Page 5 - September 2020 NFL Newsletter Lawyers Edition

To seek a
Supplemental

Monetary Award,
a Player (or his
Representative
Claimant) must submit
a Supplemental Claim
Package containing:

1. A complete Explaining Work and Social Activities
Supplemental Claim
Form, signed by the here are many forms available on the Settlement Website to
Player or Representative Tsupport your client’s claim for a Monetary Award. Retired
Claims for Supplemental Monetary Awards Claimant; NFL Football Players may use Employment History and Social

2. A complete Diagnosing and Community Activity of Retired Football Player Form to
Physician Certification provide information to Qualified MAF Physicians about their
nder Section 6.8 of the Settlement Agreement, a Retired NFL Football Form, signed by the work history and other social, community, recreational or other
activities they engage in outside the home. If a Player relies on
UPlayer who receives a Monetary Award based on a certain Qualifying diagnosing physician; and another person to provide information about his condition, that

Diagnosis and is later diagnosed with a different Qualifying Diagnosis may 3. Medical Records person - an “informant” – may use a different Employment History
and Social and Community Activity of Retired Football Player
be entitled to a Supplemental Monetary Award. reflecting the Player’s new Form. This form is in addition to the SWS-3 Third-Party Sworn
Qualifying Diagnosis.
Statement: Functional Impairment and is not to be used in place
On the Claim Package tab in your online make a Supplemental Claim. If a claim qualifies, of that document. A Player and any informant must provide the
portal with us, you can click the “Eligible for the Supplemental Monetary Award will be information requested in these forms to a Qualified MAF Physician
Supplemental Claims” radio button to see all the difference between the Monetary Award during an MAF exam. Click here to read more about this
clients paid Monetary Awards who may submit already paid and the amount payable for the in an FAQ. As you and your client are considering how to
claims for Supplemental Monetary Awards new Qualifying Diagnosis. Click here to read complete this form, please note that your client’s honest
(clients who have not yet been paid a Monetary Section 6.8 of the Settlement Agreement, which answers are required.
Award cannot submit claims for Supplemental has a sample calculation (use the bookmark To safeguard the integrity of the Settlement Program,
Monetary Awards). After selecting a Settlement function to go to Section 6.8, found at page 40 we carefully assess all claims before the payment of
Class Member, click the “Create New of the Settlement Agreement PDF). an award. This assessment may include consultations
Supplemental Claim” button and follow the with employers, review of tax filings and other publicly
steps on screen. Supplemental Monetary Awards available information, and assessment of the Player’s
engagement in daily living. We have investigated some
Remember, a new Qualifying Diagnosis must (As of 9/28/20) claims where the facts presented to the MAF Physician
have occurred after the Qualifying Diagnosis Claims Received 12 did not match up to results of the assessment. By using
for which the previous Award was paid, and the Employment History and Social and Community
the amount payable for the new Qualifying Claims Paid 9 Activity of Retired Football Player Form and completing
Diagnosis must be more than the Monetary it with accurate information, your client can avoid delays in the
Award already paid, before your client can Amount Paid $882,152 processing of his claim or a possible audit of his claim.

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