Department of Labor’s Presentation to the

NIOSH Advisory Board

Frank C. Crawford

Division of Energy Employees

Occupational Illness Compensation Program

August 2020
Compensation Paid

$ 7.1 Billion

Part B Compensation

$ 5.2 Billion

Part E Compensation

$ 6.0 Billion

Medical Bills

$ 18.3 Billion

Total Compensation + Medical Bills Paid

215,067

Cases Filed

Data as of August 9, 2020

2
NIOSH Referral Case Status 

 53,457 Cases Referred to NIOSH for Dose Reconstruction

 51,781 Cases Returned to DOL from NIOSH 

• 45,270 with Dose Reconstruction 

• 6,511 withdrawn from NIOSH with no Dose Reconstruction

 1,676 Cases Currently at NIOSH

Data as of August 9, 2020

3
Part B Cases with Dose 

Reconstruction and Final Decision 

35,895 Cases with Dose 

Reconstruction and Final 

Decision

 Final Approvals

12,365

 Final Denials

23,530

Final

Denials

Final

Approvals

65%

35%

Data as of July 31,2020

4
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 July 31, 2020

5
Part B Cases with Final Decision

106,247 Cases with Final 

Decision under Part B 

56,533 Part B Approvals

49,714 Part B Denials 47% 

Denials

53% 

Approvals

Part B Final Decisions

Data as of August 9, 2020

6
Top Four Worksites

The top 4 worksites generating new Part B EEOICPA cases

(April 1, 2020 – June 30, 2020)

Nevada Test Site

Y-12 Plant

Savannah River Site

Hanford

Data as of August 9, 2020

7
SEC Petition Sites

Statistical

Category Superior Steel Hanford Reduction 

Pilot Plant

Cases (Claims) 

Part B & E 52 (99) 20,982 

(32,107) 887 (1,186)

Cases 

Returned by 

NIOSH with 

dose 

reconstruction

35 5,367 83

Final Decisions 

(Part B)

48 9,707 483

8
SEC Petition Sites (continued)

Statistical

Category Superior Steel Hanford Reduction 

Pilot Plant

Part B 

Approvals 

(Cases)

19 5,845 22

Part E 

Approvals 

(Cases)

No Part E 5,410 32

Total Comp. & 

Medical Bills 

Paid 

2.8 Million $1.8 Billion 10.6 Million

9
Site Profiles

Statistical

Category 

W.R. Grace Idaho National 

Laboratory

Cases (Claims) 

Part B & E 315 (401) 6,618 (9,436)

Cases Returned by 

NIOSH with dose 

reconstruction

209 2,067

Final Decisions 

(Part B)

299 2,931

10
Site Profiles (continued)

Statistical

Category 

W.R. Grace Idaho National 

Laboratory

Part B Approvals 

(Cases) 158 1,085

Part E Approvals 

(Cases) No Part E 1,411

Total Comp. & 

Medical Bills Paid 27 Million $396 Million

11
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 

12
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

o Denise Brock 

 DOL’s Office of the Ombudsman for EEOICPA

o Malcolm Nelson

 Monthly conference calls with all members

 Conduct Town Hall Meetings

13
DEEOIC Upcoming Outreach Event

DEEOIC Virtual Webinar Series

Topic: Site Exposure Matrices (SEM)and Former Worker 

Program

Date: August 26, 2020

Time: 2:00 – 3:30pm (ET)

Representatives from the DEEOIC and the DOE will discuss how the SEM and FWP/BTMed factor 

into the adjudication of claims. The webinar will conclude with a question and answer session. 

You can submit questions during the webinar or in advance at: DEEOIC-Outreach@dol.gov. Go to 

the DEEOIC website to register at: 

https://www.dol.gov/owcp/energy/regs/compliance/Outreach/UpcomingDC_082620.pdf

14
Past DEEOIC Outreach Event

DEEOIC Virtual Webinar Series

Topic: Causation and Dose Reconstruction 

Discussions included:

 Assessing Toxic Exposure for Causation

• Health Effects

• Site Exposure Matrices (SEM) usage guidance

• Exposure evidence to make findings

• Establishing causation

 Dose Reconstruction and Special Exposure Cohort (SEC)

• Probability of causation guidance

• Evaluating SEC petitions

Event was held on July 29, 2020 15
Department of Labor’s 

Presentation to the NIOSH 

Advisory Board

Handout Slides

August 2020
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

17
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

18
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

19
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

20