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Energy Employees Occupational Illness Compensation Program Town Hall Meeting Pasco, Washington October 23, 2012.

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Presentation on theme: "Energy Employees Occupational Illness Compensation Program Town Hall Meeting Pasco, Washington October 23, 2012."— Presentation transcript:

1 Energy Employees Occupational Illness Compensation Program Town Hall Meeting Pasco, Washington October 23, 2012

2 1 Administration of the EEOICPA Part B (October 2000) Part B (October 2000) Part E (October 2004) Part E (October 2004) Agencies: Agencies: Department of Labor (DOL) Department of Labor (DOL) Department of Energy (DOE) Department of Energy (DOE) Department of Health and Human Services (HHS) Department of Health and Human Services (HHS) Department of Justice (DOJ) Department of Justice (DOJ)

3 2 Part B: Who’s Eligible? Covered Employees Covered Employees DOE employees or its contractors/subcontractors DOE employees or its contractors/subcontractors Atomic Weapons Employers (AWE) Atomic Weapons Employers (AWE) Eligible Survivors Eligible Survivors Surviving spouse Surviving spouse Children – Regardless of age Children – Regardless of age Parents Parents Beryllium vendors (BV) RECA Section 5 awardees Grandchildren Grandparents

4 33 Means of Verifying Employment DOE DOE EE-5 Employment Verification Form EE-5 Employment Verification Form Oak Ridge Institute for Science and Education (ORISE) Oak Ridge Institute for Science and Education (ORISE) The Center for Construction Research and Training (CPWR) The Center for Construction Research and Training (CPWR) Corporate Verifiers Corporate Verifiers SSA wage data SSA wage data Other Sources Other Sources Including affidavits and records or documents created by state and federal agencies Including affidavits and records or documents created by state and federal agencies

5 4 Part B: Covered Conditions Radiation induced cancer Radiation induced cancer Special Exposure Cohort Special Exposure Cohort Probability of Causation Probability of Causation Beryllium Disease Beryllium Disease Silicosis (for miners in Nevada and Alaska) Silicosis (for miners in Nevada and Alaska) “Supplement” for RECA Section 5 uranium workers “Supplement” for RECA Section 5 uranium workers

6 5 Part B: Radiation Induced Cancer Causation Dose Reconstruction Dose Reconstruction Conducted by NIOSH Conducted by NIOSH Level and extent of occupational radiation dose Level and extent of occupational radiation dose Probability of Causation (PoC) Probability of Causation (PoC) Scientific calculation of likelihood that radiation exposure caused cancer Scientific calculation of likelihood that radiation exposure caused cancer NIOSH-IREP NIOSH-IREP PoC - 50% or greater for award PoC - 50% or greater for award

7 6 Part B: Special Exposure Cohort Causation presumed for Special Exposure Cohort (SEC) members diagnosed with a “specified cancer” Causation presumed for Special Exposure Cohort (SEC) members diagnosed with a “specified cancer” NIOSH Dose Reconstruction is not needed NIOSH Dose Reconstruction is not needed “Specified” Cancer “Specified” Cancer 22 cancers named in law 22 cancers named in law

8 7 Part B: Adding New SEC Classes NIOSH designates new SEC classes NIOSH designates new SEC classes Worker Petition or Agency Decision Worker Petition or Agency Decision Advisory Board Assistance Advisory Board Assistance 4 statutory SEC classes (3 GDPs + Amchitka) 4 statutory SEC classes (3 GDPs + Amchitka) As of September 22, 2012, HHS has designated 94 additional SEC classes As of September 22, 2012, HHS has designated 94 additional SEC classes DOL administers SEC cases DOL administers SEC cases No role in designation No role in designation

