Department of Labor’s Presentation to the

NIOSH Advisory Board

Frank C. Crawford

Division of Energy Employees

Occupational Illness Compensation Program

April 2021
Compensation Paid

$7.2 Billion

Part B Compensation

$5.4 Billion

Part E Compensation

$6.7 Billion

Medical Bills

$19.3 Billion

Total Compensation + Medical Bills Paid

218,170

Cases Filed

Data as of April 4, 2021

2
Compensation

NIOSH Related (SEC & DR) Cases

$1.68 Billion Dose Reconstruction Cases

15,774 Payees 

$175 Million added SEC Cases

1,343 Payees

Data as of March 31, 2021

3
NIOSH Referral Case Status 

 54,138 Cases Referred to NIOSH for Dose Reconstruction

 52,746 Cases Returned to DOL from NIOSH

 46,182 with Dose Reconstruction

 6,564 withdrawn from NIOSH with no Dose Reconstruction

 1,392 Cases Currently at NIOSH

 880 Initial/Original Referrals to NIOSH

 512 Reworks or Returns to NIOSH

Data as of March 31, 2021

4
Part B Cases with Dose 

Reconstruction and Final Decision 

36,634 Cases with Dose 

Reconstruction and Final 

Decision

 Final Approvals

12,554

 Final Denials

24,080

65% Final 

Denials

35% Final

Approvals

Data as of April 4, 2021

5
Part B Cases Filed

NIOSH

31%

*Other

38%

RECA

7%

SEC 

Cases Never 

Sent to NIOSH

13%

SEC 

Cases 

Referred

to NIOSH

11%

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

Data as of March 31, 2021

6
Part B Cases with Final Decision

Cases with Part B Final 

Decision

107,821

Part B Approvals

57,440

Part B Denials 

50,381

47% 

Denials

53% 

Approvals

Part B Final Decisions

Data as of April 4, 2021

7
Top Four Worksites

The top 4 worksites generating new Part B EEOICPA cases

(01/01/2021 to 03/31/2021)

Nevada Test Site

Hanford

Savannah River Site

Y-12 Plant

Data as of March 31, 2021

8
SEC Petition Sites

Statistical

Category 

Savannah River Site

Cases (Claims) 

Part B & E 20,604 (28,463)

Cases 

Returned by 

NIOSH with 

dose 

reconstruction

6,272

Final Decisions 

(Part B) 8,774

9
SEC Petition Sites (continued)

Statistical

Category 

Savannah River Site

Part B 

Approvals 

(Cases)

3,752

Part E 

Approvals 

(Cases)

4,465

Total Comp. & 

Medical Bills 

Paid 

$1.6 Billion

10
DEEOIC Outreach Events

 DEEOIC Virtual Webinar Series

 In response to new SEC classes, DEEOIC conducts:

• Town hall meetings and traveling resource centers

• In cases of small SECs, press releases are issued

 Quarterly Medical Conference Calls

 Authorized Representative Workshops

 Host informational meetings regarding medical benefits

provided under the EEOICPA:

• In some cases held in conjunction with SEC town hall meetings

11
Joint Outreach Task Group (JOTG)

 Members:

• DEEOIC

• Department of Energy

• Department of Energy Former Worker Medical Screening Program

(FWP)

• National Institute for Occupational Safety and Health (NIOSH)

• Ombudsman to NIOSH for EEOICPA – Part B

• Denise Brock

 DOL’s Office of the Ombudsman for EEOICPA

 Monthly conference calls with all members

 Conduct Town Hall Meetings

12
DEEOIC Upcoming Outreach Event

DEEOIC Virtual Webinar Series

Medical Benefits Coverage

Date: April 21, 2021

Time: 2:00 (ET)

Policy Directives

Date: May 19, 2021

Time: 2:00 (ET)

You can submit questions during the webinar or in advance to DOL at: 

DEEOIC-Outreach@dol.gov

Go to the DEEOIC website to register at:

https://thegateam.com/dol-deeoic-2020/register.html 13
Previous Outreach Events

DEEOIC Virtual Webinar Series

• Final Adjudication Branch Roles and Responsibilities

March 2021

• District Office Roles and Responsibilities

February 2021

• Establishing Survivorship Under Part B and Part E

January 2021 

Presentations available on the DOL’s Outreach website: 

https://www.dol.gov/agencies/owcp/energy/regs/compliance/Outreach/Outreach_

Presentation

14
Department of Labor’s 

Presentation to the NIOSH 

Advisory Board

Handout Slides

April 2021
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

16
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

17
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

18
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)

$125,000 Survivor

$400,000 CAP for B+E combined

19