NIOSH Advisory Board 

Presentation

Jeff Kotsch, CHP

Division of Energy Employees

Occupational Illness Compensation

Department of Labor

December 11, 2012
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

• 158,856 cases filed, over $8.7 billion total 

compensation paid to date 

• Agencies: Labor, Energy, HHS, Justice 

• DOL locations

– DC, Jacksonville, Cleveland, Denver, and Seattle 

Data as of December 2, 2012
NIOSH Referral Case Status

• 38,843 Cases Referred to NIOSH for Dose 

Reconstruction 

• 35,959 Cases Returned by NIOSH 

– 30,452 with Dose Reconstruction 

– 5,507 without Dose Reconstruction

• 2,884 Cases that are Currently at NIOSH

– 1,576 Initial Referrals to NIOSH 

– 1,308 Reworks or Returns to NIOSH 

Data as of December 2, 2012
NIOSH Dose Reconstruction Case 

Status 

• 30,452 Cases returned by 

NIOSH w/ a Dose 

Reconstruction (DR)

• 25,287 Cases w/ DR and a 

Final Decision

– 9,002 Final Approvals 

(POC 50% or Greater)

– 16,285 Final Denials 

(POC less than 50%)

Final Den. 

64%

Final App. 

36%

Data as of December 2, 2012
Part B Cancer Cases with 

Final Decision to Accept

• Accepted DR Cases – 8,414

– 11,864 Payees 

– $ 1.25 Billion in Compensation

• Accepted SEC Cases – 17,696

– 29,130 Payees

– $2.6 Billion in Compensation

• Cases Accepted Based on SEC Status and POC > 50% - 588

– 717 Payees

– $87.9 Million in Compensation

• Totals: All Accepted SEC and DR Cases – 26,698

– 41,711 Payees

– $3.9 Billion in Compensation

Data as of December 2, 2012
EEOICPA Part B Cases 

Final Decisions – Covered Applications

39,180

23,682

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

Final Decisions Approved Final Decisions Denied

Totals

1,686 = Survivor

Not Eligible 

15,900 = POC < 50%

6,096 = Medical

Info. Insufficient to

Support Claim

Data as of December 2, 2012
DEEOIC SEC Outreach Events: FY 2012

Facility Date Attendance New Claims 

Filed

Sandia National 

Laboratories

*SEC effective 09/09/2011

11/1/2011 385 48

GE Evendale 11/2/2011 80 13

Y-12 Plant 01/18/2012 133 30

Pantex Plant 03/14/2012 283 28
DEEOIC SEC Outreach Events: FY 2012

Facility Date Attendance New Claims 

Filed

Savannah River Site 04/17/2012 500 40

Linde Ceramics Plant 04/25/2012 19 1

Brookhaven National 

Laboratory 

*JOTG EVENT

07/17/2012 200 19

Sandia National 

Laboratories

*SEC effective 06/10/2012

08/22/2012 60 16
DEEOIC SEC Outreach Events: FY 2012

Facility Date Attendance New Claims 

Filed

Feeds Materials 

Production Center

9/25/2012 12 0

Hanford 10/23/2012 187 16

Clarksville 

Modification Center

11/8/2012 53 2
Other DEEOIC Outreach Events

• Informational Meetings regarding medical benefits 

provided under the EEOICPA: 

– Farmington, New Mexico - December 4, 2012

– Kayenta, Arizona – December 5, 2012

• In cases of small SECs – press releases are issued 
Joint Outreach Task Group

• Joint Outreach Task Group (JOTG) members: 

• DEEOIC 

• NIOSH 

• DOE

• Ombudsman to NIOSH for the EEOICPA

• Office of the Ombudsman for the EEOICPA

• DOE – Former Worker Medical Screening Program 

(FWP)

• Monthly conference calls with all members
SEC Petition Site Discussions

ABRWH Agenda December 2012

Data as of December 2, 2012

Baker Brothers Battelle 

Laboratories 

King Avenue

General Steel 

Industries

(GSI)

Cases (Claims)

Part B & E 8 (10) 208 (256) 682 (1,062)

Cases Returned 

by NIOSH w/ DR 4 54 253

Final Decisions 

(Part B) 5 77 307

Part B

Approvals 1 32 72

Part E 

Approvals 1 32 3

Total Comp. & 

Medical Bills Paid $277,100 $7.1 million $10.9 million
SEC Petition Site Discussions

ABRWH Agenda December 2012

Data as of December 2, 2012

Hanford Joslyn

Manufacturing

Savannah River 

Site

Cases (Claims)

Part B & E 13,958 (23,529) 105 (220)

Part B Only

14,098 (20,347)

Cases Returned 

by NIOSH w/ DR 3,442 37 4,047

Final Decisions 

(Part B) 5,778 38 5,079

Part B

Approvals 3,513 21 2,592

Part E 

Approvals 3,208 Part B only 2,785

Total Comp. & 

Medical Bills Paid $791.9 million $2.9 million $669.6 million
SEC Petition Site Discussions

ABRWH Agenda December 2012

Data as of December 2, 2012

K-25 Y-12 X-10

Cases (Claims)

Part B & E 14,367 (23,345) 16,494 (26,624) 7,666 (11,883)

Cases Returned 

by NIOSH w/ DR 

2,314 3,632 2,004

Final Decisions 

(Part B)

5,869 6,707 3,108

Part B

Approvals

4,165 4,460 1,821

Part E 

Approvals

4,066 4,549 1,952

Total Comp. & 

Medical Bills Paid 

$1.1 Billion $1.1 Billion $490.9 Million
Top Four Worksites

• The top 4 worksites generating new Part B 

EEOICPA cases are:

– Savannah River Site

– Hanford

– Y-12 Plant

– Sandia National Laboratories

Data as of December 3, 2012
NIOSH Advisory Board 

Presentation

Handout Slides

December 2012
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