PJC General Negligence 2024

PJC 26.5

W ORKERS ’ C OMPENSATION —D EATH B ENEFITS

PJC 26.5 Death—Eligible Parent—Question PJC 26.5A Death—Eligible Parent—Question—When Claimant Appeals QUESTION 1 Was Frank Payne an eligible parent of Paul Payne at the time of Paul Payne ’s death? “Eligible parent” means the mother or father of a deceased employee, including an adoptive parent or a stepparent. The term does not include a parent whose parental rights have been terminated. Answer “Yes” or “No.” Answer: _______________ If you answered “Yes” to Question 1, then answer Question 2. Otherwise, do not answer Question 2. QUESTION 2 Was Frank Payne a dependent of Paul Payne at the time of Paul Payne ’s death? A “dependent” of the deceased employee is an individual who receives a regular or recurring economic benefit that contributes substantially to the indi vidual’s welfare and livelihood. If an economic benefit was provided in the form of goods and services, the value shall be the market value of the same or similar goods and services in the same vicinity. Answer “Yes” or “No.” Answer: _______________ PJC 26.5B Death—Eligible Parent—Question—When Carrier Appeals QUESTION ______ Was Frank Payne not an eligible parent of Paul Payne at the time of Paul Payne ’s death?

388