Department of Labor’s Presentation to the

NIOSH Advisory Board

Frank C. Crawford

Division of Energy Employees

Occupational Illness Compensation Program

August 2021
Compensation Paid

$7.3 Billion

Part B Compensation

$5.6 Billion

Part E Compensation

$7 Billion

Medical Bills

$19.9 Billion

Total Compensation + Medical Bills Paid

219,796

Cases Filed

Data as of August 1, 2021

2
Compensation

NIOSH Related (SEC & DR) Cases

$1.69 Billion Dose Reconstruction Cases

15,843 Payees 

$176 Million approved SEC and POC 50% or greater cases*

1,351 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 July 28, 2021

3
NIOSH Referral Case Status 

 54,479 Cases Referred to NIOSH for Dose Reconstruction

 52,770 Cases Returned to DOL from NIOSH 

 46,234 at DOL with Dose Reconstruction 

 6,536 withdrawn from NIOSH with no Dose Reconstruction

 1,709 Cases Currently at NIOSH

 1,088 Initial/Original Referrals to NIOSH 

 621 Reworks or Returns to NIOSH

Data as of July 28, 2021

4
Part B Cases with Dose 

Reconstruction and Final Decision 

36,853 Cases with Dose 

Reconstruction and Final 

Decision

 Final Approvals

12,608

 Final Denials

24,245

66% Final 

Denials

34% Final

Approvals

Data as of August 1, 2021

5
Part B Cases Filed

NIOSH

31%

RECA

7%

SEC 

Cases Never 

Sent to NIOSH

13%

SEC 

Cases 

Referred

to NIOSH

11%

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

*Other

38%

Data as of August 1, 2021

6
Part B Cases with Final Decision

Cases with Part B Final 

Decision

108,507

Part B Approvals

57,837

Part B Denials 

50,670

47% 

Denials

53% 

Approvals

Part B Final Decisions

Data as of August 1, 2021

7
Top Four Worksites

The top 4 worksites generating new Part B EEOICPA cases

(4/01/2021 to 6/30/2021)

Nevada Test Site

Savannah River Site

Hanford

Y-12 Plant

Data as of August 1, 2021

8
SEC Sites

Statistical

Category 

Y-12 Oak Ridge National 

Laboratory (X-10)

Cases (Claims) 

Part B & E 22,365 (33,961) 10,964 (16,087)

Cases Returned 

by NIOSH with 

dose 

reconstruction

5,487 3,117

Final Decisions 

(Part B) 9,922 4,840

9

Data as of August 1, 2021
SEC Sites (continued)

Statistical

Category 

Y-12

Oak Ridge National 

Laboratory 

(X-10)

Part B Approvals 

(Cases) 6,097 2,744

Part E Approvals 

(Cases) 6,956 3,190

Total Comp. & 

Medical Bills Paid $2.5 Billion 1.1 Billion

Data as of August 1, 2021 10
DEEOIC Upcoming Outreach Event

DEEOIC Virtual Webinar Series

NIOSH and DOL Ombudsman’s Office

Topics of Discussion

• The role of each Ombudsman’s Office

• How the Ombudsman can assist the claimant

• Practical information and tips on the claims process

Date: August 25, 2021

Time: 2:00 pm – 3:30 pm (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

11
Previous Outreach Events

DEEOIC Virtual Webinar Series

• Stakeholder Update

– July 2021

– 153 Attendees

• Medical Bill/Reimbursement Processing

– June 2021

– 232 Attendees

• Policy Discussion 

– May 2021

– 118 Attendees

• Medical Benefit Coverage

– April 2021

– 242 Attendees

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

August 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