560.66 569.43 576.89 582.73 587.68 888888 Head of Household 534.26 543.02 551.79 560.55 569.31 577.59 583.43 589.27 595.11 595.73 888888 Married Filing joint 564.62 573.38 581.30 587.14 592.98 598.82 604.66 606.36 606.36 888888 Married Filling Separate 516.86 525.62 534.38 543.14 551.90 560.66 569.43 576.89 582.73 587.68 888

Page 131: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

889 Single 517.40 526.16 534.93 543.69 552.45 561.21 569.97 577.48 583.32 588.34 889889 Head of Household 534.81 543.57 552.33 561.09 569.86 578.17 584.01 589.85 595.69 596.38 889889 Married Filing joint 565.17 573.93 581.88 587.73 593.57 599.41 605.25 607.02 607.02 889889 Married Filling Separate 517.40 526.16 534.93 543.69 552.45 561.21 569.97 577.48 583.32 588.34 889

890 Single 517.95 526.71 535.47 544.23 553.00 561.76 570.52 578.06 583.90 588.99 890890 Head of Household 535.36 544.12 552.88 561.64 570.40 578.75 584.59 590.43 596.28 597.04 890890 Married Filing joint 565.72 574.48 582.47 588.31 594.15 599.99 605.83 607.68 607.68 890890 Married Filling Separate 517.95 526.71 535.47 544.23 553.00 561.76 570.52 578.06 583.90 588.99 890

891 Single 518.50 527.26 536.02 544.78 553.54 562.30 571.07 578.64 584.48 589.65 891891 Head of Household 535.90 544.66 553.42 562.19 570.95 579.34 585.18 591.02 596.86 597.70 891891 Married Filing joint 566.27 575.03 583.06 588.90 594.74 600.58 606.42 608.34 608.34 891891 Married Filling Separate 518.50 527.26 536.02 544.78 553.54 562.30 571.07 578.64 584.48 589.65 891

892 Single 519.04 527.80 536.57 545.33 554.09 562.85 571.61 579.23 585.07 590.31 892892 Head of Household 536.45 545.21 553.97 562.73 571.49 579.92 585.76 591.60 597.44 598.36 892892 Married Filing joint 566.81 575.58 583.64 589.48 595.32 601.16 607.01 609.00 609.00 892892 Married Filling Separate 519.04 527.80 536.57 545.33 554.09 562.85 571.61 579.23 585.07 590.31 892

893 Single 519.59 528.35 537.11 545.87 554.63 563.40 572.16 579.81 585.65 590.97 893893 Head of Household 536.99 545.76 554.52 563.28 572.04 580.50 586.35 592.19 598.03 599.02 893893 Married Filing joint 567.36 576.12 584.23 590.07 595.91 601.75 607.59 609.67 609.67 893893 Married Filling Separate 519.59 528.35 537.11 545.87 554.63 563.40 572.16 579.81 585.65 590.97 893

894 Single 520.14 528.90 537.66 546.42 555.18 563.94 572.70 580.39 586.24 591.63 894894 Head of Household 537.54 546.30 555.06 563.83 572.59 581.09 586.93 592.77 598.61 599.68 894894 Married Filing joint 567.91 576.67 584.81 590.65 596.50 602.34 608.18 610.33 610.33 894894 Married Filling Separate 520.14 528.90 537.66 546.42 555.18 563.94 572.70 580.39 586.24 591.63 894

895 Single 520.68 529.44 538.20 546.97 555.73 564.49 573.25 580.98 586.82 592.29 895895 Head of Household 538.09 546.85 555.61 564.37 573.13 581.67 587.51 593.35 599.20 600.34 895895 Married Filing joint 568.46 577.22 585.40 591.24 597.08 602.92 608.76 610.99 610.99 895895 Married Filling Separate 520.68 529.44 538.20 546.97 555.73 564.49 573.25 580.98 586.82 592.29 895

896 Single 521.23 529.99 538.75 547.51 556.27 565.04 573.80 581.56 587.40 592.95 896896 Head of Household 538.63 547.40 556.16 564.92 573.68 582.26 588.10 593.94 599.78 601.00 896896 Married Filing joint 569.01 577.77 585.98 591.83 597.67 603.51 609.35 611.65 611.65 896896 Married Filling Separate 521.23 529.99 538.75 547.51 556.27 565.04 573.80 581.56 587.40 592.95 896

Page 132: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

897 Single 521.77 530.54 539.30 548.06 556.82 565.58 574.34 582.15 587.99 593.61 897897 Head of Household 539.18 547.94 556.70 565.46 574.23 582.84 588.68 594.52 600.36 601.66 897897 Married Filing joint 569.56 578.32 586.57 592.41 598.25 604.09 609.93 612.31 612.31 897897 Married Filling Separate 521.77 530.54 539.30 548.06 556.82 565.58 574.34 582.15 587.99 593.61 897

898 Single 522.32 531.08 539.84 548.61 557.37 566.13 574.89 582.73 588.57 594.27 898898 Head of Household 539.73 548.49 557.25 566.01 574.77 583.42 589.26 595.11 600.95 602.31 898898 Married Filing joint 570.10 578.87 587.16 593.00 598.84 604.68 610.52 612.97 612.97 898898 Married Filling Separate 522.32 531.08 539.84 548.61 557.37 566.13 574.89 582.73 588.57 594.27 898

899 Single 522.87 531.63 540.39 549.15 557.91 566.67 575.44 583.31 589.16 594.92 899899 Head of Household 540.27 549.03 557.80 566.56 575.32 584.01 589.85 595.69 601.53 602.97 899899 Married Filing joint 570.65 579.41 587.74 593.58 599.42 605.26 611.11 613.63 613.63 899899 Married Filling Separate 522.87 531.63 540.39 549.15 557.91 566.67 575.44 583.31 589.16 594.92 899

900 Single 523.41 532.17 540.94 549.70 558.46 567.22 575.98 583.90 589.74 595.58 900900 Head of Household 540.82 549.58 558.34 567.10 575.87 584.59 590.43 596.27 602.11 603.63 900900 Married Filing joint 571.20 579.96 588.33 594.17 600.01 605.85 611.69 614.29 614.29 900900 Married Filling Separate 523.41 532.17 540.94 549.70 558.46 567.22 575.98 583.90 589.74 595.58 900

901 Single 523.96 532.72 541.48 550.24 559.01 567.77 576.53 584.48 590.32 596.16 901901 Head of Household 541.37 550.13 558.89 567.65 576.41 585.17 591.02 596.86 602.70 604.29 901901 Married Filing joint 571.75 580.51 588.91 594.75 600.60 606.44 612.28 614.95 614.95 901901 Married Filling Separate 523.96 532.72 541.48 550.24 559.01 567.77 576.53 584.48 590.32 596.16 901

902 Single 524.51 533.27 542.03 550.79 559.55 568.31 577.08 585.07 590.91 596.75 902902 Head of Household 541.91 550.67 559.44 568.20 576.96 585.72 591.60 597.44 603.28 604.95 902902 Married Filing joint 572.30 581.06 589.50 595.34 601.18 607.02 612.86 615.61 615.61 902902 Married Filling Separate 524.51 533.27 542.03 550.79 559.55 568.31 577.08 585.07 590.91 596.75 902

903 Single 525.05 533.81 542.58 551.34 560.10 568.86 577.62 585.65 591.49 597.33 903903 Head of Household 542.46 551.22 559.98 568.74 577.50 586.27 592.18 598.03 603.87 605.61 903903 Married Filing joint 572.85 581.61 590.08 595.93 601.77 607.61 613.45 616.27 616.27 903903 Married Filling Separate 525.05 533.81 542.58 551.34 560.10 568.86 577.62 585.65 591.49 597.33 903

904 Single 525.60 534.36 543.12 551.88 560.64 569.41 578.17 586.23 592.07 597.92 904904 Head of Household 542.36 551.12 559.88 568.64 577.40 586.16 592.12 597.96 603.80 605.62 904904 Married Filing joint 573.39 582.16 590.67 596.51 602.35 608.19 614.03 616.93 616.93 904904 Married Filling Separate 525.60 534.36 543.12 551.88 560.64 569.41 578.17 586.23 592.07 597.92 904

Page 133: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

905 Single 526.15 534.91 543.67 552.43 561.19 569.95 578.71 586.82 592.66 598.50 905905 Head of Household 542.90 551.66 560.43 569.19 577.95 586.71 592.70 598.54 604.38 606.28 905905 Married Filing joint 573.94 582.70 591.26 597.10 602.94 608.78 614.62 617.59 617.59 905905 Married Filling Separate 526.15 534.91 543.67 552.43 561.19 569.95 578.71 586.82 592.66 598.50 905

906 Single 526.69 535.45 544.21 552.98 561.74 570.50 579.26 587.40 593.24 599.08 906906 Head of Household 543.45 552.21 560.97 569.73 578.49 587.26 593.29 599.13 604.97 606.94 906906 Married Filing joint 574.49 583.25 591.84 597.68 603.52 609.37 615.21 618.25 618.25 906906 Married Filling Separate 526.69 535.45 544.21 552.98 561.74 570.50 579.26 587.40 593.24 599.08 906

907 Single 527.24 536.00 544.76 553.52 562.28 571.05 579.81 587.99 593.83 599.67 907907 Head of Household 543.99 552.76 561.52 570.28 579.04 587.80 593.87 599.71 605.55 607.59 907907 Married Filing joint 575.04 583.80 592.43 598.27 604.11 609.95 615.79 618.92 618.92 907907 Married Filling Separate 527.24 536.00 544.76 553.52 562.28 571.05 579.81 587.99 593.83 599.67 907

908 Single 527.78 536.55 545.31 554.07 562.83 571.59 580.35 588.57 594.41 600.25 908908 Head of Household 544.54 553.30 562.06 570.83 579.59 588.35 594.45 600.30 606.14 608.25 908908 Married Filing joint 575.59 584.35 593.01 598.85 604.70 610.54 616.38 619.58 619.58 908908 Married Filling Separate 527.78 536.55 545.31 554.07 562.83 571.59 580.35 588.57 594.41 600.25 908

909 Single 528.33 537.09 545.85 554.62 563.38 572.14 580.90 589.15 594.99 600.83 909909 Head of Household 545.09 553.85 562.61 571.37 580.13 588.90 595.04 600.88 606.72 608.91 909909 Married Filing joint 576.13 584.90 593.60 599.44 605.28 611.12 616.96 620.24 620.24 909909 Married Filling Separate 528.33 537.09 545.85 554.62 563.38 572.14 580.90 589.15 594.99 600.83 909

910 Single 528.88 537.64 546.40 555.16 563.92 572.68 581.45 589.74 595.58 601.42 910910 Head of Household 545.63 554.40 563.16 571.92 580.68 589.44 595.62 601.46 607.30 609.57 910910 Married Filing joint 576.68 585.44 594.19 600.03 605.87 611.71 617.55 620.90 620.90 910910 Married Filling Separate 528.88 537.64 546.40 555.16 563.92 572.68 581.45 589.74 595.58 601.42 910

911 Single 529.42 538.19 546.95 555.71 564.47 573.23 581.99 590.32 596.16 602.00 911911 Head of Household 546.18 554.94 563.70 572.46 581.23 589.99 596.21 602.05 607.89 610.23 911911 Married Filing joint 577.23 585.99 594.75 600.61 606.45 612.29 618.13 621.56 621.56 911911 Married Filling Separate 529.42 538.19 546.95 555.71 564.47 573.23 581.99 590.32 596.16 602.00 911

912 Single 529.97 538.73 547.49 556.25 565.02 573.78 582.54 590.90 596.75 602.59 912912 Head of Household 546.73 555.49 564.25 573.01 581.77 590.53 596.79 602.63 608.47 610.89 912912 Married Filing joint 577.78 586.54 595.30 601.20 607.04 612.88 618.72 622.22 622.22 912912 Married Filling Separate 529.97 538.73 547.49 556.25 565.02 573.78 582.54 590.90 596.75 602.59 912

Page 134: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

913 Single 530.52 539.28 548.04 556.80 565.56 574.32 583.09 591.49 597.33 603.17 913913 Head of Household 547.27 556.03 564.80 573.56 582.32 591.08 597.37 603.21 609.06 611.55 913913 Married Filing joint 578.33 587.09 595.85 601.78 607.62 613.47 619.31 622.88 622.88 913913 Married Filling Separate 530.52 539.28 548.04 556.80 565.56 574.32 583.09 591.49 597.33 603.17 913

914 Single 531.06 539.82 548.59 557.35 566.11 574.87 583.63 592.07 597.91 603.75 914914 Head of Household 547.82 556.58 565.34 574.10 582.87 591.63 597.96 603.80 609.64 612.21 914914 Married Filing joint 578.88 587.64 596.40 602.37 608.21 614.05 619.89 623.54 623.54 914914 Married Filling Separate 531.06 539.82 548.59 557.35 566.11 574.87 583.63 592.07 597.91 603.75 914

915 Single 531.61 540.37 549.13 557.89 566.66 575.42 584.18 592.66 598.50 604.34 915915 Head of Household 548.37 557.13 565.89 574.65 583.41 592.17 598.54 604.38 610.22 612.87 915915 Married Filing joint 579.42 588.19 596.95 602.95 608.80 614.64 620.48 624.20 624.20 915915 Married Filling Separate 531.61 540.37 549.13 557.89 566.66 575.42 584.18 592.66 598.50 604.34 915

916 Single 532.16 540.92 549.68 558.44 567.20 575.96 584.72 593.24 599.08 604.92 916916 Head of Household 548.91 557.67 566.44 575.20 583.96 592.72 599.13 604.97 610.81 613.52 916916 Married Filing joint 579.97 588.73 597.50 603.54 609.38 615.22 621.06 624.86 624.86 916916 Married Filling Separate 532.16 540.92 549.68 558.44 567.20 575.96 584.72 593.24 599.08 604.92 916

917 Single 532.70 541.46 550.22 558.99 567.75 576.51 585.27 593.82 599.66 605.51 917917 Head of Household 549.46 558.22 566.98 575.74 584.50 593.27 599.71 605.55 611.39 614.18 917917 Married Filing joint 580.52 589.28 598.04 604.13 609.97 615.81 621.65 625.52 625.52 917917 Married Filling Separate 532.70 541.46 550.22 558.99 567.75 576.51 585.27 593.82 599.66 605.51 917

918 Single 533.25 542.01 550.77 559.53 568.29 577.06 585.82 594.41 600.25 606.09 918918 Head of Household 550.01 558.77 567.53 576.29 585.05 593.81 600.29 606.13 611.98 614.84 918918 Married Filing joint 581.07 589.83 598.59 604.71 610.55 616.39 622.24 626.18 626.18 918918 Married Filling Separate 533.25 542.01 550.77 559.53 568.29 577.06 585.82 594.41 600.25 606.09 918

919 Single 533.79 542.56 551.32 560.08 568.84 577.60 586.36 594.99 600.83 606.67 919919 Head of Household 550.55 559.31 568.07 576.84 585.60 594.36 600.88 606.72 612.56 615.50 919919 Married Filing joint 581.62 590.38 599.14 605.30 611.14 616.98 622.82 626.84 626.84 919919 Married Filling Separate 533.79 542.56 551.32 560.08 568.84 577.60 586.36 594.99 600.83 606.67 919

920 Single 534.34 543.10 551.86 560.63 569.39 578.15 586.91 595.58 601.42 607.26 920920 Head of Household 551.10 559.86 568.62 577.38 586.14 594.91 601.46 607.30 613.14 616.16 920920 Married Filing joint 582.17 590.93 599.69 605.88 611.72 617.57 623.41 627.51 627.51 920920 Married Filling Separate 534.34 543.10 551.86 560.63 569.39 578.15 586.91 595.58 601.42 607.26 920

Page 135: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

921 Single 534.89 543.65 552.41 561.17 569.93 578.69 587.46 596.16 602.00 607.84 921921 Head of Household 551.64 560.41 569.17 577.93 586.69 595.45 602.04 607.89 613.73 616.82 921921 Married Filing joint 582.71 591.48 600.24 606.47 612.31 618.15 623.99 628.17 628.17 921921 Married Filling Separate 534.89 543.65 552.41 561.17 569.93 578.69 587.46 596.16 602.00 607.84 921

922 Single 535.43 544.20 552.96 561.72 570.48 579.24 588.00 596.74 602.58 608.43 922922 Head of Household 552.19 560.95 569.71 578.48 587.24 596.00 602.63 608.47 614.31 617.48 922922 Married Filing joint 583.26 592.02 600.79 607.06 612.90 618.74 624.58 628.83 628.83 922922 Married Filling Separate 535.43 544.20 552.96 561.72 570.48 579.24 588.00 596.74 602.58 608.43 922

923 Single 535.98 544.74 553.50 562.26 571.03 579.79 588.55 597.31 603.17 609.01 923923 Head of Household 552.74 561.50 570.26 579.02 587.78 596.54 603.21 609.05 614.89 618.14 923923 Married Filing joint 583.81 592.57 601.33 607.64 613.48 619.32 625.16 629.49 629.49 923923 Married Filling Separate 535.98 544.74 553.50 562.26 571.03 579.79 588.55 597.31 603.17 609.01 923

924 Single 536.46 545.29 554.05 562.81 571.57 580.33 589.10 597.86 603.75 609.59 924924 Head of Household 552.63 561.40 570.16 578.92 587.68 596.44 603.15 608.99 614.83 618.15 924924 Married Filing joint 583.75 592.51 601.27 607.61 613.45 619.30 625.14 629.54 629.54 924924 Married Filling Separate 536.14 544.97 553.73 562.49 571.25 580.02 588.78 597.54 603.43 609.28 924

925 Single 536.93 545.83 554.60 563.36 572.12 580.88 589.64 598.40 604.34 610.18 925925 Head of Household 553.18 561.94 570.70 579.47 588.23 596.99 603.73 609.57 615.41 618.81 925925 Married Filing joint 584.29 593.06 601.82 608.20 614.04 619.88 625.72 630.20 630.20 925925 Married Filling Separate 536.61 545.52 554.28 563.04 571.80 580.56 589.32 598.09 604.02 609.86 925

926 Single 537.40 546.38 555.14 563.90 572.67 581.43 590.19 598.95 604.92 610.76 926926 Head of Household 553.73 562.49 571.25 580.01 588.77 597.53 604.32 610.16 616.00 619.46 926926 Married Filing joint 584.84 593.60 602.37 608.79 614.63 620.47 626.31 630.86 630.86 926926 Married Filling Separate 537.08 546.06 554.82 563.59 572.35 581.11 589.87 598.63 604.60 610.44 926

927 Single 537.87 546.93 555.69 564.45 573.21 581.97 590.73 599.50 605.50 611.34 927927 Head of Household 554.27 563.03 571.80 580.56 589.32 598.08 604.90 610.74 616.58 620.12 927927 Married Filing joint 585.39 594.15 602.91 609.37 615.21 621.05 626.89 631.52 631.52 927927 Married Filling Separate 537.55 546.61 555.37 564.13 572.89 581.65 590.42 599.18 605.18 611.03 927

928 Single 538.34 547.47 556.23 565.00 573.76 582.52 591.28 600.04 606.09 611.93 928928 Head of Household 554.82 563.58 572.34 581.10 589.87 598.63 605.48 611.32 617.17 620.78 928928 Married Filing joint 585.94 594.70 603.46 609.96 615.80 621.64 627.48 632.18 632.18 928928 Married Filling Separate 538.02 547.15 555.92 564.68 573.44 582.20 590.96 599.72 605.77 611.61 928

Page 136: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

929 Single 538.81 548.02 556.78 565.54 574.30 583.07 591.83 600.59 606.67 612.51 929929 Head of Household 555.37 564.13 572.89 581.65 590.41 599.17 606.07 611.91 617.75 621.44 929929 Married Filing joint 586.49 595.25 604.01 610.54 616.38 622.22 628.07 632.84 632.84 929929 Married Filling Separate 538.49 547.70 556.46 565.22 573.98 582.75 591.51 600.27 606.35 612.19 929

930 Single 539.28 548.57 557.33 566.09 574.85 583.61 592.37 601.14 607.26 613.10 930930 Head of Household 555.91 564.67 573.44 582.20 590.96 599.72 606.65 612.49 618.33 622.10 930930 Married Filing joint 587.04 595.80 604.56 611.13 616.97 622.81 628.65 633.50 633.50 930930 Married Filling Separate 538.97 548.25 557.01 565.77 574.53 583.29 592.05 600.82 606.94 612.78 930

931 Single 539.76 549.11 557.87 566.64 575.40 584.16 592.92 601.68 607.84 613.68 931931 Head of Household 556.46 565.22 573.98 582.74 591.50 600.27 607.23 613.08 618.92 622.76 931931 Married Filing joint 587.58 596.35 605.11 611.71 617.56 623.40 629.24 634.16 634.16 931931 Married Filling Separate 539.44 548.79 557.55 566.32 575.08 583.84 592.60 601.36 607.52 613.36 931

932 Single 540.23 549.66 558.42 567.18 575.94 584.70 593.47 602.23 608.42 614.26 932932 Head of Household 557.01 565.77 574.53 583.29 592.05 600.81 607.82 613.66 619.50 623.42 932932 Married Filing joint 588.13 596.89 605.65 612.30 618.14 623.98 629.82 634.82 634.82 932932 Married Filling Separate 539.91 549.34 558.10 566.86 575.62 584.38 593.15 601.91 608.10 613.94 932

933 Single 540.70 550.21 558.97 567.73 576.49 585.25 594.01 602.77 609.01 614.85 933933 Head of Household 557.55 566.31 575.07 583.84 592.60 601.36 608.40 614.24 620.08 624.08 933933 Married Filing joint 588.68 597.44 606.20 612.89 618.73 624.57 630.41 635.48 635.48 933933 Married Filling Separate 540.06 549.56 558.32 567.09 575.85 584.61 593.37 602.13 608.36 614.21 933

934 Single 541.17 550.75 559.51 568.27 577.04 585.80 594.56 603.32 609.59 615.43 934934 Head of Household 558.10 566.86 575.62 584.38 593.14 601.91 608.99 614.83 620.67 624.74 934934 Married Filing joint 589.23 597.99 606.75 613.47 619.31 625.15 630.99 636.14 636.14 934934 Married Filling Separate 540.53 550.11 558.87 567.63 576.39 585.15 593.92 602.68 608.95 614.79 934

935 Single 541.64 551.30 560.06 568.82 577.58 586.34 595.11 603.87 610.17 616.02 935935 Head of Household 558.64 567.41 576.17 584.93 593.69 602.45 609.57 615.41 621.25 625.39 935935 Married Filing joint 589.78 598.54 607.30 614.06 619.90 625.74 631.58 636.80 636.80 935935 Married Filling Separate 541.00 550.65 559.42 568.18 576.94 585.70 594.46 603.22 609.53 615.37 935

936 Single 542.11 551.84 560.61 569.37 578.13 586.89 595.65 604.41 610.76 616.60 936936 Head of Household 559.19 567.95 576.71 585.48 594.24 603.00 610.15 616.00 621.84 626.05 936936 Married Filing joint 590.32 599.09 607.85 614.64 620.48 626.32 632.17 637.46 637.46 936936 Married Filling Separate 541.47 551.20 559.96 568.72 577.48 586.25 595.01 603.77 610.11 615.96 936

Page 137: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

937 Single 542.58 552.39 561.15 569.91 578.68 587.44 596.20 604.96 611.34 617.18 937937 Head of Household 559.74 568.50 577.26 586.02 594.78 603.54 610.74 616.58 622.42 626.71 937937 Married Filing joint 590.87 599.63 608.40 615.23 621.07 626.91 632.75 638.13 638.13 937937 Married Filling Separate 541.94 551.75 560.51 569.27 578.03 586.79 595.55 604.31 610.70 616.54 937

938 Single 543.06 552.94 561.70 570.46 579.22 587.98 596.74 605.51 611.93 617.77 938938 Head of Household 560.28 569.05 577.81 586.57 595.33 604.09 611.32 617.16 623.00 627.37 938938 Married Filing joint 591.42 600.18 608.94 615.81 621.66 627.50 633.34 638.79 638.79 938938 Married Filling Separate 542.41 552.29 561.05 569.81 578.58 587.34 596.10 604.86 611.28 617.12 938

939 Single 543.53 553.48 562.25 571.01 579.77 588.53 597.29 606.05 612.51 618.35 939939 Head of Household 560.83 569.59 578.35 587.11 595.88 604.64 611.91 617.75 623.59 628.03 939939 Married Filing joint 591.97 600.73 609.49 616.40 622.24 628.08 633.92 639.45 639.45 939939 Married Filling Separate 542.88 552.84 561.60 570.36 579.12 587.88 596.64 605.41 611.86 617.70 939

940 Single 544.00 554.03 562.79 571.55 580.31 589.08 597.84 606.60 613.09 618.93 940940 Head of Household 561.38 570.14 578.90 587.66 596.42 605.18 612.49 618.33 624.17 628.69 940940 Married Filing joint 592.52 601.28 610.04 616.99 622.83 628.67 634.51 640.11 640.11 940940 Married Filling Separate 543.35 553.38 562.14 570.91 579.67 588.43 597.19 605.95 612.45 618.29 940

941 Single 544.47 554.58 563.34 572.10 580.86 589.62 598.38 607.15 613.68 619.52 941941 Head of Household 561.92 570.68 579.45 588.21 596.97 605.73 613.07 618.91 624.76 629.35 941941 Married Filing joint 593.07 601.83 610.59 617.57 623.41 629.25 635.09 640.77 640.77 941941 Married Filling Separate 543.82 553.93 562.69 571.45 580.21 588.97 597.74 606.50 613.03 618.87 941

942 Single 544.94 555.12 563.88 572.65 581.41 590.17 598.93 607.69 614.26 620.10 942942 Head of Household 562.47 571.23 579.99 588.75 597.52 606.28 613.66 619.50 625.34 630.01 942942 Married Filing joint 593.61 602.38 611.14 618.16 624.00 629.84 635.68 641.43 641.43 942942 Married Filling Separate 544.29 554.47 563.24 572.00 580.76 589.52 598.28 607.04 613.61 619.45 942

943 Single 545.41 555.67 564.43 573.19 581.95 590.72 599.48 608.24 614.85 620.69 943943 Head of Household 562.37 571.13 579.89 588.65 597.41 606.17 613.59 619.43 625.27 630.02 943943 Married Filing joint 593.55 602.31 611.07 618.13 623.97 629.81 635.65 641.48 641.48 943943 Married Filling Separate 544.44 554.69 563.46 572.22 580.98 589.74 598.50 607.26 613.87 619.71 943

944 Single 545.88 556.22 564.98 573.74 582.50 591.26 600.02 608.78 615.43 621.27 944944 Head of Household 562.91 571.67 580.44 589.20 597.96 606.72 614.18 620.02 625.86 630.68 944944 Married Filing joint 594.10 602.86 611.62 618.72 624.56 630.40 636.24 642.08 642.14 944944 Married Filling Separate 544.91 555.24 564.00 572.76 581.52 590.29 599.05 607.81 614.45 620.29 944

Page 138: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

945 Single 546.36 556.76 565.52 574.28 583.05 591.81 600.57 609.33 616.01 621.85 945945 Head of Household 563.46 572.22 580.98 589.74 598.51 607.27 614.76 620.60 626.44 631.33 945945 Married Filing joint 594.65 603.41 612.17 619.30 625.14 630.98 636.82 642.67 642.80 945945 Married Filling Separate 545.38 555.79 564.55 573.31 582.07 590.83 599.59 608.35 615.04 620.88 945

946 Single 546.83 557.31 566.07 574.83 583.59 592.35 601.12 609.88 616.60 622.44 946946 Head of Household 564.01 572.77 581.53 590.29 599.05 607.81 615.34 621.18 627.03 631.99 946946 Married Filing joint 595.19 603.96 612.72 619.89 625.73 631.57 637.41 643.25 643.46 946946 Married Filling Separate 545.85 556.33 565.09 573.85 582.61 591.38 600.14 608.90 615.62 621.46 946

947 Single 547.30 557.85 566.62 575.38 584.14 592.90 601.66 610.42 617.18 623.02 947947 Head of Household 564.55 573.31 582.07 590.84 599.60 608.36 615.93 621.77 627.61 632.65 947947 Married Filing joint 595.74 604.50 613.27 620.47 626.31 632.16 638.00 643.84 644.12 947947 Married Filling Separate 546.32 556.88 565.64 574.40 583.16 591.92 600.68 609.44 616.20 622.04 947

948 Single 547.77 558.40 567.16 575.92 584.69 593.45 602.21 610.97 617.76 623.61 948948 Head of Household 565.10 573.86 582.62 591.38 600.14 608.91 616.51 622.35 628.19 633.31 948948 Married Filing joint 596.29 605.05 613.81 621.06 626.90 632.74 638.58 644.42 644.78 948948 Married Filling Separate 546.79 557.42 566.18 574.94 583.71 592.47 601.23 609.99 616.78 622.63 948

949 Single 548.24 558.95 567.71 576.47 585.23 593.99 602.75 611.52 618.35 624.19 949949 Head of Household 565.64 574.41 583.17 591.93 600.69 609.45 617.10 622.94 628.78 633.97 949949 Married Filing joint 596.84 605.60 614.36 621.64 627.49 633.33 639.17 645.01 645.44 949949 Married Filling Separate 547.26 557.97 566.73 575.49 584.25 593.01 601.77 610.54 617.37 623.21 949

950 Single 548.71 559.49 568.26 577.02 585.78 594.54 603.30 612.06 618.93 624.77 950950 Head of Household 566.19 574.95 583.71 592.48 601.24 610.00 617.68 623.52 629.36 634.63 950950 Married Filing joint 597.39 606.15 614.91 622.23 628.07 633.91 639.75 645.59 646.10 950950 Married Filling Separate 547.73 558.51 567.27 576.03 584.80 593.56 602.32 611.08 617.95 623.79 950

951 Single 549.18 560.04 568.80 577.56 586.32 595.09 603.85 612.61 619.52 625.36 951951 Head of Household 566.74 575.50 584.26 593.02 601.78 610.54 618.26 624.10 629.95 635.29 951951 Married Filing joint 597.94 606.70 615.46 622.82 628.66 634.50 640.34 646.18 646.76 951951 Married Filling Separate 548.20 559.06 567.82 576.58 585.34 594.10 602.86 611.63 618.53 624.37 951

952 Single 549.66 560.59 569.35 578.11 586.87 595.63 604.39 613.16 620.10 625.94 952952 Head of Household 567.28 576.05 584.81 593.57 602.33 611.09 618.85 624.69 630.53 635.95 952952 Married Filing joint 598.48 607.25 616.01 623.40 629.24 635.08 640.92 646.77 647.42 952952 Married Filling Separate 548.34 559.27 568.04 576.80 585.56 594.32 603.08 611.84 618.79 624.63 952

Page 139: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

953 Single 550.13 561.13 569.89 578.66 587.42 596.18 604.94 613.70 620.68 626.53 953953 Head of Household 567.83 576.59 585.35 594.11 602.88 611.64 619.43 625.27 631.11 636.61 953953 Married Filing joint 599.03 607.79 616.56 623.99 629.83 635.67 641.51 647.35 648.08 953953 Married Filling Separate 548.81 559.82 568.58 577.34 586.10 594.86 603.63 612.39 619.37 625.21 953

954 Single 550.60 561.68 570.44 579.20 587.96 596.73 605.49 614.25 621.27 627.11 954954 Head of Household 568.38 577.14 585.90 594.66 603.42 612.18 620.01 625.86 631.70 637.26 954954 Married Filing joint 599.58 608.34 617.10 624.57 630.41 636.26 642.10 647.94 648.75 954954 Married Filling Separate 549.28 560.36 569.13 577.89 586.65 595.41 604.17 612.93 619.95 625.79 954

955 Single 551.07 562.23 570.99 579.75 588.51 597.27 606.03 614.79 621.85 627.69 955955 Head of Household 568.92 577.68 586.45 595.21 603.97 612.73 620.60 626.44 632.28 637.92 955955 Married Filing joint 600.13 608.89 617.65 625.16 631.00 636.84 642.68 648.52 649.41 955955 Married Filling Separate 549.75 560.91 569.67 578.43 587.19 595.95 604.72 613.48 620.53 626.38 955

956 Single 551.54 562.77 571.53 580.29 589.06 597.82 606.58 615.34 622.44 628.28 956956 Head of Household 569.47 578.23 586.99 595.75 604.52 613.28 621.18 627.02 632.86 638.58 956956 Married Filing joint 600.68 609.44 618.20 625.74 631.59 637.43 643.27 649.11 650.07 956956 Married Filling Separate 550.22 561.45 570.21 578.98 587.74 596.50 605.26 614.02 621.12 626.96 956

957 Single 552.01 563.32 572.08 580.84 589.60 598.36 607.13 615.89 623.02 628.86 957957 Head of Household 570.02 578.78 587.54 596.30 605.06 613.82 621.77 627.61 633.45 639.24 957957 Married Filing joint 601.23 609.99 618.75 626.33 632.17 638.01 643.85 649.69 650.73 957957 Married Filling Separate 550.69 562.00 570.76 579.52 588.28 597.04 605.81 614.57 621.70 627.54 957

958 Single 552.48 563.86 572.63 581.39 590.15 598.91 607.67 616.43 623.60 629.44 958958 Head of Household 570.56 579.32 588.08 596.85 605.61 614.37 622.35 628.19 634.03 639.87 958958 Married Filing joint 601.77 610.53 619.30 626.92 632.76 638.60 644.44 650.28 651.39 958958 Married Filling Separate 551.16 562.54 571.30 580.07 588.83 597.59 606.35 615.11 622.28 628.12 958

959 Single 552.95 564.41 573.17 581.93 590.70 599.46 608.22 616.98 624.19 630.03 959959 Head of Household 571.11 579.87 588.63 597.39 606.15 614.92 622.93 628.78 634.62 640.46 959959 Married Filing joint 602.32 611.08 619.84 627.50 633.34 639.18 645.03 650.87 652.05 959959 Married Filling Separate 551.63 563.09 571.85 580.61 589.37 598.13 606.90 615.66 622.86 628.71 959

960 Single 553.43 564.96 573.72 582.48 591.24 600.00 608.76 617.53 624.77 630.61 960960 Head of Household 571.65 580.42 589.18 597.94 606.70 615.46 623.52 629.36 635.20 641.04 960960 Married Filing joint 602.87 611.63 620.39 628.09 633.93 639.77 645.61 651.45 652.71 960960 Married Filling Separate 552.10 563.63 572.39 581.16 589.92 598.68 607.44 616.20 623.45 629.29 960

Page 140: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

961 Single 553.90 565.50 574.27 583.03 591.79 600.55 609.31 618.07 625.36 631.20 961961 Head of Household 572.20 580.96 589.72 598.49 607.25 616.01 624.10 629.94 635.78 641.62 961961 Married Filing joint 603.42 612.18 620.94 628.67 634.51 640.36 646.20 652.04 653.37 961961 Married Filling Separate 552.57 564.18 572.94 581.70 590.46 599.22 607.99 616.75 624.03 629.87 961

962 Single 554.37 566.05 574.81 583.57 592.33 601.09 609.86 618.62 625.94 631.78 962962 Head of Household 572.10 580.86 589.62 598.38 607.14 615.91 624.04 629.88 635.72 641.56 962962 Married Filing joint 603.20 611.96 620.72 628.49 634.34 640.18 646.02 651.86 653.27 962962 Married Filling Separate 552.71 564.39 573.15 581.91 590.67 599.44 608.20 616.96 624.28 630.12 962

963 Single 554.84 566.59 575.35 584.11 592.88 601.64 610.40 619.16 626.52 632.36 963963 Head of Household 572.64 581.41 590.17 598.93 607.69 616.45 624.62 630.46 636.30 642.14 963963 Married Filing joint 603.75 612.51 621.27 629.08 634.92 640.76 646.60 652.44 653.93 963963 Married Filling Separate 553.17 564.93 573.69 582.45 591.21 599.98 608.74 617.50 624.86 630.70 963

964 Single 555.30 567.13 575.90 584.66 593.42 602.18 610.94 619.70 627.10 632.94 964964 Head of Household 573.19 581.95 590.71 599.48 608.24 617.00 625.20 631.05 636.89 642.73 964964 Married Filing joint 604.30 613.06 621.82 629.67 635.51 641.35 647.19 653.03 654.59 964964 Married Filling Separate 553.64 565.47 574.23 582.99 591.76 600.52 609.28 618.04 625.43 631.28 964

965 Single 555.77 567.68 576.44 585.20 593.96 602.72 611.49 620.25 627.68 633.52 965965 Head of Household 573.74 582.50 591.26 600.02 608.78 617.54 625.79 631.63 637.47 643.31 965965 Married Filing joint 604.85 613.61 622.37 630.25 636.09 641.93 647.77 653.61 655.25 965965 Married Filling Separate 554.11 566.01 574.77 583.53 592.30 601.06 609.82 618.58 626.01 631.85 965

966 Single 556.24 568.22 576.98 585.74 594.51 603.27 612.03 620.79 628.26 634.10 966966 Head of Household 574.28 583.05 591.81 600.57 609.33 618.09 626.37 632.21 638.05 643.89 966966 Married Filing joint 605.39 614.15 622.92 630.84 636.68 642.52 648.36 654.20 655.91 966966 Married Filling Separate 554.57 566.55 575.31 584.08 592.84 601.60 610.36 619.12 626.59 632.43 966

967 Single 556.71 568.76 577.53 586.29 595.05 603.81 612.57 621.33 628.84 634.68 967967 Head of Household 574.83 583.59 592.35 601.11 609.88 618.64 626.96 632.80 638.64 644.48 967967 Married Filing joint 605.94 614.70 623.46 631.42 637.26 643.10 648.94 654.79 656.57 967967 Married Filling Separate 554.77 566.82 575.58 584.35 593.11 601.87 610.63 619.39 626.90 632.74 967

968 Single 557.18 569.31 578.07 586.83 595.59 604.35 613.11 621.88 629.42 635.26 968968 Head of Household 575.38 584.14 592.90 601.66 610.42 619.18 627.54 633.38 639.22 645.06 968968 Married Filing joint 606.49 615.25 624.01 632.01 637.85 643.69 649.53 655.37 657.23 968968 Married Filling Separate 555.23 567.36 576.13 584.89 593.65 602.41 611.17 619.93 627.48 633.32 968

Page 141: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

969 Single 557.64 569.85 578.61 587.37 596.13 604.90 613.66 622.42 630.00 635.84 969969 Head of Household 575.92 584.68 593.45 602.21 610.97 619.73 628.12 633.96 639.81 645.65 969969 Married Filing joint 607.04 615.80 624.56 632.59 638.43 644.27 650.12 655.96 657.89 969969 Married Filling Separate 555.70 567.90 576.67 585.43 594.19 602.95 611.71 620.47 628.06 633.90 969

970 Single 558.11 570.39 579.15 587.92 596.68 605.44 614.20 622.96 630.58 636.42 970970 Head of Household 576.47 585.23 593.99 602.75 611.52 620.28 628.71 634.55 640.39 646.23 970970 Married Filing joint 607.58 616.35 625.11 633.18 639.02 644.86 650.70 656.54 658.55 970970 Married Filling Separate 556.16 568.45 577.21 585.97 594.73 603.49 612.25 621.01 628.63 634.48 970

971 Single 558.58 570.94 579.70 588.46 597.22 605.98 614.74 623.50 631.16 637.00 971971 Head of Household 577.02 585.78 594.54 603.30 612.06 620.82 629.29 635.13 640.97 646.81 971971 Married Filing joint 608.13 616.89 625.66 633.76 639.60 645.45 651.29 657.13 659.21 971971 Married Filling Separate 556.63 568.99 577.75 586.51 595.27 604.03 612.79 621.56 629.21 635.05 971

972 Single 559.05 571.48 580.24 589.00 597.76 606.52 615.29 624.05 631.74 637.58 972972 Head of Household 577.56 586.32 595.08 603.85 612.61 621.37 629.88 635.72 641.56 647.40 972972 Married Filing joint 608.53 617.29 626.05 634.19 640.03 645.88 651.72 657.56 659.71 972972 Married Filling Separate 556.76 569.19 577.95 586.71 595.47 604.23 613.00 621.76 629.45 635.29 972

973 Single 559.52 572.02 580.78 589.54 598.31 607.07 615.83 624.59 632.32 638.16 973973 Head of Household 578.11 586.87 595.63 604.39 613.15 621.92 630.46 636.30 642.14 647.98 973973 Married Filing joint 609.07 617.83 626.60 634.78 640.62 646.46 652.30 658.14 660.37 973973 Married Filling Separate 557.22 569.73 578.49 587.25 596.01 604.78 613.54 622.30 630.03 635.87 973

974 Single 559.98 572.56 581.33 590.09 598.85 607.61 616.37 625.13 632.90 638.74 974974 Head of Household 578.65 587.42 596.18 604.94 613.70 622.46 631.04 636.88 642.72 648.57 974974 Married Filing joint 609.62 618.38 627.14 635.36 641.20 647.05 652.89 658.73 661.03 974974 Married Filling Separate 557.69 570.27 579.03 587.79 596.55 605.32 614.08 622.84 630.61 636.45 974

975 Single 560.45 573.11 581.87 590.63 599.39 608.15 616.92 625.68 633.48 639.33 975975 Head of Household 579.20 587.96 596.72 605.49 614.25 623.01 631.63 637.47 643.31 649.15 975975 Married Filing joint 610.17 618.93 627.69 635.95 641.79 647.63 653.47 659.31 661.69 975975 Married Filling Separate 558.15 570.81 579.57 588.33 597.09 605.86 614.62 623.38 631.19 637.03 975

976 Single 560.92 573.65 582.41 591.17 599.94 608.70 617.46 626.22 634.06 639.91 976976 Head of Household 579.75 588.51 597.27 606.03 614.79 623.55 632.21 638.05 643.89 649.73 976976 Married Filing joint 610.72 619.48 628.24 636.53 642.37 648.22 654.06 659.90 662.35 976976 Married Filling Separate 558.62 571.35 580.11 588.87 597.64 606.40 615.16 623.92 631.76 637.61 976

Page 142: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

977 Single 561.39 574.19 582.96 591.72 600.48 609.24 618.00 626.76 634.65 640.49 977977 Head of Household 580.29 589.06 597.82 606.58 615.34 624.10 632.79 638.64 644.48 650.32 977977 Married Filing joint 611.26 620.02 628.79 637.12 642.96 648.80 654.64 660.48 663.01 977977 Married Filling Separate 559.09 571.89 580.65 589.41 598.18 606.94 615.70 624.46 632.34 638.18 977

978 Single 561.86 574.74 583.50 592.26 601.02 609.78 618.54 627.31 635.23 641.07 978978 Head of Household 580.84 589.60 598.36 607.12 615.89 624.65 633.38 639.22 645.06 650.90 978978 Married Filing joint 611.81 620.57 629.33 637.70 643.54 649.39 655.23 661.07 663.67 978978 Married Filling Separate 559.55 572.43 581.19 589.95 598.72 607.48 616.24 625.00 632.92 638.76 978

979 Single 562.32 575.28 584.04 592.80 601.56 610.33 619.09 627.85 635.81 641.65 979979 Head of Household 581.39 590.15 598.91 607.67 616.43 625.19 633.96 639.80 645.64 651.49 979979 Married Filing joint 612.36 621.12 629.88 638.29 644.13 649.97 655.81 661.65 664.33 979979 Married Filling Separate 560.02 572.97 581.73 590.50 599.26 608.02 616.78 625.54 633.50 639.34 979

980 Single 562.79 575.82 584.58 593.35 602.11 610.87 619.63 628.39 636.39 642.23 980980 Head of Household 581.93 590.69 599.46 608.22 616.98 625.74 634.50 640.39 646.23 652.07 980980 Married Filing joint 612.91 621.67 630.43 638.87 644.71 650.56 656.40 662.24 664.99 980980 Married Filling Separate 560.48 573.51 582.27 591.04 599.80 608.56 617.32 626.08 634.08 639.92 980

981 Single 563.26 576.37 585.13 593.89 602.65 611.41 620.17 628.93 636.97 642.81 981981 Head of Household 581.83 590.59 599.35 608.11 616.88 625.64 634.40 640.32 646.16 652.00 981981 Married Filing joint 612.66 621.42 630.18 638.66 644.51 650.35 656.19 662.03 664.86 981981 Married Filling Separate 560.60 573.71 582.47 591.23 600.00 608.76 617.52 626.28 634.31 640.15 981

982 Single 563.73 576.91 585.67 594.43 603.19 611.95 620.72 629.48 637.55 643.39 982982 Head of Household 582.38 591.14 599.90 608.66 617.42 626.18 634.95 640.91 646.75 652.59 982982 Married Filing joint 613.21 621.97 630.73 639.25 645.09 650.93 656.77 662.61 665.52 982982 Married Filling Separate 561.07 574.25 583.01 591.77 600.54 609.30 618.06 626.82 634.89 640.73 982

983 Single 564.20 577.45 586.21 594.97 603.74 612.50 621.26 630.02 638.13 643.97 983983 Head of Household 582.92 591.68 600.45 609.21 617.97 626.73 635.49 641.49 647.33 653.17 983983 Married Filing joint 613.75 622.52 631.28 639.83 645.68 651.52 657.36 663.20 666.18 983983 Married Filling Separate 561.53 574.79 583.55 592.31 601.08 609.84 618.60 627.36 635.47 641.31 983

984 Single 564.66 577.99 586.76 595.52 604.28 613.04 621.80 630.56 638.71 644.55 984984 Head of Household 583.47 592.23 600.99 609.75 618.52 627.28 636.04 642.07 647.91 653.76 984984 Married Filing joint 614.30 623.06 631.82 640.42 646.26 652.10 657.94 663.78 666.84 984984 Married Filling Separate 562.00 575.33 584.09 592.85 601.62 610.38 619.14 627.90 636.05 641.89 984

Page 143: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

985 Single 565.13 578.54 587.30 596.06 604.82 613.58 622.35 631.11 639.29 645.13 985985 Head of Household 584.02 592.78 601.54 610.30 619.06 627.82 636.58 642.66 648.50 654.34 985985 Married Filing joint 614.85 623.61 632.37 641.00 646.84 652.69 658.53 664.37 667.50 985985 Married Filling Separate 562.47 575.87 584.63 593.39 602.16 610.92 619.68 628.44 636.62 642.46 985

986 Single 565.60 579.08 587.84 596.60 605.37 614.13 622.89 631.65 639.87 645.71 986986 Head of Household 584.56 593.32 602.09 610.85 619.61 628.37 637.13 643.24 649.08 654.92 986986 Married Filing joint 615.39 624.16 632.92 641.59 647.43 653.27 659.11 664.95 668.16 986986 Married Filling Separate 562.93 576.41 585.17 593.93 602.70 611.46 620.22 628.98 637.20 643.04 986

987 Single 566.07 579.62 588.39 597.15 605.91 614.67 623.43 632.19 640.45 646.29 987987 Head of Household 585.11 593.87 602.63 611.39 620.15 628.92 637.68 643.83 649.67 655.51 987987 Married Filing joint 615.94 624.70 633.47 642.17 648.01 653.85 659.70 665.54 668.82 987987 Married Filling Separate 563.40 576.95 585.71 594.47 603.24 612.00 620.76 629.52 637.78 643.62 987

988 Single 566.54 580.17 588.93 597.69 606.45 615.21 623.97 632.74 641.03 646.87 988988 Head of Household 585.65 594.42 603.18 611.94 620.70 629.46 638.22 644.41 650.25 656.09 988988 Married Filing joint 616.49 625.25 634.01 642.76 648.60 654.44 660.28 666.12 669.48 988988 Married Filling Separate 563.86 577.49 586.25 595.01 603.78 612.54 621.30 630.06 638.36 644.20 988

989 Single 567.00 580.71 589.47 598.23 606.99 615.76 624.52 633.28 641.61 647.45 989989 Head of Household 586.20 594.96 603.72 612.49 621.25 630.01 638.77 644.99 650.83 656.68 989989 Married Filing joint 617.04 625.80 634.56 643.32 649.18 655.02 660.86 666.71 670.14 989989 Married Filling Separate 564.33 578.03 586.79 595.55 604.32 613.08 621.84 630.60 638.93 644.77 989

990 Single 567.47 581.25 590.01 598.78 607.54 616.30 625.06 633.82 642.19 648.03 990990 Head of Household 586.75 595.51 604.27 613.03 621.79 630.56 639.32 645.58 651.42 657.26 990990 Married Filing joint 617.58 626.34 635.11 643.87 649.77 655.61 661.45 667.29 670.80 990990 Married Filling Separate 564.79 578.57 587.33 596.09 604.86 613.62 622.38 631.14 639.51 645.35 990

991 Single 567.94 581.80 590.56 599.32 608.08 616.84 625.60 634.36 642.77 648.61 991991 Head of Household 587.29 596.06 604.82 613.58 622.34 631.10 639.86 646.16 652.00 657.84 991991 Married Filing joint 617.96 626.72 635.48 644.25 650.18 656.02 661.86 667.71 671.29 991991 Married Filling Separate 564.91 578.77 587.53 596.29 605.05 613.81 622.57 631.33 639.74 645.58 991

992 Single 568.41 582.34 591.10 599.86 608.62 617.38 626.15 634.91 643.35 649.19 992992 Head of Household 587.84 596.60 605.36 614.12 622.89 631.65 640.41 646.74 652.59 658.43 992992 Married Filing joint 618.51 627.27 636.03 644.79 650.77 656.61 662.45 668.29 671.95 992992 Married Filling Separate 565.37 579.30 588.07 596.83 605.59 614.35 623.11 631.87 640.32 646.16 992

Page 144: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

993 Single 568.88 582.88 591.64 600.40 609.17 617.93 626.69 635.45 643.93 649.77 993993 Head of Household 588.39 597.15 605.91 614.67 623.43 632.19 640.96 647.33 653.17 659.01 993993 Married Filing joint 619.05 627.82 636.58 645.34 651.35 657.19 663.03 668.87 672.61 993993 Married Filling Separate 565.84 579.84 588.61 597.37 606.13 614.89 623.65 632.41 640.90 646.74 993

994 Single 569.34 583.42 592.19 600.95 609.71 618.47 627.23 635.99 644.51 650.35 994994 Head of Household 588.93 597.69 606.46 615.22 623.98 632.74 641.50 647.91 653.75 659.59 994994 Married Filing joint 619.60 628.36 637.12 645.89 651.94 657.78 663.62 669.46 673.27 994994 Married Filling Separate 566.30 580.38 589.15 597.91 606.67 615.43 624.19 632.95 641.47 647.31 994

995 Single 569.81 583.97 592.73 601.49 610.25 619.01 627.78 636.54 645.09 650.94 995995 Head of Household 589.48 598.24 607.00 615.76 624.53 633.29 642.05 648.50 654.34 660.18 995995 Married Filing joint 620.15 628.91 637.67 646.43 652.52 658.36 664.20 670.04 673.93 995995 Married Filling Separate 566.77 580.92 589.69 598.45 607.21 615.97 624.73 633.49 642.05 647.89 995

996 Single 570.28 584.51 593.27 602.03 610.80 619.56 628.32 637.08 645.67 651.52 996996 Head of Household 590.03 598.79 607.55 616.31 625.07 633.83 642.59 649.08 654.92 660.76 996996 Married Filing joint 620.69 629.46 638.22 646.98 653.10 658.94 664.79 670.63 674.58 996996 Married Filling Separate 567.23 581.46 590.23 598.99 607.75 616.51 625.27 634.03 642.63 648.47 996

997 Single 570.75 585.05 593.82 602.58 611.34 620.10 628.86 637.62 646.26 652.10 997997 Head of Household 590.57 599.33 608.10 616.86 625.62 634.38 643.14 649.66 655.51 661.35 997997 Married Filing joint 621.24 630.00 638.76 647.53 653.69 659.53 665.37 671.21 675.24 997997 Married Filling Separate 567.70 582.00 590.76 599.53 608.29 617.05 625.81 634.57 643.20 649.05 997

998 Single 571.22 585.60 594.36 603.12 611.88 620.64 629.40 638.17 646.84 652.68 998998 Head of Household 591.12 599.88 608.64 617.40 626.16 634.93 643.69 650.25 656.09 661.93 998998 Married Filing joint 621.79 630.55 639.31 648.07 654.27 660.11 665.95 671.80 675.90 998998 Married Filling Separate 568.16 582.54 591.30 600.07 608.83 617.59 626.35 635.11 643.78 649.62 998

999 Single 571.68 586.14 594.90 603.66 612.42 621.19 629.95 638.71 647.42 653.26 999999 Head of Household 591.67 600.43 609.19 617.95 626.71 635.47 644.23 650.83 656.67 662.51 999999 Married Filing joint 622.33 631.10 639.86 648.62 654.86 660.70 666.54 672.38 676.56 999999 Married Filling Separate 568.63 583.08 591.84 600.61 609.37 618.13 626.89 635.65 644.36 650.20 999

1000 Single 572.15 586.68 595.44 604.21 612.97 621.73 630.49 639.25 648.00 653.84 10001000 Head of Household 592.21 600.97 609.73 618.50 627.26 636.02 644.78 651.42 657.26 663.10 10001000 Married Filing joint 622.88 631.64 640.40 649.17 655.44 661.28 667.12 672.96 677.22 10001000 Married Filling Separate 569.09 583.62 592.38 601.15 609.91 618.67 627.43 636.19 644.94 650.78 1000

Page 145: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1001 Single 572.62 587.22 595.99 604.75 613.51 622.27 631.03 639.79 648.56 654.42 10011001 Head of Household 592.11 600.87 609.63 618.39 627.15 635.92 644.68 651.35 657.19 663.03 10011001 Married Filing joint 622.61 631.37 640.13 648.89 655.20 661.04 666.88 672.73 677.06 10011001 Married Filling Separate 569.21 583.81 592.57 601.33 610.10 618.86 627.62 636.38 645.14 651.00 1001

1002 Single 573.09 587.69 596.53 605.29 614.05 622.81 631.58 640.34 649.10 655.00 10021002 Head of Household 592.66 601.42 610.18 618.94 627.70 636.46 645.22 651.93 657.78 663.62 10021002 Married Filing joint 623.15 631.91 640.67 649.44 655.79 661.63 667.47 673.31 677.72 10021002 Married Filling Separate 569.67 584.27 593.11 601.87 610.64 619.40 628.16 636.92 645.68 651.58 1002

1003 Single 573.56 588.16 597.07 605.83 614.60 623.36 632.12 640.88 649.64 655.58 10031003 Head of Household 593.20 601.96 610.72 619.49 628.25 637.01 645.77 652.52 658.36 664.20 10031003 Married Filing joint 623.70 632.46 641.22 649.98 656.37 662.21 668.05 673.89 678.38 10031003 Married Filling Separate 570.13 584.74 593.65 602.41 611.17 619.94 628.70 637.46 646.22 652.16 1003

1004 Single 574.02 588.63 597.62 606.38 615.14 623.90 632.66 641.42 650.19 656.16 10041004 Head of Household 593.75 602.51 611.27 620.03 628.79 637.56 646.32 653.10 658.94 664.78 10041004 Married Filing joint 624.24 633.01 641.77 650.53 656.95 662.79 668.64 674.48 679.03 10041004 Married Filling Separate 570.60 585.20 594.19 602.95 611.71 620.48 629.24 638.00 646.76 652.73 1004

1005 Single 574.49 589.09 598.16 606.92 615.68 624.44 633.21 641.97 650.73 656.74 10051005 Head of Household 594.29 603.06 611.82 620.58 629.34 638.10 646.86 653.69 659.53 665.37 10051005 Married Filing joint 624.79 633.55 642.31 651.08 657.54 663.38 669.22 675.06 679.69 10051005 Married Filling Separate 571.06 585.66 594.73 603.49 612.25 621.01 629.78 638.54 647.30 653.31 1005

1006 Single 574.96 589.56 598.70 607.46 616.23 624.99 633.75 642.51 651.27 657.32 10061006 Head of Household 594.84 603.60 612.36 621.13 629.89 638.65 647.41 654.27 660.11 665.95 10061006 Married Filing joint 625.34 634.10 642.86 651.62 658.12 663.96 669.80 675.64 680.35 10061006 Married Filling Separate 571.53 586.13 595.27 604.03 612.79 621.55 630.32 639.08 647.84 653.89 1006

1007 Single 575.43 590.03 599.25 608.01 616.77 625.53 634.29 643.05 651.81 657.90 10071007 Head of Household 595.39 604.15 612.91 621.67 630.43 639.19 647.96 654.85 660.69 666.54 10071007 Married Filing joint 625.88 634.65 643.41 652.17 658.71 664.55 670.39 676.23 681.01 10071007 Married Filling Separate 571.99 586.59 595.81 604.57 613.33 622.09 630.85 639.62 648.38 654.46 1007

1008 Single 575.90 590.50 599.79 608.55 617.31 626.07 634.83 643.60 652.36 658.48 10081008 Head of Household 595.93 604.69 613.46 622.22 630.98 639.74 648.50 655.44 661.28 667.12 10081008 Married Filing joint 626.43 635.19 643.95 652.71 659.29 665.13 670.97 676.81 681.67 10081008 Married Filling Separate 572.46 587.06 596.35 605.11 613.87 622.63 631.39 640.16 648.92 655.04 1008

Page 146: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1009 Single 576.36 590.97 600.33 609.09 617.85 626.62 635.38 644.14 652.90 659.06 10091009 Head of Household 596.48 605.24 614.00 622.76 631.53 640.29 649.05 656.02 661.86 667.70 10091009 Married Filing joint 626.98 635.74 644.50 653.26 659.87 665.71 671.56 677.40 682.33 10091009 Married Filling Separate 572.92 587.52 596.89 605.65 614.41 623.17 631.93 640.69 649.46 655.62 1009

1010 Single 576.83 591.43 600.87 609.64 618.40 627.16 635.92 644.68 653.44 659.64 10101010 Head of Household 597.03 605.79 614.55 623.31 632.07 640.83 649.60 656.61 662.45 668.29 10101010 Married Filing joint 627.52 636.28 645.05 653.81 660.46 666.30 672.14 677.98 682.99 10101010 Married Filling Separate 573.03 587.63 597.07 605.83 614.59 623.36 632.12 640.88 649.64 655.84 1010

1011 Single 577.30 591.90 601.42 610.18 618.94 627.70 636.46 645.22 653.99 660.22 10111011 Head of Household 597.57 606.33 615.10 623.86 632.62 641.38 650.14 657.19 663.03 668.87 10111011 Married Filing joint 628.07 636.83 645.59 654.35 661.04 666.88 672.72 678.56 683.65 10111011 Married Filling Separate 573.49 588.10 597.61 606.37 615.13 623.90 632.66 641.42 650.18 656.42 1011

1012 Single 577.77 592.37 601.96 610.72 619.48 628.24 637.01 645.77 654.53 660.80 10121012 Head of Household 598.12 606.88 615.64 624.40 633.16 641.93 650.69 657.77 663.61 669.46 10121012 Married Filing joint 628.62 637.38 646.14 654.90 661.62 667.47 673.31 679.15 684.31 10121012 Married Filling Separate 573.96 588.56 598.15 606.91 615.67 624.43 633.20 641.96 650.72 656.99 1012

1013 Single 578.24 592.84 602.50 611.26 620.03 628.79 637.55 646.31 655.07 661.38 10131013 Head of Household 598.67 607.43 616.19 624.95 633.71 642.47 651.23 658.36 664.20 670.04 10131013 Married Filing joint 629.16 637.92 646.69 655.45 662.21 668.05 673.89 679.73 684.96 10131013 Married Filling Separate 574.42 589.02 598.69 607.45 616.21 624.97 633.73 642.50 651.26 657.57 1013

1014 Single 578.70 593.31 603.05 611.81 620.57 629.33 638.09 646.85 655.62 661.96 10141014 Head of Household 599.21 607.97 616.73 625.50 634.26 643.02 651.78 658.94 664.78 670.62 10141014 Married Filing joint 629.71 638.47 647.23 655.99 662.79 668.63 674.47 680.32 685.62 10141014 Married Filling Separate 574.88 589.49 599.23 607.99 616.75 625.51 634.27 643.03 651.80 658.15 1014

1015 Single 579.17 593.77 603.59 612.35 621.11 629.87 638.64 647.40 656.16 662.55 10151015 Head of Household 599.76 608.52 617.28 626.04 634.80 643.57 652.33 659.52 665.37 671.21 10151015 Married Filing joint 630.25 639.02 647.78 656.54 663.38 669.22 675.06 680.90 686.28 10151015 Married Filling Separate 575.06 589.66 599.47 608.24 617.00 625.76 634.52 643.28 652.04 658.43 1015

1016 Single 579.64 594.24 604.13 612.89 621.66 630.42 639.18 647.94 656.70 663.13 10161016 Head of Household 600.30 609.07 617.83 626.59 635.35 644.11 652.87 660.11 665.95 671.79 10161016 Married Filing joint 630.80 639.56 648.32 657.09 663.96 669.80 675.64 681.48 686.94 10161016 Married Filling Separate 575.52 590.12 600.01 608.77 617.54 626.30 635.06 643.82 652.58 659.01 1016

Page 147: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1017 Single 580.11 594.71 604.68 613.44 622.20 630.96 639.72 648.48 657.24 663.71 10171017 Head of Household 600.85 609.61 618.37 627.14 635.90 644.66 653.42 660.69 666.53 672.37 10171017 Married Filing joint 631.35 640.11 648.87 657.63 664.54 670.39 676.23 682.07 687.60 10171017 Married Filling Separate 575.98 590.59 600.55 609.31 618.07 626.84 635.60 644.36 653.12 659.58 1017

1018 Single 580.58 595.18 605.22 613.98 622.74 631.50 640.26 649.03 657.79 664.29 10181018 Head of Household 601.40 610.16 618.92 627.68 636.44 645.20 653.97 661.28 667.12 672.96 10181018 Married Filing joint 631.89 640.66 649.42 658.18 665.13 670.97 676.81 682.65 688.26 10181018 Married Filling Separate 576.45 591.05 601.09 609.85 618.61 627.37 636.14 644.90 653.66 660.16 1018

1019 Single 581.04 595.65 605.76 614.52 623.28 632.05 640.81 649.57 658.33 664.87 10191019 Head of Household 601.94 610.70 619.47 628.23 636.99 645.75 654.51 661.86 667.70 673.54 10191019 Married Filing joint 632.44 641.20 649.96 658.72 665.71 671.55 677.39 683.23 688.92 10191019 Married Filling Separate 576.91 591.51 601.63 610.39 619.15 627.91 636.68 645.44 654.20 660.74 1019

1020 Single 581.51 596.11 606.30 615.07 623.83 632.59 641.35 650.11 658.87 665.45 10201020 Head of Household 601.84 610.60 619.36 628.13 636.89 645.65 654.41 661.80 667.64 673.48 10201020 Married Filing joint 632.34 641.10 649.86 658.62 665.65 671.49 677.33 683.17 688.93 10201020 Married Filling Separate 577.38 591.98 602.17 610.93 619.69 628.45 637.21 645.98 654.74 661.31 1020

1021 Single 581.98 596.58 606.85 615.61 624.37 633.13 641.89 650.65 659.42 666.03 10211021 Head of Household 602.39 611.15 619.91 628.67 637.43 646.19 654.96 662.38 668.22 674.06 10211021 Married Filing joint 632.88 641.65 650.41 659.17 666.23 672.07 677.91 683.75 689.59 10211021 Married Filling Separate 577.84 592.44 602.71 611.47 620.23 628.99 637.75 646.51 655.28 661.89 1021

1022 Single 582.45 597.05 607.39 616.15 624.91 633.67 642.44 651.20 659.96 666.61 10221022 Head of Household 602.93 611.70 620.46 629.22 637.98 646.74 655.50 662.96 668.80 674.64 10221022 Married Filing joint 633.43 642.19 650.95 659.71 666.81 672.66 678.50 684.34 690.18 10221022 Married Filling Separate 578.30 592.91 603.25 612.01 620.77 629.53 638.29 647.05 655.81 662.46 1022

1023 Single 582.92 597.52 607.93 616.69 625.46 634.22 642.98 651.74 660.50 667.19 10231023 Head of Household 603.48 612.24 621.00 629.76 638.53 647.29 656.05 663.55 669.39 675.23 10231023 Married Filing joint 633.98 642.74 651.50 660.26 667.40 673.24 679.08 684.92 690.76 10231023 Married Filling Separate 578.77 593.37 603.78 612.55 621.31 630.07 638.83 647.59 656.35 663.04 1023

1024 Single 583.38 597.99 608.48 617.24 626.00 634.76 643.52 652.28 661.05 667.77 10241024 Head of Household 604.03 612.79 621.55 630.31 639.07 647.83 656.60 664.13 669.97 675.81 10241024 Married Filing joint 634.52 643.28 652.05 660.81 667.98 673.82 679.66 685.51 691.35 10241024 Married Filling Separate 579.23 593.83 604.32 613.09 621.85 630.61 639.37 648.13 656.89 663.62 1024

Page 148: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1025 Single 583.85 598.45 609.02 617.78 626.54 635.30 644.07 652.83 661.59 668.35 10251025 Head of Household 604.57 613.33 622.10 630.86 639.62 648.38 657.14 664.71 670.56 676.40 10251025 Married Filing joint 635.07 643.83 652.59 661.35 668.57 674.41 680.25 686.09 691.93 10251025 Married Filling Separate 579.69 594.30 604.86 613.62 622.39 631.15 639.91 648.67 657.43 664.19 1025

1026 Single 584.32 598.92 609.56 618.32 627.09 635.85 644.61 653.37 662.13 668.93 10261026 Head of Household 605.12 613.88 622.64 631.40 640.17 648.93 657.69 665.30 671.14 676.98 10261026 Married Filing joint 635.62 644.38 653.14 661.90 669.15 674.99 680.83 686.67 692.51 10261026 Married Filling Separate 580.16 594.76 605.40 614.16 622.92 631.69 640.45 649.21 657.97 664.77 1026

1027 Single 584.79 599.39 610.11 618.87 627.63 636.39 645.15 653.91 662.67 669.51 10271027 Head of Household 605.67 614.43 623.19 631.95 640.71 649.47 658.23 665.88 671.72 677.56 10271027 Married Filing joint 636.16 644.92 653.69 662.45 669.73 675.57 681.42 687.26 693.10 10271027 Married Filling Separate 580.62 595.23 605.94 614.70 623.46 632.22 640.99 649.75 658.51 665.35 1027

1028 Single 585.26 599.86 610.65 619.41 628.17 636.93 645.69 654.46 663.22 670.09 10281028 Head of Household 606.21 614.97 623.73 632.50 641.26 650.02 658.78 666.47 672.31 678.15 10281028 Married Filing joint 636.71 645.47 654.23 662.99 670.32 676.16 682.00 687.84 693.68 10281028 Married Filling Separate 581.09 595.69 606.48 615.24 624.00 632.76 641.53 650.29 659.05 665.92 1028

1029 Single 585.72 600.33 611.19 619.95 628.71 637.48 646.24 655.00 663.76 670.67 10291029 Head of Household 606.76 615.52 624.28 633.04 641.80 650.57 659.33 667.05 672.89 678.73 10291029 Married Filing joint 637.26 646.02 654.78 663.54 670.90 676.74 682.58 688.42 694.27 10291029 Married Filling Separate 581.55 596.15 607.02 615.78 624.54 633.30 642.06 650.83 659.59 666.50 1029

1030 Single 586.19 600.79 611.73 620.50 629.26 638.02 646.78 655.54 664.30 671.25 10301030 Head of Household 607.30 616.07 624.83 633.59 642.35 651.11 659.87 667.63 673.47 679.32 10301030 Married Filing joint 637.80 646.56 655.32 664.09 671.49 677.33 683.17 689.01 694.85 10301030 Married Filling Separate 582.01 596.62 607.56 616.32 625.08 633.84 642.60 651.36 660.13 667.08 1030

1031 Single 586.66 601.26 612.28 621.04 629.80 638.56 647.32 656.08 664.85 671.83 10311031 Head of Household 607.85 616.61 625.37 634.14 642.90 651.66 660.42 668.22 674.06 679.90 10311031 Married Filing joint 638.35 647.11 655.87 664.63 672.07 677.91 683.75 689.59 695.43 10311031 Married Filling Separate 582.48 597.08 608.10 616.86 625.62 634.38 643.14 651.90 660.66 667.65 1031

1032 Single 587.13 601.73 612.82 621.58 630.34 639.10 647.87 656.63 665.39 672.41 10321032 Head of Household 608.40 617.16 625.92 634.68 643.44 652.20 660.97 668.80 674.64 680.48 10321032 Married Filing joint 638.89 647.66 656.42 665.18 672.65 678.49 684.34 690.18 696.02 10321032 Married Filling Separate 582.94 597.54 608.63 617.40 626.16 634.92 643.68 652.44 661.20 668.23 1032

Page 149: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1033 Single 587.60 602.20 613.36 622.12 630.89 639.65 648.41 657.17 665.93 672.99 10331033 Head of Household 608.94 617.71 626.47 635.23 643.99 652.75 661.51 669.39 675.23 681.07 10331033 Married Filing joint 639.44 648.20 656.96 665.73 673.24 679.08 684.92 690.76 696.60 10331033 Married Filling Separate 583.41 598.01 609.17 617.94 626.70 635.46 644.22 652.98 661.74 668.80 1033

1034 Single 588.06 602.67 613.91 622.67 631.43 640.19 648.95 657.71 666.48 673.57 10341034 Head of Household 609.49 618.25 627.01 635.77 644.54 653.30 662.06 669.97 675.81 681.65 10341034 Married Filing joint 639.99 648.75 657.51 666.27 673.82 679.66 685.50 691.34 697.18 10341034 Married Filling Separate 583.87 598.47 609.71 618.47 627.24 636.00 644.76 653.52 662.28 669.38 1034

1035 Single 588.53 603.13 614.45 623.21 631.97 640.73 649.50 658.26 667.02 674.16 10351035 Head of Household 610.04 618.80 627.56 636.32 645.08 653.84 662.61 670.55 676.39 682.24 10351035 Married Filing joint 640.53 649.29 658.06 666.82 674.40 680.25 686.09 691.93 697.77 10351035 Married Filling Separate 584.33 598.94 610.25 619.01 627.77 636.54 645.30 654.06 662.82 669.96 1035

1036 Single 589.00 603.60 614.99 623.75 632.52 641.28 650.04 658.80 667.56 674.74 10361036 Head of Household 610.58 619.34 628.11 636.87 645.63 654.39 663.15 671.14 676.98 682.82 10361036 Married Filing joint 641.08 649.84 658.60 667.36 674.99 680.83 686.67 692.51 698.35 10361036 Married Filling Separate 584.80 599.40 610.79 619.55 628.31 637.07 645.84 654.60 663.36 670.53 1036

1037 Single 589.47 604.07 615.54 624.30 633.06 641.82 650.58 659.34 668.10 675.32 10371037 Head of Household 611.13 619.89 628.65 637.41 646.18 654.94 663.70 671.72 677.56 683.40 10371037 Married Filing joint 641.63 650.39 659.15 667.91 675.57 681.41 687.25 693.10 698.94 10371037 Married Filling Separate 585.26 599.86 611.33 620.09 628.85 637.61 646.38 655.14 663.90 671.11 1037

1038 Single 589.94 604.54 616.08 624.84 633.60 642.36 651.12 659.89 668.65 675.90 10381038 Head of Household 611.68 620.44 629.20 637.96 646.72 655.48 664.24 672.30 678.15 683.99 10381038 Married Filing joint 642.17 650.93 659.70 668.46 676.16 682.00 687.84 693.68 699.52 10381038 Married Filling Separate 585.73 600.33 611.87 620.63 629.39 638.15 646.91 655.68 664.44 671.69 1038

1039 Single 590.40 605.01 616.62 625.38 634.14 642.91 651.67 660.43 669.19 676.48 10391039 Head of Household 611.57 620.33 629.10 637.86 646.62 655.38 664.14 672.24 678.08 683.92 10391039 Married Filing joint 642.07 650.83 659.59 668.35 676.09 681.93 687.77 693.61 699.46 10391039 Married Filling Separate 586.19 600.79 612.41 621.17 629.93 638.69 647.45 656.21 664.98 672.26 1039

1040 Single 590.87 605.47 617.16 625.93 634.69 643.45 652.21 660.97 669.73 677.06 10401040 Head of Household 612.12 620.88 629.64 638.40 647.17 655.93 664.69 672.82 678.66 684.51 10401040 Married Filing joint 642.62 651.38 660.14 668.90 676.68 682.52 688.36 694.20 700.04 10401040 Married Filling Separate 586.65 601.26 612.95 621.71 630.47 639.23 647.99 656.75 665.51 672.84 1040

Page 150: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1041 Single 591.34 605.94 617.71 626.47 635.23 643.99 652.75 661.51 670.28 677.64 10411041 Head of Household 612.67 621.43 630.19 638.95 647.71 656.47 665.23 673.41 679.25 685.09 10411041 Married Filing joint 643.16 651.92 660.69 669.45 677.26 683.10 688.94 694.78 700.62 10411041 Married Filling Separate 587.12 601.72 613.48 622.25 631.01 639.77 648.53 657.29 666.05 673.42 1041

1042 Single 591.81 606.41 618.25 627.01 635.77 644.53 653.30 662.06 670.82 678.22 10421042 Head of Household 613.21 621.97 630.74 639.50 648.26 657.02 665.78 673.99 679.83 685.67 10421042 Married Filing joint 643.71 652.47 661.23 669.99 677.84 683.68 689.52 695.37 701.21 10421042 Married Filling Separate 587.58 602.18 614.02 622.78 631.55 640.31 649.07 657.83 666.59 673.99 1042

1043 Single 592.28 606.88 618.79 627.55 636.32 645.08 653.84 662.60 671.36 678.80 10431043 Head of Household 613.76 622.52 631.28 640.04 648.80 657.57 666.33 674.58 680.42 686.26 10431043 Married Filing joint 644.26 653.02 661.78 670.54 678.43 684.27 690.11 695.95 701.79 10431043 Married Filling Separate 588.04 602.65 614.56 623.32 632.09 640.85 649.61 658.37 667.13 674.57 1043

1044 Single 592.74 607.35 619.34 628.10 636.86 645.62 654.38 663.14 671.91 679.38 10441044 Head of Household 614.30 623.07 631.83 640.59 649.35 658.11 666.87 675.16 681.00 686.84 10441044 Married Filing joint 644.80 653.56 662.32 671.09 679.01 684.85 690.69 696.53 702.37 10441044 Married Filling Separate 588.51 603.11 615.10 623.86 632.62 641.39 650.15 658.91 667.67 675.14 1044

1045 Single 593.21 607.81 619.88 628.64 637.40 646.16 654.93 663.69 672.45 679.96 10451045 Head of Household 614.85 623.61 632.37 641.14 649.90 658.66 667.42 675.74 681.58 687.42 10451045 Married Filing joint 645.35 654.11 662.87 671.63 679.59 685.44 691.28 697.12 702.96 10451045 Married Filling Separate 588.97 603.57 615.64 624.40 633.16 641.92 650.69 659.45 668.21 675.72 1045

1046 Single 593.68 608.28 620.42 629.18 637.95 646.71 655.47 664.23 672.99 680.54 10461046 Head of Household 615.40 624.16 632.92 641.68 650.44 659.21 667.97 676.33 682.17 688.01 10461046 Married Filing joint 645.89 654.66 663.42 672.18 680.18 686.02 691.86 697.70 703.54 10461046 Married Filling Separate 589.44 604.04 616.18 624.94 633.70 642.46 651.22 659.99 668.75 676.30 1046

1047 Single 594.15 608.75 620.97 629.73 638.49 647.25 656.01 664.77 673.53 681.12 10471047 Head of Household 615.94 624.71 633.47 642.23 650.99 659.75 668.51 676.91 682.75 688.59 10471047 Married Filing joint 646.44 655.20 663.96 672.73 680.76 686.60 692.44 698.29 704.13 10471047 Married Filling Separate 589.90 604.50 616.72 625.48 634.24 643.00 651.76 660.53 669.29 676.87 1047

1048 Single 594.62 609.22 621.51 630.27 639.03 647.79 656.55 665.32 674.08 681.70 10481048 Head of Household 616.49 625.25 634.01 642.77 651.54 660.30 669.06 677.49 683.34 689.18 10481048 Married Filing joint 646.99 655.75 664.51 673.27 681.35 687.19 693.03 698.87 704.71 10481048 Married Filling Separate 590.36 604.97 617.26 626.02 634.78 643.54 652.30 661.06 669.83 677.45 1048

Page 151: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1049 Single 595.08 609.69 622.05 630.81 639.57 648.34 657.10 665.86 674.62 682.28 10491049 Head of Household 617.04 625.80 634.56 643.32 652.08 660.84 669.61 678.08 683.92 689.76 10491049 Married Filing joint 647.53 656.30 665.06 673.82 681.93 687.77 693.61 699.45 705.29 10491049 Married Filling Separate 590.83 605.43 617.80 626.56 635.32 644.08 652.84 661.60 670.36 678.03 1049

1050 Single 595.55 610.15 622.59 631.36 640.12 648.88 657.64 666.40 675.16 682.86 10501050 Head of Household 617.58 626.34 635.11 643.87 652.63 661.39 670.15 678.66 684.50 690.34 10501050 Married Filing joint 648.08 656.84 665.60 674.36 682.51 688.35 694.20 700.04 705.88 10501050 Married Filling Separate 591.29 605.89 618.33 627.10 635.86 644.62 653.38 662.14 670.90 678.60 1050

1051 Single 596.02 610.62 623.14 631.90 640.66 649.42 658.18 666.94 675.71 683.44 10511051 Head of Household 618.13 626.89 635.65 644.41 653.18 661.94 670.70 679.25 685.09 690.93 10511051 Married Filing joint 648.63 657.39 666.15 674.91 683.10 688.94 694.78 700.62 706.46 10511051 Married Filling Separate 591.76 606.36 618.87 627.63 636.40 645.16 653.92 662.68 671.44 679.18 1051

1052 Single 596.49 611.09 623.68 632.44 641.20 649.96 658.73 667.49 676.25 684.02 10521052 Head of Household 618.68 627.44 636.20 644.96 653.72 662.48 671.24 679.83 685.67 691.51 10521052 Married Filing joint 649.17 657.93 666.70 675.46 683.68 689.52 695.36 701.20 707.05 10521052 Married Filling Separate 592.22 606.82 619.41 628.17 636.94 645.70 654.46 663.22 671.98 679.76 1052

1053 Single 596.96 611.56 624.22 632.98 641.75 650.51 659.27 668.03 676.79 684.60 10531053 Head of Household 619.22 627.98 636.75 645.51 654.27 663.03 671.79 680.41 686.25 692.10 10531053 Married Filing joint 649.72 658.48 667.24 676.00 684.27 690.11 695.95 701.79 707.63 10531053 Married Filling Separate 592.68 607.29 619.95 628.71 637.47 646.24 655.00 663.76 672.52 680.33 1053

1054 Single 597.42 612.03 624.77 633.53 642.29 651.05 659.81 668.57 677.34 685.18 10541054 Head of Household 619.77 628.53 637.29 646.05 654.81 663.58 672.34 681.00 686.84 692.68 10541054 Married Filing joint 650.27 659.03 667.79 676.55 684.85 690.69 696.53 702.37 708.21 10541054 Married Filling Separate 593.15 607.75 620.49 629.25 638.01 646.77 655.54 664.30 673.06 680.91 1054

1055 Single 597.89 612.49 625.31 634.07 642.83 651.59 660.36 669.12 677.88 685.77 10551055 Head of Household 620.31 629.08 637.84 646.60 655.36 664.12 672.88 681.58 687.42 693.26 10551055 Married Filing joint 650.81 659.57 668.33 677.10 685.43 691.27 697.12 702.96 708.80 10551055 Married Filling Separate 593.61 608.21 621.03 629.79 638.55 647.31 656.07 664.84 673.60 681.48 1055

1056 Single 598.36 612.96 625.85 634.61 643.38 652.14 660.90 669.66 678.42 686.35 10561056 Head of Household 620.86 629.62 638.38 647.15 655.91 664.67 673.43 682.17 688.01 693.85 10561056 Married Filing joint 651.36 660.12 668.88 677.64 686.02 691.86 697.70 703.54 709.38 10561056 Married Filling Separate 594.07 608.68 621.57 630.33 639.09 647.85 656.61 665.38 674.14 682.06 1056

Page 152: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1057 Single 598.83 613.43 626.40 635.16 643.92 652.68 661.44 670.20 678.96 686.93 10571057 Head of Household 621.41 630.17 638.93 647.69 656.45 665.22 673.98 682.74 688.59 694.43 10571057 Married Filing joint 651.90 660.67 669.43 678.19 686.60 692.44 698.28 704.12 709.97 10571057 Married Filling Separate 594.54 609.14 622.11 630.87 639.63 648.39 657.15 665.91 674.68 682.64 1057

1058 Single 599.30 613.90 626.94 635.70 644.46 653.22 661.98 670.75 679.51 687.51 10581058 Head of Household 621.31 630.07 638.83 647.59 656.35 665.11 673.87 682.64 688.53 694.37 10581058 Married Filing joint 651.80 660.56 669.32 678.09 686.54 692.38 698.22 704.06 709.90 10581058 Married Filling Separate 595.00 609.61 622.65 631.41 640.17 648.93 657.69 666.45 675.21 683.21 1058

1059 Single 599.76 614.37 627.48 636.24 645.00 653.77 662.53 671.29 680.05 688.09 10591059 Head of Household 621.85 630.61 639.37 648.14 656.90 665.66 674.42 683.18 689.11 694.95 10591059 Married Filing joint 652.35 661.11 669.87 678.63 687.12 692.96 698.80 704.64 710.48 10591059 Married Filling Separate 595.47 610.07 623.18 631.95 640.71 649.47 658.23 666.99 675.75 683.79 1059

1060 Single 600.23 614.83 628.02 636.79 645.55 654.31 663.07 671.83 680.59 688.67 10601060 Head of Household 622.40 631.16 639.92 648.68 657.44 666.21 674.97 683.73 689.69 695.53 10601060 Married Filing joint 652.89 661.66 670.42 679.18 687.70 693.54 699.39 705.23 711.07 10601060 Married Filling Separate 595.93 610.53 623.72 632.48 641.25 650.01 658.77 667.53 676.29 684.37 1060

1061 Single 600.70 615.30 628.57 637.33 646.09 654.85 663.61 672.37 681.14 689.25 10611061 Head of Household 622.94 631.71 640.47 649.23 657.99 666.75 675.51 684.27 690.28 696.12 10611061 Married Filing joint 653.44 662.20 670.96 679.73 688.29 694.13 699.97 705.81 711.65 10611061 Married Filling Separate 596.39 611.00 624.26 633.02 641.79 650.55 659.31 668.07 676.83 684.94 1061

1062 Single 601.17 615.77 629.11 637.87 646.63 655.39 664.16 672.92 681.68 689.83 10621062 Head of Household 623.49 632.25 641.01 649.78 658.54 667.30 676.06 684.82 690.86 696.70 10621062 Married Filing joint 653.99 662.75 671.51 680.27 688.87 694.71 700.55 706.39 712.24 10621062 Married Filling Separate 596.86 611.46 624.80 633.56 642.32 651.09 659.85 668.61 677.37 685.52 1062

1063 Single 601.64 616.24 629.65 638.41 647.18 655.94 664.70 673.46 682.22 690.41 10631063 Head of Household 624.04 632.80 641.56 650.32 659.08 667.84 676.61 685.37 691.44 697.29 10631063 Married Filing joint 654.53 663.30 672.06 680.82 689.46 695.30 701.14 706.98 712.82 10631063 Married Filling Separate 597.04 611.64 625.05 633.82 642.58 651.34 660.10 668.86 677.62 685.81 1063

1064 Single 602.10 616.71 630.20 638.96 647.72 656.48 665.24 674.00 682.77 690.99 10641064 Head of Household 624.58 633.34 642.11 650.87 659.63 668.39 677.15 685.91 692.03 697.87 10641064 Married Filing joint 655.08 663.84 672.60 681.36 690.04 695.88 701.72 707.56 713.40 10641064 Married Filling Separate 597.50 612.10 625.59 634.36 643.12 651.88 660.64 669.40 678.16 686.39 1064

Page 153: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1065 Single 602.57 617.17 630.74 639.50 648.26 657.02 665.79 674.55 683.31 691.57 10651065 Head of Household 625.13 633.89 642.65 651.41 660.18 668.94 677.70 686.46 692.61 698.45 10651065 Married Filing joint 655.63 664.39 673.15 681.91 690.62 696.46 702.31 708.15 713.99 10651065 Married Filling Separate 597.96 612.57 626.13 634.89 643.66 652.42 661.18 669.94 678.70 686.96 1065

1066 Single 603.04 617.64 631.28 640.04 648.81 657.57 666.33 675.09 683.85 692.15 10661066 Head of Household 625.68 634.44 643.20 651.96 660.72 669.48 678.25 687.01 693.20 699.04 10661066 Married Filing joint 656.17 664.93 673.70 682.46 691.21 697.05 702.89 708.73 714.57 10661066 Married Filling Separate 598.43 613.03 626.67 635.43 644.19 652.96 661.72 670.48 679.24 687.54 1066

1067 Single 603.51 618.11 631.83 640.59 649.35 658.11 666.87 675.63 684.39 692.73 10671067 Head of Household 626.22 634.98 643.75 652.51 661.27 670.03 678.79 687.55 693.78 699.62 10671067 Married Filing joint 656.72 665.48 674.24 683.00 691.77 697.63 703.47 709.31 715.15 10671067 Married Filling Separate 598.89 613.50 627.21 635.97 644.73 653.49 662.26 671.02 679.78 688.12 1067

1068 Single 603.98 618.58 632.37 641.13 649.89 658.65 667.41 676.18 684.94 693.31 10681068 Head of Household 626.77 635.53 644.29 653.05 661.81 670.58 679.34 688.10 694.36 700.21 10681068 Married Filing joint 657.27 666.03 674.79 683.55 692.31 698.22 704.06 709.90 715.74 10681068 Married Filling Separate 599.36 613.96 627.75 636.51 645.27 654.03 662.80 671.56 680.32 688.69 1068

1069 Single 604.44 619.05 632.91 641.67 650.43 659.20 667.96 676.72 685.48 693.89 10691069 Head of Household 627.32 636.08 644.84 653.60 662.36 671.12 679.88 688.65 694.95 700.79 10691069 Married Filing joint 657.81 666.57 675.34 684.10 692.86 698.80 704.64 710.48 716.32 10691069 Married Filling Separate 599.82 614.42 628.29 637.05 645.81 654.57 663.33 672.10 680.86 689.27 1069

1070 Single 604.91 619.51 633.45 642.22 650.98 659.74 668.50 677.26 686.02 694.47 10701070 Head of Household 627.86 636.62 645.38 654.15 662.91 671.67 680.43 689.19 695.53 701.37 10701070 Married Filing joint 658.36 667.12 675.88 684.64 693.40 699.38 705.22 711.07 716.91 10701070 Married Filling Separate 600.28 614.89 628.83 637.59 646.35 655.11 663.87 672.63 681.40 689.85 1070

1071 Single 605.38 619.98 634.00 642.76 651.52 660.28 669.04 677.80 686.57 695.05 10711071 Head of Household 628.41 637.17 645.93 654.69 663.45 672.22 680.98 689.74 696.12 701.96 10711071 Married Filing joint 658.90 667.67 676.43 685.19 693.95 699.97 705.81 711.65 717.49 10711071 Married Filling Separate 600.75 615.35 629.37 638.13 646.89 655.65 664.41 673.17 681.93 690.42 1071

1072 Single 605.85 620.45 634.54 643.30 652.06 660.82 669.59 678.35 687.11 695.63 10721072 Head of Household 628.95 637.72 646.48 655.24 664.00 672.76 681.52 690.28 696.70 702.54 10721072 Married Filing joint 659.45 668.21 676.97 685.74 694.50 700.55 706.39 712.23 718.07 10721072 Married Filling Separate 601.21 615.81 629.90 638.67 647.43 656.19 664.95 673.71 682.47 691.00 1072

Page 154: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1073 Single 606.32 620.92 635.08 643.84 652.61 661.37 670.13 678.89 687.65 696.21 10731073 Head of Household 629.50 638.26 647.02 655.79 664.55 673.31 682.07 690.83 697.28 703.12 10731073 Married Filing joint 660.00 668.76 677.52 686.28 695.04 701.14 706.98 712.82 718.66 10731073 Married Filling Separate 601.68 616.28 630.44 639.21 647.97 656.73 665.49 674.25 683.01 691.57 1073

1074 Single 606.78 621.39 635.63 644.39 653.15 661.91 670.67 679.43 688.20 696.79 10741074 Head of Household 630.05 638.81 647.57 656.33 665.09 673.85 682.62 691.38 697.87 703.71 10741074 Married Filing joint 660.54 669.31 678.07 686.83 695.59 701.72 707.56 713.40 719.24 10741074 Married Filling Separate 602.14 616.74 630.98 639.74 648.51 657.27 666.03 674.79 683.55 692.15 1074

1075 Single 607.25 621.85 636.17 644.93 653.69 662.45 671.22 679.98 688.74 697.38 10751075 Head of Household 630.59 639.35 648.12 656.88 665.64 674.40 683.16 691.92 698.45 704.29 10751075 Married Filing joint 661.09 669.85 678.61 687.37 696.14 702.30 708.14 713.98 719.83 10751075 Married Filling Separate 602.60 617.21 631.52 640.28 649.04 657.81 666.57 675.33 684.09 692.73 1075

1076 Single 607.72 622.32 636.71 645.47 654.24 663.00 671.76 680.52 689.28 697.96 10761076 Head of Household 631.14 639.90 648.66 657.42 666.19 674.95 683.71 692.47 699.04 704.88 10761076 Married Filing joint 661.64 670.40 679.16 687.92 696.68 702.89 708.73 714.57 720.41 10761076 Married Filling Separate 603.07 617.67 632.06 640.82 649.58 658.34 667.11 675.87 684.63 693.30 1076

1077 Single 608.19 622.79 637.26 646.02 654.78 663.54 672.30 681.06 689.82 698.54 10771077 Head of Household 631.04 639.80 648.56 657.32 666.08 674.84 683.61 692.37 698.97 704.81 10771077 Married Filing joint 661.53 670.30 679.06 687.82 696.58 702.82 708.66 714.50 720.34 10771077 Married Filling Separate 603.53 618.13 632.60 641.36 650.12 658.88 667.65 676.41 685.17 693.88 1077

1078 Single 608.66 623.26 637.80 646.56 655.32 664.08 672.84 681.61 690.37 699.12 10781078 Head of Household 631.58 640.35 649.11 657.87 666.63 675.39 684.15 692.91 699.55 705.39 10781078 Married Filing joint 662.08 670.84 679.60 688.36 697.13 703.41 709.25 715.09 720.93 10781078 Married Filling Separate 604.00 618.60 633.14 641.90 650.66 659.42 668.18 676.95 685.71 694.46 1078

1079 Single 609.12 623.73 638.33 647.10 655.86 664.63 673.39 682.15 690.91 699.67 10791079 Head of Household 632.13 640.89 649.65 658.41 667.18 675.94 684.70 693.46 700.14 705.98 10791079 Married Filing joint 662.63 671.39 680.15 688.91 697.67 703.99 709.83 715.67 721.51 10791079 Married Filling Separate 604.46 619.06 633.66 642.44 651.20 659.96 668.72 677.48 686.25 695.01 1079

1080 Single 609.59 624.19 638.80 647.65 656.41 665.17 673.93 682.69 691.45 700.21 10801080 Head of Household 632.68 641.44 650.20 658.96 667.72 676.48 685.25 694.01 700.72 706.56 10801080 Married Filing joint 663.17 671.93 680.70 689.46 698.22 704.57 710.41 716.26 722.10 10801080 Married Filling Separate 604.92 619.53 634.13 642.98 651.74 660.50 669.26 678.02 686.78 695.55 1080

Page 155: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1081 Single 610.06 624.66 639.26 648.19 656.95 665.71 674.47 683.23 692.00 700.76 10811081 Head of Household 633.22 641.98 650.75 659.51 668.27 677.03 685.79 694.55 701.31 707.15 10811081 Married Filing joint 663.72 672.48 681.24 690.00 698.77 705.16 711.00 716.84 722.68 10811081 Married Filling Separate 605.39 619.99 634.59 643.52 652.28 661.04 669.80 678.56 687.32 696.09 1081

1082 Single 610.53 625.13 639.73 648.73 657.49 666.25 675.02 683.78 692.54 701.30 10821082 Head of Household 633.77 642.53 651.29 660.05 668.82 677.58 686.34 695.10 701.89 707.73 10821082 Married Filing joint 664.27 673.03 681.79 690.55 699.31 705.74 711.58 717.42 723.26 10821082 Married Filling Separate 605.85 620.45 635.06 644.05 652.82 661.58 670.34 679.10 687.86 696.62 1082

1083 Single 611.00 625.60 640.20 649.27 658.04 666.80 675.56 684.32 693.08 701.84 10831083 Head of Household 634.32 643.08 651.84 660.60 669.36 678.12 686.88 695.65 702.47 708.31 10831083 Married Filing joint 664.81 673.57 682.34 691.10 699.86 706.32 712.17 718.01 723.85 10831083 Married Filling Separate 606.31 620.92 635.52 644.59 653.36 662.12 670.88 679.64 688.40 697.16 1083

1084 Single 611.46 626.07 640.67 649.82 658.58 667.34 676.10 684.86 693.63 702.39 10841084 Head of Household 634.86 643.62 652.38 661.15 669.91 678.67 687.43 696.19 703.06 708.90 10841084 Married Filing joint 665.36 674.12 682.88 691.64 700.40 706.91 712.75 718.59 724.43 10841084 Married Filling Separate 606.78 621.38 635.98 645.13 653.89 662.66 671.42 680.18 688.94 697.70 1084

1085 Single 611.93 626.53 641.14 650.36 659.12 667.88 676.65 685.41 694.17 702.93 10851085 Head of Household 635.41 644.17 652.93 661.69 670.45 679.22 687.98 696.74 703.64 709.48 10851085 Married Filing joint 665.91 674.67 683.43 692.19 700.95 707.49 713.33 719.17 725.02 10851085 Married Filling Separate 607.24 621.84 636.45 645.67 654.43 663.19 671.96 680.72 689.48 698.24 1085

1086 Single 612.40 627.00 641.60 650.90 659.67 668.43 677.19 685.95 694.71 703.47 10861086 Head of Household 635.95 644.72 653.48 662.24 671.00 679.76 688.52 697.29 704.22 710.07 10861086 Married Filing joint 666.45 675.21 683.97 692.74 701.50 708.08 713.92 719.76 725.60 10861086 Married Filling Separate 607.71 622.31 636.91 646.21 654.97 663.73 672.49 681.26 690.02 698.78 1086

1087 Single 612.61 627.21 641.82 651.19 659.95 668.71 677.47 686.24 695.00 703.76 10871087 Head of Household 636.50 645.26 654.02 662.79 671.55 680.31 689.07 697.83 704.81 710.65 10871087 Married Filing joint 667.00 675.76 684.52 693.28 702.04 708.66 714.50 720.34 726.18 10871087 Married Filling Separate 608.17 622.77 637.38 646.75 655.51 664.27 673.03 681.80 690.56 699.32 1087

1088 Single 613.08 627.68 642.28 651.73 660.49 669.26 678.02 686.78 695.54 704.30 10881088 Head of Household 637.05 645.81 654.57 663.33 672.09 680.85 689.62 698.38 705.39 711.23 10881088 Married Filing joint 667.54 676.31 685.07 693.83 702.59 709.24 715.09 720.93 726.77 10881088 Married Filling Separate 608.63 623.24 637.84 647.29 656.05 664.81 673.57 682.33 691.10 699.86 1088

Page 156: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1089 Single 613.55 628.15 642.75 652.28 661.04 669.80 678.56 687.32 696.08 704.85 10891089 Head of Household 637.59 646.36 655.12 663.88 672.64 681.40 690.16 698.92 705.98 711.82 10891089 Married Filing joint 668.09 676.85 685.61 694.38 703.14 709.83 715.67 721.51 727.35 10891089 Married Filling Separate 609.10 623.70 638.30 647.83 656.59 665.35 674.11 682.87 691.63 700.40 1089

1090 Single 614.01 628.62 643.22 652.82 661.58 670.34 679.10 687.87 696.63 705.39 10901090 Head of Household 638.14 646.90 655.66 664.42 673.19 681.95 690.71 699.47 706.56 712.40 10901090 Married Filing joint 668.64 677.40 686.16 694.92 703.68 710.41 716.25 722.09 727.93 10901090 Married Filling Separate 609.56 624.16 638.77 648.37 657.13 665.89 674.65 683.41 692.17 700.93 1090

1091 Single 614.48 629.09 643.69 653.36 662.12 670.89 679.65 688.41 697.17 705.93 10911091 Head of Household 638.69 647.45 656.21 664.97 673.73 682.49 691.26 700.02 707.14 712.99 10911091 Married Filing joint 669.18 677.94 686.71 695.47 704.23 711.00 716.84 722.68 728.52 10911091 Married Filling Separate 610.03 624.63 639.23 648.90 657.67 666.43 675.19 683.95 692.71 701.47 1091

1092 Single 614.95 629.55 644.16 653.91 662.67 671.43 680.19 688.95 697.71 706.47 10921092 Head of Household 639.23 647.99 656.76 665.52 674.28 683.04 691.80 700.56 707.73 713.57 10921092 Married Filing joint 669.73 678.49 687.25 696.01 704.78 711.58 717.42 723.26 729.10 10921092 Married Filling Separate 610.49 625.09 639.69 649.44 658.21 666.97 675.73 684.49 693.25 702.01 1092

1093 Single 615.42 630.02 644.62 654.45 663.21 671.97 680.73 689.49 698.26 707.02 10931093 Head of Household 639.78 648.54 657.30 666.06 674.83 683.59 692.35 701.11 708.31 714.15 10931093 Married Filing joint 670.28 679.04 687.80 696.56 705.32 712.16 718.00 723.85 729.69 10931093 Married Filling Separate 610.95 625.56 640.16 649.98 658.74 667.51 676.27 685.03 693.79 702.55 1093

1094 Single 615.89 630.49 645.09 654.99 663.75 672.51 681.28 690.04 698.80 707.56 10941094 Head of Household 640.33 649.09 657.85 666.61 675.37 684.13 692.89 701.66 708.90 714.74 10941094 Married Filing joint 670.82 679.58 688.35 697.11 705.87 712.75 718.59 724.43 730.27 10941094 Married Filling Separate 611.42 626.02 640.62 650.52 659.28 668.04 676.81 685.57 694.33 703.09 1094

1095 Single 616.35 630.96 645.56 655.53 664.30 673.06 681.82 690.58 699.34 708.10 10951095 Head of Household 640.87 649.63 658.39 667.16 675.92 684.68 693.44 702.20 709.48 715.32 10951095 Married Filing joint 671.37 680.13 688.89 697.65 706.41 713.33 719.17 725.01 730.85 10951095 Married Filling Separate 611.88 626.48 641.09 651.06 659.82 668.58 677.34 686.11 694.87 703.63 1095

1096 Single 616.82 631.43 646.03 656.08 664.84 673.60 682.36 691.12 699.88 708.65 10961096 Head of Household 641.42 650.18 658.94 667.70 676.46 685.23 693.99 702.75 710.06 715.90 10961096 Married Filing joint 671.92 680.68 689.44 698.20 706.96 713.92 719.76 725.60 731.44 10961096 Married Filling Separate 612.34 626.95 641.55 651.60 660.36 669.12 677.88 686.65 695.41 704.17 1096

Page 157: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1097 Single 617.29 631.89 646.50 656.62 665.38 674.14 682.90 691.67 700.43 709.19 10971097 Head of Household 641.96 650.73 659.49 668.25 677.01 685.77 694.53 703.30 710.65 716.49 10971097 Married Filing joint 671.81 680.57 689.34 698.10 706.86 713.85 719.69 725.53 731.37 10971097 Married Filling Separate 612.81 627.41 642.01 652.14 660.90 669.66 678.42 687.18 695.95 704.71 1097

1098 Single 617.76 632.36 646.96 657.16 665.92 674.69 683.45 692.21 700.97 709.73 10981098 Head of Household 642.51 651.27 660.03 668.80 677.56 686.32 695.08 703.84 711.23 717.07 10981098 Married Filing joint 672.36 681.12 689.88 698.64 707.40 714.43 720.27 726.12 731.96 10981098 Married Filling Separate 613.27 627.88 642.48 652.68 661.44 670.20 678.96 687.72 696.48 705.25 1098

1099 Single 618.23 632.83 647.43 657.71 666.47 675.23 683.99 692.75 701.51 710.28 10991099 Head of Household 643.06 651.82 660.58 669.34 678.10 686.86 695.63 704.39 711.82 717.66 10991099 Married Filing joint 672.91 681.67 690.43 699.19 707.95 715.02 720.86 726.70 732.54 10991099 Married Filling Separate 613.74 628.34 642.94 653.22 661.98 670.74 679.50 688.26 697.02 705.78 1099

1100 Single 618.69 633.30 647.90 658.25 667.01 675.77 684.53 693.30 702.06 710.82 11001100 Head of Household 643.60 652.37 661.13 669.89 678.65 687.41 696.17 704.93 712.40 718.24 11001100 Married Filing joint 673.45 682.21 690.97 699.74 708.50 715.60 721.44 727.28 733.12 11001100 Married Filling Separate 614.20 628.80 643.41 653.75 662.52 671.28 680.04 688.80 697.56 706.32 1100

1101 Single 619.16 633.77 648.37 658.79 667.55 676.32 685.08 693.84 702.60 711.36 11011101 Head of Household 644.15 652.91 661.67 670.43 679.20 687.96 696.72 705.48 712.98 718.82 11011101 Married Filing joint 674.00 682.76 691.52 700.28 709.04 716.19 722.03 727.87 733.71 11011101 Married Filling Separate 614.66 629.27 643.87 654.29 663.06 671.82 680.58 689.34 698.10 706.86 1101

1102 Single 619.63 634.23 648.84 659.34 668.10 676.86 685.62 694.38 703.14 711.90 11021102 Head of Household 644.70 653.46 662.22 670.98 679.74 688.50 697.27 706.03 713.57 719.41 11021102 Married Filing joint 674.54 683.31 692.07 700.83 709.59 716.77 722.61 728.45 734.29 11021102 Married Filling Separate 615.13 629.73 644.33 654.83 663.59 672.36 681.12 689.88 698.64 707.40 1102

1103 Single 620.10 634.70 649.30 659.88 668.64 677.40 686.16 694.92 703.69 712.45 11031103 Head of Household 645.24 654.00 662.77 671.53 680.29 689.05 697.81 706.57 714.15 719.99 11031103 Married Filing joint 675.09 683.85 692.61 701.38 710.14 717.35 723.19 729.04 734.88 11031103 Married Filling Separate 615.59 630.19 644.80 655.37 664.13 672.89 681.66 690.42 699.18 707.94 1103

1104 Single 620.57 635.17 649.77 660.42 669.18 677.94 686.71 695.47 704.23 712.99 11041104 Head of Household 645.79 654.55 663.31 672.07 680.84 689.60 698.36 707.12 714.73 720.58 11041104 Married Filing joint 675.64 684.40 693.16 701.92 710.68 717.94 723.78 729.62 735.46 11041104 Married Filling Separate 616.06 630.66 645.26 655.91 664.67 673.43 682.19 690.96 699.72 708.48 1104

Page 158: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1105 Single 621.03 635.64 650.24 660.96 669.73 678.49 687.25 696.01 704.77 713.53 11051105 Head of Household 646.34 655.10 663.86 672.62 681.38 690.14 698.90 707.67 715.32 721.16 11051105 Married Filing joint 676.18 684.95 693.71 702.47 711.23 718.52 724.36 730.20 736.04 11051105 Married Filling Separate 616.52 631.12 645.72 656.45 665.21 673.97 682.73 691.50 700.26 709.02 1105

1106 Single 621.50 636.11 650.71 661.51 670.27 679.03 687.79 696.55 705.31 714.08 11061106 Head of Household 646.88 655.64 664.41 673.17 681.93 690.69 699.45 708.21 715.90 721.74 11061106 Married Filing joint 676.73 685.49 694.25 703.01 711.78 719.10 724.95 730.79 736.63 11061106 Married Filling Separate 616.98 631.59 646.19 656.99 665.75 674.51 683.27 692.03 700.80 709.56 1106

1107 Single 621.97 636.57 651.18 662.05 670.81 679.57 688.33 697.10 705.86 714.62 11071107 Head of Household 647.43 656.19 664.95 673.71 682.47 691.24 700.00 708.76 716.49 722.33 11071107 Married Filing joint 677.28 686.04 694.80 703.56 712.32 719.69 725.53 731.37 737.21 11071107 Married Filling Separate 617.45 632.05 646.65 657.53 666.29 675.05 683.81 692.57 701.33 710.10 1107

1108 Single 622.44 637.04 651.64 662.59 671.35 680.12 688.88 697.64 706.40 715.16 11081108 Head of Household 647.97 656.74 665.50 674.26 683.02 691.78 700.54 709.31 717.07 722.91 11081108 Married Filing joint 677.82 686.58 695.35 704.11 712.87 720.27 726.11 731.95 737.80 11081108 Married Filling Separate 617.91 632.51 647.12 658.07 666.83 675.59 684.35 693.11 701.87 710.63 1108

1109 Single 622.91 637.51 652.11 663.14 671.90 680.66 689.42 698.18 706.94 715.71 11091109 Head of Household 648.52 657.28 666.04 674.81 683.57 692.33 701.09 709.85 717.65 723.49 11091109 Married Filing joint 678.37 687.13 695.89 704.65 713.42 720.86 726.70 732.54 738.38 11091109 Married Filling Separate 618.38 632.98 647.58 658.60 667.37 676.13 684.89 693.65 702.41 711.17 1109

1110 Single 623.37 637.98 652.58 663.68 672.44 681.20 689.96 698.73 707.49 716.25 11101110 Head of Household 649.07 657.83 666.59 675.35 684.11 692.88 701.64 710.40 718.24 724.08 11101110 Married Filing joint 678.92 687.68 696.44 705.20 713.96 721.44 727.28 733.12 738.96 11101110 Married Filling Separate 618.84 633.44 648.04 659.14 667.90 676.67 685.43 694.19 702.95 711.71 1110

1111 Single 623.84 638.45 653.05 664.22 672.98 681.75 690.51 699.27 708.03 716.79 11111111 Head of Household 649.61 658.38 667.14 675.90 684.66 693.42 702.18 710.94 718.82 724.66 11111111 Married Filing joint 679.46 688.22 696.98 705.75 714.51 722.02 727.87 733.71 739.55 11111111 Married Filling Separate 619.01 633.61 648.22 659.39 668.15 676.91 685.67 694.44 703.20 711.96 1111

1112 Single 624.31 638.91 653.52 664.77 673.53 682.29 691.05 699.81 708.57 717.33 11121112 Head of Household 650.16 658.92 667.68 676.44 685.21 693.97 702.73 711.49 719.41 725.25 11121112 Married Filing joint 680.01 688.77 697.53 706.29 715.05 722.61 728.45 734.29 740.13 11121112 Married Filling Separate 619.47 634.08 648.68 659.93 668.69 677.45 686.21 694.97 703.74 712.50 1112

Page 159: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1113 Single 624.78 639.38 653.98 665.31 674.07 682.83 691.59 700.35 709.12 717.88 11131113 Head of Household 650.71 659.47 668.23 676.99 685.75 694.51 703.28 712.04 719.99 725.83 11131113 Married Filing joint 680.55 689.32 698.08 706.84 715.60 723.19 729.03 734.87 740.72 11131113 Married Filling Separate 619.94 634.54 649.14 660.47 669.23 677.99 686.75 695.51 704.28 713.04 1113

1114 Single 625.25 639.85 654.45 665.85 674.61 683.37 692.14 700.90 709.66 718.42 11141114 Head of Household 651.25 660.01 668.78 677.54 686.30 695.06 703.82 712.58 720.57 726.41 11141114 Married Filing joint 681.10 689.86 698.62 707.39 716.15 723.78 729.62 735.46 741.30 11141114 Married Filling Separate 620.40 635.00 649.61 661.01 669.77 678.53 687.29 696.05 704.81 713.58 1114

1115 Single 625.71 640.32 654.92 666.39 675.16 683.92 692.68 701.44 710.20 718.96 11151115 Head of Household 651.80 660.56 669.32 678.08 686.85 695.61 704.37 713.13 721.16 727.00 11151115 Married Filing joint 681.65 690.41 699.17 707.93 716.69 724.36 730.20 736.04 741.88 11151115 Married Filling Separate 620.87 635.47 650.07 661.55 670.31 679.07 687.83 696.59 705.35 714.11 1115

1116 Single 626.18 640.79 655.39 666.94 675.70 684.46 693.22 701.98 710.74 719.51 11161116 Head of Household 652.35 661.11 669.87 678.63 687.39 696.15 704.91 713.68 721.74 727.58 11161116 Married Filing joint 681.54 690.31 699.07 707.83 716.59 724.29 730.14 735.98 741.82 11161116 Married Filling Separate 621.33 635.93 650.53 662.08 670.85 679.61 688.37 697.13 705.89 714.65 1116

1117 Single 626.65 641.25 655.86 667.48 676.24 685.00 693.76 702.53 711.29 720.05 11171117 Head of Household 652.89 661.65 670.42 679.18 687.94 696.70 705.46 714.22 722.32 728.17 11171117 Married Filing joint 682.09 690.85 699.61 708.38 717.14 724.88 730.72 736.56 742.40 11171117 Married Filling Separate 621.79 636.40 651.00 662.62 671.38 680.15 688.91 697.67 706.43 715.19 1117

1118 Single 627.12 641.72 656.32 668.02 676.78 685.55 694.31 703.07 711.83 720.59 11181118 Head of Household 653.44 662.20 670.96 679.72 688.48 697.25 706.01 714.77 722.91 728.75 11181118 Married Filing joint 682.64 691.40 700.16 708.92 717.68 725.46 731.30 737.14 742.99 11181118 Married Filling Separate 622.26 636.86 651.46 663.16 671.92 680.68 689.45 698.21 706.97 715.73 1118

