Department of Labor’s Presentation to the 

NIOSH Advisory Board

Frank C. Crawford

Division of Energy Employees

Occupational Illness Compensation Program

December 2021
Compensation Paid

$7.4 Billion

Part B Compensation

$5.7 Billion

Part E Compensation

$7.4 Billion

Medical Bills

$20.5 Billion

Total Compensation + Medical Bills Paid

221,774

Cases Filed

Data as of November 28, 2021

2
Compensation

NIOSH Related (SEC & DR) Cases

$1.69 Billion Dose Reconstruction Cases

15,880 Payees 

$178 Million approved SEC and POC 50% or greater cases*

1,363 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 November 28, 2021 3
NIOSH Referral Case Status

 54,885 Cases Referred to NIOSH for Dose Reconstruction

 53,011 Cases Returned to DOL from NIOSH 

 46,370 at DOL with Dose Reconstruction 

 6,641 withdrawn from NIOSH with no Dose Reconstruction

 1,874 Cases Currently at NIOSH

Data as of November 28, 2021

4
Part B Cases with Dose Reconstruction 

and Final Decision

36,923 Cases with Dose 

Reconstruction and Final 

Decision

Final Approvals

12,652

Final Denials

24,271

66% Final 

Denials

34% Final

Approvals

Data as of November 28, 2021

5
Part B Cases Filed

NIOSH

30%

SEC Cases 

Referred to 

NIOSH

12%

SEC 

Cases 

Never 

Sent to 

NIOSH

13%

RECA

7%

Other

38%

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

Data as of 11/30/2021

6
Part B Cases with Final Decision

Cases with Part B Final 

Decision

108,975

Part B Approvals

58,196

Part B Denials 

50,779

47% 

Denials

53% 

Approvals

Part B Final Decisions

Data as of November 28, 2021

7
Top Four Worksites

The top 4 worksites generating new Part B EEOICPA cases

(7/1/2021 to 9/30/2021)

Nevada Test Site

Savannah River Site

Hanford

K-25 GDP

8
SEC Sites

Statistical

Category 

Pinellas Plant

Cases (Claims) 

Part B & E 1,595 (2,051)

Cases Returned by 

NIOSH with dose 

reconstruction

484

Final Decisions 

(Part B)

706

Data as of November 28, 2021 9
SEC Sites (cont.)

Statistical

Category 

Pinellas Plant

Part B Approvals 

(Cases) 175

Part E Approvals 

(Cases) 270

Total Comp. & 

Medical Bills Paid $89,707,526

Data as of November 28, 2021 10
Previous Outreach Events

DEEOIC Virtual Webinar Series

• Part 2: The role of the Industrial Hygienist and Nurse 

Consultant

– October 2021

– 104 Attendees

• Part 1: The Role of the Health Physicist and Toxicologist 

– September 2021

– 97 Attendees 

• Office of the Ombudsman

– August 2021

– 161 Attendees 

Presentations available on the DOL’s Outreach website:

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

Presentation

11
DEEOIC Upcoming Outreach Event

DEEOIC Virtual Webinar Series

Topic

TBD

Next Webinar: January 2022

Go to the DEEOIC website to register at:

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

12
Department of Labor’s 

Presentation to the NIOSH 

Advisory Board

Handout Slides

December 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

14
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

15
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

16
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

17