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Smallpox Vaccine Injury Compensation Program
 

Death Benefits for Minor Dependents

The calculator is not designed to determine Program eligibility. It is for benefits payment estimates only. The Department of Health and Human Services does not warrant or assume any legal liability or responsibility for your calculated estimate. Please enter only numbers in the input fields. To get valid answers, you must fill in all of the appropriate fields. After changing a response, you must resubmit that information by pressing the appropriate submit or calculate button.

A minor dependent who is not a child of the deceased (e.g., niece, ward, grandson) may be eligible for death benefits.

Click on the button that represents the date range when the eligible individual died as a direct result of the smallpox vaccination:

Prior to October 1, 2003
Between October 1, 2003 and September 30, 2004
Between October 1, 2004 and September 30, 2005
Between October 1, 2005 and September 30, 2006
Between October 1, 2006 and September 30, 2007

Annual Income of Deceased $
(No commas or $)
Is there a spouse survivor? Yes
No
Age of youngest dependent under 18:
Lost employment income benefit of deceased individual (not to exceed
$50,000) calculated until the youngest dependent reaches 18 		$
LESS: Lost Employment Income Benefits paid by SVIC Program $
(No commas or $)
LESS: Life Insurance paid by all carriers (other than PSOB) $
(No commas or $)
LESS: Death Benefit Paid to Spouse by SVIC Program: $
LESS: Disability and Retirement Benefits: $
(No commas or $)
Death Benefit for the dependent paid to the Legal Guardian $
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