1119 Single 627.59 642.19 656.79 668.57 677.33 686.09 694.85 703.61 712.37 721.14 11191119 Head of Household 653.98 662.75 671.51 680.27 689.03 697.79 706.55 715.32 723.49 729.33 11191119 Married Filing joint 683.18 691.95 700.71 709.47 718.23 726.05 731.89 737.73 743.57 11191119 Married Filling Separate 622.72 637.32 651.93 663.70 672.46 681.22 689.99 698.75 707.51 716.27 1119

1120 Single 628.05 642.66 657.26 669.11 677.87 686.63 695.39 704.16 712.92 721.68 11201120 Head of Household 654.53 663.29 672.05 680.82 689.58 698.34 707.10 715.86 724.08 729.92 11201120 Married Filing joint 683.73 692.49 701.25 710.01 718.78 726.63 732.47 738.31 744.15 11201120 Married Filling Separate 623.19 637.79 652.39 664.24 673.00 681.76 690.52 699.29 708.05 716.81 1120

Page 160: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1121 Single 628.52 643.13 657.73 669.65 678.41 687.18 695.94 704.70 713.46 722.22 11211121 Head of Household 655.08 663.84 672.60 681.36 690.12 698.89 707.65 716.41 724.66 730.50 11211121 Married Filing joint 684.28 693.04 701.80 710.56 719.32 727.21 733.05 738.90 744.74 11211121 Married Filling Separate 623.65 638.25 652.85 664.78 673.54 682.30 691.06 699.82 708.59 717.35 1121

1122 Single 628.99 643.59 658.20 670.20 678.96 687.72 696.48 705.24 714.00 722.76 11221122 Head of Household 655.62 664.39 673.15 681.91 690.67 699.43 708.19 716.95 725.24 731.09 11221122 Married Filing joint 684.82 693.58 702.35 711.11 719.87 727.80 733.64 739.48 745.32 11221122 Married Filling Separate 624.11 638.72 653.32 665.32 674.08 682.84 691.60 700.36 709.12 717.89 1122

1123 Single 629.46 644.06 658.66 670.74 679.50 688.26 697.02 705.78 714.55 723.31 11231123 Head of Household 656.17 664.93 673.69 682.45 691.22 699.98 708.74 717.50 725.83 731.67 11231123 Married Filing joint 685.37 694.13 702.89 711.65 720.42 728.38 734.22 740.06 745.90 11231123 Married Filling Separate 624.58 639.18 653.78 665.86 674.62 683.38 692.14 700.90 709.66 718.43 1123

1124 Single 629.93 644.53 659.13 671.28 680.04 688.80 697.57 706.33 715.09 723.85 11241124 Head of Household 656.72 665.48 674.24 683.00 691.76 700.52 709.29 718.05 726.41 732.25 11241124 Married Filing joint 685.92 694.68 703.44 712.20 720.96 728.97 734.81 740.65 746.49 11241124 Married Filling Separate 625.04 639.64 654.25 666.40 675.16 683.92 692.68 701.44 710.20 718.96 1124

1125 Single 630.39 645.00 659.60 671.82 680.59 689.35 698.11 706.87 715.63 724.39 11251125 Head of Household 657.26 666.02 674.79 683.55 692.31 701.07 709.83 718.59 727.00 732.84 11251125 Married Filing joint 686.46 695.22 703.98 712.75 721.51 729.55 735.39 741.23 747.07 11251125 Married Filling Separate 625.50 640.11 654.71 666.93 675.70 684.46 693.22 701.98 710.74 719.50 1125

1126 Single 630.86 645.47 660.07 672.37 681.13 689.89 698.65 707.41 716.17 724.94 11261126 Head of Household 657.81 666.57 675.33 684.09 692.86 701.62 710.38 719.14 727.58 733.42 11261126 Married Filing joint 687.01 695.77 704.53 713.29 722.05 730.13 735.97 741.82 747.66 11261126 Married Filling Separate 625.97 640.57 655.17 667.47 676.23 685.00 693.76 702.52 711.28 720.04 1126

1127 Single 631.33 645.93 660.54 672.91 681.67 690.43 699.19 707.96 716.72 725.48 11271127 Head of Household 658.36 667.12 675.88 684.64 693.40 702.16 710.92 719.69 728.16 734.00 11271127 Married Filing joint 687.55 696.32 705.08 713.84 722.60 730.72 736.56 742.40 748.24 11271127 Married Filling Separate 626.43 641.04 655.64 668.01 676.77 685.53 694.30 703.06 711.82 720.58 1127

1128 Single 631.80 646.40 661.00 673.45 682.21 690.98 699.74 708.50 717.26 726.02 11281128 Head of Household 658.90 667.66 676.43 685.19 693.95 702.71 711.47 720.23 728.75 734.59 11281128 Married Filing joint 688.10 696.86 705.62 714.39 723.15 731.30 737.14 742.98 748.82 11281128 Married Filling Separate 626.90 641.50 656.10 668.55 677.31 686.07 694.84 703.60 712.36 721.12 1128

Page 161: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1129 Single 632.27 646.87 661.47 674.00 682.76 691.52 700.28 709.04 717.80 726.57 11291129 Head of Household 659.45 668.21 676.97 685.73 694.49 703.26 712.02 720.78 729.33 735.17 11291129 Married Filing joint 688.65 697.41 706.17 714.93 723.69 731.88 737.73 743.57 749.41 11291129 Married Filling Separate 627.36 641.96 656.57 669.09 677.85 686.61 695.37 704.14 712.90 721.66 1129

1130 Single 632.73 647.34 661.94 674.54 683.30 692.06 700.82 709.59 718.35 727.11 11301130 Head of Household 660.00 668.76 677.52 686.28 695.04 703.80 712.56 721.33 729.92 735.76 11301130 Married Filing joint 689.19 697.96 706.72 715.48 724.24 732.47 738.31 744.15 749.99 11301130 Married Filling Separate 627.82 642.43 657.03 669.63 678.39 687.15 695.91 704.67 713.44 722.20 1130

1131 Single 633.20 647.81 662.41 675.08 683.84 692.61 701.37 710.13 718.89 727.65 11311131 Head of Household 660.54 669.30 678.06 686.83 695.59 704.35 713.11 721.87 730.50 736.34 11311131 Married Filing joint 689.74 698.50 707.26 716.02 724.79 733.05 738.89 744.73 750.58 11311131 Married Filling Separate 628.29 642.89 657.49 670.17 678.93 687.69 696.45 705.21 713.97 722.74 1131

1132 Single 633.67 648.27 662.88 675.63 684.39 693.15 701.91 710.67 719.43 728.19 11321132 Head of Household 661.09 669.85 678.61 687.37 696.13 704.90 713.66 722.42 731.08 736.92 11321132 Married Filing joint 690.29 699.05 707.81 716.57 725.33 733.64 739.48 745.32 751.16 11321132 Married Filling Separate 628.75 643.35 657.96 670.71 679.47 688.23 696.99 705.75 714.51 723.28 1132

1133 Single 634.14 648.74 663.34 676.17 684.93 693.69 702.45 711.21 719.98 728.74 11331133 Head of Household 661.63 670.40 679.16 687.92 696.68 705.44 714.20 722.96 731.67 737.51 11331133 Married Filing joint 690.83 699.59 708.36 717.12 725.88 734.22 740.06 745.90 751.74 11331133 Married Filling Separate 629.22 643.82 658.42 671.25 680.01 688.77 697.53 706.29 715.05 723.81 1133

1134 Single 634.61 649.21 663.81 676.71 685.47 694.23 703.00 711.76 720.52 729.28 11341134 Head of Household 662.18 670.94 679.70 688.47 697.23 705.99 714.75 723.51 732.25 738.09 11341134 Married Filing joint 691.38 700.14 708.90 717.66 726.43 734.80 740.65 746.49 752.33 11341134 Married Filling Separate 629.68 644.28 658.88 671.78 680.55 689.31 698.07 706.83 715.59 724.35 1134

1135 Single 635.07 649.68 664.28 677.25 686.02 694.78 703.54 712.30 721.06 729.82 11351135 Head of Household 662.73 671.49 680.25 689.01 697.77 706.53 715.30 724.06 732.82 738.68 11351135 Married Filing joint 691.28 700.04 708.80 717.56 726.32 734.74 740.58 746.42 752.26 11351135 Married Filling Separate 630.14 644.75 659.35 672.32 681.08 689.85 698.61 707.37 716.13 724.89 1135

1136 Single 635.54 650.15 664.75 677.80 686.56 695.32 704.08 712.84 721.60 730.37 11361136 Head of Household 663.27 672.03 680.80 689.56 698.32 707.08 715.84 724.60 733.37 739.26 11361136 Married Filing joint 691.82 700.58 709.35 718.11 726.87 735.32 741.16 747.01 752.85 11361136 Married Filling Separate 630.61 645.21 659.81 672.86 681.62 690.38 699.15 707.91 716.67 725.43 1136

Page 162: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1137 Single 636.01 650.61 665.22 678.34 687.10 695.86 704.62 713.39 722.15 730.91 11371137 Head of Household 663.82 672.58 681.34 690.10 698.87 707.63 716.39 725.15 733.91 739.84 11371137 Married Filing joint 692.37 701.13 709.89 718.65 727.42 735.91 741.75 747.59 753.43 11371137 Married Filling Separate 631.07 645.67 660.28 673.40 682.16 690.92 699.69 708.45 717.21 725.97 1137

1138 Single 636.48 651.08 665.68 678.88 687.64 696.41 705.17 713.93 722.69 731.45 11381138 Head of Household 664.37 673.13 681.89 690.65 699.41 708.17 716.94 725.70 734.46 740.43 11381138 Married Filing joint 692.92 701.68 710.44 719.20 727.96 736.49 742.33 748.17 754.01 11381138 Married Filling Separate 631.54 646.14 660.74 673.94 682.70 691.46 700.22 708.99 717.75 726.51 1138

1139 Single 636.95 651.55 666.15 679.43 688.19 696.95 705.71 714.47 723.23 732.00 11391139 Head of Household 664.91 673.67 682.44 691.20 699.96 708.72 717.48 726.24 735.00 741.01 11391139 Married Filing joint 693.46 702.22 710.99 719.75 728.51 737.07 742.92 748.76 754.60 11391139 Married Filling Separate 632.00 646.60 661.20 674.48 683.24 692.00 700.76 709.52 718.29 727.05 1139

1140 Single 637.41 652.02 666.62 679.97 688.73 697.49 706.25 715.02 723.78 732.54 11401140 Head of Household 665.46 674.22 682.98 691.74 700.50 709.27 718.03 726.79 735.55 741.60 11401140 Married Filing joint 694.01 702.77 711.53 720.29 729.05 737.66 743.50 749.34 755.18 11401140 Married Filling Separate 632.46 647.07 661.67 675.02 683.78 692.54 701.30 710.06 718.82 727.59 1140

1141 Single 637.88 652.49 667.09 680.51 689.27 698.04 706.80 715.56 724.32 733.08 11411141 Head of Household 666.01 674.77 683.53 692.29 701.05 709.81 718.57 727.34 736.10 742.18 11411141 Married Filing joint 694.55 703.32 712.08 720.84 729.60 738.24 744.08 749.92 755.77 11411141 Married Filling Separate 632.93 647.53 662.13 675.56 684.32 693.08 701.84 710.60 719.36 728.13 1141

1142 Single 638.35 652.95 667.56 681.06 689.82 698.58 707.34 716.10 724.86 733.62 11421142 Head of Household 666.55 675.31 684.07 692.84 701.60 710.36 719.12 727.88 736.64 742.76 11421142 Married Filing joint 695.10 703.86 712.62 721.39 730.15 738.83 744.67 750.51 756.35 11421142 Married Filling Separate 633.39 647.99 662.60 676.09 684.86 693.62 702.38 711.14 719.90 728.66 1142

1143 Single 638.82 653.42 668.02 681.60 690.36 699.12 707.88 716.64 725.41 734.17 11431143 Head of Household 667.10 675.86 684.62 693.38 702.14 710.91 719.67 728.43 737.19 743.35 11431143 Married Filing joint 695.65 704.41 713.17 721.93 730.69 739.41 745.25 751.09 756.93 11431143 Married Filling Separate 633.85 648.46 663.06 676.63 685.40 694.16 702.92 711.68 720.44 729.20 1143

1144 Single 639.29 653.89 668.49 682.14 690.90 699.66 708.43 717.19 725.95 734.71 11441144 Head of Household 667.64 676.41 685.17 693.93 702.69 711.45 720.21 728.97 737.74 743.93 11441144 Married Filing joint 696.19 704.96 713.72 722.48 731.24 739.99 745.84 751.68 757.52 11441144 Married Filling Separate 634.32 648.92 663.52 677.17 685.93 694.70 703.46 712.22 720.98 729.74 1144

Page 163: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1145 Single 639.75 654.36 668.96 682.68 691.45 700.21 708.97 717.73 726.49 735.25 11451145 Head of Household 668.19 676.95 685.71 694.48 703.24 712.00 720.76 729.52 738.28 744.51 11451145 Married Filing joint 696.74 705.50 714.26 723.02 731.79 740.55 746.42 752.26 758.10 11451145 Married Filling Separate 634.78 649.38 663.99 677.71 686.47 695.23 704.00 712.76 721.52 730.28 1145

1146 Single 640.22 654.83 669.43 683.23 691.99 700.75 709.51 718.27 727.03 735.80 11461146 Head of Household 668.74 677.50 686.26 695.02 703.78 712.54 721.31 730.07 738.83 745.10 11461146 Married Filing joint 697.29 706.05 714.81 723.57 732.33 741.09 747.00 752.84 758.68 11461146 Married Filling Separate 635.25 649.85 664.45 678.25 687.01 695.77 704.53 713.30 722.06 730.82 1146

1147 Single 640.69 655.29 669.90 683.77 692.53 701.29 710.05 718.82 727.58 736.34 11471147 Head of Household 669.28 678.04 686.81 695.57 704.33 713.09 721.85 730.61 739.38 745.68 11471147 Married Filing joint 697.83 706.59 715.36 724.12 732.88 741.64 747.59 753.43 759.27 11471147 Married Filling Separate 635.71 650.31 664.92 678.79 687.55 696.31 705.07 713.84 722.60 731.36 1147

1148 Single 641.16 655.76 670.36 684.31 693.07 701.84 710.60 719.36 728.12 736.88 11481148 Head of Household 669.83 678.59 687.35 696.11 704.88 713.64 722.40 731.16 739.92 746.27 11481148 Married Filing joint 698.38 707.14 715.90 724.66 733.43 742.19 748.17 754.01 759.85 11481148 Married Filling Separate 636.17 650.78 665.38 679.33 688.09 696.85 705.61 714.37 723.14 731.90 1148

1149 Single 641.63 656.23 670.83 684.86 693.62 702.38 711.14 719.90 728.66 737.43 11491149 Head of Household 670.38 679.14 687.90 696.66 705.42 714.18 722.95 731.71 740.47 746.85 11491149 Married Filing joint 698.93 707.69 716.45 725.21 733.97 742.73 748.75 754.60 760.44 11491149 Married Filling Separate 636.64 651.24 665.84 679.87 688.63 697.39 706.15 714.91 723.67 732.44 1149

1150 Single 642.09 656.70 671.30 685.40 694.16 702.92 711.68 720.45 729.21 737.97 11501150 Head of Household 670.92 679.68 688.45 697.21 705.97 714.73 723.49 732.25 741.01 747.43 11501150 Married Filing joint 699.47 708.23 717.00 725.76 734.52 743.28 749.34 755.18 761.02 11501150 Married Filling Separate 637.10 651.70 666.31 680.41 689.17 697.93 706.69 715.45 724.21 732.97 1150

1151 Single 642.56 657.17 671.77 685.94 694.70 703.47 712.23 720.99 729.75 738.51 11511151 Head of Household 671.47 680.23 688.99 697.75 706.51 715.28 724.04 732.80 741.56 748.02 11511151 Married Filing joint 700.02 708.78 717.54 726.30 735.06 743.83 749.92 755.76 761.60 11511151 Married Filling Separate 637.57 652.17 666.77 680.94 689.71 698.47 707.23 715.99 724.75 733.51 1151

1152 Single 643.03 657.63 672.24 686.49 695.25 704.01 712.77 721.53 730.29 739.05 11521152 Head of Household 672.02 680.78 689.54 698.30 707.06 715.82 724.58 733.35 742.11 748.60 11521152 Married Filing joint 700.57 709.33 718.09 726.85 735.61 744.37 750.51 756.35 762.19 11521152 Married Filling Separate 638.03 652.63 667.23 681.48 690.25 699.01 707.77 716.53 725.29 734.05 1152

Page 164: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1153 Single 643.50 658.10 672.70 687.03 695.79 704.55 713.31 722.07 730.84 739.60 11531153 Head of Household 672.56 681.32 690.08 698.85 707.61 716.37 725.13 733.89 742.65 749.19 11531153 Married Filing joint 701.11 709.87 718.63 727.40 736.16 744.92 751.09 756.93 762.77 11531153 Married Filling Separate 638.49 653.10 667.70 682.02 690.78 699.55 708.31 717.07 725.83 734.59 1153

1154 Single 643.55 658.16 672.76 687.16 695.92 704.68 713.44 722.20 730.96 739.73 11541154 Head of Household 673.11 681.87 690.63 699.39 708.15 716.92 725.68 734.44 743.20 749.77 11541154 Married Filing joint 701.01 709.77 718.53 727.29 736.05 744.82 751.02 756.87 762.71 11541154 Married Filling Separate 638.96 653.56 668.16 682.56 691.32 700.08 708.85 717.61 726.37 735.13 1154

1155 Single 644.02 658.62 673.23 687.70 696.46 705.22 713.98 722.75 731.51 740.27 11551155 Head of Household 673.65 682.42 691.18 699.94 708.70 717.46 726.22 734.98 743.75 750.35 11551155 Married Filing joint 701.56 710.32 719.08 727.84 736.60 745.36 751.61 757.45 763.29 11551155 Married Filling Separate 639.42 654.02 668.63 683.10 691.86 700.62 709.38 718.15 726.91 735.67 1155

1156 Single 644.49 659.09 673.69 688.24 697.00 705.77 714.53 723.29 732.05 740.81 11561156 Head of Household 674.20 682.96 691.72 700.49 709.25 718.01 726.77 735.53 744.29 750.94 11561156 Married Filing joint 702.10 710.86 719.62 728.39 737.15 745.91 752.19 758.03 763.87 11561156 Married Filling Separate 639.88 654.49 669.09 683.64 692.40 701.16 709.92 718.69 727.45 736.21 1156

1157 Single 644.96 659.56 674.16 688.76 697.55 706.31 715.07 723.83 732.59 741.35 11571157 Head of Household 674.75 683.51 692.27 701.03 709.79 718.55 727.32 736.08 744.84 751.52 11571157 Married Filing joint 702.65 711.41 720.17 728.93 737.69 746.46 752.78 758.62 764.46 11571157 Married Filling Separate 640.35 654.95 669.55 684.16 692.94 701.70 710.46 719.22 727.99 736.75 1157

1158 Single 645.42 660.03 674.63 689.23 698.09 706.85 715.61 724.37 733.14 741.90 11581158 Head of Household 675.29 684.06 692.82 701.58 710.34 719.10 727.86 736.62 745.39 752.10 11581158 Married Filing joint 703.19 711.96 720.72 729.48 738.24 747.00 753.36 759.20 765.04 11581158 Married Filling Separate 640.81 655.42 670.02 684.62 693.48 702.24 711.00 719.76 728.52 737.29 1158

1159 Single 645.89 660.49 675.10 689.70 698.63 707.39 716.15 724.92 733.68 742.44 11591159 Head of Household 675.84 684.60 693.36 702.12 710.89 719.65 728.41 737.17 745.93 752.69 11591159 Married Filing joint 703.74 712.50 721.26 730.03 738.79 747.55 753.94 759.79 765.63 11591159 Married Filling Separate 640.99 655.59 670.20 684.80 693.73 702.49 711.26 720.02 728.78 737.54 1159

1160 Single 646.36 660.96 675.56 690.17 699.17 707.94 716.70 725.46 734.22 742.98 11601160 Head of Household 676.39 685.15 693.91 702.67 711.43 720.19 728.96 737.72 746.48 753.27 11601160 Married Filing joint 704.29 713.05 721.81 730.57 739.33 748.09 754.53 760.37 766.21 11601160 Married Filling Separate 641.46 656.06 670.66 685.26 694.27 703.03 711.79 720.56 729.32 738.08 1160

Page 165: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1161 Single 646.83 661.43 676.03 690.63 699.72 708.48 717.24 726.00 734.76 743.52 11611161 Head of Household 676.93 685.69 694.46 703.22 711.98 720.74 729.50 738.26 747.02 753.86 11611161 Married Filing joint 704.83 713.59 722.36 731.12 739.88 748.64 755.11 760.95 766.79 11611161 Married Filling Separate 641.92 656.52 671.12 685.73 694.81 703.57 712.33 721.09 729.86 738.62 1161

1162 Single 647.29 661.90 676.50 691.10 700.26 709.02 717.78 726.54 735.31 744.07 11621162 Head of Household 677.48 686.24 695.00 703.76 712.53 721.29 730.05 738.81 747.57 754.44 11621162 Married Filing joint 705.38 714.14 722.90 731.66 740.43 749.19 755.70 761.54 767.38 11621162 Married Filling Separate 642.38 656.99 671.59 686.19 695.35 704.11 712.87 721.63 730.39 739.16 1162

1163 Single 647.76 662.36 676.97 691.57 700.80 709.56 718.32 727.09 735.85 744.61 11631163 Head of Household 678.03 686.79 695.55 704.31 713.07 721.83 730.59 739.36 748.12 755.02 11631163 Married Filing joint 705.93 714.69 723.45 732.21 740.97 749.73 756.28 762.12 767.96 11631163 Married Filling Separate 642.85 657.45 672.05 686.65 695.89 704.65 713.41 722.17 730.93 739.70 1163

1164 Single 647.81 662.41 677.02 691.62 700.93 709.69 718.45 727.21 735.97 744.73 11641164 Head of Household 678.57 687.33 696.09 704.86 713.62 722.38 731.14 739.90 748.66 755.61 11641164 Married Filing joint 706.47 715.23 724.00 732.76 741.52 750.28 756.86 762.70 768.55 11641164 Married Filling Separate 643.31 657.91 672.52 687.12 696.43 705.19 713.95 722.71 731.47 740.23 1164

1165 Single 648.28 662.88 677.48 692.09 701.47 710.23 718.99 727.75 736.51 745.28 11651165 Head of Household 679.12 687.88 696.64 705.40 714.16 722.93 731.69 740.45 749.21 756.19 11651165 Married Filing joint 707.02 715.78 724.54 733.30 742.06 750.83 757.45 763.29 769.13 11651165 Married Filling Separate 643.77 658.38 672.98 687.58 696.97 705.73 714.49 723.25 732.01 740.77 1165

1166 Single 648.75 663.35 677.95 692.55 702.01 710.77 719.53 728.30 737.06 745.82 11661166 Head of Household 679.66 688.43 697.19 705.95 714.71 723.47 732.23 741.00 749.76 756.78 11661166 Married Filing joint 707.57 716.33 725.09 733.85 742.61 751.37 758.03 763.87 769.71 11661166 Married Filling Separate 644.24 658.84 673.44 688.05 697.50 706.27 715.03 723.79 732.55 741.31 1166

1167 Single 649.21 663.81 678.42 693.02 702.55 711.31 720.08 728.84 737.60 746.36 11671167 Head of Household 680.21 688.97 697.73 706.50 715.26 724.02 732.78 741.54 750.30 757.36 11671167 Married Filing joint 708.11 716.87 725.63 734.40 743.16 751.92 758.62 764.46 770.30 11671167 Married Filling Separate 644.70 659.31 673.91 688.51 698.04 706.80 715.57 724.33 733.09 741.85 1167

1168 Single 649.68 664.28 678.88 693.49 703.10 711.86 720.62 729.38 738.14 746.90 11681168 Head of Household 680.76 689.52 698.28 707.04 715.80 724.56 733.33 742.09 750.85 757.94 11681168 Married Filing joint 708.66 717.42 726.18 734.94 743.70 752.47 759.20 765.04 770.88 11681168 Married Filling Separate 645.17 659.77 674.37 688.97 698.58 707.34 716.11 724.87 733.63 742.39 1168

Page 166: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1169 Single 650.15 664.75 679.35 693.95 703.64 712.40 721.16 729.92 738.68 747.44 11691169 Head of Household 681.30 690.07 698.83 707.59 716.35 725.11 733.87 742.63 751.40 758.53 11691169 Married Filing joint 709.20 717.97 726.73 735.49 744.25 753.01 759.78 765.62 771.46 11691169 Married Filling Separate 645.63 660.23 674.84 689.44 699.12 707.88 716.64 725.41 734.17 742.93 1169

1170 Single 650.61 665.22 679.82 694.42 704.18 712.94 721.70 730.46 739.23 747.99 11701170 Head of Household 681.85 690.61 699.37 708.13 716.90 725.66 734.42 743.18 751.94 759.11 11701170 Married Filing joint 709.75 718.51 727.27 736.04 744.80 753.56 760.37 766.21 772.05 11701170 Married Filling Separate 646.09 660.70 675.30 689.90 699.66 708.42 717.18 725.94 734.71 743.47 1170

1171 Single 651.08 665.68 680.29 694.89 704.72 713.48 722.24 731.01 739.77 748.53 11711171 Head of Household 682.40 691.16 699.92 708.68 717.44 726.20 734.97 743.73 752.49 759.70 11711171 Married Filing joint 710.30 719.06 727.82 736.58 745.34 754.10 760.95 766.79 772.63 11711171 Married Filling Separate 646.56 661.16 675.76 690.37 700.20 708.96 717.72 726.48 735.24 744.01 1171

1172 Single 651.55 666.15 680.75 695.36 705.26 714.03 722.79 731.55 740.31 749.07 11721172 Head of Household 682.94 691.70 700.47 709.23 717.99 726.75 735.51 744.27 753.03 760.28 11721172 Married Filing joint 710.84 719.61 728.37 737.13 745.89 754.65 761.53 767.38 773.22 11721172 Married Filling Separate 647.02 661.62 676.23 690.83 700.74 709.50 718.26 727.02 735.78 744.55 1172

1173 Single 652.02 666.62 681.22 695.82 705.81 714.57 723.33 732.09 740.85 749.61 11731173 Head of Household 683.49 692.25 701.01 709.77 718.54 727.30 736.06 744.82 753.58 760.86 11731173 Married Filing joint 711.39 720.15 728.91 737.67 746.44 755.20 762.12 767.96 773.80 11731173 Married Filling Separate 647.49 662.09 676.69 691.29 701.28 710.04 718.80 727.56 736.32 745.08 1173

1174 Single 652.06 666.66 681.27 695.87 705.93 714.69 723.45 732.21 740.97 749.73 11741174 Head of Household 684.04 692.80 701.56 710.32 719.08 727.84 736.60 745.37 754.13 761.45 11741174 Married Filing joint 711.29 720.05 728.81 737.57 746.33 755.09 762.05 767.89 773.74 11741174 Married Filling Separate 647.95 662.55 677.15 691.76 701.82 710.58 719.34 728.10 736.86 745.62 1174

1175 Single 652.53 667.13 681.73 696.33 706.47 715.23 723.99 732.75 741.51 750.28 11751175 Head of Household 684.58 693.34 702.10 710.87 719.63 728.39 737.15 745.91 754.67 762.03 11751175 Married Filing joint 711.83 720.60 729.36 738.12 746.88 755.64 762.64 768.48 774.32 11751175 Married Filling Separate 648.41 663.02 677.62 692.22 702.35 711.12 719.88 728.64 737.40 746.16 1175

1176 Single 652.99 667.60 682.20 696.80 707.01 715.77 724.53 733.29 742.06 750.82 11761176 Head of Household 685.13 693.89 702.65 711.41 720.17 728.94 737.70 746.46 755.22 762.61 11761176 Married Filing joint 712.38 721.14 729.90 738.66 747.43 756.19 763.22 769.06 774.90 11761176 Married Filling Separate 648.88 663.48 678.08 692.68 702.89 711.65 720.42 729.18 737.94 746.70 1176

Page 167: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1177 Single 653.46 668.06 682.67 697.27 707.55 716.31 725.07 733.84 742.60 751.36 11771177 Head of Household 685.67 694.44 703.20 711.96 720.72 729.48 738.24 747.01 755.77 763.20 11771177 Married Filing joint 712.93 721.69 730.45 739.21 747.97 756.73 763.80 769.65 775.49 11771177 Married Filling Separate 649.34 663.94 678.55 693.15 703.43 712.19 720.96 729.72 738.48 747.24 1177

1178 Single 653.93 668.53 683.13 697.73 708.09 716.85 725.62 734.38 743.14 751.90 11781178 Head of Household 686.22 694.98 703.74 712.51 721.27 730.03 738.79 747.55 756.31 763.78 11781178 Married Filing joint 713.47 722.23 731.00 739.76 748.52 757.28 764.39 770.23 776.07 11781178 Married Filling Separate 649.81 664.41 679.01 693.61 703.97 712.73 721.49 730.26 739.02 747.78 1178

1179 Single 654.39 669.00 683.60 698.20 708.63 717.40 726.16 734.92 743.68 752.44 11791179 Head of Household 686.77 695.53 704.29 713.05 721.81 730.57 739.34 748.10 756.86 764.37 11791179 Married Filing joint 714.02 722.78 731.54 740.30 749.07 757.83 764.97 770.81 776.65 11791179 Married Filling Separate 650.27 664.87 679.47 694.08 704.51 713.27 722.03 730.79 739.56 748.32 1179

1180 Single 654.86 669.46 684.07 698.67 709.18 717.94 726.70 735.46 744.22 752.98 11801180 Head of Household 687.31 696.08 704.84 713.60 722.36 731.12 739.88 748.64 757.41 764.95 11801180 Married Filing joint 714.57 723.33 732.09 740.85 749.61 758.37 765.56 771.40 777.24 11801180 Married Filling Separate 650.73 665.34 679.94 694.54 705.05 713.81 722.57 731.33 740.09 748.86 1180

1181 Single 655.33 669.93 684.53 699.14 709.72 718.48 727.24 736.00 744.76 753.53 11811181 Head of Household 687.86 696.62 705.38 714.14 722.91 731.67 740.43 749.19 757.95 765.53 11811181 Married Filing joint 715.11 723.87 732.63 741.40 750.16 758.92 766.14 771.98 777.82 11811181 Married Filling Separate 651.20 665.80 680.40 695.00 705.59 714.35 723.11 731.87 740.63 749.40 1181

1182 Single 655.79 670.40 685.00 699.60 710.26 719.02 727.78 736.54 745.31 754.07 11821182 Head of Household 688.41 697.17 705.93 714.69 723.45 732.21 740.98 749.74 758.50 766.12 11821182 Married Filing joint 715.66 724.42 733.18 741.94 750.70 759.47 766.72 772.57 778.41 11821182 Married Filling Separate 651.66 666.26 680.87 695.47 706.13 714.89 723.65 732.41 741.17 749.93 1182

1183 Single 655.56 670.16 684.77 699.37 710.10 718.86 727.62 736.39 745.15 753.91 11831183 Head of Household 688.95 697.71 706.48 715.24 724.00 732.76 741.52 750.28 759.04 766.70 11831183 Married Filing joint 716.20 724.97 733.73 742.49 751.25 760.01 767.31 773.15 778.99 11831183 Married Filling Separate 652.12 666.73 681.33 695.93 706.67 715.43 724.19 732.95 741.71 750.47 1183

1184 Single 656.03 670.63 685.23 699.83 710.64 719.40 728.17 736.93 745.69 754.45 11841184 Head of Household 689.50 698.26 707.02 715.78 724.55 733.31 742.07 750.83 759.59 767.29 11841184 Married Filing joint 716.75 725.51 734.27 743.04 751.80 760.56 767.89 773.73 779.57 11841184 Married Filling Separate 652.59 667.19 681.79 696.40 707.20 715.97 724.73 733.49 742.25 751.01 1184

Page 168: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1185 Single 656.49 671.10 685.70 700.30 711.18 719.95 728.71 737.47 746.23 754.99 11851185 Head of Household 690.05 698.81 707.57 716.33 725.09 733.85 742.61 751.38 760.14 767.87 11851185 Married Filing joint 717.30 726.06 734.82 743.58 752.34 761.10 768.48 774.32 780.16 11851185 Married Filling Separate 653.05 667.65 682.26 696.86 707.74 716.50 725.27 734.03 742.79 751.55 1185

1186 Single 656.96 671.56 686.16 700.77 711.72 720.49 729.25 738.01 746.77 755.53 11861186 Head of Household 690.59 699.35 708.12 716.88 725.64 734.40 743.16 751.92 760.68 768.45 11861186 Married Filing joint 717.84 726.61 735.37 744.13 752.89 761.65 769.06 774.90 780.74 11861186 Married Filling Separate 653.52 668.12 682.72 697.32 708.28 717.04 725.80 734.57 743.33 752.09 1186

1187 Single 657.43 672.03 686.63 701.23 712.27 721.03 729.79 738.55 747.31 756.07 11871187 Head of Household 691.14 699.90 708.66 717.42 726.18 734.95 743.71 752.47 761.23 769.04 11871187 Married Filing joint 718.39 727.15 735.91 744.67 753.44 762.20 769.64 775.48 781.33 11871187 Married Filling Separate 653.98 668.58 683.19 697.79 708.82 717.58 726.34 735.11 743.87 752.63 1187

1188 Single 657.89 672.49 687.10 701.70 712.81 721.57 730.33 739.09 747.85 756.62 11881188 Head of Household 691.68 700.45 709.21 717.97 726.73 735.49 744.25 753.02 761.78 769.62 11881188 Married Filing joint 718.94 727.70 736.46 745.22 753.98 762.74 770.23 776.07 781.91 11881188 Married Filling Separate 654.44 669.05 683.65 698.25 709.36 718.12 726.88 735.64 744.41 753.17 1188

1189 Single 658.36 672.96 687.56 702.17 713.35 722.11 730.87 739.63 748.40 757.16 11891189 Head of Household 692.23 700.99 709.75 718.52 727.28 736.04 744.80 753.56 762.32 770.20 11891189 Married Filing joint 719.48 728.24 737.01 745.77 754.53 763.29 770.81 776.65 782.49 11891189 Married Filling Separate 654.91 669.51 684.11 698.72 709.90 718.66 727.42 736.18 744.94 753.71 1189

1190 Single 658.82 673.43 688.03 702.63 713.89 722.65 731.41 740.17 748.94 757.70 11901190 Head of Household 692.78 701.54 710.30 719.06 727.82 736.59 745.35 754.11 762.87 770.79 11901190 Married Filing joint 720.03 728.79 737.55 746.31 755.08 763.84 771.40 777.24 783.08 11901190 Married Filling Separate 655.37 669.97 684.58 699.18 710.44 719.20 727.96 736.72 745.48 754.24 1190

1191 Single 659.29 673.89 688.50 703.10 714.43 723.19 731.95 740.72 749.48 758.24 11911191 Head of Household 693.32 702.09 710.85 719.61 728.37 737.13 745.89 754.65 763.42 771.37 11911191 Married Filing joint 720.58 729.34 738.10 746.86 755.62 764.38 771.98 777.82 783.66 11911191 Married Filling Separate 655.84 670.44 685.04 699.64 710.98 719.74 728.50 737.26 746.02 754.78 1191

1192 Single 659.76 674.36 688.96 703.56 714.97 723.73 732.50 741.26 750.02 758.78 11921192 Head of Household 693.87 702.63 711.39 720.15 728.92 737.68 746.44 755.20 763.96 771.96 11921192 Married Filing joint 721.12 729.88 738.65 747.41 756.17 764.93 772.56 778.40 784.25 11921192 Married Filling Separate 656.30 670.90 685.50 700.11 711.52 720.28 729.04 737.80 746.56 755.32 1192

Page 169: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1193 Single 659.79 674.39 689.00 703.60 715.08 723.84 732.60 741.37 750.13 758.89 11931193 Head of Household 694.42 703.18 711.94 720.70 729.46 738.22 746.99 755.75 764.51 772.54 11931193 Married Filing joint 721.02 729.78 738.54 747.30 756.07 764.83 772.50 778.34 784.18 11931193 Married Filling Separate 656.76 671.37 685.97 700.57 712.05 720.82 729.58 738.34 747.10 755.86 1193

1194 Single 660.26 674.86 689.46 704.06 715.62 724.38 733.15 741.91 750.67 759.43 11941194 Head of Household 694.96 703.72 712.49 721.25 730.01 738.77 747.53 756.29 765.06 773.12 11941194 Married Filing joint 721.57 730.33 739.09 747.85 756.61 765.37 773.08 778.92 784.76 11941194 Married Filling Separate 657.23 671.83 686.43 701.03 712.59 721.35 730.12 738.88 747.64 756.40 1194

1195 Single 660.72 675.33 689.93 704.53 716.16 724.92 733.69 742.45 751.21 759.97 11951195 Head of Household 695.51 704.27 713.03 721.79 730.56 739.32 748.08 756.84 765.60 773.71 11951195 Married Filing joint 722.11 730.87 739.64 748.40 757.16 765.92 773.67 779.51 785.35 11951195 Married Filling Separate 657.69 672.29 686.90 701.50 713.13 721.89 730.65 739.42 748.18 756.94 1195

1196 Single 661.19 675.79 690.39 705.00 716.70 725.47 734.23 742.99 751.75 760.51 11961196 Head of Household 696.06 704.82 713.58 722.34 731.10 739.86 748.62 757.39 766.15 774.29 11961196 Married Filing joint 722.66 731.42 740.18 748.94 757.70 766.47 774.25 780.09 785.93 11961196 Married Filling Separate 658.15 672.76 687.36 701.96 713.67 722.43 731.19 739.96 748.72 757.48 1196

1197 Single 661.65 676.26 690.86 705.46 717.25 726.01 734.77 743.53 752.29 761.05 11971197 Head of Household 696.60 705.36 714.13 722.89 731.65 740.41 749.17 757.93 766.69 774.88 11971197 Married Filing joint 723.20 731.97 740.73 749.49 758.25 767.01 774.83 780.67 786.52 11971197 Married Filling Separate 658.62 673.22 687.82 702.43 714.21 722.97 731.73 740.49 749.26 758.02 1197

1198 Single 662.12 676.72 691.33 705.93 717.79 726.55 735.31 744.07 752.83 761.59 11981198 Head of Household 697.15 705.91 714.67 723.43 732.19 740.96 749.72 758.48 767.24 775.46 11981198 Married Filing joint 723.75 732.51 741.27 750.04 758.80 767.56 775.42 781.26 787.10 11981198 Married Filling Separate 659.08 673.69 688.29 702.89 714.75 723.51 732.27 741.03 749.79 758.56 1198

1199 Single 662.59 677.19 691.79 706.39 718.33 727.09 735.85 744.61 753.37 762.13 11991199 Head of Household 697.69 706.46 715.22 723.98 732.74 741.50 750.26 759.03 767.79 776.04 11991199 Married Filing joint 724.30 733.06 741.82 750.58 759.34 768.11 776.00 781.84 787.68 11991199 Married Filling Separate 659.55 674.15 688.75 703.35 715.29 724.05 732.81 741.57 750.33 759.09 1199

1200 Single 663.05 677.65 692.26 706.86 718.87 727.63 736.39 745.15 753.91 762.68 12001200 Head of Household 698.24 707.00 715.76 724.53 733.29 742.05 750.81 759.57 768.33 776.63 12001200 Married Filing joint 724.84 733.61 742.37 751.13 759.89 768.65 776.59 782.43 788.27 12001200 Married Filling Separate 660.01 674.61 689.22 703.82 715.83 724.59 733.35 742.11 750.87 759.63 1200

Page 170: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1201 Single 663.52 678.12 692.72 707.33 719.41 728.17 736.93 745.69 754.45 763.22 12011201 Head of Household 698.79 707.55 716.31 725.07 733.83 742.60 751.36 760.12 768.88 777.21 12011201 Married Filing joint 725.39 734.15 742.91 751.67 760.44 769.20 777.17 783.01 788.85 12011201 Married Filling Separate 660.47 675.08 689.68 704.28 716.37 725.13 733.89 742.65 751.41 760.17 1201

1202 Single 663.55 678.15 692.75 707.35 719.51 728.27 737.04 745.80 754.56 763.32 12021202 Head of Household 699.33 708.10 716.86 725.62 734.38 743.14 751.90 760.66 769.43 777.80 12021202 Married Filing joint 725.94 734.70 743.46 752.22 760.98 769.74 777.75 783.59 789.43 12021202 Married Filling Separate 660.94 675.54 690.14 704.75 716.90 725.67 734.43 743.19 751.95 760.71 1202

1203 Single 664.01 678.62 693.22 707.82 720.05 728.82 737.58 746.34 755.10 763.86 12031203 Head of Household 699.88 708.64 717.40 726.16 734.93 743.69 752.45 761.21 769.97 778.38 12031203 Married Filing joint 726.48 735.24 744.01 752.77 761.53 770.29 778.34 784.18 790.02 12031203 Married Filling Separate 661.40 676.00 690.61 705.21 717.44 726.20 734.97 743.73 752.49 761.25 1203

1204 Single 664.48 679.08 693.68 708.29 720.59 729.36 738.12 746.88 755.64 764.40 12041204 Head of Household 700.43 709.19 717.95 726.71 735.47 744.23 753.00 761.76 770.52 778.96 12041204 Married Filing joint 727.03 735.79 744.55 753.31 762.08 770.84 778.92 784.76 790.60 12041204 Married Filling Separate 661.87 676.47 691.07 705.67 717.98 726.74 735.50 744.27 753.03 761.79 1204

1205 Single 664.94 679.55 694.15 708.75 721.13 729.90 738.66 747.42 756.18 764.94 12051205 Head of Household 700.97 709.73 718.50 727.26 736.02 744.78 753.54 762.30 771.07 779.55 12051205 Married Filing joint 727.58 736.34 745.10 753.86 762.62 771.38 779.50 785.35 791.19 12051205 Married Filling Separate 662.33 676.93 691.53 706.14 718.52 727.28 736.04 744.81 753.57 762.33 1205

1206 Single 665.41 680.01 694.61 709.22 721.68 730.44 739.20 747.96 756.72 765.48 12061206 Head of Household 701.52 710.28 719.04 727.80 736.57 745.33 754.09 762.85 771.61 780.13 12061206 Married Filing joint 728.12 736.88 745.65 754.41 763.17 771.93 780.09 785.93 791.77 12061206 Married Filling Separate 662.79 677.40 692.00 706.60 719.06 727.82 736.58 745.34 754.11 762.87 1206

1207 Single 665.88 680.48 695.08 709.68 722.22 730.98 739.74 748.50 757.26 766.02 12071207 Head of Household 702.07 710.83 719.59 728.35 737.11 745.87 754.63 763.40 772.16 780.71 12071207 Married Filing joint 728.67 737.43 746.19 754.95 763.71 772.48 780.67 786.51 792.35 12071207 Married Filling Separate 662.97 677.57 692.17 706.77 719.31 728.07 736.83 745.59 754.35 763.11 1207

1208 Single 666.34 680.94 695.55 710.15 722.76 731.52 740.28 749.04 757.80 766.56 12081208 Head of Household 702.61 711.37 720.14 728.90 737.66 746.42 755.18 763.94 772.70 781.30 12081208 Married Filing joint 729.22 737.98 746.74 755.50 764.26 773.02 781.26 787.10 792.94 12081208 Married Filling Separate 663.43 678.03 692.63 707.24 719.84 728.61 737.37 746.13 754.89 763.65 1208

Page 171: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1209 Single 666.81 681.41 696.01 710.61 723.30 732.06 740.82 749.58 758.34 767.10 12091209 Head of Household 703.16 711.92 720.68 729.44 738.20 746.97 755.73 764.49 773.25 781.88 12091209 Married Filing joint 729.76 738.52 747.28 756.05 764.81 773.57 781.84 787.68 793.52 12091209 Married Filling Separate 663.89 678.50 693.10 707.70 720.38 729.15 737.91 746.67 755.43 764.19 1209

1210 Single 667.27 681.87 696.48 711.08 723.84 732.60 741.36 750.12 758.88 767.64 12101210 Head of Household 703.71 712.47 721.23 729.99 738.75 747.51 756.27 765.04 773.80 782.47 12101210 Married Filing joint 730.31 739.07 747.83 756.59 765.35 774.12 782.42 788.26 794.11 12101210 Married Filling Separate 664.36 678.96 693.56 708.16 720.92 729.68 738.45 747.21 755.97 764.73 1210

1211 Single 667.74 682.34 696.94 711.54 724.38 733.14 741.90 750.66 759.42 768.19 12111211 Head of Household 704.25 713.01 721.77 730.54 739.30 748.06 756.82 765.58 774.34 783.05 12111211 Married Filing joint 730.85 739.62 748.38 757.14 765.90 774.66 783.01 788.85 794.69 12111211 Married Filling Separate 664.82 679.42 694.03 708.63 721.46 730.22 738.98 747.75 756.51 765.27 1211

1212 Single 667.76 682.36 696.97 711.57 724.48 733.24 742.00 750.76 759.52 768.29 12121212 Head of Household 704.80 713.56 722.32 731.08 739.84 748.61 757.37 766.13 774.89 783.63 12121212 Married Filing joint 730.75 739.51 748.27 757.04 765.80 774.56 782.94 788.78 794.62 12121212 Married Filling Separate 665.28 679.89 694.49 709.09 722.00 730.76 739.52 748.28 757.05 765.81 1212

1213 Single 668.23 682.83 697.43 712.03 725.02 733.78 742.54 751.30 760.06 768.83 12131213 Head of Household 705.34 714.11 722.87 731.63 740.39 749.15 757.91 766.67 775.44 784.20 12131213 Married Filing joint 731.30 740.06 748.82 757.58 766.34 775.11 783.53 789.37 795.21 12131213 Married Filling Separate 665.75 680.35 694.95 709.56 722.54 731.30 740.06 748.82 757.59 766.35 1213

1214 Single 668.69 683.29 697.90 712.50 725.56 734.32 743.08 751.84 760.60 769.37 12141214 Head of Household 705.89 714.65 723.41 732.18 740.94 749.70 758.46 767.22 775.98 784.74 12141214 Married Filing joint 731.84 740.61 749.37 758.13 766.89 775.65 784.11 789.95 795.79 12141214 Married Filling Separate 666.21 680.81 695.42 710.02 723.08 731.84 740.60 749.36 758.12 766.89 1214

1215 Single 669.16 683.76 698.36 712.96 726.10 734.86 743.62 752.38 761.14 769.91 12151215 Head of Household 706.44 715.20 723.96 732.72 741.48 750.24 759.01 767.77 776.53 785.29 12151215 Married Filing joint 732.39 741.15 749.91 758.68 767.44 776.20 784.69 790.54 796.38 12151215 Married Filling Separate 666.68 681.28 695.88 710.48 723.62 732.38 741.14 749.90 758.66 767.42 1215

1216 Single 669.62 684.22 698.83 713.43 726.64 735.40 744.16 752.92 761.68 770.45 12161216 Head of Household 706.98 715.74 724.51 733.27 742.03 750.79 759.55 768.31 777.08 785.84 12161216 Married Filing joint 732.94 741.70 750.46 759.22 767.98 776.74 785.28 791.12 796.96 12161216 Married Filling Separate 667.14 681.74 696.34 710.95 724.16 732.92 741.68 750.44 759.20 767.96 1216

Page 172: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1217 Single 670.09 684.69 699.29 713.89 727.18 735.94 744.70 753.46 762.22 770.99 12171217 Head of Household 707.53 716.29 725.05 733.81 742.58 751.34 760.10 768.86 777.62 786.38 12171217 Married Filing joint 733.48 742.24 751.01 759.77 768.53 777.29 785.86 791.70 797.54 12171217 Married Filling Separate 667.60 682.21 696.81 711.41 724.69 733.46 742.22 750.98 759.74 768.50 1217

1218 Single 670.55 685.16 699.76 714.36 727.72 736.48 745.24 754.00 762.76 771.53 12181218 Head of Household 708.08 716.84 725.60 734.36 743.12 751.88 760.65 769.41 778.17 786.93 12181218 Married Filing joint 734.03 742.79 751.55 760.31 769.08 777.84 786.45 792.29 798.13 12181218 Married Filling Separate 668.07 682.67 697.27 711.88 725.23 733.99 742.76 751.52 760.28 769.04 1218

1219 Single 671.02 685.62 700.22 714.83 728.26 737.02 745.78 754.54 763.30 772.07 12191219 Head of Household 708.62 717.38 726.15 734.91 743.67 752.43 761.19 769.95 778.71 787.48 12191219 Married Filing joint 734.58 743.34 752.10 760.86 769.62 778.38 787.03 792.87 798.71 12191219 Married Filling Separate 668.53 683.13 697.74 712.34 725.77 734.53 743.30 752.06 760.82 769.58 1219

1220 Single 671.48 686.09 700.69 715.29 728.80 737.56 746.32 755.08 763.84 772.61 12201220 Head of Household 709.17 717.93 726.69 735.45 744.21 752.98 761.74 770.50 779.26 788.02 12201220 Married Filing joint 735.12 743.88 752.65 761.41 770.17 778.93 787.61 793.45 799.30 12201220 Married Filling Separate 669.00 683.60 698.20 712.80 726.31 735.07 743.83 752.60 761.36 770.12 1220

1221 Single 671.95 686.55 701.15 715.76 729.34 738.10 746.86 755.62 764.38 773.15 12211221 Head of Household 709.72 718.48 727.24 736.00 744.76 753.52 762.28 771.05 779.81 788.57 12211221 Married Filing joint 735.67 744.43 753.19 761.95 770.71 779.48 788.20 794.04 799.88 12211221 Married Filling Separate 669.46 684.06 698.66 713.27 726.85 735.61 744.37 753.13 761.90 770.66 1221

1222 Single 671.97 686.57 701.17 715.78 729.43 738.20 746.96 755.72 764.48 773.24 12221222 Head of Household 710.26 719.02 727.78 736.55 745.31 754.07 762.83 771.59 780.35 789.12 12221222 Married Filing joint 736.22 744.98 753.74 762.50 771.26 780.02 788.78 794.62 800.46 12221222 Married Filling Separate 669.92 684.53 699.13 713.73 727.39 736.15 744.91 753.67 762.43 771.20 1222

1223 Single 672.43 687.04 701.64 716.24 729.97 738.74 747.50 756.26 765.02 773.78 12231223 Head of Household 710.81 719.57 728.33 737.09 745.85 754.62 763.38 772.14 780.90 789.66 12231223 Married Filing joint 736.76 745.52 754.28 763.05 771.81 780.57 789.33 795.21 801.05 12231223 Married Filling Separate 670.39 684.99 699.59 714.19 727.93 736.69 745.45 754.21 762.97 771.74 1223

1224 Single 672.90 687.50 702.10 716.70 730.51 739.27 748.04 756.80 765.56 774.32 12241224 Head of Household 711.35 720.12 728.88 737.64 746.40 755.16 763.92 772.68 781.45 790.21 12241224 Married Filing joint 737.31 746.07 754.83 763.59 772.35 781.12 789.88 795.79 801.63 12241224 Married Filling Separate 670.85 685.45 700.06 714.66 728.47 737.23 745.99 754.75 763.51 772.27 1224

Page 173: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1225 Single 673.36 687.96 702.57 717.17 731.05 739.81 748.58 757.34 766.10 774.86 12251225 Head of Household 711.90 720.66 729.42 738.19 746.95 755.71 764.47 773.23 781.99 790.75 12251225 Married Filing joint 737.85 746.62 755.38 764.14 772.90 781.66 790.42 796.37 802.21 12251225 Married Filling Separate 671.31 685.92 700.52 715.12 729.01 737.77 746.53 755.29 764.05 772.81 1225

1226 Single 673.83 688.43 703.03 717.63 731.59 740.35 749.12 757.88 766.64 775.40 12261226 Head of Household 712.44 721.21 729.97 738.73 747.49 756.25 765.02 773.78 782.54 791.30 12261226 Married Filing joint 738.40 747.16 755.92 764.69 773.45 782.21 790.97 796.96 802.80 12261226 Married Filling Separate 671.78 686.38 700.98 715.59 729.54 738.31 747.07 755.83 764.59 773.35 1226

1227 Single 674.29 688.89 703.50 718.10 732.13 740.89 749.66 758.42 767.18 775.94 12271227 Head of Household 712.92 721.75 730.52 739.28 748.04 756.80 765.56 774.32 783.09 791.85 12271227 Married Filing joint 738.95 747.71 756.47 765.23 773.99 782.75 791.52 797.54 803.38 12271227 Married Filling Separate 672.24 686.85 701.45 716.05 730.08 738.84 747.61 756.37 765.13 773.89 1227

1228 Single 674.76 689.36 703.96 718.56 732.67 741.43 750.20 758.96 767.72 776.48 12281228 Head of Household 713.39 722.30 731.06 739.82 748.59 757.35 766.11 774.87 783.63 792.39 12281228 Married Filing joint 739.49 748.26 757.02 765.78 774.54 783.30 792.06 798.13 803.97 12281228 Married Filling Separate 672.71 687.31 701.91 716.51 730.62 739.38 748.15 756.91 765.67 774.43 1228

1229 Single 675.22 689.82 704.43 719.03 733.21 741.97 750.73 759.50 768.26 777.02 12291229 Head of Household 713.86 722.85 731.61 740.37 749.13 757.89 766.66 775.42 784.18 792.94 12291229 Married Filing joint 740.04 748.80 757.56 766.32 775.09 783.85 792.61 798.71 804.55 12291229 Married Filling Separate 673.17 687.77 702.38 716.98 731.16 739.92 748.68 757.45 766.21 774.97 1229

1230 Single 675.69 690.29 704.89 719.49 733.75 742.51 751.27 760.04 768.80 777.56 12301230 Head of Household 714.33 723.39 732.16 740.92 749.68 758.44 767.20 775.96 784.72 793.49 12301230 Married Filing joint 740.59 749.35 758.11 766.87 775.63 784.39 793.16 799.29 805.13 12301230 Married Filling Separate 673.63 688.24 702.84 717.44 731.70 740.46 749.22 757.98 766.75 775.51 1230

1231 Single 675.70 690.30 704.91 719.51 733.84 742.60 751.37 760.13 768.89 777.65 12311231 Head of Household 714.80 723.94 732.70 741.46 750.22 758.99 767.75 776.51 785.27 794.03 12311231 Married Filing joint 740.48 749.25 758.01 766.77 775.53 784.29 793.05 799.23 805.07 12311231 Married Filling Separate 674.10 688.70 703.30 717.91 732.24 741.00 749.76 758.52 767.28 776.05 1231

1232 Single 676.17 690.77 705.37 719.97 734.38 743.14 751.90 760.67 769.43 778.19 12321232 Head of Household 715.27 724.49 733.25 742.01 750.77 759.53 768.29 777.06 785.82 794.58 12321232 Married Filing joint 741.03 749.79 758.55 767.31 776.08 784.84 793.60 799.81 805.65 12321232 Married Filling Separate 674.56 689.16 703.77 718.37 732.78 741.54 750.30 759.06 767.82 776.59 1232

Page 174: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1233 Single 676.63 691.23 705.84 720.44 734.92 743.68 752.44 761.21 769.97 778.73 12331233 Head of Household 715.74 725.03 733.79 742.56 751.32 760.08 768.84 777.60 786.36 795.13 12331233 Married Filing joint 741.58 750.34 759.10 767.86 776.62 785.38 794.15 800.40 806.24 12331233 Married Filling Separate 675.03 689.63 704.23 718.83 733.32 742.08 750.84 759.60 768.36 777.12 1233

1234 Single 677.09 691.70 706.30 720.90 735.46 744.22 752.98 761.74 770.51 779.27 12341234 Head of Household 716.22 725.58 734.34 743.10 751.86 760.63 769.39 778.15 786.91 795.67 12341234 Married Filing joint 742.12 750.88 759.65 768.41 777.17 785.93 794.69 800.98 806.82 12341234 Married Filling Separate 675.49 690.09 704.69 719.30 733.86 742.62 751.38 760.14 768.90 777.66 1234

1235 Single 677.56 692.16 706.76 721.37 735.97 744.76 753.52 762.28 771.05 779.81 12351235 Head of Household 716.69 726.13 734.89 743.65 752.41 761.17 769.93 778.69 787.46 796.22 12351235 Married Filing joint 742.67 751.43 760.19 768.95 777.72 786.48 795.24 801.56 807.40 12351235 Married Filling Separate 675.95 690.56 705.16 719.76 734.36 743.16 751.92 760.68 769.44 778.20 1235

1236 Single 678.02 692.63 707.23 721.83 736.43 745.30 754.06 762.82 771.58 780.35 12361236 Head of Household 717.16 726.67 735.43 744.20 752.96 761.72 770.48 779.24 788.00 796.76 12361236 Married Filing joint 743.22 751.98 760.74 769.50 778.26 787.02 795.78 802.15 807.99 12361236 Married Filling Separate 676.42 691.02 705.62 720.22 734.83 743.69 752.46 761.22 769.98 778.74 1236

1237 Single 678.49 693.09 707.69 722.29 736.90 745.84 754.60 763.36 772.12 780.89 12371237 Head of Household 717.63 727.22 735.98 744.74 753.50 762.26 771.03 779.79 788.55 797.31 12371237 Married Filing joint 743.76 752.52 761.28 770.05 778.81 787.57 796.33 802.73 808.57 12371237 Married Filling Separate 676.88 691.48 706.09 720.69 735.29 744.23 753.00 761.76 770.52 779.28 1237

1238 Single 678.95 693.55 708.16 722.76 737.36 746.38 755.14 763.90 772.66 781.42 12381238 Head of Household 718.10 727.77 736.53 745.29 754.05 762.81 771.57 780.33 789.10 797.86 12381238 Married Filing joint 744.31 753.07 761.83 770.59 779.35 788.12 796.88 803.32 809.16 12381238 Married Filling Separate 677.35 691.95 706.55 721.15 735.76 744.77 753.53 762.30 771.06 779.82 1238

1239 Single 679.42 694.02 708.62 723.22 737.83 746.92 755.68 764.44 773.20 781.96 12391239 Head of Household 718.57 728.31 737.07 745.83 754.60 763.36 772.12 780.88 789.64 798.40 12391239 Married Filing joint 744.85 753.62 762.38 771.14 779.90 788.66 797.42 803.90 809.74 12391239 Married Filling Separate 677.81 692.41 707.01 721.62 736.22 745.31 754.07 762.83 771.60 780.36 1239

1240 Single 679.88 694.48 709.09 723.69 738.29 747.46 756.22 764.98 773.74 782.50 12401240 Head of Household 719.04 728.86 737.62 746.38 755.14 763.90 772.67 781.43 790.19 798.95 12401240 Married Filing joint 745.40 754.16 762.92 771.69 780.45 789.21 797.97 804.48 810.32 12401240 Married Filling Separate 678.27 692.88 707.48 722.08 736.68 745.85 754.61 763.37 772.13 780.90 1240

Page 175: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1241 Single 679.89 694.49 709.10 723.70 738.30 747.54 756.31 765.07 773.83 782.59 12411241 Head of Household 719.51 729.40 738.17 746.93 755.69 764.45 773.21 781.97 790.73 799.50 12411241 Married Filing joint 745.95 754.71 763.47 772.23 780.99 789.75 798.52 805.07 810.91 12411241 Married Filling Separate 678.74 693.34 707.94 722.54 737.15 746.39 755.15 763.91 772.67 781.44 1241

1242 Single 680.36 694.96 709.56 724.16 738.77 748.08 756.84 765.61 774.37 783.13 12421242 Head of Household 719.99 729.95 738.71 747.47 756.24 765.00 773.76 782.52 791.28 800.04 12421242 Married Filing joint 746.49 755.26 764.02 772.78 781.54 790.30 799.06 805.65 811.49 12421242 Married Filling Separate 679.20 693.80 708.41 723.01 737.61 746.93 755.69 764.45 773.21 781.97 1242

1243 Single 680.82 695.42 710.02 724.63 739.23 748.62 757.38 766.14 774.91 783.67 12431243 Head of Household 720.46 730.50 739.26 748.02 756.78 765.54 774.30 783.07 791.83 800.59 12431243 Married Filing joint 747.04 755.80 764.56 773.32 782.09 790.85 799.61 806.23 812.08 12431243 Married Filling Separate 679.66 694.27 708.87 723.47 738.07 747.47 756.23 764.99 773.75 782.51 1243

1244 Single 681.28 695.89 710.49 725.09 739.69 749.16 757.92 766.68 775.45 784.21 12441244 Head of Household 720.93 731.04 739.80 748.57 757.33 766.09 774.85 783.61 792.37 801.14 12441244 Married Filing joint 747.59 756.35 765.11 773.87 782.63 791.39 800.16 806.82 812.66 12441244 Married Filling Separate 680.13 694.73 709.33 723.94 738.54 748.01 756.77 765.53 774.29 783.05 1244

1245 Single 681.75 696.35 710.95 725.55 740.16 749.70 758.46 767.22 775.98 784.75 12451245 Head of Household 721.40 731.59 740.35 749.11 757.87 766.64 775.40 784.16 792.92 801.68 12451245 Married Filing joint 748.13 756.89 765.66 774.42 783.18 791.94 800.70 807.40 813.24 12451245 Married Filling Separate 680.59 695.19 709.80 724.40 739.00 748.54 757.31 766.07 774.83 783.59 1245

1246 Single 682.21 696.81 711.42 726.02 740.62 750.24 759.00 767.76 776.52 785.28 12461246 Head of Household 721.87 732.14 740.90 749.66 758.42 767.18 775.94 784.71 793.47 802.23 12461246 Married Filing joint 748.68 757.44 766.20 774.96 783.73 792.49 801.25 807.99 813.83 12461246 Married Filling Separate 681.06 695.66 710.26 724.86 739.47 749.08 757.84 766.61 775.37 784.13 1246

1247 Single 682.68 697.28 711.88 726.48 741.09 750.78 759.54 768.30 777.06 785.82 12471247 Head of Household 722.34 732.68 741.44 750.21 758.97 767.73 776.49 785.25 794.01 802.77 12471247 Married Filing joint 749.23 757.99 766.75 775.51 784.27 793.03 801.79 808.57 814.41 12471247 Married Filling Separate 681.52 696.12 710.73 725.33 739.93 749.62 758.38 767.15 775.91 784.67 1247

1248 Single 683.14 697.74 712.34 726.95 741.55 751.32 760.08 768.84 777.60 786.36 12481248 Head of Household 722.81 733.23 741.99 750.75 759.51 768.27 777.04 785.80 794.56 803.32 12481248 Married Filing joint 749.77 758.53 767.30 776.06 784.82 793.58 802.34 809.15 815.00 12481248 Married Filling Separate 681.98 696.59 711.19 725.79 740.39 750.16 758.92 767.68 776.45 785.21 1248

Page 176: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1249 Single 683.60 698.21 712.81 727.41 742.01 751.86 760.62 769.38 778.14 786.90 12491249 Head of Household 723.29 733.78 742.54 751.30 760.06 768.82 777.58 786.34 795.11 803.87 12491249 Married Filing joint 750.32 759.08 767.84 776.60 785.36 794.13 802.89 809.74 815.58 12491249 Married Filling Separate 682.45 697.05 711.65 726.26 740.86 750.70 759.46 768.22 776.98 785.75 1249

1250 Single 684.07 698.67 713.27 727.87 742.48 752.39 761.16 769.92 778.68 787.44 12501250 Head of Household 723.76 734.32 743.08 751.84 760.61 769.37 778.13 786.89 795.65 804.41 12501250 Married Filing joint 750.86 759.63 768.39 777.15 785.91 794.67 803.43 810.32 816.16 12501250 Married Filling Separate 682.91 697.51 712.12 726.72 741.32 751.24 760.00 768.76 777.52 786.28 1250

1251 Single 684.53 699.13 713.74 728.34 742.94 752.93 761.69 770.46 779.22 787.98 12511251 Head of Household 724.23 734.87 743.63 752.39 761.15 769.91 778.68 787.44 796.20 804.96 12511251 Married Filing joint 750.76 759.52 768.28 777.05 785.81 794.57 803.33 810.26 816.10 12511251 Married Filling Separate 683.38 697.98 712.58 727.18 741.79 751.78 760.54 769.30 778.06 786.82 1251

1252 Single 684.99 699.60 714.20 728.80 743.40 753.47 762.23 770.99 779.76 788.52 12521252 Head of Household 724.70 735.41 744.18 752.94 761.70 770.46 779.22 787.98 796.74 805.51 12521252 Married Filing joint 751.31 760.07 768.83 777.59 786.35 795.12 803.88 810.84 816.68 12521252 Married Filling Separate 683.84 698.44 713.04 727.65 742.25 752.32 761.08 769.84 778.60 787.36 1252

1253 Single 685.46 700.06 714.66 729.27 743.87 754.01 762.77 771.53 780.30 789.06 12531253 Head of Household 725.17 735.96 744.72 753.48 762.25 771.01 779.77 788.53 797.29 806.05 12531253 Married Filing joint 751.85 760.62 769.38 778.14 786.90 795.66 804.42 811.42 817.27 12531253 Married Filling Separate 684.30 698.91 713.51 728.11 742.71 752.86 761.62 770.38 779.14 787.90 1253

1254 Single 685.92 700.52 715.13 729.73 744.33 754.55 763.31 772.07 780.83 789.60 12541254 Head of Household 725.64 736.51 745.27 754.03 762.79 771.55 780.31 789.08 797.84 806.60 12541254 Married Filing joint 752.40 761.16 769.92 778.69 787.45 796.21 804.97 812.01 817.85 12541254 Married Filling Separate 684.77 699.37 713.97 728.57 743.18 753.39 762.16 770.92 779.68 788.44 1254

1255 Single 686.39 700.99 715.59 730.19 744.80 755.09 763.85 772.61 781.37 790.13 12551255 Head of Household 726.11 737.05 745.81 754.58 763.34 772.10 780.86 789.62 798.38 807.15 12551255 Married Filing joint 752.95 761.71 770.47 779.23 787.99 796.75 805.52 812.59 818.43 12551255 Married Filling Separate 684.95 699.55 714.15 728.75 743.36 753.65 762.41 771.17 779.93 788.69 1255

1256 Single 686.85 701.45 716.05 730.66 745.26 755.63 764.39 773.15 781.91 790.67 12561256 Head of Household 726.59 737.60 746.36 755.12 763.88 772.65 781.41 790.17 798.93 807.69 12561256 Married Filing joint 753.49 762.26 771.02 779.78 788.54 797.30 806.06 813.18 819.02 12561256 Married Filling Separate 685.41 700.01 714.61 729.22 743.82 754.19 762.95 771.71 780.47 789.23 1256

Page 177: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1257 Single 687.31 701.92 716.52 731.12 745.72 756.17 764.93 773.69 782.45 791.21 12571257 Head of Household 727.06 738.15 746.91 755.67 764.43 773.19 781.95 790.72 799.48 808.24 12571257 Married Filing joint 754.04 762.80 771.56 780.32 789.09 797.85 806.61 813.76 819.60 12571257 Married Filling Separate 685.87 700.48 715.08 729.68 744.28 754.73 763.49 772.25 781.01 789.77 1257

1258 Single 687.78 702.38 716.98 731.59 746.19 756.70 765.47 774.23 782.99 791.75 12581258 Head of Household 727.53 738.69 747.45 756.22 764.98 773.74 782.50 791.26 800.02 808.78 12581258 Married Filing joint 754.59 763.35 772.11 780.87 789.63 798.39 807.16 814.34 820.18 12581258 Married Filling Separate 686.34 700.94 715.54 730.15 744.75 755.26 764.03 772.79 781.55 790.31 1258

1259 Single 688.24 702.84 717.45 732.05 746.65 757.24 766.01 774.77 783.53 792.29 12591259 Head of Household 728.00 739.24 748.00 756.76 765.52 774.28 783.05 791.81 800.57 809.33 12591259 Married Filing joint 755.13 763.89 772.66 781.42 790.18 798.94 807.70 814.93 820.77 12591259 Married Filling Separate 686.80 701.40 716.01 730.61 745.21 755.80 764.57 773.33 782.09 790.85 1259

1260 Single 688.71 703.31 717.91 732.51 747.12 757.78 766.54 775.31 784.07 792.83 12601260 Head of Household 728.47 739.79 748.55 757.31 766.07 774.83 783.59 792.35 801.12 809.88 12601260 Married Filing joint 755.68 764.44 773.20 781.96 790.73 799.49 808.25 815.51 821.35 12601260 Married Filling Separate 687.27 701.87 716.47 731.07 745.68 756.34 765.10 773.87 782.63 791.39 1260

1261 Single 689.17 703.77 718.37 732.98 747.58 758.32 767.08 775.84 784.61 793.37 12611261 Head of Household 728.94 740.33 749.09 757.85 766.62 775.38 784.14 792.90 801.66 810.42 12611261 Married Filing joint 756.23 764.99 773.75 782.51 791.27 800.03 808.79 816.10 821.94 12611261 Married Filling Separate 687.73 702.33 716.93 731.54 746.14 756.88 765.64 774.40 783.17 791.93 1261

1262 Single 689.63 704.24 718.84 733.44 748.04 758.86 767.62 776.38 785.14 793.91 12621262 Head of Household 729.41 740.88 749.64 758.40 767.16 775.92 784.69 793.45 802.21 810.97 12621262 Married Filing joint 756.77 765.53 774.29 783.06 791.82 800.58 809.34 816.68 822.52 12621262 Married Filling Separate 688.19 702.80 717.40 732.00 746.60 757.42 766.18 774.94 783.70 792.47 1262

1263 Single 690.10 704.70 719.30 733.90 748.51 759.40 768.16 776.92 785.68 794.45 12631263 Head of Household 729.88 741.42 750.19 758.95 767.71 776.47 785.23 793.99 802.75 811.52 12631263 Married Filing joint 757.32 766.08 774.84 783.60 792.36 801.13 809.89 817.26 823.10 12631263 Married Filling Separate 688.66 703.26 717.86 732.46 747.07 757.96 766.72 775.48 784.24 793.01 1263

1264 Single 690.56 705.16 719.77 734.37 748.97 759.94 768.70 777.46 786.22 794.98 12641264 Head of Household 730.36 741.97 750.73 759.49 768.26 777.02 785.78 794.54 803.30 812.06 12641264 Married Filing joint 757.86 766.63 775.39 784.15 792.91 801.67 810.43 817.85 823.69 12641264 Married Filling Separate 689.12 703.72 718.33 732.93 747.53 758.50 767.26 776.02 784.78 793.54 1264

Page 178: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1265 Single 691.02 705.63 720.23 734.83 749.43 760.48 769.24 778.00 786.76 795.52 12651265 Head of Household 730.83 742.52 751.28 760.04 768.80 777.56 786.32 795.09 803.85 812.61 12651265 Married Filing joint 758.41 767.17 775.93 784.70 793.46 802.22 810.98 818.43 824.27 12651265 Married Filling Separate 689.58 704.19 718.79 733.39 747.99 759.04 767.80 776.56 785.32 794.08 1265

1266 Single 691.49 706.09 720.69 735.30 749.90 761.02 769.78 778.54 787.30 796.06 12661266 Head of Household 731.30 743.06 751.83 760.59 769.35 778.11 786.87 795.63 804.39 813.16 12661266 Married Filing joint 758.96 767.72 776.48 785.24 794.00 802.76 811.53 819.01 824.86 12661266 Married Filling Separate 690.05 704.65 719.25 733.86 748.46 759.58 768.34 777.10 785.86 794.62 1266

1267 Single 691.95 706.56 721.16 735.76 750.36 761.55 770.32 779.08 787.84 796.60 12671267 Head of Household 731.77 743.61 752.37 761.13 769.89 778.66 787.42 796.18 804.94 813.70 12671267 Married Filing joint 759.50 768.27 777.03 785.79 794.55 803.31 812.07 819.60 825.44 12671267 Married Filling Separate 690.51 705.12 719.72 734.32 748.92 760.11 768.88 777.64 786.40 795.16 1267

1268 Single 692.42 707.02 721.62 736.22 750.83 762.09 770.86 779.62 788.38 797.14 12681268 Head of Household 732.24 744.16 752.92 761.68 770.44 779.20 787.96 796.73 805.49 814.25 12681268 Married Filing joint 760.05 768.81 777.57 786.33 795.10 803.86 812.62 820.18 826.02 12681268 Married Filling Separate 690.98 705.58 720.18 734.78 749.39 760.65 769.42 778.18 786.94 795.70 1268

1269 Single 692.88 707.48 722.09 736.69 751.29 762.63 771.39 780.16 788.92 797.68 12691269 Head of Household 732.71 744.70 753.46 762.23 770.99 779.75 788.51 797.27 806.03 814.79 12691269 Married Filing joint 760.60 769.36 778.12 786.88 795.64 804.40 813.17 820.77 826.61 12691269 Married Filling Separate 691.44 706.04 720.65 735.25 749.85 761.19 769.95 778.72 787.48 796.24 1269

1270 Single 693.34 707.95 722.55 737.15 751.75 763.17 771.93 780.69 789.46 798.22 12701270 Head of Household 733.18 745.25 754.01 762.77 771.53 780.30 789.06 797.82 806.58 815.34 12701270 Married Filing joint 760.49 769.26 778.02 786.78 795.54 804.30 813.06 820.70 826.54 12701270 Married Filling Separate 691.90 706.51 721.11 735.71 750.31 761.73 770.49 779.25 788.02 796.78 1270

1271 Single 693.81 708.41 723.01 737.62 752.22 763.71 772.47 781.23 789.99 798.76 12711271 Head of Household 733.66 745.80 754.56 763.32 772.08 780.84 789.60 798.36 807.13 815.89 12711271 Married Filing joint 761.04 769.80 778.56 787.32 796.09 804.85 813.61 821.28 827.13 12711271 Married Filling Separate 692.37 706.97 721.57 736.18 750.78 762.27 771.03 779.79 788.55 797.32 1271

1272 Single 694.27 708.87 723.48 738.08 752.68 764.25 773.01 781.77 790.53 799.30 12721272 Head of Household 734.13 746.34 755.10 763.86 772.63 781.39 790.15 798.91 807.67 816.43 12721272 Married Filing joint 761.59 770.35 779.11 787.87 796.63 805.39 814.16 821.87 827.71 12721272 Married Filling Separate 692.83 707.43 722.04 736.64 751.24 762.81 771.57 780.33 789.09 797.86 1272

Page 179: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1273 Single 694.74 709.34 723.94 738.54 753.15 764.79 773.55 782.31 791.07 799.83 12731273 Head of Household 734.60 746.89 755.65 764.41 773.17 781.93 790.70 799.46 808.22 816.98 12731273 Married Filing joint 762.13 770.89 779.66 788.42 797.18 805.94 814.70 822.45 828.29 12731273 Married Filling Separate 693.30 707.90 722.50 737.10 751.71 763.35 772.11 780.87 789.63 798.39 1273

1274 Single 695.20 709.80 724.40 739.01 753.61 765.33 774.09 782.85 791.61 800.37 12741274 Head of Household 735.07 747.43 756.20 764.96 773.72 782.48 791.24 800.00 808.77 817.53 12741274 Married Filing joint 762.68 771.44 780.20 788.96 797.73 806.49 815.25 823.04 828.88 12741274 Married Filling Separate 693.76 708.36 722.96 737.57 752.17 763.89 772.65 781.41 790.17 798.93 1274

1275 Single 695.66 710.27 724.87 739.47 754.07 765.87 774.63 783.39 792.15 800.91 12751275 Head of Household 735.54 747.98 756.74 765.50 774.27 783.03 791.79 800.55 809.31 818.07 12751275 Married Filing joint 763.23 771.99 780.75 789.51 798.27 807.03 815.79 823.62 829.46 12751275 Married Filling Separate 694.22 708.83 723.43 738.03 752.63 764.43 773.19 781.95 790.71 799.47 1275

1276 Single 696.13 710.73 725.33 739.93 754.54 766.40 775.17 783.93 792.69 801.45 12761276 Head of Household 736.01 748.53 757.29 766.05 774.81 783.57 792.33 801.10 809.86 818.62 12761276 Married Filing joint 763.77 772.53 781.30 790.06 798.82 807.58 816.34 824.20 830.05 12761276 Married Filling Separate 694.69 709.29 723.89 738.49 753.10 764.96 773.73 782.49 791.25 800.01 1276

1277 Single 696.59 711.19 725.80 740.40 755.00 766.94 775.71 784.47 793.23 801.99 12771277 Head of Household 736.48 749.07 757.84 766.60 775.36 784.12 792.88 801.64 810.40 819.17 12771277 Married Filing joint 764.32 773.08 781.84 790.60 799.36 808.13 816.89 824.79 830.63 12771277 Married Filling Separate 695.15 709.75 724.36 738.96 753.56 765.50 774.27 783.03 791.79 800.55 1277

1278 Single 697.06 711.66 726.26 740.86 755.47 767.48 776.24 785.01 793.77 802.53 12781278 Head of Household 736.96 749.62 758.38 767.14 775.90 784.67 793.43 802.19 810.95 819.71 12781278 Married Filing joint 764.86 773.63 782.39 791.15 799.91 808.67 817.43 825.37 831.21 12781278 Married Filling Separate 695.62 710.22 724.82 739.42 754.03 766.04 774.80 783.57 792.33 801.09 1278

1279 Single 697.23 711.84 726.44 741.04 755.64 767.74 776.50 785.26 794.02 802.78 12791279 Head of Household 737.43 750.17 758.93 767.69 776.45 785.21 793.97 802.74 811.50 820.26 12791279 Married Filing joint 765.41 774.17 782.93 791.70 800.46 809.22 817.98 825.96 831.80 12791279 Married Filling Separate 696.08 710.68 725.28 739.89 754.49 766.58 775.34 784.10 792.87 801.63 1279

1280 Single 697.70 712.30 726.90 741.51 756.11 768.28 777.04 785.80 794.56 803.32 12801280 Head of Household 737.90 750.71 759.47 768.24 777.00 785.76 794.52 803.28 812.04 820.80 12801280 Married Filing joint 765.96 774.72 783.48 792.24 801.00 809.77 818.53 826.54 832.38 12801280 Married Filling Separate 696.54 711.15 725.75 740.35 754.95 767.12 775.88 784.64 793.40 802.17 1280

Page 180: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1281 Single 698.16 712.76 727.37 741.97 756.57 768.81 777.58 786.34 795.10 803.86 12811281 Head of Household 738.37 751.26 760.02 768.78 777.54 786.31 795.07 803.83 812.59 821.35 12811281 Married Filing joint 766.50 775.27 784.03 792.79 801.55 810.31 819.07 827.12 832.96 12811281 Married Filling Separate 697.01 711.61 726.21 740.81 755.42 767.66 776.42 785.18 793.94 802.71 1281

1282 Single 698.63 713.23 727.83 742.43 757.04 769.35 778.11 786.88 795.64 804.40 12821282 Head of Household 738.84 751.81 760.57 769.33 778.09 786.85 795.61 804.37 813.14 821.90 12821282 Married Filing joint 767.05 775.81 784.57 793.33 802.10 810.86 819.62 827.71 833.55 12821282 Married Filling Separate 697.47 712.07 726.68 741.28 755.88 768.20 776.96 785.72 794.48 803.24 1282

1283 Single 699.09 713.69 728.29 742.90 757.50 769.89 778.65 787.41 796.18 804.94 12831283 Head of Household 739.31 752.35 761.11 769.87 778.64 787.40 796.16 804.92 813.68 822.44 12831283 Married Filing joint 767.60 776.36 785.12 793.88 802.64 811.40 820.17 828.29 834.13 12831283 Married Filling Separate 697.93 712.54 727.14 741.74 756.34 768.74 777.50 786.26 795.02 803.78 1283

1284 Single 699.55 714.16 728.76 743.36 757.96 770.43 779.19 787.95 796.72 805.48 12841284 Head of Household 739.78 752.90 761.66 770.42 779.18 787.94 796.71 805.47 814.23 822.99 12841284 Married Filing joint 768.14 776.90 785.67 794.43 803.19 811.95 820.71 828.88 834.72 12841284 Married Filling Separate 698.40 713.00 727.60 742.21 756.81 769.28 778.04 786.80 795.56 804.32 1284

1285 Single 700.02 714.62 729.22 743.82 758.43 770.97 779.73 788.49 797.25 806.02 12851285 Head of Household 740.26 753.44 762.21 770.97 779.73 788.49 797.25 806.01 814.78 823.54 12851285 Married Filing joint 768.69 777.45 786.21 794.97 803.74 812.50 821.26 829.46 835.30 12851285 Married Filling Separate 698.86 713.46 728.07 742.67 757.27 769.81 778.58 787.34 796.10 804.86 1285

1286 Single 700.48 715.08 729.69 744.29 758.89 771.51 780.27 789.03 797.79 806.55 12861286 Head of Household 740.73 753.99 762.75 771.51 780.28 789.04 797.80 806.56 815.32 824.08 12861286 Married Filing joint 769.24 778.00 786.76 795.52 804.28 813.04 821.80 830.04 835.88 12861286 Married Filling Separate 699.33 713.93 728.53 743.13 757.74 770.35 779.11 787.88 796.64 805.40 1286

1287 Single 700.95 715.55 730.15 744.75 759.36 772.05 780.81 789.57 798.33 807.09 12871287 Head of Household 741.20 754.54 763.30 772.06 780.82 789.58 798.34 807.11 815.87 824.63 12871287 Married Filing joint 769.78 778.54 787.31 796.07 804.83 813.59 822.35 830.63 836.47 12871287 Married Filling Separate 699.79 714.39 729.00 743.60 758.20 770.89 779.65 788.42 797.18 805.94 1287

1288 Single 701.41 716.01 730.61 745.22 759.82 772.59 781.35 790.11 798.87 807.63 12881288 Head of Household 741.67 755.08 763.85 772.61 781.37 790.13 798.89 807.65 816.41 825.18 12881288 Married Filing joint 770.33 779.09 787.85 796.61 805.37 814.14 822.90 831.21 837.05 12881288 Married Filling Separate 700.25 714.86 729.46 744.06 758.66 771.43 780.19 788.95 797.72 806.48 1288

Page 181: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1289 Single 701.87 716.48 731.08 745.68 760.28 773.13 781.89 790.65 799.41 808.17 12891289 Head of Household 742.14 755.63 764.39 773.15 781.91 790.68 799.44 808.20 816.96 825.72 12891289 Married Filing joint 770.23 778.99 787.75 796.51 805.27 814.03 822.80 831.15 836.99 12891289 Married Filling Separate 700.72 715.32 729.92 744.53 759.13 771.97 780.73 789.49 798.25 807.02 1289

1290 Single 702.34 716.94 731.54 746.14 760.75 773.66 782.43 791.19 799.95 808.71 12901290 Head of Household 742.61 756.18 764.94 773.70 782.46 791.22 799.98 808.75 817.51 826.27 12901290 Married Filing joint 770.77 779.53 788.30 797.06 805.82 814.58 823.34 831.73 837.57 12901290 Married Filling Separate 701.18 715.78 730.39 744.99 759.59 772.51 781.27 790.03 798.79 807.55 1290

1291 Single 702.80 717.40 732.01 746.61 761.21 774.20 782.96 791.73 800.49 809.25 12911291 Head of Household 743.08 756.72 765.48 774.25 783.01 791.77 800.53 809.29 818.05 826.81 12911291 Married Filing joint 771.32 780.08 788.84 797.60 806.36 815.13 823.89 832.31 838.15 12911291 Married Filling Separate 701.65 716.25 730.85 745.45 760.06 773.05 781.81 790.57 799.33 808.09 1291

1292 Single 703.26 717.87 732.47 747.07 761.67 774.74 783.50 792.26 801.03 809.79 12921292 Head of Household 743.55 757.27 766.03 774.79 783.55 792.32 801.08 809.84 818.60 827.36 12921292 Married Filing joint 771.87 780.63 789.39 798.15 806.91 815.67 824.43 832.90 838.74 12921292 Married Filling Separate 702.11 716.71 731.31 745.92 760.52 773.59 782.35 791.11 799.87 808.63 1292

1293 Single 703.73 718.33 732.93 747.54 762.14 775.28 784.04 792.80 801.57 810.33 12931293 Head of Household 744.03 757.82 766.58 775.34 784.10 792.86 801.62 810.38 819.15 827.91 12931293 Married Filing joint 772.41 781.17 789.93 798.70 807.46 816.22 824.98 833.48 839.32 12931293 Married Filling Separate 702.57 717.18 731.78 746.38 760.98 774.13 782.89 791.65 800.41 809.17 1293

1294 Single 704.19 718.79 733.40 748.00 762.60 775.82 784.58 793.34 802.10 810.87 12941294 Head of Household 744.50 758.36 767.12 775.89 784.65 793.41 802.17 810.93 819.69 828.45 12941294 Married Filing joint 772.96 781.72 790.48 799.24 808.00 816.77 825.53 834.06 839.91 12941294 Married Filling Separate 703.04 717.64 732.24 746.84 761.45 774.66 783.43 792.19 800.95 809.71 1294

1295 Single 704.66 719.26 733.86 748.46 763.07 776.36 785.12 793.88 802.64 811.40 12951295 Head of Household 744.97 758.91 767.67 776.43 785.19 793.95 802.72 811.48 820.24 829.00 12951295 Married Filing joint 773.50 782.27 791.03 799.79 808.55 817.31 826.07 834.65 840.49 12951295 Married Filling Separate 703.50 718.10 732.71 747.31 761.91 775.20 783.96 792.73 801.49 810.25 1295

1296 Single 705.12 719.72 734.32 748.93 763.53 776.90 785.66 794.42 803.18 811.94 12961296 Head of Household 745.44 759.45 768.22 776.98 785.74 794.50 803.26 812.02 820.79 829.55 12961296 Married Filing joint 774.05 782.81 791.57 800.34 809.10 817.86 826.62 835.23 841.07 12961296 Married Filling Separate 703.96 718.57 733.17 747.77 762.37 775.74 784.50 793.27 802.03 810.79 1296

Page 182: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1297 Single 705.58 720.19 734.79 749.39 763.99 777.44 786.20 794.96 803.72 812.48 12971297 Head of Household 745.91 760.00 768.76 777.52 786.29 795.05 803.81 812.57 821.33 830.09 12971297 Married Filing joint 774.60 783.36 792.12 800.88 809.64 818.40 827.17 835.82 841.66 12971297 Married Filling Separate 704.43 719.03 733.63 748.24 762.84 776.28 785.04 793.80 802.57 811.33 1297

1298 Single 706.05 720.65 735.25 749.86 764.46 777.97 786.74 795.50 804.26 813.02 12981298 Head of Household 746.38 760.55 769.31 778.07 786.83 795.59 804.36 813.12 821.88 830.64 12981298 Married Filing joint 775.14 783.90 792.67 801.43 810.19 818.95 827.71 836.40 842.24 12981298 Married Filling Separate 704.89 719.50 734.10 748.70 763.30 776.82 785.58 794.34 803.10 811.87 1298

1299 Single 706.51 721.11 735.72 750.32 764.92 778.51 787.28 796.04 804.80 813.56 12991299 Head of Household 746.85 761.09 769.86 778.62 787.38 796.14 804.90 813.66 822.42 831.19 12991299 Married Filing joint 775.69 784.45 793.21 801.97 810.74 819.50 828.26 836.98 842.83 12991299 Married Filling Separate 705.36 719.96 734.56 749.16 763.77 777.36 786.12 794.88 803.64 812.40 1299

1300 Single 706.98 721.58 736.18 750.78 765.39 779.05 787.81 796.58 805.34 814.10 13001300 Head of Household 747.33 761.64 770.40 779.16 787.92 796.69 805.45 814.21 822.97 831.73 13001300 Married Filing joint 776.24 785.00 793.76 802.52 811.28 820.04 828.81 837.57 843.41 13001300 Married Filling Separate 705.82 720.42 735.03 749.63 764.23 777.90 786.66 795.42 804.18 812.94 1300

1301 Single 707.44 722.04 736.64 751.25 765.85 779.59 788.35 797.11 805.88 814.64 13011301 Head of Household 747.80 762.19 770.95 779.71 788.47 797.23 805.99 814.76 823.52 832.28 13011301 Married Filing joint 776.78 785.54 794.31 803.07 811.83 820.59 829.35 838.11 843.99 13011301 Married Filling Separate 706.28 720.89 735.49 750.09 764.69 778.44 787.20 795.96 804.72 813.48 1301

1302 Single 707.90 722.51 737.11 751.71 766.31 780.13 788.89 797.65 806.41 815.18 13021302 Head of Household 748.27 762.73 771.49 780.26 789.02 797.78 806.54 815.30 824.06 832.83 13021302 Married Filing joint 777.33 786.09 794.85 803.61 812.37 821.14 829.90 838.66 844.58 13021302 Married Filling Separate 706.75 721.35 735.95 750.56 765.16 778.98 787.74 796.50 805.26 814.02 1302

1303 Single 708.37 722.97 737.57 752.17 766.78 780.67 789.43 798.19 806.95 815.72 13031303 Head of Household 748.74 763.28 772.04 780.80 789.56 798.33 807.09 815.85 824.61 833.37 13031303 Married Filing joint 777.88 786.64 795.40 804.16 812.92 821.68 830.44 839.21 845.16 13031303 Married Filling Separate 706.92 721.52 736.12 750.73 765.33 779.22 787.98 796.74 805.51 814.27 1303

1304 Single 708.83 723.43 738.04 752.64 767.24 781.21 789.97 798.73 807.49 816.25 13041304 Head of Household 749.21 763.81 772.59 781.35 790.11 798.87 807.63 816.39 825.16 833.92 13041304 Married Filing joint 778.42 787.18 795.94 804.71 813.47 822.23 830.99 839.75 845.74 13041304 Married Filling Separate 707.38 721.99 736.59 751.19 765.79 779.76 788.52 797.28 806.05 814.81 1304

Page 183: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1305 Single 709.29 723.90 738.50 753.10 767.70 781.75 790.51 799.27 808.03 816.79 13051305 Head of Household 749.68 764.29 773.13 781.90 790.66 799.42 808.18 816.94 825.70 834.46 13051305 Married Filing joint 778.97 787.73 796.49 805.25 814.01 822.78 831.54 840.30 846.33 13051305 Married Filling Separate 707.85 722.45 737.05 751.65 766.26 780.30 789.06 797.82 806.58 815.35 1305

1306 Single 709.76 724.36 738.96 753.57 768.17 782.29 791.05 799.81 808.57 817.33 13061306 Head of Household 750.15 764.76 773.68 782.44 791.20 799.96 808.73 817.49 826.25 835.01 13061306 Married Filing joint 779.51 788.28 797.04 805.80 814.56 823.32 832.08 840.84 846.91 13061306 Married Filling Separate 708.31 722.91 737.52 752.12 766.72 780.84 789.60 798.36 807.12 815.88 1306

1307 Single 710.22 724.83 739.43 754.03 768.63 782.82 791.59 800.35 809.11 817.87 13071307 Head of Household 750.63 765.23 774.23 782.99 791.75 800.51 809.27 818.03 826.80 835.56 13071307 Married Filing joint 780.06 788.82 797.58 806.35 815.11 823.87 832.63 841.39 847.50 13071307 Married Filling Separate 708.78 723.38 737.98 752.58 767.19 781.38 790.14 798.90 807.66 816.42 1307

1308 Single 710.69 725.29 739.89 754.49 769.10 783.36 792.13 800.89 809.65 818.41 13081308 Head of Household 751.10 765.70 774.77 783.53 792.30 801.06 809.82 818.58 827.34 836.10 13081308 Married Filing joint 779.96 788.72 797.48 806.24 815.00 823.77 832.53 841.29 847.43 13081308 Married Filling Separate 709.24 723.84 738.44 753.05 767.65 781.92 790.68 799.44 808.20 816.96 1308

1309 Single 711.15 725.75 740.36 754.96 769.56 783.90 792.66 801.43 810.19 818.95 13091309 Head of Household 751.57 766.17 775.32 784.08 792.84 801.60 810.37 819.13 827.89 836.65 13091309 Married Filing joint 780.50 789.27 798.03 806.79 815.55 824.31 833.07 841.84 848.02 13091309 Married Filling Separate 709.70 724.31 738.91 753.51 768.11 782.46 791.22 799.98 808.74 817.50 1309

1310 Single 711.61 726.22 740.82 755.42 770.02 784.44 793.20 801.96 810.73 819.49 13101310 Head of Household 752.04 766.64 775.87 784.63 793.39 802.15 810.91 819.67 828.43 837.20 13101310 Married Filing joint 781.05 789.81 798.57 807.34 816.10 824.86 833.62 842.38 848.60 13101310 Married Filling Separate 710.17 724.77 739.37 753.97 768.58 782.99 791.76 800.52 809.28 818.04 1310

1311 Single 712.08 726.68 741.28 755.89 770.49 784.98 793.74 802.50 811.26 820.03 13111311 Head of Household 752.51 767.11 776.41 785.17 793.93 802.70 811.46 820.22 828.98 837.74 13111311 Married Filing joint 781.60 790.36 799.12 807.88 816.64 825.40 834.17 842.93 849.18 13111311 Married Filling Separate 710.63 725.23 739.84 754.44 769.04 783.53 792.29 801.06 809.82 818.58 1311

1312 Single 712.54 727.14 741.75 756.35 770.95 785.52 794.28 803.04 811.80 820.57 13121312 Head of Household 752.98 767.58 776.96 785.72 794.48 803.24 812.00 820.77 829.53 838.29 13121312 Married Filing joint 782.14 790.91 799.67 808.43 817.19 825.95 834.71 843.47 849.77 13121312 Married Filling Separate 711.09 725.70 740.30 754.90 769.50 784.07 792.83 801.59 810.36 819.12 1312

Page 184: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1313 Single 713.01 727.61 742.21 756.81 771.42 786.02 794.82 803.58 812.34 821.10 13131313 Head of Household 753.45 768.06 777.50 786.27 795.03 803.79 812.55 821.31 830.07 838.84 13131313 Married Filing joint 782.69 791.45 800.21 808.97 817.74 826.50 835.26 844.02 850.35 13131313 Married Filling Separate 711.56 726.16 740.76 755.37 769.97 784.57 793.37 802.13 810.90 819.66 1313

1314 Single 713.47 728.07 742.67 757.28 771.88 786.48 795.36 804.12 812.88 821.64 13141314 Head of Household 753.93 768.53 778.05 786.81 795.57 804.34 813.10 821.86 830.62 839.38 13141314 Married Filing joint 783.24 792.00 800.76 809.52 818.28 827.04 835.81 844.57 850.93 13141314 Married Filling Separate 712.02 726.62 741.23 755.83 770.43 785.03 793.91 802.67 811.43 820.20 1314

1315 Single 713.93 728.54 743.14 757.74 772.34 786.95 795.90 804.66 813.42 822.18 13151315 Head of Household 754.40 769.00 778.60 787.36 796.12 804.88 813.64 822.40 831.17 839.93 13151315 Married Filing joint 783.78 792.54 801.31 810.07 818.83 827.59 836.35 845.11 851.52 13151315 Married Filling Separate 712.49 727.09 741.69 756.29 770.90 785.50 794.45 803.21 811.97 820.73 1315

1316 Single 714.40 729.00 743.60 758.20 772.81 787.41 796.44 805.20 813.96 822.72 13161316 Head of Household 754.87 769.47 779.14 787.91 796.67 805.43 814.19 822.95 831.71 840.47 13161316 Married Filing joint 784.33 793.09 801.85 810.61 819.38 828.14 836.90 845.66 852.10 13161316 Married Filling Separate 712.95 727.55 742.15 756.76 771.36 785.96 794.99 803.75 812.51 821.27 1316

1317 Single 714.86 729.46 744.07 758.67 773.27 787.87 796.98 805.74 814.50 823.26 13171317 Head of Household 755.34 769.94 779.69 788.45 797.21 805.97 814.74 823.50 832.26 841.02 13171317 Married Filing joint 784.88 793.64 802.40 811.16 819.92 828.68 837.44 846.21 852.69 13171317 Married Filling Separate 713.41 728.02 742.62 757.22 771.82 786.43 795.53 804.29 813.05 821.81 1317

1318 Single 715.33 729.93 744.53 759.13 773.74 788.34 797.51 806.28 815.04 823.80 13181318 Head of Household 755.81 770.41 780.24 789.00 797.76 806.52 815.28 824.04 832.81 841.57 13181318 Married Filing joint 785.42 794.18 802.94 811.71 820.47 829.23 837.99 846.75 853.27 13181318 Married Filling Separate 713.88 728.48 743.08 757.69 772.29 786.89 796.07 804.83 813.59 822.35 1318

1319 Single 715.79 730.39 744.99 759.60 774.20 788.80 798.05 806.81 815.58 824.34 13191319 Head of Household 756.28 770.88 780.78 789.54 798.31 807.07 815.83 824.59 833.35 842.11 13191319 Married Filing joint 785.97 794.73 803.49 812.25 821.01 829.78 838.54 847.30 853.85 13191319 Married Filling Separate 714.34 728.94 743.55 758.15 772.75 787.35 796.61 805.37 814.13 822.89 1319

1320 Single 716.25 730.86 745.46 760.06 774.66 789.27 798.59 807.35 816.11 824.88 13201320 Head of Household 756.75 771.36 781.33 790.09 798.85 807.61 816.38 825.14 833.90 842.66 13201320 Married Filing joint 786.51 795.28 804.04 812.80 821.56 830.32 839.08 847.85 854.44 13201320 Married Filling Separate 714.81 729.41 744.01 758.61 773.22 787.82 797.14 805.91 814.67 823.43 1320

Page 185: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1321 Single 716.72 731.32 745.92 760.52 775.13 789.73 799.13 807.89 816.65 825.42 13211321 Head of Household 757.22 771.83 781.88 790.64 799.40 808.16 816.92 825.68 834.44 843.21 13211321 Married Filing joint 787.06 795.82 804.58 813.35 822.11 830.87 839.63 848.39 855.02 13211321 Married Filling Separate 715.27 729.87 744.47 759.08 773.68 788.28 797.68 806.44 815.21 823.97 1321

1322 Single 717.18 731.78 746.39 760.99 775.59 790.19 799.67 808.43 817.19 825.95 13221322 Head of Household 757.70 772.30 782.42 791.18 799.95 808.71 817.47 826.23 834.99 843.75 13221322 Married Filing joint 787.61 796.37 805.13 813.89 822.65 831.41 840.18 848.94 855.61 13221322 Married Filling Separate 715.73 730.34 744.94 759.54 774.14 788.75 798.22 806.98 815.74 824.51 1322

1323 Single 717.64 732.25 746.85 761.45 776.05 790.66 800.21 808.97 817.73 826.49 13231323 Head of Household 758.17 772.77 782.97 791.73 800.49 809.25 818.01 826.78 835.54 844.30 13231323 Married Filing joint 788.15 796.92 805.68 814.44 823.20 831.96 840.72 849.48 856.19 13231323 Married Filling Separate 716.20 730.80 745.40 760.00 774.61 789.21 798.76 807.52 816.28 825.05 1323

1324 Single 718.11 732.71 747.31 761.92 776.52 791.12 800.75 809.51 818.27 827.03 13241324 Head of Household 758.64 773.24 783.51 792.28 801.04 809.80 818.56 827.32 836.08 844.85 13241324 Married Filing joint 788.70 797.46 806.22 814.98 823.75 832.51 841.27 850.03 856.77 13241324 Married Filling Separate 716.66 731.26 745.87 760.47 775.07 789.67 799.30 808.06 816.82 825.58 1324

1325 Single 718.57 733.17 747.78 762.38 776.98 791.58 801.29 810.05 818.81 827.57 13251325 Head of Household 759.11 773.71 784.06 792.82 801.58 810.35 819.11 827.87 836.63 845.39 13251325 Married Filing joint 789.25 798.01 806.77 815.53 824.29 833.05 841.82 850.58 857.36 13251325 Married Filling Separate 717.12 731.73 746.33 760.93 775.53 790.14 799.84 808.60 817.36 826.12 1325

1326 Single 719.04 733.64 748.24 762.84 777.45 792.05 801.82 810.59 819.35 828.11 13261326 Head of Household 759.58 774.18 784.61 793.37 802.13 810.89 819.65 828.42 837.18 845.94 13261326 Married Filing joint 789.79 798.55 807.32 816.08 824.84 833.60 842.36 851.12 857.94 13261326 Married Filling Separate 717.59 732.19 746.79 761.40 776.00 790.60 800.38 809.14 817.90 826.66 1326

1327 Single 719.50 734.10 748.71 763.31 777.91 792.51 802.36 811.13 819.89 828.65 13271327 Head of Household 760.05 774.66 785.15 793.92 802.68 811.44 820.20 828.96 837.72 846.48 13271327 Married Filing joint 789.69 798.45 807.21 815.97 824.74 833.50 842.26 851.02 857.88 13271327 Married Filling Separate 718.05 732.66 747.26 761.86 776.46 791.07 800.92 809.68 818.44 827.20 1327

1328 Single 719.96 734.57 749.17 763.77 778.37 792.98 802.90 811.66 820.43 829.19 13281328 Head of Household 760.52 775.13 785.70 794.46 803.22 811.98 820.75 829.51 838.27 847.03 13281328 Married Filing joint 790.24 799.00 807.76 816.52 825.28 834.04 842.81 851.57 858.46 13281328 Married Filling Separate 718.52 733.12 747.72 762.32 776.93 791.53 801.46 810.22 818.98 827.74 1328

Page 186: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1329 Single 720.43 735.03 749.63 764.24 778.84 793.44 803.44 812.20 820.96 829.73 13291329 Head of Household 761.00 775.60 786.25 795.01 803.77 812.53 821.29 830.05 838.82 847.58 13291329 Married Filing joint 790.78 799.54 808.31 817.07 825.83 834.59 843.35 852.11 859.04 13291329 Married Filling Separate 718.98 733.58 748.19 762.79 777.39 791.99 801.99 810.76 819.52 828.28 1329

1330 Single 720.89 735.49 750.10 764.70 779.30 793.90 803.98 812.74 821.50 830.26 13301330 Head of Household 761.47 776.07 786.79 795.55 804.32 813.08 821.84 830.60 839.36 848.12 13301330 Married Filing joint 791.33 800.09 808.85 817.61 826.38 835.14 843.90 852.66 859.63 13301330 Married Filling Separate 719.44 734.05 748.65 763.25 777.85 792.46 802.53 811.29 820.06 828.82 1330

1331 Single 721.36 735.96 750.56 765.16 779.77 794.37 804.52 813.28 822.04 830.80 13311331 Head of Household 761.94 776.54 787.34 796.10 804.86 813.62 822.39 831.15 839.91 848.67 13311331 Married Filing joint 791.88 800.64 809.40 818.16 826.92 835.68 844.44 853.21 860.21 13311331 Married Filling Separate 719.91 734.51 749.11 763.72 778.32 792.92 803.07 811.83 820.59 829.36 1331

1332 Single 721.82 736.42 751.02 765.63 780.23 794.83 805.06 813.82 822.58 831.34 13321332 Head of Household 762.41 777.01 787.89 796.65 805.41 814.17 822.93 831.69 840.45 849.22 13321332 Married Filing joint 792.42 801.18 809.95 818.71 827.47 836.23 844.99 853.75 860.80 13321332 Married Filling Separate 720.37 734.97 749.58 764.18 778.78 793.38 803.61 812.37 821.13 829.90 1332

1333 Single 722.28 736.89 751.49 766.09 780.69 795.30 805.60 814.36 823.12 831.88 13331333 Head of Household 762.88 777.48 788.43 797.19 805.96 814.72 823.48 832.24 841.00 849.76 13331333 Married Filing joint 792.97 801.73 810.49 819.25 828.01 836.78 845.54 854.30 861.38 13331333 Married Filling Separate 720.84 735.44 750.04 764.64 779.25 793.85 804.15 812.91 821.67 830.43 1333

1334 Single 722.75 737.35 751.95 766.55 781.16 795.76 806.14 814.90 823.66 832.42 13341334 Head of Household 763.35 777.96 788.98 797.74 806.50 815.26 824.02 832.79 841.55 850.31 13341334 Married Filing joint 793.51 802.28 811.04 819.80 828.56 837.32 846.08 854.85 861.96 13341334 Married Filling Separate 721.30 735.90 750.50 765.11 779.71 794.31 804.69 813.45 822.21 830.97 1334

1335 Single 723.21 737.81 752.42 767.02 781.62 796.22 806.67 815.44 824.20 832.96 13351335 Head of Household 763.82 778.43 789.52 798.29 807.05 815.81 824.57 833.33 842.09 850.86 13351335 Married Filing joint 794.06 802.82 811.58 820.35 829.11 837.87 846.63 855.39 862.55 13351335 Married Filling Separate 721.76 736.37 750.97 765.57 780.17 794.78 805.23 813.99 822.75 831.51 1335

1336 Single 723.67 738.28 752.88 767.48 782.08 796.69 807.21 815.98 824.74 833.50 13361336 Head of Household 764.30 778.90 790.07 798.83 807.59 816.36 825.12 833.88 842.64 851.40 13361336 Married Filing joint 794.61 803.37 812.13 820.89 829.65 838.42 847.18 855.94 863.13 13361336 Married Filling Separate 722.23 736.83 751.43 766.03 780.64 795.24 805.77 814.53 823.29 832.05 1336

Page 187: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1337 Single 724.14 738.74 753.34 767.95 782.55 797.15 807.75 816.51 825.28 834.04 13371337 Head of Household 764.77 779.37 790.62 799.38 808.14 816.90 825.66 834.43 843.19 851.95 13371337 Married Filing joint 795.15 803.92 812.68 821.44 830.20 838.96 847.72 856.48 863.71 13371337 Married Filling Separate 722.69 737.29 751.90 766.50 781.10 795.70 806.31 815.07 823.83 832.59 1337

1338 Single 724.60 739.21 753.81 768.41 783.01 797.62 808.29 817.05 825.81 834.58 13381338 Head of Household 765.24 779.84 791.16 799.93 808.69 817.45 826.21 834.97 843.73 852.49 13381338 Married Filing joint 795.70 804.46 813.22 821.98 830.75 839.51 848.27 857.03 864.30 13381338 Married Filling Separate 723.16 737.76 752.36 766.96 781.57 796.17 806.84 815.61 824.37 833.13 1338

1339 Single 725.07 739.67 754.27 768.87 783.48 798.08 808.83 817.59 826.35 835.11 13391339 Head of Household 765.71 780.31 791.71 800.47 809.23 817.99 826.76 835.52 844.28 853.04 13391339 Married Filing joint 796.25 805.01 813.77 822.53 831.29 840.05 848.82 857.58 864.88 13391339 Married Filling Separate 723.62 738.22 752.82 767.43 782.03 796.63 807.38 816.14 824.91 833.67 1339

1340 Single 725.53 740.13 754.74 769.34 783.94 798.54 809.37 818.13 826.89 835.65 13401340 Head of Household 766.18 780.78 792.26 801.02 809.78 818.54 827.30 836.06 844.83 853.59 13401340 Married Filing joint 796.79 805.55 814.32 823.08 831.84 840.60 849.36 858.12 865.47 13401340 Married Filling Separate 724.08 738.69 753.29 767.89 782.49 797.10 807.92 816.68 825.44 834.21 1340

1341 Single 725.99 740.60 755.20 769.80 784.40 799.01 809.91 818.67 827.43 836.19 13411341 Head of Household 766.65 781.25 792.80 801.56 810.33 819.09 827.85 836.61 845.37 854.13 13411341 Married Filing joint 797.34 806.10 814.86 823.62 832.39 841.15 849.91 858.67 866.05 13411341 Married Filling Separate 724.55 739.15 753.75 768.35 782.96 797.56 808.46 817.22 825.98 834.75 1341

1342 Single 726.46 741.06 755.66 770.27 784.87 799.47 810.45 819.21 827.97 836.73 13421342 Head of Household 767.12 781.73 793.35 802.11 810.87 819.63 828.40 837.16 845.92 854.68 13421342 Married Filing joint 797.89 806.65 815.41 824.17 832.93 841.69 850.45 859.22 866.63 13421342 Married Filling Separate 725.01 739.61 754.22 768.82 783.42 798.02 809.00 817.76 826.52 835.28 1342

1343 Single 726.92 741.52 756.13 770.73 785.33 799.93 810.99 819.75 828.51 837.27 13431343 Head of Household 767.59 782.20 793.90 802.66 811.42 820.18 828.94 837.70 846.46 855.23 13431343 Married Filing joint 798.43 807.19 815.96 824.72 833.48 842.24 851.00 859.76 867.22 13431343 Married Filling Separate 725.47 740.08 754.68 769.28 783.88 798.49 809.54 818.30 827.06 835.82 1343

1344 Single 727.39 741.99 756.59 771.19 785.80 800.40 811.52 820.29 829.05 837.81 13441344 Head of Household 768.07 782.67 794.44 803.20 811.97 820.73 829.49 838.25 847.01 855.77 13441344 Married Filing joint 798.98 807.74 816.50 825.26 834.02 842.79 851.55 860.31 867.80 13441344 Married Filling Separate 725.94 740.54 755.14 769.75 784.35 798.95 810.08 818.84 827.60 836.36 1344

Page 188: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1345 Single 727.85 742.45 757.05 771.66 786.26 800.86 812.06 820.83 829.59 838.35 13451345 Head of Household 768.54 783.14 794.99 803.75 812.51 821.27 830.03 838.80 847.56 856.32 13451345 Married Filing joint 799.53 808.29 817.05 825.81 834.57 843.33 852.09 860.86 868.39 13451345 Married Filling Separate 726.40 741.00 755.61 770.21 784.81 799.41 810.62 819.38 828.14 836.90 1345

1346 Single 728.31 742.92 757.52 772.12 786.72 801.33 812.60 821.36 830.13 838.89 13461346 Head of Household 769.01 783.61 795.54 804.30 813.06 821.82 830.58 839.34 848.10 856.87 13461346 Married Filing joint 800.07 808.83 817.59 826.36 835.12 843.88 852.64 861.40 868.97 13461346 Married Filling Separate 726.87 741.47 756.07 770.67 785.28 799.88 811.15 819.92 828.68 837.44 1346

