Department of Labor’s Presentation to the

NIOSH Advisory Board

Frank C. Crawford

Division of Energy Employees

Occupational Illness Compensation Program

April 2022
Compensation Paid

$7.4 Billion

Part B Compensation

$5.9 Billion

Part E Compensation

$7.8 Billion

Medical Bills

$21 Billion

Total Compensation + Medical Bills Paid

223,828

Cases Filed

Data as of March 31, 2022

2
Compensation

NIOSH Related (SEC & DR) Cases

$1.69 Billion Dose Reconstruction Cases

15,880 Payees 

$180 Million approved SEC and POC 50% or greater cases*

1,390 Payees

*Refers to all cases accepted based on SEC status and POC 50% or greater. At least one

specified cancer was approved based on SEC employment and at least one other cancer

was approved based on the DR process resulting in a POC of 50% or greater.

Data as of March 31, 2022 3
NIOSH Referral Case Status 

 55,326 Cases Referred to NIOSH for Dose Reconstruction

 53,490 Cases Returned to DOL from NIOSH

 46,819 at DOL with Dose Reconstruction

 6,671 withdrawn from NIOSH with no Dose Reconstruction

 1,836 Cases Currently at NIOSH

Data as of March 31, 2022 4
Part B Cases with Dose Reconstruction 

and Final Decision 

37,156 Cases with Dose 

Reconstruction and Final 

Decision

Final Approvals

12,714

Final Denials

24,442

66% Final 

Denials

34% Final

Approvals

Data as of March 31, 2022 5
Part B Cases Filed

Other

38%

NIOSH

30%

SEC Cases Never 

Sent to NIOSH

13%

SEC Cases 

Referred to 

NIOSH 12%

RECA

7%

*Other (beryllium sensitivity, chronic beryllium disease, chronic silicosis)

Data as of March 31, 2022 6
Part B Cases with Final Decision

Cases with Part B Final 

Decision

109,627

Part B Approvals

58,677

Part B Denials 

50,950

Part B Final Decisions

53%

Approvals

47% 

Denials

7

Data as of March 31, 2022
Top Four Worksites

The top 4 worksites generating new Part B EEOICPA cases

(January 1, 2022 – March 31, 2022)

Nevada Test Site

Savannah River Site

Hanford

K-25 GDP

8
SEC Sites (1/2)

Statistical

Category 

Huntington Pilot 

Plant

Sandia National 

Laboratory

Cases (Claims) 

Part B & E 888 (1,187) 4,492 (6,312)

Cases Returned 

by NIOSH with 

dose 

reconstruction

84 772

Final Decisions 

(Part B)

483 2,100

Data as of March 31, 2022 9
SEC Sites (2/2)

Statistical

Category 

Huntington Pilot 

Plant Sandia National 

Laboratory

Part B 

Approvals 

(Cases)

22 1,410

Part E 

Approvals 

(Cases)

33 1,333

Total 

Comp. & 

Medical 

Bills Paid 

$11,060,204 $468,650,163

Data as of March 31, 2022 10
DEEOIC Upcoming Outreach Event

DEEOIC Virtual Webinar Series

Overview of the Department of Energy’s Former Worker Medical 

Screening Program

Date April 27, 2022 

Topics of Discussion:

• Former Worker Medical Screening Program overview

• Worker Health Protection Program (WHPP), including early lung cancer

detection

• Eligibility and services available to former (and current) workers from 14 DOE

sites through WHPP.

• Overview of the Building Trades National Medical Screening Program,

conducted by CPWR - The Center for Construction Research and Training in

conjunction with the University of Maryland Medical Center, Duke University

Medical Center, and Zenith American Solutions, Inc.

Go to the DEEOIC website to register at: 

https://thegateam.com/dol-deeoic-2020/register.html 11
DEEOIC Upcoming Outreach Event

DEEOIC Virtual Webinar Series

Overview of the Department of Energy’s Former Worker Medical 

Screening Program

Date April 27, 2022 

Topics of Discussion:

• Former Worker Medical Screening Program overview

• Worker Health Protection Program (WHPP), including early lung cancer

detection

• Eligibility and services available to former (and current) workers from 14 DOE sites

through WHPP.

• Overview of the Building Trades National Medical Screening Program, conducted by

CPWR - The Center for Construction Research and Training in conjunction with the 

University of Maryland Medical Center, Duke University Medical Center, and Zenith 

American Solutions, Inc.

Go to the DEEOIC website to register at:

https://thegateam.com/dol-deeoic-2020/register.html

12
DEEOIC Upcoming Outreach Event 

Savannah River Site (SRS)

SRS Town Hall

June 2, 2022 

Aiken, SC

13
DEEOIC Upcoming Outreach Event 

Farmington

RECA Town Hall 

June 28, 2022 

Farmington, NM

14
DEEOIC Upcoming Outreach Event 

Shiprock

RECA Town Hall 

June 29, 2022 

Shiprock, NM

15
DEEOIC Upcoming Outreach Event 

Kayenta 

RECA Town Hall 

June 29, 2022 

Kayenta, AZ

16
DEEOIC Upcoming Outreach Event 

Oak Ridge

Authorized Representatives Workshop

August 30, 2022 – August 31, 2022

Town Hall

September 1, 2022

Oak Ridge, TN
Department of Labor’s 

Presentation to the NIOSH 

Advisory Board

Handout Slides

April 2022
Employee Eligibility

Employed By Part B Part E

DOE Contractors and 

Subcontractors Yes Yes

DOE Federal Employees Yes No

AWE Employees Yes No

Beryllium Vendors Yes No

RECA Yes Yes

19
Covered Conditions

Condition Part B Part E

CBD Yes Yes

Beryllium Sensitivity Medical 

Monitoring 

Only

Yes

Chronic Silicosis Yes Yes

Cancer Yes Yes

Any condition related to toxic 

exposure

No Yes

20
Survivor Definition

Type Part B Part E

Spouse at time of death Yes Yes

Children - under age 18; 

under age 23 if full-time 

student; or any age if 

medically incapable of selfsupport

Yes Yes

Adult Children Yes No

21
Benefits

Part B Part E

$150,000 Employee + 

Survivor

Impairment $2,500 per % 

(Employee)

$50,000 RECA Employee + 

Survivor

Wage Loss $10,000-$15,000 per 

year (Employee)

N/A $125,000 Survivor

$400,000 CAP for B+E 

combined

Combined Amount $400,000

22