Jeffrey Kotsch, CHP

Division of Energy Employees

Occupational Illness Compensation

August 2017
$6.3 Billion

Part B Compensation

$4.1 Billion

Part E Compensation

$3.6 Billion 

Medical Bills

$14 Billion

Total Compensation + Medical Bills Paid

195,339 Cases Filed

2

Data as of August 6, 2017
 Accepted Dose Reconstruction Cases – 10,262

› $1.52 Billion in Compensation

 Accepted SEC Cases – 25,416

› $3.8 Billion in Compensation

 Cases Accepted Based on SEC Status and POC ≥ 50% - 970

› $145.6 Million in Compensation

 Totals: All Accepted SEC, Dose Reconstruction Cases, and 

Combined – 36,648

› $5.46 Billion in Compensation

Data as of August 6, 2017

3
 48,391 Cases Referred to NIOSH for Dose 

Reconstruction 

 46,460 Cases Returned to DOL from NIOSH 

 40,186 with Dose Reconstruction 

 6,274 withdrawn from NIOSH with no Dose 

Reconstruction

 1,931 Cases Currently at NIOSH

4

Data as of August 6, 2017
32,112 Cases w/ Dose 

Reconstruction and Final 

Decision

› Final Approvals 

11,266

› Final Denials

20,846

Final

Denials

Final

Approvals

65%

35%

5 Data as of August 6, 2017
6

NIOSH

34%

Other

30%

RECA

9%

SEC Cases Never 

Sent to NIOSH

15%

SEC Cases 

Referred

to NIOSH

12%

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

Data as of July 31, 2017
96,626 Cases w/Final 

Decision under Part B 

50,675 Part B Approvals

45,951 Part B Denials 

48% 

Denials

52% 

Approvals

Part B Final Decisions

7

Data as of August 6, 2017
The top 4 worksites generating new Part B EEOICPA 

cases (between 04/01/2017 & 07/31/2017)

Hanford

Savannah River Site

Y-12 Plant

Nevada Test Site

Data as of August 6, 2017

8
89%

86% 

89% 

90% 

88% 

89% 

89% 

91% 

86% 

91% 

86% 

89% 

11%

14%

11%

10%

12%

11%

11%

9%

14%

9%

14%

11%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

DOE

AWE

Data as of July 31, 2017 9
Data as of August 6, 2017 10

Statistical

Category 

Feeds Materials 

Production 

Center

Idaho National 

Laboratory

Scoville, Idaho

Los Alamos 

National 

Laboratory

Los Alamos, 

New Mexico

Metals and 

Controls Corp. 

Attleboro, 

Massachusetts

Cases (Claims) 

Part B & E 5,115 (6,973) 5,893 (8,374) 9,782 (14,906) 948 (1,466)

Cases Returned by 

NIOSH w/ DR 1,476 1,787 1,386 424

Final Decisions 

(Part B) 2,208 2,576 4,280 902

Part B Approvals 

(Cases) 984

856

2,405 440

Part E Approvals 

(Cases) 1,050 1,127 2,441 No Part E

Total Comp. & 

Medical Bills Paid $280 Million $275 Million $749 Million $69 Million
Data as of August 6, 2017 11

Statistical

Category 

Grand Junction 

Facilities

Area IV of Santa 

Susanna Field 

Laboratory

Ventura County, 

California

Savannah River 

Site

Aiken, South 

Carolina

Cases (Claims) 

Part B & E 382 (550) 1,057 (1,488) 18,146 (25,101)

Cases Returned by NIOSH 

w/ DR 86 252 5,318

Final Decisions 

(Part B) 183 521 7,597

Part B Approvals (Cases) 115 236 3,335

Part E Approvals (Cases) 83 225 3,666

Total Comp. & Medical Bills 

Paid $32.6 Million $62.5 Million $1 Billion
Data as of August 6, 2017 12

Statistical

Category Pantex Plant Pacific Proving 

Grounds

Feed Materials 

Production Center

Cases (Claims) 

Part B & E 2,702 (3,578) 1,772 (2,755) 5,115 (6,973)

Cases Returned by 

NIOSH w/ DR 663 187 1,476

Final Decisions 

(Part B) 1,260 929 2,208

Part B Approvals 

(Cases) 768 652 984

Part E Approvals 

(Cases) 704

511 1,050

Total Comp. & Medical 

Bills Paid 

200 Million 157 Million 280 Million
 In response to new SEC classes, 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 

13
 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 

 DOL’s Office of the Ombudsman for EEOICPA

 Monthly conference calls with all members

 Conduct Town Hall Meetings

14
Location/Date Facility/Purpose Attendance

Claims Taken 

at Outreach 

Event

Metropolis, Illinois

June 14, 2017

Traveling Resource Center

Medical Benefits Session

26 1

Conference Call 

May 24, 2017

Quarterly Medical Conference 

Call 

48 Participants N/A 

Conference Call 

May 23, 2017

Quarterly Medical Conference 

Call 

48 Participants N/A

Pasco, Washington 

April 20, 2017

JOTG Outreach 144 8

15
Location/Date Facility/Purpose Attendance

Claims Taken 

at Outreach 

Event

San Bernardino, California 

March 16, 2017

JOTG Meeting 

DEEOIC Medical Benefits 

Meeting 

12 0

Simi Valley, California 

March 15, 2017

JOTG Meeting 

DEEOIC Medical Benefits 

Meeting 

30 0

Conference Call 

February 8, 2017 

Quarterly Medical Conference 

Call 

24 participants N/A 

Conference Call 

February 7, 2017

Quarterly Medical Conference 

Call 

26 participants N/A

16
DEEOIC Town Hall

Shiprock, New Mexico

Date: August 22, 2017

17
DEEOIC Town Hall

Monticello, Utah

Date: August 23, 2017

18
DEEOIC Authorized Representatives Workshop

Jacksonville, Florida

Date: September 13 &14, 2017

19
Department of Labor 

Presentation to NIOSH 

Advisory Board
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
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
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 self-

support

Yes Yes

Adult Children Yes No
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