1347 Single 728.78 743.38 757.98 772.59 787.19 801.79 813.14 821.90 830.66 839.43 13471347 Head of Household 769.48 784.08 796.08 804.84 813.60 822.37 831.13 839.89 848.65 857.41 13471347 Married Filing joint 799.97 808.73 817.49 826.25 835.01 843.78 852.54 861.30 868.90 13471347 Married Filling Separate 727.33 741.93 756.54 771.14 785.74 800.34 811.69 820.46 829.22 837.98 1347

1348 Single 729.24 743.84 758.45 773.05 787.65 802.25 813.68 822.44 831.20 839.96 13481348 Head of Household 769.95 784.55 796.63 805.39 814.15 822.91 831.67 840.44 849.20 857.96 13481348 Married Filing joint 800.52 809.28 818.04 826.80 835.56 844.32 853.08 861.85 869.49 13481348 Married Filling Separate 727.79 742.40 757.00 771.60 786.20 800.81 812.23 820.99 829.76 838.52 1348

1349 Single 729.71 744.31 758.91 773.51 788.12 802.72 814.22 822.98 831.74 840.50 13491349 Head of Household 770.42 785.03 797.17 805.94 814.70 823.46 832.22 840.98 849.74 858.50 13491349 Married Filing joint 801.06 809.82 818.58 827.35 836.11 844.87 853.63 862.39 870.07 13491349 Married Filling Separate 728.26 742.86 757.46 772.07 786.67 801.27 812.77 821.53 830.29 839.06 1349

1350 Single 730.17 744.77 759.37 773.98 788.58 803.18 814.76 823.52 832.28 841.04 13501350 Head of Household 770.89 785.50 797.72 806.48 815.24 824.01 832.77 841.53 850.29 859.05 13501350 Married Filing joint 801.61 810.37 819.13 827.89 836.65 845.42 854.18 862.94 870.66 13501350 Married Filling Separate 728.72 743.32 757.93 772.53 787.13 801.73 813.31 822.07 830.83 839.59 1350

1351 Single 730.63 745.24 759.84 774.44 789.04 803.65 815.30 824.06 832.82 841.58 13511351 Head of Household 771.37 785.97 798.27 807.03 815.79 824.55 833.31 842.07 850.84 859.60 13511351 Married Filing joint 802.15 810.92 819.68 828.44 837.20 845.96 854.72 863.48 871.24 13511351 Married Filling Separate 728.90 743.50 758.11 772.71 787.31 801.91 813.56 822.33 831.09 839.85 1351

1352 Single 731.10 745.70 760.30 774.90 789.51 804.11 815.84 824.60 833.36 842.12 13521352 Head of Household 771.84 786.44 798.81 807.57 816.34 825.10 833.86 842.62 851.38 860.14 13521352 Married Filing joint 802.70 811.46 820.22 828.99 837.75 846.51 855.27 864.03 871.82 13521352 Married Filling Separate 729.36 743.97 758.57 773.17 787.77 802.38 814.10 822.86 831.63 840.39 1352

Page 189: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1353 Single 731.56 746.16 760.77 775.37 789.97 804.57 816.37 825.14 833.90 842.66 13531353 Head of Household 772.31 786.91 799.36 808.12 816.88 825.64 834.41 843.17 851.93 860.69 13531353 Married Filing joint 803.25 812.01 820.77 829.53 838.29 847.05 855.82 864.58 872.41 13531353 Married Filling Separate 729.83 744.43 759.03 773.64 788.24 802.84 814.64 823.40 832.17 840.93 1353

1354 Single 732.02 746.63 761.23 775.83 790.43 805.04 816.91 825.67 834.44 843.20 13541354 Head of Household 772.78 787.38 799.91 808.67 817.43 826.19 834.95 843.71 852.48 861.24 13541354 Married Filing joint 803.79 812.55 821.32 830.08 838.84 847.60 856.36 865.12 872.99 13541354 Married Filling Separate 730.29 744.89 759.50 774.10 788.70 803.30 815.18 823.94 832.70 841.47 1354

1355 Single 732.49 747.09 761.69 776.30 790.90 805.50 817.45 826.21 834.98 843.74 13551355 Head of Household 773.25 787.85 800.45 809.21 817.98 826.74 835.50 844.26 853.02 861.78 13551355 Married Filing joint 804.34 813.10 821.86 830.62 839.39 848.15 856.91 865.67 873.58 13551355 Married Filling Separate 730.76 745.36 759.96 774.56 789.17 803.77 815.72 824.48 833.24 842.00 1355

1356 Single 732.95 747.55 762.16 776.76 791.36 805.96 817.99 826.75 835.51 844.28 13561356 Head of Household 773.72 788.33 801.00 809.76 818.52 827.28 836.04 844.81 853.57 862.33 13561356 Married Filing joint 804.89 813.65 822.41 831.17 839.93 848.69 857.46 866.22 874.16 13561356 Married Filling Separate 731.22 745.82 760.42 775.03 789.63 804.23 816.26 825.02 833.78 842.54 1356

1357 Single 733.42 748.02 762.62 777.22 791.83 806.43 818.53 827.29 836.05 844.81 13571357 Head of Household 774.19 788.80 801.55 810.31 819.07 827.83 836.59 845.35 854.11 862.88 13571357 Married Filing joint 805.43 814.19 822.96 831.72 840.48 849.24 858.00 866.76 874.74 13571357 Married Filling Separate 731.68 746.29 760.89 775.49 790.09 804.70 816.80 825.56 834.32 843.08 1357

1358 Single 733.88 748.48 763.09 777.69 792.29 806.89 819.07 827.83 836.59 845.35 13581358 Head of Household 774.67 789.27 802.09 810.85 819.61 828.38 837.14 845.90 854.66 863.42 13581358 Married Filing joint 805.98 814.74 823.50 832.26 841.02 849.79 858.55 867.31 875.33 13581358 Married Filling Separate 732.15 746.75 761.35 775.96 790.56 805.16 817.34 826.10 834.86 843.62 1358

1359 Single 734.34 748.95 763.55 778.15 792.75 807.36 819.61 828.37 837.13 845.89 13591359 Head of Household 775.14 789.74 802.64 811.40 820.16 828.92 837.68 846.45 855.21 863.97 13591359 Married Filing joint 806.53 815.29 824.05 832.81 841.57 850.33 859.09 867.86 875.91 13591359 Married Filling Separate 732.61 747.21 761.82 776.42 791.02 805.62 817.88 826.64 835.40 844.16 1359

1360 Single 734.81 749.41 764.01 778.62 793.22 807.82 820.15 828.91 837.67 846.43 13601360 Head of Household 775.61 790.21 803.18 811.95 820.71 829.47 838.23 846.99 855.75 864.51 13601360 Married Filing joint 807.07 815.83 824.59 833.36 842.12 850.88 859.64 868.40 876.49 13601360 Married Filling Separate 733.08 747.68 762.28 776.88 791.49 806.09 818.41 827.18 835.94 844.70 1360

Page 190: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1361 Single 735.27 749.87 764.48 779.08 793.68 808.28 820.69 829.45 838.21 846.97 13611361 Head of Household 776.08 790.68 803.73 812.49 821.25 830.02 838.78 847.54 856.30 865.06 13611361 Married Filing joint 807.62 816.38 825.14 833.90 842.66 851.43 860.19 868.95 877.08 13611361 Married Filling Separate 733.54 748.14 762.74 777.35 791.95 806.55 818.95 827.71 836.48 845.24 1361

1362 Single 735.74 750.34 764.94 779.54 794.15 808.75 821.22 829.99 838.75 847.51 13621362 Head of Household 776.55 791.15 804.28 813.04 821.80 830.56 839.32 848.08 856.85 865.61 13621362 Married Filing joint 808.16 816.93 825.69 834.45 843.21 851.97 860.73 869.49 877.66 13621362 Married Filling Separate 734.00 748.61 763.21 777.81 792.41 807.02 819.49 828.25 837.01 845.78 1362

1363 Single 736.20 750.80 765.40 780.01 794.61 809.21 821.76 830.52 839.29 848.05 13631363 Head of Household 777.02 791.62 804.82 813.58 822.35 831.11 839.87 848.63 857.39 866.15 13631363 Married Filing joint 808.71 817.47 826.23 835.00 843.76 852.52 861.28 870.04 878.25 13631363 Married Filling Separate 734.47 749.07 763.67 778.27 792.88 807.48 820.03 828.79 837.55 846.32 1363

1364 Single 736.66 751.27 765.87 780.47 795.07 809.68 822.30 831.06 839.83 848.59 13641364 Head of Household 777.49 792.10 805.37 814.13 822.89 831.65 840.42 849.18 857.94 866.70 13641364 Married Filing joint 809.26 818.02 826.78 835.54 844.30 853.06 861.83 870.59 878.83 13641364 Married Filling Separate 734.93 749.53 764.14 778.74 793.34 807.94 820.57 829.33 838.09 846.85 1364

1365 Single 737.13 751.73 766.33 780.93 795.54 810.14 822.84 831.60 840.36 849.13 13651365 Head of Household 777.97 792.57 805.92 814.68 823.44 832.20 840.96 849.72 858.49 867.25 13651365 Married Filing joint 809.80 818.57 827.33 836.09 844.85 853.61 862.37 871.13 879.41 13651365 Married Filling Separate 735.39 750.00 764.60 779.20 793.80 808.41 821.11 829.87 838.63 847.39 1365

1366 Single 737.59 752.19 766.80 781.40 796.00 810.60 823.38 832.14 840.90 849.66 13661366 Head of Household 778.44 793.04 806.46 815.22 823.99 832.75 841.51 850.27 859.03 867.79 13661366 Married Filing joint 809.70 818.46 827.22 835.99 844.75 853.51 862.27 871.03 879.35 13661366 Married Filling Separate 735.86 750.46 765.06 779.67 794.27 808.87 821.65 830.41 839.17 847.93 1366

1367 Single 738.06 752.66 767.26 781.86 796.47 811.07 823.92 832.68 841.44 850.20 13671367 Head of Household 778.91 793.51 807.01 815.77 824.53 833.29 842.05 850.82 859.58 868.34 13671367 Married Filing joint 810.25 819.01 827.77 836.53 845.29 854.05 862.82 871.58 879.93 13671367 Married Filling Separate 736.32 750.93 765.53 780.13 794.73 809.34 822.19 830.95 839.71 848.47 1367

1368 Single 738.52 753.12 767.72 782.33 796.93 811.53 824.46 833.22 841.98 850.74 13681368 Head of Household 779.38 793.98 807.56 816.32 825.08 833.84 842.60 851.36 860.12 868.89 13681368 Married Filing joint 810.79 819.56 828.32 837.08 845.84 854.60 863.36 872.12 880.52 13681368 Married Filling Separate 736.79 751.39 765.99 780.59 795.20 809.80 822.73 831.49 840.25 849.01 1368

Page 191: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1369 Single 738.98 753.59 768.19 782.79 797.39 812.00 825.00 833.76 842.52 851.28 13691369 Head of Household 779.85 794.45 808.10 816.86 825.62 834.39 843.15 851.91 860.67 869.43 13691369 Married Filing joint 811.34 820.10 828.86 837.62 846.39 855.15 863.91 872.67 881.10 13691369 Married Filling Separate 737.25 751.85 766.46 781.06 795.66 810.26 823.26 832.03 840.79 849.55 1369

1370 Single 739.45 754.05 768.65 783.25 797.86 812.46 825.54 834.30 843.06 851.82 13701370 Head of Household 780.32 794.92 808.65 817.41 826.17 834.93 843.69 852.46 861.22 869.98 13701370 Married Filing joint 811.89 820.65 829.41 838.17 846.93 855.69 864.46 873.22 881.68 13701370 Married Filling Separate 737.71 752.32 766.92 781.52 796.12 810.73 823.80 832.56 841.33 850.09 1370

1371 Single 739.91 754.51 769.12 783.72 798.32 812.92 826.07 834.84 843.60 852.36 13711371 Head of Household 780.79 795.40 809.19 817.96 826.72 835.48 844.24 853.00 861.76 870.52 13711371 Married Filing joint 812.43 821.19 829.96 838.72 847.48 856.24 865.00 873.76 882.27 13711371 Married Filling Separate 738.18 752.78 767.38 781.99 796.59 811.19 824.34 833.10 841.86 850.63 1371

1372 Single 740.37 754.98 769.58 784.18 798.78 813.39 826.61 835.37 844.14 852.90 13721372 Head of Household 781.26 795.87 809.74 818.50 827.26 836.03 844.79 853.55 862.31 871.07 13721372 Married Filing joint 812.98 821.74 830.50 839.26 848.03 856.79 865.55 874.31 882.85 13721372 Married Filling Separate 738.64 753.24 767.85 782.45 797.05 811.65 824.88 833.64 842.40 851.17 1372

1373 Single 740.84 755.44 770.04 784.65 799.25 813.85 827.15 835.91 844.68 853.44 13731373 Head of Household 781.74 796.34 810.29 819.05 827.81 836.57 845.33 854.09 862.86 871.62 13731373 Married Filing joint 813.53 822.29 831.05 839.81 848.57 857.33 866.09 874.86 883.44 13731373 Married Filling Separate 739.11 753.71 768.31 782.91 797.52 812.12 825.42 834.18 842.94 851.70 1373

1374 Single 741.30 755.90 770.51 785.11 799.71 814.31 827.69 836.45 845.21 853.98 13741374 Head of Household 782.21 796.81 810.83 819.60 828.36 837.12 845.88 854.64 863.40 872.16 13741374 Married Filing joint 814.07 822.83 831.59 840.36 849.12 857.88 866.64 875.40 884.02 13741374 Married Filling Separate 739.57 754.17 768.77 783.38 797.98 812.58 825.96 834.72 843.48 852.24 1374

1375 Single 741.77 756.37 770.97 785.57 800.18 814.78 828.23 836.99 845.75 854.51 13751375 Head of Household 782.68 797.28 811.38 820.14 828.90 837.66 846.43 855.19 863.95 872.71 13751375 Married Filing joint 814.62 823.38 832.14 840.90 849.66 858.43 867.19 875.95 884.60 13751375 Married Filling Separate 740.03 754.64 769.24 783.84 798.44 813.05 826.50 835.26 844.02 852.78 1375

1376 Single 741.94 756.54 771.14 785.74 800.35 814.95 828.48 837.24 846.00 854.76 13761376 Head of Household 783.15 797.75 811.93 820.69 829.45 838.21 846.97 855.73 864.50 873.26 13761376 Married Filing joint 815.16 823.93 832.69 841.45 850.21 858.97 867.73 876.50 885.19 13761376 Married Filling Separate 740.50 755.10 769.70 784.30 798.91 813.51 827.04 835.80 844.56 853.32 1376

Page 192: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1377 Single 742.40 757.00 771.61 786.21 800.81 815.41 829.02 837.78 846.54 855.30 13771377 Head of Household 783.62 798.22 812.47 821.23 830.00 838.76 847.52 856.28 865.04 873.80 13771377 Married Filing joint 815.71 824.47 833.23 842.00 850.76 859.52 868.28 877.04 885.77 13771377 Married Filling Separate 740.96 755.56 770.17 784.77 799.37 813.97 827.58 836.34 845.10 853.86 1377

1378 Single 742.87 757.47 772.07 786.67 801.28 815.88 829.55 838.32 847.08 855.84 13781378 Head of Household 784.09 798.70 813.02 821.78 830.54 839.30 848.07 856.83 865.59 874.35 13781378 Married Filing joint 816.26 825.02 833.78 842.54 851.30 860.06 868.83 877.59 886.35 13781378 Married Filling Separate 741.43 756.03 770.63 785.23 799.84 814.44 828.11 836.88 845.64 854.40 1378

1379 Single 743.33 757.93 772.53 787.14 801.74 816.34 830.09 838.85 847.62 856.38 13791379 Head of Household 784.56 799.17 813.57 822.33 831.09 839.85 848.61 857.37 866.13 874.90 13791379 Married Filing joint 816.80 825.57 834.33 843.09 851.85 860.61 869.37 878.13 886.90 13791379 Married Filling Separate 741.89 756.49 771.09 785.70 800.30 814.90 828.65 837.41 846.18 854.94 1379

1380 Single 743.79 758.40 773.00 787.60 802.20 816.81 830.63 839.39 848.15 856.92 13801380 Head of Household 785.04 799.64 814.11 822.87 831.63 840.40 849.16 857.92 866.68 875.44 13801380 Married Filing joint 817.35 826.11 834.87 843.63 852.40 861.16 869.92 878.68 887.44 13801380 Married Filling Separate 742.35 756.96 771.56 786.16 800.76 815.37 829.19 837.95 846.71 855.48 1380

1381 Single 744.26 758.86 773.46 788.06 802.67 817.27 831.17 839.93 848.69 857.46 13811381 Head of Household 785.51 800.11 814.66 823.42 832.18 840.94 849.70 858.47 867.23 875.99 13811381 Married Filing joint 817.90 826.66 835.42 844.18 852.94 861.70 870.47 879.23 887.99 13811381 Married Filling Separate 742.82 757.42 772.02 786.62 801.23 815.83 829.73 838.49 847.25 856.02 1381

1382 Single 744.72 759.32 773.93 788.53 803.13 817.73 831.71 840.47 849.23 857.99 13821382 Head of Household 785.98 800.58 815.18 823.97 832.73 841.49 850.25 859.01 867.77 876.54 13821382 Married Filing joint 818.44 827.20 835.97 844.73 853.49 862.25 871.01 879.77 888.53 13821382 Married Filling Separate 743.28 757.88 772.49 787.09 801.69 816.29 830.27 839.03 847.79 856.55 1382

1383 Single 745.18 759.79 774.39 788.99 803.59 818.20 832.25 841.01 849.77 858.53 13831383 Head of Household 786.45 801.05 815.65 824.51 833.27 842.04 850.80 859.56 868.32 877.08 13831383 Married Filing joint 818.99 827.75 836.51 845.27 854.04 862.80 871.56 880.32 889.08 13831383 Married Filling Separate 743.74 758.35 772.95 787.55 802.15 816.76 830.81 839.57 848.33 857.09 1383

1384 Single 745.65 760.25 774.85 789.46 804.06 818.66 832.79 841.55 850.31 859.07 13841384 Head of Household 786.92 801.52 816.13 825.06 833.82 842.58 851.34 860.10 868.87 877.63 13841384 Married Filing joint 819.54 828.30 837.06 845.82 854.58 863.34 872.10 880.87 889.63 13841384 Married Filling Separate 744.21 758.81 773.41 788.02 802.62 817.22 831.35 840.11 848.87 857.63 1384

Page 193: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1385 Single 746.11 760.71 775.32 789.92 804.52 819.12 833.33 842.09 850.85 859.61 13851385 Head of Household 787.39 802.00 816.60 825.61 834.37 843.13 851.89 860.65 869.41 878.17 13851385 Married Filing joint 820.08 828.84 837.60 846.37 855.13 863.89 872.65 881.41 890.17 13851385 Married Filling Separate 744.67 759.27 773.88 788.48 803.08 817.68 831.89 840.65 849.41 858.17 1385

1386 Single 746.58 761.18 775.78 790.38 804.99 819.59 833.86 842.63 851.39 860.15 13861386 Head of Household 787.86 802.47 817.07 826.15 834.91 843.67 852.44 861.20 869.96 878.72 13861386 Married Filing joint 820.63 829.39 838.15 846.91 855.67 864.44 873.20 881.96 890.72 13861386 Married Filling Separate 745.14 759.74 774.34 788.94 803.55 818.15 832.42 841.19 849.95 858.71 1386

1387 Single 747.04 761.64 776.25 790.85 805.45 820.05 834.40 843.17 851.93 860.69 13871387 Head of Household 788.34 802.94 817.54 826.70 835.46 844.22 852.98 861.74 870.51 879.27 13871387 Married Filing joint 821.17 829.94 838.70 847.46 856.22 864.98 873.74 882.51 891.27 13871387 Married Filling Separate 745.60 760.20 774.81 789.41 804.01 818.61 832.96 841.73 850.49 859.25 1387

1388 Single 747.50 762.11 776.71 791.31 805.91 820.52 834.94 843.70 852.47 861.23 13881388 Head of Household 788.81 803.41 818.01 827.24 836.01 844.77 853.53 862.29 871.05 879.81 13881388 Married Filing joint 821.72 830.48 839.24 848.01 856.77 865.53 874.29 883.05 891.81 13881388 Married Filling Separate 746.06 760.67 775.27 789.87 804.47 819.08 833.50 842.26 851.03 859.79 1388

1389 Single 747.97 762.57 777.17 791.78 806.38 820.98 835.48 844.24 853.00 861.77 13891389 Head of Household 789.28 803.88 818.48 827.79 836.55 845.31 854.08 862.84 871.60 880.36 13891389 Married Filing joint 822.27 831.03 839.79 848.55 857.31 866.07 874.84 883.60 892.36 13891389 Married Filling Separate 746.53 761.13 775.73 790.34 804.94 819.54 834.04 842.80 851.56 860.33 1389

1390 Single 748.43 763.03 777.64 792.24 806.84 821.44 836.02 844.78 853.54 862.30 13901390 Head of Household 789.75 804.35 818.95 828.34 837.10 845.86 854.62 863.38 872.14 880.91 13901390 Married Filing joint 822.81 831.58 840.34 849.10 857.86 866.62 875.38 884.14 892.91 13901390 Married Filling Separate 746.99 761.59 776.20 790.80 805.40 820.00 834.58 843.34 852.10 860.86 1390

1391 Single 748.90 763.50 778.10 792.70 807.31 821.91 836.51 845.32 854.08 862.84 13911391 Head of Household 790.22 804.82 819.43 828.88 837.64 846.41 855.17 863.93 872.69 881.45 13911391 Married Filing joint 823.36 832.12 840.88 849.64 858.41 867.17 875.93 884.69 893.45 13911391 Married Filling Separate 747.46 762.06 776.66 791.26 805.87 820.47 835.07 843.88 852.64 861.40 1391

1392 Single 749.36 763.96 778.56 793.17 807.77 822.37 836.97 845.86 854.62 863.38 13921392 Head of Household 790.69 805.29 819.90 829.43 838.19 846.95 855.71 864.48 873.24 882.00 13921392 Married Filing joint 823.91 832.67 841.43 850.19 858.95 867.71 876.48 885.24 894.00 13921392 Married Filling Separate 747.92 762.52 777.12 791.73 806.33 820.93 835.53 844.42 853.18 861.94 1392

Page 194: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1393 Single 749.82 764.43 779.03 793.63 808.23 822.84 837.44 846.40 855.16 863.92 13931393 Head of Household 791.16 805.77 820.37 829.98 838.74 847.50 856.26 865.02 873.78 882.55 13931393 Married Filing joint 824.45 833.21 841.98 850.74 859.50 868.26 877.02 885.78 894.54 13931393 Married Filling Separate 748.38 762.99 777.59 792.19 806.79 821.40 836.00 844.96 853.72 862.48 1393

1394 Single 750.29 764.89 779.49 794.09 808.70 823.30 837.90 846.94 855.70 864.46 13941394 Head of Household 791.64 806.24 820.84 830.52 839.28 848.05 856.81 865.57 874.33 883.09 13941394 Married Filing joint 825.00 833.76 842.52 851.28 860.05 868.81 877.57 886.33 895.09 13941394 Married Filling Separate 748.85 763.45 778.05 792.65 807.26 821.86 836.46 845.50 854.26 863.02 1394

1395 Single 750.75 765.35 779.96 794.56 809.16 823.76 838.37 847.48 856.24 865.00 13951395 Head of Household 792.11 806.71 821.31 831.07 839.83 848.59 857.35 866.11 874.88 883.64 13951395 Married Filing joint 825.55 834.31 843.07 851.83 860.59 869.35 878.11 886.88 895.64 13951395 Married Filling Separate 749.31 763.91 778.52 793.12 807.72 822.32 836.93 846.04 854.80 863.56 1395

1396 Single 751.21 765.82 780.42 795.02 809.62 824.23 838.83 848.02 856.78 865.54 13961396 Head of Household 792.58 807.18 821.78 831.62 840.38 849.14 857.90 866.66 875.42 884.18 13961396 Married Filing joint 826.09 834.85 843.62 852.38 861.14 869.90 878.66 887.42 896.18 13961396 Married Filling Separate 749.77 764.38 778.98 793.58 808.18 822.79 837.39 846.58 855.34 864.10 1396

1397 Single 751.68 766.28 780.88 795.49 810.09 824.69 839.29 848.55 857.32 866.08 13971397 Head of Household 793.05 807.65 822.25 832.16 840.92 849.68 858.45 867.21 875.97 884.73 13971397 Married Filing joint 826.64 835.40 844.16 852.92 861.68 870.45 879.21 887.97 896.73 13971397 Married Filling Separate 750.24 764.84 779.44 794.05 808.65 823.25 837.85 847.11 855.88 864.64 1397

1398 Single 752.14 766.75 781.35 795.95 810.55 825.16 839.76 849.09 857.85 866.62 13981398 Head of Household 793.52 808.12 822.73 832.71 841.47 850.23 858.99 867.75 876.52 885.28 13981398 Married Filing joint 827.18 835.95 844.71 853.47 862.23 870.99 879.75 888.52 897.28 13981398 Married Filling Separate 750.70 765.31 779.91 794.51 809.11 823.72 838.32 847.65 856.41 865.18 1398

1399 Single 752.61 767.21 781.81 796.41 811.02 825.62 840.22 849.63 858.39 867.15 13991399 Head of Household 793.99 808.59 823.20 833.25 842.02 850.78 859.54 868.30 877.06 885.82 13991399 Married Filing joint 827.73 836.49 845.25 854.02 862.78 871.54 880.30 889.06 897.82 13991399 Married Filling Separate 751.17 765.77 780.37 794.97 809.58 824.18 838.78 848.19 856.95 865.71 1399

1400 Single 753.07 767.67 782.28 796.88 811.48 826.08 840.69 850.17 858.93 867.69 14001400 Head of Household 794.46 809.07 823.67 833.80 842.56 851.32 860.09 868.85 877.61 886.37 14001400 Married Filing joint 828.28 837.04 845.80 854.56 863.32 872.09 880.85 889.61 898.37 14001400 Married Filling Separate 751.34 765.94 780.54 795.15 809.75 824.35 838.95 848.44 857.20 865.96 1400

Page 195: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1401 Single 753.53 768.14 782.74 797.34 811.94 826.55 841.15 850.71 859.47 868.23 14011401 Head of Household 794.93 809.54 824.14 834.35 843.11 851.87 860.63 869.39 878.15 886.92 14011401 Married Filing joint 828.82 837.59 846.35 855.11 863.87 872.63 881.39 890.15 898.92 14011401 Married Filling Separate 751.80 766.40 781.01 795.61 810.21 824.81 839.42 848.98 857.74 866.50 1401

1402 Single 754.00 768.60 783.20 797.81 812.41 827.01 841.61 851.25 860.01 868.77 14021402 Head of Household 795.41 810.01 824.61 834.89 843.66 852.42 861.18 869.94 878.70 887.46 14021402 Married Filing joint 829.37 838.13 846.89 855.65 864.42 873.18 881.94 890.70 899.46 14021402 Married Filling Separate 752.27 766.87 781.47 796.07 810.68 825.28 839.88 849.52 858.28 867.04 1402

1403 Single 754.46 769.06 783.67 798.27 812.87 827.47 842.08 851.79 860.55 869.31 14031403 Head of Household 795.88 810.48 825.08 835.44 844.20 852.96 861.72 870.49 879.25 888.01 14031403 Married Filing joint 829.92 838.68 847.44 856.20 864.96 873.72 882.49 891.25 900.01 14031403 Married Filling Separate 752.73 767.33 781.93 796.54 811.14 825.74 840.34 850.05 858.82 867.58 1403

1404 Single 754.93 769.53 784.13 798.73 813.34 827.94 842.54 852.33 861.09 869.85 14041404 Head of Household 796.35 810.95 825.55 835.99 844.75 853.51 862.27 871.03 879.79 888.56 14041404 Married Filing joint 830.46 839.22 847.99 856.75 865.51 874.27 883.03 891.79 900.56 14041404 Married Filling Separate 753.19 767.80 782.40 797.00 811.60 826.21 840.81 850.59 859.36 868.12 1404

1405 Single 755.39 769.99 784.59 799.20 813.80 828.40 843.00 852.87 861.63 870.39 14051405 Head of Household 796.82 811.42 826.03 836.53 845.29 854.06 862.82 871.58 880.34 889.10 14051405 Married Filing joint 831.01 839.77 848.53 857.29 866.06 874.82 883.58 892.34 901.10 14051405 Married Filling Separate 753.66 768.26 782.86 797.46 812.07 826.67 841.27 851.13 859.89 868.66 1405

1406 Single 755.85 770.46 785.06 799.66 814.26 828.87 843.47 853.40 862.17 870.93 14061406 Head of Household 797.29 811.89 826.50 837.08 845.84 854.60 863.36 872.13 880.89 889.65 14061406 Married Filing joint 831.56 840.32 849.08 857.84 866.60 875.36 884.12 892.89 901.65 14061406 Married Filling Separate 754.12 768.72 783.33 797.93 812.53 827.13 841.74 851.67 860.43 869.19 1406

1407 Single 756.32 770.92 785.52 800.13 814.73 829.33 843.93 853.94 862.70 871.47 14071407 Head of Household 797.76 812.37 826.97 837.63 846.39 855.15 863.91 872.67 881.43 890.19 14071407 Married Filing joint 832.10 840.86 849.63 858.39 867.15 875.91 884.67 893.43 902.19 14071407 Married Filling Separate 754.59 769.19 783.79 798.39 813.00 827.60 842.20 852.21 860.97 869.73 1407

1408 Single 756.78 771.38 785.99 800.59 815.19 829.79 844.40 854.48 863.24 872.00 14081408 Head of Household 798.23 812.84 827.44 838.17 846.93 855.69 864.46 873.22 881.98 890.74 14081408 Married Filing joint 832.65 841.41 850.17 858.93 867.69 876.46 885.22 893.98 902.74 14081408 Married Filling Separate 755.05 769.65 784.25 798.86 813.46 828.06 842.66 852.75 861.51 870.27 1408

Page 196: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1409 Single 757.25 771.85 786.45 801.05 815.66 830.26 844.86 855.02 863.78 872.54 14091409 Head of Household 798.71 813.31 827.91 838.72 847.48 856.24 865.00 873.76 882.53 891.29 14091409 Married Filing joint 833.19 841.96 850.72 859.48 868.24 877.00 885.76 894.53 903.29 14091409 Married Filling Separate 755.51 770.12 784.72 799.32 813.92 828.53 843.13 853.29 862.05 870.81 1409

1410 Single 757.71 772.31 786.91 801.52 816.12 830.72 845.32 855.56 864.32 873.08 14101410 Head of Household 799.18 813.78 828.38 839.26 848.03 856.79 865.55 874.31 883.07 891.83 14101410 Married Filing joint 833.74 842.50 851.26 860.03 868.79 877.55 886.31 895.07 903.83 14101410 Married Filling Separate 755.98 770.58 785.18 799.78 814.39 828.99 843.59 853.83 862.59 871.35 1410

1411 Single 758.17 772.78 787.38 801.98 816.58 831.19 845.79 856.10 864.86 873.62 14111411 Head of Household 799.65 814.25 828.85 839.81 848.57 857.33 866.10 874.86 883.62 892.38 14111411 Married Filing joint 834.29 843.05 851.81 860.57 869.33 878.10 886.86 895.62 904.38 14111411 Married Filling Separate 756.44 771.04 785.65 800.25 814.85 829.45 844.06 854.37 863.13 871.89 1411

1412 Single 758.64 773.24 787.84 802.44 817.05 831.65 846.25 856.64 865.40 874.16 14121412 Head of Household 800.12 814.72 829.32 840.36 849.12 857.88 866.64 875.40 884.16 892.93 14121412 Married Filing joint 834.83 843.60 852.36 861.12 869.88 878.64 887.40 896.16 904.93 14121412 Married Filling Separate 756.90 771.51 786.11 800.71 815.31 829.92 844.52 854.90 863.67 872.43 1412

1413 Single 759.10 773.70 788.31 802.91 817.51 832.11 846.72 857.18 865.94 874.70 14131413 Head of Household 800.59 815.19 829.80 840.90 849.67 858.43 867.19 875.95 884.71 893.47 14131413 Married Filing joint 835.38 844.14 852.90 861.66 870.43 879.19 887.95 896.71 905.47 14131413 Married Filling Separate 757.37 771.97 786.57 801.18 815.78 830.38 844.98 855.44 864.21 872.97 1413

1414 Single 759.56 774.17 788.77 803.37 817.97 832.58 847.18 857.71 866.48 875.24 14141414 Head of Household 801.06 815.67 830.27 841.45 850.21 858.97 867.73 876.50 885.26 894.02 14141414 Married Filing joint 835.93 844.69 853.45 862.21 870.97 879.73 888.50 897.26 906.02 14141414 Married Filling Separate 757.83 772.43 787.04 801.64 816.24 830.84 845.45 855.98 864.74 873.51 1414

1415 Single 760.03 774.63 789.23 803.84 818.44 833.04 847.64 858.25 867.02 875.78 14151415 Head of Household 801.53 816.14 830.74 842.00 850.76 859.52 868.28 877.04 885.80 894.57 14151415 Married Filing joint 836.47 845.23 854.00 862.76 871.52 880.28 889.04 897.80 906.57 14151415 Married Filling Separate 758.30 772.90 787.50 802.10 816.71 831.31 845.91 856.52 865.28 874.04 1415

1416 Single 760.49 775.09 789.70 804.30 818.90 833.50 848.11 858.79 867.55 876.32 14161416 Head of Household 802.01 816.61 831.21 842.54 851.30 860.07 868.83 877.59 886.35 895.11 14161416 Married Filing joint 837.02 845.78 854.54 863.30 872.07 880.83 889.59 898.35 907.11 14161416 Married Filling Separate 758.76 773.36 787.96 802.57 817.17 831.77 846.37 857.06 865.82 874.58 1416

Page 197: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1417 Single 760.96 775.56 790.16 804.76 819.37 833.97 848.57 859.33 868.09 876.85 14171417 Head of Household 802.48 817.08 831.68 843.09 851.85 860.61 869.37 878.14 886.90 895.66 14171417 Married Filing joint 837.57 846.33 855.09 863.85 872.61 881.37 890.13 898.90 907.66 14171417 Married Filling Separate 759.22 773.83 788.43 803.03 817.63 832.24 846.84 857.60 866.36 875.12 1417

1418 Single 761.42 776.02 790.63 805.23 819.83 834.43 849.04 859.87 868.63 877.39 14181418 Head of Household 802.95 817.55 832.15 843.64 852.40 861.16 869.92 878.68 887.44 896.20 14181418 Married Filing joint 838.11 846.87 855.64 864.40 873.16 881.92 890.68 899.44 908.20 14181418 Married Filling Separate 759.69 774.29 788.89 803.50 818.10 832.70 847.30 858.14 866.90 875.66 1418

1419 Single 761.88 776.49 791.09 805.69 820.29 834.90 849.50 860.41 869.17 877.93 14191419 Head of Household 803.42 818.02 832.62 844.18 852.94 861.70 870.47 879.23 887.99 896.75 14191419 Married Filing joint 838.66 847.42 856.18 864.94 873.70 882.47 891.23 899.99 908.75 14191419 Married Filling Separate 760.15 774.75 789.36 803.96 818.56 833.16 847.77 858.68 867.44 876.20 1419

1420 Single 762.35 776.95 791.55 806.16 820.76 835.36 849.96 860.95 869.71 878.47 14201420 Head of Household 803.89 818.49 833.10 844.73 853.49 862.25 871.01 879.77 888.54 897.30 14201420 Married Filing joint 839.21 847.97 856.73 865.49 874.25 883.01 891.77 900.54 909.30 14201420 Married Filling Separate 760.62 775.22 789.82 804.42 819.03 833.63 848.23 859.22 867.98 876.74 1420

1421 Single 762.81 777.41 792.02 806.62 821.22 835.82 850.43 861.49 870.25 879.01 14211421 Head of Household 804.36 818.96 833.57 845.27 854.04 862.80 871.56 880.32 889.08 897.84 14211421 Married Filing joint 839.75 848.51 857.27 866.04 874.80 883.56 892.32 901.08 909.84 14211421 Married Filling Separate 761.08 775.68 790.28 804.89 819.49 834.09 848.69 859.75 868.52 877.28 1421

1422 Single 763.28 777.88 792.48 807.08 821.69 836.29 850.89 862.03 870.79 879.55 14221422 Head of Household 804.83 819.44 834.04 845.82 854.58 863.34 872.11 880.87 889.63 898.39 14221422 Married Filing joint 840.30 849.06 857.82 866.58 875.34 884.11 892.87 901.63 910.39 14221422 Married Filling Separate 761.54 776.15 790.75 805.35 819.95 834.56 849.16 860.29 869.05 877.82 1422

1423 Single 763.74 778.34 792.94 807.55 822.15 836.75 851.35 862.56 871.33 880.09 14231423 Head of Household 805.30 819.91 834.51 846.37 855.13 863.89 872.65 881.41 890.17 898.94 14231423 Married Filing joint 840.84 849.61 858.37 867.13 875.89 884.65 893.41 902.17 910.94 14231423 Married Filling Separate 762.01 776.61 791.21 805.81 820.42 835.02 849.62 860.83 869.59 878.36 1423

1424 Single 764.20 778.81 793.41 808.01 822.61 837.22 851.82 863.10 871.87 880.63 14241424 Head of Household 805.29 819.89 834.49 846.43 855.19 863.95 872.71 881.47 890.23 898.99 14241424 Married Filing joint 841.39 850.15 858.91 867.68 876.44 885.20 893.96 902.72 911.48 14241424 Married Filling Separate 762.47 777.07 791.68 806.28 820.88 835.48 850.09 861.37 870.13 878.89 1424

Page 198: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1425 Single 764.67 779.27 793.87 808.47 823.08 837.68 852.28 863.64 872.40 881.17 14251425 Head of Household 805.76 820.36 834.96 846.97 855.73 864.49 873.26 882.02 890.78 899.54 14251425 Married Filing joint 841.94 850.70 859.46 868.22 876.98 885.74 894.51 903.27 912.03 14251425 Married Filling Separate 762.93 777.54 792.14 806.74 821.34 835.95 850.55 861.91 870.67 879.43 1425

1426 Single 765.13 779.73 794.34 808.94 823.54 838.14 852.75 864.18 872.94 881.70 14261426 Head of Household 806.23 820.83 835.44 847.52 856.28 865.04 873.80 882.56 891.33 900.09 14261426 Married Filing joint 842.48 851.24 860.01 868.77 877.53 886.29 895.05 903.81 912.58 14261426 Married Filling Separate 763.40 778.00 792.60 807.21 821.81 836.41 851.01 862.45 871.21 879.97 1426

1427 Single 765.60 780.20 794.80 809.40 824.01 838.61 853.21 864.72 873.48 882.24 14271427 Head of Household 806.70 821.30 835.91 848.06 856.83 865.59 874.35 883.11 891.87 900.63 14271427 Married Filing joint 843.03 851.79 860.55 869.31 878.08 886.84 895.60 904.36 913.12 14271427 Married Filling Separate 763.86 778.47 793.07 807.67 822.27 836.88 851.48 862.99 871.75 880.51 1427

1428 Single 766.06 780.66 795.26 809.87 824.47 839.07 853.67 865.26 874.02 882.78 14281428 Head of Household 807.17 821.77 836.38 848.61 857.37 866.13 874.89 883.66 892.42 901.18 14281428 Married Filing joint 843.58 852.34 861.10 869.86 878.62 887.38 896.15 904.91 913.67 14281428 Married Filling Separate 764.33 778.93 793.53 808.13 822.74 837.34 851.94 863.53 872.29 881.05 1428

1429 Single 766.52 781.13 795.73 810.33 824.93 839.54 854.14 865.80 874.56 883.32 14291429 Head of Household 807.64 822.25 836.85 849.16 857.92 866.68 875.44 884.20 892.96 901.72 14291429 Married Filing joint 844.12 852.88 861.65 870.41 879.17 887.93 896.69 905.45 914.21 14291429 Married Filling Separate 764.79 779.39 794.00 808.60 823.20 837.80 852.41 864.07 872.83 881.59 1429

1430 Single 766.99 781.59 796.19 810.79 825.40 840.00 854.60 866.34 875.10 883.86 14301430 Head of Household 808.11 822.72 837.32 849.70 858.46 867.22 875.99 884.75 893.51 902.27 14301430 Married Filing joint 844.67 853.43 862.19 870.95 879.71 888.48 897.24 906.00 914.76 14301430 Married Filling Separate 765.25 779.86 794.46 809.06 823.66 838.27 852.87 864.60 873.37 882.13 1430

1431 Single 767.45 782.05 796.66 811.26 825.86 840.46 855.07 866.88 875.64 884.40 14311431 Head of Household 808.59 823.19 837.79 850.25 859.01 867.77 876.53 885.29 894.06 902.82 14311431 Married Filing joint 845.22 853.98 862.74 871.50 880.26 889.02 897.78 906.55 915.31 14311431 Married Filling Separate 765.72 780.32 794.92 809.53 824.13 838.73 853.33 865.14 873.90 882.67 1431

1432 Single 767.91 782.52 797.12 811.72 826.32 840.93 855.53 867.41 876.18 884.94 14321432 Head of Household 809.06 823.66 838.26 850.79 859.56 868.32 877.08 885.84 894.60 903.36 14321432 Married Filing joint 845.76 854.52 863.28 872.05 880.81 889.57 898.33 907.09 915.85 14321432 Married Filling Separate 766.18 780.78 795.39 809.99 824.59 839.19 853.80 865.68 874.44 883.21 1432

Page 199: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1433 Single 768.38 782.98 797.58 812.19 826.79 841.39 855.99 867.95 876.72 885.48 14331433 Head of Household 809.04 823.64 838.24 850.85 859.61 868.37 877.13 885.89 894.66 903.42 14331433 Married Filing joint 846.31 855.07 863.83 872.59 881.35 890.12 898.88 907.64 916.40 14331433 Married Filling Separate 766.65 781.25 795.85 810.45 825.06 839.66 854.26 866.22 874.98 883.74 1433

1434 Single 768.84 783.44 798.05 812.65 827.25 841.85 856.46 868.49 877.25 886.02 14341434 Head of Household 809.51 824.11 838.71 851.39 860.16 868.92 877.68 886.44 895.20 903.96 14341434 Married Filing joint 846.85 855.62 864.38 873.14 881.90 890.66 899.42 908.18 916.95 14341434 Married Filling Separate 767.11 781.71 796.31 810.92 825.52 840.12 854.72 866.76 875.52 884.28 1434

1435 Single 769.31 783.91 798.51 813.11 827.72 842.32 856.92 869.03 877.79 886.55 14351435 Head of Household 809.98 824.58 839.18 851.94 860.70 869.46 878.22 886.99 895.75 904.51 14351435 Married Filing joint 847.40 856.16 864.92 873.69 882.45 891.21 899.97 908.73 917.49 14351435 Married Filling Separate 767.57 782.18 796.78 811.38 825.98 840.59 855.19 867.30 876.06 884.82 1435

1436 Single 769.77 784.37 798.97 813.58 828.18 842.78 857.38 869.57 878.33 887.09 14361436 Head of Household 810.45 825.05 839.65 852.49 861.25 870.01 878.77 887.53 896.29 905.05 14361436 Married Filing joint 847.95 856.71 865.47 874.23 882.99 891.75 900.52 909.28 918.04 14361436 Married Filling Separate 768.04 782.64 797.24 811.84 826.45 841.05 855.65 867.84 876.60 885.36 1436

1437 Single 770.23 784.84 799.44 814.04 828.64 843.25 857.85 870.11 878.87 887.63 14371437 Head of Household 810.92 825.52 840.12 853.03 861.79 870.55 879.32 888.08 896.84 905.60 14371437 Married Filing joint 848.49 857.25 866.02 874.78 883.54 892.30 901.06 909.82 918.59 14371437 Married Filling Separate 768.50 783.10 797.71 812.31 826.91 841.51 856.12 868.38 877.14 885.90 1437

1438 Single 770.70 785.30 799.90 814.51 829.11 843.71 858.31 870.65 879.41 888.17 14381438 Head of Household 811.39 825.99 840.59 853.58 862.34 871.10 879.86 888.62 897.38 906.15 14381438 Married Filing joint 849.04 857.80 866.56 875.32 884.09 892.85 901.61 910.37 919.13 14381438 Married Filling Separate 768.97 783.57 798.17 812.77 827.38 841.98 856.58 868.92 877.68 886.44 1438

1439 Single 771.16 785.76 800.37 814.97 829.57 844.17 858.78 871.19 879.95 888.71 14391439 Head of Household 811.86 826.46 841.06 854.12 862.88 871.65 880.41 889.17 897.93 906.69 14391439 Married Filing joint 849.59 858.35 867.11 875.87 884.63 893.39 902.16 910.92 919.68 14391439 Married Filling Separate 769.43 784.03 798.63 813.24 827.84 842.44 857.04 869.45 878.22 886.98 1439

1440 Single 771.63 786.23 800.83 815.43 830.04 844.64 859.24 871.73 880.49 889.25 14401440 Head of Household 812.33 826.93 841.54 854.67 863.43 872.19 880.95 889.71 898.48 907.24 14401440 Married Filing joint 850.13 858.89 867.66 876.42 885.18 893.94 902.70 911.46 920.22 14401440 Married Filling Separate 769.89 784.50 799.10 813.70 828.30 842.91 857.51 869.99 878.75 887.52 1440

Page 200: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1441 Single 772.09 786.69 801.29 815.90 830.50 845.10 859.70 872.26 881.03 889.79 14411441 Head of Household 812.80 827.40 842.01 855.21 863.98 872.74 881.50 890.26 899.02 907.78 14411441 Married Filing joint 850.68 859.44 868.20 876.96 885.72 894.49 903.25 912.01 920.77 14411441 Married Filling Separate 770.36 784.96 799.56 814.16 828.77 843.37 857.97 870.53 879.29 888.06 1441

1442 Single 772.55 787.16 801.76 816.36 830.96 845.57 860.17 872.80 881.56 890.33 14421442 Head of Household 813.27 827.87 842.48 855.76 864.52 873.28 882.04 890.81 899.57 908.33 14421442 Married Filing joint 851.23 859.99 868.75 877.51 886.27 895.03 903.79 912.56 921.32 14421442 Married Filling Separate 770.82 785.42 800.03 814.63 829.23 843.83 858.44 871.07 879.83 888.59 1442

1443 Single 773.02 787.62 802.22 816.82 831.43 846.03 860.63 873.34 882.10 890.87 14431443 Head of Household 813.25 827.85 842.45 855.81 864.57 873.33 882.09 890.86 899.62 908.38 14431443 Married Filing joint 851.77 860.53 869.29 878.06 886.82 895.58 904.34 913.10 921.86 14431443 Married Filling Separate 771.28 785.89 800.49 815.09 829.69 844.30 858.90 871.61 880.37 889.13 1443

1444 Single 773.48 788.08 802.69 817.29 831.89 846.49 861.10 873.88 882.64 891.40 14441444 Head of Household 813.72 828.32 842.92 856.36 865.12 873.88 882.64 891.40 900.16 908.92 14441444 Married Filing joint 852.32 861.08 869.84 878.60 887.36 896.13 904.89 913.65 922.41 14441444 Married Filling Separate 771.75 786.35 800.95 815.56 830.16 844.76 859.36 872.15 880.91 889.67 1444

1445 Single 773.94 788.55 803.15 817.75 832.35 846.96 861.56 874.42 883.18 891.94 14451445 Head of Household 814.19 828.79 843.39 856.90 865.66 874.42 883.19 891.95 900.71 909.47 14451445 Married Filing joint 852.86 861.63 870.39 879.15 887.91 896.67 905.43 914.19 922.96 14451445 Married Filling Separate 772.21 786.81 801.42 816.02 830.62 845.22 859.83 872.69 881.45 890.21 1445

1446 Single 774.41 789.01 803.61 818.22 832.82 847.42 862.02 874.96 883.72 892.48 14461446 Head of Household 814.66 829.26 843.86 857.45 866.21 874.97 883.73 892.49 901.25 910.01 14461446 Married Filing joint 853.41 862.17 870.93 879.70 888.46 897.22 905.98 914.74 923.50 14461446 Married Filling Separate 772.68 787.28 801.88 816.48 831.09 845.69 860.29 873.23 881.99 890.75 1446

1447 Single 774.87 789.48 804.08 818.68 833.28 847.89 862.49 875.50 884.26 893.02 14471447 Head of Household 815.13 829.73 844.33 857.99 866.75 875.51 884.28 893.04 901.80 910.56 14471447 Married Filing joint 853.96 862.72 871.48 880.24 889.00 897.76 906.53 915.29 924.05 14471447 Married Filling Separate 773.14 787.74 802.35 816.95 831.55 846.15 860.76 873.77 882.53 891.29 1447

1448 Single 775.34 789.94 804.54 819.14 833.75 848.35 862.95 876.04 884.80 893.56 14481448 Head of Household 815.60 830.20 844.80 858.54 867.30 876.06 884.82 893.58 902.34 911.11 14481448 Married Filing joint 854.50 863.27 872.03 880.79 889.55 898.31 907.07 915.83 924.60 14481448 Married Filling Separate 773.60 788.21 802.81 817.41 832.01 846.62 861.22 874.30 883.07 891.83 1448

Page 201: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1449 Single 775.80 790.40 805.01 819.61 834.21 848.81 863.42 876.58 885.34 894.10 14491449 Head of Household 816.07 830.67 845.27 859.08 867.84 876.60 885.37 894.13 902.89 911.65 14491449 Married Filing joint 855.05 863.81 872.57 881.33 890.10 898.86 907.62 916.38 925.14 14491449 Married Filling Separate 774.07 788.67 803.27 817.88 832.48 847.08 861.68 874.84 883.60 892.37 1449

1450 Single 776.26 790.87 805.47 820.07 834.67 849.28 863.88 877.11 885.88 894.64 14501450 Head of Household 816.54 831.14 845.74 859.63 868.39 877.15 885.91 894.67 903.43 912.20 14501450 Married Filing joint 855.60 864.36 873.12 881.88 890.64 899.40 908.17 916.93 925.69 14501450 Married Filling Separate 774.53 789.13 803.74 818.34 832.94 847.54 862.15 875.38 884.14 892.90 1450

1451 Single 776.73 791.33 805.93 820.54 835.14 849.74 864.34 877.65 886.41 895.18 14511451 Head of Household 817.01 831.61 846.21 860.17 868.93 877.70 886.46 895.22 903.98 912.74 14511451 Married Filing joint 856.14 864.90 873.67 882.43 891.19 899.95 908.71 917.47 926.23 14511451 Married Filling Separate 775.00 789.60 804.20 818.80 833.41 848.01 862.61 875.92 884.68 893.44 1451

1452 Single 777.19 791.79 806.40 821.00 835.60 850.20 864.81 878.19 886.95 895.72 14521452 Head of Household 816.98 831.58 846.19 860.22 868.98 877.74 886.50 895.26 904.03 912.79 14521452 Married Filing joint 856.69 865.45 874.21 882.97 891.74 900.50 909.26 918.02 926.78 14521452 Married Filling Separate 775.46 790.06 804.66 819.27 833.87 848.47 863.07 876.46 885.22 893.98 1452

1453 Single 777.66 792.26 806.86 821.46 836.07 850.67 865.27 878.73 887.49 896.25 14531453 Head of Household 817.45 832.05 846.66 860.76 869.53 878.29 887.05 895.81 904.57 913.33 14531453 Married Filing joint 857.24 866.00 874.76 883.52 892.28 901.04 909.80 918.57 927.33 14531453 Married Filling Separate 775.92 790.53 805.13 819.73 834.33 848.94 863.54 877.00 885.76 894.52 1453

1454 Single 778.12 792.72 807.32 821.93 836.53 851.13 865.73 879.27 888.03 896.79 14541454 Head of Household 817.92 832.52 847.13 861.31 870.07 878.83 887.59 896.35 905.12 913.88 14541454 Married Filing joint 857.78 866.54 875.30 884.07 892.83 901.59 910.35 919.11 927.87 14541454 Married Filling Separate 776.39 790.99 805.59 820.19 834.80 849.40 864.00 877.54 886.30 895.06 1454

1455 Single 778.58 793.19 807.79 822.39 836.99 851.60 866.20 879.81 888.57 897.33 14551455 Head of Household 818.39 832.99 847.60 861.85 870.62 879.38 888.14 896.90 905.66 914.42 14551455 Married Filing joint 858.33 867.09 875.85 884.61 893.37 902.14 910.90 919.66 928.42 14551455 Married Filling Separate 776.85 791.45 806.06 820.66 835.26 849.86 864.47 878.08 886.84 895.60 1455

1456 Single 779.05 793.65 808.25 822.85 837.46 852.06 866.66 880.35 889.11 897.87 14561456 Head of Household 818.86 833.46 848.07 862.40 871.16 879.92 888.68 897.44 906.21 914.97 14561456 Married Filing joint 858.87 867.64 876.40 885.16 893.92 902.68 911.44 920.21 928.97 14561456 Married Filling Separate 777.31 791.92 806.52 821.12 835.72 850.33 864.93 878.62 887.38 896.14 1456

Page 202: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1457 Single 779.51 794.11 808.72 823.32 837.92 852.52 867.13 880.89 889.65 898.41 14571457 Head of Household 819.33 833.93 848.54 862.94 871.70 880.47 889.23 897.99 906.75 915.51 14571457 Married Filing joint 859.42 868.18 876.94 885.71 894.47 903.23 911.99 920.75 929.51 14571457 Married Filling Separate 777.78 792.38 806.98 821.59 836.19 850.79 865.39 879.15 887.92 896.68 1457

1458 Single 779.98 794.58 809.18 823.78 838.39 852.99 867.59 881.43 890.19 898.95 14581458 Head of Household 819.80 834.40 849.01 863.49 872.25 881.01 889.77 898.53 907.30 916.06 14581458 Married Filing joint 859.97 868.73 877.49 886.25 895.01 903.77 912.54 921.30 930.06 14581458 Married Filling Separate 778.24 792.85 807.45 822.05 836.65 851.26 865.86 879.69 888.45 897.22 1458

1459 Single 780.44 795.04 809.64 824.25 838.85 853.45 868.05 881.96 890.73 899.49 14591459 Head of Household 820.27 834.87 849.48 864.03 872.79 881.56 890.32 899.08 907.84 916.60 14591459 Married Filing joint 860.51 869.28 878.04 886.80 895.56 904.32 913.08 921.84 930.61 14591459 Married Filling Separate 778.71 793.31 807.91 822.51 837.12 851.72 866.32 880.23 888.99 897.75 1459

1460 Single 780.90 795.51 810.11 824.71 839.31 853.92 868.52 882.50 891.26 900.03 14601460 Head of Household 820.74 835.34 849.95 864.55 873.34 882.10 890.86 899.62 908.39 917.15 14601460 Married Filing joint 861.06 869.82 878.58 887.34 896.11 904.87 913.63 922.39 931.15 14601460 Married Filling Separate 779.17 793.77 808.38 822.98 837.58 852.18 866.79 880.77 889.53 898.29 1460

1461 Single 781.37 795.97 810.57 825.17 839.78 854.38 868.98 883.04 891.80 900.57 14611461 Head of Household 821.21 835.81 850.42 865.02 873.88 882.65 891.41 900.17 908.93 917.69 14611461 Married Filing joint 861.61 870.37 879.13 887.89 896.65 905.41 914.18 922.94 931.70 14611461 Married Filling Separate 779.63 794.24 808.84 823.44 838.04 852.65 867.25 881.31 890.07 898.83 1461

1462 Single 781.83 796.43 811.04 825.64 840.24 854.84 869.45 883.58 892.34 901.10 14621462 Head of Household 821.18 835.78 850.38 864.99 873.93 882.69 891.45 900.21 908.97 917.73 14621462 Married Filing joint 862.15 870.91 879.68 888.44 897.20 905.96 914.72 923.48 932.24 14621462 Married Filling Separate 780.10 794.70 809.30 823.91 838.51 853.11 867.71 881.85 890.61 899.37 1462

1463 Single 782.29 796.90 811.50 826.10 840.70 855.31 869.91 884.12 892.88 901.64 14631463 Head of Household 821.65 836.25 850.85 865.46 874.47 883.23 891.99 900.76 909.52 918.28 14631463 Married Filing joint 862.70 871.46 880.22 888.98 897.75 906.51 915.27 924.03 932.79 14631463 Married Filling Separate 780.56 795.16 809.77 824.37 838.97 853.57 868.18 882.39 891.15 899.91 1463

1464 Single 782.76 797.36 811.96 826.57 841.17 855.77 870.37 884.66 893.42 902.18 14641464 Head of Household 822.12 836.72 851.32 865.92 875.02 883.78 892.54 901.30 910.06 918.82 14641464 Married Filing joint 863.25 872.01 880.77 889.53 898.29 907.05 915.81 924.58 933.34 14641464 Married Filling Separate 781.03 795.63 810.23 824.83 839.44 854.04 868.64 882.93 891.69 900.45 1464

Page 203: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1465 Single 783.22 797.82 812.43 827.03 841.63 856.23 870.84 885.20 893.96 902.72 14651465 Head of Household 822.59 837.19 851.79 866.39 875.56 884.32 893.08 901.85 910.61 919.37 14651465 Married Filing joint 863.79 872.55 881.31 890.08 898.84 907.60 916.36 925.12 933.88 14651465 Married Filling Separate 781.49 796.09 810.69 825.30 839.90 854.50 869.10 883.47 892.23 900.99 1465

1466 Single 783.69 798.29 812.89 827.49 842.10 856.70 871.30 885.74 894.50 903.26 14661466 Head of Household 823.06 837.66 852.26 866.86 876.11 884.87 893.63 902.39 911.15 919.91 14661466 Married Filing joint 864.34 873.10 881.86 890.62 899.38 908.15 916.91 925.67 934.43 14661466 Married Filling Separate 781.95 796.56 811.16 825.76 840.36 854.97 869.57 884.00 892.77 901.53 1466

1467 Single 784.15 798.75 813.36 827.96 842.56 857.16 871.77 886.28 895.04 903.80 14671467 Head of Household 823.53 838.13 852.73 867.33 876.65 885.41 894.17 902.93 911.70 920.46 14671467 Married Filing joint 864.88 873.65 882.41 891.17 899.93 908.69 917.45 926.22 934.98 14671467 Married Filling Separate 782.42 797.02 811.62 826.23 840.83 855.43 870.03 884.54 893.30 902.07 1467

1468 Single 784.61 799.22 813.82 828.42 843.02 857.63 872.23 886.81 895.58 904.34 14681468 Head of Household 824.00 838.60 853.20 867.80 877.19 885.96 894.72 903.48 912.24 921.00 14681468 Married Filing joint 865.43 874.19 882.95 891.72 900.48 909.24 918.00 926.76 935.52 14681468 Married Filling Separate 782.88 797.48 812.09 826.69 841.29 855.89 870.50 885.08 893.84 902.60 1468

1469 Single 785.08 799.68 814.28 828.89 843.49 858.09 872.69 887.30 896.11 904.88 14691469 Head of Household 824.46 839.07 853.67 868.27 877.74 886.50 895.26 904.02 912.78 921.55 14691469 Married Filing joint 865.98 874.74 883.50 892.26 901.02 909.78 918.55 927.31 936.07 14691469 Married Filling Separate 783.35 797.95 812.55 827.15 841.76 856.36 870.96 885.56 894.38 903.14 1469

1470 Single 785.54 800.14 814.75 829.35 843.95 858.55 873.16 887.76 896.65 905.41 14701470 Head of Household 824.93 839.54 854.14 868.74 878.28 887.04 895.81 904.57 913.33 922.09 14701470 Married Filing joint 866.52 875.29 884.05 892.81 901.57 910.33 919.09 927.85 936.62 14701470 Married Filling Separate 783.81 798.41 813.01 827.62 842.22 856.82 871.42 886.03 894.92 903.68 1470

1471 Single 786.01 800.61 815.21 829.81 844.42 859.02 873.62 888.22 897.19 905.95 14711471 Head of Household 825.40 840.01 854.61 869.21 878.83 887.59 896.35 905.11 913.87 922.64 14711471 Married Filing joint 867.07 875.83 884.59 893.35 902.12 910.88 919.64 928.40 937.16 14711471 Married Filling Separate 784.27 798.88 813.48 828.08 842.68 857.29 871.89 886.49 895.46 904.22 1471

1472 Single 786.18 800.79 815.39 829.99 844.59 859.20 873.80 888.40 897.45 906.21 14721472 Head of Household 825.37 839.97 854.57 869.17 878.87 887.63 896.39 905.15 913.91 922.67 14721472 Married Filing joint 867.62 876.38 885.14 893.90 902.66 911.42 920.19 928.95 937.71 14721472 Married Filling Separate 784.74 799.34 813.94 828.54 843.15 857.75 872.35 886.95 896.00 904.76 1472

Page 204: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1473 Single 786.65 801.25 815.85 830.46 845.06 859.66 874.26 888.87 897.99 906.75 14731473 Head of Household 825.84 840.44 855.04 869.64 879.41 888.17 896.93 905.69 914.46 923.22 14731473 Married Filing joint 868.16 876.92 885.69 894.45 903.21 911.97 920.73 929.49 938.25 14731473 Married Filling Separate 785.20 799.80 814.41 829.01 843.61 858.21 872.82 887.42 896.54 905.30 1473

1474 Single 787.11 801.71 816.32 830.92 845.52 860.12 874.73 889.33 898.52 907.29 14741474 Head of Household 826.31 840.91 855.51 870.11 879.95 888.72 897.48 906.24 915.00 923.76 14741474 Married Filing joint 868.71 877.47 886.23 894.99 903.76 912.52 921.28 930.04 938.80 14741474 Married Filling Separate 785.66 800.27 814.87 829.47 844.07 858.68 873.28 887.88 897.08 905.84 1474

1475 Single 787.58 802.18 816.78 831.38 845.99 860.59 875.19 889.79 899.06 907.82 14751475 Head of Household 826.77 841.38 855.98 870.58 880.50 889.26 898.02 906.78 915.54 924.31 14751475 Married Filing joint 869.26 878.02 886.78 895.54 904.30 913.06 921.82 930.59 939.35 14751475 Married Filling Separate 786.13 800.73 815.33 829.94 844.54 859.14 873.74 888.35 897.62 906.38 1475

1476 Single 788.04 802.64 817.24 831.85 846.45 861.05 875.65 890.26 899.60 908.36 14761476 Head of Household 827.24 841.85 856.45 871.05 881.04 889.80 898.57 907.33 916.09 924.85 14761476 Married Filing joint 869.80 878.56 887.33 896.09 904.85 913.61 922.37 931.13 939.89 14761476 Married Filling Separate 786.59 801.19 815.80 830.40 845.00 859.60 874.21 888.81 898.15 906.92 1476

1477 Single 788.50 803.11 817.71 832.31 846.91 861.52 876.12 890.72 900.14 908.90 14771477 Head of Household 827.71 842.32 856.92 871.52 881.59 890.35 899.11 907.87 916.63 925.39 14771477 Married Filing joint 870.35 879.11 887.87 896.63 905.39 914.16 922.92 931.68 940.44 14771477 Married Filling Separate 787.06 801.66 816.26 830.86 845.47 860.07 874.67 889.27 898.69 907.45 1477

1478 Single 788.97 803.57 818.17 832.78 847.38 861.98 876.58 891.19 900.68 909.44 14781478 Head of Household 828.18 842.78 857.39 871.99 882.13 890.89 899.65 908.42 917.18 925.94 14781478 Married Filing joint 870.89 879.66 888.42 897.18 905.94 914.70 923.46 932.23 940.99 14781478 Married Filling Separate 787.52 802.12 816.73 831.33 845.93 860.53 875.14 889.74 899.23 907.99 1478

1479 Single 789.43 804.03 818.64 833.24 847.84 862.44 877.05 891.65 901.22 909.98 14791479 Head of Household 828.65 843.25 857.86 872.46 882.68 891.44 900.20 908.96 917.72 926.48 14791479 Married Filing joint 871.44 880.20 888.96 897.73 906.49 915.25 924.01 932.77 941.53 14791479 Married Filling Separate 787.98 802.59 817.19 831.79 846.39 861.00 875.60 890.20 899.77 908.53 1479

1480 Single 789.90 804.50 819.10 833.70 848.31 862.91 877.51 892.11 901.76 910.52 14801480 Head of Household 829.12 843.72 858.33 872.93 883.22 891.98 900.74 909.50 918.27 927.03 14801480 Married Filing joint 871.99 880.75 889.51 898.27 907.03 915.80 924.56 933.32 942.08 14801480 Married Filling Separate 788.45 803.05 817.65 832.26 846.86 861.46 876.06 890.67 900.31 909.07 1480

Page 205: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1481 Single 790.36 804.96 819.56 834.17 848.77 863.37 877.97 892.58 902.30 911.06 14811481 Head of Household 829.08 843.68 858.29 872.89 883.25 892.02 900.78 909.54 918.30 927.06 14811481 Married Filing joint 872.53 881.30 890.06 898.82 907.58 916.34 925.10 933.86 942.63 14811481 Married Filling Separate 788.91 803.51 818.12 832.72 847.32 861.92 876.53 891.13 900.85 909.61 1481

1482 Single 790.82 805.43 820.03 834.63 849.23 863.84 878.44 893.04 902.83 911.60 14821482 Head of Household 829.55 844.15 858.75 873.36 883.80 892.56 901.32 910.08 918.84 927.61 14821482 Married Filing joint 873.08 881.84 890.60 899.36 908.13 916.89 925.65 934.41 943.17 14821482 Married Filling Separate 789.38 803.98 818.58 833.18 847.79 862.39 876.99 891.59 901.39 910.15 1482

1483 Single 791.29 805.89 820.49 835.09 849.70 864.30 878.90 893.50 903.37 912.14 14831483 Head of Household 830.02 844.62 859.22 873.83 884.34 893.10 901.86 910.63 919.39 928.15 14831483 Married Filing joint 873.63 882.39 891.15 899.91 908.67 917.43 926.20 934.96 943.72 14831483 Married Filling Separate 789.84 804.44 819.04 833.65 848.25 862.85 877.45 892.06 901.93 910.69 1483

1484 Single 791.75 806.35 820.96 835.56 850.16 864.76 879.37 893.97 903.91 912.67 14841484 Head of Household 830.49 845.09 859.69 874.29 884.89 893.65 902.41 911.17 919.93 928.69 14841484 Married Filing joint 874.17 882.93 891.70 900.46 909.22 917.98 926.74 935.50 944.27 14841484 Married Filling Separate 790.30 804.91 819.51 834.11 848.71 863.32 877.92 892.52 902.47 911.23 1484

1485 Single 792.21 806.82 821.42 836.02 850.62 865.23 879.83 894.43 904.45 913.21 14851485 Head of Household 830.96 845.56 860.16 874.76 885.43 894.19 902.95 911.71 920.48 929.24 14851485 Married Filing joint 874.72 883.48 892.24 901.00 909.77 918.53 927.29 936.05 944.81 14851485 Married Filling Separate 790.77 805.37 819.97 834.57 849.18 863.78 878.38 892.98 903.00 911.77 1485

1486 Single 792.68 807.28 821.88 836.49 851.09 865.69 880.29 894.90 904.99 913.75 14861486 Head of Household 831.42 846.03 860.63 875.23 885.97 894.73 903.50 912.26 921.02 929.78 14861486 Married Filing joint 875.27 884.03 892.79 901.55 910.31 919.07 927.83 936.60 945.36 14861486 Married Filling Separate 791.23 805.83 820.44 835.04 849.64 864.24 878.85 893.45 903.54 912.30 1486

1487 Single 793.14 807.75 822.35 836.95 851.55 866.16 880.76 895.36 905.53 914.29 14871487 Head of Household 831.89 846.50 861.10 875.70 886.52 895.28 904.04 912.80 921.56 930.32 14871487 Married Filing joint 875.81 884.57 893.34 902.10 910.86 919.62 928.38 937.14 945.90 14871487 Married Filling Separate 791.70 806.30 820.90 835.50 850.11 864.71 879.31 893.91 904.08 912.84 1487

1488 Single 793.61 808.21 822.81 837.41 852.02 866.62 881.22 895.82 906.07 914.83 14881488 Head of Household 832.36 846.96 861.57 876.17 887.06 895.82 904.58 913.34 922.11 930.87 14881488 Married Filing joint 876.36 885.12 893.88 902.64 911.40 920.17 928.93 937.69 946.45 14881488 Married Filling Separate 792.16 806.76 821.36 835.97 850.57 865.17 879.77 894.38 904.62 913.38 1488

Page 206: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1489 Single 794.07 808.67 823.28 837.88 852.48 867.08 881.69 896.29 906.61 915.37 14891489 Head of Household 832.83 847.43 862.04 876.64 887.60 896.37 905.13 913.89 922.65 931.41 14891489 Married Filing joint 876.90 885.67 894.43 903.19 911.95 920.71 929.47 938.24 947.00 14891489 Married Filling Separate 792.62 807.23 821.83 836.43 851.03 865.64 880.24 894.84 905.16 913.92 1489

1490 Single 794.53 809.14 823.74 838.34 852.94 867.55 882.15 896.75 907.15 915.91 14901490 Head of Household 833.30 847.90 862.50 877.11 888.15 896.91 905.67 914.43 923.19 931.96 14901490 Married Filing joint 877.45 886.21 894.97 903.74 912.50 921.26 930.02 938.78 947.54 14901490 Married Filling Separate 793.09 807.69 822.29 836.89 851.50 866.10 880.70 895.30 905.70 914.46 1490

1491 Single 795.00 809.60 824.20 838.81 853.41 868.01 882.61 897.22 907.68 916.45 14911491 Head of Household 833.25 847.86 862.46 877.06 888.18 896.94 905.70 914.46 923.22 931.99 14911491 Married Filing joint 878.00 886.76 895.52 904.28 913.04 921.81 930.57 939.33 948.09 14911491 Married Filling Separate 793.55 808.15 822.76 837.36 851.96 866.56 881.17 895.77 906.24 915.00 1491

1492 Single 795.46 810.06 824.67 839.27 853.87 868.47 883.08 897.68 908.22 916.99 14921492 Head of Household 833.72 848.33 862.93 877.53 888.72 897.48 906.25 915.01 923.77 932.53 14921492 Married Filing joint 878.54 887.31 896.07 904.83 913.59 922.35 931.11 939.87 948.64 14921492 Married Filling Separate 794.01 808.62 823.22 837.82 852.42 867.03 881.63 896.23 906.78 915.54 1492

1493 Single 795.93 810.53 825.13 839.73 854.34 868.94 883.54 898.14 908.76 917.52 14931493 Head of Household 834.19 848.79 863.40 878.00 889.27 898.03 906.79 915.55 924.31 933.07 14931493 Married Filing joint 879.09 887.85 896.61 905.37 914.14 922.90 931.66 940.42 949.18 14931493 Married Filling Separate 794.48 809.08 823.68 838.29 852.89 867.49 882.09 896.70 907.32 916.08 1493

1494 Single 796.39 810.99 825.59 840.20 854.80 869.40 884.00 898.61 909.30 918.06 14941494 Head of Household 834.66 849.26 863.86 878.47 889.81 898.57 907.33 916.09 924.85 933.62 14941494 Married Filing joint 879.64 888.40 897.16 905.92 914.68 923.44 932.21 940.97 949.73 14941494 Married Filling Separate 794.94 809.54 824.15 838.75 853.35 867.95 882.56 897.16 907.85 916.62 1494

1495 Single 796.85 811.46 826.06 840.66 855.26 869.87 884.47 899.07 909.84 918.60 14951495 Head of Household 835.13 849.73 864.33 878.94 890.35 899.11 907.88 916.64 925.40 934.16 14951495 Married Filing joint 880.18 888.94 897.71 906.47 915.23 923.99 932.75 941.51 950.28 14951495 Married Filling Separate 795.41 810.01 824.61 839.21 853.82 868.42 883.02 897.62 908.39 917.15 1495

1496 Single 797.32 811.92 826.52 841.12 855.73 870.33 884.93 899.53 910.38 919.14 14961496 Head of Household 835.60 850.20 864.80 879.40 890.90 899.66 908.42 917.18 925.94 934.70 14961496 Married Filing joint 880.73 889.49 898.25 907.01 915.78 924.54 933.30 942.06 950.82 14961496 Married Filling Separate 795.87 810.47 825.07 839.68 854.28 868.88 883.48 898.09 908.93 917.69 1496

Page 207: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1497 Single 797.78 812.38 826.99 841.59 856.19 870.79 885.40 900.00 910.92 919.68 14971497 Head of Household 836.06 850.67 865.27 879.87 891.44 900.20 908.96 917.72 926.48 935.25 14971497 Married Filing joint 881.28 890.04 898.80 907.56 916.32 925.08 933.84 942.61 951.37 14971497 Married Filling Separate 796.33 810.94 825.54 840.14 854.74 869.35 883.95 898.55 909.47 918.23 1497

1498 Single 798.25 812.85 827.45 842.05 856.66 871.26 885.86 900.46 911.46 920.22 14981498 Head of Household 836.53 851.14 865.74 880.34 891.98 900.74 909.51 918.27 927.03 935.79 14981498 Married Filing joint 881.82 890.58 899.35 908.11 916.87 925.63 934.39 943.15 951.91 14981498 Married Filling Separate 796.80 811.40 826.00 840.61 855.21 869.81 884.41 899.02 910.01 918.77 1498

1499 Single 798.71 813.31 827.91 842.52 857.12 871.72 886.32 900.93 912.00 920.76 14991499 Head of Household 837.00 851.60 866.21 880.81 892.53 901.29 910.05 918.81 927.57 936.33 14991499 Married Filing joint 882.37 891.13 899.89 908.65 917.41 926.18 934.94 943.70 952.46 14991499 Married Filling Separate 797.26 811.86 826.47 841.07 855.67 870.27 884.88 899.48 910.55 919.31 1499

1500 Single 799.17 813.78 828.38 842.98 857.58 872.19 886.79 901.39 912.53 921.30 15001500 Head of Household 837.47 852.07 866.68 881.28 893.07 901.83 910.59 919.35 928.12 936.88 15001500 Married Filing joint 882.92 891.68 900.44 909.20 917.96 926.72 935.48 944.25 953.01 15001500 Married Filling Separate 797.73 812.33 826.93 841.53 856.14 870.74 885.34 899.94 911.09 919.85 1500

1501 Single 799.64 814.24 828.84 843.44 858.05 872.65 887.25 901.85 913.07 921.84 15011501 Head of Household 837.42 852.02 866.63 881.23 893.10 901.86 910.62 919.38 928.14 936.90 15011501 Married Filing joint 883.46 892.22 900.98 909.75 918.51 927.27 936.03 944.79 953.55 15011501 Married Filling Separate 798.19 812.79 827.39 842.00 856.60 871.20 885.80 900.41 911.63 920.39 1501

1502 Single 800.10 814.70 829.31 843.91 858.51 873.11 887.72 902.32 913.61 922.37 15021502 Head of Household 837.89 852.49 867.09 881.70 893.64 902.40 911.16 919.92 928.68 937.45 15021502 Married Filing joint 884.01 892.77 901.53 910.29 919.05 927.82 936.58 945.34 954.10 15021502 Married Filling Separate 798.65 813.26 827.86 842.46 857.06 871.67 886.27 900.87 912.16 920.93 1502

1503 Single 800.56 815.17 829.77 844.37 858.97 873.58 888.18 902.78 914.15 922.91 15031503 Head of Household 838.36 852.96 867.56 882.17 894.18 902.94 911.70 920.47 929.23 937.99 15031503 Married Filing joint 884.55 893.32 902.08 910.84 919.60 928.36 937.12 945.88 954.65 15031503 Married Filling Separate 799.12 813.72 828.32 842.92 857.53 872.13 886.73 901.33 912.70 921.47 1503

1504 Single 801.03 815.63 830.23 844.84 859.44 874.04 888.64 903.25 914.69 923.45 15041504 Head of Household 838.83 853.43 868.03 882.63 894.72 903.49 912.25 921.01 929.77 938.53 15041504 Married Filing joint 885.10 893.86 902.62 911.39 920.15 928.91 937.67 946.43 955.19 15041504 Married Filling Separate 799.58 814.18 828.79 843.39 857.99 872.59 887.20 901.80 913.24 922.00 1504

Page 208: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1505 Single 801.49 816.09 830.70 845.30 859.90 874.50 889.11 903.71 915.23 923.99 15051505 Head of Household 839.29 853.90 868.50 883.10 895.27 904.03 912.79 921.55 930.31 939.08 15051505 Married Filing joint 885.65 894.41 903.17 911.93 920.69 929.45 938.22 946.98 955.74 15051505 Married Filling Separate 800.04 814.65 829.25 843.85 858.45 873.06 887.66 902.26 913.78 922.54 1505

1506 Single 801.96 816.56 831.16 845.76 860.37 874.97 889.57 904.17 915.77 924.53 15061506 Head of Household 839.76 854.36 868.97 883.57 895.81 904.57 913.33 922.10 930.86 939.62 15061506 Married Filing joint 886.19 894.95 903.72 912.48 921.24 930.00 938.76 947.52 956.29 15061506 Married Filling Separate 800.51 815.11 829.71 844.32 858.92 873.52 888.12 902.73 914.32 923.08 1506

1507 Single 802.42 817.02 831.63 846.23 860.83 875.43 890.04 904.64 916.31 925.07 15071507 Head of Household 840.23 854.83 869.43 884.04 896.35 905.12 913.88 922.64 931.40 940.16 15071507 Married Filing joint 886.74 895.50 904.26 913.02 921.79 930.55 939.31 948.07 956.83 15071507 Married Filling Separate 800.97 815.58 830.18 844.78 859.38 873.99 888.59 903.19 914.86 923.62 1507

1508 Single 802.88 817.49 832.09 846.69 861.29 875.90 890.50 905.10 916.85 925.61 15081508 Head of Household 840.70 855.30 869.90 884.51 896.90 905.66 914.42 923.18 931.94 940.70 15081508 Married Filing joint 887.29 896.05 904.81 913.57 922.33 931.09 939.86 948.62 957.38 15081508 Married Filling Separate 801.44 816.04 830.64 845.24 859.85 874.45 889.05 903.65 915.40 924.16 1508

1509 Single 803.35 817.95 832.55 847.16 861.76 876.36 890.96 905.57 917.38 926.15 15091509 Head of Household 841.17 855.77 870.37 884.97 897.44 906.20 914.96 923.72 932.49 941.25 15091509 Married Filing joint 887.83 896.59 905.36 914.12 922.88 931.64 940.40 949.16 957.92 15091509 Married Filling Separate 801.90 816.50 831.11 845.71 860.31 874.91 889.52 904.12 915.94 924.70 1509

1510 Single 803.81 818.41 833.02 847.62 862.22 876.82 891.43 906.03 917.92 926.68 15101510 Head of Household 840.65 855.25 869.85 884.46 897.00 905.76 914.52 923.28 932.04 940.81 15101510 Married Filing joint 888.38 897.14 905.90 914.66 923.42 932.19 940.95 949.71 958.47 15101510 Married Filling Separate 802.36 816.97 831.57 846.17 860.77 875.38 889.98 904.58 916.48 925.24 1510

1511 Single 804.28 818.88 833.48 848.08 862.69 877.29 891.89 906.49 918.46 927.22 15111511 Head of Household 841.12 855.72 870.32 884.92 897.54 906.30 915.06 923.82 932.59 941.35 15111511 Married Filing joint 888.93 897.69 906.45 915.21 923.97 932.73 941.49 950.26 959.02 15111511 Married Filling Separate 802.83 817.43 832.03 846.64 861.24 875.84 890.44 905.05 917.01 925.78 1511

1512 Single 804.74 819.34 833.94 848.55 863.15 877.75 892.35 906.96 919.00 927.76 15121512 Head of Household 841.58 856.19 870.79 885.39 898.08 906.84 915.61 924.37 933.13 941.89 15121512 Married Filing joint 889.47 898.23 906.99 915.76 924.52 933.28 942.04 950.80 959.56 15121512 Married Filling Separate 803.29 817.89 832.50 847.10 861.70 876.30 890.91 905.51 917.55 926.32 1512

Page 209: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1513 Single 805.20 819.81 834.41 849.01 863.61 878.22 892.82 907.42 919.54 928.30 15131513 Head of Household 842.05 856.65 871.26 885.86 898.63 907.39 916.15 924.91 933.67 942.43 15131513 Married Filing joint 890.02 898.78 907.54 916.30 925.06 933.83 942.59 951.35 960.11 15131513 Married Filling Separate 803.76 818.36 832.96 847.56 862.17 876.77 891.37 905.97 918.09 926.85 1513

1514 Single 805.67 820.27 834.87 849.47 864.08 878.68 893.28 907.88 920.08 928.84 15141514 Head of Household 842.52 857.12 871.72 886.33 899.17 907.93 916.69 925.45 934.21 942.98 15141514 Married Filing joint 890.56 899.33 908.09 916.85 925.61 934.37 943.13 951.89 960.66 15141514 Married Filling Separate 804.22 818.82 833.42 848.03 862.63 877.23 891.83 906.44 918.63 927.39 1514

1515 Single 806.13 820.73 835.34 849.94 864.54 879.14 893.75 908.35 920.62 929.38 15151515 Head of Household 842.99 857.59 872.19 886.79 899.71 908.47 917.23 926.00 934.76 943.52 15151515 Married Filing joint 891.11 899.87 908.63 917.40 926.16 934.92 943.68 952.44 961.20 15151515 Married Filling Separate 804.68 819.29 833.89 848.49 863.09 877.70 892.30 906.90 919.17 927.93 1515

1516 Single 806.59 821.20 835.80 850.40 865.00 879.61 894.21 908.81 921.16 929.92 15161516 Head of Household 843.45 858.06 872.66 887.26 900.25 909.01 917.78 926.54 935.30 944.06 15161516 Married Filing joint 891.66 900.42 909.18 917.94 926.70 935.46 944.23 952.99 961.75 15161516 Married Filling Separate 805.15 819.75 834.35 848.95 863.56 878.16 892.76 907.36 919.71 928.47 1516

1517 Single 807.06 821.66 836.26 850.87 865.47 880.07 894.67 909.28 921.70 930.46 15171517 Head of Household 843.92 858.52 873.13 887.73 900.80 909.56 918.32 927.08 935.84 944.60 15171517 Married Filing joint 892.20 900.96 909.73 918.49 927.25 936.01 944.77 953.53 962.30 15171517 Married Filling Separate 805.61 820.21 834.82 849.42 864.02 878.62 893.23 907.83 920.25 929.01 1517

1518 Single 807.52 822.13 836.73 851.33 865.93 880.54 895.14 909.74 922.23 931.00 15181518 Head of Household 844.39 858.99 873.59 888.20 901.34 910.10 918.86 927.62 936.38 945.15 15181518 Married Filing joint 892.75 901.51 910.27 919.03 927.80 936.56 945.32 954.08 962.84 15181518 Married Filling Separate 806.08 820.68 835.28 849.88 864.49 879.09 893.69 908.29 920.79 929.55 1518

1519 Single 807.99 822.59 837.19 851.79 866.40 881.00 895.60 910.20 922.77 931.53 15191519 Head of Household 844.86 859.46 874.06 888.66 901.88 910.64 919.40 928.17 936.93 945.69 15191519 Married Filing joint 893.30 902.06 910.82 919.58 928.34 937.10 945.87 954.63 963.39 15191519 Married Filling Separate 806.54 821.14 835.74 850.35 864.95 879.55 894.15 908.76 921.33 930.09 1519

1520 Single 808.45 823.05 837.66 852.26 866.86 881.46 896.07 910.67 923.31 932.07 15201520 Head of Household 845.32 859.93 874.53 889.13 902.42 911.19 919.95 928.71 937.47 946.23 15201520 Married Filing joint 893.84 902.60 911.37 920.13 928.89 937.65 946.41 955.17 963.93 15201520 Married Filling Separate 807.00 821.61 836.21 850.81 865.41 880.02 894.62 909.22 921.86 930.63 1520

Page 210: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1521 Single 808.91 823.52 838.12 852.72 867.32 881.93 896.53 911.13 923.85 932.61 15211521 Head of Household 845.79 860.39 875.00 889.60 902.97 911.73 920.49 929.25 938.01 946.77 15211521 Married Filing joint 894.39 903.15 911.91 920.67 929.43 938.20 946.96 955.72 964.48 15211521 Married Filling Separate 807.47 822.07 836.67 851.27 865.88 880.48 895.08 909.68 922.40 931.17 1521

1522 Single 809.38 823.98 838.58 853.19 867.79 882.39 896.99 911.60 924.39 933.15 15221522 Head of Household 846.26 860.86 875.47 890.07 903.51 912.27 921.03 929.79 938.56 947.32 15221522 Married Filing joint 894.94 903.70 912.46 921.22 929.98 938.74 947.50 956.27 965.03 15221522 Married Filling Separate 807.93 822.53 837.14 851.74 866.34 880.94 895.55 910.15 922.94 931.70 1522

1523 Single 809.84 824.44 839.05 853.65 868.25 882.85 897.46 912.06 924.93 933.69 15231523 Head of Household 846.73 861.33 875.93 890.54 904.05 912.81 921.57 930.34 939.10 947.86 15231523 Married Filing joint 895.48 904.24 913.00 921.77 930.53 939.29 948.05 956.81 965.57 15231523 Married Filling Separate 808.39 823.00 837.60 852.20 866.80 881.41 896.01 910.61 923.48 932.24 1523

1524 Single 810.31 824.91 839.51 854.11 868.72 883.32 897.92 912.52 925.47 934.23 15241524 Head of Household 847.20 861.80 876.40 891.00 904.59 913.36 922.12 930.88 939.64 948.40 15241524 Married Filing joint 896.03 904.79 913.55 922.31 931.07 939.84 948.60 957.36 966.12 15241524 Married Filling Separate 808.86 823.46 838.06 852.67 867.27 881.87 896.47 911.08 924.02 932.78 1524

1525 Single 810.77 825.37 839.97 854.58 869.18 883.78 898.38 912.99 926.01 934.77 15251525 Head of Household 847.66 862.27 876.87 891.47 905.14 913.90 922.66 931.42 940.18 948.94 15251525 Married Filing joint 896.57 905.34 914.10 922.86 931.62 940.38 949.14 957.90 966.67 15251525 Married Filling Separate 809.32 823.92 838.53 853.13 867.73 882.33 896.94 911.54 924.56 933.32 1525

1526 Single 811.23 825.84 840.44 855.04 869.64 884.25 898.85 913.45 926.55 935.31 15261526 Head of Household 848.13 862.73 877.34 891.94 905.68 914.44 923.20 931.96 940.73 949.49 15261526 Married Filing joint 897.12 905.88 914.64 923.41 932.17 940.93 949.69 958.45 967.21 15261526 Married Filling Separate 809.79 824.39 838.99 853.59 868.20 882.80 897.40 912.00 925.10 933.86 1526

1527 Single 811.70 826.30 840.90 855.51 870.11 884.71 899.31 913.92 927.08 935.85 15271527 Head of Household 848.60 863.20 877.80 892.41 906.22 914.98 923.75 932.51 941.27 950.03 15271527 Married Filing joint 897.67 906.43 915.19 923.95 932.71 941.47 950.24 959.00 967.76 15271527 Married Filling Separate 810.25 824.85 839.46 854.06 868.66 883.26 897.87 912.47 925.64 934.40 1527

1528 Single 812.16 826.76 841.37 855.97 870.57 885.17 899.78 914.38 927.62 936.38 15281528 Head of Household 849.07 863.67 878.27 892.87 906.76 915.53 924.29 933.05 941.81 950.57 15281528 Married Filing joint 898.21 906.98 915.74 924.50 933.26 942.02 950.78 959.54 968.31 15281528 Married Filling Separate 810.71 825.32 839.92 854.52 869.12 883.73 898.33 912.93 926.18 934.94 1528

Page 211: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1529 Single 812.63 827.23 841.83 856.43 871.04 885.64 900.24 914.84 928.16 936.92 15291529 Head of Household 849.53 864.14 878.74 893.34 907.31 916.07 924.83 933.59 942.35 951.11 15291529 Married Filing joint 898.76 907.52 916.28 925.04 933.81 942.57 951.33 960.09 968.85 15291529 Married Filling Separate 811.18 825.78 840.38 854.99 869.59 884.19 898.79 913.40 926.71 935.48 1529

1530 Single 813.09 827.69 842.29 856.90 871.50 886.10 900.70 915.31 928.70 937.46 15301530 Head of Household 850.00 864.60 879.21 893.81 907.85 916.61 925.37 934.13 942.90 951.66 15301530 Married Filing joint 899.31 908.07 916.83 925.59 934.35 943.11 951.88 960.64 969.40 15301530 Married Filling Separate 811.64 826.24 840.85 855.45 870.05 884.65 899.26 913.86 927.25 936.01 1530

1531 Single 813.55 828.16 842.76 857.36 871.96 886.57 901.17 915.77 929.24 938.00 15311531 Head of Household 850.47 865.07 879.67 894.28 908.39 917.15 925.92 934.68 943.44 952.20 15311531 Married Filing joint 899.85 908.61 917.38 926.14 934.90 943.66 952.42 961.18 969.94 15311531 Married Filling Separate 812.11 826.71 841.31 855.91 870.52 885.12 899.72 914.32 927.79 936.55 1531

1532 Single 814.02 828.62 843.22 857.82 872.43 887.03 901.63 916.23 929.78 938.54 15321532 Head of Household 850.94 865.54 880.14 894.74 908.94 917.70 926.46 935.22 943.98 952.74 15321532 Married Filing joint 900.40 909.16 917.92 926.68 935.45 944.21 952.97 961.73 970.49 15321532 Married Filling Separate 812.57 827.17 841.77 856.38 870.98 885.58 900.18 914.79 928.33 937.09 1532

1533 Single 814.48 829.08 843.69 858.29 872.89 887.49 902.10 916.70 930.32 939.08 15331533 Head of Household 851.40 866.01 880.61 895.21 909.48 918.24 927.00 935.76 944.52 953.29 15331533 Married Filing joint 900.95 909.71 918.47 927.23 935.99 944.75 953.51 962.28 971.04 15331533 Married Filling Separate 813.03 827.64 842.24 856.84 871.44 886.05 900.65 915.25 928.87 937.63 1533

1534 Single 814.94 829.55 844.15 858.75 873.35 887.96 902.56 917.16 930.86 939.62 15341534 Head of Household 851.87 866.47 881.08 895.68 910.02 918.78 927.54 936.31 945.07 953.83 15341534 Married Filing joint 901.49 910.25 919.01 927.78 936.54 945.30 954.06 962.82 971.58 15341534 Married Filling Separate 813.50 828.10 842.70 857.30 871.91 886.51 901.11 915.71 929.41 938.17 1534

1535 Single 815.41 830.01 844.61 859.22 873.82 888.42 903.02 917.63 931.40 940.16 15351535 Head of Household 852.34 866.94 881.54 896.15 910.56 919.32 928.09 936.85 945.61 954.37 15351535 Married Filing joint 902.04 910.80 919.56 928.32 937.08 945.85 954.61 963.37 972.13 15351535 Married Filling Separate 813.96 828.56 843.17 857.77 872.37 886.97 901.58 916.18 929.95 938.71 1535

1536 Single 815.87 830.47 845.08 859.68 874.28 888.88 903.49 918.09 931.93 940.70 15361536 Head of Household 852.81 867.41 882.01 896.61 911.11 919.87 928.63 937.39 946.15 954.91 15361536 Married Filing joint 902.58 911.35 920.11 928.87 937.63 946.39 955.15 963.92 972.68 15361536 Married Filling Separate 814.42 829.03 843.63 858.23 872.83 887.44 902.04 916.64 930.49 939.25 1536

Page 212: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1537 Single 816.34 830.94 845.54 860.14 874.75 889.35 903.95 918.55 932.47 941.23 15371537 Head of Household 853.27 867.88 882.48 897.08 911.65 920.41 929.17 937.93 946.69 955.46 15371537 Married Filing joint 903.13 911.89 920.65 929.42 938.18 946.94 955.70 964.46 973.22 15371537 Married Filling Separate 814.89 829.49 844.09 858.70 873.30 887.90 902.50 917.11 931.03 939.79 1537

1538 Single 816.80 831.40 846.01 860.61 875.21 889.81 904.42 919.02 933.01 941.77 15381538 Head of Household 853.74 868.34 882.95 897.55 912.15 920.95 929.71 938.48 947.24 956.00 15381538 Married Filing joint 903.68 912.44 921.20 929.96 938.72 947.48 956.25 965.01 973.77 15381538 Married Filling Separate 815.35 829.96 844.56 859.16 873.76 888.37 902.97 917.57 931.56 940.33 1538

1539 Single 817.26 831.87 846.47 861.07 875.67 890.28 904.88 919.48 933.55 942.31 15391539 Head of Household 854.21 868.81 883.41 898.02 912.62 921.49 930.25 939.02 947.78 956.54 15391539 Married Filing joint 904.22 912.99 921.75 930.51 939.27 948.03 956.79 965.55 974.32 15391539 Married Filling Separate 815.82 830.42 845.02 859.62 874.23 888.83 903.43 918.03 932.10 940.86 1539

1540 Single 817.73 832.33 846.93 861.54 876.14 890.74 905.34 919.95 934.09 942.85 15401540 Head of Household 854.67 869.27 883.88 898.48 913.08 922.03 930.79 939.56 948.32 957.08 15401540 Married Filing joint 904.77 913.53 922.29 931.05 939.82 948.58 957.34 966.10 974.86 15401540 Married Filling Separate 816.28 830.88 845.49 860.09 874.69 889.29 903.90 918.50 932.64 941.40 1540

1541 Single 818.19 832.79 847.40 862.00 876.60 891.20 905.81 920.41 934.63 943.39 15411541 Head of Household 855.14 869.74 884.34 898.94 913.55 922.57 931.33 940.09 948.86 957.62 15411541 Married Filing joint 905.32 914.08 922.84 931.60 940.36 949.12 957.89 966.65 975.41 15411541 Married Filling Separate 816.74 831.35 845.95 860.55 875.15 889.76 904.36 918.96 933.18 941.94 1541

1542 Single 818.66 833.26 847.86 862.46 877.07 891.67 906.27 920.87 935.17 943.93 15421542 Head of Household 855.60 870.20 884.80 899.41 914.01 923.11 931.87 940.63 949.39 958.16 15421542 Married Filing joint 905.86 914.62 923.39 932.15 940.91 949.67 958.43 967.19 975.95 15421542 Married Filling Separate 817.21 831.81 846.41 861.02 875.62 890.22 904.82 919.43 933.72 942.48 1542

1543 Single 819.12 833.72 848.32 862.93 877.53 892.13 906.73 921.34 935.71 944.47 15431543 Head of Household 856.06 870.67 885.27 899.87 914.47 923.65 932.41 941.17 949.93 958.69 15431543 Married Filing joint 906.41 915.17 923.93 932.69 941.46 950.22 958.98 967.74 976.50 15431543 Married Filling Separate 817.67 832.27 846.88 861.48 876.08 890.68 905.29 919.89 934.26 943.02 1543

1544 Single 819.58 834.19 848.79 863.39 877.99 892.60 907.20 921.80 936.25 945.01 15441544 Head of Household 856.53 871.13 885.73 900.33 914.94 924.19 932.95 941.71 950.47 959.23 15441544 Married Filing joint 906.96 915.72 924.48 933.24 942.00 950.76 959.52 968.29 977.05 15441544 Married Filling Separate 818.14 832.74 847.34 861.94 876.55 891.15 905.75 920.35 934.80 943.56 1544

Page 213: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1545 Single 820.05 834.65 849.25 863.85 878.46 893.06 907.66 922.26 936.78 945.55 15451545 Head of Household 856.99 871.59 886.20 900.80 915.40 924.73 933.49 942.25 951.01 959.77 15451545 Married Filing joint 907.50 916.26 925.02 933.79 942.55 951.31 960.07 968.83 977.59 15451545 Married Filling Separate 818.60 833.20 847.80 862.41 877.01 891.61 906.21 920.82 935.34 944.10 1545

1546 Single 820.51 835.11 849.72 864.32 878.92 893.52 908.13 922.73 937.32 946.08 15461546 Head of Household 857.45 872.06 886.66 901.26 915.86 925.27 934.03 942.79 951.55 960.31 15461546 Married Filing joint 908.05 916.81 925.57 934.33 943.09 951.86 960.62 969.38 978.14 15461546 Married Filling Separate 819.06 833.67 848.27 862.87 877.47 892.08 906.68 921.28 935.88 944.64 1546

1547 Single 820.98 835.58 850.18 864.78 879.39 893.99 908.59 923.19 937.80 946.62 15471547 Head of Household 857.92 872.52 887.12 901.73 916.33 925.80 934.57 943.33 952.09 960.85 15471547 Married Filing joint 908.59 917.36 926.12 934.88 943.64 952.40 961.16 969.93 978.69 15471547 Married Filling Separate 819.53 834.13 848.73 863.34 877.94 892.54 907.14 921.75 936.35 945.18 1547

1548 Single 821.44 836.04 850.64 865.25 879.85 894.45 909.05 923.66 938.26 947.16 15481548 Head of Household 858.38 872.99 887.59 902.19 916.79 926.34 935.10 943.87 952.63 961.39 15481548 Married Filing joint 909.14 917.90 926.66 935.43 944.19 952.95 961.71 970.47 979.23 15481548 Married Filling Separate 819.99 834.59 849.20 863.80 878.40 893.00 907.61 922.21 936.81 945.71 1548

1549 Single 821.90 836.51 851.11 865.71 880.31 894.92 909.52 924.12 938.72 947.70 15491549 Head of Household 858.85 873.45 888.05 902.65 917.26 926.88 935.64 944.40 953.17 961.93 15491549 Married Filing joint 909.69 918.45 927.21 935.97 944.73 953.49 962.26 971.02 979.78 15491549 Married Filling Separate 820.46 835.06 849.66 864.26 878.87 893.47 908.07 922.67 937.28 946.25 1549

1550 Single 822.37 836.97 851.57 866.17 880.78 895.38 909.98 924.58 939.19 948.24 15501550 Head of Household 859.31 873.91 888.52 903.12 917.72 927.42 936.18 944.94 953.71 962.47 15501550 Married Filing joint 910.23 919.00 927.76 936.52 945.28 954.04 962.80 971.56 980.33 15501550 Married Filling Separate 820.92 835.52 850.12 864.73 879.33 893.93 908.53 923.14 937.74 946.79 1550

1551 Single 822.83 837.43 852.04 866.64 881.24 895.84 910.45 925.05 939.65 948.78 15511551 Head of Household 859.77 874.38 888.98 903.58 918.18 927.96 936.72 945.48 954.24 963.01 15511551 Married Filing joint 910.78 919.54 928.30 937.06 945.83 954.59 963.35 972.11 980.87 15511551 Married Filling Separate 821.38 835.99 850.59 865.19 879.79 894.40 909.00 923.60 938.20 947.33 1551

1552 Single 823.29 837.90 852.50 867.10 881.70 896.31 910.91 925.51 940.11 949.32 15521552 Head of Household 860.24 874.84 889.44 904.05 918.65 928.50 937.26 946.02 954.78 963.54 15521552 Married Filing joint 911.33 920.09 928.85 937.61 946.37 955.13 963.90 972.66 981.42 15521552 Married Filling Separate 821.85 836.45 851.05 865.65 880.26 894.86 909.46 924.06 938.67 947.87 1552

Page 214: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1553 Single 823.76 838.36 852.96 867.57 882.17 896.77 911.37 925.98 940.58 949.86 15531553 Head of Household 860.70 875.30 889.91 904.51 919.11 929.04 937.80 946.56 955.32 964.08 15531553 Married Filing joint 911.87 920.63 929.40 938.16 946.92 955.68 964.44 973.20 981.96 15531553 Married Filling Separate 822.31 836.91 851.52 866.12 880.72 895.32 909.93 924.53 939.13 948.41 1553

1554 Single 824.22 838.82 853.43 868.03 882.63 897.23 911.84 926.44 941.04 950.40 15541554 Head of Household 861.17 875.77 890.37 904.97 919.58 929.58 938.34 947.10 955.86 964.62 15541554 Married Filing joint 912.42 921.18 929.94 938.70 947.47 956.23 964.99 973.75 982.51 15541554 Married Filling Separate 822.77 837.38 851.98 866.58 881.18 895.79 910.39 924.99 939.59 948.95 1554

1555 Single 824.69 839.29 853.89 868.49 883.10 897.70 912.30 926.90 941.51 950.93 15551555 Head of Household 861.63 876.23 890.83 905.44 920.04 930.12 938.88 947.64 956.40 965.16 15551555 Married Filing joint 912.97 921.73 930.49 939.25 948.01 956.77 965.53 974.30 983.06 15551555 Married Filling Separate 823.24 837.84 852.44 867.05 881.65 896.25 910.85 925.46 940.06 949.49 1555

1556 Single 825.15 839.75 854.35 868.96 883.56 898.16 912.76 927.37 941.97 951.47 15561556 Head of Household 862.09 876.70 891.30 905.90 920.50 930.65 939.42 948.18 956.94 965.70 15561556 Married Filing joint 913.51 922.27 931.04 939.80 948.56 957.32 966.08 974.84 983.60 15561556 Married Filling Separate 823.70 838.30 852.91 867.51 882.11 896.71 911.32 925.92 940.52 950.03 1556

1557 Single 825.61 840.22 854.82 869.42 884.02 898.63 913.23 927.83 942.43 952.01 15571557 Head of Household 862.56 877.16 891.76 906.36 920.97 931.19 939.95 948.72 957.48 966.24 15571557 Married Filing joint 914.06 922.82 931.58 940.34 949.10 957.87 966.63 975.39 984.15 15571557 Married Filling Separate 824.17 838.77 853.37 867.97 882.58 897.18 911.78 926.38 940.99 950.56 1557

1558 Single 826.08 840.68 855.28 869.89 884.49 899.09 913.69 928.30 942.90 952.55 15581558 Head of Household 863.02 877.62 892.23 906.83 921.43 931.73 940.49 949.25 958.02 966.78 15581558 Married Filing joint 914.60 923.37 932.13 940.89 949.65 958.41 967.17 975.94 984.70 15581558 Married Filling Separate 824.63 839.23 853.84 868.44 883.04 897.64 912.25 926.85 941.45 951.10 1558

1559 Single 826.54 841.14 855.75 870.35 884.95 899.55 914.16 928.76 943.36 953.09 15591559 Head of Household 863.49 878.09 892.69 907.29 921.90 932.27 941.03 949.79 958.56 967.32 15591559 Married Filing joint 915.15 923.91 932.67 941.44 950.20 958.96 967.72 976.48 985.24 15591559 Married Filling Separate 825.09 839.70 854.30 868.90 883.50 898.11 912.71 927.31 941.91 951.64 1559

1560 Single 827.01 841.61 856.21 870.81 885.42 900.02 914.62 929.22 943.83 953.63 15601560 Head of Household 863.95 878.55 893.15 907.76 922.36 932.81 941.57 950.33 959.09 967.86 15601560 Married Filing joint 915.70 924.46 933.22 941.98 950.74 959.51 968.27 977.03 985.79 15601560 Married Filling Separate 825.56 840.16 854.76 869.37 883.97 898.57 913.17 927.78 942.38 952.18 1560

Page 215: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1561 Single 827.47 842.07 856.67 871.28 885.88 900.48 915.08 929.69 944.29 954.17 15611561 Head of Household 864.41 879.02 893.62 908.22 922.82 933.35 942.11 950.87 959.63 968.39 15611561 Married Filing joint 916.24 925.01 933.77 942.53 951.29 960.05 968.81 977.57 986.34 15611561 Married Filling Separate 826.02 840.62 855.23 869.83 884.43 899.03 913.64 928.24 942.84 952.72 1561

1562 Single 827.93 842.54 857.14 871.74 886.34 900.95 915.55 930.15 944.75 954.71 15621562 Head of Household 864.88 879.48 894.08 908.68 923.29 933.89 942.65 951.41 960.17 968.93 15621562 Married Filing joint 916.79 925.55 934.31 943.07 951.84 960.60 969.36 978.12 986.88 15621562 Married Filling Separate 826.49 841.09 855.69 870.29 884.90 899.50 914.10 928.70 943.31 953.26 1562

1563 Single 828.40 843.00 857.60 872.20 886.81 901.41 916.01 930.61 945.22 955.25 15631563 Head of Household 865.34 879.94 894.55 909.15 923.75 934.43 943.19 951.95 960.71 969.47 15631563 Married Filing joint 917.34 926.10 934.86 943.62 952.38 961.14 969.91 978.67 987.43 15631563 Married Filling Separate 826.95 841.55 856.15 870.76 885.36 899.96 914.56 929.17 943.77 953.80 1563

1564 Single 828.86 843.46 858.07 872.67 887.27 901.87 916.48 931.08 945.68 955.78 15641564 Head of Household 865.80 880.41 895.01 909.61 924.21 934.97 943.73 952.49 961.25 970.01 15641564 Married Filing joint 917.88 926.64 935.41 944.17 952.93 961.69 970.45 979.21 987.98 15641564 Married Filling Separate 827.41 842.02 856.62 871.22 885.82 900.43 915.03 929.63 944.23 954.34 1564

1565 Single 829.32 843.93 858.53 873.13 887.73 902.34 916.94 931.54 946.14 956.32 15651565 Head of Household 866.27 880.87 895.47 910.08 924.68 935.50 944.27 953.03 961.79 970.55 15651565 Married Filing joint 918.43 927.19 935.95 944.71 953.48 962.24 971.00 979.76 988.52 15651565 Married Filling Separate 827.88 842.48 857.08 871.68 886.29 900.89 915.49 930.09 944.70 954.88 1565

1566 Single 829.79 844.39 858.99 873.60 888.20 902.80 917.40 932.01 946.61 956.86 15661566 Head of Household 866.73 881.33 895.94 910.54 925.14 936.04 944.80 953.57 962.33 971.09 15661566 Married Filing joint 918.98 927.74 936.50 945.26 954.02 962.78 971.54 980.31 989.07 15661566 Married Filling Separate 828.34 842.94 857.55 872.15 886.75 901.35 915.96 930.56 945.16 955.41 1566

1567 Single 830.25 844.86 859.46 874.06 888.66 903.27 917.87 932.47 947.07 957.40 15671567 Head of Household 867.20 881.80 896.40 911.00 925.61 936.58 945.34 954.10 962.87 971.63 15671567 Married Filing joint 919.52 928.28 937.05 945.81 954.57 963.33 972.09 980.85 989.61 15671567 Married Filling Separate 828.81 843.41 858.01 872.61 887.22 901.82 916.42 931.02 945.63 955.95 1567

1568 Single 830.42 845.03 859.63 874.23 888.83 903.44 918.04 932.64 947.24 957.65 15681568 Head of Household 867.66 882.26 896.87 911.47 926.07 937.12 945.88 954.64 963.41 972.17 15681568 Married Filing joint 920.07 928.83 937.59 946.35 955.11 963.88 972.64 981.40 990.16 15681568 Married Filling Separate 829.27 843.87 858.47 873.08 887.68 902.28 916.88 931.49 946.09 956.49 1568

Page 216: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1569 Single 830.89 845.49 860.09 874.70 889.30 903.90 918.50 933.11 947.71 958.19 15691569 Head of Household 868.12 882.73 897.33 911.93 926.53 937.66 946.42 955.18 963.94 972.71 15691569 Married Filing joint 920.61 929.38 938.14 946.90 955.66 964.42 973.18 981.95 990.71 15691569 Married Filling Separate 829.73 844.34 858.94 873.54 888.14 902.75 917.35 931.95 946.55 957.03 1569

1570 Single 831.35 845.95 860.56 875.16 889.76 904.36 918.97 933.57 948.17 958.72 15701570 Head of Household 868.59 883.19 897.79 912.40 927.00 938.20 946.96 955.72 964.48 973.24 15701570 Married Filing joint 921.16 929.92 938.68 947.45 956.21 964.97 973.73 982.49 991.25 15701570 Married Filling Separate 830.20 844.80 859.40 874.00 888.61 903.21 917.81 932.41 947.02 957.57 1570

1571 Single 831.82 846.42 861.02 875.62 890.23 904.83 919.43 934.03 948.64 959.26 15711571 Head of Household 869.05 883.65 898.26 912.86 927.46 938.74 947.50 956.26 965.02 973.78 15711571 Married Filing joint 921.71 930.47 939.23 947.99 956.75 965.52 974.28 983.04 991.80 15711571 Married Filling Separate 830.66 845.26 859.87 874.47 889.07 903.67 918.28 932.88 947.48 958.11 1571

1572 Single 832.28 846.88 861.48 876.09 890.69 905.29 919.89 934.50 949.10 959.80 15721572 Head of Household 869.52 884.12 898.72 913.32 927.93 939.28 948.04 956.80 965.56 974.32 15721572 Married Filing joint 922.25 931.02 939.78 948.54 957.30 966.06 974.82 983.58 992.35 15721572 Married Filling Separate 831.12 845.73 860.33 874.93 889.53 904.14 918.74 933.34 947.94 958.65 1572

1573 Single 832.74 847.35 861.95 876.55 891.15 905.76 920.36 934.96 949.56 960.34 15731573 Head of Household 869.98 884.58 899.18 913.79 928.39 939.81 948.58 957.34 966.10 974.86 15731573 Married Filing joint 922.80 931.56 940.32 949.08 957.85 966.61 975.37 984.13 992.89 15731573 Married Filling Separate 831.59 846.19 860.79 875.40 890.00 904.60 919.20 933.81 948.41 959.19 1573

1574 Single 833.21 847.81 862.41 877.01 891.62 906.22 920.82 935.42 950.03 960.88 15741574 Head of Household 870.44 885.05 899.65 914.25 928.85 940.35 949.12 957.88 966.64 975.40 15741574 Married Filing joint 923.35 932.11 940.87 949.63 958.39 967.15 975.92 984.68 993.44 15741574 Married Filling Separate 832.05 846.65 861.26 875.86 890.46 905.06 919.67 934.27 948.87 959.73 1574