9 8 New Hanford Engineer Works SEC Class: SEC Class – Effective September 22, 2012 SEC Class – Effective September 22, 2012 Qualifying Employment: Qualifying Employment: DOE employees (or employees of predecessor agency – AEC) DOE employees (or employees of predecessor agency – AEC) DOE contractor and subcontractor employees DOE contractor and subcontractor employees Worked at the Hanford Engineer Works in Richland, Washington Worked at the Hanford Engineer Works in Richland, Washington 250 workdays from 250 workdays from July 1, 1972 - December 31, 1983 July 1, 1972 - December 31, 1983

10 Hanford Engineer Works SEC Inclusion Areas Areas Areas  100, 200, 300  400, 600  1100, 3000 *Employees identifying a work location at the Hanford Operations Office (aka Richland Operations Office) or within Area 700, must demonstrate that they were performing operations on the operational sites for the requisite 250 workdays for SEC inclusion. If the evidence shows exclusive employment at either the Hanford Operations Office or Area 700, SEC coverage does not extend to the employee. 9

11 10 Previous Hanford SEC Class: SEC Class – Effective January 9, 2010 SEC Class – Effective January 9, 2010 Worked at the Hanford facility in Richland, Washington Worked at the Hanford facility in Richland, Washington 250 workdays from 250 workdays from October 1, 1943- June 30, 1972 October 1, 1943- June 30, 1972 Qualifying Employment: Qualifying Employment: DOE employees (or employees of predecessor agency – AEC) DOE employees (or employees of predecessor agency – AEC) DOE contractor and subcontractor employees DOE contractor and subcontractor employees

12 11 Hanford SEC Claim Review Claims reviewed for SEC inclusion: Claims reviewed for SEC inclusion: Pending dose reconstruction at time of SEC class Pending dose reconstruction at time of SEC class Previously denied for POC <50% Previously denied for POC <50% Potentially affected cases identified – tracked to resolution Potentially affected cases identified – tracked to resolution Goals for each new SEC class to prioritize SEC acceptance Goals for each new SEC class to prioritize SEC acceptance

13 12 Part E: Who’s Eligible? Eligible Covered Employees Eligible Covered Employees DOE contractor or subcontractor employees DOE contractor or subcontractor employees Does NOT include DOE, AWE, and BV workers Does NOT include DOE, AWE, and BV workers Eligible Survivors Eligible Survivors Surviving Spouse Surviving Spouse Employee’s Children, if no surviving spouse, and if at the time of the employee’s death the child was: Employee’s Children, if no surviving spouse, and if at the time of the employee’s death the child was: Under the age of 18 Under the age of 18 Under the age of 23 and a full-time student, continuously enrolled in an educational institution since age 18 Under the age of 23 and a full-time student, continuously enrolled in an educational institution since age 18 Any age if medically incapable of self support Any age if medically incapable of self support

14 13 Hanford Contractors Contractors: Entire Site Contractors: Entire Site Flour Daniel (1994- present) Flour Daniel (1994- present) Westinghouse (1987 -1994) Westinghouse (1987 -1994) General Electric (1946 - 1965) General Electric (1946 - 1965) E.I. Dupont de Nemours & Company E.I. Dupont de Nemours & Company (1943 -1946) Contractors: Reactor Operations UNC Nuclear Industries (1973-1987); UNC Nuclear Industries (1973-1987); United Nuclear Industries (1967-1973); United Nuclear Industries (1967-1973); Douglas United Nuclear (1965-1967) Douglas United Nuclear (1965-1967) Contractors: Chemical Reprocessing Rockwell Hanford Company (1977-1987); Rockwell Hanford Company (1977-1987); Atlantic-Richfield Hanford Company (1967-1977); Atlantic-Richfield Hanford Company (1967-1977); Isochem, Incorporated (1965-1967 ) Isochem, Incorporated (1965-1967 ) DOE covered facility from 1942 through the present DOE covered facility from 1942 through the present

15 14 Part E: Illness from Toxic Exposure All conditions (not symptoms of conditions) are covered All conditions (not symptoms of conditions) are covered Must show that toxic exposure at a covered DOE facility was a significant factor in Must show that toxic exposure at a covered DOE facility was a significant factor in Causing, Contributing to, or Aggravating the claimed condition Causing, Contributing to, or Aggravating the claimed condition DOL will assist with verifying Part E toxic exposure DOL will assist with verifying Part E toxic exposure Claimant bears overall burden of proving his or her claim. Claimant bears overall burden of proving his or her claim.

