Member Loss |
Number of Weeks |
Thumb |
65 |
First Finger |
40 |
Second Finger |
35 |
Third Finger |
25 |
Fourth Finger |
20 |
First Phalange (of thumb or any finger) |
1/2 Amount for Thumb or Finger |
1 1/2 or More Phalanges |
See Statute |
Great Toe |
35 |
Toe Other Than Great Toe |
15 |
First Phalange of Any toe 1/2 |
Time Loss of Toe |
1 1/2 or More Phalanges of Toe |
Equal to Loss of Entire Toe |
Hand (not including wrist movement) |
195 |
Hand Plus Wrist Movement |
220 |
Arm |
270 |
Amputation of Arm Below Elbow |
See Statute |
Foot (not including ankle movement) |
140 |
Foot Plus Ankle Movement |
165 |
Leg (if prosthesis effective) |
195 |
Leg (if prosthesis ineffective) |
220 |
Amputation of Leg Below Knee |
See Statute |
Eye |
160 |
Complete & Permanent Hearing Loss - 1 Ear |
85 |
Complete & Permanent Hearing Loss - 2 Ears |
170 |
One Eye and One Leg |
475 |
One Eye and One Arm |
475 |
One Eye and One Hand |
450* |
One Eye and One Foot |
400* |
Two Arms (other than at shoulder) |
500* |
Two Hands |
500* |
Two Legs (prosthesis effective) |
500* |
Two Feet |
500* |
One Arm and Other Hand |
500* |
One Hand and One Foot |
500* |
One Leg and Other Foot |
500* |
One Leg and One Hand |
500* |
One Arm and One Foot |
500* |
One Arm and One Leg |
500* |
Voice Mechanism |
500 |
Head Injuries |
Judgment, Entire Body |
Internal Organ |
Judgment, Not To Exceed 500 |
Disfigurement or Scarring |
Judgment, Not To Exceed 90 |
Back |
Judgment, % of 350 |
Concurrent Injuries |
See Statute |
Loss of Use of Member in Lieu of Other |
See Statute |
Less Than Total Loss of Member Not Otherwise Compensated in Schedule |
See Statute |
Simultaneous Injury to Two or More Parts |
See Statute |
Loss of Industrial Use of One/Both Eyes |
See Statute |
Burns - Whole Body |
350 Weeks |