1575 Single 833.67 848.27 862.88 877.48 892.08 906.68 921.29 935.89 950.49 961.42 15751575 Head of Household 870.91 885.51 900.11 914.71 929.32 940.89 949.65 958.42 967.18 975.94 15751575 Married Filing joint 923.89 932.65 941.42 950.18 958.94 967.70 976.46 985.22 993.99 15751575 Married Filling Separate 832.52 847.12 861.72 876.32 890.93 905.53 920.13 934.73 949.34 960.26 1575

1576 Single 834.13 848.74 863.34 877.94 892.54 907.15 921.75 936.35 950.95 961.96 15761576 Head of Household 871.37 885.97 900.58 915.18 929.78 941.43 950.19 958.95 967.72 976.48 15761576 Married Filing joint 924.44 933.20 941.96 950.72 959.49 968.25 977.01 985.77 994.53 15761576 Married Filling Separate 832.98 847.58 862.18 876.79 891.39 905.99 920.59 935.20 949.80 960.80 1576

Page 217: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1577 Single 834.60 849.20 863.80 878.41 893.01 907.61 922.21 936.82 951.42 962.50 15771577 Head of Household 871.83 886.44 901.04 915.64 930.24 941.97 950.73 959.49 968.25 977.02 15771577 Married Filing joint 924.99 933.75 942.51 951.27 960.03 968.79 977.55 986.32 995.08 15771577 Married Filling Separate 833.44 848.05 862.65 877.25 891.85 906.46 921.06 935.66 950.26 961.34 1577

1578 Single 835.06 849.67 864.27 878.87 893.47 908.08 922.68 937.28 951.88 963.04 15781578 Head of Household 872.30 886.90 901.50 916.11 930.71 942.51 951.27 960.03 968.79 977.56 15781578 Married Filing joint 925.53 934.29 943.06 951.82 960.58 969.34 978.10 986.86 995.62 15781578 Married Filling Separate 833.91 848.51 863.11 877.72 892.32 906.92 921.52 936.13 950.73 961.88 1578

1579 Single 835.53 850.13 864.73 879.33 893.94 908.54 923.14 937.74 952.35 963.57 15791579 Head of Household 872.76 887.37 901.97 916.57 931.17 943.05 951.81 960.57 969.33 978.09 15791579 Married Filing joint 926.08 934.84 943.60 952.36 961.12 969.89 978.65 987.41 996.17 15791579 Married Filling Separate 834.37 848.97 863.58 878.18 892.78 907.38 921.99 936.59 951.19 962.42 1579

1580 Single 835.99 850.59 865.20 879.80 894.40 909.00 923.61 938.21 952.81 964.11 15801580 Head of Household 873.23 887.83 902.43 917.03 931.64 943.59 952.35 961.11 969.87 978.63 15801580 Married Filing joint 926.63 935.39 944.15 952.91 961.67 970.43 979.19 987.96 996.72 15801580 Married Filling Separate 834.84 849.44 864.04 878.64 893.25 907.85 922.45 937.05 951.66 962.96 1580

1581 Single 836.45 851.06 865.66 880.26 894.86 909.47 924.07 938.67 953.27 964.65 15811581 Head of Household 873.69 888.29 902.90 917.50 932.10 944.13 952.89 961.65 970.41 979.17 15811581 Married Filing joint 927.17 935.93 944.69 953.46 962.22 970.98 979.74 988.50 997.26 15811581 Married Filling Separate 835.30 849.90 864.50 879.11 893.71 908.31 922.91 937.52 952.12 963.50 1581

1582 Single 836.92 851.52 866.12 880.73 895.33 909.93 924.53 939.14 953.74 965.19 15821582 Head of Household 874.15 888.76 903.36 917.96 932.56 944.66 953.43 962.19 970.95 979.71 15821582 Married Filing joint 927.72 936.48 945.24 954.00 962.76 971.53 980.29 989.05 997.81 15821582 Married Filling Separate 835.76 850.37 864.97 879.57 894.17 908.78 923.38 937.98 952.58 964.04 1582

1583 Single 837.38 851.98 866.59 881.19 895.79 910.39 925.00 939.60 954.20 965.73 15831583 Head of Household 874.62 889.22 903.82 918.43 933.03 945.20 953.97 962.73 971.49 980.25 15831583 Married Filing joint 928.26 937.03 945.79 954.55 963.31 972.07 980.83 989.59 998.36 15831583 Married Filling Separate 836.23 850.83 865.43 880.03 894.64 909.24 923.84 938.44 953.05 964.58 1583

1584 Single 837.85 852.45 867.05 881.65 896.26 910.86 925.46 940.06 954.67 966.27 15841584 Head of Household 875.08 889.68 904.29 918.89 933.49 945.74 954.50 963.27 972.03 980.79 15841584 Married Filing joint 928.81 937.57 946.33 955.10 963.86 972.62 981.38 990.14 998.90 15841584 Married Filling Separate 836.69 851.29 865.90 880.50 895.10 909.70 924.31 938.91 953.51 965.11 1584

Page 218: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1585 Single 838.31 852.91 867.51 882.12 896.72 911.32 925.92 940.53 955.13 966.81 15851585 Head of Household 875.55 890.15 904.75 919.35 933.96 946.28 955.04 963.80 972.57 981.33 15851585 Married Filing joint 929.36 938.12 946.88 955.64 964.40 973.16 981.93 990.69 999.45 15851585 Married Filling Separate 837.15 851.76 866.36 880.96 895.56 910.17 924.77 939.37 953.97 965.65 1585

1586 Single 838.77 853.38 867.98 882.58 897.18 911.79 926.39 940.99 955.59 967.35 15861586 Head of Household 876.01 890.61 905.21 919.82 934.42 946.82 955.58 964.34 973.10 981.87 15861586 Married Filing joint 929.90 938.66 947.43 956.19 964.95 973.71 982.47 991.23 1,000.00 15861586 Married Filling Separate 837.62 852.22 866.82 881.43 896.03 910.63 925.23 939.84 954.44 966.19 1586

1587 Single 839.24 853.84 868.44 883.05 897.65 912.25 926.85 941.46 956.06 967.89 15871587 Head of Household 876.02 890.62 905.22 919.82 934.43 946.90 955.66 964.42 973.19 981.95 15871587 Married Filing joint 930.45 939.21 947.97 956.73 965.50 974.26 983.02 991.78 1,000.54 15871587 Married Filling Separate 838.08 852.69 867.29 881.89 896.49 911.10 925.70 940.30 954.90 966.73 1587

1588 Single 839.70 854.30 868.91 883.51 898.11 912.71 927.32 941.92 956.52 968.42 15881588 Head of Household 876.48 891.08 905.69 920.29 934.89 947.44 956.20 964.96 973.73 982.49 15881588 Married Filing joint 931.00 939.76 948.52 957.28 966.04 974.80 983.57 992.33 1,001.09 15881588 Married Filling Separate 838.55 853.15 867.75 882.35 896.96 911.56 926.16 940.76 955.37 967.27 1588

1589 Single 840.17 854.77 869.37 883.97 898.58 913.18 927.78 942.38 956.99 968.96 15891589 Head of Household 876.94 891.55 906.15 920.75 935.35 947.98 956.74 965.50 974.26 983.03 15891589 Married Filing joint 931.54 940.30 949.07 957.83 966.59 975.35 984.11 992.87 1,001.63 15891589 Married Filling Separate 839.01 853.61 868.22 882.82 897.42 912.02 926.63 941.23 955.83 967.81 1589

1590 Single 840.63 855.23 869.83 884.44 899.04 913.64 928.24 942.85 957.45 969.50 15901590 Head of Household 877.41 892.01 906.61 921.22 935.82 948.52 957.28 966.04 974.80 983.56 15901590 Married Filing joint 932.09 940.85 949.61 958.37 967.13 975.90 984.66 993.42 1,002.18 15901590 Married Filling Separate 839.47 854.08 868.68 883.28 897.88 912.49 927.09 941.69 956.29 968.35 1590

1591 Single 841.09 855.70 870.30 884.90 899.50 914.11 928.71 943.31 957.91 970.04 15911591 Head of Household 877.87 892.47 907.08 921.68 936.28 949.06 957.82 966.58 975.34 984.10 15911591 Married Filing joint 932.64 941.40 950.16 958.92 967.68 976.44 985.20 993.97 1,002.73 15911591 Married Filling Separate 839.94 854.54 869.14 883.75 898.35 912.95 927.55 942.16 956.76 968.89 1591

1592 Single 841.56 856.16 870.76 885.36 899.97 914.57 929.17 943.77 958.38 970.58 15921592 Head of Household 878.34 892.94 907.54 922.14 936.75 949.60 958.36 967.12 975.88 984.64 15921592 Married Filing joint 933.18 941.94 950.70 959.47 968.23 976.99 985.75 994.51 1,003.27 15921592 Married Filling Separate 840.40 855.00 869.61 884.21 898.81 913.41 928.02 942.62 957.22 969.43 1592

Page 219: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1593 Single 842.02 856.62 871.23 885.83 900.43 915.03 929.64 944.24 958.84 971.12 15931593 Head of Household 878.80 893.40 908.00 922.61 937.21 950.13 958.90 967.66 976.42 985.18 15931593 Married Filing joint 933.73 942.49 951.25 960.01 968.77 977.54 986.30 995.06 1,003.82 15931593 Married Filling Separate 840.87 855.47 870.07 884.67 899.28 913.88 928.48 943.08 957.69 969.96 1593

1594 Single 842.48 857.09 871.69 886.29 900.89 915.50 930.10 944.70 959.30 971.66 15941594 Head of Household 879.26 893.87 908.47 923.07 937.67 950.67 959.44 968.20 976.96 985.72 15941594 Married Filing joint 934.27 943.04 951.80 960.56 969.32 978.08 986.84 995.60 1,004.37 15941594 Married Filling Separate 841.33 855.93 870.53 885.14 899.74 914.34 928.94 943.55 958.15 970.50 1594

1595 Single 842.95 857.55 872.15 886.76 901.36 915.96 930.56 945.17 959.77 972.20 15951595 Head of Household 879.73 894.33 908.93 923.53 938.14 951.21 959.97 968.74 977.50 986.26 15951595 Married Filing joint 934.82 943.58 952.34 961.11 969.87 978.63 987.39 996.15 1,004.91 15951595 Married Filling Separate 841.79 856.40 871.00 885.60 900.20 914.81 929.41 944.01 958.61 971.04 1595

1596 Single 843.41 858.01 872.62 887.22 901.82 916.42 931.03 945.63 960.23 972.74 15961596 Head of Household 880.19 894.79 909.40 924.00 938.60 951.75 960.51 969.27 978.04 986.80 15961596 Married Filing joint 935.37 944.13 952.89 961.65 970.41 979.17 987.94 996.70 1,005.46 15961596 Married Filling Separate 842.26 856.86 871.46 886.06 900.67 915.27 929.87 944.47 959.08 971.58 1596

1597 Single 843.88 858.48 873.08 887.68 902.29 916.89 931.49 946.09 960.70 973.27 15971597 Head of Household 880.65 895.26 909.86 924.46 939.06 952.29 961.05 969.81 978.57 987.34 15971597 Married Filing joint 935.91 944.67 953.44 962.20 970.96 979.72 988.48 997.24 1,006.01 15971597 Married Filling Separate 842.72 857.32 871.93 886.53 901.13 915.73 930.34 944.94 959.54 972.12 1597

1598 Single 844.34 858.94 873.55 888.15 902.75 917.35 931.96 946.56 961.16 973.81 15981598 Head of Household 881.12 895.72 910.32 924.93 939.53 952.83 961.59 970.35 979.11 987.88 15981598 Married Filing joint 936.46 945.22 953.98 962.74 971.51 980.27 989.03 997.79 1,006.55 15981598 Married Filling Separate 843.19 857.79 872.39 886.99 901.60 916.20 930.80 945.40 960.01 972.66 1598

1599 Single 844.80 859.41 874.01 888.61 903.21 917.82 932.42 947.02 961.62 974.35 15991599 Head of Household 881.58 896.19 910.79 925.39 939.99 953.37 962.13 970.89 979.65 988.41 15991599 Married Filing joint 937.01 945.77 954.53 963.29 972.05 980.81 989.58 998.34 1,007.10 15991599 Married Filling Separate 843.65 858.25 872.85 887.46 902.06 916.66 931.26 945.87 960.47 973.20 1599

1600 Single 845.27 859.87 874.47 889.08 903.68 918.28 932.88 947.49 962.09 974.89 16001600 Head of Household 882.05 896.65 911.25 925.85 940.46 953.91 962.67 971.43 980.19 988.95 16001600 Married Filing joint 937.55 946.31 955.08 963.84 972.60 981.36 990.12 998.88 1,007.64 16001600 Married Filling Separate 844.11 858.72 873.32 887.92 902.52 917.13 931.73 946.33 960.93 973.74 1600

Page 220: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1601 Single 845.73 860.33 874.94 889.54 904.14 918.74 933.35 947.95 962.55 975.43 16011601 Head of Household 882.51 897.11 911.72 926.32 940.92 954.45 963.21 971.97 980.73 989.49 16011601 Married Filing joint 938.10 946.86 955.62 964.38 973.14 981.91 990.67 999.43 1,008.19 16011601 Married Filling Separate 844.58 859.18 873.78 888.38 902.99 917.59 932.19 946.79 961.40 974.28 1601

1602 Single 846.20 860.80 875.40 890.00 904.61 919.21 933.81 948.41 963.02 975.97 16021602 Head of Household 882.97 897.58 912.18 926.78 941.38 954.98 963.75 972.51 981.27 990.03 16021602 Married Filing joint 938.65 947.41 956.17 964.93 973.69 982.45 991.21 999.98 1,008.74 16021602 Married Filling Separate 845.04 859.64 874.25 888.85 903.45 918.05 932.66 947.26 961.86 974.81 1602

1603 Single 846.66 861.26 875.86 890.47 905.07 919.67 934.27 948.88 963.48 976.51 16031603 Head of Household 883.44 898.04 912.64 927.25 941.85 955.52 964.29 973.05 981.81 990.57 16031603 Married Filing joint 939.19 947.95 956.71 965.48 974.24 983.00 991.76 1,000.52 1,009.28 16031603 Married Filling Separate 845.50 860.11 874.71 889.31 903.91 918.52 933.12 947.72 962.32 975.35 1603

1604 Single 847.12 861.73 876.33 890.93 905.53 920.14 934.74 949.34 963.94 977.05 16041604 Head of Household 883.90 898.50 913.11 927.71 942.31 956.06 964.82 973.59 982.35 991.11 16041604 Married Filing joint 939.74 948.50 957.26 966.02 974.78 983.55 992.31 1,001.07 1,009.83 16041604 Married Filling Separate 845.97 860.57 875.17 889.78 904.38 918.98 933.58 948.19 962.79 975.89 1604

1605 Single 847.59 862.19 876.79 891.39 906.00 920.60 935.20 949.80 964.41 977.59 16051605 Head of Household 884.37 898.97 913.57 928.17 942.78 956.60 965.36 974.12 982.89 991.65 16051605 Married Filing joint 940.28 949.05 957.81 966.57 975.33 984.09 992.85 1,001.61 1,010.38 16051605 Married Filling Separate 846.43 861.03 875.64 890.24 904.84 919.44 934.05 948.65 963.25 976.43 1605

1606 Single 848.05 862.65 877.26 891.86 906.46 921.06 935.67 950.27 964.87 978.12 16061606 Head of Household 884.83 899.43 914.03 928.64 943.24 957.14 965.90 974.66 983.42 992.19 16061606 Married Filing joint 940.83 949.59 958.35 967.12 975.88 984.64 993.40 1,002.16 1,010.92 16061606 Married Filling Separate 846.90 861.50 876.10 890.70 905.31 919.91 934.51 949.11 963.72 976.97 1606

1607 Single 848.52 863.12 877.72 892.32 906.93 921.53 936.13 950.73 965.34 978.66 16071607 Head of Household 885.29 899.90 914.50 929.10 943.70 957.68 966.44 975.20 983.96 992.73 16071607 Married Filing joint 941.38 950.14 958.90 967.66 976.42 985.18 993.95 1,002.71 1,011.47 16071607 Married Filling Separate 847.36 861.96 876.57 891.17 905.77 920.37 934.98 949.58 964.18 977.51 1607

1608 Single 848.98 863.58 878.18 892.79 907.39 921.99 936.59 951.20 965.80 979.20 16081608 Head of Household 885.76 900.36 914.96 929.57 944.17 958.22 966.98 975.74 984.50 993.26 16081608 Married Filing joint 941.92 950.69 959.45 968.21 976.97 985.73 994.49 1,003.25 1,012.02 16081608 Married Filling Separate 847.82 862.43 877.03 891.63 906.23 920.84 935.44 950.04 964.64 978.05 1608

Page 221: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1609 Single 849.44 864.05 878.65 893.25 907.85 922.46 937.06 951.66 966.26 979.74 16091609 Head of Household 886.22 900.82 915.43 930.03 944.63 958.76 967.52 976.28 985.04 993.80 16091609 Married Filing joint 942.47 951.23 959.99 968.75 977.52 986.28 995.04 1,003.80 1,012.56 16091609 Married Filling Separate 848.29 862.89 877.49 892.10 906.70 921.30 935.90 950.51 965.11 978.59 1609

1610 Single 849.91 864.51 879.11 893.71 908.32 922.92 937.52 952.12 966.73 980.28 16101610 Head of Household 886.69 901.29 915.89 930.49 945.10 959.30 968.06 976.82 985.58 994.34 16101610 Married Filing joint 943.02 951.78 960.54 969.30 978.06 986.82 995.59 1,004.35 1,013.11 16101610 Married Filling Separate 848.75 863.35 877.96 892.56 907.16 921.76 936.37 950.97 965.57 979.12 1610

1611 Single 850.37 864.97 879.58 894.18 908.78 923.38 937.99 952.59 967.19 980.82 16111611 Head of Household 887.15 901.75 916.35 930.96 945.56 959.83 968.60 977.36 986.12 994.88 16111611 Married Filing joint 943.56 952.32 961.09 969.85 978.61 987.37 996.13 1,004.89 1,013.65 16111611 Married Filling Separate 849.22 863.82 878.42 893.02 907.63 922.23 936.83 951.43 966.04 979.66 1611

1612 Single 850.83 865.44 880.04 894.64 909.24 923.85 938.45 953.05 967.65 981.36 16121612 Head of Household 887.61 902.22 916.82 931.42 946.02 960.37 969.14 977.90 986.66 995.42 16121612 Married Filing joint 944.11 952.87 961.63 970.39 979.16 987.92 996.68 1,005.44 1,014.20 16121612 Married Filling Separate 849.68 864.28 878.88 893.49 908.09 922.69 937.29 951.90 966.50 980.20 1612

1613 Single 851.30 865.90 880.50 895.11 909.71 924.31 938.91 953.52 968.12 981.90 16131613 Head of Household 888.08 902.68 917.28 931.88 946.49 960.91 969.67 978.44 987.20 995.96 16131613 Married Filing joint 944.66 953.42 962.18 970.94 979.70 988.46 997.22 1,005.99 1,014.75 16131613 Married Filling Separate 850.14 864.75 879.35 893.95 908.55 923.16 937.76 952.36 966.96 980.74 1613

1614 Single 851.76 866.36 880.97 895.57 910.17 924.77 939.38 953.98 968.58 982.44 16141614 Head of Household 888.54 903.14 917.75 932.35 946.95 961.45 970.21 978.97 987.74 996.50 16141614 Married Filing joint 945.20 953.96 962.72 971.49 980.25 989.01 997.77 1,006.53 1,015.29 16141614 Married Filling Separate 850.61 865.21 879.81 894.41 909.02 923.62 938.22 952.82 967.43 981.28 1614

1615 Single 852.23 866.83 881.43 896.03 910.64 925.24 939.84 954.44 969.05 982.97 16151615 Head of Household 889.00 903.61 918.21 932.81 947.41 961.99 970.75 979.51 988.27 997.04 16151615 Married Filing joint 945.75 954.51 963.27 972.03 980.79 989.56 998.32 1,007.08 1,015.84 16151615 Married Filling Separate 851.07 865.67 880.28 894.88 909.48 924.08 938.69 953.29 967.89 981.82 1615

1616 Single 852.69 867.29 881.89 896.50 911.10 925.70 940.30 954.91 969.51 983.51 16161616 Head of Household 889.47 904.07 918.67 933.28 947.88 962.48 971.29 980.05 988.81 997.58 16161616 Married Filing joint 946.29 955.06 963.82 972.58 981.34 990.10 998.86 1,007.63 1,016.39 16161616 Married Filling Separate 851.53 866.14 880.74 895.34 909.94 924.55 939.15 953.75 968.35 982.36 1616

Page 222: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1617 Single 853.15 867.76 882.36 896.96 911.56 926.17 940.77 955.37 969.97 984.05 16171617 Head of Household 889.93 904.53 919.14 933.74 948.34 962.94 971.83 980.59 989.35 998.11 16171617 Married Filing joint 946.84 955.60 964.36 973.13 981.89 990.65 999.41 1,008.17 1,016.93 16171617 Married Filling Separate 852.00 866.60 881.20 895.81 910.41 925.01 939.61 954.22 968.82 982.90 1617

1618 Single 853.62 868.22 882.82 897.43 912.03 926.63 941.23 955.84 970.44 984.59 16181618 Head of Household 890.40 905.00 919.60 934.20 948.81 963.41 972.37 981.13 989.89 998.65 16181618 Married Filing joint 947.39 956.15 964.91 973.67 982.43 991.19 999.96 1,008.72 1,017.48 16181618 Married Filling Separate 852.46 867.07 881.67 896.27 910.87 925.48 940.08 954.68 969.28 983.44 1618

1619 Single 854.08 868.68 883.29 897.89 912.49 927.09 941.70 956.30 970.90 985.13 16191619 Head of Household 890.86 905.46 920.07 934.67 949.27 963.87 972.91 981.67 990.43 999.19 16191619 Married Filing joint 947.93 956.70 965.46 974.22 982.98 991.74 1,000.50 1,009.26 1,018.03 16191619 Married Filling Separate 852.93 867.53 882.13 896.73 911.34 925.94 940.54 955.14 969.75 983.97 1619

1620 Single 854.55 869.15 883.75 898.35 912.96 927.56 942.16 956.76 971.37 985.67 16201620 Head of Household 891.32 905.93 920.53 935.13 949.73 964.34 973.45 982.21 990.97 999.73 16201620 Married Filing joint 948.48 957.24 966.00 974.76 983.53 992.29 1,001.05 1,009.81 1,018.57 16201620 Married Filling Separate 853.39 867.99 882.60 897.20 911.80 926.40 941.01 955.61 970.21 984.51 1620

1621 Single 855.01 869.61 884.21 898.82 913.42 928.02 942.62 957.23 971.83 986.21 16211621 Head of Household 891.79 906.39 920.99 935.60 950.20 964.80 973.98 982.75 991.51 1,000.27 16211621 Married Filing joint 949.03 957.79 966.55 975.31 984.07 992.83 1,001.60 1,010.36 1,019.12 16211621 Married Filling Separate 853.85 868.46 883.06 897.66 912.26 926.87 941.47 956.07 970.67 985.05 1621

1622 Single 855.47 870.08 884.68 899.28 913.88 928.49 943.09 957.69 972.29 986.75 16221622 Head of Household 892.25 906.85 921.46 936.06 950.66 965.26 974.52 983.29 992.05 1,000.81 16221622 Married Filing joint 949.57 958.33 967.10 975.86 984.62 993.38 1,002.14 1,010.90 1,019.66 16221622 Married Filling Separate 854.32 868.92 883.52 898.13 912.73 927.33 941.93 956.54 971.14 985.59 1622

1623 Single 855.94 870.54 885.14 899.74 914.35 928.95 943.55 958.15 972.76 987.29 16231623 Head of Household 892.72 907.32 921.92 936.52 951.13 965.73 975.06 983.82 992.59 1,001.35 16231623 Married Filing joint 950.12 958.88 967.64 976.40 985.17 993.93 1,002.69 1,011.45 1,020.21 16231623 Married Filling Separate 854.78 869.38 883.99 898.59 913.19 927.79 942.40 957.00 971.60 986.13 1623

1624 Single 856.40 871.00 885.61 900.21 914.81 929.41 944.02 958.62 973.22 987.82 16241624 Head of Household 893.18 907.78 922.38 936.99 951.59 966.19 975.60 984.36 993.12 1,001.89 16241624 Married Filing joint 950.67 959.43 968.19 976.95 985.71 994.47 1,003.23 1,012.00 1,020.76 16241624 Married Filling Separate 855.25 869.85 884.45 899.05 913.66 928.26 942.86 957.46 972.07 986.67 1624

Page 223: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1625 Single 856.86 871.47 886.07 900.67 915.27 929.88 944.48 959.08 973.68 988.29 16251625 Head of Household 893.64 908.25 922.85 937.45 952.05 966.66 976.14 984.90 993.66 1,002.42 16251625 Married Filing joint 951.21 959.97 968.73 977.50 986.26 995.02 1,003.78 1,012.54 1,021.30 16251625 Married Filling Separate 855.71 870.31 884.91 899.52 914.12 928.72 943.32 957.93 972.53 987.13 1625

1626 Single 857.33 871.93 886.53 901.14 915.74 930.34 944.94 959.55 974.15 988.75 16261626 Head of Household 894.11 908.71 923.31 937.91 952.52 967.12 976.68 985.44 994.20 1,002.96 16261626 Married Filing joint 951.76 960.52 969.28 978.04 986.80 995.57 1,004.33 1,013.09 1,021.85 16261626 Married Filling Separate 856.17 870.78 885.38 899.98 914.58 929.19 943.79 958.39 972.99 987.60 1626

1627 Single 857.79 872.40 887.00 901.60 916.20 930.81 945.41 960.01 974.61 989.22 16271627 Head of Household 894.57 909.17 923.78 938.38 952.98 967.58 977.22 985.98 994.74 1,003.50 16271627 Married Filing joint 952.30 961.07 969.83 978.59 987.35 996.11 1,004.87 1,013.64 1,022.40 16271627 Married Filling Separate 856.64 871.24 885.84 900.45 915.05 929.65 944.25 958.86 973.46 988.06 1627

1628 Single 858.26 872.86 887.46 902.06 916.67 931.27 945.87 960.47 975.08 989.68 16281628 Head of Household 895.04 909.64 924.24 938.84 953.45 968.05 977.76 986.52 995.28 1,004.04 16281628 Married Filing joint 952.85 961.61 970.37 979.14 987.90 996.66 1,005.42 1,014.18 1,022.94 16281628 Married Filling Separate 857.10 871.70 886.31 900.91 915.51 930.11 944.72 959.32 973.92 988.52 1628

1629 Single 858.72 873.32 887.93 902.53 917.13 931.73 946.34 960.94 975.54 990.14 16291629 Head of Household 895.50 910.10 924.70 939.31 953.91 968.51 978.30 987.06 995.82 1,004.58 16291629 Married Filing joint 953.40 962.16 970.92 979.68 988.44 997.20 1,005.97 1,014.73 1,023.49 16291629 Married Filling Separate 857.57 872.17 886.77 901.37 915.98 930.58 945.18 959.78 974.39 988.99 1629

1630 Single 859.18 873.79 888.39 902.99 917.59 932.20 946.80 961.40 976.00 990.61 16301630 Head of Household 895.96 910.57 925.17 939.77 954.37 968.98 978.83 987.60 996.36 1,005.12 16301630 Married Filing joint 953.94 962.71 971.47 980.23 988.99 997.75 1,006.51 1,015.27 1,024.04 16301630 Married Filling Separate 858.03 872.63 887.23 901.84 916.44 931.04 945.64 960.25 974.85 989.45 1630

1631 Single 859.65 874.25 888.85 903.46 918.06 932.66 947.26 961.87 976.47 991.07 16311631 Head of Household 896.43 911.03 925.63 940.23 954.84 969.44 979.37 988.14 996.90 1,005.66 16311631 Married Filing joint 954.49 963.25 972.01 980.77 989.54 998.30 1,007.06 1,015.82 1,024.58 16311631 Married Filling Separate 858.49 873.10 887.70 902.30 916.90 931.51 946.11 960.71 975.31 989.92 1631

1632 Single 860.11 874.71 889.32 903.92 918.52 933.12 947.73 962.33 976.93 991.53 16321632 Head of Household 896.89 911.49 926.10 940.70 955.30 969.90 979.91 988.67 997.44 1,006.20 16321632 Married Filing joint 955.04 963.80 972.56 981.32 990.08 998.84 1,007.61 1,016.37 1,025.13 16321632 Married Filling Separate 858.96 873.56 888.16 902.76 917.37 931.97 946.57 961.17 975.78 990.38 1632

Page 224: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1633 Single 860.58 875.18 889.78 904.38 918.99 933.59 948.19 962.79 977.40 992.00 16331633 Head of Household 897.35 911.96 926.56 941.16 955.76 970.37 980.45 989.21 997.97 1,006.74 16331633 Married Filing joint 955.58 964.34 973.11 981.87 990.63 999.39 1,008.15 1,016.91 1,025.67 16331633 Married Filling Separate 859.42 874.02 888.63 903.23 917.83 932.43 947.04 961.64 976.24 990.84 1633

1634 Single 861.04 875.64 890.24 904.85 919.45 934.05 948.65 963.26 977.86 992.46 16341634 Head of Household 897.82 912.42 927.02 941.63 956.23 970.83 980.99 989.75 998.51 1,007.27 16341634 Married Filing joint 956.13 964.89 973.65 982.41 991.18 999.94 1,008.70 1,017.46 1,026.22 16341634 Married Filling Separate 859.88 874.49 889.09 903.69 918.29 932.90 947.50 962.10 976.70 991.31 1634

1635 Single 861.50 876.11 890.71 905.31 919.91 934.52 949.12 963.72 978.32 992.93 16351635 Head of Household 898.28 912.88 927.49 942.09 956.69 971.29 981.53 990.29 999.05 1,007.81 16351635 Married Filing joint 956.68 965.44 974.20 982.96 991.72 1,000.48 1,009.24 1,018.01 1,026.77 16351635 Married Filling Separate 860.35 874.95 889.55 904.16 918.76 933.36 947.96 962.57 977.17 991.77 1635

1636 Single 861.97 876.57 891.17 905.77 920.38 934.98 949.58 964.18 978.79 993.39 16361636 Head of Household 898.75 913.35 927.95 942.55 957.16 971.76 982.07 990.83 999.59 1,008.35 16361636 Married Filing joint 957.22 965.98 974.75 983.51 992.27 1,001.03 1,009.79 1,018.55 1,027.31 16361636 Married Filling Separate 860.81 875.41 890.02 904.62 919.22 933.82 948.43 963.03 977.63 992.23 1636

1637 Single 862.43 877.03 891.64 906.24 920.84 935.44 950.05 964.65 979.25 993.85 16371637 Head of Household 899.21 913.81 928.41 943.02 957.62 972.22 982.61 991.37 1,000.13 1,008.89 16371637 Married Filing joint 957.77 966.53 975.29 984.05 992.81 1,001.58 1,010.34 1,019.10 1,027.86 16371637 Married Filling Separate 861.28 875.88 890.48 905.08 919.69 934.29 948.89 963.49 978.10 992.70 1637

1638 Single 862.90 877.50 892.10 906.70 921.31 935.91 950.51 965.11 979.72 994.32 16381638 Head of Household 899.67 914.28 928.88 943.48 958.08 972.69 983.15 991.91 1,000.67 1,009.43 16381638 Married Filing joint 958.31 967.08 975.84 984.60 993.36 1,002.12 1,010.88 1,019.65 1,028.41 16381638 Married Filling Separate 861.74 876.34 890.95 905.55 920.15 934.75 949.36 963.96 978.56 993.16 1638

1639 Single 863.36 877.96 892.56 907.17 921.77 936.37 950.97 965.58 980.18 994.78 16391639 Head of Household 900.14 914.74 929.34 943.95 958.55 973.15 983.68 992.45 1,001.21 1,009.97 16391639 Married Filing joint 958.86 967.62 976.38 985.15 993.91 1,002.67 1,011.43 1,020.19 1,028.95 16391639 Married Filling Separate 862.20 876.81 891.41 906.01 920.61 935.22 949.82 964.42 979.02 993.63 1639

1640 Single 863.82 878.43 893.03 907.63 922.23 936.84 951.44 966.04 980.64 995.25 16401640 Head of Household 900.60 915.20 929.81 944.41 959.01 973.61 984.22 992.99 1,001.75 1,010.51 16401640 Married Filing joint 959.41 968.17 976.93 985.69 994.45 1,003.22 1,011.98 1,020.74 1,029.50 16401640 Married Filling Separate 862.67 877.27 891.87 906.48 921.08 935.68 950.28 964.89 979.49 994.09 1640

Page 225: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1641 Single 864.29 878.89 893.49 908.09 922.70 937.30 951.90 966.50 981.11 995.71 16411641 Head of Household 901.07 915.67 930.27 944.87 959.48 974.08 984.76 993.52 1,002.29 1,011.05 16411641 Married Filing joint 959.95 968.72 977.48 986.24 995.00 1,003.76 1,012.52 1,021.28 1,030.05 16411641 Married Filling Separate 863.13 877.73 892.34 906.94 921.54 936.14 950.75 965.35 979.95 994.55 1641

1642 Single 864.75 879.35 893.96 908.56 923.16 937.76 952.37 966.97 981.57 996.17 16421642 Head of Household 901.53 916.13 930.73 945.34 959.94 974.54 985.30 994.06 1,002.82 1,011.59 16421642 Married Filing joint 960.50 969.26 978.02 986.78 995.55 1,004.31 1,013.07 1,021.83 1,030.59 16421642 Married Filling Separate 863.60 878.20 892.80 907.40 922.01 936.61 951.21 965.81 980.42 995.02 1642

1643 Single 865.21 879.82 894.42 909.02 923.62 938.23 952.83 967.43 982.03 996.64 16431643 Head of Household 901.99 916.60 931.20 945.80 960.40 975.01 985.84 994.60 1,003.36 1,012.12 16431643 Married Filing joint 961.05 969.81 978.57 987.33 996.09 1,004.85 1,013.62 1,022.38 1,031.14 16431643 Married Filling Separate 864.06 878.66 893.26 907.87 922.47 937.07 951.67 966.28 980.88 995.48 1643

1644 Single 865.68 880.28 894.88 909.49 924.09 938.69 953.29 967.90 982.50 997.10 16441644 Head of Household 902.46 917.06 931.66 946.26 960.87 975.47 986.38 995.14 1,003.90 1,012.66 16441644 Married Filing joint 961.59 970.35 979.12 987.88 996.64 1,005.40 1,014.16 1,022.92 1,031.69 16441644 Married Filling Separate 864.52 879.13 893.73 908.33 922.93 937.54 952.14 966.74 981.34 995.95 1644

1645 Single 866.14 880.74 895.35 909.95 924.55 939.15 953.76 968.36 982.96 997.56 16451645 Head of Household 902.92 917.52 932.13 946.73 961.33 975.93 986.92 995.68 1,004.44 1,013.20 16451645 Married Filing joint 962.14 970.90 979.66 988.42 997.19 1,005.95 1,014.71 1,023.47 1,032.23 16451645 Married Filling Separate 864.99 879.59 894.19 908.79 923.40 938.00 952.60 967.20 981.81 996.41 1645

1646 Single 866.61 881.21 895.81 910.41 925.02 939.62 954.22 968.82 983.43 998.03 16461646 Head of Household 903.38 917.99 932.59 947.19 961.79 976.40 987.46 996.22 1,004.98 1,013.74 16461646 Married Filing joint 962.69 971.45 980.21 988.97 997.73 1,006.49 1,015.25 1,024.02 1,032.78 16461646 Married Filling Separate 865.45 880.05 894.66 909.26 923.86 938.46 953.07 967.67 982.27 996.87 1646

1647 Single 867.07 881.67 896.28 910.88 925.48 940.08 954.69 969.29 983.89 998.49 16471647 Head of Household 903.85 918.45 933.05 947.66 962.26 976.86 988.00 996.76 1,005.52 1,014.28 16471647 Married Filing joint 963.23 971.99 980.76 989.52 998.28 1,007.04 1,015.80 1,024.56 1,033.32 16471647 Married Filling Separate 865.92 880.52 895.12 909.72 924.33 938.93 953.53 968.13 982.74 997.34 1647

1648 Single 867.53 882.14 896.74 911.34 925.94 940.55 955.15 969.75 984.35 998.96 16481648 Head of Household 904.31 918.92 933.52 948.12 962.72 977.33 988.53 997.30 1,006.06 1,014.82 16481648 Married Filing joint 963.78 972.54 981.30 990.06 998.82 1,007.59 1,016.35 1,025.11 1,033.87 16481648 Married Filling Separate 866.38 880.98 895.58 910.19 924.79 939.39 953.99 968.60 983.20 997.80 1648

Page 226: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1649 Single 868.00 882.60 897.20 911.81 926.41 941.01 955.61 970.22 984.82 999.42 16491649 Head of Household 904.78 919.38 933.98 948.58 963.19 977.79 989.07 997.83 1,006.60 1,015.36 16491649 Married Filing joint 964.32 973.09 981.85 990.61 999.37 1,008.13 1,016.89 1,025.66 1,034.42 16491649 Married Filling Separate 866.84 881.45 896.05 910.65 925.25 939.86 954.46 969.06 983.66 998.27 1649

1650 Single 868.46 883.06 897.67 912.27 926.87 941.47 956.08 970.68 985.28 999.88 16501650 Head of Household 905.24 919.84 934.45 949.05 963.65 978.25 989.61 998.37 1,007.14 1,015.90 16501650 Married Filing joint 964.87 973.63 982.39 991.16 999.92 1,008.68 1,017.44 1,026.20 1,034.96 16501650 Married Filling Separate 867.31 881.91 896.51 911.11 925.72 940.32 954.92 969.52 984.13 998.73 1650

1651 Single 868.93 883.53 898.13 912.73 927.34 941.94 956.54 971.14 985.75 1,000.35 16511651 Head of Household 905.70 920.31 934.91 949.51 964.11 978.72 990.15 998.91 1,007.67 1,016.44 16511651 Married Filing joint 965.42 974.18 982.94 991.70 1,000.46 1,009.23 1,017.99 1,026.75 1,035.51 16511651 Married Filling Separate 867.77 882.37 896.98 911.58 926.18 940.78 955.39 969.99 984.59 999.19 1651

1652 Single 869.39 883.99 898.59 913.20 927.80 942.40 957.00 971.61 986.21 1,000.81 16521652 Head of Household 906.17 920.77 935.37 949.98 964.58 979.18 990.69 999.45 1,008.21 1,016.97 16521652 Married Filing joint 965.96 974.73 983.49 992.25 1,001.01 1,009.77 1,018.53 1,027.29 1,036.06 16521652 Married Filling Separate 868.23 882.84 897.44 912.04 926.64 941.25 955.85 970.45 985.05 999.66 1652

1653 Single 869.85 884.46 899.06 913.66 928.26 942.87 957.47 972.07 986.67 1,001.28 16531653 Head of Household 906.63 921.23 935.84 950.44 965.04 979.64 991.23 999.99 1,008.75 1,017.51 16531653 Married Filing joint 966.51 975.27 984.03 992.79 1,001.56 1,010.32 1,019.08 1,027.84 1,036.60 16531653 Married Filling Separate 868.70 883.30 897.90 912.51 927.11 941.71 956.31 970.92 985.52 1,000.12 1653

1654 Single 870.32 884.92 899.52 914.12 928.73 943.33 957.93 972.53 987.14 1,001.74 16541654 Head of Household 907.10 921.70 936.30 950.90 965.51 980.11 991.77 1,000.53 1,009.29 1,018.05 16541654 Married Filing joint 967.06 975.82 984.58 993.34 1,002.10 1,010.86 1,019.63 1,028.39 1,037.15 16541654 Married Filling Separate 869.16 883.76 898.37 912.97 927.57 942.17 956.78 971.38 985.98 1,000.58 1654

1655 Single 870.78 885.38 899.99 914.59 929.19 943.79 958.40 973.00 987.60 1,002.20 16551655 Head of Household 907.56 922.16 936.76 951.37 965.97 980.57 992.31 1,001.07 1,009.83 1,018.59 16551655 Married Filing joint 967.60 976.36 985.13 993.89 1,002.65 1,011.41 1,020.17 1,028.93 1,037.70 16551655 Married Filling Separate 869.63 884.23 898.83 913.43 928.04 942.64 957.24 971.84 986.45 1,001.05 1655

1656 Single 871.24 885.85 900.45 915.05 929.65 944.26 958.86 973.46 988.06 1,002.67 16561656 Head of Household 908.02 922.63 937.23 951.83 966.43 981.04 992.85 1,001.61 1,010.37 1,019.13 16561656 Married Filing joint 968.15 976.91 985.67 994.43 1,003.20 1,011.96 1,020.72 1,029.48 1,038.24 16561656 Married Filling Separate 870.09 884.69 899.29 913.90 928.50 943.10 957.70 972.31 986.91 1,001.51 1656

Page 227: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1657 Single 871.71 886.31 900.91 915.52 930.12 944.72 959.32 973.93 988.53 1,003.13 16571657 Head of Household 908.49 923.09 937.69 952.29 966.90 981.50 993.38 1,002.15 1,010.91 1,019.67 16571657 Married Filing joint 968.70 977.46 986.22 994.98 1,003.74 1,012.50 1,021.26 1,030.03 1,038.79 16571657 Married Filling Separate 870.55 885.16 899.76 914.36 928.96 943.57 958.17 972.77 987.37 1,001.98 1657

1658 Single 872.17 886.78 901.38 915.98 930.58 945.19 959.79 974.39 988.99 1,003.60 16581658 Head of Household 908.95 923.55 938.16 952.76 967.36 981.96 993.92 1,002.68 1,011.45 1,020.21 16581658 Married Filing joint 969.24 978.00 986.77 995.53 1,004.29 1,013.05 1,021.81 1,030.57 1,039.33 16581658 Married Filling Separate 871.02 885.62 900.22 914.83 929.43 944.03 958.63 973.24 987.84 1,002.44 1658

1659 Single 872.64 887.24 901.84 916.44 931.05 945.65 960.25 974.85 989.46 1,004.06 16591659 Head of Household 909.42 924.02 938.62 953.22 967.83 982.43 994.46 1,003.22 1,011.99 1,020.75 16591659 Married Filing joint 969.79 978.55 987.31 996.07 1,004.83 1,013.60 1,022.36 1,031.12 1,039.88 16591659 Married Filling Separate 871.48 886.08 900.69 915.29 929.89 944.49 959.10 973.70 988.30 1,002.90 1659

1660 Single 873.10 887.70 902.31 916.91 931.51 946.11 960.72 975.32 989.92 1,004.52 16601660 Head of Household 909.88 924.48 939.08 953.69 968.29 982.89 995.00 1,003.76 1,012.52 1,021.29 16601660 Married Filing joint 970.34 979.10 987.86 996.62 1,005.38 1,014.14 1,022.90 1,031.67 1,040.43 16601660 Married Filling Separate 871.94 886.55 901.15 915.75 930.36 944.96 959.56 974.16 988.77 1,003.37 1660

1661 Single 873.56 888.17 902.77 917.37 931.97 946.58 961.18 975.78 990.38 1,004.99 16611661 Head of Household 910.34 924.95 939.55 954.15 968.75 983.36 995.54 1,004.30 1,013.06 1,021.82 16611661 Married Filing joint 970.88 979.64 988.40 997.17 1,005.93 1,014.69 1,023.45 1,032.21 1,040.97 16611661 Married Filling Separate 872.38 887.01 901.61 916.22 930.82 945.42 960.02 974.63 989.23 1,003.83 1661

1662 Single 874.03 888.63 903.23 917.84 932.44 947.04 961.64 976.25 990.85 1,005.45 16621662 Head of Household 910.81 925.41 940.01 954.61 969.22 983.82 996.08 1,004.84 1,013.60 1,022.36 16621662 Married Filing joint 971.43 980.19 988.95 997.71 1,006.47 1,015.24 1,024.00 1,032.76 1,041.52 16621662 Married Filling Separate 872.82 887.48 902.08 916.68 931.28 945.89 960.49 975.09 989.69 1,004.30 1662

1663 Single 874.49 889.09 903.70 918.30 932.90 947.50 962.11 976.71 991.31 1,005.91 16631663 Head of Household 911.27 925.87 940.48 955.08 969.68 984.28 996.62 1,005.38 1,014.14 1,022.90 16631663 Married Filing joint 971.97 980.74 989.50 998.26 1,007.02 1,015.78 1,024.54 1,033.30 1,042.07 16631663 Married Filling Separate 873.26 887.94 902.54 917.14 931.75 946.35 960.95 975.55 990.16 1,004.76 1663

1664 Single 874.67 889.27 903.88 918.48 933.08 947.68 962.29 976.89 991.49 1,006.09 16641664 Head of Household 911.27 925.87 940.47 955.08 969.68 984.28 996.69 1,005.45 1,014.21 1,022.98 16641664 Married Filing joint 972.52 981.28 990.04 998.81 1,007.57 1,016.33 1,025.09 1,033.85 1,042.61 16641664 Married Filling Separate 873.70 888.40 903.01 917.61 932.21 946.81 961.42 976.02 990.62 1,005.22 1664

Page 228: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1665 Single 875.13 889.74 904.34 918.94 933.54 948.15 962.75 977.35 991.95 1,006.56 16651665 Head of Household 911.73 926.34 940.94 955.54 970.14 984.75 997.23 1,005.99 1,014.75 1,023.51 16651665 Married Filing joint 973.07 981.83 990.59 999.35 1,008.11 1,016.87 1,025.64 1,034.40 1,043.16 16651665 Married Filling Separate 874.14 888.87 903.47 918.07 932.67 947.28 961.88 976.48 991.08 1,005.69 1665

1666 Single 875.60 890.20 904.80 919.41 934.01 948.61 963.21 977.82 992.42 1,007.02 16661666 Head of Household 912.20 926.80 941.40 956.00 970.61 985.21 997.77 1,006.53 1,015.29 1,024.05 16661666 Married Filing joint 973.61 982.37 991.14 999.90 1,008.66 1,017.42 1,026.18 1,034.94 1,043.71 16661666 Married Filling Separate 874.58 889.33 903.93 918.54 933.14 947.74 962.34 976.95 991.55 1,006.15 1666

1667 Single 876.06 890.67 905.27 919.87 934.47 949.08 963.68 978.28 992.88 1,007.49 16671667 Head of Household 912.66 927.26 941.87 956.47 971.07 985.67 998.31 1,007.07 1,015.83 1,024.59 16671667 Married Filing joint 974.16 982.92 991.68 1,000.44 1,009.21 1,017.97 1,026.73 1,035.49 1,044.25 16671667 Married Filling Separate 875.03 889.80 904.40 919.00 933.60 948.21 962.81 977.41 992.01 1,006.62 1667

1668 Single 876.53 891.13 905.73 920.33 934.94 949.54 964.14 978.74 993.35 1,007.95 16681668 Head of Household 913.13 927.73 942.33 956.93 971.54 986.14 998.85 1,007.61 1,016.37 1,025.13 16681668 Married Filing joint 974.71 983.47 992.23 1,000.99 1,009.75 1,018.51 1,027.28 1,036.04 1,044.80 16681668 Married Filling Separate 875.47 890.26 904.86 919.46 934.07 948.67 963.27 977.87 992.48 1,007.08 1668

1669 Single 876.99 891.59 906.20 920.80 935.40 950.00 964.61 979.21 993.81 1,008.41 16691669 Head of Household 913.59 928.19 942.79 957.40 972.00 986.60 999.39 1,008.15 1,016.91 1,025.67 16691669 Married Filing joint 975.25 984.01 992.78 1,001.54 1,010.30 1,019.06 1,027.82 1,036.58 1,045.34 16691669 Married Filling Separate 875.91 890.72 905.33 919.93 934.53 949.13 963.74 978.34 992.94 1,007.54 1669

1670 Single 877.45 892.06 906.66 921.26 935.86 950.47 965.07 979.67 994.27 1,008.88 16701670 Head of Household 914.05 928.66 943.26 957.86 972.46 987.07 999.92 1,008.69 1,017.45 1,026.21 16701670 Married Filing joint 975.80 984.56 993.32 1,002.08 1,010.84 1,019.61 1,028.37 1,037.13 1,045.89 16701670 Married Filling Separate 876.35 891.19 905.79 920.39 934.99 949.60 964.20 978.80 993.40 1,008.01 1670

1671 Single 877.92 892.52 907.12 921.73 936.33 950.93 965.53 980.14 994.74 1,009.34 16711671 Head of Household 914.52 929.12 943.72 958.32 972.93 987.53 1,000.46 1,009.23 1,017.99 1,026.75 16711671 Married Filing joint 976.35 985.11 993.87 1,002.63 1,011.39 1,020.15 1,028.91 1,037.68 1,046.44 16711671 Married Filling Separate 876.79 891.65 906.25 920.86 935.46 950.06 964.66 979.27 993.87 1,008.47 1671

1672 Single 878.38 892.98 907.59 922.19 936.79 951.39 966.00 980.60 995.20 1,009.80 16721672 Head of Household 914.98 929.58 944.19 958.79 973.39 987.99 1,001.00 1,009.76 1,018.53 1,027.29 16721672 Married Filing joint 976.89 985.65 994.41 1,003.18 1,011.94 1,020.70 1,029.46 1,038.22 1,046.98 16721672 Married Filling Separate 877.23 892.11 906.72 921.32 935.92 950.52 965.13 979.73 994.33 1,008.93 1672

Page 229: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1673 Single 878.85 893.45 908.05 922.65 937.26 951.86 966.46 981.06 995.67 1,010.27 16731673 Head of Household 915.44 930.05 944.65 959.25 973.85 988.46 1,001.54 1,010.30 1,019.06 1,027.83 16731673 Married Filing joint 977.44 986.20 994.96 1,003.72 1,012.48 1,021.25 1,030.01 1,038.77 1,047.53 16731673 Married Filling Separate 877.67 892.58 907.18 921.78 936.39 950.99 965.59 980.19 994.80 1,009.40 1673

1674 Single 879.31 893.91 908.51 923.12 937.72 952.32 966.92 981.53 996.13 1,010.73 16741674 Head of Household 915.91 930.51 945.11 959.72 974.32 988.92 1,002.08 1,010.84 1,019.60 1,028.36 16741674 Married Filing joint 977.98 986.75 995.51 1,004.27 1,013.03 1,021.79 1,030.55 1,039.31 1,048.08 16741674 Married Filling Separate 878.12 893.04 907.64 922.25 936.85 951.45 966.05 980.66 995.26 1,009.86 1674

1675 Single 879.77 894.38 908.98 923.58 938.18 952.79 967.39 981.99 996.59 1,011.20 16751675 Head of Household 916.37 930.97 945.58 960.18 974.78 989.38 1,002.62 1,011.38 1,020.14 1,028.90 16751675 Married Filing joint 978.53 987.29 996.05 1,004.82 1,013.58 1,022.34 1,031.10 1,039.86 1,048.62 16751675 Married Filling Separate 878.56 893.51 908.11 922.71 937.31 951.92 966.52 981.12 995.72 1,010.33 1675

1676 Single 880.24 894.84 909.44 924.04 938.65 953.25 967.85 982.45 997.06 1,011.66 16761676 Head of Household 916.84 931.44 946.04 960.64 975.25 989.85 1,003.16 1,011.92 1,020.68 1,029.44 16761676 Married Filing joint 979.08 987.84 996.60 1,005.36 1,014.12 1,022.88 1,031.65 1,040.41 1,049.17 16761676 Married Filling Separate 879.00 893.97 908.57 923.17 937.78 952.38 966.98 981.58 996.19 1,010.79 1676

1677 Single 880.70 895.30 909.91 924.51 939.11 953.71 968.32 982.92 997.52 1,012.12 16771677 Head of Household 917.30 931.90 946.50 961.11 975.71 990.31 1,003.70 1,012.46 1,021.22 1,029.98 16771677 Married Filing joint 979.62 988.38 997.15 1,005.91 1,014.67 1,023.43 1,032.19 1,040.95 1,049.72 16771677 Married Filling Separate 879.44 894.43 909.04 923.64 938.24 952.84 967.45 982.05 996.65 1,011.25 1677

1678 Single 881.17 895.77 910.37 924.97 939.58 954.18 968.78 983.38 997.99 1,012.59 16781678 Head of Household 917.76 932.37 946.97 961.57 976.17 990.78 1,004.24 1,013.00 1,021.76 1,030.52 16781678 Married Filing joint 980.17 988.93 997.69 1,006.45 1,015.22 1,023.98 1,032.74 1,041.50 1,050.26 16781678 Married Filling Separate 879.88 894.90 909.50 924.10 938.71 953.31 967.91 982.51 997.12 1,011.72 1678

1679 Single 881.63 896.23 910.83 925.44 940.04 954.64 969.24 983.85 998.45 1,013.05 16791679 Head of Household 918.23 932.83 947.43 962.04 976.64 991.24 1,004.77 1,013.54 1,022.30 1,031.06 16791679 Married Filing joint 980.72 989.48 998.24 1,007.00 1,015.76 1,024.52 1,033.29 1,042.05 1,050.81 16791679 Married Filling Separate 880.32 895.36 909.96 924.57 939.17 953.77 968.37 982.98 997.58 1,012.18 1679

1680 Single 882.09 896.70 911.30 925.90 940.50 955.11 969.71 984.31 998.91 1,013.52 16801680 Head of Household 918.69 933.29 947.90 962.50 977.10 991.70 1,005.31 1,014.08 1,022.84 1,031.60 16801680 Married Filing joint 981.26 990.02 998.79 1,007.55 1,016.31 1,025.07 1,033.83 1,042.59 1,051.35 16801680 Married Filling Separate 880.76 895.83 910.43 925.03 939.63 954.24 968.84 983.44 998.04 1,012.65 1680

Page 230: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1681 Single 882.56 897.16 911.76 926.36 940.97 955.57 970.17 984.77 999.38 1,013.98 16811681 Head of Household 919.16 933.76 948.36 962.96 977.57 992.17 1,005.85 1,014.61 1,023.38 1,032.14 16811681 Married Filing joint 981.81 990.57 999.33 1,008.09 1,016.85 1,025.62 1,034.38 1,043.14 1,051.90 16811681 Married Filling Separate 881.21 896.29 910.89 925.49 940.10 954.70 969.30 983.90 998.51 1,013.11 1681

1682 Single 883.02 897.62 912.23 926.83 941.43 956.03 970.64 985.24 999.84 1,014.44 16821682 Head of Household 919.62 934.22 948.82 963.43 978.03 992.63 1,006.39 1,015.15 1,023.91 1,032.68 16821682 Married Filing joint 982.36 991.12 999.88 1,008.64 1,017.40 1,026.16 1,034.92 1,043.69 1,052.45 16821682 Married Filling Separate 881.65 896.75 911.36 925.96 940.56 955.16 969.77 984.37 998.97 1,013.57 1682

1683 Single 883.48 898.09 912.69 927.29 941.89 956.50 971.10 985.70 1,000.30 1,014.91 16831683 Head of Household 920.08 934.69 949.29 963.89 978.49 993.10 1,006.93 1,015.69 1,024.45 1,033.21 16831683 Married Filing joint 982.90 991.66 1,000.42 1,009.19 1,017.95 1,026.71 1,035.47 1,044.23 1,052.99 16831683 Married Filling Separate 882.09 897.22 911.82 926.42 941.02 955.63 970.23 984.83 999.43 1,014.04 1683

1684 Single 883.95 898.55 913.15 927.76 942.36 956.96 971.56 986.17 1,000.77 1,015.37 16841684 Head of Household 920.55 935.15 949.75 964.35 978.96 993.56 1,007.47 1,016.23 1,024.99 1,033.75 16841684 Married Filing joint 983.45 992.21 1,000.97 1,009.73 1,018.49 1,027.26 1,036.02 1,044.78 1,053.54 16841684 Married Filling Separate 882.53 897.68 912.28 926.89 941.49 956.09 970.69 985.30 999.90 1,014.50 1684

1685 Single 884.41 899.01 913.62 928.22 942.82 957.42 972.03 986.63 1,001.23 1,015.83 16851685 Head of Household 921.01 935.61 950.22 964.82 979.42 994.02 1,008.01 1,016.77 1,025.53 1,034.29 16851685 Married Filing joint 983.99 992.76 1,001.52 1,010.28 1,019.04 1,027.80 1,036.56 1,045.32 1,054.09 16851685 Married Filling Separate 882.97 898.14 912.75 927.35 941.95 956.55 971.16 985.76 1,000.36 1,014.96 1685

1686 Single 884.88 899.48 914.08 928.68 943.29 957.89 972.49 987.09 1,001.70 1,016.30 16861686 Head of Household 921.47 936.08 950.68 965.28 979.88 994.49 1,008.55 1,017.31 1,026.07 1,034.83 16861686 Married Filing joint 984.54 993.30 1,002.06 1,010.83 1,019.59 1,028.35 1,037.11 1,045.87 1,054.63 16861686 Married Filling Separate 883.41 898.61 913.21 927.81 942.42 957.02 971.62 986.22 1,000.83 1,015.43 1686

1687 Single 885.34 899.94 914.55 929.15 943.75 958.35 972.96 987.56 1,002.16 1,016.76 16871687 Head of Household 921.94 936.54 951.14 965.75 980.35 994.95 1,009.09 1,017.85 1,026.61 1,035.37 16871687 Married Filing joint 985.09 993.85 1,002.61 1,011.37 1,020.13 1,028.89 1,037.66 1,046.42 1,055.18 16871687 Married Filling Separate 883.85 899.07 913.68 928.28 942.88 957.48 972.09 986.69 1,001.29 1,015.89 1687

1688 Single 885.80 900.41 915.01 929.61 944.21 958.82 973.42 988.02 1,002.62 1,017.23 16881688 Head of Household 922.40 937.01 951.61 966.21 980.81 995.42 1,009.62 1,018.39 1,027.15 1,035.91 16881688 Married Filing joint 985.63 994.40 1,003.16 1,011.92 1,020.68 1,029.44 1,038.20 1,046.96 1,055.73 16881688 Married Filling Separate 884.30 899.54 914.14 928.74 943.34 957.95 972.55 987.15 1,001.75 1,016.36 1688

Page 231: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1689 Single 886.27 900.87 915.47 930.08 944.68 959.28 973.88 988.49 1,003.09 1,017.69 16891689 Head of Household 922.87 937.47 952.07 966.67 981.28 995.88 1,010.16 1,018.92 1,027.69 1,036.45 16891689 Married Filing joint 986.18 994.94 1,003.70 1,012.46 1,021.23 1,029.99 1,038.75 1,047.51 1,056.27 16891689 Married Filling Separate 884.74 900.00 914.60 929.21 943.81 958.41 973.01 987.62 1,002.22 1,016.82 1689

1690 Single 886.73 901.33 915.94 930.54 945.14 959.74 974.35 988.95 1,003.55 1,018.15 16901690 Head of Household 923.33 937.93 952.54 967.14 981.74 996.34 1,010.70 1,019.46 1,028.23 1,036.99 16901690 Married Filing joint 986.73 995.49 1,004.25 1,013.01 1,021.77 1,030.53 1,039.30 1,048.06 1,056.82 16901690 Married Filling Separate 885.18 900.46 915.07 929.67 944.27 958.87 973.48 988.08 1,002.68 1,017.28 1690

1691 Single 887.20 901.80 916.40 931.00 945.61 960.21 974.81 989.41 1,004.02 1,018.62 16911691 Head of Household 923.79 938.40 953.00 967.60 982.20 996.81 1,011.24 1,020.00 1,028.76 1,037.53 16911691 Married Filing joint 987.27 996.03 1,004.80 1,013.56 1,022.32 1,031.08 1,039.84 1,048.60 1,057.36 16911691 Married Filling Separate 885.62 900.93 915.53 930.13 944.74 959.34 973.94 988.54 1,003.15 1,017.75 1691

1692 Single 887.66 902.26 916.86 931.47 946.07 960.67 975.27 989.88 1,004.48 1,019.08 16921692 Head of Household 924.26 938.86 953.46 968.07 982.67 997.27 1,011.78 1,020.54 1,029.30 1,038.06 16921692 Married Filing joint 987.82 996.58 1,005.34 1,014.10 1,022.87 1,031.63 1,040.39 1,049.15 1,057.91 16921692 Married Filling Separate 886.06 901.39 915.99 930.60 945.20 959.80 974.40 989.01 1,003.61 1,018.21 1692

1693 Single 888.12 902.73 917.33 931.93 946.53 961.14 975.74 990.34 1,004.94 1,019.55 16931693 Head of Household 924.72 939.32 953.93 968.53 983.13 997.73 1,012.32 1,021.08 1,029.84 1,038.60 16931693 Married Filing joint 988.37 997.13 1,005.89 1,014.65 1,023.41 1,032.17 1,040.93 1,049.70 1,058.46 16931693 Married Filling Separate 886.50 901.86 916.46 931.06 945.66 960.27 974.87 989.47 1,004.07 1,018.68 1693

1694 Single 888.59 903.19 917.79 932.39 947.00 961.60 976.20 990.80 1,005.41 1,020.01 16941694 Head of Household 925.19 939.79 954.39 968.99 983.60 998.20 1,012.80 1,021.62 1,030.38 1,039.14 16941694 Married Filing joint 988.91 997.67 1,006.43 1,015.20 1,023.96 1,032.72 1,041.48 1,050.24 1,059.00 16941694 Married Filling Separate 886.94 902.32 916.92 931.52 946.13 960.73 975.33 989.93 1,004.54 1,019.14 1694

1695 Single 889.05 903.65 918.26 932.86 947.46 962.06 976.67 991.27 1,005.87 1,020.47 16951695 Head of Household 925.65 940.25 954.85 969.46 984.06 998.66 1,013.26 1,022.16 1,030.92 1,039.68 16951695 Married Filing joint 989.46 998.22 1,006.98 1,015.74 1,024.50 1,033.27 1,042.03 1,050.79 1,059.55 16951695 Married Filling Separate 887.38 902.78 917.39 931.99 946.59 961.19 975.80 990.40 1,005.00 1,019.60 1695

1696 Single 889.51 904.12 918.72 933.32 947.92 962.53 977.13 991.73 1,006.33 1,020.94 16961696 Head of Household 926.11 940.72 955.32 969.92 984.52 999.13 1,013.73 1,022.70 1,031.46 1,040.22 16961696 Married Filing joint 990.00 998.77 1,007.53 1,016.29 1,025.05 1,033.81 1,042.57 1,051.34 1,060.10 16961696 Married Filling Separate 887.83 903.25 917.85 932.45 947.05 961.66 976.26 990.86 1,005.46 1,020.07 1696

Page 232: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1697 Single 889.98 904.58 919.18 933.79 948.39 962.99 977.59 992.20 1,006.80 1,021.40 16971697 Head of Household 926.58 941.18 955.78 970.38 984.99 999.59 1,014.19 1,023.24 1,032.00 1,040.76 16971697 Married Filing joint 990.55 999.31 1,008.07 1,016.84 1,025.60 1,034.36 1,043.12 1,051.88 1,060.64 16971697 Married Filling Separate 888.27 903.71 918.31 932.92 947.52 962.12 976.72 991.33 1,005.93 1,020.53 1697

1698 Single 890.44 905.05 919.65 934.25 948.85 963.46 978.06 992.66 1,007.26 1,021.87 16981698 Head of Household 927.04 941.64 956.25 970.85 985.45 1,000.05 1,014.66 1,023.77 1,032.54 1,041.30 16981698 Married Filing joint 991.10 999.86 1,008.62 1,017.38 1,026.14 1,034.90 1,043.67 1,052.43 1,061.19 16981698 Married Filling Separate 888.71 904.18 918.78 933.38 947.98 962.59 977.19 991.79 1,006.39 1,021.00 1698

1699 Single 890.91 905.51 920.11 934.71 949.32 963.92 978.52 993.12 1,007.73 1,022.33 16991699 Head of Household 927.51 942.11 956.71 971.31 985.92 1,000.52 1,015.12 1,024.31 1,033.08 1,041.84 16991699 Married Filing joint 991.64 1,000.41 1,009.17 1,017.93 1,026.69 1,035.45 1,044.21 1,052.97 1,061.74 16991699 Married Filling Separate 889.15 904.64 919.24 933.84 948.45 963.05 977.65 992.25 1,006.86 1,021.46 1699

1700 Single 891.37 905.97 920.58 935.18 949.78 964.38 978.99 993.59 1,008.19 1,022.79 17001700 Head of Household 927.97 942.57 957.17 971.78 986.38 1,000.98 1,015.58 1,024.85 1,033.61 1,042.38 17001700 Married Filing joint 992.19 1,000.95 1,009.71 1,018.47 1,027.24 1,036.00 1,044.76 1,053.52 1,062.28 17001700 Married Filling Separate 889.59 905.10 919.71 934.31 948.91 963.51 978.12 992.72 1,007.32 1,021.92 1700

1701 Single 891.83 906.44 921.04 935.64 950.24 964.85 979.45 994.05 1,008.65 1,023.26 17011701 Head of Household 928.43 943.04 957.64 972.24 986.84 1,001.45 1,016.05 1,025.39 1,034.15 1,042.91 17011701 Married Filing joint 992.74 1,001.50 1,010.26 1,019.02 1,027.78 1,036.54 1,045.31 1,054.07 1,062.83 17011701 Married Filling Separate 890.03 905.57 920.17 934.77 949.37 963.98 978.58 993.18 1,007.78 1,022.39 1701

1702 Single 892.30 906.90 921.50 936.11 950.71 965.31 979.91 994.52 1,009.12 1,023.72 17021702 Head of Household 928.90 943.50 958.10 972.70 987.31 1,001.91 1,016.51 1,025.93 1,034.69 1,043.45 17021702 Married Filing joint 993.28 1,002.04 1,010.81 1,019.57 1,028.33 1,037.09 1,045.85 1,054.61 1,063.37 ** 17021702 Married Filling Separate 890.47 906.03 920.63 935.24 949.84 964.44 979.04 993.65 1,008.25 1,022.85 1702

1703 Single 892.76 907.36 921.97 936.57 951.17 965.77 980.38 994.98 1,009.58 1,024.18 17031703 Head of Household 929.36 943.96 958.57 973.17 987.77 1,002.37 1,016.98 1,026.47 1,035.23 1,043.99 17031703 Married Filing joint 993.83 1,002.59 1,011.35 1,020.11 1,028.88 1,037.64 1,046.40 1,055.16 1,063.92 ** 17031703 Married Filling Separate 890.92 906.49 921.10 935.70 950.30 964.90 979.51 994.11 1,008.71 1,023.31 1703

1704 Single 893.23 907.83 922.43 937.03 951.64 966.24 980.84 995.44 1,010.05 1,024.65 17041704 Head of Household 929.82 944.43 959.03 973.63 988.23 1,002.84 1,017.44 1,027.01 1,035.77 1,044.53 17041704 Married Filing joint 994.38 1,003.14 1,011.90 1,020.66 1,029.42 1,038.18 1,046.94 1,055.71 1,064.47 ** 17041704 Married Filling Separate 891.36 906.96 921.56 936.16 950.77 965.37 979.97 994.57 1,009.18 1,023.78 1704

Page 233: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1705 Single 893.69 908.29 922.89 937.50 952.10 966.70 981.30 995.91 1,010.51 1,025.11 17051705 Head of Household 930.29 944.89 959.49 974.10 988.70 1,003.30 1,017.90 1,027.55 1,036.31 1,045.07 17051705 Married Filing joint 994.92 1,003.68 1,012.44 1,021.21 1,029.97 1,038.73 1,047.49 1,056.25 1,065.01 ** 17051705 Married Filling Separate 891.80 907.42 922.02 936.63 951.23 965.83 980.43 995.04 1,009.64 1,024.24 1705

1706 Single 894.15 908.76 923.36 937.96 952.56 967.17 981.77 996.37 1,010.97 1,025.58 17061706 Head of Household 930.75 945.35 959.96 974.56 989.16 1,003.76 1,018.37 1,028.09 1,036.85 1,045.61 17061706 Married Filing joint 995.47 1,004.23 1,012.99 1,021.75 1,030.51 1,039.28 1,048.04 1,056.80 1,065.56 ** 17061706 Married Filling Separate 892.24 907.89 922.49 937.09 951.69 966.30 980.90 995.50 1,010.10 1,024.71 1706

1707 Single 894.62 909.22 923.82 938.43 953.03 967.63 982.23 996.84 1,011.44 1,026.04 17071707 Head of Household 931.22 945.82 960.42 975.02 989.63 1,004.23 1,018.83 1,028.62 1,037.39 1,046.15 17071707 Married Filing joint 996.01 1,004.78 1,013.54 1,022.30 1,031.06 1,039.82 1,048.58 1,057.35 1,066.11 ** 17071707 Married Filling Separate 892.68 908.35 922.95 937.56 952.16 966.76 981.36 995.97 1,010.57 1,025.17 1707

1708 Single 895.08 909.68 924.29 938.89 953.49 968.09 982.70 997.30 1,011.90 1,026.50 17081708 Head of Household 931.68 946.28 960.89 975.49 990.09 1,004.69 1,019.30 1,029.16 1,037.93 1,046.69 17081708 Married Filing joint 996.56 1,005.32 1,014.08 1,022.85 1,031.61 1,040.37 1,049.13 1,057.89 1,066.65 ** 17081708 Married Filling Separate 893.12 908.81 923.42 938.02 952.62 967.22 981.83 996.43 1,011.03 1,025.63 1708

1709 Single 895.55 910.15 924.75 939.35 953.96 968.56 983.16 997.76 1,012.37 1,026.97 17091709 Head of Household 932.14 946.75 961.35 975.95 990.55 1,005.16 1,019.76 1,029.70 1,038.46 1,047.23 17091709 Married Filing joint 997.11 1,005.87 1,014.63 1,023.39 1,032.15 1,040.91 1,049.68 1,058.44 1,067.20 ** 17091709 Married Filling Separate 893.56 909.28 923.88 938.48 953.09 967.69 982.29 996.89 1,011.50 1,026.10 1709

1710 Single 896.01 910.61 925.21 939.82 954.42 969.02 983.62 998.23 1,012.83 1,027.43 17101710 Head of Household 932.61 947.21 961.81 976.42 991.02 1,005.62 1,020.22 1,030.24 1,039.00 1,047.76 17101710 Married Filing joint 997.65 1,006.42 1,015.18 1,023.94 1,032.70 1,041.46 1,050.22 1,058.98 1,067.75 ** 17101710 Married Filling Separate 894.01 909.74 924.34 938.95 953.55 968.15 982.75 997.36 1,011.96 1,026.56 1710

1711 Single 896.47 911.08 925.68 940.28 954.88 969.49 984.09 998.69 1,013.29 1,027.90 17111711 Head of Household 933.07 947.67 962.28 976.88 991.48 1,006.08 1,020.69 1,030.78 1,039.54 1,048.30 17111711 Married Filing joint 998.20 1,006.96 1,015.72 1,024.48 1,033.25 1,042.01 1,050.77 1,059.53 1,068.29 ** 17111711 Married Filling Separate 894.45 910.21 924.81 939.41 954.01 968.62 983.22 997.82 1,012.42 1,027.03 1711

1712 Single 896.94 911.54 926.14 940.74 955.35 969.95 984.55 999.15 1,013.76 1,028.36 17121712 Head of Household 933.54 948.14 962.74 977.34 991.95 1,006.55 1,021.15 1,031.32 1,040.08 1,048.84 17121712 Married Filing joint 998.75 1,007.51 1,016.27 1,025.03 1,033.79 1,042.55 1,051.32 1,060.08 1,068.84 ** 17121712 Married Filling Separate 894.89 910.67 925.27 939.87 954.48 969.08 983.68 998.28 1,012.89 1,027.49 1712

Page 234: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1713 Single 897.40 912.00 926.61 941.21 955.81 970.41 985.02 999.62 1,014.22 1,028.82 17131713 Head of Household 934.00 948.60 963.20 977.81 992.41 1,007.01 1,021.61 1,031.86 1,040.62 1,049.38 17131713 Married Filing joint 999.29 1,008.05 1,016.82 1,025.58 1,034.34 1,043.10 1,051.86 1,060.62 1,069.38 ** 17131713 Married Filling Separate 895.33 911.13 925.74 940.34 954.94 969.54 984.15 998.75 1,013.35 1,027.95 1713

1714 Single 897.86 912.47 927.07 941.67 956.27 970.88 985.48 1,000.08 1,014.68 1,029.29 17141714 Head of Household 934.46 949.07 963.67 978.27 992.87 1,007.48 1,022.08 1,032.40 1,041.16 1,049.92 17141714 Married Filing joint 999.84 1,008.60 1,017.36 1,026.12 1,034.89 1,043.65 1,052.41 1,061.17 1,069.93 ** 17141714 Married Filling Separate 895.77 911.60 926.20 940.80 955.40 970.01 984.61 999.21 1,013.81 1,028.42 1714

1715 Single 898.33 912.93 927.53 942.14 956.74 971.34 985.94 1,000.55 1,015.15 1,029.75 17151715 Head of Household 934.93 949.53 964.13 978.73 993.34 1,007.94 1,022.54 1,032.94 1,041.70 1,050.46 17151715 Married Filing joint 1,000.39 1,009.15 1,017.91 1,026.67 1,035.43 1,044.19 1,052.95 1,061.72 1,070.48 ** 17151715 Married Filling Separate 896.21 912.06 926.66 941.27 955.87 970.47 985.07 999.68 1,014.28 1,028.88 1715

1716 Single 898.79 913.39 928.00 942.60 957.20 971.80 986.41 1,001.01 1,015.61 1,030.21 17161716 Head of Household 935.39 949.99 964.60 979.20 993.80 1,008.40 1,023.01 1,033.47 1,042.24 1,051.00 17161716 Married Filing joint 1,000.93 1,009.69 1,018.46 1,027.22 1,035.98 1,044.74 1,053.50 1,062.26 1,071.02 ** 17161716 Married Filling Separate 896.65 912.52 927.13 941.73 956.33 970.93 985.54 1,000.14 1,014.74 1,029.34 1716

1717 Single 899.26 913.86 928.46 943.06 957.67 972.27 986.87 1,001.47 1,016.08 1,030.68 17171717 Head of Household 935.85 950.46 965.06 979.66 994.26 1,008.87 1,023.47 1,034.01 1,042.77 1,051.54 17171717 Married Filing joint 1,001.48 1,010.24 1,019.00 1,027.76 1,036.52 1,045.29 1,054.05 1,062.81 1,071.57 ** 17171717 Married Filling Separate 897.10 912.99 927.59 942.19 956.80 971.40 986.00 1,000.60 1,015.21 1,029.81 1717

1718 Single 899.72 914.32 928.93 943.53 958.13 972.73 987.34 1,001.94 1,016.54 1,031.14 17181718 Head of Household 936.32 950.92 965.52 980.13 994.73 1,009.33 1,023.93 1,034.55 1,043.31 1,052.08 17181718 Married Filing joint 1,002.02 1,010.79 1,019.55 1,028.31 1,037.07 1,045.83 1,054.59 1,063.36 1,072.12 ** 17181718 Married Filling Separate 897.54 913.45 928.06 942.66 957.26 971.86 986.47 1,001.07 1,015.67 1,030.27 1718

1719 Single 900.18 914.79 929.39 943.99 958.59 973.20 987.80 1,002.40 1,017.00 1,031.61 17191719 Head of Household 936.78 951.39 965.99 980.59 995.19 1,009.80 1,024.40 1,035.09 1,043.85 1,052.61 17191719 Married Filing joint 1,002.57 1,011.33 1,020.09 1,028.86 1,037.62 1,046.38 1,055.14 1,063.90 1,072.66 ** 17191719 Married Filling Separate 897.98 913.92 928.52 943.12 957.72 972.33 986.93 1,001.53 1,016.13 1,030.74 1719

1720 Single 900.65 915.25 929.85 944.46 959.06 973.66 988.26 1,002.87 1,017.47 1,032.07 17201720 Head of Household 937.25 951.85 966.45 981.05 995.66 1,010.26 1,024.86 1,035.63 1,044.39 1,053.15 17201720 Married Filing joint 1,003.12 1,011.88 1,020.64 1,029.40 1,038.16 1,046.93 1,055.69 1,064.45 1,073.21 ** 17201720 Married Filling Separate 898.42 914.38 928.98 943.59 958.19 972.79 987.39 1,002.00 1,016.60 1,031.20 1720

Page 235: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1721 Single 901.11 915.71 930.32 944.92 959.52 974.12 988.73 1,003.33 1,017.93 1,032.53 17211721 Head of Household 937.71 952.31 966.92 981.52 996.12 1,010.72 1,025.33 1,036.17 1,044.93 1,053.69 17211721 Married Filing joint 1,003.66 1,012.43 1,021.19 1,029.95 1,038.71 1,047.47 1,056.23 1,064.99 1,073.76 ** 17211721 Married Filling Separate 898.86 914.84 929.45 944.05 958.65 973.25 987.86 1,002.46 1,017.06 1,031.66 1721

1722 Single 901.58 916.18 930.78 945.38 959.99 974.59 989.19 1,003.79 1,018.40 1,033.00 17221722 Head of Household 938.17 952.78 967.38 981.98 996.58 1,011.19 1,025.79 1,036.71 1,045.47 1,054.23 17221722 Married Filing joint 1,004.21 1,012.97 1,021.73 1,030.49 1,039.26 1,048.02 1,056.78 1,065.54 1,074.30 ** 17221722 Married Filling Separate 899.30 915.31 929.91 944.51 959.12 973.72 988.32 1,002.92 1,017.53 1,032.13 1722

1723 Single 902.04 916.64 931.24 945.85 960.45 975.05 989.65 1,004.26 1,018.86 1,033.46 17231723 Head of Household 938.64 953.24 967.84 982.45 997.05 1,011.65 1,026.25 1,037.25 1,046.01 1,054.77 17231723 Married Filing joint 1,004.76 1,013.52 1,022.28 1,031.04 1,039.80 1,048.56 1,057.33 1,066.09 1,074.85 ** 17231723 Married Filling Separate 899.74 915.77 930.37 944.98 959.58 974.18 988.78 1,003.39 1,017.99 1,032.59 1723

1724 Single 902.50 917.11 931.71 946.31 960.91 975.52 990.12 1,004.72 1,019.32 1,033.93 17241724 Head of Household 939.10 953.70 968.31 982.91 997.51 1,012.11 1,026.72 1,037.79 1,046.55 1,055.31 17241724 Married Filing joint 1,005.30 1,014.06 1,022.83 1,031.59 1,040.35 1,049.11 1,057.87 1,066.63 1,075.40 ** 17241724 Married Filling Separate 900.18 916.24 930.84 945.44 960.04 974.65 989.25 1,003.85 1,018.45 1,033.06 1724

1725 Single 902.97 917.57 932.17 946.77 961.38 975.98 990.58 1,005.18 1,019.79 1,034.39 17251725 Head of Household 939.57 954.17 968.77 983.37 997.98 1,012.58 1,027.18 1,038.32 1,047.09 1,055.85 17251725 Married Filing joint 1,005.85 1,014.61 1,023.37 1,032.13 1,040.90 1,049.66 1,058.42 1,067.18 1,075.94 ** 17251725 Married Filling Separate 900.63 916.70 931.30 945.90 960.51 975.11 989.71 1,004.31 1,018.92 1,033.52 1725

1726 Single 903.43 918.03 932.64 947.24 961.84 976.44 991.05 1,005.65 1,020.25 1,034.85 17261726 Head of Household 940.03 954.63 969.23 983.84 998.44 1,013.04 1,027.64 1,038.86 1,047.62 1,056.39 17261726 Married Filing joint 1,006.40 1,015.16 1,023.92 1,032.68 1,041.44 1,050.20 1,058.96 1,067.73 1,076.49 ** 17261726 Married Filling Separate 901.07 917.16 931.77 946.37 960.97 975.57 990.18 1,004.78 1,019.38 1,033.98 1726

1727 Single 903.90 918.50 933.10 947.70 962.31 976.91 991.51 1,006.11 1,020.72 1,035.32 17271727 Head of Household 940.49 955.10 969.70 984.30 998.90 1,013.51 1,028.11 1,039.40 1,048.16 1,056.93 17271727 Married Filing joint 1,006.94 1,015.70 1,024.47 1,033.23 1,041.99 1,050.75 1,059.51 1,068.27 1,077.03 ** 17271727 Married Filling Separate 901.51 917.63 932.23 946.83 961.44 976.04 990.64 1,005.24 1,019.85 1,034.45 1727

1728 Single 904.36 918.96 933.56 948.17 962.77 977.37 991.97 1,006.58 1,021.18 1,035.78 17281728 Head of Household 940.96 955.56 970.16 984.77 999.37 1,013.97 1,028.57 1,039.94 1,048.70 1,057.46 17281728 Married Filing joint 1,007.49 1,016.25 1,025.01 1,033.77 1,042.53 1,051.30 1,060.06 1,068.82 1,077.58 ** 17281728 Married Filling Separate 901.95 918.09 932.69 947.30 961.90 976.50 991.10 1,005.71 1,020.31 1,034.91 1728

Page 236: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1729 Single 904.82 919.43 934.03 948.63 963.23 977.84 992.44 1,007.04 1,021.64 1,036.25 17291729 Head of Household 941.42 956.02 970.63 985.23 999.83 1,014.43 1,029.04 1,040.48 1,049.24 1,058.00 17291729 Married Filing joint 1,008.03 1,016.80 1,025.56 1,034.32 1,043.08 1,051.84 1,060.60 1,069.37 1,078.13 ** 17291729 Married Filling Separate 902.39 918.56 933.16 947.76 962.36 976.97 991.57 1,006.17 1,020.77 1,035.38 1729

1730 Single 905.29 919.89 934.49 949.09 963.70 978.30 992.90 1,007.50 1,022.11 1,036.71 17301730 Head of Household 941.89 956.49 971.09 985.69 1,000.30 1,014.90 1,029.50 1,041.02 1,049.78 1,058.54 17301730 Married Filing joint 1,008.58 1,017.34 1,026.10 1,034.87 1,043.63 1,052.39 1,061.15 1,069.91 1,078.67 ** 17301730 Married Filling Separate 902.83 919.02 933.62 948.22 962.83 977.43 992.03 1,006.63 1,021.24 1,035.84 1730

1731 Single 905.75 920.35 934.96 949.56 964.16 978.76 993.37 1,007.97 1,022.57 1,037.17 17311731 Head of Household 942.35 956.95 971.55 986.16 1,000.76 1,015.36 1,029.96 1,041.56 1,050.32 1,059.08 17311731 Married Filing joint 1,009.13 1,017.89 1,026.65 1,035.41 1,044.17 1,052.94 1,061.70 1,070.46 1,079.22 ** 17311731 Married Filling Separate 903.27 919.48 934.09 948.69 963.29 977.89 992.50 1,007.10 1,021.70 1,036.30 1731

1732 Single 906.21 920.82 935.42 950.02 964.62 979.23 993.83 1,008.43 1,023.03 1,037.64 17321732 Head of Household 942.81 957.42 972.02 986.62 1,001.22 1,015.83 1,030.43 1,042.10 1,050.86 1,059.62 17321732 Married Filing joint 1,009.67 1,018.44 1,027.20 1,035.96 1,044.72 1,053.48 1,062.24 1,071.00 1,079.77 ** 17321732 Married Filling Separate 903.72 919.95 934.55 949.15 963.75 978.36 992.96 1,007.56 1,022.16 1,036.77 1732

1733 Single 906.68 921.28 935.88 950.49 965.09 979.69 994.29 1,008.90 1,023.50 1,038.10 17331733 Head of Household 943.28 957.88 972.48 987.08 1,001.69 1,016.29 1,030.89 1,042.64 1,051.40 1,060.16 17331733 Married Filing joint 1,010.22 1,018.98 1,027.74 1,036.50 1,045.27 1,054.03 1,062.79 1,071.55 1,080.31 ** 17331733 Married Filling Separate 904.16 920.41 935.01 949.62 964.22 978.82 993.42 1,008.03 1,022.63 1,037.23 1733

1734 Single 907.14 921.74 936.35 950.95 965.55 980.15 994.76 1,009.36 1,023.96 1,038.56 17341734 Head of Household 943.74 958.34 972.95 987.55 1,002.15 1,016.75 1,031.36 1,043.17 1,051.94 1,060.70 17341734 Married Filing joint 1,010.77 1,019.53 1,028.29 1,037.05 1,045.81 1,054.57 1,063.34 1,072.10 1,080.86 ** 17341734 Married Filling Separate 904.60 920.87 935.48 950.08 964.68 979.28 993.89 1,008.49 1,023.09 1,037.69 1734

1735 Single 907.61 922.21 936.81 951.41 966.02 980.62 995.22 1,009.82 1,024.43 1,039.03 17351735 Head of Household 944.20 958.81 973.41 988.01 1,002.61 1,017.22 1,031.82 1,043.71 1,052.47 1,061.24 17351735 Married Filing joint 1,011.31 1,020.07 1,028.84 1,037.60 1,046.36 1,055.12 1,063.88 1,072.64 1,081.41 ** 17351735 Married Filling Separate 905.04 921.34 935.94 950.54 965.15 979.75 994.35 1,008.95 1,023.56 1,038.16 1735

1736 Single 908.07 922.67 937.27 951.88 966.48 981.08 995.68 1,010.29 1,024.89 1,039.49 17361736 Head of Household 944.67 959.27 973.87 988.48 1,003.08 1,017.68 1,032.28 1,044.25 1,053.01 1,061.78 17361736 Married Filing joint 1,011.86 1,020.62 1,029.38 1,038.14 1,046.91 1,055.67 1,064.43 1,073.19 1,081.95 ** 17361736 Married Filling Separate 905.48 921.80 936.40 951.01 965.61 980.21 994.81 1,009.42 1,024.02 1,038.62 1736

Page 237: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1737 Single 908.53 923.14 937.74 952.34 966.94 981.55 996.15 1,010.75 1,025.35 1,039.96 17371737 Head of Household 945.13 959.73 974.34 988.94 1,003.54 1,018.14 1,032.75 1,044.79 1,053.55 1,062.31 17371737 Married Filing joint 1,012.41 1,021.17 1,029.93 1,038.69 1,047.45 1,056.21 1,064.97 1,073.74 1,082.50 ** 17371737 Married Filling Separate 905.92 922.27 936.87 951.47 966.07 980.68 995.28 1,009.88 1,024.48 1,039.09 1737

1738 Single 909.00 923.60 938.20 952.81 967.41 982.01 996.61 1,011.22 1,025.82 1,040.42 17381738 Head of Household 945.60 960.20 974.80 989.40 1,004.01 1,018.61 1,033.21 1,045.33 1,054.09 1,062.85 17381738 Married Filing joint 1,012.95 1,021.71 1,030.48 1,039.24 1,048.00 1,056.76 1,065.52 1,074.28 1,083.04 ** 17381738 Married Filling Separate 906.36 922.72 937.33 951.94 966.54 981.14 995.74 1,010.35 1,024.95 1,039.55 1738

1739 Single 909.46 924.06 938.67 953.27 967.87 982.47 997.08 1,011.68 1,026.28 1,040.88 17391739 Head of Household 946.06 960.66 975.27 989.87 1,004.47 1,019.07 1,033.68 1,045.87 1,054.63 1,063.39 ** 17391739 Married Filing joint 1,013.50 1,022.26 1,031.02 1,039.78 1,048.54 1,057.31 1,066.07 1,074.83 1,083.59 ** 17391739 Married Filling Separate 906.81 923.16 937.80 952.40 967.00 981.60 996.21 1,010.81 1,025.41 1,040.01 1739

1740 Single 909.93 924.53 939.13 953.73 968.34 982.94 997.54 1,012.14 1,026.75 1,041.35 17401740 Head of Household 946.52 961.13 975.73 990.33 1,004.93 1,019.54 1,034.14 1,046.41 1,055.17 1,063.93 ** 17401740 Married Filing joint 1,014.05 1,022.81 1,031.57 1,040.33 1,049.09 1,057.85 1,066.61 1,075.38 1,084.14 ** 17401740 Married Filling Separate 907.25 923.60 938.26 952.86 967.47 982.07 996.67 1,011.27 1,025.88 1,040.48 1740

1741 Single 910.39 924.99 939.59 954.20 968.80 983.40 998.00 1,012.61 1,027.21 1,041.81 17411741 Head of Household 946.53 961.13 975.74 990.34 1,004.94 1,019.54 1,034.15 1,046.49 1,055.25 1,064.01 ** 17411741 Married Filing joint 1,014.59 1,023.35 1,032.11 1,040.88 1,049.64 1,058.40 1,067.16 1,075.92 1,084.68 ** 17411741 Married Filling Separate 907.69 924.04 938.72 953.33 967.93 982.53 997.13 1,011.74 1,026.34 1,040.94 1741

1742 Single 910.85 925.46 940.06 954.66 969.26 983.87 998.47 1,013.07 1,027.67 1,042.28 17421742 Head of Household 946.99 961.60 976.20 990.80 1,005.40 1,020.01 1,034.61 1,047.03 1,055.79 1,064.55 ** 17421742 Married Filing joint 1,015.14 1,023.90 1,032.66 1,041.42 1,050.18 1,058.95 1,067.71 1,076.47 1,085.23 ** 17421742 Married Filling Separate 908.13 924.48 939.19 953.79 968.39 983.00 997.60 1,012.20 1,026.80 1,041.41 1742

1743 Single 911.32 925.92 940.52 955.12 969.73 984.33 998.93 1,013.53 1,028.14 1,042.74 17431743 Head of Household 947.46 962.06 976.66 991.27 1,005.87 1,020.47 1,035.07 1,047.57 1,056.33 1,065.09 ** 17431743 Married Filing joint 1,015.68 1,024.45 1,033.21 1,041.97 1,050.73 1,059.49 1,068.25 1,077.01 1,085.78 ** 17431743 Married Filling Separate 908.57 924.93 939.65 954.25 968.86 983.46 998.06 1,012.66 1,027.27 1,041.87 1743

1744 Single 911.78 926.38 940.99 955.59 970.19 984.79 999.40 1,014.00 1,028.60 1,043.20 17441744 Head of Household 947.92 962.52 977.13 991.73 1,006.33 1,020.93 1,035.54 1,048.11 1,056.87 1,065.63 ** 17441744 Married Filing joint 1,016.23 1,024.99 1,033.75 1,042.52 1,051.28 1,060.04 1,068.80 1,077.56 1,086.32 ** 17441744 Married Filling Separate 909.01 925.37 940.12 954.72 969.32 983.92 998.53 1,013.13 1,027.73 1,042.33 1744

Page 238: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1745 Single 912.24 926.85 941.45 956.05 970.65 985.26 999.86 1,014.46 1,029.06 1,043.67 17451745 Head of Household 948.39 962.99 977.59 992.19 1,006.80 1,021.40 1,036.00 1,048.64 1,057.41 1,066.17 ** 17451745 Married Filing joint 1,016.78 1,025.54 1,034.30 1,043.06 1,051.82 1,060.58 1,069.35 1,078.11 1,086.87 ** 17451745 Married Filling Separate 909.45 925.81 940.58 955.18 969.78 984.39 998.99 1,013.59 1,028.19 1,042.80 1745

1746 Single 912.71 927.31 941.91 956.52 971.12 985.72 1,000.32 1,014.93 1,029.53 1,044.13 17461746 Head of Household 948.85 963.45 978.05 992.66 1,007.26 1,021.86 1,036.46 1,049.18 1,057.94 1,066.71 ** 17461746 Married Filing joint 1,017.32 1,026.08 1,034.85 1,043.61 1,052.37 1,061.13 1,069.89 1,078.65 1,087.42 ** 17461746 Married Filling Separate 909.89 926.25 941.04 955.65 970.25 984.85 999.45 1,014.06 1,028.66 1,043.26 1746

1747 Single 913.17 927.78 942.38 956.98 971.58 986.19 1,000.79 1,015.39 1,029.99 1,044.60 17471747 Head of Household 949.31 963.92 978.52 993.12 1,007.72 1,022.33 1,036.93 1,049.72 1,058.48 1,067.25 ** 17471747 Married Filing joint 1,017.87 1,026.63 1,035.39 1,044.15 1,052.92 1,061.68 1,070.44 1,079.20 1,087.96 ** 17471747 Married Filling Separate 910.34 926.69 941.51 956.11 970.71 985.32 999.92 1,014.52 1,029.12 1,043.73 1747

1748 Single 913.64 928.24 942.84 957.44 972.05 986.65 1,001.25 1,015.85 1,030.46 1,045.06 17481748 Head of Household 949.78 964.38 978.98 993.59 1,008.19 1,022.79 1,037.39 1,050.26 1,059.02 1,067.78 ** 17481748 Married Filing joint 1,018.42 1,027.18 1,035.94 1,044.70 1,053.46 1,062.22 1,070.99 1,079.75 1,088.51 ** 17481748 Married Filling Separate 910.78 927.13 941.97 956.57 971.18 985.78 1,000.38 1,014.98 1,029.59 1,044.19 1748

1749 Single 914.10 928.70 943.31 957.91 972.51 987.11 1,001.72 1,016.32 1,030.92 1,045.52 17491749 Head of Household 950.24 964.84 979.45 994.05 1,008.65 1,023.25 1,037.86 1,050.80 1,059.56 1,068.32 ** 17491749 Married Filing joint 1,018.96 1,027.72 1,036.49 1,045.25 1,054.01 1,062.77 1,071.53 1,080.29 1,089.05 ** 17491749 Married Filling Separate 911.22 927.57 942.44 957.04 971.64 986.24 1,000.85 1,015.45 1,030.05 1,044.65 1749

1750 Single 914.56 929.17 943.77 958.37 972.97 987.58 1,002.18 1,016.78 1,031.38 1,045.99 17501750 Head of Household 950.71 965.31 979.91 994.51 1,009.12 1,023.72 1,038.32 1,051.34 1,060.10 1,068.86 ** 17501750 Married Filing joint 1,019.51 1,028.27 1,037.03 1,045.79 1,054.55 1,063.32 1,072.08 1,080.84 1,089.60 ** 17501750 Married Filling Separate 911.66 928.02 942.90 957.50 972.10 986.71 1,001.31 1,015.91 1,030.51 1,045.12 1750

1751 Single 915.03 929.63 944.23 958.84 973.44 988.04 1,002.64 1,017.25 1,031.85 1,046.45 17511751 Head of Household 951.17 965.77 980.37 994.98 1,009.58 1,024.18 1,038.78 1,051.88 1,060.64 1,069.40 ** 17511751 Married Filing joint 1,020.06 1,028.82 1,037.58 1,046.34 1,055.10 1,063.86 1,072.62 1,081.39 1,090.15 ** 17511751 Married Filling Separate 912.10 928.46 943.36 957.97 972.57 987.17 1,001.77 1,016.38 1,030.98 1,045.58 1751

1752 Single 915.49 930.09 944.70 959.30 973.90 988.50 1,003.11 1,017.71 1,032.31 1,046.91 17521752 Head of Household 951.63 966.24 980.84 995.44 1,010.04 1,024.65 1,039.25 1,052.42 1,061.18 1,069.94 ** 17521752 Married Filing joint 1,020.60 1,029.36 1,038.12 1,046.89 1,055.65 1,064.41 1,073.17 1,081.93 1,090.69 ** 17521752 Married Filling Separate 912.54 928.90 943.83 958.43 973.03 987.63 1,002.24 1,016.84 1,031.44 1,046.04 1752

Page 239: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1753 Single 915.96 930.56 945.16 959.76 974.37 988.97 1,003.57 1,018.17 1,032.78 1,047.38 17531753 Head of Household 952.10 966.70 981.30 995.90 1,010.51 1,025.11 1,039.71 1,052.96 1,061.72 1,070.48 ** 17531753 Married Filing joint 1,021.15 1,029.91 1,038.67 1,047.43 1,056.19 1,064.96 1,073.72 1,082.48 1,091.24 ** 17531753 Married Filling Separate 912.98 929.34 944.29 958.89 973.50 988.10 1,002.70 1,017.30 1,031.91 1,046.51 1753

1754 Single 916.42 931.02 945.62 960.23 974.83 989.43 1,004.03 1,018.64 1,033.24 1,047.84 17541754 Head of Household 952.56 967.16 981.77 996.37 1,010.97 1,025.57 1,040.18 1,053.49 1,062.26 1,071.02 ** 17541754 Married Filing joint 1,021.69 1,030.46 1,039.22 1,047.98 1,056.74 1,065.50 1,074.26 1,083.02 1,091.79 ** 17541754 Married Filling Separate 913.43 929.78 944.75 959.36 973.96 988.56 1,003.16 1,017.77 1,032.37 1,046.97 1754

1755 Single 916.88 931.49 946.09 960.69 975.29 989.90 1,004.50 1,019.10 1,033.70 1,048.31 17551755 Head of Household 953.02 967.63 982.23 996.83 1,011.43 1,026.04 1,040.64 1,054.03 1,062.79 1,071.56 ** 17551755 Married Filing joint 1,022.24 1,031.00 1,039.76 1,048.53 1,057.29 1,066.05 1,074.81 1,083.57 1,092.33 ** 17551755 Married Filling Separate 913.87 930.22 945.22 959.82 974.42 989.03 1,003.63 1,018.23 1,032.83 1,047.44 1755

1756 Single 917.35 931.95 946.55 961.15 975.76 990.36 1,004.96 1,019.56 1,034.17 1,048.77 17561756 Head of Household 953.49 968.09 982.69 997.30 1,011.90 1,026.50 1,041.10 1,054.57 1,063.33 1,072.10 ** 17561756 Married Filing joint 1,022.79 1,031.55 1,040.31 1,049.07 1,057.83 1,066.59 1,075.36 1,084.12 1,092.88 ** 17561756 Married Filling Separate 914.31 930.66 945.68 960.28 974.89 989.49 1,004.09 1,018.69 1,033.30 1,047.90 1756

1757 Single 917.81 932.41 947.02 961.62 976.22 990.82 1,005.43 1,020.03 1,034.63 1,049.23 17571757 Head of Household 953.95 968.55 983.16 997.76 1,012.36 1,026.96 1,041.57 1,055.11 1,063.87 1,072.63 ** 17571757 Married Filing joint 1,023.33 1,032.09 1,040.86 1,049.62 1,058.38 1,067.14 1,075.90 1,084.66 1,093.43 ** 17571757 Married Filling Separate 914.75 931.10 946.15 960.75 975.35 989.95 1,004.56 1,019.16 1,033.76 1,048.36 1757

1758 Single 918.28 932.88 947.48 962.08 976.69 991.29 1,005.89 1,020.49 1,035.10 1,049.70 17581758 Head of Household 954.42 969.02 983.62 998.22 1,012.83 1,027.43 1,042.03 1,055.65 1,064.41 1,073.17 ** 17581758 Married Filing joint 1,023.88 1,032.64 1,041.40 1,050.16 1,058.93 1,067.69 1,076.45 1,085.21 1,093.97 ** 17581758 Married Filling Separate 915.19 931.55 946.61 961.21 975.82 990.42 1,005.02 1,019.62 1,034.23 1,048.83 1758

1759 Single 918.74 933.34 947.94 962.55 977.15 991.75 1,006.35 1,020.96 1,035.56 1,050.16 17591759 Head of Household 954.88 969.48 984.09 998.69 1,013.29 1,027.89 1,042.50 1,056.19 1,064.95 1,073.71 ** 17591759 Married Filing joint 1,024.43 1,033.19 1,041.95 1,050.71 1,059.47 1,068.23 1,077.00 1,085.76 1,094.52 ** 17591759 Married Filling Separate 915.63 931.99 947.07 961.68 976.28 990.88 1,005.48 1,020.09 1,034.69 1,049.29 1759

1760 Single 918.91 933.51 948.12 962.72 977.32 991.92 1,006.53 1,021.13 1,035.73 1,050.33 17601760 Head of Household 955.34 969.95 984.55 999.15 1,013.75 1,028.36 1,042.96 1,056.73 1,065.49 1,074.25 ** 17601760 Married Filing joint 1,024.97 1,033.73 1,042.50 1,051.26 1,060.02 1,068.78 1,077.54 1,086.30 1,095.06 ** 17601760 Married Filling Separate 916.07 932.43 947.54 962.14 976.74 991.35 1,005.95 1,020.55 1,035.15 1,049.76 1760

Page 240: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1761 Single 919.37 933.98 948.58 963.18 977.78 992.39 1,006.99 1,021.59 1,036.19 1,050.80 17611761 Head of Household 955.81 970.41 985.01 999.62 1,014.22 1,028.82 1,043.42 1,057.27 1,066.03 1,074.79 ** 17611761 Married Filing joint 1,025.52 1,034.28 1,043.04 1,051.80 1,060.56 1,069.33 1,078.09 1,086.85 1,095.61 ** 17611761 Married Filling Separate 916.52 932.87 948.00 962.60 977.21 991.81 1,006.41 1,021.01 1,035.62 1,050.22 1761

1762 Single 919.84 934.44 949.04 963.65 978.25 992.85 1,007.45 1,022.06 1,036.66 1,051.26 17621762 Head of Household 956.27 970.87 985.48 1,000.08 1,014.68 1,029.28 1,043.89 1,057.81 1,066.57 1,075.33 ** 17621762 Married Filing joint 1,026.07 1,034.83 1,043.59 1,052.35 1,061.11 1,069.87 1,078.63 1,087.40 1,096.16 ** 17621762 Married Filling Separate 916.96 933.31 948.47 963.07 977.67 992.27 1,006.88 1,021.48 1,036.08 1,050.68 1762

1763 Single 920.30 934.90 949.51 964.11 978.71 993.31 1,007.92 1,022.52 1,037.12 1,051.72 17631763 Head of Household 956.74 971.34 985.94 1,000.54 1,015.15 1,029.75 1,044.35 1,058.34 1,067.11 1,075.87 ** 17631763 Married Filing joint 1,026.61 1,035.37 1,044.13 1,052.90 1,061.66 1,070.42 1,079.18 1,087.94 1,096.70 ** 17631763 Married Filling Separate 917.40 933.75 948.93 963.53 978.13 992.74 1,007.34 1,021.94 1,036.54 1,051.15 1763

1764 Single 920.77 935.37 949.97 964.57 979.18 993.78 1,008.38 1,022.98 1,037.59 1,052.19 17641764 Head of Household 957.20 971.80 986.40 1,001.01 1,015.61 1,030.21 1,044.81 1,058.88 1,067.64 1,076.41 ** 17641764 Married Filing joint 1,027.16 1,035.92 1,044.68 1,053.44 1,062.20 1,070.97 1,079.73 1,088.49 1,097.25 ** 17641764 Married Filling Separate 917.84 934.19 949.39 964.00 978.60 993.20 1,007.80 1,022.41 1,037.01 1,051.61 1764

1765 Single 921.23 935.83 950.43 965.04 979.64 994.24 1,008.84 1,023.45 1,038.05 1,052.65 17651765 Head of Household 957.66 972.27 986.87 1,001.47 1,016.07 1,030.68 1,045.28 1,059.42 1,068.18 1,076.94 ** 17651765 Married Filing joint 1,027.70 1,036.47 1,045.23 1,053.99 1,062.75 1,071.51 1,080.27 1,089.03 1,097.80 ** 17651765 Married Filling Separate 918.28 934.64 949.86 964.46 979.06 993.66 1,008.27 1,022.87 1,037.47 1,052.07 1765

1766 Single 921.69 936.30 950.90 965.50 980.10 994.71 1,009.31 1,023.91 1,038.51 1,053.12 17661766 Head of Household 958.13 972.73 987.33 1,001.93 1,016.54 1,031.14 1,045.74 1,059.96 1,068.72 1,077.48 ** 17661766 Married Filing joint 1,028.25 1,037.01 1,045.77 1,054.54 1,063.30 1,072.06 1,080.82 1,089.58 1,098.34 ** 17661766 Married Filling Separate 918.72 935.08 950.32 964.92 979.53 994.13 1,008.73 1,023.33 1,037.94 1,052.54 1766

1767 Single 922.16 936.76 951.36 965.97 980.57 995.17 1,009.77 1,024.38 1,038.98 1,053.58 17671767 Head of Household 958.59 973.19 987.80 1,002.40 1,017.00 1,031.60 1,046.21 1,060.50 1,069.26 1,078.02 ** 17671767 Married Filing joint 1,028.80 1,037.56 1,046.32 1,055.08 1,063.84 1,072.60 1,081.37 1,090.13 1,098.89 ** 17671767 Married Filling Separate 919.16 935.52 950.79 965.39 979.99 994.59 1,009.20 1,023.80 1,038.40 1,053.00 1767

1768 Single 922.62 937.22 951.83 966.43 981.03 995.63 1,010.24 1,024.84 1,039.44 1,054.04 17681768 Head of Household 959.06 973.66 988.26 1,002.86 1,017.47 1,032.07 1,046.67 1,061.04 1,069.80 1,078.56 ** 17681768 Married Filing joint 1,029.34 1,038.11 1,046.87 1,055.63 1,064.39 1,073.15 1,081.91 1,090.67 1,099.44 ** 17681768 Married Filling Separate 919.61 935.96 951.25 965.85 980.45 995.06 1,009.66 1,024.26 1,038.86 1,053.47 1768

Page 241: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1769 Single 923.09 937.69 952.29 966.89 981.50 996.10 1,010.70 1,025.30 1,039.91 1,054.51 17691769 Head of Household 959.52 974.12 988.72 1,003.33 1,017.93 1,032.53 1,047.13 1,061.58 1,070.34 1,079.10 ** 17691769 Married Filing joint 1,029.89 1,038.65 1,047.41 1,056.17 1,064.94 1,073.70 1,082.46 1,091.22 1,099.98 ** 17691769 Married Filling Separate 920.05 936.40 951.71 966.32 980.92 995.52 1,010.12 1,024.73 1,039.33 1,053.93 1769

1770 Single 923.55 938.15 952.75 967.36 981.96 996.56 1,011.16 1,025.77 1,040.37 1,054.97 17701770 Head of Household 959.98 974.59 989.19 1,003.79 1,018.39 1,033.00 1,047.60 1,062.12 1,070.88 1,079.64 ** 17701770 Married Filing joint 1,030.44 1,039.20 1,047.96 1,056.72 1,065.48 1,074.24 1,083.01 1,091.77 1,100.53 ** 17701770 Married Filling Separate 920.49 936.84 952.18 966.78 981.38 995.98 1,010.59 1,025.19 1,039.79 1,054.39 1770

1771 Single 924.01 938.62 953.22 967.82 982.42 997.03 1,011.63 1,026.23 1,040.83 1,055.44 17711771 Head of Household 960.45 975.05 989.65 1,004.25 1,018.86 1,033.46 1,048.06 1,062.66 1,071.42 1,080.18 ** 17711771 Married Filing joint 1,030.98 1,039.74 1,048.51 1,057.27 1,066.03 1,074.79 1,083.55 1,092.31 1,101.07 ** 17711771 Married Filling Separate 920.93 937.28 952.64 967.24 981.85 996.45 1,011.05 1,025.65 1,040.26 1,054.86 1771

1772 Single 924.48 939.08 953.68 968.28 982.89 997.49 1,012.09 1,026.69 1,041.30 1,055.90 17721772 Head of Household 960.91 975.51 990.12 1,004.72 1,019.32 1,033.92 1,048.53 1,063.13 1,071.96 1,080.72 ** 17721772 Married Filing joint 1,031.53 1,040.29 1,049.05 1,057.81 1,066.58 1,075.34 1,084.10 1,092.86 1,101.62 ** 17721772 Married Filling Separate 921.37 937.73 953.10 967.71 982.31 996.91 1,011.51 1,026.12 1,040.72 1,055.32 1772

1773 Single 924.94 939.54 954.15 968.75 983.35 997.95 1,012.56 1,027.16 1,041.76 1,056.36 17731773 Head of Household 961.37 975.98 990.58 1,005.18 1,019.78 1,034.39 1,048.99 1,063.59 1,072.49 1,081.26 ** 17731773 Married Filing joint 1,032.08 1,040.84 1,049.60 1,058.36 1,067.12 1,075.88 1,084.64 1,093.41 1,102.17 ** 17731773 Married Filling Separate 921.81 938.17 953.57 968.17 982.77 997.38 1,011.98 1,026.58 1,041.18 1,055.79 1773

1774 Single 925.40 940.01 954.61 969.21 983.81 998.42 1,013.02 1,027.62 1,042.22 1,056.83 17741774 Head of Household 961.84 976.44 991.04 1,005.65 1,020.25 1,034.85 1,049.45 1,064.06 1,073.03 1,081.79 ** 17741774 Married Filing joint 1,032.62 1,041.38 1,050.14 1,058.91 1,067.67 1,076.43 1,085.19 1,093.95 1,102.71 ** 17741774 Married Filling Separate 922.25 938.61 954.03 968.63 983.24 997.84 1,012.44 1,027.04 1,041.65 1,056.25 1774

1775 Single 925.87 940.47 955.07 969.68 984.28 998.88 1,013.48 1,028.09 1,042.69 1,057.29 17751775 Head of Household 962.30 976.90 991.51 1,006.11 1,020.71 1,035.31 1,049.92 1,064.52 1,073.57 1,082.33 ** 17751775 Married Filing joint 1,033.17 1,041.93 1,050.69 1,059.45 1,068.21 1,076.98 1,085.74 1,094.50 1,103.26 ** 17751775 Married Filling Separate 922.69 939.05 954.50 969.10 983.70 998.30 1,012.91 1,027.51 1,042.11 1,056.71 1775

1776 Single 926.33 940.93 955.54 970.14 984.74 999.34 1,013.95 1,028.55 1,043.15 1,057.75 17761776 Head of Household 962.77 977.37 991.97 1,006.57 1,021.18 1,035.78 1,050.38 1,064.98 1,074.11 1,082.87 ** 17761776 Married Filing joint 1,033.71 1,042.48 1,051.24 1,060.00 1,068.76 1,077.52 1,086.28 1,095.05 1,103.81 ** 17761776 Married Filling Separate 923.14 939.49 954.96 969.56 984.16 998.77 1,013.37 1,027.97 1,042.57 1,057.18 1776

