In the matter of the appointment of a trustee for the next of kin of Elden Sievert, decedent. v. United States of America

Filing 7

ORDER FOR DISTRIBUTION OF MONEY RECOVERED UNDER MINN. STAT. 573.02. Signed by Judge Paul A. Magnuson on June 7, 2011. (smr)

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UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA In the matter of the appointment of a trustee for the next of kin of Elden Sievert, decedent, Plaintiff, Civil 11-00767 PAM/FLN ORDER FOR DISTRIBUTION OF MONEY RECOVERED UNDER MINN. STAT. ยง 573.02 v. United States of America on behalf of Centers for Medicare and Medicaid Services, Defendant. The above-entitled matter came on for hearing before the undersigned judge of district court. Based upon all the files, records and proceedings, herein, IT IS HEREBY ORDERED: 1. Settlement of the above-entitled action in the amount of $100,000.00 is approved and petitioner is authorized to sign the necessary releases and other documents. 2. Country Mutual Insurance Company is directed to pay to Schwebel, Goetz & Sieben, P.A. and petitioner, as trustee for the next-of-kin of Elden Sievert, the sum of $100,000.00. 3. The law firm of Schwebel, Goetz & Sieben, P.A. is allowed its attorneys' fees and expenses in the total sum of $34,119.65. 4. The sum of Sixty-Four Thousand Two Hundred Seventy-Four and 55/100 Dollars ($64,274.55) shall be paid to Constance Sievert, surviving wife of decedent. 5. The sum of zero Dollars ($0.00) shall be paid to Charles L. Sievert, surviving brother of decedent. 6. The sum of zero Dollars ($0.00) shall be paid to Mary A. Williams, surviving sister of decedent. 7. The sum of zero Dollars ($0.00) shall be paid to Jane Purdy, surviving sister of decedent. 8. The sum of One Thousand Six Hundred Five and 80/100 Dollars ($1,605.80) shall be paid to Medicare-CMS in full satisfaction of its subrogation and/or reimbursement claim. 9. The sum of zero Dollars ($0.00) shall be paid to Ingenix. BY THE COURT: Dated: 2 June 7 , 2011 s/Paul A. Magnuson Judge Paul A. Magnuson United States District Court

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