NIOSH Advisory Board 

Presentation

Jeff Kotsch, CHP, Senior Health Physicist

Division of Energy Employees Occupational

Illness Compensation 

July 2014
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

• 172,565 cases filed, over $10.6 billion total 

compensation paid to date 

• Agencies: Labor, Energy, HHS, Justice 

• DOL locations

– DC, Jacksonville, Cleveland, Denver, and Seattle 

Data as of July 20, 2014
3

EEOICPA Compensation

• $10.6 Billion Total 

Compensation 

• $5.43 Billion Part B

• $3.25 Billion Part E

• $1.97 Billion Medical 

Data as of July 20, 2014

PART E

30%

MEDICAL

19%

PART B

51%
4

Part B Cases Filed

NIOSH

34%

Other

31%

RECA

10%

SEC Cases Never 

Sent to NIOSH

12%

SEC Cases 

Referred

 to NIOSH

13%

NIOSH

34%

Other

31%

RECA

9%

SEC Cases Never 

Sent to NIOSH

12%

SEC Cases 

Referred

to NIOSH

14%

Data as of June 30, 2014
Part B – Status & Location of NIOSH 

Referrals 

• 42,233 Cases Referred to NIOSH for Dose 

Reconstruction 

• 40,305 Cases Returned by NIOSH 

– 34,458 with Dose Reconstruction 

– 5,847 without Dose Reconstruction

• 1,928 Cases Currently at NIOSH

Data as of July 20, 2014
Part B – Cases w/ Dose 

Reconstruction and Final Decision 

• 34,458 Cases returned by 

NIOSH w/ a Dose 

Reconstruction (DR)

• 27,736 Cases w/ DR and a 

Final Decision

– 9,822 Final Approvals 

(POC 50% or Greater)

– 17,914 Final Denials (POC 

less than 50%)

Final App.

35%

Final 

Denial 65%

Data as of July 20, 2014
Part B Cases w/ a Final 

Decision 

• 85,603 Cases have 

been issued a Final 

Decision under Part B 

– 44,240 Approvals

– 41,363 Denials 

Final 

Approvals

52%

Final 

Denials

48%

Data as of July 20, 2014
Part B Cancer Cases w/ Final Decision to 

Accept 

• Accepted DR Cases – 9,074

– 12,828 Payees 

– $ 1.34 Billion in Compensation

• Accepted SEC Cases – 21,317

– 35,363 Payees

– $3.18 Billion in Compensation

• Cases Accepted Based on SEC Status and POC ≥ 50% - 711

– 851 Payees

– $106.7 Million in Compensation

• Totals: All Accepted SEC, DR Cases, and Combined – 31,102

– 49,042 Payees

– $4.6 Billion in Compensation

Data as of July 20, 2014
Top Four Worksites

The top 4 worksites generating new Part B EEOICPA 

cases from 4/1/2014 to 6/30/2014: 

– Hanford

– Savannah River Site

– Rocky Flats Plant

– Los Alamos National Laboratory

Data as of June 30, 2014
Percentage of New Cases 

DOE vs. AWE

Data as of June 30, 2014
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 (DOE)

– DOE Former Worker Medical Screening Program

– National Institute for Occupational Safety and Health (NIOSH)

_ Ombudsman to NIOSH for the EEOICPA 

– DOL’s Office of the Ombudsman for the EEOICPA 

• Monthly conference calls with all members
Recent DEEOIC Outreach Events

Location & Date Attendance Claims Taken at 

Outreach Event 

Pahrump, NV

May 6, 2014

Las Vegas, NV

May 6 & 7, 2014

*JOTG Town Hall Meetings 

201 21

Cromwell, CT 

June 19, 2014

* Program Overview & Medical Benefits 

Town Hall Meetings 

70 12

Attleboro, MA 

June 18, 2014

* Program Overview & Medical Benefits 

Town Hall Meetings 

140 15

Moab, UT

June 24 & 25, 2014

* Program Overview Town Hall Meetings 

243 11
Upcoming DEEOIC Outreach Events

Medical Benefits Town Hall Meetings (dates to be 

announced): 

August 2014 

North Augusta City Hall 

100 Georgia Avenue

North Augusta, SC 29841

September 2014

Buffalo, New York 

Program Overview Town Hall Meeting: 

September 2014 

Rochester, New York 
SEC Petition Site Discussions

ABRWH Agenda July 2014

Data as of July 20, 2014

General 

Atomics 

California

Simonds Saw 

and Steel Co. 

Idaho 

National 

Engineering

Argonne 

National Lab 

– West

Cases (Claims)

Part B & E 398 (548) 373 (631)

Part B only

5,064 (7,123) 1,003 (1,384)

Cases Returned 

by NIOSH w/ DR 

89 190 1,529 306

Final Decisions 

(Part B)

188 366 2,236 412

Part B

Approvals

87 122 599 102

Part E 

Approvals

57 N/A 875 193

Total Comp. & 

Medical Bills 

Paid 

$18 Million $18.3 Million $172 Million $34.3 Million 
NIOSH Advisory Board 

Presentation

Handout Slides

July 2014
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