Page 242: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1777 Single 926.80 941.40 956.00 970.60 985.21 999.81 1,014.41 1,029.01 1,043.62 1,058.22 17771777 Head of Household 963.23 977.83 992.43 1,007.04 1,021.64 1,036.24 1,050.84 1,065.45 1,074.65 1,083.41 ** 17771777 Married Filing joint 1,034.26 1,043.02 1,051.78 1,060.55 1,069.31 1,078.07 1,086.83 1,095.59 1,104.35 ** 17771777 Married Filling Separate 923.58 939.93 955.42 970.03 984.63 999.23 1,013.83 1,028.44 1,043.04 1,057.64 1777

1778 Single 927.26 941.86 956.47 971.07 985.67 1,000.27 1,014.88 1,029.48 1,044.08 1,058.68 17781778 Head of Household 963.69 978.30 992.90 1,007.50 1,022.10 1,036.71 1,051.31 1,065.91 1,075.19 1,083.95 ** 17781778 Married Filing joint 1,034.81 1,043.57 1,052.33 1,061.09 1,069.85 1,078.61 1,087.38 1,096.14 1,104.90 ** 17781778 Married Filling Separate 924.02 940.37 955.89 970.49 985.09 999.70 1,014.30 1,028.90 1,043.50 1,058.11 1778

1779 Single 927.72 942.33 956.93 971.53 986.13 1,000.74 1,015.34 1,029.94 1,044.54 1,059.15 17791779 Head of Household 964.16 978.76 993.36 1,007.97 1,022.57 1,037.17 1,051.77 1,066.38 1,075.73 1,084.49 ** 17791779 Married Filing joint 1,035.35 1,044.12 1,052.88 1,061.64 1,070.40 1,079.16 1,087.92 1,096.68 1,105.45 ** 17791779 Married Filling Separate 924.46 940.82 956.35 970.95 985.56 1,000.16 1,014.76 1,029.36 1,043.97 1,058.57 1779

1780 Single 928.19 942.79 957.39 972.00 986.60 1,001.20 1,015.80 1,030.41 1,045.01 1,059.61 17801780 Head of Household 964.62 979.22 993.83 1,008.43 1,023.03 1,037.63 1,052.24 1,066.84 1,076.27 1,085.03 ** 17801780 Married Filing joint 1,035.90 1,044.66 1,053.42 1,062.18 1,070.95 1,079.71 1,088.47 1,097.23 1,105.99 ** 17801780 Married Filling Separate 924.90 941.26 956.82 971.42 986.02 1,000.62 1,015.23 1,029.83 1,044.43 1,059.03 1780

1781 Single 928.65 943.25 957.86 972.46 987.06 1,001.66 1,016.27 1,030.87 1,045.47 1,060.07 17811781 Head of Household 965.09 979.69 994.29 1,008.89 1,023.50 1,038.10 1,052.70 1,067.30 1,076.81 1,085.57 ** 17811781 Married Filing joint 1,036.45 1,045.21 1,053.97 1,062.73 1,071.49 1,080.25 1,089.02 1,097.78 1,106.54 ** 17811781 Married Filling Separate 925.34 941.70 957.28 971.88 986.48 1,001.09 1,015.69 1,030.29 1,044.89 1,059.50 1781

1782 Single 929.12 943.72 958.32 972.92 987.53 1,002.13 1,016.73 1,031.33 1,045.94 1,060.54 17821782 Head of Household 965.55 980.15 994.75 1,009.36 1,023.96 1,038.56 1,053.16 1,067.77 1,077.34 1,086.11 ** 17821782 Married Filing joint 1,036.99 1,045.75 1,054.52 1,063.28 1,072.04 1,080.80 1,089.56 1,098.32 1,107.08 ** 17821782 Married Filling Separate 925.78 942.14 957.74 972.35 986.95 1,001.55 1,016.15 1,030.76 1,045.36 1,059.96 1782

1783 Single 929.58 944.18 958.78 973.39 987.99 1,002.59 1,017.19 1,031.80 1,046.40 1,061.00 17831783 Head of Household 966.01 980.62 995.22 1,009.82 1,024.42 1,039.03 1,053.63 1,068.23 1,077.88 1,086.64 ** 17831783 Married Filing joint 1,037.54 1,046.30 1,055.06 1,063.82 1,072.59 1,081.35 1,090.11 1,098.87 1,107.63 ** 17831783 Married Filling Separate 926.23 942.58 958.21 972.81 987.41 1,002.01 1,016.62 1,031.22 1,045.82 1,060.42 1783

1784 Single 930.04 944.65 959.25 973.85 988.45 1,003.06 1,017.66 1,032.26 1,046.86 1,061.47 17841784 Head of Household 966.48 981.08 995.68 1,010.28 1,024.89 1,039.49 1,054.09 1,068.69 1,078.42 1,087.18 ** 17841784 Married Filing joint 1,038.09 1,046.85 1,055.61 1,064.37 1,073.13 1,081.89 1,090.65 1,099.42 1,108.18 ** 17841784 Married Filling Separate 926.67 943.02 958.67 973.27 987.88 1,002.48 1,017.08 1,031.68 1,046.29 1,060.89 1784

Page 243: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1785 Single 930.51 945.11 959.71 974.31 988.92 1,003.52 1,018.12 1,032.72 1,047.33 1,061.93 17851785 Head of Household 966.94 981.54 996.15 1,010.75 1,025.35 1,039.95 1,054.56 1,069.16 1,078.96 1,087.72 ** 17851785 Married Filing joint 1,038.63 1,047.39 1,056.15 1,064.92 1,073.68 1,082.44 1,091.20 1,099.96 1,108.72 ** 17851785 Married Filling Separate 927.11 943.46 959.13 973.74 988.34 1,002.94 1,017.54 1,032.15 1,046.75 1,061.35 1785

1786 Single 930.97 945.57 960.18 974.78 989.38 1,003.98 1,018.59 1,033.19 1,047.79 1,062.39 17861786 Head of Household 967.40 982.01 996.61 1,011.21 1,025.81 1,040.42 1,055.02 1,069.62 1,079.50 1,088.26 ** 17861786 Married Filing joint 1,039.18 1,047.94 1,056.70 1,065.46 1,074.22 1,082.99 1,091.75 1,100.51 1,109.27 ** 17861786 Married Filling Separate 927.55 943.90 959.60 974.20 988.80 1,003.41 1,018.01 1,032.61 1,047.21 1,061.82 1786

1787 Single 931.44 946.04 960.64 975.24 989.85 1,004.45 1,019.05 1,033.65 1,048.26 1,062.86 17871787 Head of Household 967.87 982.47 997.07 1,011.68 1,026.28 1,040.88 1,055.48 1,070.09 1,080.04 1,088.80 ** 17871787 Married Filing joint 1,039.72 1,048.49 1,057.25 1,066.01 1,074.77 1,083.53 1,092.29 1,101.06 1,109.82 ** 17871787 Married Filling Separate 927.99 944.35 960.06 974.67 989.27 1,003.87 1,018.47 1,033.08 1,047.68 1,062.28 1787

1788 Single 931.90 946.50 961.10 975.71 990.31 1,004.91 1,019.51 1,034.12 1,048.72 1,063.32 ** 17881788 Head of Household 968.33 982.94 997.54 1,012.14 1,026.74 1,041.35 1,055.95 1,070.55 1,080.58 1,089.34 ** 17881788 Married Filing joint 1,040.27 1,049.03 1,057.79 1,066.56 1,075.32 1,084.08 1,092.84 1,101.60 1,110.36 ** 17881788 Married Filling Separate 928.43 944.79 960.53 975.13 989.73 1,004.33 1,018.94 1,033.54 1,048.14 1,062.74 1788

1789 Single 932.36 946.97 961.57 976.17 990.77 1,005.38 1,019.98 1,034.58 1,049.18 1,063.79 ** 17891789 Head of Household 968.80 983.40 998.00 1,012.60 1,027.21 1,041.81 1,056.41 1,071.01 1,081.12 1,089.88 ** 17891789 Married Filing joint 1,040.82 1,049.58 1,058.34 1,067.10 1,075.86 1,084.62 1,093.39 1,102.15 1,110.91 ** 17891789 Married Filling Separate 928.87 945.23 960.99 975.59 990.20 1,004.80 1,019.40 1,034.00 1,048.61 1,063.21 ** 1789

1790 Single 932.83 947.43 962.03 976.63 991.24 1,005.84 1,020.44 1,035.04 1,049.65 1,064.25 ** 17901790 Head of Household 969.26 983.86 998.47 1,013.07 1,027.67 1,042.27 1,056.88 1,071.48 1,081.66 1,090.42 ** 17901790 Married Filing joint 1,041.36 1,050.13 1,058.89 1,067.65 1,076.41 1,085.17 1,093.93 1,102.69 1,111.46 ** 17901790 Married Filling Separate 929.32 945.67 961.45 976.06 990.66 1,005.26 1,019.86 1,034.47 1,049.07 1,063.67 ** 1790

1791 Single 933.29 947.89 962.50 977.10 991.70 1,006.30 1,020.91 1,035.51 1,050.11 1,064.71 ** 17911791 Head of Household 969.72 984.33 998.93 1,013.53 1,028.13 1,042.74 1,057.34 1,071.94 1,082.19 1,090.96 ** 17911791 Married Filing joint 1,041.91 1,050.67 1,059.43 1,068.19 1,076.96 1,085.72 1,094.48 1,103.24 1,112.00 ** 17911791 Married Filling Separate 929.76 946.11 961.92 976.52 991.12 1,005.73 1,020.33 1,034.93 1,049.53 1,064.14 ** 1791

1792 Single 933.75 948.36 962.96 977.56 992.16 1,006.77 1,021.37 1,035.97 1,050.57 1,065.18 ** 17921792 Head of Household 970.19 984.79 999.39 1,014.00 1,028.60 1,043.20 1,057.80 1,072.41 1,082.73 1,091.49 ** 17921792 Married Filing joint 1,042.46 1,051.22 1,059.98 1,068.74 1,077.50 1,086.26 1,095.03 1,103.79 1,112.55 ** 17921792 Married Filling Separate 930.20 946.55 962.38 976.98 991.59 1,006.19 1,020.79 1,035.39 1,050.00 1,064.60 ** 1792

Page 244: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1793 Single 934.22 948.82 963.42 978.03 992.63 1,007.23 1,021.83 1,036.44 1,051.04 1,065.64 ** 17931793 Head of Household 970.65 985.25 999.86 1,014.46 1,029.06 1,043.66 1,058.27 1,072.87 1,083.27 1,092.03 ** 17931793 Married Filing joint 1,043.00 1,051.76 1,060.53 1,069.29 1,078.05 1,086.81 1,095.57 1,104.33 1,113.09 ** 17931793 Married Filling Separate 930.64 946.99 962.85 977.45 992.05 1,006.65 1,021.26 1,035.86 1,050.46 1,065.06 ** 1793

1794 Single 934.68 949.28 963.89 978.49 993.09 1,007.69 1,022.30 1,036.90 1,051.50 1,066.10 ** 17941794 Head of Household 971.12 985.72 1,000.32 1,014.92 1,029.53 1,044.13 1,058.73 1,073.33 1,083.81 1,092.57 ** 17941794 Married Filing joint 1,043.55 1,052.31 1,061.07 1,069.83 1,078.60 1,087.36 1,096.12 1,104.88 1,113.64 ** 17941794 Married Filling Separate 931.08 947.44 963.31 977.91 992.51 1,007.12 1,021.72 1,036.32 1,050.92 1,065.53 ** 1794

1795 Single 935.15 949.75 964.35 978.95 993.56 1,008.16 1,022.76 1,037.36 1,051.97 1,066.57 ** 17951795 Head of Household 971.58 986.18 1,000.78 1,015.39 1,029.99 1,044.59 1,059.19 1,073.80 1,084.35 1,093.11 ** 17951795 Married Filing joint 1,044.10 1,052.86 1,061.62 1,070.38 1,079.14 1,087.90 1,096.66 1,105.43 1,114.19 ** 17951795 Married Filling Separate 931.52 947.88 963.77 978.38 992.98 1,007.58 1,022.18 1,036.79 1,051.39 1,065.99 ** 1795

1796 Single 935.61 950.21 964.81 979.42 994.02 1,008.62 1,023.22 1,037.83 1,052.43 1,067.03 ** 17961796 Head of Household 972.04 986.65 1,001.25 1,015.85 1,030.45 1,045.06 1,059.66 1,074.26 1,084.89 1,093.65 ** 17961796 Married Filing joint 1,044.64 1,053.40 1,062.17 1,070.93 1,079.69 1,088.45 1,097.21 1,105.97 1,114.73 ** 17961796 Married Filling Separate 931.96 948.32 964.24 978.84 993.44 1,008.04 1,022.65 1,037.25 1,051.85 1,066.45 ** 1796

1797 Single 936.07 950.68 965.28 979.88 994.48 1,009.09 1,023.69 1,038.29 1,052.89 1,067.50 ** 17971797 Head of Household 972.51 987.11 1,001.71 1,016.31 1,030.92 1,045.52 1,060.12 1,074.72 1,085.43 1,094.19 ** 17971797 Married Filing joint 1,045.19 1,053.95 1,062.71 1,071.47 1,080.23 1,089.00 1,097.76 1,106.52 1,115.28 ** 17971797 Married Filling Separate 932.41 948.76 964.70 979.30 993.91 1,008.51 1,023.11 1,037.71 1,052.32 1,066.92 ** 1797

1798 Single 936.54 951.14 965.74 980.35 994.95 1,009.55 1,024.15 1,038.76 1,053.36 1,067.96 ** 17981798 Head of Household 972.97 987.57 1,002.18 1,016.78 1,031.38 1,045.98 1,060.59 1,075.19 1,085.97 1,094.73 ** 17981798 Married Filing joint 1,045.73 1,054.50 1,063.26 1,072.02 1,080.78 1,089.54 1,098.30 1,107.07 1,115.83 ** 17981798 Married Filling Separate 932.85 949.20 965.17 979.77 994.37 1,008.97 1,023.58 1,038.18 1,052.78 1,067.38 ** 1798

1799 Single 937.00 951.60 966.21 980.81 995.41 1,010.01 1,024.62 1,039.22 1,053.82 1,068.42 ** 17991799 Head of Household 973.44 988.04 1,002.64 1,017.24 1,031.85 1,046.45 1,061.05 1,075.65 1,086.51 1,095.27 ** 17991799 Married Filing joint 1,046.28 1,055.04 1,063.80 1,072.57 1,081.33 1,090.09 1,098.85 1,107.61 1,116.37 ** 17991799 Married Filling Separate 933.29 949.64 965.63 980.23 994.83 1,009.44 1,024.04 1,038.64 1,053.24 1,067.85 ** 1799

1800 Single 937.47 952.07 966.67 981.27 995.88 1,010.48 1,025.08 1,039.68 1,054.29 1,068.89 ** 18001800 Head of Household 973.90 988.50 1,003.10 1,017.71 1,032.31 1,046.91 1,061.51 1,076.12 1,087.04 1,095.81 ** 18001800 Married Filing joint 1,046.83 1,055.59 1,064.35 1,073.11 1,081.87 1,090.64 1,099.40 1,108.16 1,116.92 ** 18001800 Married Filling Separate 933.73 950.08 966.09 980.70 995.30 1,009.90 1,024.50 1,039.11 1,053.71 1,068.31 ** 1800

Page 245: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1801 Single 937.93 952.53 967.13 981.74 996.34 1,010.94 1,025.54 1,040.15 1,054.75 1,069.35 ** 18011801 Head of Household 974.36 988.97 1,003.57 1,018.17 1,032.77 1,047.38 1,061.98 1,076.58 1,087.58 1,096.34 ** 18011801 Married Filing joint 1,047.37 1,056.14 1,064.90 1,073.66 1,082.42 1,091.18 1,099.94 1,108.70 1,117.47 ** 18011801 Married Filling Separate 934.17 950.53 966.56 981.16 995.76 1,010.36 1,024.97 1,039.57 1,054.17 1,068.77 ** 1801

1802 Single 938.39 953.00 967.60 982.20 996.80 1,011.41 1,026.01 1,040.61 1,055.21 1,069.82 ** 18021802 Head of Household 974.83 989.43 1,004.03 1,018.63 1,033.24 1,047.84 1,062.44 1,077.04 1,088.12 1,096.88 ** 18021802 Married Filing joint 1,047.92 1,056.68 1,065.44 1,074.20 1,082.97 1,091.73 1,100.49 1,109.25 1,118.01 ** 18021802 Married Filling Separate 934.61 950.97 967.02 981.62 996.23 1,010.83 1,025.43 1,040.03 1,054.64 1,069.24 ** 1802

1803 Single 938.86 953.46 968.06 982.66 997.27 1,011.87 1,026.47 1,041.07 1,055.68 1,070.28 ** 18031803 Head of Household 975.29 989.89 1,004.50 1,019.10 1,033.70 1,048.30 1,062.91 1,077.51 1,088.66 1,097.42 ** 18031803 Married Filing joint 1,048.47 1,057.23 1,065.99 1,074.75 1,083.51 1,092.27 1,101.04 1,109.80 1,118.56 ** 18031803 Married Filling Separate 935.05 951.41 967.48 982.09 996.69 1,011.29 1,025.89 1,040.50 1,055.10 1,069.70 ** 1803

1804 Single 939.32 953.92 968.53 983.13 997.73 1,012.33 1,026.94 1,041.54 1,056.14 1,070.74 ** 18041804 Head of Household 975.75 990.36 1,004.96 1,019.56 1,034.16 1,048.77 1,063.37 1,077.97 1,089.20 1,097.96 ** 18041804 Married Filing joint 1,049.01 1,057.77 1,066.54 1,075.30 1,084.06 1,092.82 1,101.58 1,110.34 1,119.11 ** 18041804 Married Filling Separate 935.49 951.85 967.95 982.55 997.15 1,011.76 1,026.36 1,040.96 1,055.56 1,070.17 ** 1804

1805 Single 939.78 954.39 968.99 983.59 998.19 1,012.80 1,027.40 1,042.00 1,056.60 1,071.21 ** 18051805 Head of Household 976.22 990.82 1,005.42 1,020.03 1,034.63 1,049.23 1,063.83 1,078.44 1,089.74 1,098.50 ** 18051805 Married Filing joint 1,049.56 1,058.32 1,067.08 1,075.84 1,084.61 1,093.37 1,102.13 1,110.89 1,119.65 ** 18051805 Married Filling Separate 935.94 952.29 968.41 983.01 997.62 1,012.22 1,026.82 1,041.42 1,056.03 1,070.63 ** 1805

1806 Single 940.25 954.85 969.45 984.06 998.66 1,013.26 1,027.86 1,042.47 1,057.07 1,071.67 ** 18061806 Head of Household 976.68 991.28 1,005.89 1,020.49 1,035.09 1,049.69 1,064.30 1,078.90 1,090.28 1,099.04 ** 18061806 Married Filing joint 1,050.11 1,058.87 1,067.63 1,076.39 1,085.15 1,093.91 1,102.67 1,111.44 1,120.20 ** 18061806 Married Filling Separate 936.38 952.73 968.88 983.48 998.08 1,012.68 1,027.29 1,041.89 1,056.49 1,071.09 ** 1806

1807 Single 940.71 955.32 969.92 984.52 999.12 1,013.73 1,028.33 1,042.93 1,057.53 1,072.14 ** 18071807 Head of Household 977.15 991.75 1,006.35 1,020.95 1,035.56 1,050.16 1,064.76 1,079.36 1,090.82 1,099.58 ** 18071807 Married Filing joint 1,050.65 1,059.41 1,068.18 1,076.94 1,085.70 1,094.46 1,103.22 1,111.98 1,120.74 ** 18071807 Married Filling Separate 936.82 953.17 969.34 983.94 998.55 1,013.15 1,027.75 1,042.35 1,056.96 1,071.56 ** 1807

1808 Single 941.18 955.78 970.38 984.98 999.59 1,014.19 1,028.79 1,043.39 1,058.00 1,072.60 ** 18081808 Head of Household 977.61 992.21 1,006.82 1,021.42 1,036.02 1,050.62 1,065.23 1,079.83 1,091.36 1,100.12 ** 18081808 Married Filing joint 1,051.20 1,059.96 1,068.72 1,077.48 1,086.24 1,095.01 1,103.77 1,112.53 1,121.29 ** 18081808 Married Filling Separate 937.26 953.61 969.80 984.41 999.01 1,013.61 1,028.21 1,042.82 1,057.42 1,072.02 ** 1808

Page 246: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1809 Single 941.64 956.24 970.85 985.45 1,000.05 1,014.65 1,029.26 1,043.86 1,058.46 1,073.06 ** 18091809 Head of Household 978.07 992.68 1,007.28 1,021.88 1,036.48 1,051.09 1,065.69 1,080.29 1,091.89 1,100.66 ** 18091809 Married Filing joint 1,051.74 1,060.51 1,069.27 1,078.03 1,086.79 1,095.55 1,104.31 1,113.08 1,121.84 ** 18091809 Married Filling Separate 937.70 954.06 970.27 984.87 999.47 1,014.08 1,028.68 1,043.28 1,057.88 1,072.49 ** 1809

1810 Single 942.10 956.71 971.31 985.91 1,000.51 1,015.12 1,029.72 1,044.32 1,058.92 1,073.53 ** 18101810 Head of Household 978.54 993.14 1,007.74 1,022.35 1,036.95 1,051.55 1,066.15 1,080.76 1,092.43 1,101.19 ** 18101810 Married Filing joint 1,052.29 1,061.05 1,069.81 1,078.58 1,087.34 1,096.10 1,104.86 1,113.62 1,122.38 ** 18101810 Married Filling Separate 938.14 954.50 970.73 985.33 999.94 1,014.54 1,029.14 1,043.74 1,058.35 1,072.95 ** 1810

1811 Single 942.57 957.17 971.77 986.38 1,000.98 1,015.58 1,030.18 1,044.79 1,059.39 1,073.99 ** 18111811 Head of Household 979.00 993.60 1,008.21 1,022.81 1,037.41 1,052.01 1,066.62 1,081.22 1,092.97 1,101.73 ** 18111811 Married Filing joint 1,052.84 1,061.60 1,070.36 1,079.12 1,087.88 1,096.65 1,105.41 1,114.17 1,122.93 ** 18111811 Married Filling Separate 938.58 954.94 971.20 985.80 1,000.40 1,015.00 1,029.61 1,044.21 1,058.81 1,073.41 ** 1811

1812 Single 943.03 957.63 972.24 986.84 1,001.44 1,016.04 1,030.65 1,045.25 1,059.85 1,074.45 ** 18121812 Head of Household 979.47 994.07 1,008.67 1,023.27 1,037.88 1,052.48 1,067.08 1,081.68 1,093.51 1,102.27 ** 18121812 Married Filing joint 1,053.38 1,062.15 1,070.91 1,079.67 1,088.43 1,097.19 1,105.95 1,114.71 1,123.48 ** 18121812 Married Filling Separate 939.03 955.38 971.66 986.26 1,000.86 1,015.47 1,030.07 1,044.67 1,059.27 1,073.88 ** 1812

1813 Single 943.50 958.10 972.70 987.30 1,001.91 1,016.51 1,031.11 1,045.71 1,060.32 1,074.92 ** 18131813 Head of Household 979.93 994.53 1,009.13 1,023.74 1,038.34 1,052.94 1,067.54 1,082.15 1,094.05 1,102.81 ** 18131813 Married Filing joint 1,053.93 1,062.69 1,071.45 1,080.21 1,088.98 1,097.74 1,106.50 1,115.26 1,124.02 ** 18131813 Married Filling Separate 939.47 955.82 972.12 986.73 1,001.33 1,015.93 1,030.53 1,045.14 1,059.74 1,074.34 ** 1813

1814 Single 943.96 958.56 973.16 987.77 1,002.37 1,016.97 1,031.57 1,046.18 1,060.78 1,075.38 ** 18141814 Head of Household 980.39 995.00 1,009.60 1,024.20 1,038.80 1,053.41 1,068.01 1,082.61 1,094.59 1,103.35 ** 18141814 Married Filing joint 1,054.48 1,063.24 1,072.00 1,080.76 1,089.52 1,098.28 1,107.05 1,115.81 1,124.57 ** 18141814 Married Filling Separate 939.91 956.26 972.59 987.19 1,001.79 1,016.39 1,031.00 1,045.60 1,060.20 1,074.80 ** 1814

1815 Single 944.42 959.03 973.63 988.23 1,002.83 1,017.44 1,032.04 1,046.64 1,061.24 1,075.85 ** 18151815 Head of Household 980.86 995.46 1,010.06 1,024.66 1,039.27 1,053.87 1,068.47 1,083.07 1,095.13 1,103.89 ** 18151815 Married Filing joint 1,055.02 1,063.78 1,072.55 1,081.31 1,090.07 1,098.83 1,107.59 1,116.35 1,125.12 ** 18151815 Married Filling Separate 940.35 956.70 973.05 987.65 1,002.26 1,016.86 1,031.46 1,046.06 1,060.67 1,075.27 ** 1815

1816 Single 944.89 959.49 974.09 988.69 1,003.30 1,017.90 1,032.50 1,047.10 1,061.71 1,076.31 ** 18161816 Head of Household 981.32 995.92 1,010.53 1,025.13 1,039.73 1,054.33 1,068.94 1,083.54 1,095.67 1,104.43 ** 18161816 Married Filing joint 1,055.57 1,064.33 1,073.09 1,081.85 1,090.62 1,099.38 1,108.14 1,116.90 1,125.66 ** 18161816 Married Filling Separate 940.79 957.15 973.50 988.12 1,002.72 1,017.32 1,031.92 1,046.53 1,061.13 1,075.73 ** 1816

Page 247: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1817 Single 945.35 959.95 974.56 989.16 1,003.76 1,018.36 1,032.97 1,047.57 1,062.17 1,076.77 ** 18171817 Head of Household 981.78 996.39 1,010.99 1,025.59 1,040.19 1,054.80 1,069.40 1,084.00 1,096.20 1,104.97 ** 18171817 Married Filing joint 1,056.12 1,064.88 1,073.64 1,082.40 1,091.16 1,099.92 1,108.68 1,117.45 1,126.21 ** 18171817 Married Filling Separate 941.23 957.59 973.94 988.58 1,003.18 1,017.79 1,032.39 1,046.99 1,061.59 1,076.20 ** 1817

1818 Single 945.82 960.42 975.02 989.62 1,004.23 1,018.83 1,033.43 1,048.03 1,062.64 1,077.24 ** 18181818 Head of Household 981.78 996.39 1,010.99 1,025.59 1,040.19 1,054.80 1,069.40 1,084.00 1,096.28 1,105.04 ** 18181818 Married Filing joint 1,056.66 1,065.42 1,074.19 1,082.95 1,091.71 1,100.47 1,109.23 1,117.99 1,126.75 ** 18181818 Married Filling Separate 941.67 958.03 974.38 989.05 1,003.65 1,018.25 1,032.85 1,047.46 1,062.06 1,076.66 ** 1818

1819 Single 946.28 960.88 975.48 990.09 1,004.69 1,019.29 1,033.89 1,048.50 1,063.10 1,077.70 ** 18191819 Head of Household 982.25 996.85 1,011.45 1,026.06 1,040.66 1,055.26 1,069.86 1,084.47 1,096.82 1,105.58 ** 18191819 Married Filing joint 1,057.21 1,065.97 1,074.73 1,083.49 1,092.25 1,101.02 1,109.78 1,118.54 1,127.30 ** 18191819 Married Filling Separate 942.12 958.47 974.82 989.51 1,004.11 1,018.71 1,033.32 1,047.92 1,062.52 1,077.12 ** 1819

1820 Single 946.74 961.35 975.95 990.55 1,005.15 1,019.76 1,034.36 1,048.96 1,063.56 1,078.17 ** 18201820 Head of Household 982.71 997.31 1,011.92 1,026.52 1,041.12 1,055.72 1,070.33 1,084.93 1,097.36 1,106.12 ** 18201820 Married Filing joint 1,057.76 1,066.52 1,075.28 1,084.04 1,092.80 1,101.56 1,110.32 1,119.09 1,127.85 ** 18201820 Married Filling Separate 942.56 958.91 975.27 989.97 1,004.58 1,019.18 1,033.78 1,048.38 1,062.99 1,077.59 ** 1820

1821 Single 947.21 961.81 976.41 991.01 1,005.62 1,020.22 1,034.82 1,049.42 1,064.03 1,078.63 ** 18211821 Head of Household 983.18 997.78 1,012.38 1,026.98 1,041.59 1,056.19 1,070.79 1,085.39 1,097.90 1,106.66 ** 18211821 Married Filing joint 1,058.30 1,067.06 1,075.82 1,084.59 1,093.35 1,102.11 1,110.87 1,119.63 1,128.39 ** 18211821 Married Filling Separate 943.00 959.35 975.71 990.44 1,005.04 1,019.64 1,034.24 1,048.85 1,063.45 1,078.05 ** 1821

1822 Single 947.67 962.27 976.88 991.48 1,006.08 1,020.68 1,035.29 1,049.89 1,064.49 1,079.09 ** 18221822 Head of Household 983.64 998.24 1,012.84 1,027.45 1,042.05 1,056.65 1,071.25 1,085.86 1,098.43 1,107.20 ** 18221822 Married Filing joint 1,058.85 1,067.61 1,076.37 1,085.13 1,093.89 1,102.66 1,111.42 1,120.18 1,128.94 ** 18221822 Married Filling Separate 943.44 959.79 976.15 990.90 1,005.50 1,020.11 1,034.71 1,049.31 1,063.91 1,078.52 ** 1822

1823 Single 948.13 962.74 977.34 991.94 1,006.54 1,021.15 1,035.75 1,050.35 1,064.95 1,079.56 ** 18231823 Head of Household 984.10 998.71 1,013.31 1,027.91 1,042.51 1,057.12 1,071.72 1,086.32 1,098.97 1,107.73 ** 18231823 Married Filing joint 1,059.39 1,068.16 1,076.92 1,085.68 1,094.44 1,103.20 1,111.96 1,120.72 1,129.49 ** 18231823 Married Filling Separate 943.88 960.24 976.59 991.36 1,005.97 1,020.57 1,035.17 1,049.77 1,064.38 1,078.98 ** 1823

1824 Single 948.60 963.20 977.80 992.41 1,007.01 1,021.61 1,036.21 1,050.82 1,065.42 1,080.02 ** 18241824 Head of Household 984.57 999.17 1,013.77 1,028.37 1,042.98 1,057.58 1,072.18 1,086.78 1,099.51 1,108.27 ** 18241824 Married Filing joint 1,059.94 1,068.70 1,077.46 1,086.23 1,094.99 1,103.75 1,112.51 1,121.27 1,130.03 ** 18241824 Married Filling Separate 944.32 960.68 977.03 991.83 1,006.43 1,021.03 1,035.64 1,050.24 1,064.84 1,079.44 ** 1824

Page 248: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1825 Single 949.06 963.66 978.27 992.87 1,007.47 1,022.07 1,036.68 1,051.28 1,065.88 1,080.48 ** 18251825 Head of Household 985.03 999.63 1,014.24 1,028.84 1,043.44 1,058.04 1,072.65 1,087.25 1,100.05 1,108.81 ** 18251825 Married Filing joint 1,060.49 1,069.25 1,078.01 1,086.77 1,095.53 1,104.29 1,113.06 1,121.82 1,130.58 ** 18251825 Married Filling Separate 944.76 961.12 977.47 992.29 1,006.89 1,021.50 1,036.10 1,050.70 1,065.30 1,079.91 ** 1825

1826 Single 949.53 964.13 978.73 993.33 1,007.94 1,022.54 1,037.14 1,051.74 1,066.35 1,080.95 ** 18261826 Head of Household 985.49 1,000.10 1,014.70 1,029.30 1,043.90 1,058.51 1,073.11 1,087.71 1,100.59 1,109.35 ** 18261826 Married Filing joint 1,061.03 1,069.79 1,078.56 1,087.32 1,096.08 1,104.84 1,113.60 1,122.36 1,131.13 ** 18261826 Married Filling Separate 945.20 961.56 977.91 992.76 1,007.36 1,021.96 1,036.56 1,051.17 1,065.77 1,080.37 ** 1826

1827 Single 949.99 964.59 979.20 993.80 1,008.40 1,023.00 1,037.61 1,052.21 1,066.81 1,081.41 ** 18271827 Head of Household 985.96 1,000.56 1,015.16 1,029.77 1,044.37 1,058.97 1,073.57 1,088.18 1,101.13 1,109.89 ** 18271827 Married Filing joint 1,061.58 1,070.34 1,079.10 1,087.86 1,096.63 1,105.39 1,114.15 1,122.91 1,131.67 ** 18271827 Married Filling Separate 945.65 962.00 978.36 993.22 1,007.82 1,022.43 1,037.03 1,051.63 1,066.23 1,080.84 ** 1827

1828 Single 950.45 965.06 979.66 994.26 1,008.86 1,023.47 1,038.07 1,052.67 1,067.27 1,081.88 ** 18281828 Head of Household 986.42 1,001.03 1,015.63 1,030.23 1,044.83 1,059.44 1,074.04 1,088.64 1,101.67 1,110.43 ** 18281828 Married Filing joint 1,062.13 1,070.89 1,079.65 1,088.41 1,097.17 1,105.93 1,114.70 1,123.46 1,132.22 ** 18281828 Married Filling Separate 946.09 962.44 978.80 993.68 1,008.29 1,022.89 1,037.49 1,052.09 1,066.70 1,081.30 ** 1828

1829 Single 950.92 965.52 980.12 994.73 1,009.33 1,023.93 1,038.53 1,053.14 1,067.74 1,082.34 ** 18291829 Head of Household 986.89 1,001.49 1,016.09 1,030.69 1,045.30 1,059.90 1,074.50 1,089.10 1,102.21 1,110.97 ** 18291829 Married Filing joint 1,062.67 1,071.43 1,080.20 1,088.96 1,097.72 1,106.48 1,115.24 1,124.00 1,132.76 ** 18291829 Married Filling Separate 946.53 962.88 979.24 994.15 1,008.75 1,023.35 1,037.96 1,052.56 1,067.16 1,081.76 ** 1829

1830 Single 951.38 965.98 980.59 995.19 1,009.79 1,024.39 1,039.00 1,053.60 1,068.20 1,082.80 ** 18301830 Head of Household 987.35 1,001.95 1,016.56 1,031.16 1,045.76 1,060.36 1,074.97 1,089.57 1,102.75 1,111.51 ** 18301830 Married Filing joint 1,063.22 1,071.98 1,080.74 1,089.50 1,098.26 1,107.03 1,115.79 1,124.55 1,133.31 ** 18301830 Married Filling Separate 946.97 963.33 979.68 994.61 1,009.21 1,023.82 1,038.42 1,053.02 1,067.62 1,082.23 ** 1830

1831 Single 951.85 966.45 981.05 995.65 1,010.26 1,024.86 1,039.46 1,054.06 1,068.67 1,083.27 ** 18311831 Head of Household 987.81 1,002.42 1,017.02 1,031.62 1,046.22 1,060.83 1,075.43 1,090.03 1,103.28 1,112.05 ** 18311831 Married Filing joint 1,063.77 1,072.53 1,081.29 1,090.05 1,098.81 1,107.57 1,116.33 1,125.10 1,133.86 ** 18311831 Married Filling Separate 947.41 963.77 980.12 995.08 1,009.68 1,024.28 1,038.88 1,053.49 1,068.09 1,082.69 ** 1831

1832 Single 952.31 966.91 981.51 996.12 1,010.72 1,025.32 1,039.92 1,054.53 1,069.13 1,083.73 ** 18321832 Head of Household 988.28 1,002.88 1,017.48 1,032.09 1,046.69 1,061.29 1,075.89 1,090.50 1,103.82 1,112.58 ** 18321832 Married Filing joint 1,064.31 1,073.07 1,081.83 1,090.60 1,099.36 1,108.12 1,116.88 1,125.64 1,134.40 ** 18321832 Married Filling Separate 947.85 964.21 980.56 995.54 1,010.14 1,024.74 1,039.35 1,053.95 1,068.55 1,083.15 ** 1832

Page 249: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1833 Single 952.77 967.38 981.98 996.58 1,011.18 1,025.79 1,040.39 1,054.99 1,069.59 1,084.20 ** 18331833 Head of Household 988.74 1,003.34 1,017.95 1,032.55 1,047.15 1,061.75 1,076.36 1,090.96 1,104.36 1,113.12 ** 18331833 Married Filing joint 1,064.86 1,073.62 1,082.38 1,091.14 1,099.90 1,108.67 1,117.43 1,126.19 1,134.95 ** 18331833 Married Filling Separate 948.29 964.65 981.00 996.00 1,010.61 1,025.21 1,039.81 1,054.41 1,069.02 1,083.62 ** 1833

1834 Single 953.24 967.84 982.44 997.04 1,011.65 1,026.25 1,040.85 1,055.45 1,070.06 1,084.66 ** 18341834 Head of Household 989.21 1,003.81 1,018.41 1,033.01 1,047.62 1,062.22 1,076.82 1,091.42 1,104.90 1,113.66 ** 18341834 Married Filing joint 1,065.40 1,074.17 1,082.93 1,091.69 1,100.45 1,109.21 1,117.97 1,126.73 1,135.50 ** 18341834 Married Filling Separate 948.74 965.09 981.45 996.47 1,011.07 1,025.67 1,040.27 1,054.88 1,069.48 1,084.08 ** 1834

1835 Single 953.70 968.30 982.91 997.51 1,012.11 1,026.71 1,041.32 1,055.92 1,070.52 1,085.12 ** 18351835 Head of Household 989.67 1,004.27 1,018.87 1,033.48 1,048.08 1,062.68 1,077.28 1,091.89 1,105.44 1,114.20 ** 18351835 Married Filing joint 1,065.95 1,074.71 1,083.47 1,092.24 1,101.00 1,109.76 1,118.52 1,127.28 1,136.04 ** 18351835 Married Filling Separate 949.18 965.53 981.89 996.93 1,011.53 1,026.14 1,040.74 1,055.34 1,069.94 1,084.55 ** 1835

1836 Single 954.16 968.77 983.37 997.97 1,012.57 1,027.18 1,041.78 1,056.38 1,070.98 1,085.59 ** 18361836 Head of Household 990.13 1,004.74 1,019.34 1,033.94 1,048.54 1,063.15 1,077.75 1,092.35 1,105.98 1,114.74 ** 18361836 Married Filing joint 1,066.50 1,075.26 1,084.02 1,092.78 1,101.54 1,110.30 1,119.07 1,127.83 1,136.59 ** 18361836 Married Filling Separate 949.62 965.97 982.33 997.39 1,012.00 1,026.60 1,041.20 1,055.80 1,070.41 1,085.01 ** 1836

1837 Single 954.63 969.23 983.83 998.44 1,013.04 1,027.64 1,042.24 1,056.85 1,071.45 1,086.05 ** 18371837 Head of Household 990.60 1,005.20 1,019.80 1,034.40 1,049.01 1,063.61 1,078.21 1,092.81 1,106.52 1,115.28 ** 18371837 Married Filing joint 1,067.04 1,075.80 1,084.57 1,093.33 1,102.09 1,110.85 1,119.61 1,128.37 1,137.14 ** 18371837 Married Filling Separate 950.06 966.41 982.77 997.86 1,012.46 1,027.06 1,041.67 1,056.27 1,070.87 1,085.47 ** 1837

1838 Single 955.09 969.70 984.30 998.90 1,013.50 1,028.11 1,042.71 1,057.31 1,071.91 1,086.52 ** 18381838 Head of Household 991.06 1,005.66 1,020.27 1,034.87 1,049.47 1,064.07 1,078.68 1,093.28 1,107.06 1,115.82 ** 18381838 Married Filing joint 1,067.59 1,076.35 1,085.11 1,093.87 1,102.64 1,111.40 1,120.16 1,128.92 1,137.68 ** 18381838 Married Filling Separate 950.50 966.86 983.21 998.32 1,012.93 1,027.53 1,042.13 1,056.73 1,071.34 1,085.94 ** 1838

1839 Single 955.56 970.16 984.76 999.36 1,013.97 1,028.57 1,043.17 1,057.77 1,072.38 1,086.98 ** 18391839 Head of Household 991.53 1,006.13 1,020.73 1,035.33 1,049.94 1,064.54 1,079.14 1,093.74 1,107.60 1,116.36 ** 18391839 Married Filing joint 1,068.14 1,076.90 1,085.66 1,094.42 1,103.18 1,111.94 1,120.71 1,129.47 1,138.23 ** 18391839 Married Filling Separate 950.94 967.30 983.65 998.79 1,013.39 1,027.99 1,042.59 1,057.20 1,071.80 1,086.40 ** 1839

1840 Single 956.02 970.62 985.23 999.83 1,014.43 1,029.03 1,043.64 1,058.24 1,072.84 1,087.44 ** 18401840 Head of Household 991.99 1,006.59 1,021.19 1,035.80 1,050.40 1,065.00 1,079.60 1,094.21 1,108.13 1,116.90 ** 18401840 Married Filing joint 1,068.68 1,077.44 1,086.21 1,094.97 1,103.73 1,112.49 1,121.25 1,130.01 1,138.77 ** 18401840 Married Filling Separate 951.38 967.74 984.09 999.25 1,013.85 1,028.46 1,043.06 1,057.66 1,072.26 1,086.87 ** 1840

Page 250: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1841 Single 956.48 971.09 985.69 1,000.29 1,014.89 1,029.50 1,044.10 1,058.70 1,073.30 1,087.91 ** 18411841 Head of Household 992.45 1,007.06 1,021.66 1,036.26 1,050.86 1,065.47 1,080.07 1,094.67 1,108.67 1,117.43 ** 18411841 Married Filing joint 1,069.23 1,077.99 1,086.75 1,095.51 1,104.27 1,113.04 1,121.80 1,130.56 1,139.32 ** 18411841 Married Filling Separate 951.83 968.18 984.54 999.71 1,014.32 1,028.92 1,043.52 1,058.12 1,072.73 1,087.33 ** 1841

1842 Single 956.95 971.55 986.15 1,000.76 1,015.36 1,029.96 1,044.56 1,059.17 1,073.77 1,088.37 ** 18421842 Head of Household 992.92 1,007.52 1,022.12 1,036.72 1,051.33 1,065.93 1,080.53 1,095.13 1,109.21 1,117.97 ** 18421842 Married Filing joint 1,069.78 1,078.54 1,087.30 1,096.06 1,104.82 1,113.58 1,122.34 1,131.11 1,139.87 ** 18421842 Married Filling Separate 952.27 968.62 984.98 1,000.18 1,014.78 1,029.38 1,043.99 1,058.59 1,073.19 1,087.79 ** 1842

1843 Single 957.41 972.01 986.62 1,001.22 1,015.82 1,030.42 1,045.03 1,059.63 1,074.23 1,088.83 ** 18431843 Head of Household 993.38 1,007.98 1,022.59 1,037.19 1,051.79 1,066.39 1,081.00 1,095.60 1,109.75 1,118.51 ** 18431843 Married Filing joint 1,070.32 1,079.08 1,087.84 1,096.61 1,105.37 1,114.13 1,122.89 1,131.65 1,140.41 ** 18431843 Married Filling Separate 952.71 969.06 985.42 1,000.64 1,015.24 1,029.85 1,044.45 1,059.05 1,073.65 1,088.26 ** 1843

1844 Single 957.88 972.48 987.08 1,001.68 1,016.29 1,030.89 1,045.49 1,060.09 1,074.70 1,089.30 ** 18441844 Head of Household 993.84 1,008.45 1,023.05 1,037.65 1,052.25 1,066.86 1,081.46 1,096.06 1,110.29 1,119.05 ** 18441844 Married Filing joint 1,070.87 1,079.63 1,088.39 1,097.15 1,105.91 1,114.68 1,123.44 1,132.20 1,140.96 ** 18441844 Married Filling Separate 953.15 969.50 985.86 1,001.11 1,015.71 1,030.31 1,044.91 1,059.52 1,074.12 1,088.72 ** 1844

1845 Single 958.34 972.94 987.54 1,002.15 1,016.75 1,031.35 1,045.95 1,060.56 1,075.16 1,089.76 ** 18451845 Head of Household 994.31 1,008.91 1,023.51 1,038.12 1,052.72 1,067.32 1,081.92 1,096.53 1,110.83 1,119.59 ** 18451845 Married Filing joint 1,071.41 1,080.18 1,088.94 1,097.70 1,106.46 1,115.22 1,123.98 1,132.74 1,141.51 ** 18451845 Married Filling Separate 953.59 969.95 986.30 1,001.57 1,016.17 1,030.77 1,045.38 1,059.98 1,074.58 1,089.18 ** 1845

1846 Single 958.80 973.41 988.01 1,002.61 1,017.21 1,031.82 1,046.42 1,061.02 1,075.62 1,090.23 ** 18461846 Head of Household 994.77 1,009.37 1,023.98 1,038.58 1,053.18 1,067.78 1,082.39 1,096.99 1,111.37 1,120.13 ** 18461846 Married Filing joint 1,071.96 1,080.72 1,089.48 1,098.25 1,107.01 1,115.77 1,124.53 1,133.29 1,142.05 ** 18461846 Married Filling Separate 954.03 970.39 986.74 1,002.03 1,016.64 1,031.24 1,045.84 1,060.44 1,075.05 1,089.65 ** 1846

1847 Single 959.27 973.87 988.47 1,003.08 1,017.68 1,032.28 1,046.88 1,061.49 1,076.09 1,090.69 ** 18471847 Head of Household 995.24 1,009.84 1,024.44 1,039.04 1,053.65 1,068.25 1,082.85 1,097.45 1,111.91 1,120.67 ** 18471847 Married Filing joint 1,071.81 1,080.63 1,089.40 1,098.16 1,106.92 1,115.68 1,124.44 1,133.20 1,141.96 ** 18471847 Married Filling Separate 954.47 970.83 987.18 1,002.50 1,017.10 1,031.70 1,046.31 1,060.91 1,075.51 1,090.11 ** 1847

1848 Single 959.73 974.33 988.94 1,003.54 1,018.14 1,032.74 1,047.35 1,061.95 1,076.55 1,091.15 ** 18481848 Head of Household 995.70 1,010.30 1,024.91 1,039.51 1,054.11 1,068.71 1,083.32 1,097.92 1,112.45 1,121.21 ** 18481848 Married Filing joint 1,072.28 1,081.18 1,089.94 1,098.70 1,107.46 1,116.23 1,124.99 1,133.75 1,142.51 ** 18481848 Married Filling Separate 954.92 971.27 987.62 1,002.96 1,017.56 1,032.17 1,046.77 1,061.37 1,075.97 1,090.58 ** 1848

Page 251: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1849 Single 960.20 974.80 989.40 1,004.00 1,018.61 1,033.21 1,047.81 1,062.41 1,077.02 1,091.62 ** 18491849 Head of Household 996.16 1,010.77 1,025.37 1,039.97 1,054.57 1,069.18 1,083.78 1,098.38 1,112.98 1,121.75 ** 18491849 Married Filing joint 1,072.75 1,081.73 1,090.49 1,099.25 1,108.01 1,116.77 1,125.53 1,134.29 1,143.06 ** 18491849 Married Filling Separate 955.36 971.71 988.07 1,003.43 1,018.03 1,032.63 1,047.23 1,061.84 1,076.44 1,091.04 ** 1849

1850 Single 960.66 975.26 989.86 1,004.47 1,019.07 1,033.67 1,048.27 1,062.88 1,077.48 1,092.08 ** 18501850 Head of Household 996.63 1,011.23 1,025.83 1,040.44 1,055.04 1,069.64 1,084.24 1,098.85 1,113.45 1,122.28 ** 18501850 Married Filing joint 1,073.22 1,082.27 1,091.03 1,099.79 1,108.56 1,117.32 1,126.08 1,134.84 1,143.60 ** 18501850 Married Filling Separate 955.80 972.15 988.51 1,003.89 1,018.49 1,033.09 1,047.70 1,062.30 1,076.90 1,091.50 ** 1850

1851 Single 961.12 975.73 990.33 1,004.93 1,019.53 1,034.14 1,048.74 1,063.34 1,077.94 1,092.55 ** 18511851 Head of Household 997.09 1,011.69 1,026.30 1,040.90 1,055.50 1,070.10 1,084.71 1,099.31 1,113.91 1,122.82 ** 18511851 Married Filing joint 1,073.69 1,082.82 1,091.58 1,100.34 1,109.10 1,117.86 1,126.63 1,135.39 1,144.15 ** 18511851 Married Filling Separate 956.24 972.59 988.95 1,004.35 1,018.96 1,033.56 1,048.16 1,062.76 1,077.37 1,091.97 ** 1851

1852 Single 961.59 976.19 990.79 1,005.39 1,020.00 1,034.60 1,049.20 1,063.80 1,078.41 1,093.01 ** 18521852 Head of Household 997.56 1,012.16 1,026.76 1,041.36 1,055.97 1,070.57 1,085.17 1,099.77 1,114.38 1,123.36 ** 18521852 Married Filing joint 1,074.16 1,083.36 1,092.13 1,100.89 1,109.65 1,118.41 1,127.17 1,135.93 1,144.69 ** 18521852 Married Filling Separate 956.68 973.04 989.39 1,004.82 1,019.42 1,034.02 1,048.62 1,063.23 1,077.83 1,092.43 ** 1852

1853 Single 962.05 976.65 991.26 1,005.86 1,020.46 1,035.06 1,049.67 1,064.27 1,078.87 1,093.47 ** 18531853 Head of Household 998.02 1,012.62 1,027.22 1,041.83 1,056.43 1,071.03 1,085.63 1,100.24 1,114.84 1,123.90 ** 18531853 Married Filing joint 1,074.63 1,083.91 1,092.67 1,101.43 1,110.19 1,118.96 1,127.72 1,136.48 1,145.24 ** 18531853 Married Filling Separate 957.12 973.48 989.83 1,005.28 1,019.88 1,034.49 1,049.09 1,063.69 1,078.29 1,092.90 ** 1853

1854 Single 962.51 977.12 991.72 1,006.32 1,020.92 1,035.53 1,050.13 1,064.73 1,079.33 1,093.94 ** 18541854 Head of Household 998.48 1,013.09 1,027.69 1,042.29 1,056.89 1,071.50 1,086.10 1,100.70 1,115.30 1,124.44 ** 18541854 Married Filing joint 1,075.11 1,084.46 1,093.22 1,101.98 1,110.74 1,119.50 1,128.26 1,137.02 1,145.79 ** 18541854 Married Filling Separate 957.56 973.92 990.27 1,005.74 1,020.35 1,034.95 1,049.55 1,064.15 1,078.76 1,093.36 ** 1854

1855 Single 962.98 977.58 992.18 1,006.79 1,021.39 1,035.99 1,050.59 1,065.20 1,079.80 1,094.40 ** 18551855 Head of Household 998.95 1,013.55 1,028.15 1,042.75 1,057.36 1,071.96 1,086.56 1,101.16 1,115.77 1,124.98 ** 18551855 Married Filing joint 1,075.58 1,085.00 1,093.76 1,102.52 1,111.29 1,120.05 1,128.81 1,137.57 1,146.33 ** 18551855 Married Filling Separate 958.00 974.36 990.71 1,006.21 1,020.81 1,035.41 1,050.02 1,064.62 1,079.22 1,093.82 ** 1855

1856 Single 963.16 977.76 992.36 1,006.96 1,021.57 1,036.17 1,050.77 1,065.37 1,079.98 1,094.58 ** 18561856 Head of Household 999.41 1,014.01 1,028.62 1,043.22 1,057.82 1,072.42 1,087.03 1,101.63 1,116.23 1,125.52 ** 18561856 Married Filing joint 1,075.41 1,084.91 1,093.67 1,102.43 1,111.19 1,119.96 1,128.72 1,137.48 1,146.24 ** 18561856 Married Filling Separate 958.45 974.80 991.16 1,006.67 1,021.27 1,035.88 1,050.48 1,065.08 1,079.68 1,094.29 ** 1856

Page 252: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1857 Single 963.62 978.22 992.83 1,007.43 1,022.03 1,036.63 1,051.24 1,065.84 1,080.44 1,095.04 ** 18571857 Head of Household 999.87 1,014.48 1,029.08 1,043.68 1,058.28 1,072.89 1,087.49 1,102.09 1,116.69 1,126.06 ** 18571857 Married Filing joint 1,075.88 1,085.46 1,094.22 1,102.98 1,111.74 1,120.50 1,129.26 1,138.02 1,146.79 ** 18571857 Married Filling Separate 958.89 975.24 991.60 1,007.14 1,021.74 1,036.34 1,050.94 1,065.55 1,080.15 1,094.75 ** 1857

1858 Single 964.09 978.69 993.29 1,007.89 1,022.50 1,037.10 1,051.70 1,066.30 1,080.91 1,095.51 ** 18581858 Head of Household 1,000.34 1,014.94 1,029.54 1,044.15 1,058.75 1,073.35 1,087.95 1,102.56 1,117.16 1,126.60 ** 18581858 Married Filing joint 1,076.35 1,086.00 1,094.76 1,103.52 1,112.29 1,121.05 1,129.81 1,138.57 1,147.33 ** 18581858 Married Filling Separate 959.33 975.68 992.04 1,007.60 1,022.20 1,036.81 1,051.41 1,066.01 1,080.61 1,095.22 ** 1858

1859 Single 964.55 979.15 993.75 1,008.36 1,022.96 1,037.56 1,052.16 1,066.77 1,081.37 1,095.97 ** 18591859 Head of Household 1,000.80 1,015.41 1,030.01 1,044.61 1,059.21 1,073.82 1,088.42 1,103.02 1,117.62 1,127.13 ** 18591859 Married Filing joint 1,076.82 1,086.55 1,095.31 1,104.07 1,112.83 1,121.59 1,130.35 1,139.12 1,147.88 ** 18591859 Married Filling Separate 959.77 976.13 992.48 1,008.06 1,022.67 1,037.27 1,051.87 1,066.47 1,081.08 1,095.68 ** 1859

1860 Single 965.01 979.62 994.22 1,008.82 1,023.42 1,038.03 1,052.63 1,067.23 1,081.83 1,096.44 ** 18601860 Head of Household 1,001.27 1,015.87 1,030.47 1,045.07 1,059.68 1,074.28 1,088.88 1,103.48 1,118.09 1,127.67 ** 18601860 Married Filing joint 1,077.29 1,087.09 1,095.85 1,104.62 1,113.38 1,122.14 1,130.90 1,139.66 1,148.42 ** 18601860 Married Filling Separate 960.21 976.57 992.92 1,008.53 1,023.13 1,037.73 1,052.34 1,066.94 1,081.54 1,096.14 ** 1860

1861 Single 965.48 980.08 994.68 1,009.28 1,023.89 1,038.49 1,053.09 1,067.69 1,082.30 1,096.90 ** 18611861 Head of Household 1,001.73 1,016.33 1,030.94 1,045.54 1,060.14 1,074.74 1,089.35 1,103.95 1,118.55 1,128.21 ** 18611861 Married Filing joint 1,077.76 1,087.64 1,096.40 1,105.16 1,113.92 1,122.68 1,131.45 1,140.21 1,148.97 ** 18611861 Married Filling Separate 960.65 977.01 993.36 1,008.99 1,023.59 1,038.20 1,052.80 1,067.40 1,082.00 1,096.61 ** 1861

1862 Single 965.94 980.54 995.15 1,009.75 1,024.35 1,038.95 1,053.56 1,068.16 1,082.76 1,097.36 ** 18621862 Head of Household 1,002.19 1,016.80 1,031.40 1,046.00 1,060.60 1,075.21 1,089.81 1,104.41 1,119.01 1,128.75 ** 18621862 Married Filing joint 1,078.23 1,088.18 1,096.94 1,105.71 1,114.47 1,123.23 1,131.99 1,140.75 1,149.51 ** 18621862 Married Filling Separate 961.09 977.45 993.80 1,009.46 1,024.06 1,038.66 1,053.26 1,067.87 1,082.47 1,097.07 ** 1862

1863 Single 966.40 981.01 995.61 1,010.21 1,024.81 1,039.42 1,054.02 1,068.62 1,083.22 1,097.83 ** 18631863 Head of Household 1,002.66 1,017.26 1,031.86 1,046.47 1,061.07 1,075.67 1,090.27 1,104.88 1,119.48 1,129.29 ** 18631863 Married Filing joint 1,078.70 1,088.73 1,097.49 1,106.25 1,115.01 1,123.77 1,132.54 1,141.30 1,150.06 ** 18631863 Married Filling Separate 961.54 977.89 994.25 1,009.92 1,024.52 1,039.12 1,053.73 1,068.33 1,082.93 1,097.53 ** 1863

1864 Single 966.87 981.47 996.07 1,010.68 1,025.28 1,039.88 1,054.48 1,069.09 1,083.69 1,098.29 ** 18641864 Head of Household 1,003.12 1,017.72 1,032.33 1,046.93 1,061.53 1,076.13 1,090.74 1,105.34 1,119.94 1,129.83 ** 18641864 Married Filing joint 1,079.17 1,089.27 1,098.04 1,106.80 1,115.56 1,124.32 1,133.08 1,141.84 1,150.61 ** 18641864 Married Filling Separate 961.98 978.33 994.69 1,010.38 1,024.99 1,039.59 1,054.19 1,068.79 1,083.40 1,098.00 ** 1864

Page 253: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1865 Single 967.33 981.93 996.54 1,011.14 1,025.74 1,040.34 1,054.95 1,069.55 1,084.15 1,098.75 ** 18651865 Head of Household 1,003.59 1,018.19 1,032.79 1,047.39 1,062.00 1,076.60 1,091.20 1,105.80 1,120.41 1,130.37 ** 18651865 Married Filing joint 1,079.64 1,089.82 1,098.58 1,107.34 1,116.10 1,124.87 1,133.63 1,142.39 1,151.15 ** 18651865 Married Filling Separate 962.42 978.77 995.13 1,010.85 1,025.45 1,040.05 1,054.65 1,069.26 1,083.86 1,098.46 ** 1865

1866 Single 967.80 982.40 997.00 1,011.60 1,026.21 1,040.81 1,055.41 1,070.01 1,084.62 1,099.22 ** 18661866 Head of Household 1,004.05 1,018.65 1,033.25 1,047.86 1,062.46 1,077.06 1,091.66 1,106.27 1,120.87 1,130.91 ** 18661866 Married Filing joint 1,079.47 1,089.72 1,098.49 1,107.25 1,116.01 1,124.77 1,133.53 1,142.29 1,151.05 ** 18661866 Married Filling Separate 962.86 979.21 995.57 1,011.31 1,025.91 1,040.52 1,055.12 1,069.72 1,084.32 1,098.93 ** 1866

1867 Single 968.26 982.86 997.47 1,012.07 1,026.67 1,041.27 1,055.88 1,070.48 1,085.08 1,099.68 ** 18671867 Head of Household 1,004.51 1,019.12 1,033.72 1,048.32 1,062.92 1,077.53 1,092.13 1,106.73 1,121.33 1,131.45 ** 18671867 Married Filing joint 1,079.94 1,090.27 1,099.03 1,107.79 1,116.55 1,125.31 1,134.08 1,142.84 1,151.60 ** 18671867 Married Filling Separate 963.30 979.66 996.01 1,011.78 1,026.38 1,040.98 1,055.58 1,070.19 1,084.79 1,099.39 ** 1867

1868 Single 968.72 983.33 997.93 1,012.53 1,027.13 1,041.74 1,056.34 1,070.94 1,085.54 1,100.15 ** 18681868 Head of Household 1,004.98 1,019.58 1,034.18 1,048.79 1,063.39 1,077.99 1,092.59 1,107.20 1,121.80 1,131.98 ** 18681868 Married Filing joint 1,080.41 1,090.81 1,099.58 1,108.34 1,117.10 1,125.86 1,134.62 1,143.38 1,152.14 ** 18681868 Married Filling Separate 963.74 980.10 996.45 1,012.24 1,026.84 1,041.44 1,056.05 1,070.65 1,085.25 1,099.85 ** 1868

1869 Single 969.19 983.79 998.39 1,013.00 1,027.60 1,042.20 1,056.80 1,071.41 1,086.01 1,100.61 ** 18691869 Head of Household 1,005.44 1,020.04 1,034.65 1,049.25 1,063.85 1,078.45 1,093.06 1,107.66 1,122.26 1,132.52 ** 18691869 Married Filing joint 1,080.88 1,091.36 1,100.12 1,108.88 1,117.64 1,126.41 1,135.17 1,143.93 1,152.69 ** 18691869 Married Filling Separate 964.18 980.54 996.89 1,012.70 1,027.31 1,041.91 1,056.51 1,071.11 1,085.72 1,100.32 ** 1869

1870 Single 969.65 984.25 998.86 1,013.46 1,028.06 1,042.66 1,057.27 1,071.87 1,086.47 1,101.07 ** 18701870 Head of Household 1,005.91 1,020.51 1,035.11 1,049.71 1,064.32 1,078.92 1,093.52 1,108.12 1,122.73 1,133.06 ** 18701870 Married Filing joint 1,081.35 1,091.90 1,100.67 1,109.43 1,118.19 1,126.95 1,135.71 1,144.47 1,153.24 ** 18701870 Married Filling Separate 964.63 980.98 997.34 1,013.17 1,027.77 1,042.37 1,056.97 1,071.58 1,086.18 1,100.78 ** 1870

1871 Single 970.12 984.72 999.32 1,013.92 1,028.53 1,043.13 1,057.73 1,072.33 1,086.94 1,101.54 ** 18711871 Head of Household 1,006.37 1,020.97 1,035.57 1,050.18 1,064.78 1,079.38 1,093.98 1,108.59 1,123.19 1,133.60 ** 18711871 Married Filing joint 1,081.82 1,092.45 1,101.21 1,109.97 1,118.73 1,127.50 1,136.26 1,145.02 1,153.78 ** 18711871 Married Filling Separate 965.07 981.42 997.78 1,013.63 1,028.23 1,042.84 1,057.44 1,072.04 1,086.64 1,101.25 ** 1871

1872 Single 970.58 985.18 999.78 1,014.39 1,028.99 1,043.59 1,058.19 1,072.80 1,087.40 1,102.00 ** 18721872 Head of Household 1,006.83 1,021.44 1,036.04 1,050.64 1,065.24 1,079.85 1,094.45 1,109.05 1,123.65 1,134.14 ** 18721872 Married Filing joint 1,082.29 1,093.00 1,101.76 1,110.52 1,119.28 1,128.04 1,136.80 1,145.56 1,154.33 ** 18721872 Married Filling Separate 965.51 981.86 998.22 1,014.09 1,028.70 1,043.30 1,057.90 1,072.50 1,087.11 1,101.71 ** 1872

Page 254: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1873 Single 971.04 985.65 1,000.25 1,014.85 1,029.45 1,044.06 1,058.66 1,073.26 1,087.86 1,102.47 ** 18731873 Head of Household 1,007.30 1,021.90 1,036.50 1,051.10 1,065.71 1,080.31 1,094.91 1,109.51 1,124.12 1,134.68 ** 18731873 Married Filing joint 1,082.77 1,093.54 1,102.30 1,111.06 1,119.82 1,128.59 1,137.35 1,146.11 1,154.87 ** 18731873 Married Filling Separate 965.95 982.30 998.66 1,014.56 1,029.16 1,043.76 1,058.37 1,072.97 1,087.57 1,102.17 ** 1873

1874 Single 971.51 986.11 1,000.71 1,015.31 1,029.92 1,044.52 1,059.12 1,073.72 1,088.33 1,102.93 ** 18741874 Head of Household 1,007.76 1,022.36 1,036.97 1,051.57 1,066.17 1,080.77 1,095.38 1,109.98 1,124.58 1,135.22 ** 18741874 Married Filing joint 1,083.24 1,094.09 1,102.85 1,111.61 1,120.37 1,129.13 1,137.89 1,146.65 1,155.42 ** 18741874 Married Filling Separate 966.39 982.75 999.10 1,015.02 1,029.62 1,044.23 1,058.83 1,073.43 1,088.03 1,102.64 ** 1874

1875 Single 971.97 986.57 1,001.18 1,015.78 1,030.38 1,044.98 1,059.59 1,074.19 1,088.79 1,103.39 ** 18751875 Head of Household 1,008.22 1,022.83 1,037.43 1,052.03 1,066.63 1,081.24 1,095.84 1,110.44 1,125.04 1,135.76 ** 18751875 Married Filing joint 1,083.71 1,094.63 1,103.39 1,112.15 1,120.92 1,129.68 1,138.44 1,147.20 1,155.96 ** 18751875 Married Filling Separate 966.83 983.19 999.54 1,015.49 1,030.09 1,044.69 1,059.29 1,073.90 1,088.50 1,103.10 ** 1875

1876 Single 972.43 987.04 1,001.64 1,016.24 1,030.84 1,045.45 1,060.05 1,074.65 1,089.25 1,103.86 ** 18761876 Head of Household 1,008.69 1,023.29 1,037.89 1,052.50 1,067.10 1,081.70 1,096.30 1,110.91 1,125.51 1,136.30 ** 18761876 Married Filing joint 1,083.53 1,094.53 1,103.29 1,112.05 1,120.81 1,129.58 1,138.34 1,147.10 1,155.86 ** 18761876 Married Filling Separate 967.27 983.63 999.98 1,015.95 1,030.55 1,045.15 1,059.76 1,074.36 1,088.96 1,103.56 ** 1876

1877 Single 972.90 987.50 1,002.10 1,016.71 1,031.31 1,045.91 1,060.51 1,075.12 1,089.72 1,104.32 ** 18771877 Head of Household 1,009.15 1,023.75 1,038.36 1,052.96 1,067.56 1,082.16 1,096.77 1,111.37 1,125.97 1,136.83 ** 18771877 Married Filing joint 1,084.00 1,095.08 1,103.84 1,112.60 1,121.36 1,130.12 1,138.88 1,147.64 1,156.41 ** 18771877 Married Filling Separate 967.72 984.07 1,000.42 1,016.41 1,031.02 1,045.62 1,060.22 1,074.82 1,089.43 1,104.03 ** 1877

1878 Single 973.36 987.97 1,002.57 1,017.17 1,031.77 1,046.38 1,060.98 1,075.58 1,090.18 1,104.79 ** 18781878 Head of Household 1,009.62 1,024.22 1,038.82 1,053.42 1,068.03 1,082.63 1,097.23 1,111.83 1,126.44 1,137.37 ** 18781878 Married Filing joint 1,084.47 1,095.62 1,104.38 1,113.14 1,121.90 1,130.67 1,139.43 1,148.19 1,156.95 ** 18781878 Married Filling Separate 968.16 984.51 1,000.87 1,016.88 1,031.48 1,046.08 1,060.69 1,075.29 1,089.89 1,104.49 ** 1878

1879 Single 973.83 988.43 1,003.03 1,017.63 1,032.24 1,046.84 1,061.44 1,076.04 1,090.65 1,105.25 ** 18791879 Head of Household 1,010.08 1,024.68 1,039.29 1,053.89 1,068.49 1,083.09 1,097.70 1,112.30 1,126.90 1,137.91 ** 18791879 Married Filing joint 1,084.94 1,096.17 1,104.93 1,113.69 1,122.45 1,131.21 1,139.97 1,148.73 1,157.50 ** 18791879 Married Filling Separate 968.60 984.95 1,001.31 1,017.34 1,031.94 1,046.55 1,061.15 1,075.75 1,090.35 1,104.96 ** 1879

1880 Single 974.29 988.89 1,003.50 1,018.10 1,032.70 1,047.30 1,061.91 1,076.51 1,091.11 1,105.71 ** 18801880 Head of Household 1,010.54 1,025.15 1,039.75 1,054.35 1,068.95 1,083.56 1,098.16 1,112.76 1,127.36 1,138.45 ** 18801880 Married Filing joint 1,085.41 1,096.71 1,105.47 1,114.23 1,122.99 1,131.76 1,140.52 1,149.28 1,158.04 ** 18801880 Married Filling Separate 969.04 985.39 1,001.75 1,017.81 1,032.41 1,047.01 1,061.61 1,076.22 1,090.82 1,105.42 ** 1880

Page 255: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1881 Single 974.75 989.36 1,003.96 1,018.56 1,033.16 1,047.77 1,062.37 1,076.97 1,091.57 1,106.18 ** 18811881 Head of Household 1,011.01 1,025.61 1,040.21 1,054.82 1,069.42 1,084.02 1,098.62 1,113.23 1,127.83 1,138.99 ** 18811881 Married Filing joint 1,085.88 1,097.25 1,106.02 1,114.78 1,123.54 1,132.30 1,141.06 1,149.82 1,158.59 ** 18811881 Married Filling Separate 969.48 985.84 1,002.19 1,018.27 1,032.87 1,047.47 1,062.08 1,076.68 1,091.28 1,105.88 ** 1881

1882 Single 975.22 989.82 1,004.42 1,019.03 1,033.63 1,048.23 1,062.83 1,077.44 1,092.04 1,106.64 ** 18821882 Head of Household 1,011.47 1,026.07 1,040.68 1,055.28 1,069.88 1,084.48 1,099.09 1,113.69 1,128.29 1,139.53 ** 18821882 Married Filing joint 1,086.35 1,097.80 1,106.56 1,115.32 1,124.08 1,132.85 1,141.61 1,150.37 1,159.13 ** 18821882 Married Filling Separate 969.92 986.28 1,002.63 1,018.73 1,033.34 1,047.94 1,062.54 1,077.14 1,091.75 1,106.35 ** 1882

1883 Single 975.68 990.28 1,004.89 1,019.49 1,034.09 1,048.69 1,063.30 1,077.90 1,092.50 1,107.10 ** 18831883 Head of Household 1,011.94 1,026.54 1,041.14 1,055.74 1,070.35 1,084.95 1,099.55 1,114.15 1,128.76 1,140.07 ** 18831883 Married Filing joint 1,086.82 1,098.34 1,107.11 1,115.87 1,124.63 1,133.39 1,142.15 1,150.91 1,159.68 ** 18831883 Married Filling Separate 970.36 986.72 1,003.07 1,019.20 1,033.80 1,048.40 1,063.00 1,077.61 1,092.21 1,106.81 ** 1883

1884 Single 976.15 990.75 1,005.35 1,019.95 1,034.56 1,049.16 1,063.76 1,078.36 1,092.97 1,107.57 ** 18841884 Head of Household 1,012.40 1,027.00 1,041.60 1,056.21 1,070.81 1,085.41 1,100.01 1,114.62 1,129.22 1,140.61 ** 18841884 Married Filing joint 1,087.29 1,098.89 1,107.65 1,116.41 1,125.17 1,133.94 1,142.70 1,151.46 1,160.22 ** 18841884 Married Filling Separate 970.80 987.16 1,003.51 1,019.66 1,034.26 1,048.87 1,063.47 1,078.07 1,092.67 1,107.28 ** 1884

1885 Single 976.61 991.21 1,005.81 1,020.42 1,035.02 1,049.62 1,064.22 1,078.83 1,093.43 1,108.03 ** 18851885 Head of Household 1,012.86 1,027.47 1,042.07 1,056.67 1,071.27 1,085.88 1,100.48 1,115.08 1,129.68 1,141.14 ** 18851885 Married Filing joint 1,087.11 1,098.79 1,107.55 1,116.31 1,125.07 1,133.83 1,142.59 1,151.35 1,160.12 ** 18851885 Married Filling Separate 971.25 987.60 1,003.96 1,020.12 1,034.73 1,049.33 1,063.93 1,078.53 1,093.14 1,107.74 ** 1885

1886 Single 977.07 991.68 1,006.28 1,020.88 1,035.48 1,050.09 1,064.69 1,079.29 1,093.89 1,108.50 ** 18861886 Head of Household 1,013.33 1,027.93 1,042.53 1,057.13 1,071.74 1,086.34 1,100.94 1,115.54 1,130.15 1,141.68 ** 18861886 Married Filing joint 1,087.58 1,099.33 1,108.09 1,116.85 1,125.61 1,134.38 1,143.14 1,151.90 1,160.66 ** 18861886 Married Filling Separate 971.69 988.04 1,004.40 1,020.59 1,035.19 1,049.79 1,064.40 1,079.00 1,093.60 1,108.20 ** 1886

1887 Single 977.54 992.14 1,006.74 1,021.35 1,035.95 1,050.55 1,065.15 1,079.76 1,094.36 1,108.96 ** 18871887 Head of Household 1,013.79 1,028.39 1,043.00 1,057.60 1,072.20 1,086.80 1,101.41 1,116.01 1,130.61 1,142.22 ** 18871887 Married Filing joint 1,088.05 1,099.87 1,108.64 1,117.40 1,126.16 1,134.92 1,143.68 1,152.44 1,161.20 ** 18871887 Married Filling Separate 972.13 988.48 1,004.84 1,021.05 1,035.66 1,050.26 1,064.86 1,079.46 1,094.07 1,108.67 ** 1887

1888 Single 978.00 992.60 1,007.21 1,021.81 1,036.41 1,051.01 1,065.62 1,080.22 1,094.82 1,109.42 ** 18881888 Head of Household 1,014.26 1,028.86 1,043.46 1,058.06 1,072.67 1,087.27 1,101.87 1,116.47 1,131.08 1,142.76 ** 18881888 Married Filing joint 1,088.52 1,100.42 1,109.18 1,117.94 1,126.70 1,135.46 1,144.23 1,152.99 1,161.75 ** 18881888 Married Filling Separate 972.57 988.92 1,005.28 1,021.52 1,036.12 1,050.72 1,065.32 1,079.93 1,094.53 1,109.13 ** 1888

Page 256: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1889 Single 978.47 993.07 1,007.67 1,022.27 1,036.88 1,051.48 1,066.08 1,080.68 1,095.29 1,109.89 ** 18891889 Head of Household 1,014.72 1,029.32 1,043.92 1,058.53 1,073.13 1,087.73 1,102.33 1,116.94 1,131.54 1,143.30 ** 18891889 Married Filing joint 1,088.99 1,100.96 1,109.72 1,118.49 1,127.25 1,136.01 1,144.77 1,153.53 1,162.29 ** 18891889 Married Filling Separate 973.01 989.37 1,005.72 1,021.98 1,036.58 1,051.19 1,065.79 1,080.39 1,094.99 1,109.60 ** 1889

1890 Single 978.93 993.53 1,008.13 1,022.74 1,037.34 1,051.94 1,066.54 1,081.15 1,095.75 1,110.35 ** 18901890 Head of Household 1,015.18 1,029.79 1,044.39 1,058.99 1,073.59 1,088.20 1,102.80 1,117.40 1,132.00 1,143.84 ** 18901890 Married Filing joint 1,089.46 1,101.51 1,110.27 1,119.03 1,127.79 1,136.55 1,145.32 1,154.08 1,162.84 ** 18901890 Married Filling Separate 973.45 989.81 1,006.16 1,022.44 1,037.05 1,051.65 1,066.25 1,080.85 1,095.46 1,110.06 ** 1890

1891 Single 979.39 994.00 1,008.60 1,023.20 1,037.80 1,052.41 1,067.01 1,081.61 1,096.21 1,110.82 ** 18911891 Head of Household 1,015.65 1,030.25 1,044.85 1,059.45 1,074.06 1,088.66 1,103.26 1,117.86 1,132.47 1,144.38 ** 18911891 Married Filing joint 1,089.93 1,102.05 1,110.81 1,119.58 1,128.34 1,137.10 1,145.86 1,154.62 1,163.38 ** 18911891 Married Filling Separate 973.89 990.25 1,006.60 1,022.91 1,037.51 1,052.11 1,066.72 1,081.32 1,095.92 1,110.52 ** 1891

1892 Single 979.86 994.46 1,009.06 1,023.66 1,038.27 1,052.87 1,067.47 1,082.07 1,096.68 1,111.28 ** 18921892 Head of Household 1,016.11 1,030.71 1,045.32 1,059.92 1,074.52 1,089.12 1,103.73 1,118.33 1,132.93 1,144.92 ** 18921892 Married Filing joint 1,090.40 1,102.60 1,111.36 1,120.12 1,128.88 1,137.64 1,146.40 1,155.17 1,163.93 ** 18921892 Married Filling Separate 974.34 990.69 1,007.05 1,023.37 1,037.97 1,052.58 1,067.18 1,081.78 1,096.38 1,110.99 ** 1892

1893 Single 980.32 994.92 1,009.53 1,024.13 1,038.73 1,053.33 1,067.94 1,082.54 1,097.14 1,111.74 ** 18931893 Head of Household 1,016.57 1,031.18 1,045.78 1,060.38 1,074.98 1,089.59 1,104.19 1,118.79 1,133.39 1,145.46 ** 18931893 Married Filing joint 1,090.87 1,103.14 1,111.90 1,120.66 1,129.43 1,138.19 1,146.95 1,155.71 1,164.47 ** 18931893 Married Filling Separate 974.78 991.13 1,007.49 1,023.84 1,038.44 1,053.04 1,067.64 1,082.25 1,096.85 1,111.45 ** 1893

1894 Single 980.78 995.39 1,009.99 1,024.59 1,039.19 1,053.80 1,068.40 1,083.00 1,097.60 1,112.21 ** 18941894 Head of Household 1,017.04 1,031.64 1,046.24 1,060.85 1,075.45 1,090.05 1,104.65 1,119.26 1,133.86 1,145.99 ** 18941894 Married Filing joint 1,091.34 1,103.69 1,112.45 1,121.21 1,129.97 1,138.73 1,147.49 1,156.25 1,165.02 ** 18941894 Married Filling Separate 975.22 991.57 1,007.93 1,024.28 1,038.90 1,053.50 1,068.11 1,082.71 1,097.31 1,111.91 ** 1894

1895 Single 981.25 995.85 1,010.45 1,025.06 1,039.66 1,054.26 1,068.86 1,083.47 1,098.07 1,112.67 ** 18951895 Head of Household 1,017.04 1,031.65 1,046.25 1,060.85 1,075.45 1,090.06 1,104.66 1,119.26 1,133.86 1,146.08 ** 18951895 Married Filing joint 1,091.15 1,103.58 1,112.34 1,121.10 1,129.86 1,138.62 1,147.38 1,156.15 1,164.91 ** 18951895 Married Filling Separate 975.66 992.01 1,008.37 1,024.72 1,039.37 1,053.97 1,068.57 1,083.17 1,097.78 1,112.38 ** 1895

1896 Single 981.71 996.31 1,010.92 1,025.52 1,040.12 1,054.72 1,069.33 1,083.93 1,098.53 1,113.13 ** 18961896 Head of Household 1,017.51 1,032.11 1,046.71 1,061.32 1,075.92 1,090.52 1,105.12 1,119.73 1,134.33 1,146.62 ** 18961896 Married Filing joint 1,091.62 1,104.12 1,112.88 1,121.64 1,130.41 1,139.17 1,147.93 1,156.69 1,165.45 ** 18961896 Married Filling Separate 976.10 992.46 1,008.81 1,025.17 1,039.83 1,054.43 1,069.03 1,083.64 1,098.24 1,112.84 ** 1896

Page 257: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1897 Single 982.18 996.78 1,011.38 1,025.98 1,040.59 1,055.19 1,069.79 1,084.39 1,099.00 1,113.60 ** 18971897 Head of Household 1,017.97 1,032.57 1,047.18 1,061.78 1,076.38 1,090.98 1,105.59 1,120.19 1,134.79 1,147.15 ** 18971897 Married Filing joint 1,092.09 1,104.67 1,113.43 1,122.19 1,130.95 1,139.71 1,148.47 1,157.23 1,166.00 ** 18971897 Married Filling Separate 976.54 992.90 1,009.25 1,025.61 1,040.29 1,054.90 1,069.50 1,084.10 1,098.70 1,113.31 ** 1897

1898 Single 982.64 997.24 1,011.85 1,026.45 1,041.05 1,055.65 1,070.26 1,084.86 1,099.46 1,114.06 ** 18981898 Head of Household 1,018.44 1,033.04 1,047.64 1,062.24 1,076.85 1,091.45 1,106.05 1,120.65 1,135.26 1,147.69 ** 18981898 Married Filing joint 1,092.56 1,105.21 1,113.97 1,122.73 1,131.49 1,140.26 1,149.02 1,157.78 1,166.54 ** 18981898 Married Filling Separate 976.98 993.34 1,009.69 1,026.05 1,040.76 1,055.36 1,069.96 1,084.57 1,099.17 1,113.77 ** 1898

1899 Single 983.10 997.71 1,012.31 1,026.91 1,041.51 1,056.12 1,070.72 1,085.32 1,099.92 1,114.53 ** 18991899 Head of Household 1,018.90 1,033.50 1,048.11 1,062.71 1,077.31 1,091.91 1,106.52 1,121.12 1,135.72 1,148.23 ** 18991899 Married Filing joint 1,093.03 1,105.75 1,114.52 1,123.28 1,132.04 1,140.80 1,149.56 1,158.32 1,167.08 ** 18991899 Married Filling Separate 977.43 993.78 1,010.13 1,026.49 1,041.22 1,055.82 1,070.43 1,085.03 1,099.63 1,114.23 ** 1899

1900 Single 983.57 998.17 1,012.77 1,027.38 1,041.98 1,056.58 1,071.18 1,085.79 1,100.39 1,114.99 ** 19001900 Head of Household 1,019.36 1,033.97 1,048.57 1,063.17 1,077.77 1,092.38 1,106.98 1,121.58 1,136.18 1,148.77 ** 19001900 Married Filing joint 1,093.50 1,106.30 1,115.06 1,123.82 1,132.58 1,141.34 1,150.11 1,158.87 1,167.63 ** 19001900 Married Filling Separate 977.87 994.22 1,010.58 1,026.93 1,041.69 1,056.29 1,070.89 1,085.49 1,100.10 1,114.70 ** 1900

1901 Single 984.03 998.63 1,013.24 1,027.84 1,042.44 1,057.04 1,071.65 1,086.25 1,100.85 1,115.45 ** 19011901 Head of Household 1,019.83 1,034.43 1,049.03 1,063.64 1,078.24 1,092.84 1,107.44 1,122.05 1,136.65 1,149.31 ** 19011901 Married Filing joint 1,093.97 1,106.84 1,115.60 1,124.36 1,133.13 1,141.89 1,150.65 1,159.41 1,168.17 ** 19011901 Married Filling Separate 978.31 994.66 1,011.02 1,027.37 1,042.15 1,056.75 1,071.35 1,085.96 1,100.56 1,115.16 ** 1901

1902 Single 984.50 999.10 1,013.70 1,028.30 1,042.91 1,057.51 1,072.11 1,086.71 1,101.32 1,115.92 ** 19021902 Head of Household 1,020.29 1,034.89 1,049.50 1,064.10 1,078.70 1,093.30 1,107.91 1,122.51 1,137.11 1,149.85 ** 19021902 Married Filing joint 1,094.44 1,107.39 1,116.15 1,124.91 1,133.67 1,142.43 1,151.19 1,159.96 1,168.72 ** 19021902 Married Filling Separate 978.75 995.10 1,011.46 1,027.81 1,042.61 1,057.22 1,071.82 1,086.42 1,101.02 1,115.63 ** 1902

1903 Single 984.96 999.56 1,014.16 1,028.77 1,043.37 1,057.97 1,072.57 1,087.18 1,101.78 1,116.38 ** 19031903 Head of Household 1,020.76 1,035.36 1,049.96 1,064.56 1,079.17 1,093.77 1,108.37 1,122.97 1,137.58 1,150.39 ** 19031903 Married Filing joint 1,094.90 1,107.93 1,116.69 1,125.45 1,134.21 1,142.98 1,151.74 1,160.50 1,169.26 ** 19031903 Married Filling Separate 979.19 995.55 1,011.90 1,028.26 1,043.08 1,057.68 1,072.28 1,086.88 1,101.49 1,116.09 ** 1903

1904 Single 985.42 1,000.03 1,014.63 1,029.23 1,043.83 1,058.44 1,073.04 1,087.64 1,102.24 1,116.85 ** 19041904 Head of Household 1,021.22 1,035.82 1,050.42 1,065.03 1,079.63 1,094.23 1,108.83 1,123.44 1,138.04 1,150.93 ** 19041904 Married Filing joint 1,094.72 1,107.82 1,116.58 1,125.34 1,134.10 1,142.86 1,151.63 1,160.39 1,169.15 ** 19041904 Married Filling Separate 979.63 995.99 1,012.34 1,028.70 1,043.54 1,058.14 1,072.75 1,087.35 1,101.95 1,116.55 ** 1904

Page 258: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1905 Single 985.89 1,000.49 1,015.09 1,029.69 1,044.30 1,058.90 1,073.50 1,088.10 1,102.71 1,117.31 ** 19051905 Head of Household 1,021.68 1,036.29 1,050.89 1,065.49 1,080.09 1,094.70 1,109.30 1,123.90 1,138.50 1,151.46 ** 19051905 Married Filing joint 1,095.19 1,108.36 1,117.12 1,125.88 1,134.65 1,143.41 1,152.17 1,160.93 1,169.69 ** 19051905 Married Filling Separate 980.07 996.43 1,012.78 1,029.14 1,044.00 1,058.61 1,073.21 1,087.81 1,102.41 1,117.02 ** 1905

1906 Single 986.35 1,000.95 1,015.56 1,030.16 1,044.76 1,059.36 1,073.97 1,088.57 1,103.17 1,117.77 ** 19061906 Head of Household 1,022.15 1,036.75 1,051.35 1,065.95 1,080.56 1,095.16 1,109.76 1,124.36 1,138.97 1,152.00 ** 19061906 Married Filing joint 1,095.66 1,108.91 1,117.67 1,126.43 1,135.19 1,143.95 1,152.71 1,161.47 1,170.24 ** 19061906 Married Filling Separate 980.51 996.87 1,013.22 1,029.58 1,044.47 1,059.07 1,073.67 1,088.28 1,102.88 1,117.48 ** 1906

1907 Single 986.82 1,001.42 1,016.02 1,030.62 1,045.23 1,059.83 1,074.43 1,089.03 1,103.64 1,118.24 ** 19071907 Head of Household 1,022.61 1,037.21 1,051.82 1,066.42 1,081.02 1,095.62 1,110.23 1,124.83 1,139.43 1,152.54 ** 19071907 Married Filing joint 1,096.12 1,109.45 1,118.21 1,126.97 1,135.73 1,144.50 1,153.26 1,162.02 1,170.78 ** 19071907 Married Filling Separate 980.96 997.31 1,013.67 1,030.02 1,044.93 1,059.54 1,074.14 1,088.74 1,103.34 1,117.95 ** 1907

1908 Single 987.28 1,001.88 1,016.48 1,031.09 1,045.69 1,060.29 1,074.89 1,089.50 1,104.10 1,118.70 ** 19081908 Head of Household 1,023.08 1,037.68 1,052.28 1,066.88 1,081.49 1,096.09 1,110.69 1,125.29 1,139.90 1,153.08 ** 19081908 Married Filing joint 1,096.59 1,109.99 1,118.75 1,127.52 1,136.28 1,145.04 1,153.80 1,162.56 1,171.32 ** 19081908 Married Filling Separate 981.40 997.75 1,014.11 1,030.46 1,045.40 1,060.00 1,074.60 1,089.20 1,103.81 1,118.41 ** 1908

1909 Single 987.74 1,002.35 1,016.95 1,031.55 1,046.15 1,060.76 1,075.36 1,089.96 1,104.56 1,119.17 ** 19091909 Head of Household 1,023.54 1,038.14 1,052.74 1,067.35 1,081.95 1,096.55 1,111.15 1,125.76 1,140.36 1,153.62 ** 19091909 Married Filing joint 1,097.06 1,110.54 1,119.30 1,128.06 1,136.82 1,145.58 1,154.34 1,163.11 1,171.87 ** 19091909 Married Filling Separate 981.84 998.19 1,014.55 1,030.90 1,045.86 1,060.46 1,075.07 1,089.67 1,104.27 1,118.87 ** 1909

1910 Single 988.21 1,002.81 1,017.41 1,032.01 1,046.62 1,061.22 1,075.82 1,090.42 1,105.03 1,119.63 ** 19101910 Head of Household 1,024.00 1,038.61 1,053.21 1,067.81 1,082.41 1,097.02 1,111.62 1,126.22 1,140.82 1,154.16 ** 19101910 Married Filing joint 1,097.53 1,111.08 1,119.84 1,128.60 1,137.36 1,146.13 1,154.89 1,163.65 1,172.41 ** 19101910 Married Filling Separate 982.28 998.64 1,014.99 1,031.34 1,046.32 1,060.93 1,075.53 1,090.13 1,104.73 1,119.34 ** 1910

1911 Single 988.67 1,003.27 1,017.88 1,032.48 1,047.08 1,061.68 1,076.29 1,090.89 1,105.49 1,120.09 ** 19111911 Head of Household 1,024.47 1,039.07 1,053.67 1,068.27 1,082.88 1,097.48 1,112.08 1,126.68 1,141.29 1,154.70 ** 19111911 Married Filing joint 1,098.00 1,111.62 1,120.39 1,129.15 1,137.91 1,146.67 1,155.43 1,164.19 1,172.95 ** 19111911 Married Filling Separate 982.72 999.08 1,015.43 1,031.79 1,046.79 1,061.39 1,075.99 1,090.60 1,105.20 1,119.80 ** 1911

1912 Single 989.13 1,003.74 1,018.34 1,032.94 1,047.54 1,062.15 1,076.75 1,091.35 1,105.95 1,120.56 ** 19121912 Head of Household 1,024.93 1,039.53 1,054.14 1,068.74 1,083.34 1,097.94 1,112.55 1,127.15 1,141.75 1,155.24 ** 19121912 Married Filing joint 1,098.47 1,112.17 1,120.93 1,129.69 1,138.45 1,147.21 1,155.98 1,164.74 1,173.50 ** 19121912 Married Filling Separate 983.16 999.52 1,015.87 1,032.23 1,047.25 1,061.85 1,076.46 1,091.06 1,105.66 1,120.26 ** 1912

Page 259: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1913 Single 989.60 1,004.20 1,018.80 1,033.41 1,048.01 1,062.61 1,077.21 1,091.82 1,106.42 1,121.02 ** 19131913 Head of Household 1,025.39 1,040.00 1,054.60 1,069.20 1,083.80 1,098.41 1,113.01 1,127.61 1,142.21 1,155.78 ** 19131913 Married Filing joint 1,098.94 1,112.71 1,121.47 1,130.23 1,139.00 1,147.76 1,156.52 1,165.28 1,174.04 ** 19131913 Married Filling Separate 983.60 999.96 1,016.31 1,032.67 1,047.72 1,062.32 1,076.92 1,091.52 1,106.13 1,120.73 ** 1913

1914 Single 990.06 1,004.66 1,019.27 1,033.87 1,048.47 1,063.07 1,077.68 1,092.28 1,106.88 1,121.48 ** 19141914 Head of Household 1,025.86 1,040.46 1,055.06 1,069.67 1,084.27 1,098.87 1,113.47 1,128.08 1,142.68 1,156.31 ** 19141914 Married Filing joint 1,098.75 1,112.60 1,121.36 1,130.12 1,138.88 1,147.64 1,156.40 1,165.16 1,173.93 ** 19141914 Married Filling Separate 984.05 1,000.40 1,016.76 1,033.11 1,048.18 1,062.78 1,077.38 1,091.99 1,106.59 1,121.19 ** 1914

1915 Single 990.53 1,005.13 1,019.73 1,034.33 1,048.94 1,063.54 1,078.14 1,092.74 1,107.35 1,121.95 ** 19151915 Head of Household 1,026.32 1,040.92 1,055.53 1,070.13 1,084.73 1,099.33 1,113.94 1,128.54 1,143.14 1,156.85 ** 19151915 Married Filing joint 1,099.21 1,113.14 1,121.90 1,130.66 1,139.42 1,148.18 1,156.95 1,165.71 1,174.47 ** 19151915 Married Filling Separate 984.49 1,000.84 1,017.20 1,033.55 1,048.64 1,063.25 1,077.85 1,092.45 1,107.05 1,121.66 ** 1915

1916 Single 990.99 1,005.59 1,020.19 1,034.80 1,049.40 1,064.00 1,078.60 1,093.21 1,107.81 1,122.41 ** 19161916 Head of Household 1,026.79 1,041.39 1,055.99 1,070.59 1,085.20 1,099.80 1,114.40 1,129.00 1,143.61 1,157.39 ** 19161916 Married Filing joint 1,099.68 1,113.68 1,122.44 1,131.21 1,139.97 1,148.73 1,157.49 1,166.25 1,175.01 ** 19161916 Married Filling Separate 984.93 1,001.28 1,017.64 1,033.99 1,049.11 1,063.71 1,078.31 1,092.91 1,107.52 1,122.12 ** 1916

1917 Single 991.45 1,006.06 1,020.66 1,035.26 1,049.86 1,064.47 1,079.07 1,093.67 1,108.27 1,122.88 ** 19171917 Head of Household 1,027.25 1,041.85 1,056.45 1,071.06 1,085.66 1,100.26 1,114.86 1,129.47 1,144.07 1,157.93 ** 19171917 Married Filing joint 1,100.15 1,114.23 1,122.99 1,131.75 1,140.51 1,149.27 1,158.03 1,166.79 1,175.56 ** 19171917 Married Filling Separate 985.37 1,001.72 1,018.08 1,034.43 1,049.57 1,064.17 1,078.78 1,093.38 1,107.98 1,122.58 ** 1917

1918 Single 991.92 1,006.52 1,021.12 1,035.73 1,050.33 1,064.93 1,079.53 1,094.14 1,108.74 1,123.34 ** 19181918 Head of Household 1,027.71 1,042.32 1,056.92 1,071.52 1,086.12 1,100.73 1,115.33 1,129.93 1,144.53 1,158.47 ** 19181918 Married Filing joint 1,100.62 1,114.77 1,123.53 1,132.29 1,141.05 1,149.81 1,158.58 1,167.34 1,176.10 ** 19181918 Married Filling Separate 985.81 1,002.17 1,018.52 1,034.88 1,050.04 1,064.64 1,079.24 1,093.84 1,108.45 1,123.05 ** 1918

1919 Single 992.38 1,006.98 1,021.59 1,036.19 1,050.79 1,065.39 1,080.00 1,094.60 1,109.20 1,123.80 ** 19191919 Head of Household 1,028.18 1,042.78 1,057.38 1,071.99 1,086.59 1,101.19 1,115.79 1,130.40 1,145.00 1,159.01 ** 19191919 Married Filing joint 1,101.09 1,115.31 1,124.07 1,132.84 1,141.60 1,150.36 1,159.12 1,167.88 1,176.64 ** 19191919 Married Filling Separate 986.25 1,002.61 1,018.96 1,035.32 1,050.50 1,065.10 1,079.70 1,094.31 1,108.91 1,123.51 ** 1919

1920 Single 992.85 1,007.45 1,022.05 1,036.65 1,051.26 1,065.86 1,080.46 1,095.06 1,109.67 1,124.27 ** 19201920 Head of Household 1,028.64 1,043.24 1,057.85 1,072.45 1,087.05 1,101.65 1,116.26 1,130.86 1,145.46 1,159.55 ** 19201920 Married Filing joint 1,101.56 1,115.86 1,124.62 1,133.38 1,142.14 1,150.90 1,159.66 1,168.42 1,177.19 ** 19201920 Married Filling Separate 986.69 1,003.05 1,019.40 1,035.76 1,050.96 1,065.57 1,080.17 1,094.77 1,109.37 1,123.98 ** 1920

Page 260: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1921 Single 993.31 1,007.91 1,022.51 1,037.12 1,051.72 1,066.32 1,080.92 1,095.53 1,110.13 1,124.73 ** 19211921 Head of Household 1,029.11 1,043.71 1,058.31 1,072.91 1,087.52 1,102.12 1,116.72 1,131.32 1,145.93 1,160.09 ** 19211921 Married Filing joint 1,102.02 1,116.40 1,125.16 1,133.92 1,142.68 1,151.45 1,160.21 1,168.97 1,177.73 ** 19211921 Married Filling Separate 987.14 1,003.49 1,019.85 1,036.20 1,051.43 1,066.03 1,080.63 1,095.23 1,109.84 1,124.44 ** 1921

1922 Single 993.77 1,008.38 1,022.98 1,037.58 1,052.18 1,066.79 1,081.39 1,095.99 1,110.59 1,125.20 ** 19221922 Head of Household 1,029.57 1,044.17 1,058.77 1,073.38 1,087.98 1,102.58 1,117.18 1,131.79 1,146.39 1,160.63 ** 19221922 Married Filing joint 1,102.49 1,116.94 1,125.70 1,134.47 1,143.23 1,151.99 1,160.75 1,169.51 1,178.27 ** 19221922 Married Filling Separate 987.58 1,003.93 1,020.29 1,036.64 1,051.89 1,066.49 1,081.10 1,095.70 1,110.30 1,124.90 ** 1922

1923 Single 994.24 1,008.84 1,023.44 1,038.04 1,052.65 1,067.25 1,081.85 1,096.45 1,111.06 1,125.66 ** 19231923 Head of Household 1,030.03 1,044.64 1,059.24 1,073.84 1,088.44 1,103.05 1,117.65 1,132.25 1,146.85 1,161.16 ** 19231923 Married Filing joint 1,102.96 1,117.49 1,126.25 1,135.01 1,143.77 1,152.53 1,161.29 1,170.05 1,178.82 ** 19231923 Married Filling Separate 988.02 1,004.37 1,020.73 1,037.08 1,052.35 1,066.96 1,081.56 1,096.16 1,110.76 1,125.37 ** 1923

1924 Single 994.70 1,009.30 1,023.90 1,038.50 1,053.11 1,067.71 1,082.31 1,096.91 1,111.52 1,126.12 ** 19241924 Head of Household 1,030.50 1,045.10 1,059.70 1,074.30 1,088.91 1,103.51 1,118.11 1,132.71 1,147.32 1,161.70 ** 19241924 Married Filing joint 1,102.76 1,117.36 1,126.12 1,134.88 1,143.65 1,152.41 1,161.17 1,169.93 1,178.69 ** 19241924 Married Filling Separate 988.46 1,004.81 1,021.17 1,037.52 1,052.81 1,067.42 1,082.02 1,096.62 1,111.22 1,125.83 ** 1924

1925 Single 995.16 1,009.76 1,024.36 1,038.97 1,053.57 1,068.17 1,082.77 1,097.38 1,111.98 1,126.58 ** 19251925 Head of Household 1,030.96 1,045.56 1,060.17 1,074.77 1,089.37 1,103.97 1,118.58 1,133.18 1,147.78 1,162.24 ** 19251925 Married Filing joint 1,103.23 1,117.83 1,126.66 1,135.42 1,144.19 1,152.95 1,161.71 1,170.47 1,179.23 ** 19251925 Married Filling Separate 988.89 1,005.25 1,021.60 1,037.96 1,053.28 1,067.88 1,082.48 1,097.08 1,111.69 1,126.29 ** 1925

1926 Single 995.62 1,010.22 1,024.82 1,039.43 1,054.03 1,068.63 1,083.23 1,097.84 1,112.44 1,127.04 ** 19261926 Head of Household 1,031.42 1,046.03 1,060.63 1,075.23 1,089.83 1,104.44 1,119.04 1,133.64 1,148.24 1,162.78 ** 19261926 Married Filing joint 1,103.69 1,118.29 1,127.20 1,135.96 1,144.73 1,153.49 1,162.25 1,171.01 1,179.77 ** 19261926 Married Filling Separate 989.33 1,005.69 1,022.04 1,038.40 1,053.74 1,068.34 1,082.94 1,097.54 1,112.15 1,126.75 ** 1926

1927 Single 996.08 1,010.68 1,025.28 1,039.89 1,054.49 1,069.09 1,083.69 1,098.30 1,112.90 1,127.50 ** 19271927 Head of Household 1,031.89 1,046.49 1,061.09 1,075.70 1,090.30 1,104.90 1,119.50 1,134.11 1,148.71 1,163.31 ** 19271927 Married Filing joint 1,104.15 1,118.76 1,127.74 1,136.50 1,145.26 1,154.03 1,162.79 1,171.55 1,180.31 ** 19271927 Married Filling Separate 989.77 1,006.12 1,022.48 1,038.83 1,054.20 1,068.80 1,083.40 1,098.00 1,112.61 1,127.21 ** 1927

1928 Single 996.54 1,011.14 1,025.74 1,040.35 1,054.95 1,069.55 1,084.15 1,098.76 1,113.36 1,127.96 ** 19281928 Head of Household 1,032.35 1,046.96 1,061.56 1,076.16 1,090.76 1,105.37 1,119.97 1,134.57 1,149.17 1,163.78 ** 19281928 Married Filing joint 1,104.62 1,119.22 1,128.28 1,137.04 1,145.80 1,154.57 1,163.33 1,172.09 1,180.85 ** 19281928 Married Filling Separate 990.21 1,006.56 1,022.92 1,039.27 1,054.66 1,069.26 1,083.86 1,098.46 1,113.07 1,127.67 ** 1928

Page 261: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1929 Single 997.00 1,011.60 1,026.20 1,040.81 1,055.41 1,070.01 1,084.61 1,099.22 1,113.82 1,128.42 ** 19291929 Head of Household 1,032.82 1,047.42 1,062.02 1,076.62 1,091.23 1,105.83 1,120.43 1,135.03 1,149.64 1,164.24 ** 19291929 Married Filing joint 1,105.08 1,119.69 1,128.82 1,137.58 1,146.34 1,155.10 1,163.87 1,172.63 1,181.39 ** 19291929 Married Filling Separate 990.64 1,007.00 1,023.35 1,039.71 1,055.12 1,069.72 1,084.32 1,098.92 1,113.53 1,128.13 ** 1929

1930 Single 997.46 1,012.06 1,026.66 1,041.27 1,055.87 1,070.47 1,085.07 1,099.68 1,114.28 1,128.88 ** 19301930 Head of Household 1,033.28 1,047.88 1,062.49 1,077.09 1,091.69 1,106.29 1,120.90 1,135.50 1,150.10 1,164.70 ** 19301930 Married Filing joint 1,105.55 1,120.15 1,129.36 1,138.12 1,146.88 1,155.64 1,164.41 1,173.17 1,181.93 ** 19301930 Married Filling Separate 991.08 1,007.44 1,023.79 1,040.15 1,055.58 1,070.18 1,084.78 1,099.38 1,113.99 1,128.59 ** 1930

1931 Single 997.92 1,012.52 1,027.12 1,041.73 1,056.33 1,070.93 1,085.53 1,100.14 1,114.74 1,129.34 ** 19311931 Head of Household 1,033.74 1,048.35 1,062.95 1,077.55 1,092.15 1,106.76 1,121.36 1,135.96 1,150.56 1,165.17 ** 19311931 Married Filing joint 1,106.01 1,120.61 1,129.90 1,138.66 1,147.42 1,156.18 1,164.94 1,173.71 1,182.47 ** 19311931 Married Filling Separate 991.52 1,007.87 1,024.23 1,040.58 1,056.04 1,070.64 1,085.24 1,099.84 1,114.45 1,129.05 ** 1931

1932 Single 998.38 1,012.98 1,027.58 1,042.19 1,056.79 1,071.39 1,085.99 1,100.60 1,115.20 1,129.80 ** 19321932 Head of Household 1,034.21 1,048.81 1,063.41 1,078.02 1,092.62 1,107.22 1,121.82 1,136.43 1,151.03 1,165.63 ** 19321932 Married Filing joint 1,106.48 1,121.08 1,130.44 1,139.20 1,147.96 1,156.72 1,165.48 1,174.25 1,183.01 ** 19321932 Married Filling Separate 991.96 1,008.31 1,024.67 1,041.02 1,056.50 1,071.10 1,085.70 1,100.30 1,114.91 1,129.51 ** 1932

1933 Single 998.84 1,013.44 1,028.04 1,042.65 1,057.25 1,071.85 1,086.45 1,101.06 1,115.66 1,130.26 ** 19331933 Head of Household 1,034.67 1,049.27 1,063.88 1,078.48 1,093.08 1,107.68 1,122.29 1,136.89 1,151.49 1,166.09 ** 19331933 Married Filing joint 1,105.70 1,120.30 1,129.73 1,138.49 1,147.25 1,156.02 1,164.78 1,173.54 1,182.30 ** 19331933 Married Filling Separate 992.39 1,008.75 1,025.10 1,041.46 1,056.96 1,071.56 1,086.16 1,100.76 1,115.37 1,129.97 ** 1933

1934 Single 999.30 1,013.90 1,028.50 1,043.11 1,057.71 1,072.31 1,086.91 1,101.52 1,116.12 1,130.72 ** 19341934 Head of Household 1,035.14 1,049.74 1,064.34 1,078.94 1,093.55 1,108.15 1,122.75 1,137.35 1,151.96 1,166.56 ** 19341934 Married Filing joint 1,106.16 1,120.76 1,130.27 1,139.03 1,147.79 1,156.56 1,165.32 1,174.08 1,182.84 ** 19341934 Married Filling Separate 992.83 1,009.19 1,025.54 1,041.90 1,057.42 1,072.02 1,086.62 1,101.22 1,115.83 1,130.43 ** 1934

1935 Single 999.76 1,014.36 1,028.96 1,043.57 1,058.17 1,072.77 1,087.37 1,101.98 1,116.58 1,131.18 ** 19351935 Head of Household 1,035.60 1,050.20 1,064.80 1,079.41 1,094.01 1,108.61 1,123.21 1,137.82 1,152.42 1,167.02 ** 19351935 Married Filing joint 1,106.62 1,121.23 1,130.81 1,139.57 1,148.33 1,157.09 1,165.86 1,174.62 1,183.38 ** 19351935 Married Filling Separate 993.27 1,009.62 1,025.98 1,042.33 1,057.88 1,072.48 1,087.08 1,101.68 1,116.29 1,130.89 ** 1935

1936 Single 1,000.22 1,014.82 1,029.42 1,044.03 1,058.63 1,073.23 1,087.83 1,102.44 1,117.04 1,131.64 ** 19361936 Head of Household 1,036.06 1,050.67 1,065.27 1,079.87 1,094.47 1,109.08 1,123.68 1,138.28 1,152.88 1,167.49 ** 19361936 Married Filing joint 1,107.09 1,121.69 1,131.35 1,140.11 1,148.87 1,157.63 1,166.39 1,175.16 1,183.92 ** 19361936 Married Filling Separate 993.71 1,010.06 1,026.42 1,042.77 1,058.34 1,072.94 1,087.54 1,102.14 1,116.75 1,131.35 ** 1936

Page 262: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1937 Single 1,000.68 1,015.28 1,029.88 1,044.49 1,059.09 1,073.69 1,088.29 1,102.90 1,117.50 1,132.10 ** 19371937 Head of Household 1,036.53 1,051.13 1,065.73 1,080.33 1,094.94 1,109.54 1,124.14 1,138.74 1,153.35 1,167.95 ** 19371937 Married Filing joint 1,107.55 1,122.15 1,131.89 1,140.65 1,149.41 1,158.17 1,166.93 1,175.69 1,184.46 ** 19371937 Married Filling Separate 994.15 1,010.50 1,026.85 1,043.21 1,058.80 1,073.40 1,088.00 1,102.60 1,117.21 1,131.81 ** 1937

1938 Single 1,001.14 1,015.74 1,030.34 1,044.95 1,059.55 1,074.15 1,088.75 1,103.36 1,117.96 1,132.56 ** 19381938 Head of Household 1,036.99 1,051.59 1,066.20 1,080.80 1,095.40 1,110.00 1,124.61 1,139.21 1,153.81 1,168.41 ** 19381938 Married Filing joint 1,108.01 1,122.62 1,132.43 1,141.19 1,149.95 1,158.71 1,167.47 1,176.23 1,185.00 ** 19381938 Married Filling Separate 994.58 1,010.94 1,027.29 1,043.65 1,059.26 1,073.86 1,088.46 1,103.06 1,117.67 1,132.27 ** 1938

1939 Single 1,001.60 1,016.20 1,030.80 1,045.41 1,060.01 1,074.61 1,089.21 1,103.82 1,118.42 1,133.02 ** 19391939 Head of Household 1,037.46 1,052.06 1,066.66 1,081.26 1,095.87 1,110.47 1,125.07 1,139.67 1,154.28 1,168.88 ** 19391939 Married Filing joint 1,108.48 1,123.08 1,132.97 1,141.73 1,150.49 1,159.25 1,168.01 1,176.77 1,185.53 ** 19391939 Married Filling Separate 995.02 1,011.38 1,027.73 1,044.08 1,059.72 1,074.32 1,088.92 1,103.52 1,118.13 1,132.73 ** 1939

1940 Single 1,002.06 1,016.66 1,031.26 1,045.87 1,060.47 1,075.07 1,089.67 1,104.28 1,118.88 1,133.48 ** 19401940 Head of Household 1,037.92 1,052.52 1,067.12 1,081.73 1,096.33 1,110.93 1,125.53 1,140.14 1,154.74 1,169.34 ** 19401940 Married Filing joint 1,108.94 1,123.54 1,133.50 1,142.27 1,151.03 1,159.79 1,168.55 1,177.31 1,186.07 ** 19401940 Married Filling Separate 995.46 1,011.81 1,028.17 1,044.52 1,060.18 1,074.78 1,089.38 1,103.98 1,118.59 1,133.19 ** 1940

1941 Single 1,002.52 1,017.12 1,031.72 1,046.33 1,060.93 1,075.53 1,090.13 1,104.74 1,119.34 1,133.94 ** 19411941 Head of Household 1,038.38 1,052.99 1,067.59 1,082.19 1,096.79 1,111.40 1,126.00 1,140.60 1,155.20 1,169.81 ** 19411941 Married Filing joint 1,109.41 1,124.01 1,134.04 1,142.80 1,151.57 1,160.33 1,169.09 1,177.85 1,186.61 ** 19411941 Married Filling Separate 995.90 1,012.25 1,028.61 1,044.96 1,060.64 1,075.24 1,089.84 1,104.44 1,119.05 1,133.65 ** 1941

