How Justine will structure the settlement and the Medicare set-aside.

Resolving a comp claim is a structuring problem: Compromise and Release versus Stipulations, future medical left open or bought out, and a Medicare set-aside that protects the worker’s benefits and survives CMS review. A settlement-structuring facet of Justine is designed to model these paths side by side — the present value of indemnity and future care, the WCMSA allocation built from the treatment record and rated ages, and the consequences each structure carries for the injured worker. The reasoning core assembles the figures and the trade-offs; the attorney of record sets the demand and the bottom line.

What WC is designed to do.

1. 01

   The facet is designed to model C&R against Stips on the same record — lump-sum closure with future medical bought out versus an award that leaves medical open — so the attorney sees what each structure costs and protects.

2. 02

   WCMSA allocation is the design intent: the facet is built to project future Medicare-covered treatment from the chronology and the rated life expectancy, surfacing the allocation a CMS reviewer would expect rather than a round-number guess.

3. 03

   It will flag CMS-review thresholds and the Medicare-interest considerations that decide whether a set-aside should be submitted for approval, so the structure is chosen with that exposure in view.

4. 04

   Lien and offset handling is planned — the facet is designed to net medical liens, EDD, and credits against the settlement so the figure presented is what the worker actually keeps, not a gross number that erodes at the table.

5. 05

   Every projected figure will trace to the records, rates, and statutory bases behind it, and the facet presents the structure as a modeled recommendation the attorney certifies before any offer is conveyed.

The AI reasons; the attorney decides.