16 15 Part E: Means of Verifying Toxic Exposure DOL Resource Centers DOL Resource Centers Occupational History Questionnaires (OHQ) Occupational History Questionnaires (OHQ) Site Exposure Matrices (SEM) Site Exposure Matrices (SEM) Identifies toxic substances related to labor categories, processes, buildings, and major incidents Identifies toxic substances related to labor categories, processes, buildings, and major incidents Website available at www.sem.dol.gov Website available at www.sem.dol.govwww.sem.dol.gov DOE Document Acquisition Request (DAR) DOE Document Acquisition Request (DAR) Claimant Records Claimant Records

17 16 Part E: Employee Impairment Determination of % permanent whole person impairment due to covered illness Determination of % permanent whole person impairment due to covered illness AMA’s Guides to the Evaluation of Permanent Impairment, 5 th Edition AMA’s Guides to the Evaluation of Permanent Impairment, 5 th Edition $2,500 awarded for each % of impairment $2,500 awarded for each % of impairment

18 17 Part E: Employee Wage Loss Medical evidence must show decreased capacity to work Medical evidence must show decreased capacity to work Employee Compensation: Employee Compensation: Any year <50% of the pre-disability annual wage = $15,000 compensation Any year <50% of the pre-disability annual wage = $15,000 compensation Any year > 50% but 50% but <75% of the pre-disability annual wage = $10,000 compensation

19 18 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 (+ lump-sum Wage Loss if eligible) $400,000 CAP for B+E combined

20 19 Decision Process Recommended Decision – District Office Recommended Decision – District Office Preliminary determination Preliminary determination Cover letter, decision, and rights to object (oral hearing/review of written record) Cover letter, decision, and rights to object (oral hearing/review of written record) Final Decision – Final Adjudication Branch (FAB) Final Decision – Final Adjudication Branch (FAB) Affirmation of recommend decision or remand based on objection/independent review Affirmation of recommend decision or remand based on objection/independent review Claimant Rights – Reconsideration & Reopening Claimant Rights – Reconsideration & Reopening

21 20 Claimant Responsibilities File Claim File Claim Collect/Copy/Submit relevant records Collect/Copy/Submit relevant records Respond to information requests Respond to information requests Talk to co-workers – get affidavits Talk to co-workers – get affidavits Seek assistance if you need help – call Resource Center Seek assistance if you need help – call Resource Center Review decision and information for appeal Review decision and information for appeal

22 21 Claimant Resources Resource Centers – 11 locations Resource Centers – 11 locations Hanford Resource Center toll free number: (888) 654- 0014 Hanford Resource Center toll free number: (888) 654- 0014 District Offices – 4 locations District Offices – 4 locations Seattle District Office toll free number: (888) 805-3401 Seattle District Office toll free number: (888) 805-3401 DEEOIC web site DEEOIC web site http://www.dol.gov/owcp/energy/ http://www.dol.gov/owcp/energy/ General program information General program information SEM website SEM website Forms Forms Sample decisions Sample decisions

23 22 EEOICPA Compensation $8.6 Billion Total Compensation $8.6 Billion Total Compensation $4.6 Billion Part B $4.6 Billion Part B $2.7 Billion Part E $2.7 Billion Part E $1.26 Billion Medical $1.26 Billion Medical Data as of October 7, 2012

24 23 Hanford $775.5 Million Total Compensation $775.5 Million Total Compensation $460 Million Part B $460 Million Part B $255.7 Million Part E $255.7 Million Part E $59.5 Million Medical $59.5 Million Medical Data as of October 7, 2012

25 24 District Office Jurisdictional Map

26 25

27 Questions?


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