1942 Single 1,002.98 1,017.58 1,032.18 1,046.79 1,061.39 1,075.99 1,090.59 1,105.20 1,119.80 1,134.40 ** 19421942 Head of Household 1,038.85 1,053.45 1,068.05 1,082.65 1,097.26 1,111.86 1,126.46 1,141.06 1,155.67 1,170.27 ** 19421942 Married Filing joint 1,109.87 1,124.47 1,134.58 1,143.34 1,152.10 1,160.87 1,169.63 1,178.39 1,187.15 ** 19421942 Married Filling Separate 996.33 1,012.69 1,029.04 1,045.40 1,061.10 1,075.70 1,090.30 1,104.90 1,119.51 1,134.11 ** 1942

1943 Single 1,003.44 1,018.04 1,032.64 1,047.25 1,061.85 1,076.45 1,091.05 1,105.66 1,120.26 1,134.86 ** 19431943 Head of Household 1,039.31 1,053.91 1,068.52 1,083.12 1,097.72 1,112.32 1,126.93 1,141.53 1,156.13 1,170.73 ** 19431943 Married Filing joint 1,110.33 1,124.94 1,135.12 1,143.88 1,152.64 1,161.41 1,170.17 1,178.93 1,187.69 ** 19431943 Married Filling Separate 996.77 1,013.13 1,029.48 1,045.84 1,061.56 1,076.16 1,090.76 1,105.36 1,119.97 1,134.57 ** 1943

1944 Single 1,003.90 1,018.50 1,033.10 1,047.71 1,062.31 1,076.91 1,091.51 1,106.12 1,120.72 1,135.32 ** 19441944 Head of Household 1,039.77 1,054.38 1,068.98 1,083.58 1,098.18 1,112.79 1,127.39 1,141.99 1,156.59 1,171.20 ** 19441944 Married Filing joint 1,110.80 1,125.40 1,135.66 1,144.42 1,153.18 1,161.94 1,170.71 1,179.47 1,188.23 ** 19441944 Married Filling Separate 997.21 1,013.56 1,029.92 1,046.27 1,062.02 1,076.62 1,091.22 1,105.82 1,120.43 1,135.03 ** 1944

Page 263: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1945 Single 1,004.36 1,018.96 1,033.57 1,048.17 1,062.77 1,077.37 1,091.98 1,106.58 1,121.18 1,135.78 ** 19451945 Head of Household 1,040.24 1,054.84 1,069.44 1,084.05 1,098.65 1,113.25 1,127.85 1,142.46 1,157.06 1,171.66 ** 19451945 Married Filing joint 1,111.26 1,125.86 1,136.20 1,144.96 1,153.72 1,162.48 1,171.24 1,180.01 1,188.77 ** 19451945 Married Filling Separate 997.65 1,014.00 1,030.36 1,046.71 1,062.48 1,077.08 1,091.68 1,106.29 1,120.89 1,135.49 ** 1945

1946 Single 1,004.82 1,019.42 1,034.03 1,048.63 1,063.23 1,077.83 1,092.44 1,107.04 1,121.64 1,136.24 ** 19461946 Head of Household 1,040.70 1,055.30 1,069.91 1,084.51 1,099.11 1,113.71 1,128.32 1,142.92 1,157.52 1,172.12 ** 19461946 Married Filing joint 1,111.73 1,126.33 1,136.74 1,145.50 1,154.26 1,163.02 1,171.78 1,180.54 1,189.31 ** 19461946 Married Filling Separate 998.08 1,014.44 1,030.79 1,047.15 1,062.94 1,077.54 1,092.14 1,106.75 1,121.35 1,135.95 ** 1946

1947 Single 1,005.28 1,019.88 1,034.49 1,049.09 1,063.69 1,078.29 1,092.90 1,107.50 1,122.10 1,136.70 ** 19471947 Head of Household 1,041.17 1,055.77 1,070.37 1,084.97 1,099.58 1,114.18 1,128.78 1,143.38 1,157.99 1,172.59 ** 19471947 Married Filing joint 1,112.19 1,126.79 1,137.28 1,146.04 1,154.80 1,163.56 1,172.32 1,181.08 1,189.85 ** 19471947 Married Filling Separate 998.52 1,014.88 1,031.23 1,047.59 1,063.40 1,078.00 1,092.60 1,107.21 1,121.81 1,136.41 ** 1947

1948 Single 1,005.74 1,020.34 1,034.95 1,049.55 1,064.15 1,078.75 1,093.36 1,107.96 1,122.56 1,137.16 ** 19481948 Head of Household 1,041.63 1,056.23 1,070.84 1,085.44 1,100.04 1,114.64 1,129.25 1,143.85 1,158.45 1,173.05 ** 19481948 Married Filing joint 1,112.65 1,127.26 1,137.82 1,146.58 1,155.34 1,164.10 1,172.86 1,181.62 1,190.38 ** 19481948 Married Filling Separate 998.96 1,015.31 1,031.67 1,048.02 1,063.86 1,078.46 1,093.06 1,107.67 1,122.27 1,136.87 ** 1948

1949 Single 1,006.20 1,020.80 1,035.41 1,050.01 1,064.61 1,079.21 1,093.82 1,108.42 1,123.02 1,137.62 ** 19491949 Head of Household 1,042.09 1,056.70 1,071.30 1,085.90 1,100.50 1,115.11 1,129.71 1,144.31 1,158.91 1,173.52 ** 19491949 Married Filing joint 1,113.12 1,127.72 1,138.35 1,147.12 1,155.88 1,164.64 1,173.40 1,182.16 1,190.92 ** 19491949 Married Filling Separate 999.40 1,015.75 1,032.11 1,048.46 1,064.32 1,078.92 1,093.52 1,108.13 1,122.73 1,137.33 ** 1949

1950 Single 1,006.66 1,021.26 1,035.87 1,050.47 1,065.07 1,079.67 1,094.28 1,108.88 1,123.48 1,138.08 ** 19501950 Head of Household 1,042.56 1,057.16 1,071.76 1,086.37 1,100.97 1,115.57 1,130.17 1,144.78 1,159.38 1,173.98 ** 19501950 Married Filing joint 1,113.58 1,128.18 1,138.89 1,147.65 1,156.42 1,165.18 1,173.94 1,182.70 1,191.46 ** 19501950 Married Filling Separate 999.83 1,016.19 1,032.54 1,048.90 1,064.78 1,079.38 1,093.98 1,108.59 1,123.19 1,137.79 ** 1950

1951 Single 1,007.12 1,021.72 1,036.33 1,050.93 1,065.53 1,080.13 1,094.74 1,109.34 1,123.94 1,138.54 ** 19511951 Head of Household 1,043.02 1,057.62 1,072.23 1,086.83 1,101.43 1,116.03 1,130.64 1,145.24 1,159.84 1,174.44 ** 19511951 Married Filing joint 1,114.04 1,128.65 1,139.43 1,148.19 1,156.95 1,165.72 1,174.48 1,183.24 1,192.00 ** 19511951 Married Filling Separate 1,000.27 1,016.63 1,032.98 1,049.34 1,065.24 1,079.84 1,094.44 1,109.05 1,123.65 1,138.25 ** 1951

1952 Single 1,007.29 1,021.89 1,036.49 1,051.10 1,065.70 1,080.30 1,094.90 1,109.51 1,124.11 1,138.71 ** 19521952 Head of Household 1,043.49 1,058.09 1,072.69 1,087.29 1,101.90 1,116.50 1,131.10 1,145.70 1,160.31 1,174.91 ** 19521952 Married Filing joint 1,114.51 1,129.11 1,139.97 1,148.73 1,157.49 1,166.26 1,175.02 1,183.78 1,192.54 ** 19521952 Married Filling Separate 1,000.71 1,017.06 1,033.42 1,049.77 1,065.70 1,080.30 1,094.90 1,109.51 1,124.11 1,138.71 ** 1952

Page 264: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1953 Single 1,007.72 1,022.35 1,036.95 1,051.56 1,066.16 1,080.76 1,095.36 1,109.97 1,124.57 1,139.17 ** 19531953 Head of Household 1,043.95 1,058.55 1,073.15 1,087.76 1,102.36 1,116.96 1,131.56 1,146.17 1,160.77 1,175.37 ** 19531953 Married Filing joint 1,114.97 1,129.58 1,140.51 1,149.27 1,158.03 1,166.79 1,175.56 1,184.32 1,193.08 ** 19531953 Married Filling Separate 1,001.15 1,017.50 1,033.86 1,050.21 1,066.16 1,080.76 1,095.36 1,109.97 1,124.57 1,139.17 ** 1953

1954 Single 1,008.16 1,022.81 1,037.41 1,052.02 1,066.62 1,081.22 1,095.82 1,110.43 1,125.03 1,139.63 ** 19541954 Head of Household 1,044.41 1,059.02 1,073.62 1,088.22 1,102.82 1,117.43 1,132.03 1,146.63 1,161.23 1,175.84 ** 19541954 Married Filing joint 1,115.44 1,130.04 1,141.05 1,149.81 1,158.57 1,167.33 1,176.09 1,184.86 1,193.62 ** 19541954 Married Filling Separate 1,001.58 1,017.94 1,034.29 1,050.65 1,066.62 1,081.22 1,095.82 1,110.43 1,125.03 1,139.63 ** 1954

1955 Single 1,008.60 1,023.27 1,037.87 1,052.48 1,067.08 1,081.68 1,096.28 1,110.89 1,125.49 1,140.09 ** 19551955 Head of Household 1,044.88 1,059.48 1,074.08 1,088.68 1,103.29 1,117.89 1,132.49 1,147.09 1,161.70 1,176.30 ** 19551955 Married Filing joint 1,115.90 1,130.50 1,141.59 1,150.35 1,159.11 1,167.87 1,176.63 1,185.39 1,194.16 ** 19551955 Married Filling Separate 1,002.02 1,018.38 1,034.73 1,051.09 1,067.08 1,081.68 1,096.28 1,110.89 1,125.49 1,140.09 ** 1955

1956 Single 1,009.04 1,023.73 1,038.33 1,052.94 1,067.54 1,082.14 1,096.74 1,111.35 1,125.95 1,140.55 ** 19561956 Head of Household 1,045.34 1,059.94 1,074.55 1,089.15 1,103.75 1,118.35 1,132.96 1,147.56 1,162.16 1,176.76 ** 19561956 Married Filing joint 1,116.36 1,130.97 1,142.13 1,150.89 1,159.65 1,168.41 1,177.17 1,185.93 1,194.70 ** 19561956 Married Filling Separate 1,002.46 1,018.82 1,035.17 1,051.52 1,067.54 1,082.14 1,096.74 1,111.35 1,125.95 1,140.55 ** 1956

1957 Single 1,009.47 1,024.19 1,038.79 1,053.40 1,068.00 1,082.60 1,097.20 1,111.81 1,126.41 1,141.01 ** 19571957 Head of Household 1,045.80 1,060.41 1,075.01 1,089.61 1,104.21 1,118.82 1,133.42 1,148.02 1,162.62 1,177.23 ** 19571957 Married Filing joint 1,116.83 1,131.43 1,142.66 1,151.43 1,160.19 1,168.95 1,177.71 1,186.47 1,195.23 ** 19571957 Married Filling Separate 1,002.90 1,019.25 1,035.61 1,051.96 1,068.00 1,082.60 1,097.20 1,111.81 1,126.41 1,141.01 ** 1957

1958 Single 1,009.91 1,024.65 1,039.25 1,053.86 1,068.46 1,083.06 1,097.66 1,112.27 1,126.87 1,141.47 ** 19581958 Head of Household 1,046.27 1,060.87 1,075.47 1,090.08 1,104.68 1,119.28 1,133.88 1,148.49 1,163.09 1,177.69 ** 19581958 Married Filing joint 1,117.29 1,131.89 1,143.20 1,151.97 1,160.73 1,169.49 1,178.25 1,187.01 1,195.77 ** 19581958 Married Filling Separate 1,003.34 1,019.69 1,036.05 1,052.40 1,068.46 1,083.06 1,097.66 1,112.27 1,126.87 1,141.47 ** 1958

1959 Single 1,010.35 1,025.11 1,039.71 1,054.32 1,068.92 1,083.52 1,098.12 1,112.73 1,127.33 1,141.93 ** 19591959 Head of Household 1,046.73 1,061.34 1,075.94 1,090.54 1,105.14 1,119.75 1,134.35 1,148.95 1,163.55 1,178.16 ** 19591959 Married Filing joint 1,117.76 1,132.36 1,143.74 1,152.50 1,161.27 1,170.03 1,178.79 1,187.55 1,196.31 ** 19591959 Married Filling Separate 1,003.77 1,020.13 1,036.48 1,052.84 1,068.92 1,083.52 1,098.12 1,112.73 1,127.33 1,141.93 ** 1959

1960 Single 1,010.79 1,025.57 1,040.17 1,054.78 1,069.38 1,083.98 1,098.58 1,113.19 1,127.79 1,142.39 ** 19601960 Head of Household 1,047.20 1,061.80 1,076.40 1,091.00 1,105.61 1,120.21 1,134.81 1,149.41 1,164.02 1,178.62 ** 19601960 Married Filing joint 1,118.22 1,132.82 1,144.28 1,153.04 1,161.80 1,170.57 1,179.33 1,188.09 1,196.85 ** 19601960 Married Filling Separate 1,004.21 1,020.57 1,036.92 1,053.28 1,069.38 1,083.98 1,098.58 1,113.19 1,127.79 1,142.39 ** 1960

Page 265: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1961 Single 1,011.23 1,026.03 1,040.63 1,055.24 1,069.84 1,084.44 1,099.04 1,113.65 1,128.25 1,142.85 ** 19611961 Head of Household 1,047.66 1,062.26 1,076.87 1,091.47 1,106.07 1,120.67 1,135.28 1,149.88 1,164.48 1,179.08 ** 19611961 Married Filing joint 1,118.68 1,133.29 1,144.82 1,153.58 1,162.34 1,171.10 1,179.87 1,188.63 1,197.39 ** 19611961 Married Filling Separate 1,004.65 1,021.00 1,037.36 1,053.71 1,069.84 1,084.44 1,099.04 1,113.65 1,128.25 1,142.85 ** 1961

1962 Single 1,011.66 1,026.49 1,041.09 1,055.70 1,070.30 1,084.90 1,099.50 1,114.11 1,128.71 1,143.31 ** 19621962 Head of Household 1,048.12 1,062.73 1,077.33 1,091.93 1,106.53 1,121.14 1,135.74 1,150.34 1,164.94 1,179.55 ** 19621962 Married Filing joint 1,119.15 1,133.75 1,145.36 1,154.12 1,162.88 1,171.64 1,180.41 1,189.17 1,197.93 ** 19621962 Married Filling Separate 1,005.09 1,021.44 1,037.80 1,054.15 1,070.30 1,084.90 1,099.50 1,114.11 1,128.71 1,143.31 ** 1962

1963 Single 1,012.10 1,026.95 1,041.55 1,056.16 1,070.76 1,085.36 1,099.96 1,114.57 1,129.17 1,143.77 ** 19631963 Head of Household 1,048.59 1,063.19 1,077.79 1,092.40 1,107.00 1,121.60 1,136.20 1,150.81 1,165.41 1,180.01 ** 19631963 Married Filing joint 1,119.61 1,134.21 1,145.90 1,154.66 1,163.42 1,172.18 1,180.94 1,189.71 1,198.47 ** 19631963 Married Filling Separate 1,005.52 1,021.88 1,038.23 1,054.59 1,070.76 1,085.36 1,099.96 1,114.57 1,129.17 1,143.77 ** 1963

1964 Single 1,012.54 1,027.41 1,042.01 1,056.62 1,071.22 1,085.82 1,100.42 1,115.03 1,129.63 1,144.23 ** 19641964 Head of Household 1,049.05 1,063.65 1,078.26 1,092.86 1,107.46 1,122.06 1,136.67 1,151.27 1,165.87 1,180.47 ** 19641964 Married Filing joint 1,120.08 1,134.68 1,146.44 1,155.20 1,163.96 1,172.72 1,181.48 1,190.24 1,199.01 ** 19641964 Married Filling Separate 1,005.96 1,022.32 1,038.67 1,055.03 1,071.22 1,085.82 1,100.42 1,115.03 1,129.63 1,144.23 ** 1964

1965 Single 1,012.98 1,027.87 1,042.48 1,057.08 1,071.68 1,086.28 1,100.89 1,115.49 1,130.09 1,144.69 ** 19651965 Head of Household 1,049.52 1,064.12 1,078.72 1,093.32 1,107.93 1,122.53 1,137.13 1,151.73 1,166.34 1,180.94 ** 19651965 Married Filing joint 1,120.54 1,135.14 1,146.98 1,155.74 1,164.50 1,173.26 1,182.02 1,190.78 1,199.54 ** 19651965 Married Filling Separate 1,006.40 1,022.75 1,039.11 1,055.46 1,071.68 1,086.28 1,100.89 1,115.49 1,130.09 1,144.69 ** 1965

1966 Single 1,013.41 1,028.33 1,042.94 1,057.54 1,072.14 1,086.74 1,101.35 1,115.95 1,130.55 1,145.15 ** 19661966 Head of Household 1,049.98 1,064.58 1,079.18 1,093.79 1,108.39 1,122.99 1,137.59 1,152.20 1,166.80 1,181.40 ** 19661966 Married Filing joint 1,121.00 1,135.61 1,147.51 1,156.28 1,165.04 1,173.80 1,182.56 1,191.32 1,200.08 ** 19661966 Married Filling Separate 1,006.84 1,023.19 1,039.55 1,055.90 1,072.14 1,086.74 1,101.35 1,115.95 1,130.55 1,145.15 ** 1966

1967 Single 1,013.85 1,028.79 1,043.40 1,058.00 1,072.60 1,087.20 1,101.81 1,116.41 1,131.01 1,145.61 ** 19671967 Head of Household 1,050.44 1,065.05 1,079.65 1,094.25 1,108.85 1,123.46 1,138.06 1,152.66 1,167.26 1,181.87 ** 19671967 Married Filing joint 1,121.47 1,136.07 1,148.05 1,156.82 1,165.58 1,174.34 1,183.10 1,191.86 1,200.62 ** 19671967 Married Filling Separate 1,007.27 1,023.63 1,039.98 1,056.34 1,072.60 1,087.20 1,101.81 1,116.41 1,131.01 1,145.61 ** 1967

1968 Single 1,014.29 1,029.25 1,043.86 1,058.46 1,073.06 1,087.66 1,102.27 1,116.87 1,131.47 1,146.07 ** 19681968 Head of Household 1,050.91 1,065.51 1,080.11 1,094.72 1,109.32 1,123.92 1,138.52 1,153.13 1,167.73 1,182.33 ** 19681968 Married Filing joint 1,121.93 1,136.53 1,148.59 1,157.35 1,166.12 1,174.88 1,183.64 1,192.40 1,201.16 ** 19681968 Married Filling Separate 1,007.71 1,024.07 1,040.42 1,056.78 1,073.06 1,087.66 1,102.27 1,116.87 1,131.47 1,146.07 ** 1968

Page 266: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1969 Single 1,014.73 1,029.71 1,044.32 1,058.92 1,073.52 1,088.12 1,102.73 1,117.33 1,131.93 1,146.53 ** 19691969 Head of Household 1,051.37 1,065.97 1,080.58 1,095.18 1,109.78 1,124.38 1,138.99 1,153.59 1,168.19 1,182.79 ** 19691969 Married Filing joint 1,122.39 1,137.00 1,149.13 1,157.89 1,166.65 1,175.42 1,184.18 1,192.94 1,201.70 ** 19691969 Married Filling Separate 1,008.15 1,024.50 1,040.86 1,057.21 1,073.52 1,088.12 1,102.73 1,117.33 1,131.93 1,146.53 ** 1969

1970 Single 1,015.16 1,030.17 1,044.78 1,059.38 1,073.98 1,088.58 1,103.19 1,117.79 1,132.39 1,146.99 ** 19701970 Head of Household 1,051.84 1,066.44 1,081.04 1,095.64 1,110.25 1,124.85 1,139.45 1,154.05 1,168.66 1,183.26 ** 19701970 Married Filing joint 1,122.86 1,137.46 1,149.67 1,158.43 1,167.19 1,175.95 1,184.72 1,193.48 1,202.24 ** 19701970 Married Filling Separate 1,008.59 1,024.94 1,041.30 1,057.65 1,073.98 1,088.58 1,103.19 1,117.79 1,132.39 1,146.99 ** 1970

1971 Single 1,015.60 1,030.63 1,045.24 1,059.84 1,074.44 1,089.04 1,103.65 1,118.25 1,132.85 1,147.45 ** 19711971 Head of Household 1,052.30 1,066.90 1,081.50 1,096.11 1,110.71 1,125.31 1,139.91 1,154.52 1,169.12 1,183.72 ** 19711971 Married Filing joint 1,123.32 1,137.92 1,150.21 1,158.97 1,167.73 1,176.49 1,185.26 1,194.02 1,202.78 ** 19711971 Married Filling Separate 1,009.02 1,025.38 1,041.73 1,058.09 1,074.44 1,089.04 1,103.65 1,118.25 1,132.85 1,147.45 ** 1971

1972 Single 1,016.04 1,031.09 1,045.70 1,060.30 1,074.90 1,089.50 1,104.11 1,118.71 1,133.31 1,147.91 ** 19721972 Head of Household 1,052.30 1,066.90 1,081.50 1,096.11 1,110.71 1,125.31 1,139.91 1,154.52 1,169.12 1,183.72 ** 19721972 Married Filing joint 1,123.79 1,138.39 1,150.75 1,159.51 1,168.27 1,177.03 1,185.79 1,194.56 1,203.32 ** 19721972 Married Filling Separate 1,009.46 1,025.82 1,042.17 1,058.53 1,074.88 1,089.50 1,104.11 1,118.71 1,133.31 1,147.91 ** 1972

1973 Single 1,016.48 1,031.55 1,046.16 1,060.76 1,075.36 1,089.96 1,104.57 1,119.17 1,133.77 1,148.37 ** 19731973 Head of Household 1,052.76 1,067.36 1,081.97 1,096.57 1,111.17 1,125.77 1,140.38 1,154.98 1,169.58 1,184.18 ** 19731973 Married Filing joint 1,124.25 1,138.85 1,151.29 1,160.05 1,168.81 1,177.57 1,186.33 1,195.09 1,203.86 ** 19731973 Married Filling Separate 1,009.90 1,026.25 1,042.61 1,058.96 1,075.32 1,089.96 1,104.57 1,119.17 1,133.77 1,148.37 ** 1973

1974 Single 1,016.91 1,032.01 1,046.62 1,061.22 1,075.82 1,090.42 1,105.03 1,119.63 1,134.23 1,148.83 ** 19741974 Head of Household 1,053.23 1,067.83 1,082.43 1,097.03 1,111.64 1,126.24 1,140.84 1,155.44 1,170.05 1,184.65 ** 19741974 Married Filing joint 1,124.71 1,139.32 1,151.83 1,160.59 1,169.35 1,178.11 1,186.87 1,195.63 1,204.39 ** 19741974 Married Filling Separate 1,010.34 1,026.69 1,043.05 1,059.40 1,075.76 1,090.42 1,105.03 1,119.63 1,134.23 1,148.83 ** 1974

1975 Single 1,017.35 1,032.47 1,047.08 1,061.68 1,076.28 1,090.88 1,105.49 1,120.09 1,134.69 1,149.29 ** 19751975 Head of Household 1,053.69 1,068.29 1,082.89 1,097.50 1,112.10 1,126.70 1,141.30 1,155.91 1,170.51 1,185.11 ** 19751975 Married Filing joint 1,125.18 1,139.78 1,152.36 1,161.13 1,169.89 1,178.65 1,187.41 1,196.17 1,204.93 ** 19751975 Married Filling Separate 1,010.78 1,027.13 1,043.48 1,059.84 1,076.19 1,090.88 1,105.49 1,120.09 1,134.69 1,149.29 ** 1975

1976 Single 1,017.79 1,032.93 1,047.54 1,062.14 1,076.74 1,091.34 1,105.95 1,120.55 1,135.15 1,149.75 ** 19761976 Head of Household 1,054.15 1,068.76 1,083.36 1,097.96 1,112.56 1,127.17 1,141.77 1,156.37 1,170.97 1,185.58 ** 19761976 Married Filing joint 1,125.64 1,140.24 1,152.90 1,161.67 1,170.43 1,179.19 1,187.95 1,196.71 1,205.47 ** 19761976 Married Filling Separate 1,011.21 1,027.57 1,043.92 1,060.28 1,076.63 1,091.34 1,105.95 1,120.55 1,135.15 1,149.75 ** 1976

Page 267: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1977 Single 1,018.23 1,033.39 1,048.00 1,062.60 1,077.20 1,091.80 1,106.41 1,121.01 1,135.61 1,150.21 ** 19771977 Head of Household 1,054.62 1,069.22 1,083.82 1,098.42 1,113.03 1,127.63 1,142.23 1,156.83 1,171.44 1,186.04 ** 19771977 Married Filing joint 1,126.11 1,140.71 1,153.44 1,162.20 1,170.97 1,179.73 1,188.49 1,197.25 1,206.01 ** 19771977 Married Filling Separate 1,011.65 1,028.01 1,044.36 1,060.71 1,077.07 1,091.80 1,106.41 1,121.01 1,135.61 1,150.21 ** 1977

1978 Single 1,018.66 1,033.85 1,048.46 1,063.06 1,077.66 1,092.26 1,106.87 1,121.47 1,136.07 1,150.67 ** 19781978 Head of Household 1,055.08 1,069.68 1,084.29 1,098.89 1,113.49 1,128.09 1,142.70 1,157.30 1,171.90 1,186.50 ** 19781978 Married Filing joint 1,126.57 1,141.17 1,153.98 1,162.74 1,171.50 1,180.27 1,189.03 1,197.79 1,206.55 ** 19781978 Married Filling Separate 1,012.09 1,028.44 1,044.80 1,061.15 1,077.51 1,092.26 1,106.87 1,121.47 1,136.07 1,150.67 ** 1978

1979 Single 1,019.10 1,034.31 1,048.92 1,063.52 1,078.12 1,092.72 1,107.33 1,121.93 1,136.53 1,151.13 ** 19791979 Head of Household 1,055.55 1,070.15 1,084.75 1,099.35 1,113.96 1,128.56 1,143.16 1,157.76 1,172.37 1,186.97 ** 19791979 Married Filing joint 1,127.03 1,141.64 1,154.52 1,163.28 1,172.04 1,180.80 1,189.57 1,198.33 1,207.09 ** 19791979 Married Filling Separate 1,012.53 1,028.88 1,045.24 1,061.59 1,077.94 1,092.72 1,107.33 1,121.93 1,136.53 1,151.13 ** 1979

1980 Single 1,019.54 1,034.77 1,049.38 1,063.98 1,078.58 1,093.18 1,107.79 1,122.39 1,136.99 1,151.59 ** 19801980 Head of Household 1,056.01 1,070.61 1,085.21 1,099.82 1,114.42 1,129.02 1,143.62 1,158.23 1,172.83 1,187.43 ** 19801980 Married Filing joint 1,127.50 1,142.10 1,155.06 1,163.82 1,172.58 1,181.34 1,190.11 1,198.87 1,207.63 ** 19801980 Married Filling Separate 1,012.96 1,029.32 1,045.67 1,062.03 1,078.38 1,093.18 1,107.79 1,122.39 1,136.99 1,151.59 ** 1980

1981 Single 1,019.98 1,035.23 1,049.84 1,064.44 1,079.04 1,093.64 1,108.25 1,122.85 1,137.45 1,152.05 ** 19811981 Head of Household 1,056.47 1,071.08 1,085.68 1,100.28 1,114.88 1,129.49 1,144.09 1,158.69 1,173.29 1,187.90 ** 19811981 Married Filing joint 1,127.96 1,142.56 1,155.60 1,164.36 1,173.12 1,181.88 1,190.64 1,199.41 1,208.17 ** 19811981 Married Filling Separate 1,013.40 1,029.76 1,046.11 1,062.47 1,078.82 1,093.64 1,108.25 1,122.85 1,137.45 1,152.05 ** 1981

1982 Single 1,020.42 1,035.69 1,050.30 1,064.90 1,079.50 1,094.10 1,108.71 1,123.31 1,137.91 1,152.51 ** 19821982 Head of Household 1,056.94 1,071.54 1,086.14 1,100.74 1,115.35 1,129.95 1,144.55 1,159.15 1,173.76 1,188.36 ** 19821982 Married Filing joint 1,128.43 1,143.03 1,156.14 1,164.90 1,173.66 1,182.42 1,191.18 1,199.94 1,208.71 ** 19821982 Married Filling Separate 1,013.84 1,030.19 1,046.55 1,062.90 1,079.26 1,094.10 1,108.71 1,123.31 1,137.91 1,152.51 ** 1982

1983 Single 1,020.85 1,036.15 1,050.76 1,065.36 1,079.96 1,094.56 1,109.17 1,123.77 1,138.37 1,152.97 ** 19831983 Head of Household 1,057.40 1,072.00 1,086.61 1,101.21 1,115.81 1,130.41 1,145.02 1,159.62 1,174.22 1,188.82 ** 19831983 Married Filing joint 1,128.89 1,143.49 1,156.68 1,165.44 1,174.20 1,182.96 1,191.72 1,200.48 1,209.24 ** 19831983 Married Filling Separate 1,014.28 1,030.63 1,046.99 1,063.34 1,079.70 1,094.56 1,109.17 1,123.77 1,138.37 1,152.97 ** 1983

1984 Single 1,021.29 1,036.61 1,051.22 1,065.82 1,080.42 1,095.02 1,109.63 1,124.23 1,138.83 1,153.43 ** 19841984 Head of Household 1,057.86 1,072.47 1,087.07 1,101.67 1,116.27 1,130.88 1,145.48 1,160.08 1,174.68 1,189.29 ** 19841984 Married Filing joint 1,129.35 1,143.96 1,157.21 1,165.98 1,174.74 1,183.50 1,192.26 1,201.02 1,209.78 ** 19841984 Married Filling Separate 1,014.71 1,031.07 1,047.42 1,063.78 1,080.13 1,095.02 1,109.63 1,124.23 1,138.83 1,153.43 ** 1984

Page 268: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1985 Single 1,021.73 1,037.08 1,051.68 1,066.28 1,080.88 1,095.49 1,110.09 1,124.69 1,139.29 1,153.90 ** 19851985 Head of Household 1,058.33 1,072.93 1,087.53 1,102.14 1,116.74 1,131.34 1,145.94 1,160.55 1,175.15 1,189.75 ** 19851985 Married Filing joint 1,129.82 1,144.42 1,157.75 1,166.51 1,175.28 1,184.04 1,192.80 1,201.56 1,210.32 ** 19851985 Married Filling Separate 1,015.15 1,031.51 1,047.86 1,064.22 1,080.57 1,095.49 1,110.09 1,124.69 1,139.29 1,153.90 ** 1985

1986 Single 1,022.17 1,037.54 1,052.14 1,066.74 1,081.34 1,095.95 1,110.55 1,125.15 1,139.75 1,154.36 ** 19861986 Head of Household 1,058.79 1,073.39 1,088.00 1,102.60 1,117.20 1,131.80 1,146.41 1,161.01 1,175.61 1,190.21 ** 19861986 Married Filing joint 1,130.28 1,144.88 1,158.29 1,167.05 1,175.82 1,184.58 1,193.34 1,202.10 1,210.86 ** 19861986 Married Filling Separate 1,015.59 1,031.94 1,048.30 1,064.65 1,081.01 1,095.95 1,110.55 1,125.15 1,139.75 1,154.36 ** 1986

1987 Single 1,022.60 1,038.00 1,052.60 1,067.20 1,081.80 1,096.41 1,111.01 1,125.61 1,140.21 1,154.82 ** 19871987 Head of Household 1,059.26 1,073.86 1,088.46 1,103.06 1,117.67 1,132.27 1,146.87 1,161.47 1,176.08 1,190.68 ** 19871987 Married Filing joint 1,130.74 1,145.35 1,158.83 1,167.59 1,176.35 1,185.12 1,193.88 1,202.64 1,211.40 ** 19871987 Married Filling Separate 1,016.03 1,032.38 1,048.74 1,065.09 1,081.45 1,096.41 1,111.01 1,125.61 1,140.21 1,154.82 ** 1987

1988 Single 1,023.04 1,038.46 1,053.06 1,067.66 1,082.26 1,096.87 1,111.47 1,126.07 1,140.67 1,155.28 ** 19881988 Head of Household 1,059.72 1,074.32 1,088.93 1,103.53 1,118.13 1,132.73 1,147.34 1,161.94 1,176.54 1,191.14 ** 19881988 Married Filing joint 1,131.21 1,145.81 1,159.37 1,168.13 1,176.89 1,185.65 1,194.42 1,203.18 1,211.94 ** 19881988 Married Filling Separate 1,016.46 1,032.82 1,049.17 1,065.53 1,081.88 1,096.87 1,111.47 1,126.07 1,140.67 1,155.28 ** 1988

1989 Single 1,023.48 1,038.92 1,053.52 1,068.12 1,082.72 1,097.33 1,111.93 1,126.53 1,141.13 1,155.74 ** 19891989 Head of Household 1,060.18 1,074.79 1,089.39 1,103.99 1,118.59 1,133.20 1,147.80 1,162.40 1,177.00 1,191.61 ** 19891989 Married Filing joint 1,131.67 1,146.27 1,159.91 1,168.67 1,177.43 1,186.19 1,194.95 1,203.72 1,212.48 ** 19891989 Married Filling Separate 1,016.90 1,033.26 1,049.61 1,065.97 1,082.32 1,097.33 1,111.93 1,126.53 1,141.13 1,155.74 ** 1989

1990 Single 1,023.92 1,039.38 1,053.98 1,068.58 1,083.18 1,097.79 1,112.39 1,126.99 1,141.59 1,156.20 ** 19901990 Head of Household 1,060.65 1,075.25 1,089.85 1,104.46 1,119.06 1,133.66 1,148.26 1,162.87 1,177.47 1,192.07 ** 19901990 Married Filing joint 1,132.14 1,146.74 1,160.45 1,169.21 1,177.97 1,186.73 1,195.49 1,204.26 1,213.02 ** 19901990 Married Filling Separate 1,017.34 1,033.69 1,050.05 1,066.40 1,082.76 1,097.79 1,112.39 1,126.99 1,141.59 1,156.20 ** 1990

1991 Single 1,024.35 1,039.84 1,054.44 1,069.04 1,083.64 1,098.25 1,112.85 1,127.45 1,142.05 1,156.66 ** 19911991 Head of Household 1,061.11 1,075.71 1,090.32 1,104.92 1,119.52 1,134.12 1,148.73 1,163.33 1,177.93 1,192.53 ** 19911991 Married Filing joint 1,132.60 1,147.20 1,160.99 1,169.75 1,178.51 1,187.27 1,196.03 1,204.79 1,213.56 ** 19911991 Married Filling Separate 1,017.78 1,034.13 1,050.49 1,066.84 1,083.20 1,098.25 1,112.85 1,127.45 1,142.05 1,156.66 ** 1991

1992 Single 1,024.79 1,040.30 1,054.90 1,069.50 1,084.10 1,098.71 1,113.31 1,127.91 1,142.51 1,157.12 ** 19921992 Head of Household 1,061.58 1,076.18 1,090.78 1,105.38 1,119.99 1,134.59 1,149.19 1,163.79 1,178.40 1,193.00 ** 19921992 Married Filing joint 1,133.06 1,147.67 1,161.53 1,170.29 1,179.05 1,187.81 1,196.57 1,205.33 1,214.09 ** 19921992 Married Filling Separate 1,018.21 1,034.57 1,050.92 1,067.28 1,083.63 1,098.71 1,113.31 1,127.91 1,142.51 1,157.12 ** 1992

Page 269: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

1993 Single 1,025.23 1,040.76 1,055.36 1,069.96 1,084.56 1,099.17 1,113.77 1,128.37 1,142.97 1,157.58 ** 19931993 Head of Household 1,062.04 1,076.64 1,091.24 1,105.85 1,120.45 1,135.05 1,149.65 1,164.26 1,178.86 1,193.46 ** 19931993 Married Filing joint 1,133.53 1,148.13 1,162.06 1,170.83 1,179.59 1,188.35 1,197.11 1,205.87 1,214.63 ** 19931993 Married Filling Separate 1,018.65 1,035.01 1,051.36 1,067.72 1,084.07 1,099.17 1,113.77 1,128.37 1,142.97 1,157.58 ** 1993

1994 Single 1,025.67 1,041.22 1,055.82 1,070.42 1,085.02 1,099.63 1,114.23 1,128.83 1,143.43 1,158.04 ** 19941994 Head of Household 1,062.50 1,077.11 1,091.71 1,106.31 1,120.91 1,135.52 1,150.12 1,164.72 1,179.32 1,193.93 ** 19941994 Married Filing joint 1,133.99 1,148.59 1,162.60 1,171.36 1,180.13 1,188.89 1,197.65 1,206.41 1,215.17 ** 19941994 Married Filling Separate 1,019.09 1,035.44 1,051.80 1,068.15 1,084.51 1,099.63 1,114.23 1,128.83 1,143.43 1,158.04 ** 1994

1995 Single 1,026.10 1,041.68 1,056.28 1,070.88 1,085.48 1,100.09 1,114.69 1,129.29 1,143.89 1,158.50 ** 19951995 Head of Household 1,062.97 1,077.57 1,092.17 1,106.77 1,121.38 1,135.98 1,150.58 1,165.18 1,179.79 1,194.39 ** 19951995 Married Filing joint 1,134.46 1,149.06 1,163.14 1,171.90 1,180.67 1,189.43 1,198.19 1,206.95 1,215.71 ** 19951995 Married Filling Separate 1,019.53 1,035.88 1,052.24 1,068.59 1,084.95 1,100.09 1,114.69 1,129.29 1,143.89 1,158.50 ** 1995

1996 Single 1,026.54 1,042.14 1,056.74 1,071.34 1,085.94 1,100.55 1,115.15 1,129.75 1,144.35 1,158.96 ** 19961996 Head of Household 1,063.43 1,078.03 1,092.64 1,107.24 1,121.84 1,136.44 1,151.05 1,165.65 1,180.25 1,194.85 ** 19961996 Married Filing joint 1,134.92 1,149.52 1,163.68 1,172.44 1,181.20 1,189.97 1,198.73 1,207.49 1,216.25 ** 19961996 Married Filling Separate 1,019.97 1,036.32 1,052.67 1,069.03 1,085.38 1,100.55 1,115.15 1,129.75 1,144.35 1,158.96 ** 1996

1997 Single 1,026.98 1,042.60 1,057.20 1,071.80 1,086.40 1,101.01 1,115.61 1,130.21 1,144.81 1,159.42 ** 19971997 Head of Household 1,063.89 1,078.50 1,093.10 1,107.70 1,122.30 1,136.91 1,151.51 1,166.11 1,180.71 1,195.32 ** 19971997 Married Filing joint 1,135.38 1,149.99 1,164.22 1,172.98 1,181.74 1,190.50 1,199.27 1,208.03 1,216.79 ** 19971997 Married Filling Separate 1,020.40 1,036.76 1,053.11 1,069.47 1,085.82 1,101.01 1,115.61 1,130.21 1,144.81 1,159.42 ** 1997

1998 Single 1,027.42 1,043.06 1,057.66 1,072.26 1,086.86 1,101.47 1,116.07 1,130.67 1,145.27 1,159.88 ** 19981998 Head of Household 1,064.36 1,078.96 1,093.56 1,108.17 1,122.77 1,137.37 1,151.97 1,166.58 1,181.18 1,195.78 ** 19981998 Married Filing joint 1,135.85 1,150.45 1,164.76 1,173.52 1,182.28 1,191.04 1,199.80 1,208.57 1,217.33 ** 19981998 Married Filling Separate 1,020.84 1,037.20 1,053.55 1,069.90 1,086.26 1,101.47 1,116.07 1,130.67 1,145.27 1,159.88 ** 1998

1999 Single 1,027.85 1,043.52 1,058.12 1,072.72 1,087.32 1,101.93 1,116.53 1,131.13 1,145.73 1,160.34 ** 19991999 Head of Household 1,064.82 1,079.43 1,094.03 1,108.63 1,123.23 1,137.84 1,152.44 1,167.04 1,181.64 1,196.25 ** 19991999 Married Filing joint 1,136.31 1,150.91 1,165.30 1,174.06 1,182.82 1,191.58 1,200.34 1,209.11 1,217.87 ** 19991999 Married Filling Separate 1,021.28 1,037.63 1,053.99 1,070.34 1,086.70 1,101.93 1,116.53 1,131.13 1,145.73 1,160.34 ** 1999

2000 Single 1,028.29 1,043.98 1,058.58 1,073.18 1,087.78 1,102.39 1,116.99 1,131.59 1,146.19 1,160.80 ** 20002000 Head of Household 1,065.29 1,079.89 1,094.49 1,109.09 1,123.70 1,138.30 1,152.90 1,167.50 1,182.11 1,196.71 ** 20002000 Married Filing joint 1,136.77 1,151.38 1,165.84 1,174.60 1,183.36 1,192.12 1,200.88 1,209.64 1,218.41 ** 20002000 Married Filling Separate 1,021.72 1,038.07 1,054.43 1,070.78 1,087.13 1,102.39 1,116.99 1,131.59 1,146.19 1,160.80 ** 2000

Page 270: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2001 Single 1,028.73 1,044.44 1,059.04 1,073.64 1,088.24 1,102.85 1,117.45 1,132.05 1,146.65 1,161.26 ** 20012001 Head of Household 1,065.75 1,080.35 1,094.96 1,109.56 1,124.16 1,138.76 1,153.37 1,167.97 1,182.57 1,197.17 ** 20012001 Married Filing joint 1,137.24 1,151.84 1,166.38 1,175.14 1,183.90 1,192.66 1,201.42 1,210.18 1,218.94 ** 20012001 Married Filling Separate 1,022.15 1,038.51 1,054.86 1,071.22 1,087.57 1,102.85 1,117.45 1,132.05 1,146.65 1,161.26 ** 2001

2002 Single 1,029.17 1,044.90 1,059.50 1,074.10 1,088.70 1,103.31 1,117.91 1,132.51 1,147.11 1,161.72 ** 20022002 Head of Household 1,066.21 1,080.82 1,095.42 1,110.02 1,124.62 1,139.23 1,153.83 1,168.43 1,183.03 1,197.64 ** 20022002 Married Filing joint 1,137.70 1,152.31 1,166.91 1,175.68 1,184.44 1,193.20 1,201.96 1,210.72 1,219.48 ** 20022002 Married Filling Separate 1,022.59 1,038.95 1,055.30 1,071.66 1,088.01 1,103.31 1,117.91 1,132.51 1,147.11 1,161.72 ** 2002

2003 Single 1,029.61 1,045.36 1,059.96 1,074.56 1,089.16 1,103.77 1,118.37 1,132.97 1,147.57 1,162.18 ** 20032003 Head of Household 1,066.68 1,081.28 1,095.88 1,110.49 1,125.09 1,139.69 1,154.29 1,168.90 1,183.50 1,198.10 ** 20032003 Married Filing joint 1,138.17 1,152.77 1,167.37 1,176.21 1,184.98 1,193.74 1,202.50 1,211.26 1,220.02 ** 20032003 Married Filling Separate 1,023.03 1,039.38 1,055.74 1,072.09 1,088.45 1,103.77 1,118.37 1,132.97 1,147.57 1,162.18 ** 2003

2004 Single 1,030.04 1,045.82 1,060.42 1,075.02 1,089.62 1,104.23 1,118.83 1,133.43 1,148.03 1,162.64 ** 20042004 Head of Household 1,067.14 1,081.74 1,096.35 1,110.95 1,125.55 1,140.15 1,154.76 1,169.36 1,183.96 1,198.56 ** 20042004 Married Filing joint 1,138.63 1,153.23 1,167.84 1,176.75 1,185.52 1,194.28 1,203.04 1,211.80 1,220.56 ** 20042004 Married Filling Separate 1,023.47 1,039.82 1,056.18 1,072.53 1,088.89 1,104.23 1,118.83 1,133.43 1,148.03 1,162.64 ** 2004

2005 Single 1,030.48 1,046.28 1,060.88 1,075.48 1,090.09 1,104.69 1,119.29 1,133.89 1,148.50 1,163.10 ** 20052005 Head of Household 1,067.61 1,082.21 1,096.81 1,111.41 1,126.02 1,140.62 1,155.22 1,169.82 1,184.43 1,199.03 ** 20052005 Married Filing joint 1,139.09 1,153.70 1,168.30 1,177.29 1,186.05 1,194.82 1,203.58 1,212.34 1,221.10 ** 20052005 Married Filling Separate 1,023.90 1,040.26 1,056.61 1,072.97 1,089.32 1,104.69 1,119.29 1,133.89 1,148.50 1,163.10 ** 2005

2006 Single 1,030.92 1,046.74 1,061.34 1,075.94 1,090.55 1,105.15 1,119.75 1,134.35 1,148.96 1,163.56 ** 20062006 Head of Household 1,068.07 1,082.67 1,097.27 1,111.88 1,126.48 1,141.08 1,155.68 1,170.29 1,184.89 1,199.49 ** 20062006 Married Filing joint 1,139.56 1,154.16 1,168.76 1,177.83 1,186.59 1,195.35 1,204.12 1,212.88 1,221.64 ** 20062006 Married Filling Separate 1,024.34 1,040.70 1,057.05 1,073.41 1,089.76 1,105.15 1,119.75 1,134.35 1,148.96 1,163.56 ** 2006

2007 Single 1,031.36 1,047.20 1,061.80 1,076.40 1,091.01 1,105.61 1,120.21 1,134.81 1,149.42 1,164.02 ** 20072007 Head of Household 1,068.53 1,083.14 1,097.74 1,112.34 1,126.94 1,141.55 1,156.15 1,170.75 1,185.35 1,199.96 ** 20072007 Married Filing joint 1,140.02 1,154.62 1,169.23 1,178.37 1,187.13 1,195.89 1,204.65 1,213.42 1,222.18 ** 20072007 Married Filling Separate 1,024.78 1,041.13 1,057.49 1,073.84 1,090.20 1,105.61 1,120.21 1,134.81 1,149.42 1,164.02 ** 2007

2008 Single 1,031.79 1,047.66 1,062.26 1,076.86 1,091.47 1,106.07 1,120.67 1,135.27 1,149.88 1,164.48 ** 20082008 Head of Household 1,069.00 1,083.60 1,098.20 1,112.81 1,127.41 1,142.01 1,156.61 1,171.22 1,185.82 1,200.42 ** 20082008 Married Filing joint 1,140.49 1,155.09 1,169.69 1,178.91 1,187.67 1,196.43 1,205.19 1,213.96 1,222.72 ** 20082008 Married Filling Separate 1,025.22 1,041.57 1,057.93 1,074.28 1,090.64 1,106.07 1,120.67 1,135.27 1,149.88 1,164.48 ** 2008

Page 271: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2009 Single 1,032.23 1,048.12 1,062.72 1,077.32 1,091.93 1,106.53 1,121.13 1,135.73 1,150.34 1,164.94 ** 20092009 Head of Household 1,069.46 1,084.06 1,098.67 1,113.27 1,127.87 1,142.47 1,157.08 1,171.68 1,186.28 1,200.88 ** 20092009 Married Filing joint 1,140.95 1,155.55 1,170.15 1,179.45 1,188.21 1,196.97 1,205.73 1,214.49 1,223.26 ** 20092009 Married Filling Separate 1,025.65 1,042.01 1,058.36 1,074.72 1,091.07 1,106.53 1,121.13 1,135.73 1,150.34 1,164.94 ** 2009

2010 Single 1,032.67 1,048.58 1,063.18 1,077.78 1,092.39 1,106.99 1,121.59 1,136.19 1,150.80 1,165.40 ** 20102010 Head of Household 1,069.93 1,084.53 1,099.13 1,113.73 1,128.34 1,142.94 1,157.54 1,172.14 1,186.75 1,201.35 ** 20102010 Married Filing joint 1,141.41 1,156.02 1,170.62 1,179.99 1,188.75 1,197.51 1,206.27 1,215.03 1,223.79 ** 20102010 Married Filling Separate 1,026.09 1,042.45 1,058.80 1,075.16 1,091.51 1,106.99 1,121.59 1,136.19 1,150.80 1,165.40 ** 2010

2011 Single 1,033.11 1,049.04 1,063.64 1,078.24 1,092.85 1,107.45 1,122.05 1,136.65 1,151.26 1,165.86 ** 20112011 Head of Household 1,070.39 1,084.99 1,099.59 1,114.20 1,128.80 1,143.40 1,158.00 1,172.61 1,187.21 1,201.81 ** 20112011 Married Filing joint 1,141.88 1,156.48 1,171.08 1,180.53 1,189.29 1,198.05 1,206.81 1,215.57 1,224.33 ** 20112011 Married Filling Separate 1,026.53 1,042.88 1,059.24 1,075.59 1,091.95 1,107.45 1,122.05 1,136.65 1,151.26 1,165.86 ** 2011

2012 Single 1,033.54 1,049.50 1,064.10 1,078.70 1,093.31 1,107.91 1,122.51 1,137.11 1,151.72 1,166.32 ** 20122012 Head of Household 1,070.85 1,085.46 1,100.06 1,114.66 1,129.26 1,143.87 1,158.47 1,173.07 1,187.67 1,202.28 ** 20122012 Married Filing joint 1,142.34 1,156.94 1,171.55 1,181.06 1,189.83 1,198.59 1,207.35 1,216.11 1,224.87 ** 20122012 Married Filling Separate 1,026.97 1,043.32 1,059.68 1,076.03 1,092.39 1,107.91 1,122.51 1,137.11 1,151.72 1,166.32 ** 2012

2013 Single 1,033.98 1,049.96 1,064.56 1,079.16 1,093.77 1,108.37 1,122.97 1,137.57 1,152.18 1,166.78 ** 20132013 Head of Household 1,071.32 1,085.92 1,100.52 1,115.12 1,129.73 1,144.33 1,158.93 1,173.53 1,188.14 1,202.74 ** 20132013 Married Filing joint 1,142.81 1,157.41 1,172.01 1,181.60 1,190.36 1,199.13 1,207.89 1,216.65 1,225.41 ** 20132013 Married Filling Separate 1,027.40 1,043.76 1,060.11 1,076.47 1,092.82 1,108.37 1,122.97 1,137.57 1,152.18 1,166.78 ** 2013

2014 Single 1,034.42 1,050.42 1,065.02 1,079.62 1,094.23 1,108.83 1,123.43 1,138.03 1,152.64 1,167.24 ** 20142014 Head of Household 1,071.78 1,086.38 1,100.99 1,115.59 1,130.19 1,144.79 1,159.40 1,174.00 1,188.60 1,203.20 ** 20142014 Married Filing joint 1,143.27 1,157.87 1,172.47 1,182.14 1,190.90 1,199.67 1,208.43 1,217.19 1,225.95 ** 20142014 Married Filling Separate 1,027.84 1,044.20 1,060.55 1,076.91 1,093.26 1,108.83 1,123.43 1,138.03 1,152.64 1,167.24 ** 2014

2015 Single 1,034.86 1,050.88 1,065.48 1,080.08 1,094.69 1,109.29 1,123.89 1,138.49 1,153.10 1,167.70 ** 20152015 Head of Household 1,072.24 1,086.85 1,101.45 1,116.05 1,130.65 1,145.26 1,159.86 1,174.46 1,189.06 1,203.67 ** 20152015 Married Filing joint 1,143.73 1,158.34 1,172.94 1,182.68 1,191.44 1,200.20 1,208.97 1,217.73 1,226.49 ** 20152015 Married Filling Separate 1,028.28 1,044.63 1,060.99 1,077.34 1,093.70 1,109.29 1,123.89 1,138.49 1,153.10 1,167.70 ** 2015

2016 Single 1,035.29 1,051.34 1,065.94 1,080.54 1,095.15 1,109.75 1,124.35 1,138.95 1,153.56 1,168.16 ** 20162016 Head of Household 1,072.71 1,087.31 1,101.91 1,116.52 1,131.12 1,145.72 1,160.32 1,174.93 1,189.53 1,204.13 ** 20162016 Married Filing joint 1,144.20 1,158.80 1,173.40 1,183.22 1,191.98 1,200.74 1,209.50 1,218.27 1,227.03 ** 20162016 Married Filling Separate 1,028.72 1,045.07 1,061.43 1,077.78 1,094.14 1,109.75 1,124.35 1,138.95 1,153.56 1,168.16 ** 2016

Page 272: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2017 Single 1,035.73 1,051.80 1,066.40 1,081.00 1,095.61 1,110.21 1,124.81 1,139.41 1,154.02 1,168.62 ** 20172017 Head of Household 1,073.17 1,087.77 1,102.38 1,116.98 1,131.58 1,146.18 1,160.79 1,175.39 1,189.99 1,204.59 ** 20172017 Married Filing joint 1,144.66 1,159.26 1,173.87 1,183.76 1,192.52 1,201.28 1,210.04 1,218.80 1,227.57 ** 20172017 Married Filling Separate 1,029.16 1,045.51 1,061.86 1,078.22 1,094.57 1,110.21 1,124.81 1,139.41 1,154.02 1,168.62 ** 2017

2018 Single 1,036.17 1,052.26 1,066.86 1,081.46 1,096.07 1,110.67 1,125.27 1,139.87 1,154.48 1,169.08 ** 20182018 Head of Household 1,073.64 1,088.24 1,102.84 1,117.44 1,132.05 1,146.65 1,161.25 1,175.85 1,190.46 1,205.06 ** 20182018 Married Filing joint 1,145.12 1,159.73 1,174.33 1,184.30 1,193.06 1,201.82 1,210.58 1,219.34 1,228.11 ** 20182018 Married Filling Separate 1,029.59 1,045.95 1,062.30 1,078.66 1,095.01 1,110.67 1,125.27 1,139.87 1,154.48 1,169.08 ** 2018

2019 Single 1,036.61 1,052.72 1,067.32 1,081.92 1,096.53 1,111.13 1,125.73 1,140.33 1,154.94 1,169.54 ** 20192019 Head of Household 1,074.10 1,088.70 1,103.31 1,117.91 1,132.51 1,147.11 1,161.72 1,176.32 1,190.92 1,205.52 ** 20192019 Married Filing joint 1,145.59 1,160.19 1,174.79 1,184.84 1,193.60 1,202.36 1,211.12 1,219.88 1,228.64 ** 20192019 Married Filling Separate 1,030.03 1,046.39 1,062.74 1,079.09 1,095.45 1,111.13 1,125.73 1,140.33 1,154.94 1,169.54 ** 2019

2020 Single 1,037.04 1,053.18 1,067.78 1,082.38 1,096.99 1,111.59 1,126.19 1,140.79 1,155.40 1,170.00 ** 20202020 Head of Household 1,074.56 1,089.17 1,103.77 1,118.37 1,132.97 1,147.58 1,162.18 1,176.78 1,191.38 1,205.99 ** 20202020 Married Filing joint 1,146.05 1,160.65 1,175.26 1,185.38 1,194.14 1,202.90 1,211.66 1,220.42 1,229.18 ** 20202020 Married Filling Separate 1,030.47 1,046.82 1,063.18 1,079.53 1,095.89 1,111.59 1,126.19 1,140.79 1,155.40 1,170.00 ** 2020

2021 Single 1,037.48 1,053.64 1,068.24 1,082.84 1,097.45 1,112.05 1,126.65 1,141.25 1,155.86 1,170.46 ** 20212021 Head of Household 1,075.03 1,089.63 1,104.23 1,118.84 1,133.44 1,148.04 1,162.64 1,177.25 1,191.85 1,206.45 ** 20212021 Married Filing joint 1,146.52 1,161.12 1,175.72 1,185.91 1,194.68 1,203.44 1,212.20 1,220.96 1,229.72 ** 20212021 Married Filling Separate 1,030.91 1,047.26 1,063.62 1,079.97 1,096.33 1,112.05 1,126.65 1,141.25 1,155.86 1,170.46 ** 2021

2022 Single 1,037.92 1,054.10 1,068.70 1,083.30 1,097.91 1,112.51 1,127.11 1,141.71 1,156.32 1,170.92 ** 20222022 Head of Household 1,075.49 1,090.09 1,104.70 1,119.30 1,133.90 1,148.50 1,163.11 1,177.71 1,192.31 1,206.91 ** 20222022 Married Filing joint 1,146.98 1,161.58 1,176.19 1,186.45 1,195.21 1,203.98 1,212.74 1,221.50 1,230.26 ** 20222022 Married Filling Separate 1,031.34 1,047.70 1,064.05 1,080.41 1,096.76 1,112.51 1,127.11 1,141.71 1,156.32 1,170.92 ** 2022

2023 Single 1,038.36 1,054.56 1,069.16 1,083.76 1,098.37 1,112.97 1,127.57 1,142.17 1,156.78 1,171.38 ** 20232023 Head of Household 1,075.96 1,090.56 1,105.16 1,119.76 1,134.37 1,148.97 1,163.57 1,178.17 1,192.78 1,207.38 ** 20232023 Married Filing joint 1,147.44 1,162.05 1,176.65 1,186.99 1,195.75 1,204.52 1,213.28 1,222.04 1,230.80 ** 20232023 Married Filling Separate 1,031.78 1,048.14 1,064.49 1,080.85 1,097.20 1,112.97 1,127.57 1,142.17 1,156.78 1,171.38 ** 2023

2024 Single 1,038.80 1,055.02 1,069.62 1,084.22 1,098.83 1,113.43 1,128.03 1,142.63 1,157.24 1,171.84 ** 20242024 Head of Household 1,076.42 1,091.02 1,105.62 1,120.23 1,134.83 1,149.43 1,164.03 1,178.64 1,193.24 1,207.84 ** 20242024 Married Filing joint 1,147.91 1,162.51 1,177.11 1,187.53 1,196.29 1,205.05 1,213.82 1,222.58 1,231.34 ** 20242024 Married Filling Separate 1,032.22 1,048.57 1,064.93 1,081.28 1,097.64 1,113.43 1,128.03 1,142.63 1,157.24 1,171.84 ** 2024

Page 273: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2025 Single 1,039.23 1,055.48 1,070.08 1,084.69 1,099.29 1,113.89 1,128.49 1,143.10 1,157.70 1,172.30 ** 20252025 Head of Household 1,076.88 1,091.49 1,106.09 1,120.69 1,135.29 1,149.90 1,164.50 1,179.10 1,193.70 1,208.31 ** 20252025 Married Filing joint 1,148.37 1,162.97 1,177.58 1,188.07 1,196.83 1,205.59 1,214.35 1,223.12 1,231.88 ** 20252025 Married Filling Separate 1,032.66 1,049.01 1,065.37 1,081.72 1,098.08 1,113.89 1,128.49 1,143.10 1,157.70 1,172.30 ** 2025

2026 Single 1,039.67 1,055.94 1,070.54 1,085.15 1,099.75 1,114.35 1,128.95 1,143.56 1,158.16 1,172.76 ** 20262026 Head of Household 1,077.35 1,091.95 1,106.55 1,121.15 1,135.76 1,150.36 1,164.96 1,179.56 1,194.17 1,208.77 ** 20262026 Married Filing joint 1,148.84 1,163.44 1,178.04 1,188.61 1,197.37 1,206.13 1,214.89 1,223.65 1,232.42 ** 20262026 Married Filling Separate 1,033.09 1,049.45 1,065.80 1,082.16 1,098.51 1,114.35 1,128.95 1,143.56 1,158.16 1,172.76 ** 2026

2027 Single 1,040.11 1,056.40 1,071.00 1,085.61 1,100.21 1,114.81 1,129.41 1,144.02 1,158.62 1,173.22 ** 20272027 Head of Household 1,077.81 1,092.41 1,107.02 1,121.62 1,136.22 1,150.82 1,165.43 1,180.03 1,194.63 1,209.23 ** 20272027 Married Filing joint 1,149.30 1,163.90 1,178.50 1,189.15 1,197.91 1,206.67 1,215.43 1,224.19 1,232.96 ** 20272027 Married Filling Separate 1,033.53 1,049.89 1,066.24 1,082.60 1,098.95 1,114.81 1,129.41 1,144.02 1,158.62 1,173.22 ** 2027

2028 Single 1,040.55 1,056.86 1,071.46 1,086.07 1,100.67 1,115.27 1,129.87 1,144.48 1,159.08 1,173.68 ** 20282028 Head of Household 1,078.28 1,092.88 1,107.48 1,122.08 1,136.69 1,151.29 1,165.89 1,180.49 1,195.10 1,209.70 ** 20282028 Married Filing joint 1,149.76 1,164.37 1,178.97 1,189.69 1,198.45 1,207.21 1,215.97 1,224.73 1,233.49 ** 20282028 Married Filling Separate 1,033.97 1,050.32 1,066.68 1,083.03 1,099.39 1,115.27 1,129.87 1,144.48 1,159.08 1,173.68 ** 2028

2029 Single 1,040.98 1,057.32 1,071.92 1,086.53 1,101.13 1,115.73 1,130.33 1,144.94 1,159.54 1,174.14 ** 20292029 Head of Household 1,078.74 1,093.34 1,107.94 1,122.55 1,137.15 1,151.75 1,166.35 1,180.96 1,195.56 1,210.16 ** 20292029 Married Filing joint 1,149.65 1,164.25 1,178.85 1,189.65 1,198.41 1,207.17 1,215.93 1,224.69 1,233.46 ** 20292029 Married Filling Separate 1,034.41 1,050.76 1,067.12 1,083.47 1,099.83 1,115.73 1,130.33 1,144.94 1,159.54 1,174.14 ** 2029

2030 Single 1,041.42 1,057.78 1,072.38 1,086.99 1,101.59 1,116.19 1,130.79 1,145.40 1,160.00 1,174.60 ** 20302030 Head of Household 1,079.20 1,093.81 1,108.41 1,123.01 1,137.61 1,152.22 1,166.82 1,181.42 1,196.02 1,210.63 ** 20302030 Married Filing joint 1,150.11 1,164.72 1,179.32 1,190.19 1,198.95 1,207.71 1,216.47 1,225.23 1,233.99 ** 20302030 Married Filling Separate 1,034.84 1,051.20 1,067.55 1,083.91 1,100.26 1,116.19 1,130.79 1,145.40 1,160.00 1,174.60 ** 2030

2031 Single 1,041.86 1,058.21 1,072.84 1,087.45 1,102.05 1,116.65 1,131.25 1,145.86 1,160.46 1,175.06 ** 20312031 Head of Household 1,079.67 1,094.27 1,108.87 1,123.47 1,138.08 1,152.68 1,167.28 1,181.88 1,196.49 1,211.09 ** 20312031 Married Filing joint 1,150.58 1,165.18 1,179.78 1,190.73 1,199.49 1,208.25 1,217.01 1,225.77 1,234.53 ** 20312031 Married Filling Separate 1,035.28 1,051.64 1,067.99 1,084.35 1,100.70 1,116.65 1,131.25 1,145.86 1,160.46 1,175.06 ** 2031

2032 Single 1,042.30 1,058.65 1,073.30 1,087.91 1,102.51 1,117.11 1,131.71 1,146.32 1,160.92 1,175.52 ** 20322032 Head of Household 1,080.13 1,094.73 1,109.34 1,123.94 1,138.54 1,153.14 1,167.75 1,182.35 1,196.95 1,211.55 ** 20322032 Married Filing joint 1,151.04 1,165.64 1,180.25 1,191.26 1,200.03 1,208.79 1,217.55 1,226.31 1,235.07 ** 20322032 Married Filling Separate 1,035.72 1,052.07 1,068.43 1,084.78 1,101.14 1,117.11 1,131.71 1,146.32 1,160.92 1,175.52 ** 2032

Page 274: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2033 Single 1,042.73 1,059.09 1,073.76 1,088.37 1,102.97 1,117.57 1,132.17 1,146.78 1,161.38 1,175.98 ** 20332033 Head of Household 1,080.59 1,095.20 1,109.80 1,124.40 1,139.00 1,153.61 1,168.21 1,182.81 1,197.41 1,212.02 ** 20332033 Married Filing joint 1,151.51 1,166.11 1,180.71 1,191.80 1,200.56 1,209.33 1,218.09 1,226.85 1,235.61 ** 20332033 Married Filling Separate 1,036.16 1,052.51 1,068.87 1,085.22 1,101.58 1,117.57 1,132.17 1,146.78 1,161.38 1,175.98 ** 2033

2034 Single 1,043.17 1,059.53 1,074.22 1,088.83 1,103.43 1,118.03 1,132.63 1,147.24 1,161.84 1,176.44 ** 20342034 Head of Household 1,081.06 1,095.66 1,110.26 1,124.87 1,139.47 1,154.07 1,168.67 1,183.28 1,197.88 1,212.48 ** 20342034 Married Filing joint 1,151.97 1,166.57 1,181.17 1,192.34 1,201.10 1,209.87 1,218.63 1,227.39 1,236.15 ** 20342034 Married Filling Separate 1,036.59 1,052.95 1,069.30 1,085.66 1,102.01 1,118.03 1,132.63 1,147.24 1,161.84 1,176.44 ** 2034

2035 Single 1,043.61 1,059.96 1,074.68 1,089.29 1,103.89 1,118.49 1,133.09 1,147.70 1,162.30 1,176.90 ** 20352035 Head of Household 1,081.52 1,096.12 1,110.73 1,125.33 1,139.93 1,154.53 1,169.14 1,183.74 1,198.34 1,212.94 ** 20352035 Married Filing joint 1,152.43 1,167.04 1,181.64 1,192.88 1,201.64 1,210.40 1,219.17 1,227.93 1,236.69 ** 20352035 Married Filling Separate 1,037.03 1,053.39 1,069.74 1,086.10 1,102.45 1,118.49 1,133.09 1,147.70 1,162.30 1,176.90 ** 2035

2036 Single 1,044.05 1,060.40 1,075.14 1,089.75 1,104.35 1,118.95 1,133.55 1,148.16 1,162.76 1,177.36 ** 20362036 Head of Household 1,081.99 1,096.59 1,111.19 1,125.79 1,140.40 1,155.00 1,169.60 1,184.20 1,198.81 1,213.41 ** 20362036 Married Filing joint 1,152.90 1,167.50 1,182.10 1,193.42 1,202.18 1,210.94 1,219.70 1,228.47 1,237.23 ** 20362036 Married Filling Separate 1,037.47 1,053.83 1,070.18 1,086.53 1,102.89 1,118.95 1,133.55 1,148.16 1,162.76 1,177.36 ** 2036

2037 Single 1,044.48 1,060.84 1,075.60 1,090.21 1,104.81 1,119.41 1,134.01 1,148.62 1,163.22 1,177.82 ** 20372037 Head of Household 1,082.45 1,097.05 1,111.65 1,126.26 1,140.86 1,155.46 1,170.06 1,184.67 1,199.27 1,213.87 ** 20372037 Married Filing joint 1,153.36 1,167.96 1,182.57 1,193.96 1,202.72 1,211.48 1,220.24 1,229.00 1,237.77 ** 20372037 Married Filling Separate 1,037.91 1,054.26 1,070.62 1,086.97 1,103.33 1,119.41 1,134.01 1,148.62 1,163.22 1,177.82 ** 2037

2038 Single 1,044.92 1,061.28 1,076.06 1,090.67 1,105.27 1,119.87 1,134.47 1,149.08 1,163.68 1,178.28 ** 20382038 Head of Household 1,082.91 1,097.52 1,112.12 1,126.72 1,141.32 1,155.93 1,170.53 1,185.13 1,199.73 1,214.34 ** 20382038 Married Filing joint 1,153.82 1,168.43 1,183.03 1,194.50 1,203.26 1,212.02 1,220.78 1,229.54 1,238.31 ** 20382038 Married Filling Separate 1,038.35 1,054.70 1,071.06 1,087.41 1,103.76 1,119.87 1,134.47 1,149.08 1,163.68 1,178.28 ** 2038

2039 Single 1,045.36 1,061.71 1,076.52 1,091.13 1,105.73 1,120.33 1,134.93 1,149.54 1,164.14 1,178.74 ** 20392039 Head of Household 1,083.38 1,097.98 1,112.58 1,127.19 1,141.79 1,156.39 1,170.99 1,185.60 1,200.20 1,214.80 ** 20392039 Married Filing joint 1,154.29 1,168.89 1,183.49 1,195.04 1,203.80 1,212.56 1,221.32 1,230.08 1,238.84 ** 20392039 Married Filling Separate 1,038.78 1,055.14 1,071.49 1,087.85 1,104.20 1,120.33 1,134.93 1,149.54 1,164.14 1,178.74 ** 2039

2040 Single 1,045.80 1,062.15 1,076.98 1,091.59 1,106.19 1,120.79 1,135.39 1,150.00 1,164.60 1,179.20 ** 20402040 Head of Household 1,083.84 1,098.44 1,113.05 1,127.65 1,142.25 1,156.85 1,171.46 1,186.06 1,200.66 1,215.26 ** 20402040 Married Filing joint 1,154.75 1,169.35 1,183.96 1,195.58 1,204.34 1,213.10 1,221.86 1,230.62 1,239.38 ** 20402040 Married Filling Separate 1,039.22 1,055.58 1,071.93 1,088.29 1,104.64 1,120.79 1,135.39 1,150.00 1,164.60 1,179.20 ** 2040

Page 275: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2041 Single 1,046.24 1,062.59 1,077.44 1,092.05 1,106.65 1,121.25 1,135.85 1,150.46 1,165.06 1,179.66 ** 20412041 Head of Household 1,084.31 1,098.91 1,113.51 1,128.11 1,142.72 1,157.32 1,171.92 1,186.52 1,201.13 1,215.73 ** 20412041 Married Filing joint 1,155.22 1,169.82 1,184.42 1,196.11 1,204.88 1,213.64 1,222.40 1,231.16 1,239.92 ** 20412041 Married Filling Separate 1,039.66 1,056.01 1,072.37 1,088.72 1,105.08 1,121.25 1,135.85 1,150.46 1,165.06 1,179.66 ** 2041

2042 Single 1,046.67 1,063.03 1,077.90 1,092.51 1,107.11 1,121.71 1,136.31 1,150.92 1,165.52 1,180.12 ** 20422042 Head of Household 1,084.77 1,099.37 1,113.97 1,128.58 1,143.18 1,157.78 1,172.38 1,186.99 1,201.59 1,216.19 ** 20422042 Married Filing joint 1,155.68 1,170.28 1,184.89 1,196.65 1,205.41 1,214.18 1,222.94 1,231.70 1,240.46 ** 20422042 Married Filling Separate 1,040.10 1,056.45 1,072.81 1,089.16 1,105.52 1,121.71 1,136.31 1,150.92 1,165.52 1,180.12 ** 2042

2043 Single 1,047.11 1,063.47 1,078.36 1,092.97 1,107.57 1,122.17 1,136.77 1,151.38 1,165.98 1,180.58 ** 20432043 Head of Household 1,085.23 1,099.84 1,114.44 1,129.04 1,143.64 1,158.25 1,172.85 1,187.45 1,202.05 1,216.66 ** 20432043 Married Filing joint 1,156.14 1,170.75 1,185.35 1,197.19 1,205.95 1,214.72 1,223.48 1,232.24 1,241.00 ** 20432043 Married Filling Separate 1,040.53 1,056.89 1,073.24 1,089.60 1,105.95 1,122.17 1,136.77 1,151.38 1,165.98 1,180.58 ** 2043

2044 Single 1,047.55 1,063.90 1,078.82 1,093.43 1,108.03 1,122.63 1,137.23 1,151.84 1,166.44 1,181.04 ** 20442044 Head of Household 1,085.70 1,100.30 1,114.90 1,129.50 1,144.11 1,158.71 1,173.31 1,187.91 1,202.52 1,217.12 ** 20442044 Married Filing joint 1,156.61 1,171.21 1,185.81 1,197.73 1,206.49 1,215.25 1,224.02 1,232.78 1,241.54 ** 20442044 Married Filling Separate 1,040.97 1,057.33 1,073.68 1,090.04 1,106.39 1,122.63 1,137.23 1,151.84 1,166.44 1,181.04 ** 2044

2045 Single 1,047.99 1,064.34 1,079.29 1,093.89 1,108.49 1,123.09 1,137.70 1,152.30 1,166.90 1,181.50 ** 20452045 Head of Household 1,086.16 1,100.76 1,115.37 1,129.97 1,144.57 1,159.17 1,173.78 1,188.38 1,202.98 1,217.58 ** 20452045 Married Filing joint 1,157.07 1,171.67 1,186.28 1,198.27 1,207.03 1,215.79 1,224.55 1,233.32 1,242.08 ** 20452045 Married Filling Separate 1,041.41 1,057.76 1,074.12 1,090.47 1,106.83 1,123.09 1,137.70 1,152.30 1,166.90 1,181.50 ** 2045

2046 Single 1,048.42 1,064.78 1,079.75 1,094.35 1,108.95 1,123.55 1,138.16 1,152.76 1,167.36 1,181.96 ** 20462046 Head of Household 1,086.62 1,101.23 1,115.83 1,130.43 1,145.03 1,159.64 1,174.24 1,188.84 1,203.44 1,218.05 ** 20462046 Married Filing joint 1,157.54 1,172.14 1,186.74 1,198.81 1,207.57 1,216.33 1,225.09 1,233.85 1,242.62 ** 20462046 Married Filling Separate 1,041.85 1,058.20 1,074.56 1,090.91 1,107.27 1,123.55 1,138.16 1,152.76 1,167.36 1,181.96 ** 2046

2047 Single 1,048.86 1,065.22 1,080.21 1,094.81 1,109.41 1,124.01 1,138.62 1,153.22 1,167.82 1,182.42 ** 20472047 Head of Household 1,087.09 1,101.69 1,116.29 1,130.90 1,145.50 1,160.10 1,174.70 1,189.31 1,203.91 1,218.51 ** 20472047 Married Filing joint 1,158.00 1,172.60 1,187.20 1,199.35 1,208.11 1,216.87 1,225.63 1,234.39 1,243.16 ** 20472047 Married Filling Separate 1,042.28 1,058.64 1,074.99 1,091.35 1,107.70 1,124.01 1,138.62 1,153.22 1,167.82 1,182.42 ** 2047

2048 Single 1,049.30 1,065.65 1,080.67 1,095.27 1,109.87 1,124.47 1,139.08 1,153.68 1,168.28 1,182.88 ** 20482048 Head of Household 1,087.55 1,102.16 1,116.76 1,131.36 1,145.96 1,160.57 1,175.17 1,189.77 1,204.37 1,218.98 ** 20482048 Married Filing joint 1,158.46 1,173.07 1,187.67 1,199.89 1,208.65 1,217.41 1,226.17 1,234.93 1,243.69 ** 20482048 Married Filling Separate 1,042.72 1,059.08 1,075.43 1,091.79 1,108.14 1,124.47 1,139.08 1,153.68 1,168.28 1,182.88 ** 2048

Page 276: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2049 Single 1,049.74 1,066.09 1,081.13 1,095.73 1,110.33 1,124.93 1,139.54 1,154.14 1,168.74 1,183.34 ** 20492049 Head of Household 1,087.56 1,102.16 1,116.76 1,131.37 1,145.97 1,160.57 1,175.17 1,189.78 1,204.38 1,218.98 ** 20492049 Married Filing joint 1,158.93 1,173.53 1,188.13 1,200.43 1,209.19 1,217.95 1,226.71 1,235.47 1,244.23 ** 20492049 Married Filling Separate 1,043.16 1,059.51 1,075.87 1,092.22 1,108.58 1,124.93 1,139.54 1,154.14 1,168.74 1,183.34 ** 2049

2050 Single 1,050.17 1,066.53 1,081.59 1,096.19 1,110.79 1,125.39 1,140.00 1,154.60 1,169.20 1,183.80 ** 20502050 Head of Household 1,088.02 1,102.63 1,117.23 1,131.83 1,146.43 1,161.04 1,175.64 1,190.24 1,204.84 1,219.45 ** 20502050 Married Filing joint 1,159.39 1,173.99 1,188.60 1,200.96 1,209.73 1,218.49 1,227.25 1,236.01 1,244.77 ** 20502050 Married Filling Separate 1,043.60 1,059.95 1,076.31 1,092.66 1,109.02 1,125.37 1,140.00 1,154.60 1,169.20 1,183.80 ** 2050

2051 Single 1,050.61 1,066.97 1,082.05 1,096.65 1,111.25 1,125.85 1,140.46 1,155.06 1,169.66 1,184.26 ** 20512051 Head of Household 1,088.49 1,103.09 1,117.69 1,132.29 1,146.90 1,161.50 1,176.10 1,190.70 1,205.31 1,219.91 ** 20512051 Married Filing joint 1,159.85 1,174.46 1,189.06 1,201.50 1,210.26 1,219.03 1,227.79 1,236.55 1,245.31 ** 20512051 Married Filling Separate 1,044.03 1,060.39 1,076.74 1,093.10 1,109.45 1,125.81 1,140.46 1,155.06 1,169.66 1,184.26 ** 2051

2052 Single 1,051.05 1,067.40 1,082.51 1,097.11 1,111.71 1,126.31 1,140.92 1,155.52 1,170.12 1,184.72 ** 20522052 Head of Household 1,088.95 1,103.55 1,118.16 1,132.76 1,147.36 1,161.96 1,176.57 1,191.17 1,205.77 1,220.37 ** 20522052 Married Filing joint 1,160.32 1,174.92 1,189.52 1,202.04 1,210.80 1,219.57 1,228.33 1,237.09 1,245.85 ** 20522052 Married Filling Separate 1,044.47 1,060.83 1,077.18 1,093.54 1,109.89 1,126.25 1,140.92 1,155.52 1,170.12 1,184.72 ** 2052

2053 Single 1,051.49 1,067.84 1,082.97 1,097.57 1,112.17 1,126.77 1,141.38 1,155.98 1,170.58 1,185.18 ** 20532053 Head of Household 1,089.41 1,104.02 1,118.62 1,133.22 1,147.82 1,162.43 1,177.03 1,191.63 1,206.23 1,220.84 ** 20532053 Married Filing joint 1,160.78 1,175.39 1,189.99 1,202.58 1,211.34 1,220.10 1,228.87 1,237.63 1,246.39 ** 20532053 Married Filling Separate 1,044.91 1,061.26 1,077.62 1,093.97 1,110.33 1,126.68 1,141.38 1,155.98 1,170.58 1,185.18 ** 2053

2054 Single 1,051.92 1,068.28 1,083.43 1,098.03 1,112.63 1,127.23 1,141.84 1,156.44 1,171.04 1,185.64 ** 20542054 Head of Household 1,089.88 1,104.48 1,119.08 1,133.69 1,148.29 1,162.89 1,177.49 1,192.10 1,206.70 1,221.30 ** 20542054 Married Filing joint 1,161.25 1,175.85 1,190.45 1,203.12 1,211.88 1,220.64 1,229.40 1,238.17 1,246.93 ** 20542054 Married Filling Separate 1,045.35 1,061.70 1,078.06 1,094.41 1,110.77 1,127.12 1,141.84 1,156.44 1,171.04 1,185.64 ** 2054

2055 Single 1,052.36 1,068.72 1,083.89 1,098.49 1,113.09 1,127.69 1,142.30 1,156.90 1,171.50 1,186.10 ** 20552055 Head of Household 1,090.34 1,104.94 1,119.55 1,134.15 1,148.75 1,163.35 1,177.96 1,192.56 1,207.16 1,221.76 ** 20552055 Married Filing joint 1,161.71 1,176.31 1,190.92 1,203.66 1,212.42 1,221.18 1,229.94 1,238.70 1,247.47 ** 20552055 Married Filling Separate 1,045.79 1,062.14 1,078.49 1,094.85 1,111.20 1,127.56 1,142.30 1,156.90 1,171.50 1,186.10 ** 2055

2056 Single 1,052.80 1,069.15 1,084.35 1,098.95 1,113.55 1,128.15 1,142.76 1,157.36 1,171.96 1,186.56 ** 20562056 Head of Household 1,090.81 1,105.41 1,120.01 1,134.61 1,149.22 1,163.82 1,178.42 1,193.02 1,207.63 1,222.23 ** 20562056 Married Filing joint 1,162.17 1,176.78 1,191.38 1,204.20 1,212.96 1,221.72 1,230.48 1,239.24 1,248.01 ** 20562056 Married Filling Separate 1,046.22 1,062.58 1,078.93 1,095.29 1,111.64 1,128.00 1,142.76 1,157.36 1,171.96 1,186.56 ** 2056

Page 277: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2057 Single 1,053.24 1,069.59 1,084.81 1,099.41 1,114.01 1,128.61 1,143.22 1,157.82 1,172.42 1,187.02 ** 20572057 Head of Household 1,091.27 1,105.87 1,120.47 1,135.08 1,149.68 1,164.28 1,178.88 1,193.49 1,208.09 1,222.69 ** 20572057 Married Filing joint 1,162.64 1,177.24 1,191.84 1,204.74 1,213.50 1,222.26 1,231.02 1,239.78 1,248.54 ** 20572057 Married Filling Separate 1,046.66 1,063.02 1,079.37 1,095.72 1,112.08 1,128.43 1,143.22 1,157.82 1,172.42 1,187.02 ** 2057

2058 Single 1,053.67 1,070.03 1,085.27 1,099.87 1,114.47 1,129.07 1,143.68 1,158.28 1,172.88 1,187.48 ** 20582058 Head of Household 1,091.73 1,106.34 1,120.94 1,135.54 1,150.14 1,164.75 1,179.35 1,193.95 1,208.55 1,223.16 ** 20582058 Married Filing joint 1,163.10 1,177.70 1,192.31 1,205.28 1,214.04 1,222.80 1,231.56 1,240.32 1,249.08 ** 20582058 Married Filling Separate 1,047.10 1,063.45 1,079.81 1,096.16 1,112.52 1,128.87 1,143.68 1,158.28 1,172.88 1,187.48 ** 2058

2059 Single 1,054.11 1,070.47 1,085.73 1,100.33 1,114.93 1,129.53 1,144.14 1,158.74 1,173.34 1,187.94 ** 20592059 Head of Household 1,092.20 1,106.80 1,121.40 1,136.01 1,150.61 1,165.21 1,179.81 1,194.42 1,209.02 1,223.62 ** 20592059 Married Filing joint 1,163.57 1,178.17 1,192.77 1,205.81 1,214.58 1,223.34 1,232.10 1,240.86 1,249.62 ** 20592059 Married Filling Separate 1,047.54 1,063.89 1,080.25 1,096.60 1,112.95 1,129.31 1,144.14 1,158.74 1,173.34 1,187.94 ** 2059

2060 Single 1,054.55 1,070.90 1,086.19 1,100.79 1,115.39 1,129.99 1,144.60 1,159.20 1,173.80 1,188.40 ** 20602060 Head of Household 1,092.66 1,107.26 1,121.87 1,136.47 1,151.07 1,165.67 1,180.28 1,194.88 1,209.48 1,224.08 ** 20602060 Married Filing joint 1,164.03 1,178.63 1,193.23 1,206.35 1,215.11 1,223.88 1,232.64 1,241.40 1,250.16 ** 20602060 Married Filling Separate 1,047.97 1,064.33 1,080.68 1,097.04 1,113.39 1,129.75 1,144.60 1,159.20 1,173.80 1,188.40 ** 2060

2061 Single 1,054.99 1,071.34 1,086.65 1,101.25 1,115.85 1,130.45 1,145.06 1,159.66 1,174.26 1,188.86 ** 20612061 Head of Household 1,093.13 1,107.73 1,122.33 1,136.93 1,151.54 1,166.14 1,180.74 1,195.34 1,209.95 1,224.55 ** 20612061 Married Filing joint 1,164.49 1,179.10 1,193.70 1,206.89 1,215.65 1,224.41 1,233.18 1,241.94 1,250.70 ** 20612061 Married Filling Separate 1,048.41 1,064.77 1,081.12 1,097.48 1,113.83 1,130.18 1,145.06 1,159.66 1,174.26 1,188.86 ** 2061

2062 Single 1,055.43 1,071.78 1,087.11 1,101.71 1,116.31 1,130.91 1,145.52 1,160.12 1,174.72 1,189.32 ** 20622062 Head of Household 1,093.59 1,108.19 1,122.79 1,137.40 1,152.00 1,166.60 1,181.20 1,195.81 1,210.41 1,225.01 ** 20622062 Married Filing joint 1,164.96 1,179.56 1,194.16 1,207.43 1,216.19 1,224.95 1,233.72 1,242.48 1,251.24 ** 20622062 Married Filling Separate 1,048.85 1,065.20 1,081.56 1,097.91 1,114.27 1,130.62 1,145.52 1,160.12 1,174.72 1,189.32 ** 2062

2063 Single 1,055.86 1,072.22 1,087.57 1,102.17 1,116.77 1,131.37 1,145.98 1,160.58 1,175.18 1,189.78 ** 20632063 Head of Household 1,094.05 1,108.66 1,123.26 1,137.86 1,152.46 1,167.07 1,181.67 1,196.27 1,210.87 1,225.48 ** 20632063 Married Filing joint 1,165.42 1,180.02 1,194.63 1,207.97 1,216.73 1,225.49 1,234.25 1,243.02 1,251.78 ** 20632063 Married Filling Separate 1,049.29 1,065.64 1,082.00 1,098.35 1,114.71 1,131.06 1,145.98 1,160.58 1,175.18 1,189.78 ** 2063

2064 Single 1,056.30 1,072.66 1,088.03 1,102.63 1,117.23 1,131.83 1,146.44 1,161.04 1,175.64 1,190.24 ** 20642064 Head of Household 1,094.52 1,109.12 1,123.72 1,138.32 1,152.93 1,167.53 1,182.13 1,196.73 1,211.34 1,225.94 ** 20642064 Married Filing joint 1,165.89 1,180.49 1,195.09 1,208.51 1,217.27 1,226.03 1,234.79 1,243.55 1,252.32 ** 20642064 Married Filling Separate 1,049.72 1,066.08 1,082.43 1,098.79 1,115.14 1,131.50 1,146.44 1,161.04 1,175.64 1,190.24 ** 2064

Page 278: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2065 Single 1,056.74 1,073.09 1,088.49 1,103.09 1,117.69 1,132.30 1,146.90 1,161.50 1,176.10 1,190.71 ** 20652065 Head of Household 1,094.98 1,109.58 1,124.19 1,138.79 1,153.39 1,167.99 1,182.60 1,197.20 1,211.80 1,226.40 ** 20652065 Married Filing joint 1,166.35 1,180.95 1,195.55 1,209.05 1,217.81 1,226.57 1,235.33 1,244.09 1,252.85 ** 20652065 Married Filling Separate 1,050.16 1,066.52 1,082.87 1,099.23 1,115.58 1,131.94 1,146.90 1,161.50 1,176.10 1,190.71 ** 2065

2066 Single 1,057.18 1,073.53 1,088.95 1,103.55 1,118.15 1,132.76 1,147.36 1,161.96 1,176.56 1,191.17 ** 20662066 Head of Household 1,095.44 1,110.05 1,124.65 1,139.25 1,153.85 1,168.46 1,183.06 1,197.66 1,212.26 1,226.87 ** 20662066 Married Filing joint 1,166.81 1,181.42 1,196.02 1,209.59 1,218.35 1,227.11 1,235.87 1,244.63 1,253.39 ** 20662066 Married Filling Separate 1,050.60 1,066.95 1,083.31 1,099.66 1,116.02 1,132.37 1,147.36 1,161.96 1,176.56 1,191.17 ** 2066

2067 Single 1,057.61 1,073.97 1,089.41 1,104.01 1,118.61 1,133.22 1,147.82 1,162.42 1,177.02 1,191.63 ** 20672067 Head of Household 1,095.91 1,110.51 1,125.11 1,139.72 1,154.32 1,168.92 1,183.52 1,198.13 1,212.73 1,227.33 ** 20672067 Married Filing joint 1,167.28 1,181.88 1,196.48 1,210.13 1,218.89 1,227.65 1,236.41 1,245.17 1,253.93 ** 20672067 Married Filling Separate 1,051.04 1,067.39 1,083.75 1,100.10 1,116.46 1,132.81 1,147.82 1,162.42 1,177.02 1,191.63 ** 2067

2068 Single 1,058.05 1,074.41 1,089.87 1,104.47 1,119.07 1,133.68 1,148.28 1,162.88 1,177.48 1,192.09 ** 20682068 Head of Household 1,096.37 1,110.98 1,125.58 1,140.18 1,154.78 1,169.39 1,183.99 1,198.59 1,213.19 1,227.80 ** 20682068 Married Filing joint 1,167.74 1,182.34 1,196.95 1,210.66 1,219.43 1,228.19 1,236.95 1,245.71 1,254.47 ** 20682068 Married Filling Separate 1,051.47 1,067.83 1,084.18 1,100.54 1,116.89 1,133.25 1,148.28 1,162.88 1,177.48 1,192.09 ** 2068

2069 Single 1,058.49 1,074.84 1,090.33 1,104.93 1,119.53 1,134.14 1,148.74 1,163.34 1,177.94 1,192.55 ** 20692069 Head of Household 1,096.84 1,111.44 1,126.04 1,140.64 1,155.25 1,169.85 1,184.45 1,199.05 1,213.66 1,228.26 ** 20692069 Married Filing joint 1,168.20 1,182.81 1,197.41 1,211.20 1,219.96 1,228.73 1,237.49 1,246.25 1,255.01 ** 20692069 Married Filling Separate 1,051.91 1,068.27 1,084.62 1,100.98 1,117.33 1,133.69 1,148.74 1,163.34 1,177.94 1,192.55 ** 2069

2070 Single 1,058.93 1,075.28 1,090.79 1,105.39 1,119.99 1,134.60 1,149.20 1,163.80 1,178.40 1,193.01 ** 20702070 Head of Household 1,097.30 1,111.90 1,126.51 1,141.11 1,155.71 1,170.31 1,184.92 1,199.52 1,214.12 1,228.72 ** 20702070 Married Filing joint 1,168.67 1,183.27 1,197.87 1,211.74 1,220.50 1,229.26 1,238.03 1,246.79 1,255.55 ** 20702070 Married Filling Separate 1,052.35 1,068.70 1,085.06 1,101.41 1,117.77 1,134.12 1,149.20 1,163.80 1,178.40 1,193.01 ** 2070

2071 Single 1,059.36 1,075.72 1,091.25 1,105.85 1,120.45 1,135.06 1,149.66 1,164.26 1,178.86 1,193.47 ** 20712071 Head of Household 1,097.76 1,112.37 1,126.97 1,141.57 1,156.17 1,170.78 1,185.38 1,199.98 1,214.58 1,229.19 ** 20712071 Married Filing joint 1,169.13 1,183.73 1,198.34 1,212.28 1,221.04 1,229.80 1,238.57 1,247.33 1,256.09 ** 20712071 Married Filling Separate 1,052.79 1,069.14 1,085.50 1,101.85 1,118.21 1,134.56 1,149.66 1,164.26 1,178.86 1,193.47 ** 2071

2072 Single 1,059.80 1,076.16 1,091.71 1,106.31 1,120.91 1,135.52 1,150.12 1,164.72 1,179.32 1,193.93 ** 20722072 Head of Household 1,098.23 1,112.83 1,127.43 1,142.04 1,156.64 1,171.24 1,185.84 1,200.45 1,215.05 1,229.65 ** 20722072 Married Filing joint 1,169.60 1,184.20 1,198.80 1,212.82 1,221.58 1,230.34 1,239.10 1,247.87 1,256.63 ** 20722072 Married Filling Separate 1,053.22 1,069.58 1,085.93 1,102.29 1,118.64 1,135.00 1,150.12 1,164.72 1,179.32 1,193.93 ** 2072

Page 279: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2073 Single 1,060.24 1,076.59 1,092.17 1,106.77 1,121.37 1,135.98 1,150.58 1,165.18 1,179.78 1,194.39 ** 20732073 Head of Household 1,098.69 1,113.29 1,127.90 1,142.50 1,157.10 1,171.70 1,186.31 1,200.91 1,215.51 1,230.11 ** 20732073 Married Filing joint 1,170.06 1,184.66 1,199.27 1,213.36 1,222.12 1,230.88 1,239.64 1,248.40 1,257.17 ** 20732073 Married Filling Separate 1,053.66 1,070.02 1,086.37 1,102.73 1,119.08 1,135.44 1,150.58 1,165.18 1,179.78 1,194.39 ** 2073

2074 Single 1,060.68 1,077.03 1,092.63 1,107.23 1,121.83 1,136.44 1,151.04 1,165.64 1,180.24 1,194.85 ** 20742074 Head of Household 1,099.16 1,113.76 1,128.36 1,142.96 1,157.57 1,172.17 1,186.77 1,201.37 1,215.98 1,230.58 ** 20742074 Married Filing joint 1,170.52 1,185.13 1,199.73 1,213.90 1,222.66 1,231.42 1,240.18 1,248.94 1,257.70 ** 20742074 Married Filling Separate 1,054.10 1,070.45 1,086.81 1,103.16 1,119.52 1,135.87 1,151.04 1,165.64 1,180.24 1,194.85 ** 2074

2075 Single 1,061.11 1,077.47 1,093.09 1,107.69 1,122.29 1,136.90 1,151.50 1,166.10 1,180.70 1,195.31 ** 20752075 Head of Household 1,099.62 1,114.22 1,128.82 1,143.43 1,158.03 1,172.63 1,187.23 1,201.84 1,216.44 1,231.04 ** 20752075 Married Filing joint 1,170.99 1,185.59 1,200.19 1,214.44 1,223.20 1,231.96 1,240.72 1,249.48 1,258.24 ** 20752075 Married Filling Separate 1,054.54 1,070.89 1,087.25 1,103.60 1,119.96 1,136.31 1,151.50 1,166.10 1,180.70 1,195.31 ** 2075

2076 Single 1,061.55 1,077.91 1,093.55 1,108.15 1,122.75 1,137.36 1,151.96 1,166.56 1,181.16 1,195.77 ** 20762076 Head of Household 1,100.08 1,114.69 1,129.29 1,143.89 1,158.49 1,173.10 1,187.70 1,202.30 1,216.90 1,231.51 ** 20762076 Married Filing joint 1,171.45 1,186.05 1,200.66 1,214.98 1,223.74 1,232.50 1,241.26 1,250.02 1,258.78 ** 20762076 Married Filling Separate 1,054.98 1,071.33 1,087.68 1,104.04 1,120.39 1,136.75 1,151.96 1,166.56 1,181.16 1,195.77 ** 2076

2077 Single 1,061.99 1,078.34 1,094.01 1,108.61 1,123.21 1,137.82 1,152.42 1,167.02 1,181.62 1,196.23 ** 20772077 Head of Household 1,100.55 1,115.15 1,129.75 1,144.35 1,158.96 1,173.56 1,188.16 1,202.76 1,217.37 1,231.97 ** 20772077 Married Filing joint 1,171.92 1,186.52 1,201.12 1,215.51 1,224.28 1,233.04 1,241.80 1,250.56 1,259.32 ** 20772077 Married Filling Separate 1,055.41 1,071.77 1,088.12 1,104.48 1,120.83 1,137.19 1,152.42 1,167.02 1,181.62 1,196.23 ** 2077

2078 Single 1,062.43 1,078.78 1,094.47 1,109.07 1,123.67 1,138.28 1,152.88 1,167.48 1,182.08 1,196.69 ** 20782078 Head of Household 1,101.01 1,115.61 1,130.22 1,144.82 1,159.42 1,174.02 1,188.63 1,203.23 1,217.83 1,232.43 ** 20782078 Married Filing joint 1,172.38 1,186.98 1,201.58 1,216.05 1,224.81 1,233.58 1,242.34 1,251.10 1,259.86 ** 20782078 Married Filling Separate 1,055.85 1,072.21 1,088.56 1,104.91 1,121.27 1,137.62 1,152.88 1,167.48 1,182.08 1,196.69 ** 2078

2079 Single 1,062.86 1,079.22 1,094.93 1,109.53 1,124.13 1,138.74 1,153.34 1,167.94 1,182.54 1,197.15 ** 20792079 Head of Household 1,101.48 1,116.08 1,130.68 1,145.28 1,159.89 1,174.49 1,189.09 1,203.69 1,218.30 1,232.90 ** 20792079 Married Filing joint 1,172.84 1,187.45 1,202.05 1,216.59 1,225.35 1,234.11 1,242.88 1,251.64 1,260.40 ** 20792079 Married Filling Separate 1,056.29 1,072.64 1,089.00 1,105.35 1,121.71 1,138.06 1,153.34 1,167.94 1,182.54 1,197.15 ** 2079

2080 Single 1,063.30 1,079.66 1,095.39 1,109.99 1,124.59 1,139.20 1,153.80 1,168.40 1,183.00 1,197.61 ** 20802080 Head of Household 1,101.94 1,116.54 1,131.14 1,145.75 1,160.35 1,174.95 1,189.55 1,204.16 1,218.76 1,233.36 ** 20802080 Married Filing joint 1,173.31 1,187.91 1,202.51 1,217.11 1,225.89 1,234.65 1,243.42 1,252.18 1,260.94 ** 20802080 Married Filling Separate 1,056.73 1,073.08 1,089.44 1,105.79 1,122.14 1,138.50 1,153.80 1,168.40 1,183.00 1,197.61 ** 2080

Page 280: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2081 Single 1,063.74 1,080.09 1,095.85 1,110.45 1,125.05 1,139.66 1,154.26 1,168.86 1,183.46 1,198.07 ** 20812081 Head of Household 1,102.40 1,117.01 1,131.61 1,146.21 1,160.81 1,175.42 1,190.02 1,204.62 1,219.22 1,233.83 ** 20812081 Married Filing joint 1,173.77 1,188.37 1,202.98 1,217.58 1,226.43 1,235.19 1,243.95 1,252.72 1,261.48 ** 20812081 Married Filling Separate 1,057.16 1,073.52 1,089.87 1,106.23 1,122.58 1,138.94 1,154.26 1,168.86 1,183.46 1,198.07 ** 2081

2082 Single 1,064.18 1,080.53 1,096.31 1,110.91 1,125.51 1,140.12 1,154.72 1,169.32 1,183.92 1,198.53 ** 20822082 Head of Household 1,102.87 1,117.47 1,132.07 1,146.67 1,161.28 1,175.88 1,190.48 1,205.08 1,219.69 1,234.29 ** 20822082 Married Filing joint 1,174.24 1,188.84 1,203.44 1,218.04 1,226.97 1,235.73 1,244.49 1,253.25 1,262.02 ** 20822082 Married Filling Separate 1,057.60 1,073.96 1,090.31 1,106.67 1,123.02 1,139.37 1,154.72 1,169.32 1,183.92 1,198.53 ** 2082

2083 Single 1,064.62 1,080.97 1,096.77 1,111.37 1,125.97 1,140.58 1,155.18 1,169.78 1,184.38 1,198.99 ** 20832083 Head of Household 1,103.33 1,117.93 1,132.54 1,147.14 1,161.74 1,176.34 1,190.95 1,205.55 1,220.15 1,234.75 ** 20832083 Married Filing joint 1,174.70 1,189.30 1,203.90 1,218.51 1,227.51 1,236.27 1,245.03 1,253.79 1,262.55 ** 20832083 Married Filling Separate 1,058.04 1,074.39 1,090.75 1,107.10 1,123.46 1,139.81 1,155.18 1,169.78 1,184.38 1,198.99 ** 2083

2084 Single 1,065.05 1,081.41 1,097.23 1,111.83 1,126.43 1,141.04 1,155.64 1,170.24 1,184.84 1,199.45 ** 20842084 Head of Household 1,103.79 1,118.40 1,133.00 1,147.60 1,162.20 1,176.81 1,191.41 1,206.01 1,220.61 1,235.22 ** 20842084 Married Filing joint 1,175.16 1,189.77 1,204.37 1,218.97 1,228.05 1,236.81 1,245.57 1,254.33 1,263.09 ** 20842084 Married Filling Separate 1,058.48 1,074.83 1,091.19 1,107.54 1,123.90 1,140.25 1,155.64 1,170.24 1,184.84 1,199.45 ** 2084

2085 Single 1,065.49 1,081.85 1,097.69 1,112.29 1,126.90 1,141.50 1,156.10 1,170.70 1,185.31 1,199.91 ** 20852085 Head of Household 1,104.26 1,118.86 1,133.46 1,148.07 1,162.67 1,177.27 1,191.87 1,206.48 1,221.08 1,235.68 ** 20852085 Married Filing joint 1,175.63 1,190.23 1,204.83 1,219.43 1,228.59 1,237.35 1,246.11 1,254.87 1,263.63 ** 20852085 Married Filling Separate 1,058.91 1,075.27 1,091.62 1,107.98 1,124.33 1,140.69 1,156.10 1,170.70 1,185.31 1,199.91 ** 2085

2086 Single 1,065.93 1,082.28 1,098.15 1,112.75 1,127.36 1,141.96 1,156.56 1,171.16 1,185.77 1,200.37 ** 20862086 Head of Household 1,104.72 1,119.32 1,133.93 1,148.53 1,163.13 1,177.73 1,192.34 1,206.94 1,221.54 1,236.14 ** 20862086 Married Filing joint 1,176.09 1,190.69 1,205.30 1,219.90 1,229.13 1,237.89 1,246.65 1,255.41 1,264.17 ** 20862086 Married Filling Separate 1,059.35 1,075.71 1,092.06 1,108.42 1,124.77 1,141.13 1,156.56 1,171.16 1,185.77 1,200.37 ** 2086

2087 Single 1,066.37 1,082.72 1,098.61 1,113.21 1,127.82 1,142.42 1,157.02 1,171.62 1,186.23 1,200.83 ** 20872087 Head of Household 1,105.19 1,119.79 1,134.39 1,148.99 1,163.60 1,178.20 1,192.80 1,207.40 1,222.01 1,236.61 ** 20872087 Married Filing joint 1,176.55 1,191.16 1,205.76 1,220.36 1,229.66 1,238.43 1,247.19 1,255.95 1,264.71 ** 20872087 Married Filling Separate 1,059.79 1,076.14 1,092.50 1,108.85 1,125.21 1,141.56 1,157.02 1,171.62 1,186.23 1,200.83 ** 2087

2088 Single 1,066.80 1,083.16 1,099.07 1,113.67 1,128.28 1,142.88 1,157.48 1,172.08 1,186.69 1,201.29 ** 20882088 Head of Household 1,105.65 1,120.25 1,134.86 1,149.46 1,164.06 1,178.66 1,193.27 1,207.87 1,222.47 1,237.07 ** 20882088 Married Filing joint 1,177.02 1,191.62 1,206.22 1,220.83 1,230.20 1,238.96 1,247.73 1,256.49 1,265.25 ** 20882088 Married Filling Separate 1,060.23 1,076.58 1,092.94 1,109.29 1,125.65 1,142.00 1,157.48 1,172.08 1,186.69 1,201.29 ** 2088

Page 281: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2089 Single 1,067.24 1,083.60 1,099.53 1,114.13 1,128.74 1,143.34 1,157.94 1,172.54 1,187.15 1,201.75 ** 20892089 Head of Household 1,106.11 1,120.72 1,135.32 1,149.92 1,164.52 1,179.13 1,193.73 1,208.33 1,222.93 1,237.54 ** 20892089 Married Filing joint 1,177.48 1,192.08 1,206.69 1,221.29 1,230.74 1,239.50 1,248.26 1,257.03 1,265.79 ** 20892089 Married Filling Separate 1,060.66 1,077.02 1,093.37 1,109.73 1,126.08 1,142.44 1,157.94 1,172.54 1,187.15 1,201.75 ** 2089

2090 Single 1,067.68 1,084.03 1,099.99 1,114.59 1,129.20 1,143.80 1,158.40 1,173.00 1,187.61 1,202.21 ** 20902090 Head of Household 1,106.58 1,121.18 1,135.78 1,150.39 1,164.99 1,179.59 1,194.19 1,208.80 1,223.40 1,238.00 ** 20902090 Married Filing joint 1,177.95 1,192.55 1,207.15 1,221.75 1,231.28 1,240.04 1,248.80 1,257.57 1,266.33 ** 20902090 Married Filling Separate 1,061.10 1,077.46 1,093.81 1,110.17 1,126.52 1,142.88 1,158.40 1,173.00 1,187.61 1,202.21 ** 2090

2091 Single 1,068.12 1,084.47 1,100.45 1,115.05 1,129.66 1,144.26 1,158.86 1,173.46 1,188.07 1,202.67 ** 20912091 Head of Household 1,107.04 1,121.64 1,136.25 1,150.85 1,165.45 1,180.05 1,194.66 1,209.26 1,223.86 1,238.46 ** 20912091 Married Filing joint 1,178.41 1,193.01 1,207.61 1,222.22 1,231.82 1,240.58 1,249.34 1,258.10 1,266.87 ** 20912091 Married Filling Separate 1,061.54 1,077.89 1,094.25 1,110.60 1,126.96 1,143.31 1,158.86 1,173.46 1,188.07 1,202.67 ** 2091

2092 Single 1,068.55 1,084.91 1,100.91 1,115.51 1,130.12 1,144.72 1,159.32 1,173.92 1,188.53 1,203.13 ** 20922092 Head of Household 1,107.51 1,122.11 1,136.71 1,151.31 1,165.92 1,180.52 1,195.12 1,209.72 1,224.33 1,238.93 ** 20922092 Married Filing joint 1,178.87 1,193.48 1,208.08 1,222.68 1,232.36 1,241.12 1,249.88 1,258.64 1,267.40 ** 20922092 Married Filling Separate 1,061.98 1,078.33 1,094.69 1,111.04 1,127.40 1,143.75 1,159.32 1,173.92 1,188.53 1,203.13 ** 2092

2093 Single 1,068.99 1,085.35 1,101.37 1,115.97 1,130.58 1,145.18 1,159.78 1,174.38 1,188.99 1,203.59 ** 20932093 Head of Household 1,107.97 1,122.57 1,137.17 1,151.78 1,166.38 1,180.98 1,195.58 1,210.19 1,224.79 1,239.39 ** 20932093 Married Filing joint 1,179.34 1,193.94 1,208.54 1,223.15 1,232.90 1,241.66 1,250.42 1,259.18 1,267.94 ** 20932093 Married Filling Separate 1,062.41 1,078.77 1,095.12 1,111.48 1,127.83 1,144.19 1,159.78 1,174.38 1,188.99 1,203.59 ** 2093

2094 Single 1,069.43 1,085.78 1,101.83 1,116.43 1,131.04 1,145.64 1,160.24 1,174.84 1,189.45 1,204.05 ** 20942094 Head of Household 1,108.43 1,123.04 1,137.64 1,152.24 1,166.84 1,181.45 1,196.05 1,210.65 1,225.25 1,239.86 ** 20942094 Married Filing joint 1,179.80 1,194.40 1,209.01 1,223.61 1,233.44 1,242.20 1,250.96 1,259.72 1,268.48 ** 20942094 Married Filling Separate 1,062.85 1,079.21 1,095.56 1,111.92 1,128.27 1,144.63 1,160.24 1,174.84 1,189.45 1,204.05 ** 2094

2095 Single 1,069.87 1,086.22 1,102.29 1,116.89 1,131.50 1,146.10 1,160.70 1,175.30 1,189.91 1,204.51 ** 20952095 Head of Household 1,108.90 1,123.50 1,138.10 1,152.70 1,167.31 1,181.91 1,196.51 1,211.11 1,225.72 1,240.32 ** 20952095 Married Filing joint 1,180.27 1,194.87 1,209.47 1,224.07 1,233.98 1,242.74 1,251.50 1,260.26 1,269.02 ** 20952095 Married Filling Separate 1,063.29 1,079.64 1,096.00 1,112.35 1,128.71 1,145.06 1,160.70 1,175.30 1,189.91 1,204.51 ** 2095

2096 Single 1,070.30 1,086.66 1,102.75 1,117.35 1,131.96 1,146.56 1,161.16 1,175.76 1,190.37 1,204.97 ** 20962096 Head of Household 1,109.36 1,123.96 1,138.57 1,153.17 1,167.77 1,182.37 1,196.98 1,211.58 1,226.18 1,240.78 ** 20962096 Married Filing joint 1,180.73 1,195.33 1,209.93 1,224.54 1,234.51 1,243.28 1,252.04 1,260.80 1,269.56 ** 20962096 Married Filling Separate 1,063.73 1,080.08 1,096.44 1,112.79 1,129.15 1,145.50 1,161.16 1,175.76 1,190.37 1,204.97 ** 2096

Page 282: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2097 Single 1,070.74 1,087.10 1,103.21 1,117.81 1,132.42 1,147.02 1,161.62 1,176.22 1,190.83 1,205.43 ** 20972097 Head of Household 1,109.82 1,124.43 1,139.03 1,153.63 1,168.23 1,182.84 1,197.44 1,212.04 1,226.64 1,241.25 ** 20972097 Married Filing joint 1,181.19 1,195.80 1,210.40 1,225.00 1,235.05 1,243.81 1,252.58 1,261.34 1,270.10 ** 20972097 Married Filling Separate 1,064.17 1,080.52 1,096.87 1,113.23 1,129.58 1,145.94 1,161.62 1,176.22 1,190.83 1,205.43 ** 2097

2098 Single 1,071.18 1,087.53 1,103.67 1,118.27 1,132.88 1,147.48 1,162.08 1,176.68 1,191.29 1,205.89 ** 20982098 Head of Household 1,110.29 1,124.89 1,139.49 1,154.10 1,168.70 1,183.30 1,197.90 1,212.51 1,227.11 1,241.71 ** 20982098 Married Filing joint 1,181.66 1,196.26 1,210.86 1,225.46 1,235.59 1,244.35 1,253.11 1,261.88 1,270.64 ** 20982098 Married Filling Separate 1,064.60 1,080.96 1,097.31 1,113.67 1,130.02 1,146.38 1,162.08 1,176.68 1,191.29 1,205.89 ** 2098

2099 Single 1,071.62 1,087.97 1,104.13 1,118.73 1,133.34 1,147.94 1,162.54 1,177.14 1,191.75 1,206.35 ** 20992099 Head of Household 1,110.75 1,125.36 1,139.96 1,154.56 1,169.16 1,183.77 1,198.37 1,212.97 1,227.57 1,242.18 ** 20992099 Married Filing joint 1,182.12 1,196.72 1,211.33 1,225.93 1,236.13 1,244.89 1,253.65 1,262.42 1,271.18 ** 20992099 Married Filling Separate 1,065.04 1,081.40 1,097.75 1,114.10 1,130.46 1,146.81 1,162.54 1,177.14 1,191.75 1,206.35 ** 2099

