NIOSH Advisory Board 

Presentation

Frank Crawford, HP

Division of Energy Employees

Occupational Illness Compensation

Department of Labor

July 2013
Enactment of EEOICPA

• Enacted October 2000

– Part B, mandatory federal entitlement, by DOL

– Part D, state workers comp. assistance, by DOE 

• Amendments October 2004

– Abolished Part D, created federal Part E, transferred 

to DOL

• 163,912 cases filed, over $9.5 billion total 

compensation paid to date 

• Agencies: Labor, Energy, HHS, Justice 

• DOL locations

– DC, Jacksonville, Cleveland, Denver, and Seattle 

Data as of June 30, 2013
NIOSH Referral Case Status

• 40,108 Cases Referred to NIOSH for Dose 

Reconstruction 

• 37,917 Cases Returned by NIOSH 

– 32,139 with Dose Reconstruction 

– 5,778 without Dose Reconstruction

• 2,191 Cases Currently at NIOSH

Data as of June 30, 2013
NIOSH Dose Reconstruction Case 

Status

• 32,139 Cases returned by 

NIOSH w/ a Dose 

Reconstruction (DR)

• 26,141 Cases w/ DR and a 

Final Decision

– 9,293 Final Approvals 

(POC 50% or Greater)

– 16,848 Final Denials 

(POC less than 50%)

Data as of June 30, 2013

Final App. 

36%

Final Den. 

64%
Part B Cases Filed

Data as of June 25, 2013
Part B Cancer Cases with 

Final Decision to Accept

• Accepted DR Cases – 8,623

– 12,219 Payees 

– $ 1.28 Billion paid compensation

• Accepted SEC Cases – 19,363

– 32,159 Payees

– $2.89 Billion paid compensation

• Cases Accepted Based on SEC Status and POC > 50% - 633

– 770 Payees

– $94.9 Million paid compensation

• Totals: All Accepted SEC and DR Cases – 28,619

– 45,148 Payees

– $4.26 Billion paid compensation

Data as of June 30, 2013
Top Four Worksites

• The top 4 worksites generating new Part B 

EEOICPA cases this quarter:

– Hanford

– Savannah River Site

– Metals and Controls Corporation

– Los Alamos National Laboratory

Data as of June 25, 2013
EEOICPA Part B Cases 

Final Decisions

Data as of June 30, 2013
Percentage of New Cases 

DOE vs. AWE

87% 87% 87% 84% 88% 88% 89% 86% 83%

76% 77% 78% 78%

13% 13% 13% 16% 12% 12% 11% 14% 17%

24% 23% 22% 22%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

DOE

AWE

Data as of June 25, 2013
DEEOIC Outreach Events

• In response to new SECs DEEOIC conducts: 

– Town hall meetings and traveling resource centers

– In cases of small SECs press releases are issued 

• Hosting informational meetings regarding medical 

benefits provided under the EEOICPA: 

– In some cases, held in conjunction with SEC town hall meetings 
Joint Outreach Task Group (JOTG)

• Members:

– DEEOIC

_ Department of Energy

– Department of Energy Former Workers Program

– National Institute of Occupational Safety and Health (NIOSH)

_ Ombudsman for NIOSH

– Ombudsman for EEOICPA

• Monthly conference calls with all members

• Future JOTG meeting tentatively scheduled 

for September in California. More details to 

come.
DEEOIC Outreach Events: FY 2013

Facility/Location Meeting Date Attendance New 

Claims 

Filed

Hanford Engineer 

Works

SEC 10/23/2012 187 16

Clarksville 

Modification 

Center (Fort 

Campbell) 

SEC 11/8/2012 53 2

Oak Ridge National 

Laboratory (X-10)

SEC and Medical 

Benefits Meetings 

for Physicians 

and HHC 

Providers

2/13/2013 115 (SEC)

186 (Medical 

Benefits)

N/A

(no TRC

held)

Fermi National 

Accelerator 

Laboratory and 

Argonne National 

Laboratory

SEC and Medical 

Benefits Meetings 

for Claimants

2/13/2013 115 (SEC)

186 (Medical 

Benefits)

N/A

(no TRC

held)
DEEOIC Outreach Events: FY 2013

Facility/Location Meeting Date Attendance New 

Claims 

Filed

Los Alamos 

National Laboratory

SEC Town Hall 

and Medical 

Benefits

2/20/2013 163 (SEC)

108 (Medical 

Benefits)

12

Knoxville, TN Medical Benefits 

Meeting for 

Physicians and 

HHC Providers

5/21/2013-

5/22/2013

55 N/A

Hanford Town Hall for 

claimants and 

Medical Benefits 

Meetings for 

Physicians and 

HHC Providers

6/5/2013-

6/6/2013

190 3
DEEOIC Outreach Events: FY 2013

Facility Meeting Date Attendance New Claims 

Filed

Sante Fe, 

Albuquerque and 

Grants 

New, Mexico

Four (4) Medical 

Benefits Meetings 

for claimants one 

(1) meeting for 

physicians and 

one (1) for HHC 

providers

6/18/2013-

6/21/2013

407 (Town hall)

55 (Physicians 

and HHC 

Providers)

14

Bolingbrook, IL

JOTG

JOTG 6/19/2013 135 3
Future Outreach Events: FY 2013

Portsmouth, OH July 17-18, 2013

Medical Benefits Roundtable

Claimants, Physicians and Home Healthcare 

Providers are invited
SEC Petition Site Discussions

ABRWH Agenda March 2013

Data as of June 30, 2013

Rocky Flats Baker Brothers Pantex

Cases (Claims)

Part B & E 6,452 (8,138) 13 (16) 2,045 (2,714)

Cases Returned 

by NIOSH w/ DR 1,547 4 493

Final Decisions 

(Part B) 3,618 9 1,291

Part B

Approvals 1,618 1 787

Part E 

Approvals 3,579 1 558

Total Comp. & 

Medical Bills 

Paid 

$154 Million $277 Thousand $128 Million
SEC Petition Site Discussions

ABRWH Agenda March 2013

Data as of July 7, 2013

Feed Materials 

Production 

Center

Idaho National 

Laboratory

Brookhaven 

National Laboratory

Cases (Claims)

Part B & E 4,226 (5,621) 4,828 (6,809) 2,043 (2,757)

Cases Returned 

by NIOSH w/ DR 1,232 1,445 279

Final Decisions 

(Part B) 2388 3010 1,244

Part B

Approvals 994 799 978

Part E 

Approvals 898 882 765

Total Comp. & 

Medical Bills 

Paid 

$182 Million $150 Million $147 Million
NIOSH Advisory Board 

Presentation

Handout Slides

July 2013
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
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
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
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