2100 Single 1,072.05 1,088.41 1,104.59 1,119.19 1,133.80 1,148.40 1,163.00 1,177.60 1,192.21 1,206.81 ** 21002100 Head of Household 1,111.22 1,125.82 1,140.42 1,155.02 1,169.63 1,184.23 1,198.83 1,213.43 1,228.04 1,242.64 ** 21002100 Married Filing joint 1,182.58 1,197.19 1,211.79 1,226.39 1,236.67 1,245.43 1,254.19 1,262.95 1,271.72 ** 21002100 Married Filling Separate 1,065.48 1,081.83 1,098.19 1,114.54 1,130.90 1,147.25 1,163.00 1,177.60 1,192.21 1,206.81 ** 2100

2101 Single 1,072.49 1,088.85 1,105.05 1,119.65 1,134.26 1,148.86 1,163.46 1,178.06 1,192.67 1,207.27 ** 21012101 Head of Household 1,111.68 1,126.28 1,140.89 1,155.49 1,170.09 1,184.69 1,199.30 1,213.90 1,228.50 1,243.10 ** 21012101 Married Filing joint 1,183.05 1,197.65 1,212.25 1,226.86 1,237.21 1,245.97 1,254.73 1,263.49 1,272.25 ** 21012101 Married Filling Separate 1,065.92 1,082.27 1,098.63 1,114.98 1,131.34 1,147.69 1,163.46 1,178.06 1,192.67 1,207.27 ** 2101

2102 Single 1,072.93 1,089.29 1,105.51 1,120.11 1,134.72 1,149.32 1,163.92 1,178.52 1,193.13 1,207.73 ** 21022102 Head of Household 1,112.14 1,126.75 1,141.35 1,155.95 1,170.55 1,185.16 1,199.76 1,214.36 1,228.96 1,243.57 ** 21022102 Married Filing joint 1,183.51 1,198.12 1,212.72 1,227.32 1,237.75 1,246.51 1,255.27 1,264.03 1,272.79 ** 21022102 Married Filling Separate 1,066.35 1,082.71 1,099.06 1,115.42 1,131.77 1,148.13 1,163.92 1,178.52 1,193.13 1,207.73 ** 2102

2103 Single 1,073.37 1,089.72 1,105.97 1,120.57 1,135.18 1,149.78 1,164.38 1,178.98 1,193.59 1,208.19 ** 21032103 Head of Household 1,112.61 1,127.21 1,141.81 1,156.42 1,171.02 1,185.62 1,200.22 1,214.83 1,229.43 1,244.03 ** 21032103 Married Filing joint 1,183.98 1,198.58 1,213.18 1,227.78 1,238.29 1,247.05 1,255.81 1,264.57 1,273.33 ** 21032103 Married Filling Separate 1,066.79 1,083.15 1,099.50 1,115.86 1,132.21 1,148.57 1,164.38 1,178.98 1,193.59 1,208.19 ** 2103

2104 Single 1,073.81 1,090.16 1,106.43 1,121.03 1,135.64 1,150.24 1,164.84 1,179.44 1,194.05 1,208.65 ** 21042104 Head of Household 1,113.07 1,127.67 1,142.28 1,156.88 1,171.48 1,186.08 1,200.69 1,215.29 1,229.89 1,244.49 ** 21042104 Married Filing joint 1,184.44 1,199.04 1,213.65 1,228.25 1,238.83 1,247.59 1,256.35 1,265.11 1,273.87 ** 21042104 Married Filling Separate 1,067.23 1,083.58 1,099.94 1,116.29 1,132.65 1,149.00 1,164.84 1,179.44 1,194.05 1,208.65 ** 2104

Page 283: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2105 Single 1,074.24 1,090.60 1,106.89 1,121.50 1,136.10 1,150.70 1,165.30 1,179.91 1,194.51 1,209.11 ** 21052105 Head of Household 1,113.54 1,128.14 1,142.74 1,157.34 1,171.95 1,186.55 1,201.15 1,215.75 1,230.36 1,244.96 ** 21052105 Married Filing joint 1,184.90 1,199.51 1,214.11 1,228.71 1,239.36 1,248.13 1,256.89 1,265.65 1,274.41 ** 21052105 Married Filling Separate 1,067.67 1,084.02 1,100.38 1,116.73 1,133.09 1,149.44 1,165.30 1,179.91 1,194.51 1,209.11 ** 2105

2106 Single 1,074.68 1,091.04 1,107.35 1,121.96 1,136.56 1,151.16 1,165.76 1,180.37 1,194.97 1,209.57 ** 21062106 Head of Household 1,114.00 1,128.60 1,143.20 1,157.81 1,172.41 1,187.01 1,201.61 1,216.22 1,230.82 1,245.42 ** 21062106 Married Filing joint 1,185.37 1,199.97 1,214.57 1,229.18 1,239.90 1,248.66 1,257.43 1,266.19 1,274.95 ** 21062106 Married Filling Separate 1,068.10 1,084.46 1,100.81 1,117.17 1,133.52 1,149.88 1,165.76 1,180.37 1,194.97 1,209.57 ** 2106

2107 Single 1,075.12 1,091.47 1,107.81 1,122.42 1,137.02 1,151.62 1,166.22 1,180.83 1,195.43 1,210.03 ** 21072107 Head of Household 1,114.46 1,129.07 1,143.67 1,158.27 1,172.87 1,187.48 1,202.08 1,216.68 1,231.28 1,245.89 ** 21072107 Married Filing joint 1,185.83 1,200.43 1,215.04 1,229.64 1,240.44 1,249.20 1,257.96 1,266.73 1,275.49 ** 21072107 Married Filling Separate 1,068.54 1,084.90 1,101.25 1,117.61 1,133.96 1,150.32 1,166.22 1,180.83 1,195.43 1,210.03 ** 2107

2108 Single 1,075.56 1,091.91 1,108.27 1,122.88 1,137.48 1,152.08 1,166.68 1,181.29 1,195.89 1,210.49 ** 21082108 Head of Household 1,114.93 1,129.53 1,144.13 1,158.74 1,173.34 1,187.94 1,202.54 1,217.15 1,231.75 1,246.35 ** 21082108 Married Filing joint 1,186.30 1,200.90 1,215.50 1,230.10 1,240.98 1,249.74 1,258.50 1,267.27 1,276.03 ** 21082108 Married Filling Separate 1,068.98 1,085.33 1,101.69 1,118.04 1,134.40 1,150.75 1,166.68 1,181.29 1,195.89 1,210.49 ** 2108

2109 Single 1,075.99 1,092.35 1,108.70 1,123.34 1,137.94 1,152.54 1,167.14 1,181.75 1,196.35 1,210.95 ** 21092109 Head of Household 1,115.39 1,129.99 1,144.60 1,159.20 1,173.80 1,188.40 1,203.01 1,217.61 1,232.21 1,246.81 ** 21092109 Married Filing joint 1,186.76 1,201.36 1,215.96 1,230.57 1,241.52 1,250.28 1,259.04 1,267.80 1,276.57 ** 21092109 Married Filling Separate 1,069.42 1,085.77 1,102.13 1,118.48 1,134.84 1,151.19 1,167.14 1,181.75 1,196.35 1,210.95 ** 2109

2110 Single 1,076.43 1,092.79 1,109.14 1,123.80 1,138.40 1,153.00 1,167.60 1,182.21 1,196.81 1,211.41 ** 21102110 Head of Household 1,115.86 1,130.46 1,145.06 1,159.66 1,174.27 1,188.87 1,203.47 1,218.07 1,232.68 1,247.28 ** 21102110 Married Filing joint 1,187.22 1,201.83 1,216.43 1,231.03 1,242.06 1,250.82 1,259.58 1,268.34 1,277.10 ** 21102110 Married Filling Separate 1,069.85 1,086.21 1,102.56 1,118.92 1,135.27 1,151.63 1,167.60 1,182.21 1,196.81 1,211.41 ** 2110

2111 Single 1,076.87 1,093.22 1,109.58 1,124.26 1,138.86 1,153.46 1,168.06 1,182.67 1,197.27 1,211.87 ** 21112111 Head of Household 1,116.32 1,130.92 1,145.52 1,160.13 1,174.73 1,189.33 1,203.93 1,218.54 1,233.14 1,247.74 ** 21112111 Married Filing joint 1,187.69 1,202.29 1,216.89 1,231.49 1,242.60 1,251.36 1,260.12 1,268.88 1,277.64 ** 21112111 Married Filling Separate 1,070.29 1,086.65 1,103.00 1,119.36 1,135.71 1,152.07 1,168.06 1,182.67 1,197.27 1,211.87 ** 2111

2112 Single 1,077.31 1,093.66 1,110.02 1,124.72 1,139.32 1,153.92 1,168.52 1,183.13 1,197.73 1,212.33 ** 21122112 Head of Household 1,116.78 1,131.39 1,145.99 1,160.59 1,175.19 1,189.80 1,204.40 1,219.00 1,233.60 1,248.21 ** 21122112 Married Filing joint 1,188.15 1,202.75 1,217.36 1,231.96 1,243.14 1,251.90 1,260.66 1,269.42 1,278.18 ** 21122112 Married Filling Separate 1,070.73 1,087.08 1,103.44 1,119.79 1,136.15 1,152.50 1,168.52 1,183.13 1,197.73 1,212.33 ** 2112

Page 284: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2113 Single 1,077.74 1,094.10 1,110.45 1,125.18 1,139.78 1,154.38 1,168.98 1,183.59 1,198.19 1,212.79 ** 21132113 Head of Household 1,117.25 1,131.85 1,146.45 1,161.05 1,175.66 1,190.26 1,204.86 1,219.46 1,234.07 1,248.67 ** 21132113 Married Filing joint 1,188.62 1,203.22 1,217.82 1,232.42 1,243.67 1,252.44 1,261.20 1,269.96 1,278.72 ** 21132113 Married Filling Separate 1,071.17 1,087.52 1,103.88 1,120.23 1,136.59 1,152.94 1,168.98 1,183.59 1,198.19 1,212.79 ** 2113

2114 Single 1,078.18 1,094.54 1,110.89 1,125.64 1,140.24 1,154.84 1,169.44 1,184.05 1,198.65 1,213.25 ** 21142114 Head of Household 1,117.71 1,132.31 1,146.92 1,161.52 1,176.12 1,190.72 1,205.33 1,219.93 1,234.53 1,249.13 ** 21142114 Married Filing joint 1,189.08 1,203.68 1,218.28 1,232.89 1,244.21 1,252.98 1,261.74 1,270.50 1,279.26 ** 21142114 Married Filling Separate 1,071.60 1,087.96 1,104.31 1,120.67 1,137.02 1,153.38 1,169.44 1,184.05 1,198.65 1,213.25 ** 2114

2115 Single 1,078.62 1,094.97 1,111.33 1,126.10 1,140.70 1,155.30 1,169.90 1,184.51 1,199.11 1,213.71 ** 21152115 Head of Household 1,118.17 1,132.78 1,147.38 1,161.98 1,176.58 1,191.19 1,205.79 1,220.39 1,234.99 1,249.60 ** 21152115 Married Filing joint 1,189.54 1,204.15 1,218.75 1,233.35 1,244.75 1,253.51 1,262.28 1,271.04 1,279.80 ** 21152115 Married Filling Separate 1,072.04 1,088.40 1,104.75 1,121.11 1,137.46 1,153.82 1,169.90 1,184.51 1,199.11 1,213.71 ** 2115

2116 Single 1,079.06 1,095.41 1,111.77 1,126.56 1,141.16 1,155.76 1,170.36 1,184.97 1,199.57 1,214.17 ** 21162116 Head of Household 1,118.64 1,133.24 1,147.84 1,162.45 1,177.05 1,191.65 1,206.25 1,220.86 1,235.46 1,250.06 ** 21162116 Married Filing joint 1,190.01 1,204.61 1,219.21 1,233.81 1,245.29 1,254.05 1,262.81 1,271.58 1,280.34 ** 21162116 Married Filling Separate 1,072.48 1,088.84 1,105.19 1,121.54 1,137.90 1,154.25 1,170.36 1,184.97 1,199.57 1,214.17 ** 2116

2117 Single 1,079.49 1,095.85 1,112.20 1,127.02 1,141.62 1,156.22 1,170.82 1,185.43 1,200.03 1,214.63 ** 21172117 Head of Household 1,119.10 1,133.70 1,148.31 1,162.91 1,177.51 1,192.11 1,206.72 1,221.32 1,235.92 1,250.52 ** 21172117 Married Filing joint 1,190.47 1,205.07 1,219.68 1,234.28 1,245.83 1,254.59 1,263.35 1,272.11 1,280.88 ** 21172117 Married Filling Separate 1,072.92 1,089.27 1,105.63 1,121.98 1,138.34 1,154.69 1,170.82 1,185.43 1,200.03 1,214.63 ** 2117

2118 Single 1,079.93 1,096.29 1,112.64 1,127.48 1,142.08 1,156.68 1,171.28 1,185.89 1,200.49 1,215.09 ** 21182118 Head of Household 1,119.57 1,134.17 1,148.77 1,163.37 1,177.98 1,192.58 1,207.18 1,221.78 1,236.39 1,250.99 ** 21182118 Married Filing joint 1,190.93 1,205.54 1,220.14 1,234.74 1,246.37 1,255.13 1,263.89 1,272.65 1,281.42 ** 21182118 Married Filling Separate 1,073.36 1,089.71 1,106.07 1,122.42 1,138.77 1,155.13 1,171.28 1,185.89 1,200.49 1,215.09 ** 2118

2119 Single 1,080.37 1,096.72 1,113.08 1,127.94 1,142.54 1,157.14 1,171.74 1,186.35 1,200.95 1,215.55 ** 21192119 Head of Household 1,120.03 1,134.63 1,149.24 1,163.84 1,178.44 1,193.04 1,207.65 1,222.25 1,236.85 1,251.45 ** 21192119 Married Filing joint 1,191.40 1,206.00 1,220.60 1,235.21 1,246.91 1,255.67 1,264.43 1,273.19 1,281.95 ** 21192119 Married Filling Separate 1,073.79 1,090.15 1,106.50 1,122.86 1,139.21 1,155.57 1,171.74 1,186.35 1,200.95 1,215.55 ** 2119

2120 Single 1,080.81 1,097.16 1,113.52 1,128.40 1,143.00 1,157.60 1,172.20 1,186.81 1,201.41 1,216.01 ** 21202120 Head of Household 1,120.49 1,135.10 1,149.70 1,164.30 1,178.90 1,193.51 1,208.11 1,222.71 1,237.31 1,251.92 ** 21202120 Married Filing joint 1,191.86 1,206.46 1,221.07 1,235.67 1,247.45 1,256.21 1,264.97 1,273.73 1,282.49 ** 21202120 Married Filling Separate 1,074.23 1,090.59 1,106.94 1,123.30 1,139.65 1,156.00 1,172.20 1,186.81 1,201.41 1,216.01 ** 2120

Page 285: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2121 Single 1,081.25 1,097.60 1,113.95 1,128.86 1,143.46 1,158.06 1,172.66 1,187.27 1,201.87 1,216.47 ** 21212121 Head of Household 1,120.96 1,135.56 1,150.16 1,164.77 1,179.37 1,193.97 1,208.57 1,223.18 1,237.78 1,252.38 ** 21212121 Married Filing joint 1,192.33 1,206.93 1,221.53 1,236.13 1,247.99 1,256.75 1,265.51 1,274.27 1,283.03 ** 21212121 Married Filling Separate 1,074.67 1,091.02 1,107.38 1,123.73 1,140.09 1,156.44 1,172.66 1,187.27 1,201.87 1,216.47 ** 2121

2122 Single 1,081.68 1,098.04 1,114.39 1,129.32 1,143.92 1,158.52 1,173.12 1,187.73 1,202.33 1,216.93 ** 21222122 Head of Household 1,121.42 1,136.02 1,150.63 1,165.23 1,179.83 1,194.43 1,209.04 1,223.64 1,238.24 1,252.84 ** 21222122 Married Filing joint 1,192.79 1,207.39 1,222.00 1,236.60 1,248.52 1,257.29 1,266.05 1,274.81 1,283.57 ** 21222122 Married Filling Separate 1,075.11 1,091.46 1,107.82 1,124.17 1,140.53 1,156.88 1,173.12 1,187.73 1,202.33 1,216.93 ** 2122

2123 Single 1,082.12 1,098.48 1,114.83 1,129.78 1,144.38 1,158.98 1,173.58 1,188.19 1,202.79 1,217.39 ** 21232123 Head of Household 1,121.89 1,136.49 1,151.09 1,165.69 1,180.30 1,194.90 1,209.50 1,224.10 1,238.71 1,253.31 ** 21232123 Married Filing joint 1,193.25 1,207.86 1,222.46 1,237.06 1,249.06 1,257.83 1,266.59 1,275.35 1,284.11 ** 21232123 Married Filling Separate 1,075.54 1,091.90 1,108.25 1,124.61 1,140.96 1,157.32 1,173.58 1,188.19 1,202.79 1,217.39 ** 2123

2124 Single 1,082.56 1,098.91 1,115.27 1,130.24 1,144.84 1,159.44 1,174.04 1,188.65 1,203.25 1,217.85 ** 21242124 Head of Household 1,122.35 1,136.95 1,151.55 1,166.16 1,180.76 1,195.36 1,209.96 1,224.57 1,239.17 1,253.77 ** 21242124 Married Filing joint 1,193.72 1,208.32 1,222.92 1,237.53 1,249.60 1,258.36 1,267.13 1,275.89 1,284.65 ** 21242124 Married Filling Separate 1,075.98 1,092.34 1,108.69 1,125.05 1,141.40 1,157.76 1,174.04 1,188.65 1,203.25 1,217.85 ** 2124

2125 Single 1,083.00 1,099.35 1,115.71 1,130.70 1,145.30 1,159.90 1,174.51 1,189.11 1,203.71 1,218.31 ** 21252125 Head of Household 1,122.81 1,137.42 1,152.02 1,166.62 1,181.22 1,195.83 1,210.43 1,225.03 1,239.63 1,254.24 ** 21252125 Married Filing joint 1,194.18 1,208.78 1,223.39 1,237.99 1,250.14 1,258.90 1,267.66 1,276.43 1,285.19 ** 21252125 Married Filling Separate 1,076.42 1,092.77 1,109.13 1,125.48 1,141.84 1,158.19 1,174.51 1,189.11 1,203.71 1,218.31 ** 2125

2126 Single 1,083.43 1,099.79 1,116.14 1,131.16 1,145.76 1,160.36 1,174.97 1,189.57 1,204.17 1,218.77 ** 21262126 Head of Household 1,122.81 1,137.41 1,152.02 1,166.62 1,181.22 1,195.82 1,210.43 1,225.03 1,239.63 1,254.23 ** 21262126 Married Filing joint 1,194.07 1,208.67 1,223.27 1,237.88 1,250.10 1,258.86 1,267.63 1,276.39 1,285.15 ** 21262126 Married Filling Separate 1,076.86 1,093.21 1,109.57 1,125.92 1,142.28 1,158.63 1,174.97 1,189.57 1,204.17 1,218.77 ** 2126

2127 Single 1,083.87 1,100.23 1,116.58 1,131.62 1,146.22 1,160.82 1,175.43 1,190.03 1,204.63 1,219.23 ** 21272127 Head of Household 1,123.28 1,137.88 1,152.48 1,167.08 1,181.69 1,196.29 1,210.89 1,225.49 1,240.10 1,254.70 ** 21272127 Married Filing joint 1,194.53 1,209.13 1,223.74 1,238.34 1,250.64 1,259.40 1,268.16 1,276.93 1,285.69 ** 21272127 Married Filling Separate 1,077.29 1,093.65 1,110.00 1,126.36 1,142.71 1,159.07 1,175.42 1,190.03 1,204.63 1,219.23 ** 2127

2128 Single 1,084.31 1,100.66 1,117.02 1,132.08 1,146.68 1,161.28 1,175.89 1,190.49 1,205.09 1,219.69 ** 21282128 Head of Household 1,123.74 1,138.34 1,152.95 1,167.55 1,182.15 1,196.75 1,211.36 1,225.96 1,240.56 1,255.16 ** 21282128 Married Filing joint 1,195.00 1,209.60 1,224.20 1,238.80 1,251.18 1,259.94 1,268.70 1,277.47 1,286.23 ** 21282128 Married Filling Separate 1,077.73 1,094.09 1,110.44 1,126.80 1,143.15 1,159.51 1,175.86 1,190.49 1,205.09 1,219.69 ** 2128

Page 286: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2129 Single 1,084.75 1,101.10 1,117.46 1,132.54 1,147.14 1,161.74 1,176.35 1,190.95 1,205.55 1,220.15 ** 21292129 Head of Household 1,124.20 1,138.81 1,153.41 1,168.01 1,182.61 1,197.22 1,211.82 1,226.42 1,241.02 1,255.63 ** 21292129 Married Filing joint 1,195.46 1,210.06 1,224.66 1,239.27 1,251.72 1,260.48 1,269.24 1,278.00 1,286.77 ** 21292129 Married Filling Separate 1,078.17 1,094.52 1,110.88 1,127.23 1,143.59 1,159.94 1,176.30 1,190.95 1,205.55 1,220.15 ** 2129

2130 Single 1,085.18 1,101.54 1,117.89 1,133.00 1,147.60 1,162.20 1,176.81 1,191.41 1,206.01 1,220.61 ** 21302130 Head of Household 1,124.67 1,139.27 1,153.87 1,168.48 1,183.08 1,197.68 1,212.28 1,226.89 1,241.49 1,256.09 ** 21302130 Married Filing joint 1,195.92 1,210.53 1,225.13 1,239.73 1,252.26 1,261.02 1,269.78 1,278.54 1,287.30 ** 21302130 Married Filling Separate 1,078.61 1,094.96 1,111.32 1,127.67 1,144.03 1,160.38 1,176.74 1,191.41 1,206.01 1,220.61 ** 2130

2131 Single 1,085.62 1,101.98 1,118.33 1,133.46 1,148.06 1,162.66 1,177.27 1,191.87 1,206.47 1,221.07 ** 21312131 Head of Household 1,125.13 1,139.73 1,154.34 1,168.94 1,183.54 1,198.14 1,212.75 1,227.35 1,241.95 1,256.55 ** 21312131 Married Filing joint 1,196.39 1,210.99 1,225.59 1,240.19 1,252.80 1,261.56 1,270.32 1,279.08 1,287.84 ** 21312131 Married Filling Separate 1,079.04 1,095.40 1,111.75 1,128.11 1,144.46 1,160.82 1,177.17 1,191.87 1,206.47 1,221.07 ** 2131

2132 Single 1,086.06 1,102.41 1,118.77 1,133.92 1,148.52 1,163.12 1,177.73 1,192.33 1,206.93 1,221.53 ** 21322132 Head of Household 1,125.60 1,140.20 1,154.80 1,169.40 1,184.01 1,198.61 1,213.21 1,227.81 1,242.42 1,257.02 ** 21322132 Married Filing joint 1,196.85 1,211.45 1,226.06 1,240.66 1,253.34 1,262.10 1,270.86 1,279.62 1,288.38 ** 21322132 Married Filling Separate 1,079.48 1,095.84 1,112.19 1,128.55 1,144.90 1,161.26 1,177.61 1,192.33 1,206.93 1,221.53 ** 2132

2133 Single 1,086.50 1,102.85 1,119.21 1,134.38 1,148.98 1,163.58 1,178.19 1,192.79 1,207.39 1,221.99 ** 21332133 Head of Household 1,126.06 1,140.66 1,155.26 1,169.87 1,184.47 1,199.07 1,213.67 1,228.28 1,242.88 1,257.48 ** 21332133 Married Filing joint 1,197.32 1,211.92 1,226.52 1,241.12 1,253.87 1,262.64 1,271.40 1,280.16 1,288.92 ** 21332133 Married Filling Separate 1,079.92 1,096.27 1,112.63 1,128.98 1,145.34 1,161.69 1,178.05 1,192.79 1,207.39 1,221.99 ** 2133

2134 Single 1,086.93 1,103.29 1,119.64 1,134.84 1,149.44 1,164.04 1,178.65 1,193.25 1,207.85 1,222.45 ** 21342134 Head of Household 1,126.52 1,141.13 1,155.73 1,170.33 1,184.93 1,199.54 1,214.14 1,228.74 1,243.34 1,257.95 ** 21342134 Married Filing joint 1,197.78 1,212.38 1,226.98 1,241.59 1,254.41 1,263.18 1,271.94 1,280.70 1,289.46 ** 21342134 Married Filling Separate 1,080.36 1,096.71 1,113.07 1,129.42 1,145.78 1,162.13 1,178.49 1,193.25 1,207.85 1,222.45 ** 2134

2135 Single 1,087.37 1,103.73 1,120.08 1,135.30 1,149.90 1,164.50 1,179.11 1,193.71 1,208.31 1,222.91 ** 21352135 Head of Household 1,126.99 1,141.59 1,156.19 1,170.79 1,185.40 1,200.00 1,214.60 1,229.20 1,243.81 1,258.41 ** 21352135 Married Filing joint 1,198.24 1,212.85 1,227.45 1,242.05 1,254.95 1,263.71 1,272.48 1,281.24 1,290.00 ** 21352135 Married Filling Separate 1,080.80 1,097.15 1,113.50 1,129.86 1,146.21 1,162.57 1,178.92 1,193.71 1,208.31 1,222.91 ** 2135

2136 Single 1,087.81 1,104.16 1,120.52 1,135.76 1,150.36 1,164.96 1,179.57 1,194.17 1,208.77 1,223.37 ** 21362136 Head of Household 1,127.45 1,142.05 1,156.66 1,171.26 1,185.86 1,200.46 1,215.07 1,229.67 1,244.27 1,258.87 ** 21362136 Married Filing joint 1,198.71 1,213.31 1,227.91 1,242.51 1,255.49 1,264.25 1,273.01 1,281.78 1,290.54 ** 21362136 Married Filling Separate 1,081.23 1,097.59 1,113.94 1,130.30 1,146.65 1,163.01 1,179.36 1,194.17 1,208.77 1,223.37 ** 2136

Page 287: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2137 Single 1,088.25 1,104.60 1,120.96 1,136.22 1,150.82 1,165.42 1,180.03 1,194.63 1,209.23 1,223.83 ** 21372137 Head of Household 1,127.91 1,142.52 1,157.12 1,171.72 1,186.32 1,200.93 1,215.53 1,230.13 1,244.73 1,259.34 ** 21372137 Married Filing joint 1,199.17 1,213.77 1,228.38 1,242.98 1,256.03 1,264.79 1,273.55 1,282.31 1,291.08 ** 21372137 Married Filling Separate 1,081.67 1,098.03 1,114.38 1,130.73 1,147.09 1,163.44 1,179.80 1,194.63 1,209.23 1,223.83 ** 2137

2138 Single 1,088.68 1,105.04 1,121.39 1,136.68 1,151.28 1,165.88 1,180.49 1,195.09 1,209.69 1,224.29 ** 21382138 Head of Household 1,128.38 1,142.98 1,157.58 1,172.19 1,186.79 1,201.39 1,215.99 1,230.60 1,245.20 1,259.80 ** 21382138 Married Filing joint 1,199.63 1,214.24 1,228.84 1,243.44 1,256.57 1,265.33 1,274.09 1,282.85 1,291.62 ** 21382138 Married Filling Separate 1,082.11 1,098.46 1,114.82 1,131.17 1,147.53 1,163.88 1,180.24 1,195.09 1,209.69 1,224.29 ** 2138

2139 Single 1,089.12 1,105.48 1,121.83 1,137.14 1,151.74 1,166.34 1,180.95 1,195.55 1,210.15 1,224.75 ** 21392139 Head of Household 1,128.84 1,143.45 1,158.05 1,172.65 1,187.25 1,201.86 1,216.46 1,231.06 1,245.66 1,260.27 ** 21392139 Married Filing joint 1,200.10 1,214.70 1,229.30 1,243.91 1,257.11 1,265.87 1,274.63 1,283.39 1,292.00 ** 21392139 Married Filling Separate 1,082.55 1,098.90 1,115.26 1,131.61 1,147.96 1,164.32 1,180.67 1,195.55 1,210.15 1,224.75 ** 2139

2140 Single 1,089.56 1,105.91 1,122.27 1,137.60 1,152.20 1,166.80 1,181.41 1,196.01 1,210.61 1,225.21 ** 21402140 Head of Household 1,129.31 1,143.91 1,158.51 1,173.11 1,187.72 1,202.32 1,216.92 1,231.52 1,246.13 1,260.73 ** 21402140 Married Filing joint 1,200.56 1,215.16 1,229.77 1,244.37 1,257.65 1,266.41 1,275.17 1,283.93 1,292.00 ** 21402140 Married Filling Separate 1,082.98 1,099.34 1,115.69 1,132.05 1,148.40 1,164.76 1,181.11 1,196.01 1,210.61 1,225.21 ** 2140

2141 Single 1,090.00 1,106.35 1,122.71 1,138.06 1,152.66 1,167.26 1,181.87 1,196.47 1,211.07 1,225.67 ** 21412141 Head of Household 1,129.77 1,144.37 1,158.98 1,173.58 1,188.18 1,202.78 1,217.39 1,231.99 1,246.59 1,261.19 ** 21412141 Married Filing joint 1,201.03 1,215.63 1,230.23 1,244.83 1,258.19 1,266.95 1,275.71 1,284.47 1,292.00 ** 21412141 Married Filling Separate 1,083.42 1,099.78 1,116.13 1,132.49 1,148.84 1,165.19 1,181.55 1,196.47 1,211.07 1,225.67 ** 2141

2142 Single 1,090.44 1,106.79 1,123.14 1,138.52 1,153.12 1,167.72 1,182.33 1,196.93 1,211.53 1,226.13 ** 21422142 Head of Household 1,130.23 1,144.84 1,159.44 1,174.04 1,188.64 1,203.25 1,217.85 1,232.45 1,247.05 1,261.66 ** 21422142 Married Filing joint 1,201.49 1,216.09 1,230.70 1,245.30 1,258.72 1,267.49 1,276.25 1,285.01 1,292.00 ** 21422142 Married Filling Separate 1,083.86 1,100.21 1,116.57 1,132.92 1,149.28 1,165.63 1,181.99 1,196.93 1,211.53 1,226.13 ** 2142

2143 Single 1,090.87 1,107.23 1,123.58 1,138.98 1,153.58 1,168.18 1,182.79 1,197.39 1,211.99 1,226.59 ** 21432143 Head of Household 1,130.70 1,145.30 1,159.90 1,174.51 1,189.11 1,203.71 1,218.31 1,232.92 1,247.52 1,262.12 ** 21432143 Married Filing joint 1,201.95 1,216.56 1,231.16 1,245.76 1,259.26 1,268.03 1,276.79 1,285.55 1,292.00 ** 21432143 Married Filling Separate 1,084.30 1,100.65 1,117.01 1,133.36 1,149.72 1,166.07 1,182.42 1,197.39 1,211.99 1,226.59 ** 2143

2144 Single 1,091.31 1,107.67 1,124.02 1,139.44 1,154.04 1,168.64 1,183.25 1,197.85 1,212.45 1,227.05 ** 21442144 Head of Household 1,131.16 1,145.76 1,160.37 1,174.97 1,189.57 1,204.17 1,218.78 1,233.38 1,247.98 1,262.58 ** 21442144 Married Filing joint 1,202.42 1,217.02 1,231.62 1,246.23 1,259.80 1,268.56 1,277.33 1,286.09 1,292.00 ** 21442144 Married Filling Separate 1,084.73 1,101.09 1,117.44 1,133.80 1,150.15 1,166.51 1,182.86 1,197.85 1,212.45 1,227.05 ** 2144

Page 288: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2145 Single 1,091.75 1,108.10 1,124.46 1,139.90 1,154.50 1,169.11 1,183.71 1,198.31 1,212.91 1,227.52 ** 21452145 Head of Household 1,131.63 1,146.23 1,160.83 1,175.43 1,190.04 1,204.64 1,219.24 1,233.84 1,248.45 1,263.05 ** 21452145 Married Filing joint 1,202.88 1,217.48 1,232.09 1,246.69 1,260.34 1,269.10 1,277.86 1,286.63 1,292.00 ** 21452145 Married Filling Separate 1,085.17 1,101.53 1,117.88 1,134.24 1,150.59 1,166.95 1,183.30 1,198.31 1,212.91 1,227.52 ** 2145

2146 Single 1,092.19 1,108.54 1,124.90 1,140.36 1,154.96 1,169.57 1,184.17 1,198.77 1,213.37 1,227.98 ** 21462146 Head of Household 1,132.09 1,146.69 1,161.29 1,175.90 1,190.50 1,205.10 1,219.70 1,234.31 1,248.91 1,263.51 ** 21462146 Married Filing joint 1,203.35 1,217.95 1,232.55 1,247.15 1,260.88 1,269.64 1,278.40 1,287.16 1,292.00 ** 21462146 Married Filling Separate 1,085.61 1,101.96 1,118.32 1,134.67 1,151.03 1,167.38 1,183.74 1,198.77 1,213.37 1,227.98 ** 2146

2147 Single 1,092.62 1,108.98 1,125.33 1,140.82 1,155.42 1,170.03 1,184.63 1,199.23 1,213.83 1,228.44 ** 21472147 Head of Household 1,132.55 1,147.16 1,161.76 1,176.36 1,190.96 1,205.57 1,220.17 1,234.77 1,249.37 1,263.98 ** 21472147 Married Filing joint 1,203.81 1,218.41 1,233.01 1,247.62 1,261.42 1,270.18 1,278.94 1,287.70 1,292.00 ** 21472147 Married Filling Separate 1,086.05 1,102.40 1,118.76 1,135.11 1,151.47 1,167.82 1,184.18 1,199.23 1,213.83 1,228.44 ** 2147

2148 Single 1,093.06 1,109.42 1,125.77 1,141.28 1,155.88 1,170.49 1,185.09 1,199.69 1,214.29 1,228.90 ** 21482148 Head of Household 1,133.02 1,147.62 1,162.22 1,176.83 1,191.43 1,206.03 1,220.63 1,235.24 1,249.84 1,264.44 ** 21482148 Married Filing joint 1,204.27 1,218.88 1,233.48 1,248.08 1,261.96 1,270.72 1,279.48 1,288.24 1,292.00 ** 21482148 Married Filling Separate 1,086.48 1,102.84 1,119.19 1,135.55 1,151.90 1,168.26 1,184.61 1,199.69 1,214.29 1,228.90 ** 2148

2149 Single 1,093.50 1,109.85 1,126.21 1,141.74 1,156.34 1,170.95 1,185.55 1,200.15 1,214.75 1,229.36 ** 21492149 Head of Household 1,133.48 1,148.08 1,162.69 1,177.29 1,191.89 1,206.49 1,221.10 1,235.70 1,250.30 1,264.90 ** 21492149 Married Filing joint 1,204.74 1,219.34 1,233.94 1,248.54 1,262.50 1,271.26 1,280.02 1,288.78 1,292.00 ** 21492149 Married Filling Separate 1,086.92 1,103.28 1,119.63 1,135.99 1,152.34 1,168.70 1,185.05 1,200.15 1,214.75 1,229.36 ** 2149

2150 Single 1,093.94 1,110.29 1,126.65 1,142.20 1,156.80 1,171.41 1,186.01 1,200.61 1,215.21 1,229.82 ** 21502150 Head of Household 1,133.95 1,148.55 1,163.15 1,177.75 1,192.36 1,206.96 1,221.56 1,236.16 1,250.77 1,265.37 ** 21502150 Married Filing joint 1,205.20 1,219.80 1,234.41 1,249.01 1,263.04 1,271.80 1,280.56 1,289.32 1,292.00 ** 21502150 Married Filling Separate 1,087.36 1,103.71 1,120.07 1,136.42 1,152.78 1,169.13 1,185.49 1,200.61 1,215.21 1,229.82 ** 2150

2151 Single 1,094.37 1,110.73 1,127.08 1,142.66 1,157.26 1,171.87 1,186.47 1,201.07 1,215.67 1,230.28 ** 21512151 Head of Household 1,134.41 1,149.01 1,163.61 1,178.22 1,192.82 1,207.42 1,222.02 1,236.63 1,251.23 1,265.83 ** 21512151 Married Filing joint 1,205.66 1,220.27 1,234.87 1,249.47 1,263.57 1,272.34 1,281.10 1,289.86 1,292.00 ** 21512151 Married Filling Separate 1,087.80 1,104.15 1,120.51 1,136.86 1,153.22 1,169.57 1,185.93 1,201.07 1,215.67 1,230.28 ** 2151

2152 Single 1,094.81 1,111.17 1,127.52 1,143.12 1,157.72 1,172.33 1,186.93 1,201.53 1,216.13 1,230.74 ** 21522152 Head of Household 1,134.87 1,149.48 1,164.08 1,178.68 1,193.28 1,207.89 1,222.49 1,237.09 1,251.69 1,266.30 ** 21522152 Married Filing joint 1,206.13 1,220.73 1,235.33 1,249.94 1,264.11 1,272.88 1,281.64 1,290.40 1,292.00 ** 21522152 Married Filling Separate 1,088.23 1,104.59 1,120.94 1,137.30 1,153.65 1,170.01 1,186.36 1,201.53 1,216.13 1,230.74 ** 2152

Page 289: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2153 Single 1,095.25 1,111.60 1,127.96 1,143.58 1,158.18 1,172.79 1,187.39 1,201.99 1,216.59 1,231.20 ** 21532153 Head of Household 1,135.34 1,149.94 1,164.54 1,179.14 1,193.75 1,208.35 1,222.95 1,237.55 1,252.16 1,266.76 ** 21532153 Married Filing joint 1,206.59 1,221.20 1,235.80 1,250.40 1,264.65 1,273.41 1,282.18 1,290.94 1,292.00 ** 21532153 Married Filling Separate 1,088.67 1,105.03 1,121.38 1,137.74 1,154.09 1,170.45 1,186.80 1,201.99 1,216.59 1,231.20 ** 2153

2154 Single 1,095.69 1,112.04 1,128.40 1,144.04 1,158.64 1,173.25 1,187.85 1,202.45 1,217.05 1,231.66 ** 21542154 Head of Household 1,135.80 1,150.40 1,165.01 1,179.61 1,194.21 1,208.81 1,223.42 1,238.02 1,252.62 1,267.22 ** 21542154 Married Filing joint 1,207.06 1,221.66 1,236.26 1,250.86 1,265.19 1,273.95 1,282.71 1,291.48 1,292.00 ** 21542154 Married Filling Separate 1,089.11 1,105.46 1,121.82 1,138.17 1,154.53 1,170.88 1,187.24 1,202.45 1,217.05 1,231.66 ** 2154

2155 Single 1,096.12 1,112.48 1,128.83 1,144.50 1,159.10 1,173.71 1,188.31 1,202.91 1,217.51 1,232.12 ** 21552155 Head of Household 1,136.26 1,150.87 1,165.47 1,180.07 1,194.67 1,209.28 1,223.88 1,238.48 1,253.08 1,267.69 ** 21552155 Married Filing joint 1,207.52 1,222.12 1,236.73 1,251.33 1,265.73 1,274.49 1,283.25 1,292.00 1,292.00 ** 21552155 Married Filling Separate 1,089.55 1,105.90 1,122.26 1,138.61 1,154.97 1,171.32 1,187.68 1,202.91 1,217.51 1,232.12 ** 2155

2156 Single 1,096.56 1,112.92 1,129.27 1,144.96 1,159.56 1,174.17 1,188.77 1,203.37 1,217.97 1,232.58 ** 21562156 Head of Household 1,136.73 1,151.33 1,165.93 1,180.54 1,195.14 1,209.74 1,224.34 1,238.95 1,253.55 1,268.15 ** 21562156 Married Filing joint 1,207.98 1,222.59 1,237.19 1,251.79 1,266.27 1,275.03 1,283.79 1,292.00 1,292.00 ** 21562156 Married Filling Separate 1,089.99 1,106.34 1,122.69 1,139.05 1,155.40 1,171.76 1,188.11 1,203.37 1,217.97 1,232.58 ** 2156

2157 Single 1,097.00 1,113.35 1,129.71 1,145.42 1,160.02 1,174.63 1,189.23 1,203.83 1,218.43 1,233.04 ** 21572157 Head of Household 1,137.19 1,151.79 1,166.40 1,181.00 1,195.60 1,210.20 1,224.81 1,239.41 1,254.01 1,268.61 ** 21572157 Married Filing joint 1,208.45 1,223.05 1,237.65 1,252.26 1,266.81 1,275.57 1,284.33 1,292.00 1,292.00 ** 21572157 Married Filling Separate 1,090.42 1,106.78 1,123.13 1,139.49 1,155.84 1,172.20 1,188.55 1,203.83 1,218.43 1,233.04 ** 2157

2158 Single 1,097.44 1,113.79 1,130.15 1,145.88 1,160.48 1,175.09 1,189.69 1,204.29 1,218.89 1,233.50 ** 21582158 Head of Household 1,137.66 1,152.26 1,166.86 1,181.46 1,196.07 1,210.67 1,225.27 1,239.87 1,254.48 1,269.08 ** 21582158 Married Filing joint 1,208.91 1,223.51 1,238.12 1,252.72 1,267.32 1,276.11 1,284.87 1,292.00 1,292.00 ** 21582158 Married Filling Separate 1,090.86 1,107.22 1,123.57 1,139.92 1,156.28 1,172.63 1,188.99 1,204.29 1,218.89 1,233.50 ** 2158

2159 Single 1,097.87 1,114.23 1,130.58 1,146.34 1,160.94 1,175.55 1,190.15 1,204.75 1,219.35 1,233.96 ** 21592159 Head of Household 1,138.12 1,152.72 1,167.33 1,181.93 1,196.53 1,211.13 1,225.74 1,240.34 1,254.94 1,269.54 ** 21592159 Married Filing joint 1,209.38 1,223.98 1,238.58 1,253.18 1,267.79 1,276.65 1,285.41 1,292.00 1,292.00 ** 21592159 Married Filling Separate 1,091.30 1,107.65 1,124.01 1,140.36 1,156.72 1,173.07 1,189.43 1,204.75 1,219.35 1,233.96 ** 2159

2160 Single 1,098.31 1,114.67 1,131.02 1,146.80 1,161.40 1,176.01 1,190.61 1,205.21 1,219.81 1,234.42 ** 21602160 Head of Household 1,138.58 1,153.19 1,167.79 1,182.39 1,196.99 1,211.60 1,226.20 1,240.80 1,255.40 1,270.01 ** 21602160 Married Filing joint 1,209.84 1,224.44 1,239.04 1,253.65 1,268.25 1,277.19 1,285.95 1,292.00 1,292.00 ** 21602160 Married Filling Separate 1,091.74 1,108.09 1,124.45 1,140.80 1,157.15 1,173.51 1,189.86 1,205.21 1,219.81 1,234.42 ** 2160

Page 290: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2161 Single 1,098.75 1,115.10 1,131.46 1,147.26 1,161.86 1,176.47 1,191.07 1,205.67 1,220.27 1,234.88 ** 21612161 Head of Household 1,139.05 1,153.65 1,168.25 1,182.86 1,197.46 1,212.06 1,226.66 1,241.27 1,255.87 1,270.47 ** 21612161 Married Filing joint 1,210.30 1,224.91 1,239.51 1,254.11 1,268.71 1,277.72 1,286.49 1,292.00 1,292.00 ** 21612161 Married Filling Separate 1,092.17 1,108.53 1,124.88 1,141.24 1,157.59 1,173.95 1,190.30 1,205.67 1,220.27 1,234.88 ** 2161

2162 Single 1,099.19 1,115.54 1,131.90 1,147.72 1,162.32 1,176.93 1,191.53 1,206.13 1,220.73 1,235.34 ** 21622162 Head of Household 1,139.51 1,154.11 1,168.72 1,183.32 1,197.92 1,212.52 1,227.13 1,241.73 1,256.33 1,270.93 ** 21622162 Married Filing joint 1,210.77 1,225.37 1,239.97 1,254.58 1,269.18 1,278.26 1,287.03 1,292.00 1,292.00 ** 21622162 Married Filling Separate 1,092.61 1,108.97 1,125.32 1,141.68 1,158.03 1,174.38 1,190.74 1,206.13 1,220.73 1,235.34 ** 2162

2163 Single 1,099.63 1,115.98 1,132.33 1,148.18 1,162.78 1,177.39 1,191.99 1,206.59 1,221.19 1,235.80 ** 21632163 Head of Household 1,139.98 1,154.58 1,169.18 1,183.78 1,198.39 1,212.99 1,227.59 1,242.19 1,256.80 1,271.40 ** 21632163 Married Filing joint 1,211.23 1,225.83 1,240.44 1,255.04 1,269.64 1,278.80 1,287.56 1,292.00 1,292.00 ** 21632163 Married Filling Separate 1,093.05 1,109.40 1,125.76 1,142.11 1,158.47 1,174.82 1,191.18 1,206.59 1,221.19 1,235.80 ** 2163

2164 Single 1,100.06 1,116.42 1,132.77 1,148.64 1,163.24 1,177.85 1,192.45 1,207.05 1,221.65 1,236.26 ** 21642164 Head of Household 1,140.44 1,155.04 1,169.64 1,184.25 1,198.85 1,213.45 1,228.05 1,242.66 1,257.26 1,271.86 ** 21642164 Married Filing joint 1,211.70 1,226.30 1,240.90 1,255.50 1,270.11 1,279.34 1,288.10 1,292.00 1,292.00 ** 21642164 Married Filling Separate 1,093.49 1,109.84 1,126.20 1,142.55 1,158.91 1,175.26 1,191.62 1,207.05 1,221.65 1,236.26 ** 2164

2165 Single 1,100.50 1,116.86 1,133.21 1,149.10 1,163.71 1,178.31 1,192.91 1,207.51 1,222.12 1,236.72 ** 21652165 Head of Household 1,140.90 1,155.51 1,170.11 1,184.71 1,199.31 1,213.92 1,228.52 1,243.12 1,257.72 1,272.33 ** 21652165 Married Filing joint 1,212.16 1,226.76 1,241.36 1,255.97 1,270.57 1,279.88 1,288.64 1,292.00 1,292.00 ** 21652165 Married Filling Separate 1,093.92 1,110.28 1,126.63 1,142.99 1,159.34 1,175.70 1,192.05 1,207.51 1,222.12 1,236.72 ** 2165

2166 Single 1,100.94 1,117.29 1,133.65 1,149.56 1,164.17 1,178.77 1,193.37 1,207.97 1,222.58 1,237.18 ** 21662166 Head of Household 1,141.37 1,155.97 1,170.57 1,185.17 1,199.78 1,214.38 1,228.98 1,243.58 1,258.19 1,272.79 ** 21662166 Married Filing joint 1,212.62 1,227.23 1,241.83 1,256.43 1,271.03 1,280.42 1,289.18 1,292.00 1,292.00 ** 21662166 Married Filling Separate 1,094.36 1,110.72 1,127.07 1,143.43 1,159.78 1,176.14 1,192.49 1,207.97 1,222.58 1,237.18 ** 2166

2167 Single 1,101.38 1,117.73 1,134.09 1,150.02 1,164.63 1,179.23 1,193.83 1,208.43 1,223.04 1,237.64 ** 21672167 Head of Household 1,141.83 1,156.43 1,171.04 1,185.64 1,200.24 1,214.84 1,229.45 1,244.05 1,258.65 1,273.25 ** 21672167 Married Filing joint 1,213.09 1,227.69 1,242.29 1,256.89 1,271.50 1,280.96 1,289.72 1,292.00 1,292.00 ** 21672167 Married Filling Separate 1,094.80 1,111.15 1,127.51 1,143.86 1,160.22 1,176.57 1,192.93 1,208.43 1,223.04 1,237.64 ** 2167

2168 Single 1,101.81 1,118.17 1,134.52 1,150.48 1,165.09 1,179.69 1,194.29 1,208.89 1,223.50 1,238.10 ** 21682168 Head of Household 1,142.30 1,156.90 1,171.50 1,186.10 1,200.71 1,215.31 1,229.91 1,244.51 1,259.12 1,273.72 ** 21682168 Married Filing joint 1,213.55 1,228.15 1,242.76 1,257.36 1,271.96 1,281.50 1,290.26 1,292.00 1,292.00 ** 21682168 Married Filling Separate 1,095.24 1,111.59 1,127.95 1,144.30 1,160.66 1,177.01 1,193.37 1,208.89 1,223.50 1,238.10 ** 2168

Page 291: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2169 Single 1,102.25 1,118.61 1,134.96 1,150.94 1,165.55 1,180.15 1,194.75 1,209.35 1,223.96 1,238.56 ** 21692169 Head of Household 1,142.76 1,157.36 1,171.96 1,186.57 1,201.17 1,215.77 1,230.37 1,244.98 1,259.58 1,274.18 ** 21692169 Married Filing joint 1,214.01 1,228.62 1,243.22 1,257.82 1,272.42 1,282.04 1,290.80 1,292.00 1,292.00 ** 21692169 Married Filling Separate 1,095.67 1,112.03 1,128.38 1,144.74 1,161.09 1,177.45 1,193.80 1,209.35 1,223.96 1,238.56 ** 2169

2170 Single 1,102.69 1,119.04 1,135.40 1,151.40 1,166.01 1,180.61 1,195.21 1,209.81 1,224.42 1,239.02 ** 21702170 Head of Household 1,143.22 1,157.83 1,172.43 1,187.03 1,201.63 1,216.24 1,230.84 1,245.44 1,260.04 1,274.65 ** 21702170 Married Filing joint 1,214.48 1,229.08 1,243.68 1,258.29 1,272.89 1,282.57 1,291.34 1,292.00 1,292.00 ** 21702170 Married Filling Separate 1,096.11 1,112.47 1,128.82 1,145.18 1,161.53 1,177.89 1,194.24 1,209.81 1,224.42 1,239.02 ** 2170

2171 Single 1,103.13 1,119.48 1,135.84 1,151.86 1,166.47 1,181.07 1,195.67 1,210.27 1,224.88 1,239.48 ** 21712171 Head of Household 1,143.69 1,158.29 1,172.89 1,187.49 1,202.10 1,216.70 1,231.30 1,245.90 1,260.51 1,275.11 ** 21712171 Married Filing joint 1,214.94 1,229.54 1,244.15 1,258.75 1,273.35 1,283.11 1,291.88 1,292.00 1,292.00 ** 21712171 Married Filling Separate 1,096.55 1,112.90 1,129.26 1,145.61 1,161.97 1,178.32 1,194.68 1,210.27 1,224.88 1,239.48 ** 2171

2172 Single 1,103.56 1,119.92 1,136.27 1,152.32 1,166.93 1,181.53 1,196.13 1,210.73 1,225.34 1,239.94 ** 21722172 Head of Household 1,144.15 1,158.75 1,173.36 1,187.96 1,202.56 1,217.16 1,231.77 1,246.37 1,260.97 1,275.57 ** 21722172 Married Filing joint 1,215.41 1,230.01 1,244.61 1,259.21 1,273.82 1,283.65 1,292.00 1,292.00 1,292.00 ** 21722172 Married Filling Separate 1,096.99 1,113.34 1,129.70 1,146.05 1,162.41 1,178.76 1,195.12 1,210.73 1,225.34 1,239.94 ** 2172

2173 Single 1,104.00 1,120.36 1,136.71 1,152.78 1,167.39 1,181.99 1,196.59 1,211.19 1,225.80 1,240.40 ** 21732173 Head of Household 1,144.61 1,159.22 1,173.82 1,188.42 1,203.02 1,217.63 1,232.23 1,246.83 1,261.43 1,276.04 ** 21732173 Married Filing joint 1,215.87 1,230.47 1,245.08 1,259.68 1,274.28 1,284.19 1,292.00 1,292.00 1,292.00 ** 21732173 Married Filling Separate 1,097.42 1,113.78 1,130.13 1,146.49 1,162.84 1,179.20 1,195.55 1,211.19 1,225.80 1,240.40 ** 2173

2174 Single 1,104.44 1,120.79 1,137.15 1,153.24 1,167.85 1,182.45 1,197.05 1,211.65 1,226.26 1,240.86 ** 21742174 Head of Household 1,145.08 1,159.68 1,174.28 1,188.89 1,203.49 1,218.09 1,232.69 1,247.30 1,261.90 1,276.50 ** 21742174 Married Filing joint 1,216.33 1,230.94 1,245.54 1,260.14 1,274.74 1,284.73 1,292.00 1,292.00 1,292.00 ** 21742174 Married Filling Separate 1,097.86 1,114.22 1,130.57 1,146.93 1,163.28 1,179.64 1,195.99 1,211.65 1,226.26 1,240.86 ** 2174

2175 Single 1,104.88 1,121.23 1,137.59 1,153.70 1,168.31 1,182.91 1,197.51 1,212.11 1,226.72 1,241.32 ** 21752175 Head of Household 1,145.54 1,160.14 1,174.75 1,189.35 1,203.95 1,218.55 1,233.16 1,247.76 1,262.36 1,276.96 ** 21752175 Married Filing joint 1,216.80 1,231.40 1,246.00 1,260.61 1,275.21 1,285.27 1,292.00 1,292.00 1,292.00 ** 21752175 Married Filling Separate 1,098.30 1,114.65 1,131.01 1,147.36 1,163.72 1,180.07 1,196.43 1,212.11 1,226.72 1,241.32 ** 2175

2176 Single 1,105.31 1,121.67 1,138.02 1,154.16 1,168.77 1,183.37 1,197.97 1,212.57 1,227.18 1,241.78 ** 21762176 Head of Household 1,146.01 1,160.61 1,175.21 1,189.81 1,204.42 1,219.02 1,233.62 1,248.22 1,262.83 1,277.43 ** 21762176 Married Filing joint 1,217.26 1,231.86 1,246.47 1,261.07 1,275.67 1,285.81 1,292.00 1,292.00 1,292.00 ** 21762176 Married Filling Separate 1,098.74 1,115.09 1,131.45 1,147.80 1,164.16 1,180.51 1,196.87 1,212.57 1,227.18 1,241.78 ** 2176

Page 292: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2177 Single 1,105.75 1,122.11 1,138.46 1,154.62 1,169.23 1,183.83 1,198.43 1,213.03 1,227.64 1,242.24 ** 21772177 Head of Household 1,146.47 1,161.07 1,175.67 1,190.28 1,204.88 1,219.48 1,234.08 1,248.69 1,263.29 1,277.89 ** 21772177 Married Filing joint 1,217.73 1,232.33 1,246.93 1,261.53 1,276.14 1,286.35 1,292.00 1,292.00 1,292.00 ** 21772177 Married Filling Separate 1,099.18 1,115.53 1,131.88 1,148.24 1,164.59 1,180.95 1,197.30 1,213.03 1,227.64 1,242.24 ** 2177

2178 Single 1,106.19 1,122.54 1,138.90 1,155.08 1,169.69 1,184.29 1,198.89 1,213.49 1,228.10 1,242.70 ** 21782178 Head of Household 1,146.93 1,161.54 1,176.14 1,190.74 1,205.34 1,219.95 1,234.55 1,249.15 1,263.75 1,278.36 ** 21782178 Married Filing joint 1,218.19 1,232.79 1,247.39 1,262.00 1,276.60 1,286.89 1,292.00 1,292.00 1,292.00 ** 21782178 Married Filling Separate 1,099.61 1,115.97 1,132.32 1,148.68 1,165.03 1,181.39 1,197.74 1,213.49 1,228.10 1,242.70 ** 2178

2179 Single 1,106.63 1,122.98 1,139.34 1,155.54 1,170.15 1,184.75 1,199.35 1,213.95 1,228.56 1,243.16 ** 21792179 Head of Household 1,147.40 1,162.00 1,176.60 1,191.21 1,205.81 1,220.41 1,235.01 1,249.62 1,264.22 1,278.82 ** 21792179 Married Filing joint 1,218.65 1,233.26 1,247.86 1,262.46 1,277.06 1,287.42 1,292.00 1,292.00 1,292.00 ** 21792179 Married Filling Separate 1,100.05 1,116.41 1,132.76 1,149.11 1,165.47 1,181.82 1,198.18 1,213.95 1,228.56 1,243.16 ** 2179

2180 Single 1,107.06 1,123.42 1,139.77 1,156.00 1,170.61 1,185.21 1,199.81 1,214.41 1,229.02 1,243.62 ** 21802180 Head of Household 1,147.86 1,162.46 1,177.07 1,191.67 1,206.27 1,220.87 1,235.48 1,250.08 1,264.68 1,279.28 ** 21802180 Married Filing joint 1,219.12 1,233.72 1,248.32 1,262.92 1,277.53 1,287.96 1,292.00 1,292.00 1,292.00 ** 21802180 Married Filling Separate 1,100.49 1,116.84 1,133.20 1,149.55 1,165.91 1,182.26 1,198.62 1,214.41 1,229.02 1,243.62 ** 2180

2181 Single 1,107.50 1,123.86 1,140.21 1,156.46 1,171.07 1,185.67 1,200.27 1,214.87 1,229.48 1,244.08 ** 21812181 Head of Household 1,148.33 1,162.93 1,177.53 1,192.13 1,206.74 1,221.34 1,235.94 1,250.54 1,265.15 1,279.75 ** 21812181 Married Filing joint 1,219.58 1,234.18 1,248.79 1,263.39 1,277.99 1,288.50 1,292.00 1,292.00 1,292.00 ** 21812181 Married Filling Separate 1,100.93 1,117.28 1,133.64 1,149.99 1,166.35 1,182.70 1,199.05 1,214.87 1,229.48 1,244.08 ** 2181

2182 Single 1,107.94 1,124.30 1,140.65 1,156.92 1,171.53 1,186.13 1,200.73 1,215.33 1,229.94 1,244.54 ** 21822182 Head of Household 1,148.79 1,163.39 1,177.99 1,192.60 1,207.20 1,221.80 1,236.40 1,251.01 1,265.61 1,280.21 ** 21822182 Married Filing joint 1,220.05 1,234.65 1,249.25 1,263.85 1,278.46 1,289.04 1,292.00 1,292.00 1,292.00 ** 21822182 Married Filling Separate 1,101.36 1,117.72 1,134.07 1,150.43 1,166.78 1,183.14 1,199.49 1,215.33 1,229.94 1,244.54 ** 2182

2183 Single 1,108.38 1,124.73 1,141.09 1,157.38 1,171.99 1,186.59 1,201.19 1,215.79 1,230.40 1,245.00 ** 21832183 Head of Household 1,149.25 1,163.86 1,178.46 1,193.06 1,207.66 1,222.27 1,236.87 1,251.47 1,266.07 1,280.68 ** 21832183 Married Filing joint 1,220.51 1,235.11 1,249.71 1,264.32 1,278.92 1,289.58 1,292.00 1,292.00 1,292.00 ** 21832183 Married Filling Separate 1,101.80 1,118.16 1,134.51 1,150.87 1,167.22 1,183.58 1,199.93 1,215.79 1,230.40 1,245.00 ** 2183

2184 Single 1,108.82 1,125.17 1,141.53 1,157.84 1,172.45 1,187.05 1,201.65 1,216.25 1,230.86 1,245.46 ** 21842184 Head of Household 1,149.72 1,164.32 1,178.92 1,193.52 1,208.13 1,222.73 1,237.33 1,251.93 1,266.54 1,281.14 ** 21842184 Married Filing joint 1,220.97 1,235.58 1,250.18 1,264.78 1,279.38 1,290.12 1,292.00 1,292.00 1,292.00 ** 21842184 Married Filling Separate 1,102.24 1,118.59 1,134.95 1,151.30 1,167.66 1,184.01 1,200.37 1,216.25 1,230.86 1,245.46 ** 2184

Page 293: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2185 Single 1,109.25 1,125.61 1,141.96 1,158.31 1,172.91 1,187.51 1,202.11 1,216.72 1,231.32 1,245.92 ** 21852185 Head of Household 1,150.18 1,164.78 1,179.39 1,193.99 1,208.59 1,223.19 1,237.80 1,252.40 1,267.00 1,281.60 ** 21852185 Married Filing joint 1,221.44 1,236.04 1,250.64 1,265.24 1,279.85 1,290.66 1,292.00 1,292.00 1,292.00 ** 21852185 Married Filling Separate 1,102.68 1,119.03 1,135.39 1,151.74 1,168.10 1,184.45 1,200.81 1,216.72 1,231.32 1,245.92 ** 2185

2186 Single 1,109.69 1,126.05 1,142.40 1,158.76 1,173.37 1,187.97 1,202.57 1,217.18 1,231.78 1,246.38 ** 21862186 Head of Household 1,150.64 1,165.25 1,179.85 1,194.45 1,209.05 1,223.66 1,238.26 1,252.86 1,267.46 1,282.07 ** 21862186 Married Filing joint 1,221.90 1,236.50 1,251.11 1,265.71 1,280.31 1,291.20 1,292.00 1,292.00 1,292.00 ** 21862186 Married Filling Separate 1,103.11 1,119.47 1,135.82 1,152.18 1,168.53 1,184.89 1,201.24 1,217.18 1,231.78 1,246.38 ** 2186

2187 Single 1,110.13 1,126.48 1,142.84 1,159.19 1,173.83 1,188.43 1,203.03 1,217.64 1,232.24 1,246.84 ** 21872187 Head of Household 1,151.11 1,165.71 1,180.31 1,194.92 1,209.52 1,224.12 1,238.72 1,253.33 1,267.93 1,282.53 ** 21872187 Married Filing joint 1,222.36 1,236.97 1,251.57 1,266.17 1,280.77 1,291.74 1,292.00 1,292.00 1,292.00 ** 21872187 Married Filling Separate 1,103.55 1,119.91 1,136.26 1,152.62 1,168.97 1,185.33 1,201.68 1,217.64 1,232.24 1,246.84 ** 2187

2188 Single 1,110.57 1,126.92 1,143.28 1,159.63 1,174.29 1,188.89 1,203.49 1,218.10 1,232.70 1,247.30 ** 21882188 Head of Household 1,151.57 1,166.18 1,180.78 1,195.38 1,209.98 1,224.59 1,239.19 1,253.79 1,268.39 1,283.00 ** 21882188 Married Filing joint 1,222.83 1,237.43 1,252.03 1,266.64 1,281.24 1,292.00 1,292.00 1,292.00 1,292.00 ** 21882188 Married Filling Separate 1,103.99 1,120.34 1,136.70 1,153.05 1,169.41 1,185.76 1,202.12 1,218.10 1,232.70 1,247.30 ** 2188

2189 Single 1,111.00 1,127.36 1,143.71 1,160.07 1,174.75 1,189.35 1,203.95 1,218.56 1,233.16 1,247.76 ** 21892189 Head of Household 1,152.04 1,166.64 1,181.24 1,195.84 1,210.45 1,225.05 1,239.65 1,254.25 1,268.86 1,283.46 ** 21892189 Married Filing joint 1,223.29 1,237.89 1,252.50 1,267.10 1,281.70 1,292.00 1,292.00 1,292.00 1,292.00 ** 21892189 Married Filling Separate 1,104.43 1,120.78 1,137.14 1,153.49 1,169.85 1,186.20 1,202.56 1,218.56 1,233.16 1,247.76 ** 2189

2190 Single 1,111.44 1,127.80 1,144.15 1,160.51 1,175.21 1,189.81 1,204.41 1,219.02 1,233.62 1,248.22 ** 21902190 Head of Household 1,152.50 1,167.10 1,181.71 1,196.31 1,210.91 1,225.51 1,240.12 1,254.72 1,269.32 1,283.92 ** 21902190 Married Filing joint 1,223.76 1,238.36 1,252.96 1,267.56 1,282.17 1,292.00 1,292.00 1,292.00 1,292.00 ** 21902190 Married Filling Separate 1,104.86 1,121.22 1,137.57 1,153.93 1,170.28 1,186.64 1,202.99 1,219.02 1,233.62 1,248.22 ** 2190

2191 Single 1,111.88 1,128.23 1,144.59 1,160.94 1,175.67 1,190.27 1,204.87 1,219.48 1,234.08 1,248.68 ** 21912191 Head of Household 1,152.96 1,167.57 1,182.17 1,196.77 1,211.37 1,225.98 1,240.58 1,255.18 1,269.78 1,284.39 ** 21912191 Married Filing joint 1,224.22 1,238.82 1,253.42 1,268.03 1,282.63 1,292.00 1,292.00 1,292.00 1,292.00 ** 21912191 Married Filling Separate 1,105.30 1,121.66 1,138.01 1,154.37 1,170.72 1,187.08 1,203.43 1,219.48 1,234.08 1,248.68 ** 2191

2192 Single 1,112.32 1,128.67 1,145.03 1,161.38 1,176.13 1,190.73 1,205.33 1,219.94 1,234.54 1,249.14 ** 21922192 Head of Household 1,153.43 1,168.03 1,182.63 1,197.24 1,211.84 1,226.44 1,241.04 1,255.65 1,270.25 1,284.85 ** 21922192 Married Filing joint 1,224.68 1,239.29 1,253.89 1,268.49 1,283.09 1,292.00 1,292.00 1,292.00 1,292.00 ** 21922192 Married Filling Separate 1,105.74 1,122.09 1,138.45 1,154.80 1,171.16 1,187.51 1,203.87 1,219.94 1,234.54 1,249.14 ** 2192

Page 294: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2193 Single 1,112.75 1,129.11 1,145.46 1,161.82 1,176.59 1,191.19 1,205.79 1,220.40 1,235.00 1,249.60 ** 21932193 Head of Household 1,153.89 1,168.49 1,183.10 1,197.70 1,212.30 1,226.90 1,241.51 1,256.11 1,270.71 1,285.31 ** 21932193 Married Filing joint 1,225.15 1,239.75 1,254.35 1,268.96 1,283.56 1,292.00 1,292.00 1,292.00 1,292.00 ** 21932193 Married Filling Separate 1,106.18 1,122.53 1,138.89 1,155.24 1,171.60 1,187.95 1,204.31 1,220.40 1,235.00 1,249.60 ** 2193

2194 Single 1,113.19 1,129.55 1,145.90 1,162.26 1,177.05 1,191.65 1,206.25 1,220.86 1,235.46 1,250.06 ** 21942194 Head of Household 1,154.36 1,168.96 1,183.56 1,198.16 1,212.77 1,227.37 1,241.97 1,256.57 1,271.18 1,285.78 ** 21942194 Married Filing joint 1,225.61 1,240.21 1,254.82 1,269.42 1,284.02 1,292.00 1,292.00 1,292.00 1,292.00 ** 21942194 Married Filling Separate 1,106.61 1,122.97 1,139.32 1,155.68 1,172.03 1,188.39 1,204.74 1,220.86 1,235.46 1,250.06 ** 2194

2195 Single 1,113.63 1,129.98 1,146.34 1,162.69 1,177.51 1,192.11 1,206.71 1,221.32 1,235.92 1,250.52 ** 21952195 Head of Household 1,154.82 1,169.42 1,184.02 1,198.63 1,213.23 1,227.83 1,242.43 1,257.04 1,271.64 1,286.24 ** 21952195 Married Filing joint 1,226.08 1,240.68 1,255.28 1,269.88 1,284.49 1,292.00 1,292.00 1,292.00 1,292.00 ** 21952195 Married Filling Separate 1,107.05 1,123.41 1,139.76 1,156.12 1,172.47 1,188.83 1,205.18 1,221.32 1,235.92 1,250.52 ** 2195

2196 Single 1,114.07 1,130.42 1,146.78 1,163.13 1,177.97 1,192.57 1,207.17 1,221.78 1,236.38 1,250.98 ** 21962196 Head of Household 1,155.28 1,169.89 1,184.49 1,199.09 1,213.69 1,228.30 1,242.90 1,257.50 1,272.10 1,286.71 ** 21962196 Married Filing joint 1,226.54 1,241.14 1,255.74 1,270.35 1,284.95 1,292.00 1,292.00 1,292.00 1,292.00 ** 21962196 Married Filling Separate 1,107.49 1,123.85 1,140.20 1,156.55 1,172.91 1,189.26 1,205.62 1,221.78 1,236.38 1,250.98 ** 2196

2197 Single 1,114.50 1,130.86 1,147.21 1,163.57 1,178.43 1,193.03 1,207.63 1,222.24 1,236.84 1,251.44 ** 21972197 Head of Household 1,155.75 1,170.35 1,184.95 1,199.55 1,214.16 1,228.76 1,243.36 1,257.96 1,272.57 1,287.17 ** 21972197 Married Filing joint 1,227.00 1,241.61 1,256.21 1,270.81 1,285.41 1,292.00 1,292.00 1,292.00 1,292.00 ** 21972197 Married Filling Separate 1,107.93 1,124.28 1,140.64 1,156.99 1,173.35 1,189.70 1,206.06 1,222.24 1,236.84 1,251.44 ** 2197

2198 Single 1,114.94 1,131.30 1,147.65 1,164.01 1,178.89 1,193.49 1,208.09 1,222.70 1,237.30 1,251.90 ** 21982198 Head of Household 1,156.21 1,170.81 1,185.42 1,200.02 1,214.62 1,229.22 1,243.83 1,258.43 1,273.03 1,287.63 ** 21982198 Married Filing joint 1,227.47 1,242.07 1,256.67 1,271.27 1,285.88 1,292.00 1,292.00 1,292.00 1,292.00 ** 21982198 Married Filling Separate 1,108.37 1,124.72 1,141.08 1,157.43 1,173.78 1,190.14 1,206.49 1,222.70 1,237.30 1,251.90 ** 2198

2199 Single 1,115.38 1,131.73 1,148.09 1,164.44 1,179.35 1,193.95 1,208.55 1,223.16 1,237.76 1,252.36 ** 21992199 Head of Household 1,156.68 1,171.28 1,185.88 1,200.48 1,215.09 1,229.69 1,244.29 1,258.89 1,273.50 1,288.10 ** 21992199 Married Filing joint 1,227.93 1,242.53 1,257.14 1,271.74 1,286.34 1,292.00 1,292.00 1,292.00 1,292.00 ** 21992199 Married Filling Separate 1,108.80 1,125.16 1,141.51 1,157.87 1,174.22 1,190.58 1,206.93 1,223.16 1,237.76 1,252.36 ** 2199

2200 Single 1,115.82 1,132.17 1,148.53 1,164.88 1,179.81 1,194.41 1,209.01 1,223.62 1,238.22 1,252.82 ** 22002200 Head of Household 1,157.14 1,171.74 1,186.34 1,200.95 1,215.55 1,230.15 1,244.75 1,259.36 1,273.96 1,288.56 ** 22002200 Married Filing joint 1,228.39 1,243.00 1,257.60 1,272.20 1,286.80 1,292.00 1,292.00 1,292.00 1,292.00 ** 22002200 Married Filling Separate 1,109.24 1,125.60 1,141.95 1,158.31 1,174.66 1,191.01 1,207.37 1,223.62 1,238.22 1,252.82 ** 2200

Page 295: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2201 Single 1,116.26 1,132.61 1,148.96 1,165.32 1,180.27 1,194.87 1,209.47 1,224.08 1,238.68 1,253.28 ** 22012201 Head of Household 1,157.60 1,172.21 1,186.81 1,201.41 1,216.01 1,230.62 1,245.22 1,259.82 1,274.42 1,289.03 ** 22012201 Married Filing joint 1,228.86 1,243.46 1,258.06 1,272.67 1,287.27 1,292.00 1,292.00 1,292.00 1,292.00 ** 22012201 Married Filling Separate 1,109.68 1,126.03 1,142.39 1,158.74 1,175.10 1,191.45 1,207.81 1,224.08 1,238.68 1,253.28 ** 2201

2202 Single 1,116.69 1,133.05 1,149.40 1,165.76 1,180.73 1,195.33 1,209.93 1,224.54 1,239.14 1,253.74 ** 22022202 Head of Household 1,157.61 1,172.21 1,186.81 1,201.42 1,216.02 1,230.62 1,245.22 1,259.83 1,274.43 1,289.03 ** 22022202 Married Filing joint 1,229.32 1,243.93 1,258.53 1,273.13 1,287.73 1,292.00 1,292.00 1,292.00 1,292.00 ** 22022202 Married Filling Separate 1,110.12 1,126.47 1,142.83 1,159.18 1,175.54 1,191.89 1,208.24 1,224.54 1,239.14 1,253.74 ** 2202

2203 Single 1,117.13 1,133.49 1,149.84 1,166.19 1,181.19 1,195.79 1,210.39 1,225.00 1,239.60 1,254.20 ** 22032203 Head of Household 1,158.07 1,172.68 1,187.28 1,201.88 1,216.48 1,231.09 1,245.69 1,260.29 1,274.89 1,289.50 ** 22032203 Married Filing joint 1,229.79 1,244.39 1,258.99 1,273.59 1,288.20 1,292.00 1,292.00 1,292.00 1,292.00 ** 22032203 Married Filling Separate 1,110.55 1,126.91 1,143.26 1,159.62 1,175.97 1,192.33 1,208.68 1,225.00 1,239.60 1,254.20 ** 2203

2204 Single 1,117.57 1,133.92 1,150.28 1,166.63 1,181.65 1,196.25 1,210.85 1,225.46 1,240.06 1,254.66 ** 22042204 Head of Household 1,158.54 1,173.14 1,187.74 1,202.34 1,216.95 1,231.55 1,246.15 1,260.75 1,275.36 1,289.96 ** 22042204 Married Filing joint 1,230.25 1,244.85 1,259.46 1,274.06 1,288.66 1,292.00 1,292.00 1,292.00 1,292.00 ** 22042204 Married Filling Separate 1,110.99 1,127.35 1,143.70 1,160.06 1,176.41 1,192.77 1,209.12 1,225.46 1,240.06 1,254.66 ** 2204

2205 Single 1,118.01 1,134.36 1,150.72 1,167.07 1,182.11 1,196.71 1,211.32 1,225.92 1,240.52 1,255.12 ** 22052205 Head of Household 1,159.00 1,173.60 1,188.21 1,202.81 1,217.41 1,232.01 1,246.62 1,261.22 1,275.82 1,290.42 ** 22052205 Married Filing joint 1,230.71 1,245.32 1,259.92 1,274.52 1,289.12 1,292.00 1,292.00 1,292.00 1,292.00 ** 22052205 Married Filling Separate 1,111.43 1,127.78 1,144.14 1,160.49 1,176.85 1,193.20 1,209.56 1,225.91 1,240.52 1,255.12 ** 2205

2206 Single 1,118.44 1,134.80 1,151.15 1,167.51 1,182.57 1,197.17 1,211.78 1,226.38 1,240.98 1,255.58 ** 22062206 Head of Household 1,159.46 1,174.07 1,188.67 1,203.27 1,217.87 1,232.48 1,247.08 1,261.68 1,276.28 1,290.89 ** 22062206 Married Filing joint 1,231.18 1,245.78 1,260.38 1,274.99 1,289.59 1,292.00 1,292.00 1,292.00 1,292.00 ** 22062206 Married Filling Separate 1,111.87 1,128.22 1,144.58 1,160.93 1,177.29 1,193.64 1,210.00 1,226.35 1,240.98 1,255.58 ** 2206

2207 Single 1,118.88 1,135.24 1,151.59 1,167.95 1,183.03 1,197.63 1,212.24 1,226.84 1,241.44 1,256.04 ** 22072207 Head of Household 1,159.93 1,174.53 1,189.13 1,203.74 1,218.34 1,232.94 1,247.54 1,262.15 1,276.75 1,291.35 ** 22072207 Married Filing joint 1,231.64 1,246.24 1,260.85 1,275.45 1,290.05 1,292.00 1,292.00 1,292.00 1,292.00 ** 22072207 Married Filling Separate 1,112.30 1,128.66 1,145.01 1,161.37 1,177.72 1,194.08 1,210.43 1,226.79 1,241.44 1,256.04 ** 2207

2208 Single 1,119.32 1,135.67 1,152.03 1,168.38 1,183.49 1,198.09 1,212.70 1,227.30 1,241.90 1,256.50 ** 22082208 Head of Household 1,160.39 1,175.00 1,189.60 1,204.20 1,218.80 1,233.41 1,248.01 1,262.61 1,277.21 1,291.82 ** 22082208 Married Filing joint 1,232.11 1,246.71 1,261.31 1,275.91 1,290.52 1,292.00 1,292.00 1,292.00 1,292.00 ** 22082208 Married Filling Separate 1,112.74 1,129.10 1,145.45 1,161.81 1,178.16 1,194.52 1,210.87 1,227.23 1,241.90 1,256.50 ** 2208

Page 296: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2209 Single 1,119.76 1,136.11 1,152.47 1,168.82 1,183.95 1,198.55 1,213.16 1,227.76 1,242.36 1,256.96 ** 22092209 Head of Household 1,160.86 1,175.46 1,190.06 1,204.66 1,219.27 1,233.87 1,248.47 1,263.07 1,277.68 1,292.00 ** 22092209 Married Filing joint 1,232.57 1,247.17 1,261.77 1,276.38 1,290.98 1,292.00 1,292.00 1,292.00 1,292.00 ** 22092209 Married Filling Separate 1,113.18 1,129.53 1,145.89 1,162.24 1,178.60 1,194.95 1,211.31 1,227.66 1,242.36 1,256.96 ** 2209

2210 Single 1,120.19 1,136.55 1,152.90 1,169.26 1,184.41 1,199.01 1,213.62 1,228.22 1,242.82 1,257.42 ** 22102210 Head of Household 1,161.32 1,175.92 1,190.53 1,205.13 1,219.73 1,234.33 1,248.94 1,263.54 1,278.14 1,292.00 ** 22102210 Married Filing joint 1,233.03 1,247.64 1,262.24 1,276.84 1,291.44 1,292.00 1,292.00 1,292.00 1,292.00 ** 22102210 Married Filling Separate 1,113.62 1,129.97 1,146.33 1,162.68 1,179.04 1,195.39 1,211.75 1,228.10 1,242.82 1,257.42 ** 2210

2211 Single 1,120.63 1,136.99 1,153.34 1,169.70 1,184.87 1,199.47 1,214.08 1,228.68 1,243.28 1,257.88 ** 22112211 Head of Household 1,161.78 1,176.39 1,190.99 1,205.59 1,220.19 1,234.80 1,249.40 1,264.00 1,278.60 1,292.00 ** 22112211 Married Filing joint 1,233.50 1,248.10 1,262.70 1,277.30 1,291.91 1,292.00 1,292.00 1,292.00 1,292.00 ** 22112211 Married Filling Separate 1,114.05 1,130.41 1,146.76 1,163.12 1,179.47 1,195.83 1,212.18 1,228.54 1,243.28 1,257.88 ** 2211

2212 Single 1,121.07 1,137.42 1,153.78 1,170.13 1,185.33 1,199.93 1,214.54 1,229.14 1,243.74 1,258.34 ** 22122212 Head of Household 1,162.25 1,176.85 1,191.45 1,206.06 1,220.66 1,235.26 1,249.86 1,264.47 1,279.07 1,292.00 ** 22122212 Married Filing joint 1,233.96 1,248.56 1,263.17 1,277.77 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22122212 Married Filling Separate 1,114.49 1,130.85 1,147.20 1,163.56 1,179.91 1,196.27 1,212.62 1,228.98 1,243.74 1,258.34 ** 2212

2213 Single 1,121.51 1,137.86 1,154.22 1,170.57 1,185.79 1,200.39 1,215.00 1,229.60 1,244.20 1,258.80 ** 22132213 Head of Household 1,162.71 1,177.31 1,191.92 1,206.52 1,221.12 1,235.72 1,250.33 1,264.93 1,279.53 1,292.00 ** 22132213 Married Filing joint 1,234.43 1,249.03 1,263.63 1,278.23 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22132213 Married Filling Separate 1,114.93 1,131.28 1,147.64 1,163.99 1,180.35 1,196.70 1,213.06 1,229.41 1,244.20 1,258.80 ** 2213

2214 Single 1,121.94 1,138.30 1,154.65 1,171.01 1,186.25 1,200.85 1,215.46 1,230.06 1,244.66 1,259.26 ** 22142214 Head of Household 1,163.18 1,177.78 1,192.38 1,206.98 1,221.59 1,236.19 1,250.79 1,265.39 1,280.00 1,292.00 ** 22142214 Married Filing joint 1,234.89 1,249.49 1,264.09 1,278.70 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22142214 Married Filling Separate 1,115.37 1,131.72 1,148.08 1,164.43 1,180.79 1,197.14 1,213.50 1,229.85 1,244.66 1,259.26 ** 2214

2215 Single 1,122.38 1,138.74 1,155.09 1,171.45 1,186.71 1,201.31 1,215.92 1,230.52 1,245.12 1,259.72 ** 22152215 Head of Household 1,163.64 1,178.24 1,192.84 1,207.45 1,222.05 1,236.65 1,251.25 1,265.86 1,280.46 1,292.00 ** 22152215 Married Filing joint 1,235.35 1,249.96 1,264.56 1,279.16 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22152215 Married Filling Separate 1,115.81 1,132.16 1,148.51 1,164.87 1,181.22 1,197.58 1,213.93 1,230.29 1,245.12 1,259.72 ** 2215

2216 Single 1,122.82 1,139.17 1,155.53 1,171.88 1,187.17 1,201.77 1,216.38 1,230.98 1,245.58 1,260.18 ** 22162216 Head of Household 1,164.10 1,178.71 1,193.31 1,207.91 1,222.51 1,237.12 1,251.72 1,266.32 1,280.92 1,292.00 ** 22162216 Married Filing joint 1,235.82 1,250.42 1,265.02 1,279.62 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22162216 Married Filling Separate 1,116.24 1,132.60 1,148.95 1,165.31 1,181.66 1,198.02 1,214.37 1,230.73 1,245.58 1,260.18 ** 2216

Page 297: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2217 Single 1,123.26 1,139.61 1,155.97 1,172.32 1,187.63 1,202.23 1,216.84 1,231.44 1,246.04 1,260.64 ** 22172217 Head of Household 1,164.57 1,179.17 1,193.77 1,208.37 1,222.98 1,237.58 1,252.18 1,266.78 1,281.39 1,292.00 ** 22172217 Married Filing joint 1,236.28 1,250.88 1,265.49 1,280.09 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22172217 Married Filling Separate 1,116.68 1,133.04 1,149.39 1,165.74 1,182.10 1,198.45 1,214.81 1,231.16 1,246.04 1,260.64 ** 2217

2218 Single 1,123.69 1,140.05 1,156.40 1,172.76 1,188.09 1,202.69 1,217.30 1,231.90 1,246.50 1,261.10 ** 22182218 Head of Household 1,165.03 1,179.63 1,194.24 1,208.84 1,223.44 1,238.04 1,252.65 1,267.25 1,281.85 1,292.00 ** 22182218 Married Filing joint 1,236.74 1,251.35 1,265.95 1,280.55 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22182218 Married Filling Separate 1,117.12 1,133.47 1,149.83 1,166.18 1,182.54 1,198.89 1,215.25 1,231.60 1,246.50 1,261.10 ** 2218

2219 Single 1,124.13 1,140.49 1,156.84 1,173.20 1,188.55 1,203.15 1,217.76 1,232.36 1,246.96 1,261.56 ** 22192219 Head of Household 1,165.50 1,180.10 1,194.70 1,209.30 1,223.91 1,238.51 1,253.11 1,267.71 1,282.32 1,292.00 ** 22192219 Married Filing joint 1,237.21 1,251.81 1,266.41 1,281.02 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22192219 Married Filling Separate 1,117.56 1,133.91 1,150.27 1,166.62 1,182.97 1,199.33 1,215.68 1,232.04 1,246.96 1,261.56 ** 2219

2220 Single 1,124.57 1,140.92 1,157.28 1,173.63 1,189.01 1,203.61 1,218.22 1,232.82 1,247.42 1,262.02 ** 22202220 Head of Household 1,165.96 1,180.56 1,195.16 1,209.77 1,224.37 1,238.97 1,253.57 1,268.18 1,282.78 1,292.00 ** 22202220 Married Filing joint 1,237.67 1,252.27 1,266.88 1,281.48 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22202220 Married Filling Separate 1,117.99 1,134.35 1,150.70 1,167.06 1,183.41 1,199.77 1,216.12 1,232.48 1,247.42 1,262.02 ** 2220

2221 Single 1,125.01 1,141.36 1,157.72 1,174.07 1,189.47 1,204.07 1,218.68 1,233.28 1,247.88 1,262.48 ** 22212221 Head of Household 1,166.42 1,181.03 1,195.63 1,210.23 1,224.83 1,239.44 1,254.04 1,268.64 1,283.24 1,292.00 ** 22212221 Married Filing joint 1,238.14 1,252.74 1,267.34 1,281.94 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22212221 Married Filling Separate 1,118.43 1,134.79 1,151.14 1,167.50 1,183.85 1,200.20 1,216.56 1,232.91 1,247.88 1,262.48 ** 2221

2222 Single 1,125.45 1,141.80 1,158.15 1,174.51 1,189.93 1,204.53 1,219.14 1,233.74 1,248.34 1,262.94 ** 22222222 Head of Household 1,166.89 1,181.49 1,196.09 1,210.69 1,225.30 1,239.90 1,254.50 1,269.10 1,283.71 1,292.00 ** 22222222 Married Filing joint 1,238.02 1,252.63 1,267.23 1,281.83 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22222222 Married Filling Separate 1,118.87 1,135.22 1,151.58 1,167.93 1,184.29 1,200.64 1,217.00 1,233.35 1,248.34 1,262.94 ** 2222

2223 Single 1,125.88 1,142.24 1,158.59 1,174.95 1,190.39 1,204.99 1,219.60 1,234.20 1,248.80 1,263.40 ** 22232223 Head of Household 1,167.35 1,181.95 1,196.56 1,211.16 1,225.76 1,240.36 1,254.97 1,269.57 1,284.17 1,292.00 ** 22232223 Married Filing joint 1,238.49 1,253.09 1,267.69 1,282.29 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22232223 Married Filling Separate 1,119.31 1,135.66 1,152.02 1,168.37 1,184.73 1,201.08 1,217.43 1,233.79 1,248.80 1,263.40 ** 2223

2224 Single 1,126.32 1,142.68 1,159.03 1,175.38 1,190.85 1,205.45 1,220.06 1,234.66 1,249.26 1,263.86 ** 22242224 Head of Household 1,167.81 1,182.42 1,197.02 1,211.62 1,226.22 1,240.83 1,255.43 1,270.03 1,284.63 1,292.00 ** 22242224 Married Filing joint 1,238.95 1,253.55 1,268.16 1,282.76 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22242224 Married Filling Separate 1,119.74 1,136.10 1,152.45 1,168.81 1,185.16 1,201.52 1,217.87 1,234.23 1,249.26 1,263.86 ** 2224

Page 298: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2225 Single 1,126.76 1,143.11 1,159.47 1,175.82 1,191.31 1,205.92 1,220.52 1,235.12 1,249.72 1,264.33 ** 22252225 Head of Household 1,168.28 1,182.88 1,197.48 1,212.09 1,226.69 1,241.29 1,255.89 1,270.50 1,285.10 1,292.00 ** 22252225 Married Filing joint 1,239.41 1,254.02 1,268.62 1,283.22 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22252225 Married Filling Separate 1,120.18 1,136.54 1,152.89 1,169.25 1,185.60 1,201.96 1,218.31 1,234.66 1,249.72 1,264.33 ** 2225

2226 Single 1,127.20 1,143.55 1,159.91 1,176.26 1,191.77 1,206.38 1,220.98 1,235.58 1,250.18 1,264.79 ** 22262226 Head of Household 1,168.74 1,183.34 1,197.95 1,212.55 1,227.15 1,241.75 1,256.36 1,270.96 1,285.56 1,292.00 ** 22262226 Married Filing joint 1,239.88 1,254.48 1,269.08 1,283.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22262226 Married Filling Separate 1,120.62 1,136.97 1,153.33 1,169.68 1,186.04 1,202.39 1,218.75 1,235.10 1,250.18 1,264.79 ** 2226

2227 Single 1,127.63 1,143.99 1,160.34 1,176.70 1,192.23 1,206.84 1,221.44 1,236.04 1,250.64 1,265.25 ** 22272227 Head of Household 1,169.21 1,183.81 1,198.41 1,213.01 1,227.62 1,242.22 1,256.82 1,271.42 1,286.03 1,292.00 ** 22272227 Married Filing joint 1,240.34 1,254.94 1,269.55 1,284.15 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22272227 Married Filling Separate 1,121.06 1,137.41 1,153.77 1,170.12 1,186.48 1,202.83 1,219.19 1,235.54 1,250.64 1,265.25 ** 2227

2228 Single 1,128.07 1,144.43 1,160.78 1,177.14 1,192.69 1,207.30 1,221.90 1,236.50 1,251.10 1,265.71 ** 22282228 Head of Household 1,169.67 1,184.27 1,198.88 1,213.48 1,228.08 1,242.68 1,257.29 1,271.89 1,286.49 1,292.00 ** 22282228 Married Filing joint 1,240.81 1,255.41 1,270.01 1,284.61 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22282228 Married Filling Separate 1,121.49 1,137.85 1,154.20 1,170.56 1,186.91 1,203.27 1,219.62 1,235.98 1,251.10 1,265.71 ** 2228

2229 Single 1,128.51 1,144.86 1,161.22 1,177.57 1,193.15 1,207.76 1,222.36 1,236.96 1,251.56 1,266.17 ** 22292229 Head of Household 1,170.13 1,184.74 1,199.34 1,213.94 1,228.54 1,243.15 1,257.75 1,272.35 1,286.95 1,292.00 ** 22292229 Married Filing joint 1,241.27 1,255.87 1,270.47 1,285.08 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22292229 Married Filling Separate 1,121.93 1,138.29 1,154.64 1,171.00 1,187.35 1,203.71 1,220.06 1,236.42 1,251.56 1,266.17 ** 2229

2230 Single 1,128.95 1,145.30 1,161.66 1,178.01 1,193.61 1,208.22 1,222.82 1,237.42 1,252.02 1,266.63 ** 22302230 Head of Household 1,170.60 1,185.20 1,199.80 1,214.41 1,229.01 1,243.61 1,258.21 1,272.82 1,287.42 1,292.00 ** 22302230 Married Filing joint 1,241.73 1,256.34 1,270.94 1,285.54 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22302230 Married Filling Separate 1,122.37 1,138.72 1,155.08 1,171.43 1,187.79 1,204.14 1,220.50 1,236.85 1,252.02 1,266.63 ** 2230

2231 Single 1,129.38 1,145.74 1,162.09 1,178.45 1,194.07 1,208.68 1,223.28 1,237.88 1,252.48 1,267.09 ** 22312231 Head of Household 1,171.06 1,185.66 1,200.27 1,214.87 1,229.47 1,244.07 1,258.68 1,273.28 1,287.88 1,292.00 ** 22312231 Married Filing joint 1,242.20 1,256.80 1,271.40 1,286.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22312231 Married Filling Separate 1,122.81 1,139.16 1,155.52 1,171.87 1,188.23 1,204.58 1,220.94 1,237.29 1,252.48 1,267.09 ** 2231

2232 Single 1,129.82 1,146.18 1,162.53 1,178.89 1,194.53 1,209.14 1,223.74 1,238.34 1,252.94 1,267.55 ** 22322232 Head of Household 1,171.53 1,186.13 1,200.73 1,215.33 1,229.94 1,244.54 1,259.14 1,273.74 1,288.35 1,292.00 ** 22322232 Married Filing joint 1,242.66 1,257.26 1,271.87 1,286.47 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22322232 Married Filling Separate 1,123.24 1,139.60 1,155.95 1,172.31 1,188.66 1,205.02 1,221.37 1,237.73 1,252.94 1,267.55 ** 2232

Page 299: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2233 Single 1,130.26 1,146.61 1,162.97 1,179.32 1,194.99 1,209.60 1,224.20 1,238.80 1,253.40 1,268.01 ** 22332233 Head of Household 1,171.99 1,186.59 1,201.19 1,215.80 1,230.40 1,245.00 1,259.60 1,274.21 1,288.81 1,292.00 ** 22332233 Married Filing joint 1,243.13 1,257.73 1,272.33 1,286.93 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22332233 Married Filling Separate 1,123.68 1,140.04 1,156.39 1,172.75 1,189.10 1,205.46 1,221.81 1,238.17 1,253.40 1,268.01 ** 2233

2234 Single 1,130.70 1,147.05 1,163.41 1,179.76 1,195.45 1,210.06 1,224.66 1,239.26 1,253.86 1,268.47 ** 22342234 Head of Household 1,172.45 1,187.06 1,201.66 1,216.26 1,230.86 1,245.47 1,260.07 1,274.67 1,289.27 1,292.00 ** 22342234 Married Filing joint 1,243.59 1,258.19 1,272.79 1,287.40 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22342234 Married Filling Separate 1,124.12 1,140.47 1,156.83 1,173.18 1,189.54 1,205.89 1,222.25 1,238.60 1,253.86 1,268.47 ** 2234

2235 Single 1,131.13 1,147.49 1,163.84 1,180.20 1,195.91 1,210.52 1,225.12 1,239.72 1,254.32 1,268.93 ** 22352235 Head of Household 1,172.92 1,187.52 1,202.12 1,216.72 1,231.33 1,245.93 1,260.53 1,275.13 1,289.74 1,292.00 ** 22352235 Married Filing joint 1,244.05 1,258.66 1,273.26 1,287.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22352235 Married Filling Separate 1,124.56 1,140.91 1,157.27 1,173.62 1,189.98 1,206.33 1,222.69 1,239.04 1,254.32 1,268.93 ** 2235

2236 Single 1,131.57 1,147.93 1,164.28 1,180.64 1,196.37 1,210.98 1,225.58 1,240.18 1,254.78 1,269.39 ** 22362236 Head of Household 1,173.38 1,187.98 1,202.59 1,217.19 1,231.79 1,246.39 1,261.00 1,275.60 1,290.20 1,292.00 ** 22362236 Married Filing joint 1,244.52 1,259.12 1,273.72 1,288.32 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22362236 Married Filling Separate 1,125.00 1,141.35 1,157.70 1,174.06 1,190.41 1,206.77 1,223.12 1,239.48 1,254.78 1,269.39 ** 2236

2237 Single 1,132.01 1,148.36 1,164.72 1,181.07 1,196.83 1,211.44 1,226.04 1,240.64 1,255.24 1,269.85 ** 22372237 Head of Household 1,173.84 1,188.45 1,203.05 1,217.65 1,232.25 1,246.86 1,261.46 1,276.06 1,290.66 1,292.00 ** 22372237 Married Filing joint 1,244.98 1,259.58 1,274.19 1,288.79 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22372237 Married Filling Separate 1,125.43 1,141.79 1,158.14 1,174.50 1,190.85 1,207.21 1,223.56 1,239.92 1,255.24 1,269.85 ** 2237

2238 Single 1,132.45 1,148.80 1,165.16 1,181.51 1,197.29 1,211.90 1,226.50 1,241.10 1,255.70 1,270.31 ** 22382238 Head of Household 1,174.31 1,188.91 1,203.51 1,218.12 1,232.72 1,247.32 1,261.92 1,276.53 1,291.13 1,292.00 ** 22382238 Married Filing joint 1,245.44 1,260.05 1,274.65 1,289.25 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22382238 Married Filling Separate 1,125.87 1,142.23 1,158.58 1,174.93 1,191.29 1,207.64 1,224.00 1,240.35 1,255.70 1,270.31 ** 2238

2239 Single 1,132.88 1,149.24 1,165.59 1,181.95 1,197.75 1,212.36 1,226.96 1,241.56 1,256.16 1,270.77 ** 22392239 Head of Household 1,174.77 1,189.38 1,203.98 1,218.58 1,233.18 1,247.79 1,262.39 1,276.99 1,291.59 1,292.00 ** 22392239 Married Filing joint 1,245.91 1,260.51 1,275.11 1,289.72 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22392239 Married Filling Separate 1,126.31 1,142.66 1,159.02 1,175.37 1,191.73 1,208.08 1,224.44 1,240.79 1,256.16 1,270.77 ** 2239

2240 Single 1,133.32 1,149.68 1,166.03 1,182.39 1,198.21 1,212.82 1,227.42 1,242.02 1,256.62 1,271.23 ** 22402240 Head of Household 1,175.24 1,189.84 1,204.44 1,219.04 1,233.65 1,248.25 1,262.85 1,277.45 1,292.00 1,292.00 ** 22402240 Married Filing joint 1,246.37 1,260.97 1,275.58 1,290.18 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22402240 Married Filling Separate 1,126.75 1,143.10 1,159.46 1,175.81 1,192.16 1,208.52 1,224.87 1,241.23 1,256.62 1,271.23 ** 2240

Page 300: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2241 Single 1,133.76 1,150.11 1,166.47 1,182.82 1,198.67 1,213.28 1,227.88 1,242.48 1,257.08 1,271.69 ** 22412241 Head of Household 1,175.70 1,190.30 1,204.91 1,219.51 1,234.11 1,248.71 1,263.32 1,277.92 1,292.00 1,292.00 ** 22412241 Married Filing joint 1,246.84 1,261.44 1,276.04 1,290.64 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22412241 Married Filling Separate 1,127.18 1,143.54 1,159.89 1,176.25 1,192.60 1,208.96 1,225.31 1,241.67 1,257.08 1,271.69 ** 2241

2242 Single 1,134.20 1,150.55 1,166.91 1,183.26 1,199.13 1,213.74 1,228.34 1,242.94 1,257.54 1,272.15 ** 22422242 Head of Household 1,176.16 1,190.77 1,205.37 1,219.97 1,234.57 1,249.18 1,263.78 1,278.38 1,292.00 1,292.00 ** 22422242 Married Filing joint 1,247.30 1,261.90 1,276.51 1,291.11 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22422242 Married Filling Separate 1,127.62 1,143.98 1,160.33 1,176.69 1,193.04 1,209.39 1,225.75 1,242.10 1,257.54 1,272.15 ** 2242

2243 Single 1,134.64 1,150.99 1,167.34 1,183.70 1,199.59 1,214.20 1,228.80 1,243.40 1,258.00 1,272.61 ** 22432243 Head of Household 1,176.63 1,191.23 1,205.83 1,220.44 1,235.04 1,249.64 1,264.24 1,278.85 1,292.00 1,292.00 ** 22432243 Married Filing joint 1,247.76 1,262.37 1,276.97 1,291.57 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22432243 Married Filling Separate 1,128.06 1,144.41 1,160.77 1,177.12 1,193.48 1,209.83 1,226.19 1,242.54 1,258.00 1,272.61 ** 2243

2244 Single 1,135.07 1,151.43 1,167.78 1,184.14 1,200.05 1,214.66 1,229.26 1,243.86 1,258.46 1,273.07 ** 22442244 Head of Household 1,177.09 1,191.69 1,206.30 1,220.90 1,235.50 1,250.10 1,264.71 1,279.31 1,292.00 1,292.00 ** 22442244 Married Filing joint 1,248.23 1,262.83 1,277.43 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22442244 Married Filling Separate 1,128.50 1,144.85 1,161.21 1,177.56 1,193.92 1,210.27 1,226.63 1,242.98 1,258.46 1,273.07 ** 2244

2245 Single 1,135.51 1,151.87 1,168.22 1,184.57 1,200.52 1,215.12 1,229.72 1,244.32 1,258.93 1,273.53 ** 22452245 Head of Household 1,177.56 1,192.16 1,206.76 1,221.36 1,235.97 1,250.57 1,265.17 1,279.77 1,292.00 1,292.00 ** 22452245 Married Filing joint 1,248.69 1,263.29 1,277.90 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22452245 Married Filling Separate 1,128.93 1,145.29 1,161.64 1,178.00 1,194.35 1,210.71 1,227.06 1,243.42 1,258.93 1,273.53 ** 2245

2246 Single 1,135.95 1,152.30 1,168.66 1,185.01 1,200.98 1,215.58 1,230.18 1,244.78 1,259.39 1,273.99 ** 22462246 Head of Household 1,178.02 1,192.62 1,207.22 1,221.83 1,236.43 1,251.03 1,265.63 1,280.24 1,292.00 1,292.00 ** 22462246 Married Filing joint 1,249.16 1,263.76 1,278.36 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22462246 Married Filling Separate 1,129.37 1,145.73 1,162.08 1,178.44 1,194.79 1,211.15 1,227.50 1,243.86 1,259.39 1,273.99 ** 2246

2247 Single 1,136.39 1,152.74 1,169.10 1,185.45 1,201.44 1,216.04 1,230.64 1,245.24 1,259.85 1,274.45 ** 22472247 Head of Household 1,178.48 1,193.09 1,207.69 1,222.29 1,236.89 1,251.50 1,266.10 1,280.70 1,292.00 1,292.00 ** 22472247 Married Filing joint 1,249.62 1,264.22 1,278.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22472247 Married Filling Separate 1,129.81 1,146.16 1,162.52 1,178.87 1,195.23 1,211.58 1,227.94 1,244.29 1,259.85 1,274.45 ** 2247

2248 Single 1,136.82 1,153.18 1,169.53 1,185.89 1,201.90 1,216.50 1,231.10 1,245.70 1,260.31 1,274.91 ** 22482248 Head of Household 1,178.95 1,193.55 1,208.15 1,222.76 1,237.36 1,251.96 1,266.56 1,281.17 1,292.00 1,292.00 ** 22482248 Married Filing joint 1,250.08 1,264.69 1,279.29 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22482248 Married Filling Separate 1,130.25 1,146.60 1,162.96 1,179.31 1,195.67 1,212.02 1,228.38 1,244.73 1,260.31 1,274.91 ** 2248

Page 301: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2249 Single 1,137.26 1,153.62 1,169.97 1,186.33 1,202.36 1,216.96 1,231.56 1,246.16 1,260.77 1,275.37 ** 22492249 Head of Household 1,179.41 1,194.01 1,208.62 1,223.22 1,237.82 1,252.42 1,267.03 1,281.63 1,292.00 1,292.00 ** 22492249 Married Filing joint 1,250.55 1,265.15 1,279.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22492249 Married Filling Separate 1,130.68 1,147.04 1,163.39 1,179.75 1,196.10 1,212.46 1,228.81 1,245.17 1,260.77 1,275.37 ** 2249

2250 Single 1,137.70 1,154.05 1,170.41 1,186.76 1,202.82 1,217.42 1,232.02 1,246.62 1,261.23 1,275.83 ** 22502250 Head of Household 1,179.88 1,194.48 1,209.08 1,223.68 1,238.29 1,252.89 1,267.49 1,282.09 1,292.00 1,292.00 ** 22502250 Married Filing joint 1,251.01 1,265.61 1,280.22 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22502250 Married Filling Separate 1,131.12 1,147.48 1,163.83 1,180.19 1,196.54 1,212.90 1,229.25 1,245.61 1,261.23 1,275.83 ** 2250

2251 Single 1,138.14 1,154.49 1,170.85 1,187.20 1,203.28 1,217.88 1,232.48 1,247.08 1,261.69 1,276.29 ** 22512251 Head of Household 1,180.34 1,194.94 1,209.54 1,224.15 1,238.75 1,253.35 1,267.95 1,282.56 1,292.00 1,292.00 ** 22512251 Married Filing joint 1,251.47 1,266.08 1,280.68 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22512251 Married Filling Separate 1,131.56 1,147.91 1,164.27 1,180.62 1,196.98 1,213.33 1,229.69 1,246.04 1,261.69 1,276.29 ** 2251

2252 Single 1,138.57 1,154.93 1,171.28 1,187.64 1,203.74 1,218.34 1,232.94 1,247.54 1,262.15 1,276.75 ** 22522252 Head of Household 1,180.80 1,195.41 1,210.01 1,224.61 1,239.21 1,253.82 1,268.42 1,283.02 1,292.00 1,292.00 ** 22522252 Married Filing joint 1,251.94 1,266.54 1,281.14 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22522252 Married Filling Separate 1,132.00 1,148.35 1,164.71 1,181.06 1,197.42 1,213.77 1,230.13 1,246.48 1,262.15 1,276.75 ** 2252

2253 Single 1,139.01 1,155.37 1,171.72 1,188.08 1,204.20 1,218.80 1,233.40 1,248.00 1,262.61 1,277.21 ** 22532253 Head of Household 1,181.27 1,195.87 1,210.47 1,225.07 1,239.68 1,254.28 1,268.88 1,283.48 1,292.00 1,292.00 ** 22532253 Married Filing joint 1,252.40 1,267.01 1,281.61 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22532253 Married Filling Separate 1,132.43 1,148.79 1,165.14 1,181.50 1,197.85 1,214.21 1,230.56 1,246.92 1,262.61 1,277.21 ** 2253

2254 Single 1,139.45 1,155.80 1,172.16 1,188.51 1,204.66 1,219.26 1,233.86 1,248.46 1,263.07 1,277.67 ** 22542254 Head of Household 1,181.73 1,196.33 1,210.94 1,225.54 1,240.14 1,254.74 1,269.35 1,283.95 1,292.00 1,292.00 ** 22542254 Married Filing joint 1,252.87 1,267.47 1,282.07 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22542254 Married Filling Separate 1,132.87 1,149.23 1,165.58 1,181.94 1,198.29 1,214.65 1,231.00 1,247.36 1,263.07 1,277.67 ** 2254

2255 Single 1,139.89 1,156.24 1,172.60 1,188.95 1,205.12 1,219.72 1,234.32 1,248.92 1,263.53 1,278.13 ** 22552255 Head of Household 1,182.19 1,196.80 1,211.40 1,226.00 1,240.60 1,255.21 1,269.81 1,284.41 1,292.00 1,292.00 ** 22552255 Married Filing joint 1,253.33 1,267.93 1,282.54 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22552255 Married Filling Separate 1,133.31 1,149.66 1,166.02 1,182.37 1,198.73 1,215.08 1,231.44 1,247.79 1,263.53 1,278.13 ** 2255

2256 Single 1,140.32 1,156.68 1,173.03 1,189.39 1,205.58 1,220.18 1,234.78 1,249.38 1,263.99 1,278.59 ** 22562256 Head of Household 1,182.66 1,197.26 1,211.86 1,226.47 1,241.07 1,255.67 1,270.27 1,284.88 1,292.00 1,292.00 ** 22562256 Married Filing joint 1,253.79 1,268.40 1,283.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22562256 Married Filling Separate 1,133.75 1,150.10 1,166.46 1,182.81 1,199.17 1,215.52 1,231.88 1,248.23 1,263.99 1,278.59 ** 2256

Page 302: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2257 Single 1,140.76 1,157.12 1,173.47 1,189.83 1,206.04 1,220.64 1,235.24 1,249.84 1,264.45 1,279.05 ** 22572257 Head of Household 1,183.12 1,197.72 1,212.33 1,226.93 1,241.53 1,256.13 1,270.74 1,285.34 1,292.00 1,292.00 ** 22572257 Married Filing joint 1,254.26 1,268.86 1,283.46 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22572257 Married Filling Separate 1,134.19 1,150.54 1,166.89 1,183.25 1,199.60 1,215.96 1,232.31 1,248.67 1,264.45 1,279.05 ** 2257

2258 Single 1,141.20 1,157.55 1,173.91 1,190.26 1,206.50 1,221.10 1,235.70 1,250.30 1,264.91 1,279.51 ** 22582258 Head of Household 1,183.59 1,198.19 1,212.79 1,227.39 1,242.00 1,256.60 1,271.20 1,285.80 1,292.00 1,292.00 ** 22582258 Married Filing joint 1,254.72 1,269.32 1,283.93 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22582258 Married Filling Separate 1,134.62 1,150.98 1,167.33 1,183.69 1,200.04 1,216.40 1,232.75 1,249.11 1,264.91 1,279.51 ** 2258

2259 Single 1,141.64 1,157.99 1,174.35 1,190.70 1,206.96 1,221.56 1,236.16 1,250.76 1,265.37 1,279.97 ** 22592259 Head of Household 1,184.05 1,198.65 1,213.26 1,227.86 1,242.46 1,257.06 1,271.67 1,286.27 1,292.00 1,292.00 ** 22592259 Married Filing joint 1,255.19 1,269.79 1,284.39 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22592259 Married Filling Separate 1,135.06 1,151.42 1,167.77 1,184.12 1,200.48 1,216.83 1,233.19 1,249.54 1,265.37 1,279.97 ** 2259

2260 Single 1,142.07 1,158.43 1,174.78 1,191.14 1,207.42 1,222.02 1,236.62 1,251.22 1,265.83 1,280.43 ** 22602260 Head of Household 1,184.51 1,199.12 1,213.72 1,228.32 1,242.92 1,257.53 1,272.13 1,286.73 1,292.00 1,292.00 ** 22602260 Married Filing joint 1,255.65 1,270.25 1,284.85 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22602260 Married Filling Separate 1,135.50 1,151.85 1,168.21 1,184.56 1,200.92 1,217.27 1,233.63 1,249.98 1,265.83 1,280.43 ** 2260

2261 Single 1,142.51 1,158.87 1,175.22 1,191.58 1,207.88 1,222.48 1,237.08 1,251.68 1,266.29 1,280.89 ** 22612261 Head of Household 1,184.98 1,199.58 1,214.18 1,228.79 1,243.39 1,257.99 1,272.59 1,287.20 1,292.00 1,292.00 ** 22612261 Married Filing joint 1,256.11 1,270.72 1,285.32 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22612261 Married Filling Separate 1,135.94 1,152.29 1,168.65 1,185.00 1,201.36 1,217.71 1,234.06 1,250.42 1,266.29 1,280.89 ** 2261

2262 Single 1,142.95 1,159.31 1,175.66 1,192.01 1,208.34 1,222.94 1,237.54 1,252.14 1,266.75 1,281.35 ** 22622262 Head of Household 1,185.44 1,200.04 1,214.65 1,229.25 1,243.85 1,258.45 1,273.06 1,287.66 1,292.00 1,292.00 ** 22622262 Married Filing joint 1,256.58 1,271.18 1,285.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22622262 Married Filling Separate 1,136.37 1,152.73 1,169.08 1,185.44 1,201.79 1,218.15 1,234.50 1,250.86 1,266.75 1,281.35 ** 2262

2263 Single 1,143.39 1,159.74 1,176.10 1,192.45 1,208.80 1,223.40 1,238.00 1,252.60 1,267.21 1,281.81 ** 22632263 Head of Household 1,185.91 1,200.51 1,215.11 1,229.71 1,244.32 1,258.92 1,273.52 1,288.12 1,292.00 1,292.00 ** 22632263 Married Filing joint 1,257.04 1,271.64 1,286.25 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22632263 Married Filling Separate 1,136.81 1,153.17 1,169.52 1,185.88 1,202.23 1,218.59 1,234.94 1,251.29 1,267.21 1,281.81 ** 2263

2264 Single 1,143.83 1,160.18 1,176.54 1,192.89 1,209.24 1,223.86 1,238.46 1,253.06 1,267.67 1,282.27 ** 22642264 Head of Household 1,186.37 1,200.97 1,215.57 1,230.18 1,244.78 1,259.38 1,273.98 1,288.59 1,292.00 1,292.00 ** 22642264 Married Filing joint 1,257.51 1,272.11 1,286.71 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22642264 Married Filling Separate 1,137.25 1,153.60 1,169.96 1,186.31 1,202.67 1,219.02 1,235.38 1,251.73 1,267.67 1,282.27 ** 2264

Page 303: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2265 Single 1,144.26 1,160.62 1,176.97 1,193.33 1,209.68 1,224.32 1,238.92 1,253.53 1,268.13 1,282.73 ** 22652265 Head of Household 1,186.83 1,201.44 1,216.04 1,230.64 1,245.24 1,259.85 1,274.45 1,289.05 1,292.00 1,292.00 ** 22652265 Married Filing joint 1,257.97 1,272.57 1,287.17 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22652265 Married Filling Separate 1,137.69 1,154.04 1,170.40 1,186.75 1,203.11 1,219.46 1,235.82 1,252.17 1,268.13 1,282.73 ** 2265

2266 Single 1,144.70 1,161.06 1,177.41 1,193.77 1,210.12 1,224.78 1,239.38 1,253.99 1,268.59 1,283.19 ** 22662266 Head of Household 1,187.30 1,201.90 1,216.50 1,231.10 1,245.71 1,260.31 1,274.91 1,289.51 1,292.00 1,292.00 ** 22662266 Married Filing joint 1,258.43 1,273.04 1,287.64 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22662266 Married Filling Separate 1,138.12 1,154.48 1,170.83 1,187.19 1,203.54 1,219.90 1,236.25 1,252.61 1,268.59 1,283.19 ** 2266

2267 Single 1,145.14 1,161.49 1,177.85 1,194.20 1,210.56 1,225.24 1,239.84 1,254.45 1,269.05 1,283.65 ** 22672267 Head of Household 1,187.76 1,202.36 1,216.97 1,231.57 1,246.17 1,260.77 1,275.38 1,289.98 1,292.00 1,292.00 ** 22672267 Married Filing joint 1,258.90 1,273.50 1,288.10 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22672267 Married Filling Separate 1,138.56 1,154.92 1,171.27 1,187.63 1,203.98 1,220.34 1,236.69 1,253.05 1,269.05 1,283.65 ** 2267

2268 Single 1,145.58 1,161.93 1,178.29 1,194.64 1,211.00 1,225.70 1,240.30 1,254.91 1,269.51 1,284.11 ** 22682268 Head of Household 1,188.23 1,202.83 1,217.43 1,232.03 1,246.64 1,261.24 1,275.84 1,290.44 1,292.00 1,292.00 ** 22682268 Married Filing joint 1,259.36 1,273.96 1,288.57 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22682268 Married Filling Separate 1,139.00 1,155.35 1,171.71 1,188.06 1,204.42 1,220.77 1,237.13 1,253.48 1,269.51 1,284.11 ** 2268

2269 Single 1,146.01 1,162.37 1,178.72 1,195.08 1,211.43 1,226.16 1,240.76 1,255.37 1,269.97 1,284.57 ** 22692269 Head of Household 1,188.69 1,203.29 1,217.89 1,232.50 1,247.10 1,261.70 1,276.30 1,290.91 1,292.00 1,292.00 ** 22692269 Married Filing joint 1,259.82 1,274.43 1,289.03 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22692269 Married Filling Separate 1,139.44 1,155.79 1,172.15 1,188.50 1,204.86 1,221.21 1,237.57 1,253.92 1,269.97 1,284.57 ** 2269

2270 Single 1,146.45 1,162.81 1,179.16 1,195.52 1,211.87 1,226.62 1,241.22 1,255.83 1,270.43 1,285.03 ** 22702270 Head of Household 1,189.15 1,203.76 1,218.36 1,232.96 1,247.56 1,262.17 1,276.77 1,291.37 1,292.00 1,292.00 ** 22702270 Married Filing joint 1,260.29 1,274.89 1,289.49 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22702270 Married Filling Separate 1,139.87 1,156.23 1,172.58 1,188.94 1,205.29 1,221.65 1,238.00 1,254.36 1,270.43 1,285.03 ** 2270

2271 Single 1,146.89 1,163.24 1,179.60 1,195.95 1,212.31 1,227.08 1,241.68 1,256.29 1,270.89 1,285.49 ** 22712271 Head of Household 1,189.62 1,204.22 1,218.82 1,233.42 1,248.03 1,262.63 1,277.23 1,291.83 1,292.00 1,292.00 ** 22712271 Married Filing joint 1,260.75 1,275.35 1,289.96 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22712271 Married Filling Separate 1,140.31 1,156.67 1,173.02 1,189.38 1,205.73 1,222.09 1,238.44 1,254.80 1,270.89 1,285.49 ** 2271

2272 Single 1,147.33 1,163.68 1,180.04 1,196.39 1,212.75 1,227.54 1,242.14 1,256.75 1,271.35 1,285.95 ** 22722272 Head of Household 1,190.08 1,204.68 1,219.29 1,233.89 1,248.49 1,263.09 1,277.70 1,292.00 1,292.00 1,292.00 ** 22722272 Married Filing joint 1,261.22 1,275.82 1,290.42 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22722272 Married Filling Separate 1,140.75 1,157.10 1,173.46 1,189.81 1,206.17 1,222.52 1,238.88 1,255.23 1,271.35 1,285.95 ** 2272

Page 304: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2273 Single 1,147.76 1,164.12 1,180.47 1,196.83 1,213.18 1,228.00 1,242.60 1,257.21 1,271.81 1,286.41 ** 22732273 Head of Household 1,190.54 1,205.15 1,219.75 1,234.35 1,248.95 1,263.56 1,278.16 1,292.00 1,292.00 1,292.00 ** 22732273 Married Filing joint 1,261.68 1,276.28 1,290.89 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22732273 Married Filling Separate 1,141.19 1,157.54 1,173.90 1,190.25 1,206.61 1,222.96 1,239.32 1,255.67 1,271.81 1,286.41 ** 2273

2274 Single 1,148.20 1,164.56 1,180.91 1,197.27 1,213.62 1,228.46 1,243.06 1,257.67 1,272.27 1,286.87 ** 22742274 Head of Household 1,191.01 1,205.61 1,220.21 1,234.82 1,249.42 1,264.02 1,278.62 1,292.00 1,292.00 1,292.00 ** 22742274 Married Filing joint 1,262.14 1,276.75 1,291.35 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22742274 Married Filling Separate 1,141.62 1,157.98 1,174.33 1,190.69 1,207.04 1,223.40 1,239.75 1,256.11 1,272.27 1,286.87 ** 2274

2275 Single 1,148.64 1,164.99 1,181.35 1,197.70 1,214.06 1,228.92 1,243.52 1,258.13 1,272.73 1,287.33 ** 22752275 Head of Household 1,191.47 1,206.07 1,220.68 1,235.28 1,249.88 1,264.48 1,279.09 1,292.00 1,292.00 1,292.00 ** 22752275 Married Filing joint 1,262.61 1,277.21 1,291.81 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22752275 Married Filling Separate 1,142.06 1,158.42 1,174.77 1,191.13 1,207.48 1,223.84 1,240.19 1,256.55 1,272.73 1,287.33 ** 2275

2276 Single 1,149.08 1,165.43 1,181.79 1,198.14 1,214.50 1,229.38 1,243.98 1,258.59 1,273.19 1,287.79 ** 22762276 Head of Household 1,191.94 1,206.54 1,221.14 1,235.74 1,250.35 1,264.95 1,279.55 1,292.00 1,292.00 1,292.00 ** 22762276 Married Filing joint 1,263.07 1,277.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22762276 Married Filling Separate 1,142.50 1,158.86 1,175.21 1,191.56 1,207.92 1,224.27 1,240.63 1,256.98 1,273.19 1,287.79 ** 2276

2277 Single 1,149.51 1,165.87 1,182.22 1,198.58 1,214.93 1,229.84 1,244.44 1,259.05 1,273.65 1,288.25 ** 22772277 Head of Household 1,192.40 1,207.00 1,221.60 1,236.21 1,250.81 1,265.41 1,280.01 1,292.00 1,292.00 1,292.00 ** 22772277 Married Filing joint 1,263.54 1,278.14 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22772277 Married Filling Separate 1,142.94 1,159.29 1,175.65 1,192.00 1,208.36 1,224.71 1,241.07 1,257.42 1,273.65 1,288.25 ** 2277

2278 Single 1,149.95 1,166.31 1,182.66 1,199.02 1,215.37 1,230.30 1,244.90 1,259.51 1,274.11 1,288.71 ** 22782278 Head of Household 1,192.86 1,207.47 1,222.07 1,236.67 1,251.27 1,265.88 1,280.48 1,292.00 1,292.00 1,292.00 ** 22782278 Married Filing joint 1,264.00 1,278.60 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22782278 Married Filling Separate 1,143.38 1,159.73 1,176.09 1,192.44 1,208.79 1,225.15 1,241.50 1,257.86 1,274.11 1,288.71 ** 2278

2279 Single 1,150.40 1,166.75 1,183.11 1,199.46 1,215.82 1,230.77 1,245.37 1,259.97 1,274.58 1,289.18 ** 22792279 Head of Household 1,193.33 1,207.94 1,222.54 1,237.14 1,251.74 1,266.35 1,280.95 1,292.00 1,292.00 1,292.00 ** 22792279 Married Filing joint 1,264.47 1,279.07 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22792279 Married Filling Separate 1,143.82 1,160.17 1,176.53 1,192.88 1,209.24 1,225.59 1,241.95 1,258.30 1,274.58 1,289.18 ** 2279

2280 Single 1,150.88 1,167.23 1,183.59 1,199.94 1,216.30 1,231.27 1,245.88 1,260.48 1,275.08 1,289.68 ** 22802280 Head of Household 1,193.84 1,208.45 1,223.05 1,237.65 1,252.25 1,266.86 1,281.46 1,292.00 1,292.00 1,292.00 ** 22802280 Married Filing joint 1,264.98 1,279.58 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22802280 Married Filling Separate 1,144.30 1,160.66 1,177.01 1,193.37 1,209.72 1,226.08 1,242.43 1,258.79 1,275.08 1,289.68 ** 2280

Page 305: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2281 Single 1,151.36 1,167.72 1,184.07 1,200.43 1,216.78 1,231.78 1,246.38 1,260.99 1,275.59 1,290.19 ** 22812281 Head of Household 1,194.35 1,208.96 1,223.56 1,238.16 1,252.76 1,267.37 1,281.97 1,292.00 1,292.00 1,292.00 ** 22812281 Married Filing joint 1,265.49 1,280.09 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22812281 Married Filling Separate 1,144.79 1,161.14 1,177.50 1,193.85 1,210.21 1,226.56 1,242.92 1,259.27 1,275.59 1,290.19 ** 2281

2282 Single 1,151.85 1,168.20 1,184.56 1,200.91 1,217.27 1,232.29 1,246.89 1,261.49 1,276.10 1,290.70 ** 22822282 Head of Household 1,194.86 1,209.47 1,224.07 1,238.67 1,253.27 1,267.88 1,282.48 1,292.00 1,292.00 1,292.00 ** 22822282 Married Filing joint 1,266.00 1,280.60 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22822282 Married Filling Separate 1,145.27 1,161.63 1,177.98 1,194.34 1,210.69 1,227.05 1,243.40 1,259.76 1,276.10 1,290.70 ** 2282

2283 Single 1,152.33 1,168.69 1,185.04 1,201.40 1,217.75 1,232.79 1,247.40 1,262.00 1,276.60 1,291.20 ** 22832283 Head of Household 1,195.38 1,209.98 1,224.58 1,239.18 1,253.79 1,268.39 1,282.99 1,292.00 1,292.00 1,292.00 ** 22832283 Married Filing joint 1,266.51 1,281.11 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22832283 Married Filling Separate 1,145.76 1,162.11 1,178.47 1,194.82 1,211.17 1,227.53 1,243.88 1,260.24 1,276.59 1,291.20 ** 2283

2284 Single 1,152.82 1,169.17 1,185.53 1,201.88 1,218.24 1,233.30 1,247.90 1,262.51 1,277.11 1,291.71 ** 22842284 Head of Household 1,195.89 1,210.49 1,225.09 1,239.69 1,254.30 1,268.90 1,283.50 1,292.00 1,292.00 1,292.00 ** 22842284 Married Filing joint 1,267.02 1,281.62 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22842284 Married Filling Separate 1,146.24 1,162.59 1,178.95 1,195.30 1,211.66 1,228.01 1,244.37 1,260.72 1,277.08 1,291.71 ** 2284

2285 Single 1,153.30 1,169.66 1,186.01 1,202.36 1,218.72 1,233.81 1,248.41 1,263.01 1,277.62 1,292.00 ** 22852285 Head of Household 1,196.40 1,211.00 1,225.60 1,240.20 1,254.81 1,269.41 1,284.01 1,292.00 1,292.00 1,292.00 ** 22852285 Married Filing joint 1,267.53 1,282.13 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22852285 Married Filling Separate 1,146.72 1,163.08 1,179.43 1,195.79 1,212.14 1,228.50 1,244.85 1,261.21 1,277.56 1,292.00 ** 2285

2286 Single 1,153.78 1,170.14 1,186.49 1,202.85 1,219.20 1,234.31 1,248.92 1,263.52 1,278.12 1,292.00 ** 22862286 Head of Household 1,196.91 1,211.51 1,226.11 1,240.71 1,255.32 1,269.92 1,284.52 1,292.00 1,292.00 1,292.00 ** 22862286 Married Filing joint 1,268.04 1,282.64 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22862286 Married Filling Separate 1,147.21 1,163.56 1,179.92 1,196.27 1,212.63 1,228.98 1,245.34 1,261.69 1,278.05 1,292.00 ** 2286

2287 Single 1,154.27 1,170.62 1,186.98 1,203.33 1,219.69 1,234.82 1,249.42 1,264.03 1,278.63 1,292.00 ** 22872287 Head of Household 1,197.42 1,212.02 1,226.62 1,241.22 1,255.83 1,270.43 1,285.03 1,292.00 1,292.00 1,292.00 ** 22872287 Married Filing joint 1,268.55 1,283.15 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22872287 Married Filling Separate 1,147.69 1,164.05 1,180.40 1,196.76 1,213.11 1,229.47 1,245.82 1,262.18 1,278.53 1,292.00 ** 2287

2288 Single 1,154.75 1,171.11 1,187.46 1,203.82 1,220.17 1,235.33 1,249.93 1,264.53 1,279.13 1,292.00 ** 22882288 Head of Household 1,197.93 1,212.53 1,227.13 1,241.73 1,256.34 1,270.94 1,285.54 1,292.00 1,292.00 1,292.00 ** 22882288 Married Filing joint 1,269.06 1,283.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22882288 Married Filling Separate 1,148.18 1,164.53 1,180.89 1,197.24 1,213.60 1,229.95 1,246.31 1,262.66 1,279.01 1,292.00 ** 2288

Page 306: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2289 Single 1,155.24 1,171.59 1,187.95 1,204.30 1,220.66 1,235.83 1,250.44 1,265.04 1,279.64 1,292.00 ** 22892289 Head of Household 1,198.44 1,213.04 1,227.64 1,242.24 1,256.85 1,271.45 1,286.05 1,292.00 1,292.00 1,292.00 ** 22892289 Married Filing joint 1,269.57 1,284.18 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22892289 Married Filling Separate 1,148.66 1,165.02 1,181.37 1,197.72 1,214.08 1,230.43 1,246.79 1,263.14 1,279.50 1,292.00 ** 2289

2290 Single 1,155.72 1,172.08 1,188.43 1,204.79 1,221.14 1,236.34 1,250.94 1,265.55 1,280.15 1,292.00 ** 22902290 Head of Household 1,198.95 1,213.55 1,228.15 1,242.76 1,257.36 1,271.96 1,286.56 1,292.00 1,292.00 1,292.00 ** 22902290 Married Filing joint 1,270.08 1,284.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22902290 Married Filling Separate 1,149.14 1,165.50 1,181.85 1,198.21 1,214.56 1,230.92 1,247.27 1,263.63 1,279.98 1,292.00 ** 2290

2291 Single 1,156.21 1,172.56 1,188.91 1,205.27 1,221.62 1,236.85 1,251.45 1,266.05 1,280.65 1,292.00 ** 22912291 Head of Household 1,199.46 1,214.06 1,228.66 1,243.27 1,257.87 1,272.47 1,287.07 1,292.00 1,292.00 1,292.00 ** 22912291 Married Filing joint 1,270.59 1,285.20 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22912291 Married Filling Separate 1,149.63 1,165.98 1,182.34 1,198.69 1,215.05 1,231.40 1,247.76 1,264.11 1,280.47 1,292.00 ** 2291

2292 Single 1,156.69 1,173.04 1,189.40 1,205.75 1,222.11 1,237.35 1,251.96 1,266.56 1,281.16 1,292.00 ** 22922292 Head of Household 1,199.97 1,214.57 1,229.17 1,243.78 1,258.38 1,272.98 1,287.58 1,292.00 1,292.00 1,292.00 ** 22922292 Married Filing joint 1,271.10 1,285.71 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22922292 Married Filling Separate 1,150.11 1,166.47 1,182.82 1,199.18 1,215.53 1,231.89 1,248.24 1,264.60 1,280.95 1,292.00 ** 2292

2293 Single 1,157.17 1,173.53 1,189.88 1,206.24 1,222.59 1,237.86 1,252.46 1,267.07 1,281.67 1,292.00 ** 22932293 Head of Household 1,200.48 1,215.08 1,229.68 1,244.29 1,258.89 1,273.49 1,288.09 1,292.00 1,292.00 1,292.00 ** 22932293 Married Filing joint 1,271.61 1,286.22 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22932293 Married Filling Separate 1,150.60 1,166.95 1,183.31 1,199.66 1,216.02 1,232.37 1,248.73 1,265.08 1,281.44 1,292.00 ** 2293

2294 Single 1,157.66 1,174.01 1,190.37 1,206.72 1,223.08 1,238.37 1,252.97 1,267.57 1,282.17 1,292.00 ** 22942294 Head of Household 1,200.99 1,215.59 1,230.19 1,244.80 1,259.40 1,274.00 1,288.60 1,292.00 1,292.00 1,292.00 ** 22942294 Married Filing joint 1,272.13 1,286.73 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22942294 Married Filling Separate 1,151.08 1,167.44 1,183.79 1,200.15 1,216.50 1,232.85 1,249.21 1,265.56 1,281.92 1,292.00 ** 2294

2295 Single 1,158.14 1,174.50 1,190.85 1,207.21 1,223.56 1,238.87 1,253.48 1,268.08 1,282.68 1,292.00 ** 22952295 Head of Household 1,201.50 1,216.10 1,230.70 1,245.31 1,259.91 1,274.51 1,289.11 1,292.00 1,292.00 1,292.00 ** 22952295 Married Filing joint 1,272.64 1,287.24 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22952295 Married Filling Separate 1,151.57 1,167.92 1,184.27 1,200.63 1,216.98 1,233.34 1,249.69 1,266.05 1,282.40 1,292.00 ** 2295

2296 Single 1,158.63 1,174.98 1,191.34 1,207.69 1,224.05 1,239.38 1,253.98 1,268.59 1,283.19 1,292.00 ** 22962296 Head of Household 1,202.01 1,216.61 1,231.22 1,245.82 1,260.42 1,275.02 1,289.63 1,292.00 1,292.00 1,292.00 ** 22962296 Married Filing joint 1,273.15 1,287.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22962296 Married Filling Separate 1,152.05 1,168.40 1,184.76 1,201.11 1,217.47 1,233.82 1,250.18 1,266.53 1,282.89 1,292.00 ** 2296

Page 307: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2297 Single 1,159.11 1,175.46 1,191.82 1,208.17 1,224.53 1,239.89 1,254.49 1,269.09 1,283.69 1,292.00 ** 22972297 Head of Household 1,202.52 1,217.12 1,231.73 1,246.33 1,260.93 1,275.53 1,290.14 1,292.00 1,292.00 1,292.00 ** 22972297 Married Filing joint 1,273.66 1,288.26 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22972297 Married Filling Separate 1,152.53 1,168.89 1,185.24 1,201.60 1,217.95 1,234.31 1,250.66 1,267.02 1,283.37 1,292.00 ** 2297

2298 Single 1,159.59 1,175.95 1,192.30 1,208.66 1,225.01 1,240.39 1,255.00 1,269.60 1,284.20 1,292.00 ** 22982298 Head of Household 1,203.03 1,217.63 1,232.24 1,246.84 1,261.44 1,276.04 1,290.65 1,292.00 1,292.00 1,292.00 ** 22982298 Married Filing joint 1,274.17 1,288.77 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22982298 Married Filling Separate 1,153.02 1,169.37 1,185.73 1,202.08 1,218.44 1,234.79 1,251.15 1,267.50 1,283.86 1,292.00 ** 2298

2299 Single 1,160.08 1,176.43 1,192.79 1,209.14 1,225.50 1,240.90 1,255.50 1,270.11 1,284.71 1,292.00 ** 22992299 Head of Household 1,203.54 1,218.14 1,232.75 1,247.35 1,261.95 1,276.55 1,291.16 1,292.00 1,292.00 1,292.00 ** 22992299 Married Filing joint 1,274.68 1,289.28 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 22992299 Married Filling Separate 1,153.50 1,169.86 1,186.21 1,202.57 1,218.92 1,235.28 1,251.63 1,267.99 1,284.34 1,292.00 ** 2299

2300 Single 1,160.56 1,176.92 1,193.27 1,209.63 1,225.98 1,241.41 1,256.01 1,270.61 1,285.21 1,292.00 ** 23002300 Head of Household 1,204.05 1,218.65 1,233.26 1,247.86 1,262.46 1,277.06 1,291.67 1,292.00 1,292.00 1,292.00 ** 23002300 Married Filing joint 1,275.19 1,289.79 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23002300 Married Filling Separate 1,153.99 1,170.34 1,186.70 1,203.05 1,219.40 1,235.76 1,252.11 1,268.47 1,284.82 1,292.00 ** 2300

2301 Single 1,161.05 1,177.40 1,193.76 1,210.11 1,226.47 1,241.91 1,256.52 1,271.12 1,285.72 1,292.00 ** 23012301 Head of Household 1,204.56 1,219.16 1,233.77 1,248.37 1,262.97 1,277.57 1,292.00 1,292.00 1,292.00 1,292.00 ** 23012301 Married Filing joint 1,275.70 1,290.30 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23012301 Married Filling Separate 1,154.47 1,170.82 1,187.18 1,203.53 1,219.89 1,236.24 1,252.60 1,268.95 1,285.31 1,292.00 ** 2301

2302 Single 1,161.53 1,177.89 1,194.24 1,210.60 1,226.95 1,242.42 1,257.02 1,271.63 1,286.23 1,292.00 ** 23022302 Head of Household 1,205.07 1,219.67 1,234.28 1,248.88 1,263.48 1,278.08 1,292.00 1,292.00 1,292.00 1,292.00 ** 23022302 Married Filing joint 1,276.21 1,290.81 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23022302 Married Filling Separate 1,154.95 1,171.31 1,187.66 1,204.02 1,220.37 1,236.73 1,253.08 1,269.44 1,285.79 1,292.00 ** 2302

2303 Single 1,162.01 1,178.37 1,194.72 1,211.08 1,227.43 1,242.93 1,257.53 1,272.13 1,286.73 1,292.00 ** 23032303 Head of Household 1,205.58 1,220.19 1,234.79 1,249.39 1,263.99 1,278.60 1,292.00 1,292.00 1,292.00 1,292.00 ** 23032303 Married Filing joint 1,276.72 1,291.32 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23032303 Married Filling Separate 1,155.44 1,171.79 1,188.15 1,204.50 1,220.86 1,237.21 1,253.57 1,269.92 1,286.28 1,292.00 ** 2303

2304 Single 1,162.50 1,178.85 1,195.21 1,211.56 1,227.92 1,243.43 1,258.04 1,272.64 1,287.24 1,292.00 ** 23042304 Head of Household 1,206.09 1,220.70 1,235.30 1,249.90 1,264.50 1,279.11 1,292.00 1,292.00 1,292.00 1,292.00 ** 23042304 Married Filing joint 1,277.23 1,291.83 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23042304 Married Filling Separate 1,155.92 1,172.28 1,188.63 1,204.99 1,221.34 1,237.70 1,254.05 1,270.41 1,286.76 1,292.00 ** 2304

Page 308: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2305 Single 1,162.98 1,179.34 1,195.69 1,212.05 1,228.40 1,243.94 1,258.54 1,273.15 1,287.75 1,292.00 ** 23052305 Head of Household 1,206.60 1,221.21 1,235.81 1,250.41 1,265.01 1,279.62 1,292.00 1,292.00 1,292.00 1,292.00 ** 23052305 Married Filing joint 1,277.74 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23052305 Married Filling Separate 1,156.41 1,172.76 1,189.12 1,205.47 1,221.83 1,238.18 1,254.54 1,270.89 1,287.24 1,292.00 ** 2305

2306 Single 1,163.47 1,179.82 1,196.18 1,212.53 1,228.89 1,244.45 1,259.05 1,273.65 1,288.25 1,292.00 ** 23062306 Head of Household 1,207.11 1,221.72 1,236.32 1,250.92 1,265.52 1,280.13 1,292.00 1,292.00 1,292.00 1,292.00 ** 23062306 Married Filing joint 1,278.25 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23062306 Married Filling Separate 1,156.89 1,173.25 1,189.60 1,205.95 1,222.31 1,238.66 1,255.02 1,271.37 1,287.73 1,292.00 ** 2306

2307 Single 1,163.95 1,180.31 1,196.66 1,213.02 1,229.37 1,244.95 1,259.56 1,274.16 1,288.76 1,292.00 ** 23072307 Head of Household 1,207.62 1,222.23 1,236.83 1,251.43 1,266.03 1,280.64 1,292.00 1,292.00 1,292.00 1,292.00 ** 23072307 Married Filing joint 1,278.76 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23072307 Married Filling Separate 1,157.37 1,173.73 1,190.08 1,206.44 1,222.79 1,239.15 1,255.50 1,271.86 1,288.21 1,292.00 ** 2307

2308 Single 1,164.44 1,180.79 1,197.15 1,213.50 1,229.85 1,245.46 1,260.06 1,274.66 1,289.27 1,292.00 ** 23082308 Head of Household 1,208.13 1,222.74 1,237.34 1,251.94 1,266.54 1,281.15 1,292.00 1,292.00 1,292.00 1,292.00 ** 23082308 Married Filing joint 1,279.27 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23082308 Married Filling Separate 1,157.86 1,174.21 1,190.57 1,206.92 1,223.28 1,239.63 1,255.99 1,272.34 1,288.70 1,292.00 ** 2308

2309 Single 1,164.92 1,181.27 1,197.63 1,213.98 1,230.34 1,245.97 1,260.57 1,275.17 1,289.77 1,292.00 ** 23092309 Head of Household 1,208.64 1,223.25 1,237.85 1,252.45 1,267.05 1,281.66 1,292.00 1,292.00 1,292.00 1,292.00 ** 23092309 Married Filing joint 1,279.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23092309 Married Filling Separate 1,158.34 1,174.70 1,191.05 1,207.41 1,223.76 1,240.12 1,256.47 1,272.83 1,289.18 1,292.00 ** 2309

2310 Single 1,165.40 1,181.76 1,198.11 1,214.47 1,230.82 1,246.47 1,261.08 1,275.68 1,290.28 1,292.00 ** 23102310 Head of Household 1,209.16 1,223.76 1,238.36 1,252.96 1,267.57 1,282.17 1,292.00 1,292.00 1,292.00 1,292.00 ** 23102310 Married Filing joint 1,280.29 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23102310 Married Filling Separate 1,158.83 1,175.18 1,191.54 1,207.89 1,224.25 1,240.60 1,256.96 1,273.31 1,289.67 1,292.00 ** 2310

2311 Single 1,165.89 1,182.24 1,198.60 1,214.95 1,231.31 1,246.98 1,261.58 1,276.18 1,290.79 1,292.00 ** 23112311 Head of Household 1,209.67 1,224.27 1,238.87 1,253.47 1,268.08 1,282.68 1,292.00 1,292.00 1,292.00 1,292.00 ** 23112311 Married Filing joint 1,280.80 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23112311 Married Filling Separate 1,159.31 1,175.67 1,192.02 1,208.38 1,224.73 1,241.09 1,257.44 1,273.79 1,290.15 1,292.00 ** 2311

2312 Single 1,166.37 1,182.73 1,199.08 1,215.44 1,231.79 1,247.49 1,262.09 1,276.69 1,291.29 1,292.00 ** 23122312 Head of Household 1,210.18 1,224.78 1,239.38 1,253.98 1,268.59 1,283.19 1,292.00 1,292.00 1,292.00 1,292.00 ** 23122312 Married Filing joint 1,281.31 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23122312 Married Filling Separate 1,159.80 1,176.15 1,192.50 1,208.86 1,225.21 1,241.57 1,257.92 1,274.28 1,290.63 1,292.00 ** 2312

Page 309: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2313 Single 1,166.86 1,183.21 1,199.57 1,215.92 1,232.28 1,247.99 1,262.60 1,277.20 1,291.80 1,292.00 ** 23132313 Head of Household 1,210.69 1,225.29 1,239.89 1,254.49 1,269.10 1,283.70 1,292.00 1,292.00 1,292.00 1,292.00 ** 23132313 Married Filing joint 1,281.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23132313 Married Filling Separate 1,160.28 1,176.63 1,192.99 1,209.34 1,225.70 1,242.05 1,258.41 1,274.76 1,291.12 1,292.00 ** 2313

2314 Single 1,167.34 1,183.70 1,200.05 1,216.40 1,232.76 1,248.50 1,263.10 1,277.70 1,292.00 1,292.00 ** 23142314 Head of Household 1,211.20 1,225.80 1,240.40 1,255.00 1,269.61 1,284.21 1,292.00 1,292.00 1,292.00 1,292.00 ** 23142314 Married Filing joint 1,282.33 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23142314 Married Filling Separate 1,160.76 1,177.12 1,193.47 1,209.83 1,226.18 1,242.54 1,258.89 1,275.25 1,291.60 1,292.00 ** 2314

2315 Single 1,167.82 1,184.18 1,200.53 1,216.89 1,233.24 1,249.01 1,263.61 1,278.21 1,292.00 1,292.00 ** 23152315 Head of Household 1,211.71 1,226.31 1,240.91 1,255.51 1,270.12 1,284.72 1,292.00 1,292.00 1,292.00 1,292.00 ** 23152315 Married Filing joint 1,282.84 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23152315 Married Filling Separate 1,161.25 1,177.60 1,193.96 1,210.31 1,226.67 1,243.02 1,259.38 1,275.73 1,292.00 1,292.00 ** 2315

2316 Single 1,168.31 1,184.66 1,201.02 1,217.37 1,233.73 1,249.51 1,264.12 1,278.72 1,292.00 1,292.00 ** 23162316 Head of Household 1,212.22 1,226.82 1,241.42 1,256.03 1,270.63 1,285.23 1,292.00 1,292.00 1,292.00 1,292.00 ** 23162316 Married Filing joint 1,283.35 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23162316 Married Filling Separate 1,161.73 1,178.09 1,194.44 1,210.80 1,227.15 1,243.51 1,259.86 1,276.22 1,292.00 1,292.00 ** 2316

2317 Single 1,168.79 1,185.15 1,201.50 1,217.86 1,234.21 1,250.02 1,264.62 1,279.22 1,292.00 1,292.00 ** 23172317 Head of Household 1,212.73 1,227.33 1,241.93 1,256.54 1,271.14 1,285.74 1,292.00 1,292.00 1,292.00 1,292.00 ** 23172317 Married Filing joint 1,283.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23172317 Married Filling Separate 1,162.22 1,178.57 1,194.93 1,211.28 1,227.64 1,243.99 1,260.34 1,276.70 1,292.00 1,292.00 ** 2317

2318 Single 1,169.28 1,185.63 1,201.99 1,218.34 1,234.70 1,250.53 1,265.13 1,279.73 1,292.00 1,292.00 ** 23182318 Head of Household 1,213.24 1,227.84 1,242.44 1,257.05 1,271.65 1,286.25 1,292.00 1,292.00 1,292.00 1,292.00 ** 23182318 Married Filing joint 1,283.80 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23182318 Married Filling Separate 1,162.70 1,179.05 1,195.41 1,211.76 1,228.12 1,244.47 1,260.83 1,277.18 1,292.00 1,292.00 ** 2318

2319 Single 1,169.76 1,186.12 1,202.47 1,218.83 1,235.18 1,251.03 1,265.64 1,280.24 1,292.00 1,292.00 ** 23192319 Head of Household 1,213.75 1,228.35 1,242.95 1,257.56 1,272.16 1,286.76 1,292.00 1,292.00 1,292.00 1,292.00 ** 23192319 Married Filing joint 1,284.31 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23192319 Married Filling Separate 1,163.18 1,179.54 1,195.89 1,212.25 1,228.60 1,244.96 1,261.31 1,277.67 1,292.00 1,292.00 ** 2319

2320 Single 1,170.24 1,186.60 1,202.95 1,219.31 1,235.66 1,251.54 1,266.14 1,280.74 1,292.00 1,292.00 ** 23202320 Head of Household 1,214.26 1,228.86 1,243.46 1,258.07 1,272.67 1,287.27 1,292.00 1,292.00 1,292.00 1,292.00 ** 23202320 Married Filing joint 1,284.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23202320 Married Filling Separate 1,163.67 1,180.02 1,196.38 1,212.73 1,229.09 1,245.44 1,261.80 1,278.15 1,292.00 1,292.00 ** 2320

Page 310: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2321 Single 1,170.73 1,187.08 1,203.44 1,219.79 1,236.15 1,252.05 1,266.65 1,281.25 1,292.00 1,292.00 ** 23212321 Head of Household 1,214.77 1,229.37 1,243.97 1,258.58 1,273.18 1,287.78 1,292.00 1,292.00 1,292.00 1,292.00 ** 23212321 Married Filing joint 1,285.33 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23212321 Married Filling Separate 1,164.15 1,180.51 1,196.86 1,213.22 1,229.57 1,245.93 1,262.28 1,278.64 1,292.00 1,292.00 ** 2321

2322 Single 1,171.21 1,187.57 1,203.92 1,220.28 1,236.63 1,252.55 1,267.16 1,281.76 1,292.00 1,292.00 ** 23222322 Head of Household 1,215.28 1,229.88 1,244.48 1,259.09 1,273.69 1,288.29 1,292.00 1,292.00 1,292.00 1,292.00 ** 23222322 Married Filing joint 1,285.84 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23222322 Married Filling Separate 1,164.64 1,180.99 1,197.35 1,213.70 1,230.06 1,246.41 1,262.77 1,279.12 1,292.00 1,292.00 ** 2322

2323 Single 1,171.70 1,188.05 1,204.41 1,220.76 1,237.12 1,253.06 1,267.66 1,282.26 1,292.00 1,292.00 ** 23232323 Head of Household 1,215.79 1,230.39 1,245.00 1,259.60 1,274.20 1,288.80 1,292.00 1,292.00 1,292.00 1,292.00 ** 23232323 Married Filing joint 1,286.35 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23232323 Married Filling Separate 1,165.12 1,181.48 1,197.83 1,214.18 1,230.54 1,246.89 1,263.25 1,279.60 1,292.00 1,292.00 ** 2323

2324 Single 1,172.18 1,188.54 1,204.89 1,221.25 1,237.60 1,253.57 1,268.17 1,282.77 1,292.00 1,292.00 ** 23242324 Head of Household 1,216.30 1,230.90 1,245.51 1,260.11 1,274.71 1,289.31 1,292.00 1,292.00 1,292.00 1,292.00 ** 23242324 Married Filing joint 1,286.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23242324 Married Filling Separate 1,165.60 1,181.96 1,198.31 1,214.67 1,231.02 1,247.38 1,263.73 1,280.09 1,292.00 1,292.00 ** 2324

2325 Single 1,172.67 1,189.02 1,205.38 1,221.73 1,238.08 1,254.07 1,268.68 1,283.28 1,292.00 1,292.00 ** 23252325 Head of Household 1,216.81 1,231.41 1,246.02 1,260.62 1,275.22 1,289.82 1,292.00 1,292.00 1,292.00 1,292.00 ** 23252325 Married Filing joint 1,287.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23252325 Married Filling Separate 1,166.09 1,182.44 1,198.80 1,215.15 1,231.51 1,247.86 1,264.22 1,280.57 1,292.00 1,292.00 ** 2325

2326 Single 1,173.15 1,189.50 1,205.86 1,222.21 1,238.57 1,254.58 1,269.18 1,283.78 1,292.00 1,292.00 ** 23262326 Head of Household 1,217.32 1,231.92 1,246.53 1,261.13 1,275.73 1,290.33 1,292.00 1,292.00 1,292.00 1,292.00 ** 23262326 Married Filing joint 1,287.88 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23262326 Married Filling Separate 1,166.57 1,182.93 1,199.28 1,215.64 1,231.99 1,248.35 1,264.70 1,281.06 1,292.00 1,292.00 ** 2326

2327 Single 1,173.63 1,189.99 1,206.34 1,222.70 1,239.05 1,255.09 1,269.69 1,284.29 1,292.00 1,292.00 ** 23272327 Head of Household 1,217.83 1,232.43 1,247.04 1,261.64 1,276.24 1,290.84 1,292.00 1,292.00 1,292.00 1,292.00 ** 23272327 Married Filing joint 1,288.39 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23272327 Married Filling Separate 1,167.06 1,183.41 1,199.77 1,216.12 1,232.48 1,248.83 1,265.19 1,281.54 1,292.00 1,292.00 ** 2327

2328 Single 1,174.12 1,190.47 1,206.83 1,223.18 1,239.54 1,255.59 1,270.19 1,284.80 1,292.00 1,292.00 ** 23282328 Head of Household 1,218.34 1,232.94 1,247.55 1,262.15 1,276.75 1,291.35 1,292.00 1,292.00 1,292.00 1,292.00 ** 23282328 Married Filing joint 1,288.90 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23282328 Married Filling Separate 1,167.54 1,183.90 1,200.25 1,216.61 1,232.96 1,249.32 1,265.67 1,282.02 1,292.00 1,292.00 ** 2328

Page 311: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2329 Single 1,174.60 1,190.96 1,207.31 1,223.67 1,240.02 1,256.10 1,270.70 1,285.30 1,292.00 1,292.00 ** 23292329 Head of Household 1,218.85 1,233.45 1,248.06 1,262.66 1,277.26 1,291.86 1,292.00 1,292.00 1,292.00 1,292.00 ** 23292329 Married Filing joint 1,289.41 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23292329 Married Filling Separate 1,168.03 1,184.38 1,200.73 1,217.09 1,233.44 1,249.80 1,266.15 1,282.51 1,292.00 1,292.00 ** 2329

2330 Single 1,175.09 1,191.44 1,207.80 1,224.15 1,240.51 1,256.61 1,271.21 1,285.81 1,292.00 1,292.00 ** 23302330 Head of Household 1,219.36 1,233.97 1,248.57 1,263.17 1,277.77 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23302330 Married Filing joint 1,289.92 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23302330 Married Filling Separate 1,168.51 1,184.86 1,201.22 1,217.57 1,233.93 1,250.28 1,266.64 1,282.99 1,292.00 1,292.00 ** 2330

2331 Single 1,175.57 1,191.93 1,208.28 1,224.63 1,240.99 1,257.11 1,271.71 1,286.32 1,292.00 1,292.00 ** 23312331 Head of Household 1,219.87 1,234.48 1,249.08 1,263.68 1,278.28 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23312331 Married Filing joint 1,290.43 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23312331 Married Filling Separate 1,168.99 1,185.35 1,201.70 1,218.06 1,234.41 1,250.77 1,267.12 1,283.48 1,292.00 1,292.00 ** 2331

2332 Single 1,176.05 1,192.41 1,208.76 1,225.12 1,241.47 1,257.62 1,272.22 1,286.82 1,292.00 1,292.00 ** 23322332 Head of Household 1,220.38 1,234.99 1,249.59 1,264.19 1,278.79 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23322332 Married Filing joint 1,290.94 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23322332 Married Filling Separate 1,169.48 1,185.83 1,202.19 1,218.54 1,234.90 1,251.25 1,267.61 1,283.96 1,292.00 1,292.00 ** 2332

2333 Single 1,176.54 1,192.89 1,209.25 1,225.60 1,241.96 1,258.13 1,272.73 1,287.33 1,292.00 1,292.00 ** 23332333 Head of Household 1,220.89 1,235.50 1,250.10 1,264.70 1,279.30 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23332333 Married Filing joint 1,291.45 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23332333 Married Filling Separate 1,169.96 1,186.32 1,202.67 1,219.03 1,235.38 1,251.74 1,268.09 1,284.45 1,292.00 1,292.00 ** 2333

2334 Single 1,177.02 1,193.38 1,209.73 1,226.09 1,242.44 1,258.63 1,273.23 1,287.84 1,292.00 1,292.00 ** 23342334 Head of Household 1,221.40 1,236.01 1,250.61 1,265.21 1,279.81 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23342334 Married Filing joint 1,291.96 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23342334 Married Filling Separate 1,170.45 1,186.80 1,203.16 1,219.51 1,235.87 1,252.22 1,268.57 1,284.93 1,292.00 1,292.00 ** 2334

2335 Single 1,177.51 1,193.86 1,210.22 1,226.57 1,242.93 1,259.14 1,273.74 1,288.34 1,292.00 1,292.00 ** 23352335 Head of Household 1,221.91 1,236.52 1,251.12 1,265.72 1,280.32 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23352335 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23352335 Married Filling Separate 1,170.93 1,187.28 1,203.64 1,219.99 1,236.35 1,252.70 1,269.06 1,285.41 1,292.00 1,292.00 ** 2335

2336 Single 1,177.99 1,194.35 1,210.70 1,227.06 1,243.41 1,259.65 1,274.25 1,288.85 1,292.00 1,292.00 ** 23362336 Head of Household 1,222.43 1,237.03 1,251.63 1,266.23 1,280.84 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23362336 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23362336 Married Filling Separate 1,171.41 1,187.77 1,204.12 1,220.48 1,236.83 1,253.19 1,269.54 1,285.90 1,292.00 1,292.00 ** 2336

Page 312: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2337 Single 1,178.48 1,194.83 1,211.18 1,227.54 1,243.89 1,260.15 1,274.75 1,289.36 1,292.00 1,292.00 ** 23372337 Head of Household 1,222.94 1,237.54 1,252.14 1,266.74 1,281.35 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23372337 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23372337 Married Filling Separate 1,171.90 1,188.25 1,204.61 1,220.96 1,237.32 1,253.67 1,270.03 1,286.38 1,292.00 1,292.00 ** 2337

2338 Single 1,178.96 1,195.31 1,211.67 1,228.02 1,244.38 1,260.66 1,275.26 1,289.86 1,292.00 1,292.00 ** 23382338 Head of Household 1,223.45 1,238.05 1,252.65 1,267.25 1,281.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23382338 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23382338 Married Filling Separate 1,172.38 1,188.74 1,205.09 1,221.45 1,237.80 1,254.16 1,270.51 1,286.87 1,292.00 1,292.00 ** 2338

2339 Single 1,179.44 1,195.80 1,212.15 1,228.51 1,244.86 1,261.17 1,275.77 1,290.37 1,292.00 1,292.00 ** 23392339 Head of Household 1,223.96 1,238.56 1,253.16 1,267.76 1,282.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23392339 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23392339 Married Filling Separate 1,172.87 1,189.22 1,205.58 1,221.93 1,238.29 1,254.64 1,271.00 1,287.35 1,292.00 1,292.00 ** 2339

2340 Single 1,179.93 1,196.28 1,212.64 1,228.99 1,245.35 1,261.67 1,276.27 1,290.88 1,292.00 1,292.00 ** 23402340 Head of Household 1,224.47 1,239.07 1,253.67 1,268.27 1,282.88 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23402340 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23402340 Married Filling Separate 1,173.35 1,189.71 1,206.06 1,222.42 1,238.77 1,255.12 1,271.48 1,287.83 1,292.00 1,292.00 ** 2340

2341 Single 1,180.41 1,196.77 1,213.12 1,229.48 1,245.83 1,262.18 1,276.78 1,291.38 1,292.00 1,292.00 ** 23412341 Head of Household 1,224.98 1,239.58 1,254.18 1,268.78 1,283.39 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23412341 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23412341 Married Filling Separate 1,173.83 1,190.19 1,206.54 1,222.90 1,239.25 1,255.61 1,271.96 1,288.32 1,292.00 1,292.00 ** 2341

2342 Single 1,180.90 1,197.25 1,213.61 1,229.96 1,246.31 1,262.67 1,277.29 1,291.89 1,292.00 1,292.00 ** 23422342 Head of Household 1,225.49 1,240.09 1,254.69 1,269.29 1,283.90 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23422342 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23422342 Married Filling Separate 1,174.32 1,190.67 1,207.03 1,223.38 1,239.74 1,256.09 1,272.45 1,288.80 1,292.00 1,292.00 ** 2342

2343 Single 1,181.38 1,197.73 1,214.09 1,230.44 1,246.80 1,263.15 1,277.79 1,292.00 1,292.00 1,292.00 ** 23432343 Head of Household 1,226.00 1,240.60 1,255.20 1,269.81 1,284.41 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23432343 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23432343 Married Filling Separate 1,174.80 1,191.16 1,207.51 1,223.87 1,240.22 1,256.58 1,272.93 1,289.29 1,292.00 1,292.00 ** 2343

2344 Single 1,181.86 1,198.22 1,214.57 1,230.93 1,247.28 1,263.64 1,278.30 1,292.00 1,292.00 1,292.00 ** 23442344 Head of Household 1,226.51 1,241.11 1,255.71 1,270.32 1,284.92 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23442344 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23442344 Married Filling Separate 1,175.29 1,191.64 1,208.00 1,224.35 1,240.71 1,257.06 1,273.42 1,289.77 1,292.00 1,292.00 ** 2344

Page 313: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2345 Single 1,182.35 1,198.70 1,215.06 1,231.41 1,247.77 1,264.12 1,278.81 1,292.00 1,292.00 1,292.00 ** 23452345 Head of Household 1,227.02 1,241.62 1,256.22 1,270.83 1,285.43 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23452345 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23452345 Married Filling Separate 1,175.77 1,192.13 1,208.48 1,224.84 1,241.19 1,257.55 1,273.90 1,290.25 1,292.00 1,292.00 ** 2345

2346 Single 1,182.83 1,199.19 1,215.54 1,231.90 1,248.25 1,264.61 1,279.31 1,292.00 1,292.00 1,292.00 ** 23462346 Head of Household 1,227.53 1,242.13 1,256.73 1,271.34 1,285.94 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23462346 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23462346 Married Filling Separate 1,176.26 1,192.61 1,208.97 1,225.32 1,241.67 1,258.03 1,274.38 1,290.74 1,292.00 1,292.00 ** 2346

2347 Single 1,183.32 1,199.67 1,216.03 1,232.38 1,248.74 1,265.09 1,279.82 1,292.00 1,292.00 1,292.00 ** 23472347 Head of Household 1,228.04 1,242.64 1,257.24 1,271.85 1,286.45 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23472347 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23472347 Married Filling Separate 1,176.74 1,193.09 1,209.45 1,225.80 1,242.16 1,258.51 1,274.87 1,291.22 1,292.00 1,292.00 ** 2347

2348 Single 1,183.80 1,200.16 1,216.51 1,232.86 1,249.22 1,265.57 1,280.33 1,292.00 1,292.00 1,292.00 ** 23482348 Head of Household 1,228.55 1,243.15 1,257.75 1,272.36 1,286.96 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23482348 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23482348 Married Filling Separate 1,177.22 1,193.58 1,209.93 1,226.29 1,242.64 1,259.00 1,275.35 1,291.71 1,292.00 1,292.00 ** 2348

2349 Single 1,184.28 1,200.64 1,216.99 1,233.35 1,249.70 1,266.06 1,280.83 1,292.00 1,292.00 1,292.00 ** 23492349 Head of Household 1,229.06 1,243.66 1,258.26 1,272.87 1,287.47 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23492349 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23492349 Married Filling Separate 1,177.71 1,194.06 1,210.42 1,226.77 1,243.13 1,259.48 1,275.84 1,292.00 1,292.00 1,292.00 ** 2349

2350 Single 1,184.77 1,201.12 1,217.48 1,233.83 1,250.19 1,266.54 1,281.34 1,292.00 1,292.00 1,292.00 ** 23502350 Head of Household 1,229.57 1,244.17 1,258.78 1,273.38 1,287.98 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23502350 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23502350 Married Filling Separate 1,178.19 1,194.55 1,210.90 1,227.26 1,243.61 1,259.97 1,276.32 1,292.00 1,292.00 1,292.00 ** 2350

2351 Single 1,185.25 1,201.61 1,217.96 1,234.32 1,250.67 1,267.03 1,281.85 1,292.00 1,292.00 1,292.00 ** 23512351 Head of Household 1,230.08 1,244.68 1,259.29 1,273.89 1,288.49 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23512351 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23512351 Married Filling Separate 1,178.68 1,195.03 1,211.39 1,227.74 1,244.10 1,260.45 1,276.80 1,292.00 1,292.00 1,292.00 ** 2351

2352 Single 1,185.74 1,202.09 1,218.45 1,234.80 1,251.16 1,267.51 1,282.35 1,292.00 1,292.00 1,292.00 ** 23522352 Head of Household 1,230.59 1,245.19 1,259.80 1,274.40 1,289.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23522352 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23522352 Married Filling Separate 1,179.16 1,195.52 1,211.87 1,228.22 1,244.58 1,260.93 1,277.29 1,292.00 1,292.00 1,292.00 ** 2352

Page 314: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2353 Single 1,186.22 1,202.58 1,218.93 1,235.29 1,251.64 1,268.00 1,282.86 1,292.00 1,292.00 1,292.00 ** 23532353 Head of Household 1,231.10 1,245.70 1,260.31 1,274.91 1,289.51 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23532353 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23532353 Married Filling Separate 1,179.64 1,196.00 1,212.35 1,228.71 1,245.06 1,261.42 1,277.77 1,292.00 1,292.00 1,292.00 ** 2353

2354 Single 1,186.71 1,203.06 1,219.41 1,235.77 1,252.12 1,268.48 1,283.37 1,292.00 1,292.00 1,292.00 ** 23542354 Head of Household 1,231.61 1,246.21 1,260.82 1,275.42 1,290.02 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23542354 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23542354 Married Filling Separate 1,180.13 1,196.48 1,212.84 1,229.19 1,245.55 1,261.90 1,278.26 1,292.00 1,292.00 1,292.00 ** 2354

2355 Single 1,187.19 1,203.54 1,219.90 1,236.25 1,252.61 1,268.96 1,283.87 1,292.00 1,292.00 1,292.00 ** 23552355 Head of Household 1,232.12 1,246.72 1,261.33 1,275.93 1,290.53 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23552355 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23552355 Married Filling Separate 1,180.61 1,196.97 1,213.32 1,229.68 1,246.03 1,262.39 1,278.74 1,292.00 1,292.00 1,292.00 ** 2355

2356 Single 1,187.67 1,204.03 1,220.38 1,236.74 1,253.09 1,269.45 1,284.38 1,292.00 1,292.00 1,292.00 ** 23562356 Head of Household 1,232.63 1,247.24 1,261.84 1,276.44 1,291.04 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23562356 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23562356 Married Filling Separate 1,181.10 1,197.45 1,213.81 1,230.16 1,246.52 1,262.87 1,279.23 1,292.00 1,292.00 1,292.00 ** 2356

2357 Single 1,188.16 1,204.51 1,220.87 1,237.22 1,253.58 1,269.93 1,284.89 1,292.00 1,292.00 1,292.00 ** 23572357 Head of Household 1,233.14 1,247.75 1,262.35 1,276.95 1,291.55 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23572357 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23572357 Married Filling Separate 1,181.58 1,197.94 1,214.29 1,230.65 1,247.00 1,263.35 1,279.71 1,292.00 1,292.00 1,292.00 ** 2357

2358 Single 1,188.64 1,205.00 1,221.35 1,237.71 1,254.06 1,270.42 1,285.39 1,292.00 1,292.00 1,292.00 ** 23582358 Head of Household 1,233.65 1,248.26 1,262.86 1,277.46 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23582358 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23582358 Married Filling Separate 1,182.06 1,198.42 1,214.77 1,231.13 1,247.48 1,263.84 1,280.19 1,292.00 1,292.00 1,292.00 ** 2358

2359 Single 1,189.13 1,205.48 1,221.84 1,238.19 1,254.55 1,270.90 1,285.90 1,292.00 1,292.00 1,292.00 ** 23592359 Head of Household 1,234.16 1,248.77 1,263.37 1,277.97 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23592359 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23592359 Married Filling Separate 1,182.55 1,198.90 1,215.26 1,231.61 1,247.97 1,264.32 1,280.68 1,292.00 1,292.00 1,292.00 ** 2359

2360 Single 1,189.61 1,205.96 1,222.32 1,238.67 1,255.03 1,271.38 1,286.41 1,292.00 1,292.00 1,292.00 ** 23602360 Head of Household 1,234.67 1,249.28 1,263.88 1,278.48 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23602360 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23602360 Married Filling Separate 1,183.03 1,199.39 1,215.74 1,232.10 1,248.45 1,264.81 1,281.16 1,292.00 1,292.00 1,292.00 ** 2360

Page 315: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2361 Single 1,190.09 1,206.45 1,222.80 1,239.16 1,255.51 1,271.87 1,286.91 1,292.00 1,292.00 1,292.00 ** 23612361 Head of Household 1,235.18 1,249.79 1,264.39 1,278.99 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23612361 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23612361 Married Filling Separate 1,183.52 1,199.87 1,216.23 1,232.58 1,248.94 1,265.29 1,281.65 1,292.00 1,292.00 1,292.00 ** 2361

2362 Single 1,190.58 1,206.93 1,223.29 1,239.64 1,256.00 1,272.35 1,287.42 1,292.00 1,292.00 1,292.00 ** 23622362 Head of Household 1,235.69 1,250.30 1,264.90 1,279.50 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23622362 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23622362 Married Filling Separate 1,184.00 1,200.36 1,216.71 1,233.07 1,249.42 1,265.78 1,282.13 1,292.00 1,292.00 1,292.00 ** 2362

2363 Single 1,191.06 1,207.42 1,223.77 1,240.13 1,256.48 1,272.84 1,287.93 1,292.00 1,292.00 1,292.00 ** 23632363 Head of Household 1,236.21 1,250.81 1,265.41 1,280.01 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23632363 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23632363 Married Filling Separate 1,184.49 1,200.84 1,217.20 1,233.55 1,249.90 1,266.26 1,282.61 1,292.00 1,292.00 1,292.00 ** 2363

2364 Single 1,191.55 1,207.90 1,224.26 1,240.61 1,256.97 1,273.32 1,288.43 1,292.00 1,292.00 1,292.00 ** 23642364 Head of Household 1,236.72 1,251.32 1,265.92 1,280.52 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23642364 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23642364 Married Filling Separate 1,184.97 1,201.32 1,217.68 1,234.03 1,250.39 1,266.74 1,283.10 1,292.00 1,292.00 1,292.00 ** 2364

2365 Single 1,192.03 1,208.39 1,224.74 1,241.09 1,257.45 1,273.80 1,288.94 1,292.00 1,292.00 1,292.00 ** 23652365 Head of Household 1,237.23 1,251.83 1,266.43 1,281.03 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23652365 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23652365 Married Filling Separate 1,185.45 1,201.81 1,218.16 1,234.52 1,250.87 1,267.23 1,283.58 1,292.00 1,292.00 1,292.00 ** 2365

2366 Single 1,192.51 1,208.87 1,225.22 1,241.58 1,257.93 1,274.29 1,289.45 1,292.00 1,292.00 1,292.00 ** 23662366 Head of Household 1,237.74 1,252.34 1,266.94 1,281.54 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23662366 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23662366 Married Filling Separate 1,185.94 1,202.29 1,218.65 1,235.00 1,251.36 1,267.71 1,284.07 1,292.00 1,292.00 1,292.00 ** 2366

2367 Single 1,193.00 1,209.35 1,225.71 1,242.06 1,258.42 1,274.77 1,289.95 1,292.00 1,292.00 1,292.00 ** 23672367 Head of Household 1,238.25 1,252.85 1,267.45 1,282.05 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23672367 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23672367 Married Filling Separate 1,186.42 1,202.78 1,219.13 1,235.49 1,251.84 1,268.20 1,284.55 1,292.00 1,292.00 1,292.00 ** 2367

2368 Single 1,193.48 1,209.84 1,226.19 1,242.55 1,258.90 1,275.26 1,290.46 1,292.00 1,292.00 1,292.00 ** 23682368 Head of Household 1,238.76 1,253.36 1,267.96 1,282.56 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23682368 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23682368 Married Filling Separate 1,186.91 1,203.26 1,219.62 1,235.97 1,252.33 1,268.68 1,285.04 1,292.00 1,292.00 1,292.00 ** 2368

Page 316: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2369 Single 1,193.97 1,210.32 1,226.68 1,243.03 1,259.39 1,275.74 1,290.97 1,292.00 1,292.00 1,292.00 ** 23692369 Head of Household 1,239.27 1,253.87 1,268.47 1,283.07 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23692369 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23692369 Married Filling Separate 1,187.39 1,203.75 1,220.10 1,236.45 1,252.81 1,269.16 1,285.52 1,292.00 1,292.00 1,292.00 ** 2369

2370 Single 1,194.45 1,210.81 1,227.16 1,243.52 1,259.87 1,276.23 1,291.47 1,292.00 1,292.00 1,292.00 ** 23702370 Head of Household 1,239.78 1,254.38 1,268.98 1,283.59 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23702370 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23702370 Married Filling Separate 1,187.87 1,204.23 1,220.58 1,236.94 1,253.29 1,269.65 1,286.00 1,292.00 1,292.00 1,292.00 ** 2370

2371 Single 1,194.94 1,211.29 1,227.64 1,244.00 1,260.35 1,276.71 1,291.98 1,292.00 1,292.00 1,292.00 ** 23712371 Head of Household 1,240.29 1,254.89 1,269.49 1,284.10 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23712371 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23712371 Married Filling Separate 1,188.36 1,204.71 1,221.07 1,237.42 1,253.78 1,270.13 1,286.49 1,292.00 1,292.00 1,292.00 ** 2371

2372 Single 1,195.42 1,211.77 1,228.13 1,244.48 1,260.84 1,277.19 1,292.00 1,292.00 1,292.00 1,292.00 ** 23722372 Head of Household 1,240.80 1,255.40 1,270.00 1,284.61 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23722372 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23722372 Married Filling Separate 1,188.84 1,205.20 1,221.55 1,237.91 1,254.26 1,270.62 1,286.97 1,292.00 1,292.00 1,292.00 ** 2372

2373 Single 1,195.90 1,212.26 1,228.61 1,244.97 1,261.32 1,277.68 1,292.00 1,292.00 1,292.00 1,292.00 ** 23732373 Head of Household 1,241.31 1,255.91 1,270.51 1,285.12 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23732373 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23732373 Married Filling Separate 1,189.33 1,205.68 1,222.04 1,238.39 1,254.75 1,271.10 1,287.46 1,292.00 1,292.00 1,292.00 ** 2373

2374 Single 1,196.39 1,212.74 1,229.10 1,245.45 1,261.81 1,278.16 1,292.00 1,292.00 1,292.00 1,292.00 ** 23742374 Head of Household 1,241.82 1,256.42 1,271.02 1,285.63 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23742374 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23742374 Married Filling Separate 1,189.81 1,206.17 1,222.52 1,238.88 1,255.23 1,271.58 1,287.94 1,292.00 1,292.00 1,292.00 ** 2374

2375 Single 1,196.87 1,213.23 1,229.58 1,245.94 1,262.29 1,278.65 1,292.00 1,292.00 1,292.00 1,292.00 ** 23752375 Head of Household 1,242.33 1,256.93 1,271.53 1,286.14 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23752375 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23752375 Married Filling Separate 1,190.30 1,206.65 1,223.00 1,239.36 1,255.71 1,272.07 1,288.42 1,292.00 1,292.00 1,292.00 ** 2375

2376 Single 1,197.36 1,213.71 1,230.07 1,246.42 1,262.78 1,279.13 1,292.00 1,292.00 1,292.00 1,292.00 ** 23762376 Head of Household 1,242.84 1,257.44 1,272.05 1,286.65 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23762376 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23762376 Married Filling Separate 1,190.78 1,207.13 1,223.49 1,239.84 1,256.20 1,272.55 1,288.91 1,292.00 1,292.00 1,292.00 ** 2376

Page 317: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2377 Single 1,197.84 1,214.19 1,230.55 1,246.90 1,263.26 1,279.61 1,292.00 1,292.00 1,292.00 1,292.00 ** 23772377 Head of Household 1,243.35 1,257.95 1,272.56 1,287.16 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23772377 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23772377 Married Filling Separate 1,191.26 1,207.62 1,223.97 1,240.33 1,256.68 1,273.04 1,289.39 1,292.00 1,292.00 1,292.00 ** 2377

2378 Single 1,198.32 1,214.68 1,231.03 1,247.39 1,263.74 1,280.10 1,292.00 1,292.00 1,292.00 1,292.00 ** 23782378 Head of Household 1,243.86 1,258.46 1,273.07 1,287.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23782378 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23782378 Married Filling Separate 1,191.75 1,208.10 1,224.46 1,240.81 1,257.17 1,273.52 1,289.88 1,292.00 1,292.00 1,292.00 ** 2378

2379 Single 1,198.81 1,215.16 1,231.52 1,247.87 1,264.23 1,280.58 1,292.00 1,292.00 1,292.00 1,292.00 ** 23792379 Head of Household 1,244.37 1,258.97 1,273.58 1,288.18 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23792379 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23792379 Married Filling Separate 1,192.23 1,208.59 1,224.94 1,241.30 1,257.65 1,274.01 1,290.36 1,292.00 1,292.00 1,292.00 ** 2379

2380 Single 1,199.29 1,215.65 1,232.00 1,248.36 1,264.71 1,281.07 1,292.00 1,292.00 1,292.00 1,292.00 ** 23802380 Head of Household 1,244.88 1,259.48 1,274.09 1,288.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23802380 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23802380 Married Filling Separate 1,192.72 1,209.07 1,225.43 1,241.78 1,258.13 1,274.49 1,290.84 1,292.00 1,292.00 1,292.00 ** 2380

2381 Single 1,199.78 1,216.13 1,232.49 1,248.84 1,265.20 1,281.55 1,292.00 1,292.00 1,292.00 1,292.00 ** 23812381 Head of Household 1,245.39 1,259.99 1,274.60 1,289.20 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23812381 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23812381 Married Filling Separate 1,193.20 1,209.55 1,225.91 1,242.26 1,258.62 1,274.97 1,291.33 1,292.00 1,292.00 1,292.00 ** 2381

2382 Single 1,200.26 1,216.62 1,232.97 1,249.33 1,265.68 1,282.03 1,292.00 1,292.00 1,292.00 1,292.00 ** 23822382 Head of Household 1,245.90 1,260.50 1,275.11 1,289.71 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23822382 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23822382 Married Filling Separate 1,193.68 1,210.04 1,226.39 1,242.75 1,259.10 1,275.46 1,291.81 1,292.00 1,292.00 1,292.00 ** 2382

2383 Single 1,200.74 1,217.10 1,233.45 1,249.81 1,266.16 1,282.52 1,292.00 1,292.00 1,292.00 1,292.00 ** 23832383 Head of Household 1,246.41 1,261.02 1,275.62 1,290.22 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23832383 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23832383 Married Filling Separate 1,194.17 1,210.52 1,226.88 1,243.23 1,259.59 1,275.94 1,292.00 1,292.00 1,292.00 1,292.00 ** 2383

2384 Single 1,201.23 1,217.58 1,233.94 1,250.29 1,266.65 1,283.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23842384 Head of Household 1,246.92 1,261.53 1,276.13 1,290.73 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23842384 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23842384 Married Filling Separate 1,194.65 1,211.01 1,227.36 1,243.72 1,260.07 1,276.43 1,292.00 1,292.00 1,292.00 1,292.00 ** 2384

Page 318: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2385 Single 1,201.71 1,218.07 1,234.42 1,250.78 1,267.13 1,283.49 1,292.00 1,292.00 1,292.00 1,292.00 ** 23852385 Head of Household 1,247.43 1,262.04 1,276.64 1,291.24 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23852385 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23852385 Married Filling Separate 1,195.14 1,211.49 1,227.85 1,244.20 1,260.56 1,276.91 1,292.00 1,292.00 1,292.00 1,292.00 ** 2385

2386 Single 1,202.20 1,218.55 1,234.91 1,251.26 1,267.62 1,283.97 1,292.00 1,292.00 1,292.00 1,292.00 ** 23862386 Head of Household 1,247.94 1,262.55 1,277.15 1,291.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23862386 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23862386 Married Filling Separate 1,195.62 1,211.98 1,228.33 1,244.68 1,261.04 1,277.39 1,292.00 1,292.00 1,292.00 1,292.00 ** 2386

2387 Single 1,202.68 1,219.04 1,235.39 1,251.75 1,268.10 1,284.46 1,292.00 1,292.00 1,292.00 1,292.00 ** 23872387 Head of Household 1,248.45 1,263.06 1,277.66 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23872387 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23872387 Married Filling Separate 1,196.10 1,212.46 1,228.81 1,245.17 1,261.52 1,277.88 1,292.00 1,292.00 1,292.00 1,292.00 ** 2387

2388 Single 1,203.17 1,219.52 1,235.88 1,252.23 1,268.58 1,284.94 1,292.00 1,292.00 1,292.00 1,292.00 ** 23882388 Head of Household 1,248.96 1,263.57 1,278.17 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23882388 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23882388 Married Filling Separate 1,196.59 1,212.94 1,229.30 1,245.65 1,262.01 1,278.36 1,292.00 1,292.00 1,292.00 1,292.00 ** 2388

2389 Single 1,203.65 1,220.00 1,236.36 1,252.71 1,269.07 1,285.42 1,292.00 1,292.00 1,292.00 1,292.00 ** 23892389 Head of Household 1,249.47 1,264.08 1,278.68 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23892389 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23892389 Married Filling Separate 1,197.07 1,213.43 1,229.78 1,246.14 1,262.49 1,278.85 1,292.00 1,292.00 1,292.00 1,292.00 ** 2389

2390 Single 1,204.13 1,220.49 1,236.84 1,253.20 1,269.55 1,285.91 1,292.00 1,292.00 1,292.00 1,292.00 ** 23902390 Head of Household 1,249.99 1,264.59 1,279.19 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23902390 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23902390 Married Filling Separate 1,197.56 1,213.91 1,230.27 1,246.62 1,262.98 1,279.33 1,292.00 1,292.00 1,292.00 1,292.00 ** 2390

2391 Single 1,204.62 1,220.97 1,237.33 1,253.68 1,270.04 1,286.39 1,292.00 1,292.00 1,292.00 1,292.00 ** 23912391 Head of Household 1,250.50 1,265.10 1,279.70 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23912391 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23912391 Married Filling Separate 1,198.04 1,214.40 1,230.75 1,247.11 1,263.46 1,279.82 1,292.00 1,292.00 1,292.00 1,292.00 ** 2391

2392 Single 1,205.10 1,221.46 1,237.81 1,254.17 1,270.52 1,286.88 1,292.00 1,292.00 1,292.00 1,292.00 ** 23922392 Head of Household 1,251.01 1,265.61 1,280.21 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23922392 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23922392 Married Filling Separate 1,198.53 1,214.88 1,231.23 1,247.59 1,263.94 1,280.30 1,292.00 1,292.00 1,292.00 1,292.00 ** 2392

Page 319: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2393 Single 1,205.59 1,221.94 1,238.30 1,254.65 1,271.01 1,287.36 1,292.00 1,292.00 1,292.00 1,292.00 ** 23932393 Head of Household 1,251.52 1,266.12 1,280.72 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23932393 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23932393 Married Filling Separate 1,199.01 1,215.36 1,231.72 1,248.07 1,264.43 1,280.78 1,292.00 1,292.00 1,292.00 1,292.00 ** 2393

2394 Single 1,206.07 1,222.43 1,238.78 1,255.13 1,271.49 1,287.84 1,292.00 1,292.00 1,292.00 1,292.00 ** 23942394 Head of Household 1,252.03 1,266.63 1,281.23 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23942394 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23942394 Married Filling Separate 1,199.49 1,215.85 1,232.20 1,248.56 1,264.91 1,281.27 1,292.00 1,292.00 1,292.00 1,292.00 ** 2394

2395 Single 1,206.55 1,222.91 1,239.26 1,255.62 1,271.97 1,288.33 1,292.00 1,292.00 1,292.00 1,292.00 ** 23952395 Head of Household 1,252.54 1,267.14 1,281.74 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23952395 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23952395 Married Filling Separate 1,199.98 1,216.33 1,232.69 1,249.04 1,265.40 1,281.75 1,292.00 1,292.00 1,292.00 1,292.00 ** 2395

2396 Single 1,207.04 1,223.39 1,239.75 1,256.10 1,272.46 1,288.81 1,292.00 1,292.00 1,292.00 1,292.00 ** 23962396 Head of Household 1,253.05 1,267.65 1,282.25 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23962396 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23962396 Married Filling Separate 1,200.46 1,216.82 1,233.17 1,249.53 1,265.88 1,282.24 1,292.00 1,292.00 1,292.00 1,292.00 ** 2396

2397 Single 1,207.52 1,223.88 1,240.23 1,256.59 1,272.94 1,289.30 1,292.00 1,292.00 1,292.00 1,292.00 ** 23972397 Head of Household 1,253.56 1,268.16 1,282.76 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23972397 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23972397 Married Filling Separate 1,200.95 1,217.30 1,233.66 1,250.01 1,266.37 1,282.72 1,292.00 1,292.00 1,292.00 1,292.00 ** 2397

2398 Single 1,208.01 1,224.36 1,240.72 1,257.07 1,273.43 1,289.78 1,292.00 1,292.00 1,292.00 1,292.00 ** 23982398 Head of Household 1,254.07 1,268.67 1,283.27 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23982398 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23982398 Married Filling Separate 1,201.43 1,217.78 1,234.14 1,250.49 1,266.85 1,283.20 1,292.00 1,292.00 1,292.00 1,292.00 ** 2398

2399 Single 1,208.49 1,224.85 1,241.20 1,257.56 1,273.91 1,290.26 1,292.00 1,292.00 1,292.00 1,292.00 ** 23992399 Head of Household 1,254.58 1,269.18 1,283.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23992399 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 23992399 Married Filling Separate 1,201.91 1,218.27 1,234.62 1,250.98 1,267.33 1,283.69 1,292.00 1,292.00 1,292.00 1,292.00 ** 2399

2400 Single 1,208.97 1,225.33 1,241.68 1,258.04 1,274.39 1,290.75 1,292.00 1,292.00 1,292.00 1,292.00 ** 24002400 Head of Household 1,255.09 1,269.69 1,284.29 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24002400 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24002400 Married Filling Separate 1,202.40 1,218.75 1,235.11 1,251.46 1,267.82 1,284.17 1,292.00 1,292.00 1,292.00 1,292.00 ** 2400

Page 320: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2401 Single 1,209.46 1,225.81 1,242.17 1,258.52 1,274.88 1,291.23 1,292.00 1,292.00 1,292.00 1,292.00 ** 24012401 Head of Household 1,255.60 1,270.20 1,284.80 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24012401 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24012401 Married Filling Separate 1,202.88 1,219.24 1,235.59 1,251.95 1,268.30 1,284.66 1,292.00 1,292.00 1,292.00 1,292.00 ** 2401

2402 Single 1,209.94 1,226.30 1,242.65 1,259.01 1,275.36 1,291.72 1,292.00 1,292.00 1,292.00 1,292.00 ** 24022402 Head of Household 1,256.11 1,270.71 1,285.31 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24022402 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24022402 Married Filling Separate 1,203.37 1,219.72 1,236.08 1,252.43 1,268.79 1,285.14 1,292.00 1,292.00 1,292.00 1,292.00 ** 2402

2403 Single 1,210.43 1,226.78 1,243.14 1,259.49 1,275.85 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24032403 Head of Household 1,256.62 1,271.22 1,285.83 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24032403 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24032403 Married Filling Separate 1,203.85 1,220.21 1,236.56 1,252.91 1,269.27 1,285.62 1,292.00 1,292.00 1,292.00 1,292.00 ** 2403

2404 Single 1,210.91 1,227.27 1,243.62 1,259.98 1,276.33 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24042404 Head of Household 1,257.13 1,271.73 1,286.34 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24042404 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24042404 Married Filling Separate 1,204.33 1,220.69 1,237.04 1,253.40 1,269.75 1,286.11 1,292.00 1,292.00 1,292.00 1,292.00 ** 2404

2405 Single 1,211.40 1,227.75 1,244.11 1,260.46 1,276.81 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24052405 Head of Household 1,257.64 1,272.24 1,286.85 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24052405 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24052405 Married Filling Separate 1,204.82 1,221.17 1,237.53 1,253.88 1,270.24 1,286.59 1,292.00 1,292.00 1,292.00 1,292.00 ** 2405

2406 Single 1,211.88 1,228.23 1,244.59 1,260.94 1,277.30 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24062406 Head of Household 1,258.15 1,272.75 1,287.36 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24062406 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24062406 Married Filling Separate 1,205.30 1,221.66 1,238.01 1,254.37 1,270.72 1,287.08 1,292.00 1,292.00 1,292.00 1,292.00 ** 2406

2407 Single 1,212.36 1,228.72 1,245.07 1,261.43 1,277.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24072407 Head of Household 1,258.66 1,273.26 1,287.87 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24072407 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24072407 Married Filling Separate 1,205.79 1,222.14 1,238.50 1,254.85 1,271.21 1,287.56 1,292.00 1,292.00 1,292.00 1,292.00 ** 2407

2408 Single 1,212.85 1,229.20 1,245.56 1,261.91 1,278.27 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24082408 Head of Household 1,259.17 1,273.77 1,288.38 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24082408 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24082408 Married Filling Separate 1,206.27 1,222.63 1,238.98 1,255.34 1,271.69 1,288.05 1,292.00 1,292.00 1,292.00 1,292.00 ** 2408

Page 321: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2409 Single 1,213.33 1,229.69 1,246.04 1,262.40 1,278.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24092409 Head of Household 1,259.68 1,274.28 1,288.89 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24092409 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24092409 Married Filling Separate 1,206.76 1,223.11 1,239.46 1,255.82 1,272.17 1,288.53 1,292.00 1,292.00 1,292.00 1,292.00 ** 2409

2410 Single 1,213.82 1,230.17 1,246.53 1,262.88 1,279.24 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24102410 Head of Household 1,260.19 1,274.80 1,289.40 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24102410 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24102410 Married Filling Separate 1,207.24 1,223.59 1,239.95 1,256.30 1,272.66 1,289.01 1,292.00 1,292.00 1,292.00 1,292.00 ** 2410

2411 Single 1,214.30 1,230.66 1,247.01 1,263.36 1,279.72 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24112411 Head of Household 1,260.70 1,275.31 1,289.91 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24112411 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24112411 Married Filling Separate 1,207.72 1,224.08 1,240.43 1,256.79 1,273.14 1,289.50 1,292.00 1,292.00 1,292.00 1,292.00 ** 2411

2412 Single 1,214.78 1,231.14 1,247.49 1,263.85 1,280.20 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24122412 Head of Household 1,261.21 1,275.82 1,290.42 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24122412 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24122412 Married Filling Separate 1,208.21 1,224.56 1,240.92 1,257.27 1,273.63 1,289.98 1,292.00 1,292.00 1,292.00 1,292.00 ** 2412

2413 Single 1,215.27 1,231.62 1,247.98 1,264.33 1,280.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24132413 Head of Household 1,261.72 1,276.33 1,290.93 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24132413 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24132413 Married Filling Separate 1,208.69 1,225.05 1,241.40 1,257.76 1,274.11 1,290.47 1,292.00 1,292.00 1,292.00 1,292.00 ** 2413

2414 Single 1,215.75 1,232.11 1,248.46 1,264.82 1,281.17 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24142414 Head of Household 1,262.23 1,276.84 1,291.44 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24142414 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24142414 Married Filling Separate 1,209.18 1,225.53 1,241.89 1,258.24 1,274.60 1,290.95 1,292.00 1,292.00 1,292.00 1,292.00 ** 2414

2415 Single 1,216.24 1,232.59 1,248.95 1,265.30 1,281.66 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24152415 Head of Household 1,262.74 1,277.35 1,291.95 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24152415 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24152415 Married Filling Separate 1,209.66 1,226.01 1,242.37 1,258.72 1,275.08 1,291.43 1,292.00 1,292.00 1,292.00 1,292.00 ** 2415

2416 Single 1,216.72 1,233.08 1,249.43 1,265.79 1,282.14 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24162416 Head of Household 1,263.26 1,277.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24162416 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24162416 Married Filling Separate 1,210.14 1,226.50 1,242.85 1,259.21 1,275.56 1,291.92 1,292.00 1,292.00 1,292.00 1,292.00 ** 2416

Page 322: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2417 Single 1,217.21 1,233.56 1,249.91 1,266.27 1,282.62 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24172417 Head of Household 1,263.77 1,278.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24172417 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24172417 Married Filling Separate 1,210.63 1,226.98 1,243.34 1,259.69 1,276.05 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2417

2418 Single 1,217.69 1,234.04 1,250.40 1,266.75 1,283.11 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24182418 Head of Household 1,264.28 1,278.88 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24182418 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24182418 Married Filling Separate 1,211.11 1,227.47 1,243.82 1,260.18 1,276.53 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2418

2419 Single 1,218.17 1,234.53 1,250.88 1,267.24 1,283.59 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24192419 Head of Household 1,264.79 1,279.39 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24192419 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24192419 Married Filling Separate 1,211.60 1,227.95 1,244.31 1,260.66 1,277.02 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2419

2420 Single 1,218.66 1,235.01 1,251.37 1,267.72 1,284.08 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24202420 Head of Household 1,265.30 1,279.90 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24202420 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24202420 Married Filling Separate 1,212.08 1,228.44 1,244.79 1,261.15 1,277.50 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2420

2421 Single 1,219.14 1,235.50 1,251.85 1,268.21 1,284.56 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24212421 Head of Household 1,265.81 1,280.41 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24212421 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24212421 Married Filling Separate 1,212.56 1,228.92 1,245.27 1,261.63 1,277.98 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2421

2422 Single 1,219.63 1,235.98 1,252.34 1,268.69 1,285.04 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24222422 Head of Household 1,266.32 1,280.92 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24222422 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24222422 Married Filling Separate 1,213.05 1,229.40 1,245.76 1,262.11 1,278.47 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2422

2423 Single 1,220.11 1,236.46 1,252.82 1,269.17 1,285.53 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24232423 Head of Household 1,266.83 1,281.43 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24232423 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24232423 Married Filling Separate 1,213.53 1,229.89 1,246.24 1,262.60 1,278.95 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2423

2424 Single 1,220.59 1,236.95 1,253.30 1,269.66 1,286.01 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24242424 Head of Household 1,267.34 1,281.94 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24242424 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24242424 Married Filling Separate 1,214.02 1,230.37 1,246.73 1,263.08 1,279.44 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2424

Page 323: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2425 Single 1,221.08 1,237.43 1,253.79 1,270.14 1,286.50 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24252425 Head of Household 1,267.85 1,282.45 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24252425 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24252425 Married Filling Separate 1,214.48 1,230.86 1,247.21 1,263.57 1,279.92 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2425

2426 Single 1,221.56 1,237.92 1,254.27 1,270.63 1,286.98 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24262426 Head of Household 1,268.36 1,282.96 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24262426 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24262426 Married Filling Separate 1,214.93 1,231.34 1,247.70 1,264.05 1,280.40 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2426

2427 Single 1,222.05 1,238.40 1,254.76 1,271.11 1,287.47 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24272427 Head of Household 1,268.87 1,283.47 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24272427 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24272427 Married Filling Separate 1,215.38 1,231.82 1,248.18 1,264.53 1,280.89 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2427

2428 Single 1,222.53 1,238.89 1,255.24 1,271.59 1,287.95 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24282428 Head of Household 1,269.38 1,283.98 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24282428 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24282428 Married Filling Separate 1,215.82 1,232.31 1,248.66 1,265.02 1,281.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2428

2429 Single 1,223.01 1,239.37 1,255.72 1,272.08 1,288.43 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24292429 Head of Household 1,269.89 1,284.49 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24292429 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24292429 Married Filling Separate 1,216.27 1,232.79 1,249.15 1,265.50 1,281.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2429

2430 Single 1,223.50 1,239.85 1,256.21 1,272.56 1,288.92 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24302430 Head of Household 1,270.40 1,285.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24302430 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24302430 Married Filling Separate 1,216.72 1,233.28 1,249.63 1,265.99 1,282.34 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2430

2431 Single 1,223.98 1,240.34 1,256.69 1,273.05 1,289.40 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24312431 Head of Household 1,270.91 1,285.51 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24312431 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24312431 Married Filling Separate 1,217.16 1,233.76 1,250.12 1,266.47 1,282.83 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2431

2432 Single 1,224.47 1,240.82 1,257.18 1,273.53 1,289.89 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24322432 Head of Household 1,271.42 1,286.02 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24322432 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24322432 Married Filling Separate 1,217.61 1,234.25 1,250.60 1,266.95 1,283.31 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2432

Page 324: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2433 Single 1,224.95 1,241.31 1,257.66 1,274.02 1,290.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24332433 Head of Household 1,271.93 1,286.53 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24332433 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24332433 Married Filling Separate 1,218.06 1,234.73 1,251.08 1,267.44 1,283.79 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2433

2434 Single 1,225.44 1,241.79 1,258.14 1,274.50 1,290.85 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24342434 Head of Household 1,272.44 1,287.04 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24342434 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24342434 Married Filling Separate 1,218.50 1,235.21 1,251.57 1,267.92 1,284.28 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2434

2435 Single 1,225.92 1,242.27 1,258.63 1,274.98 1,291.34 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24352435 Head of Household 1,272.95 1,287.55 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24352435 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24352435 Married Filling Separate 1,218.95 1,235.70 1,252.05 1,268.41 1,284.76 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2435

2436 Single 1,226.40 1,242.76 1,259.11 1,275.47 1,291.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24362436 Head of Household 1,273.46 1,288.07 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24362436 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24362436 Married Filling Separate 1,219.40 1,236.18 1,252.54 1,268.89 1,285.25 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2436

2437 Single 1,226.89 1,243.24 1,259.60 1,275.95 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24372437 Head of Household 1,273.97 1,288.58 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24372437 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24372437 Married Filling Separate 1,219.84 1,236.67 1,253.02 1,269.38 1,285.73 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2437

2438 Single 1,227.37 1,243.73 1,260.08 1,276.44 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24382438 Head of Household 1,274.48 1,289.09 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24382438 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24382438 Married Filling Separate 1,220.29 1,237.15 1,253.50 1,269.86 1,286.21 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2438

2439 Single 1,227.86 1,244.21 1,260.57 1,276.92 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24392439 Head of Household 1,274.99 1,289.60 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24392439 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24392439 Married Filling Separate 1,220.74 1,237.63 1,253.99 1,270.34 1,286.70 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2439

2440 Single 1,228.34 1,244.69 1,261.05 1,277.40 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24402440 Head of Household 1,275.50 1,290.11 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24402440 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24402440 Married Filling Separate 1,221.18 1,238.12 1,254.47 1,270.83 1,287.18 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2440

Page 325: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2441 Single 1,228.82 1,245.18 1,261.53 1,277.89 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24412441 Head of Household 1,276.01 1,290.62 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24412441 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24412441 Married Filling Separate 1,221.63 1,238.60 1,254.96 1,271.31 1,287.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2441

2442 Single 1,229.31 1,245.66 1,262.02 1,278.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24422442 Head of Household 1,276.52 1,291.13 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24422442 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24422442 Married Filling Separate 1,222.08 1,239.09 1,255.44 1,271.80 1,288.15 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2442

2443 Single 1,229.79 1,246.15 1,262.50 1,278.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24432443 Head of Household 1,277.04 1,291.64 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24432443 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24432443 Married Filling Separate 1,222.52 1,239.57 1,255.93 1,272.28 1,288.63 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2443

2444 Single 1,230.28 1,246.63 1,262.99 1,279.34 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24442444 Head of Household 1,277.55 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24442444 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24442444 Married Filling Separate 1,222.97 1,240.05 1,256.41 1,272.76 1,289.12 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2444

2445 Single 1,230.76 1,247.12 1,263.47 1,279.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24452445 Head of Household 1,278.06 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24452445 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24452445 Married Filling Separate 1,223.42 1,240.54 1,256.89 1,273.25 1,289.60 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2445

2446 Single 1,231.24 1,247.60 1,263.95 1,280.31 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24462446 Head of Household 1,278.57 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24462446 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24462446 Married Filling Separate 1,223.86 1,241.02 1,257.38 1,273.73 1,290.09 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2446

2447 Single 1,231.73 1,248.08 1,264.44 1,280.79 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24472447 Head of Household 1,279.08 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24472447 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24472447 Married Filling Separate 1,224.31 1,241.51 1,257.86 1,274.22 1,290.57 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2447

2448 Single 1,232.21 1,248.57 1,264.92 1,281.28 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24482448 Head of Household 1,279.59 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24482448 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24482448 Married Filling Separate 1,224.76 1,241.99 1,258.35 1,274.70 1,291.06 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2448

Page 326: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2449 Single 1,232.70 1,249.05 1,265.41 1,281.76 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24492449 Head of Household 1,280.10 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24492449 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24492449 Married Filling Separate 1,225.20 1,242.48 1,258.83 1,275.18 1,291.54 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2449

2450 Single 1,233.18 1,249.54 1,265.89 1,282.25 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24502450 Head of Household 1,280.61 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24502450 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24502450 Married Filling Separate 1,225.65 1,242.96 1,259.31 1,275.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2450

2451 Single 1,233.67 1,250.02 1,266.37 1,282.73 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24512451 Head of Household 1,281.12 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24512451 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24512451 Married Filling Separate 1,226.10 1,243.44 1,259.80 1,276.15 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2451

2452 Single 1,234.15 1,250.50 1,266.86 1,283.21 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24522452 Head of Household 1,281.63 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24522452 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24522452 Married Filling Separate 1,226.54 1,243.93 1,260.28 1,276.64 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2452

2453 Single 1,234.63 1,250.99 1,267.34 1,283.70 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24532453 Head of Household 1,282.14 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24532453 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24532453 Married Filling Separate 1,226.99 1,244.41 1,260.77 1,277.12 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2453

2454 Single 1,235.12 1,251.47 1,267.83 1,284.18 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24542454 Head of Household 1,282.65 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24542454 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24542454 Married Filling Separate 1,227.44 1,244.90 1,261.25 1,277.61 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2454

2455 Single 1,235.60 1,251.96 1,268.31 1,284.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24552455 Head of Household 1,283.16 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24552455 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24552455 Married Filling Separate 1,227.88 1,245.38 1,261.73 1,278.09 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2455

2456 Single 1,236.09 1,252.44 1,268.80 1,285.15 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24562456 Head of Household 1,283.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24562456 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24562456 Married Filling Separate 1,228.33 1,245.86 1,262.22 1,278.57 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2456

Page 327: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2457 Single 1,236.57 1,252.92 1,269.28 1,285.63 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24572457 Head of Household 1,284.18 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24572457 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24572457 Married Filling Separate 1,228.77 1,246.35 1,262.70 1,279.06 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2457

2458 Single 1,237.05 1,253.41 1,269.76 1,286.12 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24582458 Head of Household 1,284.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24582458 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24582458 Married Filling Separate 1,229.22 1,246.83 1,263.19 1,279.54 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2458

2459 Single 1,237.54 1,253.89 1,270.25 1,286.60 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24592459 Head of Household 1,285.20 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24592459 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24592459 Married Filling Separate 1,229.67 1,247.32 1,263.67 1,280.03 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2459

2460 Single 1,238.02 1,254.38 1,270.73 1,287.09 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24602460 Head of Household 1,285.71 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24602460 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24602460 Married Filling Separate 1,230.11 1,247.80 1,264.16 1,280.51 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2460

2461 Single 1,238.51 1,254.86 1,271.22 1,287.57 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24612461 Head of Household 1,286.22 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24612461 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24612461 Married Filling Separate 1,230.56 1,248.28 1,264.64 1,280.99 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2461

2462 Single 1,238.99 1,255.35 1,271.70 1,288.06 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24622462 Head of Household 1,286.73 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24622462 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24622462 Married Filling Separate 1,231.01 1,248.77 1,265.12 1,281.48 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2462

2463 Single 1,239.47 1,255.83 1,272.18 1,288.54 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24632463 Head of Household 1,287.24 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24632463 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24632463 Married Filling Separate 1,231.45 1,249.25 1,265.61 1,281.96 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2463

2464 Single 1,239.96 1,256.31 1,272.67 1,289.02 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24642464 Head of Household 1,287.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24642464 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24642464 Married Filling Separate 1,231.90 1,249.74 1,266.09 1,282.45 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2464

Page 328: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2465 Single 1,240.44 1,256.80 1,273.15 1,289.51 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24652465 Head of Household 1,288.26 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24652465 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24652465 Married Filling Separate 1,232.35 1,250.22 1,266.58 1,282.93 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2465

2466 Single 1,240.93 1,257.28 1,273.64 1,289.99 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24662466 Head of Household 1,288.77 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24662466 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24662466 Married Filling Separate 1,232.79 1,250.71 1,267.06 1,283.41 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2466

2467 Single 1,241.41 1,257.77 1,274.12 1,290.48 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24672467 Head of Household 1,289.28 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24672467 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24672467 Married Filling Separate 1,233.24 1,251.19 1,267.54 1,283.90 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2467

2468 Single 1,241.90 1,258.25 1,274.61 1,290.96 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24682468 Head of Household 1,289.79 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24682468 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24682468 Married Filling Separate 1,233.69 1,251.67 1,268.03 1,284.38 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2468

2469 Single 1,242.38 1,258.73 1,275.09 1,291.44 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24692469 Head of Household 1,290.30 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24692469 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24692469 Married Filling Separate 1,234.13 1,252.16 1,268.51 1,284.87 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2469

2470 Single 1,242.86 1,259.22 1,275.57 1,291.93 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24702470 Head of Household 1,290.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24702470 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24702470 Married Filling Separate 1,234.58 1,252.64 1,269.00 1,285.35 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2470

2471 Single 1,243.35 1,259.70 1,276.06 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24712471 Head of Household 1,291.33 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24712471 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24712471 Married Filling Separate 1,235.03 1,253.13 1,269.48 1,285.84 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2471

2472 Single 1,243.83 1,260.19 1,276.54 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24722472 Head of Household 1,291.84 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24722472 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24722472 Married Filling Separate 1,235.47 1,253.61 1,269.96 1,286.32 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2472

Page 329: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2473 Single 1,244.32 1,260.67 1,277.03 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24732473 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24732473 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24732473 Married Filling Separate 1,235.92 1,254.09 1,270.45 1,286.80 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2473

2474 Single 1,244.80 1,261.16 1,277.51 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24742474 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24742474 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24742474 Married Filling Separate 1,236.37 1,254.58 1,270.93 1,287.29 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2474

2475 Single 1,245.28 1,261.64 1,277.99 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24752475 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24752475 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24752475 Married Filling Separate 1,236.81 1,255.06 1,271.42 1,287.77 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2475

2476 Single 1,245.77 1,262.12 1,278.48 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24762476 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24762476 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24762476 Married Filling Separate 1,237.26 1,255.55 1,271.90 1,288.26 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2476

2477 Single 1,246.25 1,262.61 1,278.96 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24772477 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24772477 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24772477 Married Filling Separate 1,237.71 1,256.03 1,272.39 1,288.74 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2477

2478 Single 1,246.74 1,263.09 1,279.45 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24782478 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24782478 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24782478 Married Filling Separate 1,238.15 1,256.51 1,272.87 1,289.22 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2478

2479 Single 1,247.22 1,263.58 1,279.93 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24792479 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24792479 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24792479 Married Filling Separate 1,238.60 1,257.00 1,273.35 1,289.71 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2479

2480 Single 1,247.70 1,264.06 1,280.41 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24802480 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24802480 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24802480 Married Filling Separate 1,239.05 1,257.48 1,273.84 1,290.19 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2480

Page 330: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2481 Single 1,248.19 1,264.54 1,280.90 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24812481 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24812481 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24812481 Married Filling Separate 1,239.49 1,257.97 1,274.32 1,290.68 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2481

2482 Single 1,248.67 1,265.03 1,281.38 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24822482 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24822482 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24822482 Married Filling Separate 1,239.94 1,258.45 1,274.81 1,291.16 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2482

2483 Single 1,249.16 1,265.51 1,281.87 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24832483 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24832483 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24832483 Married Filling Separate 1,240.39 1,258.94 1,275.29 1,291.64 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2483

2484 Single 1,249.64 1,266.00 1,282.35 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24842484 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24842484 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24842484 Married Filling Separate 1,240.83 1,259.42 1,275.77 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2484

2485 Single 1,250.13 1,266.48 1,282.84 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24852485 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24852485 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24852485 Married Filling Separate 1,241.28 1,259.90 1,276.26 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2485

2486 Single 1,250.61 1,266.96 1,283.32 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24862486 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24862486 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24862486 Married Filling Separate 1,241.73 1,260.39 1,276.74 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2486

2487 Single 1,251.09 1,267.45 1,283.80 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24872487 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24872487 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24872487 Married Filling Separate 1,242.17 1,260.87 1,277.23 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2487

2488 Single 1,251.58 1,267.93 1,284.29 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24882488 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24882488 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24882488 Married Filling Separate 1,242.62 1,261.36 1,277.71 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2488

Page 331: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2489 Single 1,252.06 1,268.42 1,284.77 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24892489 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24892489 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24892489 Married Filling Separate 1,243.07 1,261.84 1,278.19 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2489

2490 Single 1,252.55 1,268.90 1,285.26 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24902490 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24902490 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24902490 Married Filling Separate 1,243.51 1,262.32 1,278.68 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2490

2491 Single 1,253.03 1,269.39 1,285.74 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24912491 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24912491 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24912491 Married Filling Separate 1,243.96 1,262.81 1,279.16 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2491

2492 Single 1,253.51 1,269.87 1,286.22 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24922492 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24922492 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24922492 Married Filling Separate 1,244.41 1,263.29 1,279.65 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2492

2493 Single 1,254.00 1,270.35 1,286.71 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24932493 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24932493 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24932493 Married Filling Separate 1,244.85 1,263.78 1,280.13 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2493

2494 Single 1,254.48 1,270.84 1,287.19 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24942494 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24942494 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24942494 Married Filling Separate 1,245.30 1,264.26 1,280.62 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2494

2495 Single 1,254.97 1,271.32 1,287.68 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24952495 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24952495 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24952495 Married Filling Separate 1,245.75 1,264.74 1,281.10 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2495

2496 Single 1,255.45 1,271.81 1,288.16 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24962496 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24962496 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24962496 Married Filling Separate 1,246.19 1,265.23 1,281.58 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2496

Page 332: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2497 Single 1,255.94 1,272.29 1,288.64 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24972497 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24972497 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24972497 Married Filling Separate 1,246.64 1,265.71 1,282.07 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2497

2498 Single 1,256.42 1,272.77 1,289.13 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24982498 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24982498 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24982498 Married Filling Separate 1,247.09 1,266.20 1,282.55 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2498

2499 Single 1,256.90 1,273.26 1,289.61 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24992499 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24992499 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 24992499 Married Filling Separate 1,247.53 1,266.68 1,283.04 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2499

2500 Single 1,257.39 1,273.74 1,290.10 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25002500 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25002500 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25002500 Married Filling Separate 1,247.98 1,267.17 1,283.52 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2500

2501 Single 1,257.87 1,274.23 1,290.58 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25012501 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25012501 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25012501 Married Filling Separate 1,248.43 1,267.65 1,284.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2501

2502 Single 1,258.36 1,274.71 1,291.07 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25022502 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25022502 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25022502 Married Filling Separate 1,248.87 1,268.13 1,284.49 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2502

2503 Single 1,258.84 1,275.19 1,291.55 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25032503 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25032503 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25032503 Married Filling Separate 1,249.32 1,268.60 1,284.97 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2503

2504 Single 1,259.32 1,275.68 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25042504 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25042504 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25042504 Married Filling Separate 1,249.77 1,269.04 1,285.46 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2504

Page 333: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2505 Single 1,259.81 1,276.16 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25052505 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25052505 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25052505 Married Filling Separate 1,250.21 1,269.49 1,285.94 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2505

2506 Single 1,260.29 1,276.65 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25062506 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25062506 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25062506 Married Filling Separate 1,250.66 1,269.93 1,286.43 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2506

2507 Single 1,260.78 1,277.13 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25072507 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25072507 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25072507 Married Filling Separate 1,251.11 1,270.38 1,286.91 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2507

2508 Single 1,261.26 1,277.62 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25082508 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25082508 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25082508 Married Filling Separate 1,251.55 1,270.83 1,287.39 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2508

2509 Single 1,261.74 1,278.10 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25092509 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25092509 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25092509 Married Filling Separate 1,252.00 1,271.27 1,287.88 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2509

2510 Single 1,262.23 1,278.58 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25102510 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25102510 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25102510 Married Filling Separate 1,252.45 1,271.72 1,288.36 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2510

2511 Single 1,262.71 1,279.07 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25112511 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25112511 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25112511 Married Filling Separate 1,252.89 1,272.17 1,288.85 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2511

2512 Single 1,263.20 1,279.55 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25122512 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25122512 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25122512 Married Filling Separate 1,253.34 1,272.61 1,289.33 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2512

Page 334: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2513 Single 1,263.68 1,280.04 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25132513 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25132513 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25132513 Married Filling Separate 1,253.79 1,273.06 1,289.81 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2513

2514 Single 1,264.17 1,280.52 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25142514 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25142514 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25142514 Married Filling Separate 1,254.23 1,273.51 1,290.30 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2514

2515 Single 1,264.65 1,281.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25152515 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25152515 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25152515 Married Filling Separate 1,254.68 1,273.95 1,290.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2515

2516 Single 1,265.13 1,281.49 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25162516 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25162516 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25162516 Married Filling Separate 1,255.13 1,274.40 1,291.27 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2516

2517 Single 1,265.62 1,281.97 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25172517 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25172517 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25172517 Married Filling Separate 1,255.57 1,274.85 1,291.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2517

2518 Single 1,266.10 1,282.46 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25182518 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25182518 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25182518 Married Filling Separate 1,256.02 1,275.29 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2518

2519 Single 1,266.59 1,282.94 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25192519 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25192519 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25192519 Married Filling Separate 1,256.47 1,275.74 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2519

2520 Single 1,267.07 1,283.42 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25202520 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25202520 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25202520 Married Filling Separate 1,256.91 1,276.19 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2520

Page 335: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2521 Single 1,267.55 1,283.91 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25212521 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25212521 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25212521 Married Filling Separate 1,257.36 1,276.63 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2521

2522 Single 1,268.04 1,284.39 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25222522 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25222522 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25222522 Married Filling Separate 1,257.81 1,277.08 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2522

2523 Single 1,268.52 1,284.88 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25232523 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25232523 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25232523 Married Filling Separate 1,258.25 1,277.53 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2523

2524 Single 1,269.01 1,285.36 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25242524 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25242524 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25242524 Married Filling Separate 1,258.70 1,277.97 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2524

2525 Single 1,269.49 1,285.85 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25252525 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25252525 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25252525 Married Filling Separate 1,259.15 1,278.42 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2525

2526 Single 1,269.97 1,286.33 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25262526 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25262526 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25262526 Married Filling Separate 1,259.59 1,278.87 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2526

2527 Single 1,270.46 1,286.81 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25272527 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25272527 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25272527 Married Filling Separate 1,260.04 1,279.31 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2527

2528 Single 1,270.94 1,287.30 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25282528 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25282528 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25282528 Married Filling Separate 1,260.49 1,279.76 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2528

Page 336: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2529 Single 1,271.43 1,287.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25292529 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25292529 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25292529 Married Filling Separate 1,260.93 1,280.21 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2529

2530 Single 1,271.91 1,288.27 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25302530 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25302530 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25302530 Married Filling Separate 1,261.38 1,280.65 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2530

2531 Single 1,272.40 1,288.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25312531 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25312531 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25312531 Married Filling Separate 1,261.83 1,281.10 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2531

2532 Single 1,272.88 1,289.23 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25322532 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25322532 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25322532 Married Filling Separate 1,262.27 1,281.55 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2532

2533 Single 1,273.36 1,289.72 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25332533 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25332533 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25332533 Married Filling Separate 1,262.72 1,281.99 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2533

2534 Single 1,273.85 1,290.20 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25342534 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25342534 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25342534 Married Filling Separate 1,263.17 1,282.44 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2534

2535 Single 1,274.33 1,290.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25352535 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25352535 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25352535 Married Filling Separate 1,263.61 1,282.89 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2535

2536 Single 1,274.82 1,291.17 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25362536 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25362536 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25362536 Married Filling Separate 1,264.06 1,283.33 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2536

Page 337: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2537 Single 1,275.30 1,291.65 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25372537 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25372537 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25372537 Married Filling Separate 1,264.50 1,283.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2537

2538 Single 1,275.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25382538 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25382538 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25382538 Married Filling Separate 1,264.95 1,284.23 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2538

2539 Single 1,276.27 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25392539 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25392539 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25392539 Married Filling Separate 1,265.40 1,284.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2539

2540 Single 1,276.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25402540 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25402540 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25402540 Married Filling Separate 1,265.84 1,285.12 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2540

2541 Single 1,277.24 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25412541 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25412541 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25412541 Married Filling Separate 1,266.29 1,285.57 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2541

2542 Single 1,277.72 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25422542 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25422542 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25422542 Married Filling Separate 1,266.74 1,286.01 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2542

2543 Single 1,278.20 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25432543 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25432543 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25432543 Married Filling Separate 1,267.18 1,286.46 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2543

2544 Single 1,278.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25442544 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25442544 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25442544 Married Filling Separate 1,267.63 1,286.91 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2544

Page 338: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2545 Single 1,279.17 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25452545 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25452545 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25452545 Married Filling Separate 1,268.08 1,287.35 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2545

2546 Single 1,279.66 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25462546 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25462546 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25462546 Married Filling Separate 1,268.52 1,287.80 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2546

2547 Single 1,280.14 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25472547 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25472547 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25472547 Married Filling Separate 1,268.97 1,288.25 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2547

2548 Single 1,280.63 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25482548 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25482548 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25482548 Married Filling Separate 1,269.42 1,288.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2548

2549 Single 1,281.11 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25492549 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25492549 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25492549 Married Filling Separate 1,269.86 1,289.14 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2549

2550 Single 1,281.59 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25502550 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25502550 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25502550 Married Filling Separate 1,270.31 1,289.59 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2550

2551 Single 1,282.08 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25512551 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25512551 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25512551 Married Filling Separate 1,270.76 1,290.03 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2551

2552 Single 1,282.56 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25522552 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25522552 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25522552 Married Filling Separate 1,271.20 1,290.48 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2552

Page 339: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2553 Single 1,283.05 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25532553 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25532553 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25532553 Married Filling Separate 1,271.65 1,290.93 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2553

2554 Single 1,283.53 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25542554 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25542554 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25542554 Married Filling Separate 1,272.10 1,291.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2554

2555 Single 1,284.01 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25552555 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25552555 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25552555 Married Filling Separate 1,272.54 1,291.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2555

2556 Single 1,284.50 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25562556 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25562556 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25562556 Married Filling Separate 1,272.99 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2556

2557 Single 1,284.98 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25572557 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25572557 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25572557 Married Filling Separate 1,273.44 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2557

2558 Single 1,285.47 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25582558 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25582558 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25582558 Married Filling Separate 1,273.88 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2558

2559 Single 1,285.95 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25592559 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25592559 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25592559 Married Filling Separate 1,274.33 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2559

2560 Single 1,286.43 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25602560 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25602560 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25602560 Married Filling Separate 1,274.78 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2560

Page 340: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2561 Single 1,286.92 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25612561 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25612561 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25612561 Married Filling Separate 1,275.22 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2561

2562 Single 1,287.40 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25622562 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25622562 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25622562 Married Filling Separate 1,275.67 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2562

2563 Single 1,287.89 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25632563 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25632563 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25632563 Married Filling Separate 1,276.12 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2563

2564 Single 1,288.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25642564 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25642564 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25642564 Married Filling Separate 1,276.56 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2564

2565 Single 1,288.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25652565 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25652565 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25652565 Married Filling Separate 1,277.01 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2565

2566 Single 1,289.34 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25662566 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25662566 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25662566 Married Filling Separate 1,277.46 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2566

2567 Single 1,289.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25672567 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25672567 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25672567 Married Filling Separate 1,277.90 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2567

2568 Single 1,290.31 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25682568 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25682568 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25682568 Married Filling Separate 1,278.35 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2568

Page 341: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2569 Single 1,290.79 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25692569 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25692569 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25692569 Married Filling Separate 1,278.80 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2569

2570 Single 1,291.28 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25702570 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25702570 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25702570 Married Filling Separate 1,279.24 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2570

2571 Single 1,291.76 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25712571 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25712571 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25712571 Married Filling Separate 1,279.69 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2571

2572 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25722572 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25722572 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25722572 Married Filling Separate 1,280.14 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2572

2573 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25732573 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25732573 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25732573 Married Filling Separate 1,280.58 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2573

2574 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25742574 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25742574 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25742574 Married Filling Separate 1,281.03 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2574

2575 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25752575 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25752575 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25752575 Married Filling Separate 1,281.48 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2575

2576 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25762576 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25762576 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25762576 Married Filling Separate 1,281.92 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2576

Page 342: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2577 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25772577 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25772577 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25772577 Married Filling Separate 1,282.37 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2577

2578 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25782578 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25782578 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25782578 Married Filling Separate 1,282.82 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2578

2579 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25792579 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25792579 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25792579 Married Filling Separate 1,283.26 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2579

2580 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25802580 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25802580 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25802580 Married Filling Separate 1,283.71 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2580

2581 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25812581 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25812581 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25812581 Married Filling Separate 1,284.16 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2581

2582 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25822582 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25822582 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25822582 Married Filling Separate 1,284.60 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2582

2583 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25832583 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25832583 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25832583 Married Filling Separate 1,285.05 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2583

2584 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25842584 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25842584 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25842584 Married Filling Separate 1,285.50 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2584

Page 343: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2585 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25852585 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25852585 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25852585 Married Filling Separate 1,285.94 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2585

2586 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25862586 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25862586 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25862586 Married Filling Separate 1,286.39 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2586

2587 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25872587 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25872587 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25872587 Married Filling Separate 1,286.84 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2587

2588 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25882588 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25882588 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25882588 Married Filling Separate 1,287.28 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2588

2589 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25892589 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25892589 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25892589 Married Filling Separate 1,287.73 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2589

2590 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25902590 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25902590 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25902590 Married Filling Separate 1,288.18 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2590

2591 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25912591 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25912591 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25912591 Married Filling Separate 1,288.62 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2591

2592 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25922592 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25922592 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25922592 Married Filling Separate 1,289.07 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2592

Page 344: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

*MINIMUM COMPENSATION RATE FOR TEMPORARY TOTAL IS THE LESSER OF $258.40 OR 75% OF THE AVERAGE WEEKLY WAGE. MINIMUM COMPENSATION RATE FOR PERMANENT PARTIAL IS $50.00. USE THE TABLE FOR TEMPORARY PARTIAL ONLY.

** COMPENSATION RATE FOR TEMPORARY PARTIAL AND PERMANENT PARTIAL COMPENSATION CANNOT BE MORE THAN $1063.00 COMPENSATION RATE FOR TEMPORARY TOTAL CANNOT BE MORE THAN $1,292.00. USE THE TABLE FOR TEMPORARY TOTAL ONLY.

2016-2017Average AverageWeekly Filing WeeklyWage Status 1 2 3 4 5 6 7 8 9 10 Wage

EXEMPTIONS

2593 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25932593 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25932593 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25932593 Married Filling Separate 1,289.52 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2593

2594 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25942594 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25942594 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25942594 Married Filling Separate 1,289.96 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2594

2595 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25952595 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25952595 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25952595 Married Filling Separate 1,290.41 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2595

2596 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25962596 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25962596 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25962596 Married Filling Separate 1,290.86 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2596

2597 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25972597 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25972597 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 25972597 Married Filling Separate 1,291.30 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 ** 2597

2598 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 25982598 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 25982598 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 25982598 Married Filling Separate 1,291.75 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 2598

2599 Single 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 25992599 Head of Household 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 25992599 Married Filing joint 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 25992599 Married Filling Separate 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 1,292.00 2599

Page 345: WORKERS’ COMPENSATION COMMISSIONWEEKLY BENEFITS TABLES FOR OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE OF CONNECTICUT WORKERS’ COMPENSATION COMMISSION WEEKLY BENEFIT TABLES FOR

COMPENSATION BENEFITS FOR AVERAGE WEEKLY WAGES IN EXCESS OF $2,599.00 ARE SUBJECT TO THE SAME

LIMITATIONS AS ABOVE.