Steven Levin Presentation

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Energy Employees Occupational

Illness Compensation Program

September 2009

Mission of EEOICPA

To deliver benefits to eligible employees and former employees of the Department of

Energy (DOE), its contractors and subcontractors or to certain survivors of such individuals, as provided in the EEOICPA.

The mission also includes delivering benefits to certain beneficiaries of Section 5 of the

Radiation Exposure Compensation Act (RECA).

1

Background of EEOICPA

Part B – became effective July 31, 2001

Part E – became effective October 28, 2004; created to replace Part D Program

Agencies

Department of Labor (DOL)

Department of Energy (DOE)

Department of Health & Human Services

(HHS)

Department of Justice (DOJ)

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EEOICPA COMPENSATION

$5 Billion Total

Compensation

$3 Billion Part B

$1.65 Billion Part E

$350 Million Medical

PART E

32%

MEDICAL

7%

PART B

61%

Data as of July 27, 2009

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A Quick Look at Part B

Radiation induced cancer

“Special Exposure Cohort”

Beryllium Disease

Silicosis (for miners in Nevada and

Alaska)

“Supplement” for RECA uranium workers

4

Part B: Who’s

Eligible?

DOE employees (Feds)

DOE contractors/subcontractors

Atomic Weapons Employers (AWE)

Beryllium vendors (BV)

Certain survivors of deceased workers

RECA Section 5 uranium workers

5

Part B: Who’s

Eligible? (cont’d)

Presumptive coverage for workers with 22 specified cancers at

SPECIAL EXPOSURE COHORT

(SEC) sites

Four legislated – 3 Gaseous Diffusion

Plants, plus Amchitka

44 SEC classes added by HHS so far

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Under Part B Eligible Survivors (at time of compensation payment):

Spouse – married to covered employee for at least one year immediately prior to death

Children (if there is no surviving spouse)

Parents (when there is no surviving spouse or child)

Grandchildren (when there are no preceding survivors)

Grandparents (when there are no preceding survivors)

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Basic Part B Claim Criteria –

Employment

DOE Employee

DOE Contractor or Subcontractor

Beryllium Vendors

Atomic Weapons Employer

Approved Section 5 RECA claims

8

Basic Part B Claim Criteria –

Medical Illnesses

Any malignant cancer (at least as likely as not caused by radiation exposure)

Chronic Beryllium Disease

Chronic Silicosis (only for employees who worked during the mining of atomic weapon test tunnels in Nevada or Alaska)

Beryllium Sensitivity

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Basic Part B Claim Criteria –

Burden of Proof

Claimant carries the burden to prove the elements of the claim

DOL will assist in collection of evidence, i.e. medical documentation, employment & exposure records

10

Part B Benefits

$150,000 lump sum compensation payment

Medical benefits for covered conditions

Medical treatment and monitoring only for beryllium sensitivity

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Uranium Worker Part B Benefits under the EEOICPA

DOL verifies RECA Section 5 award with the DOJ to determine coverage and compensation

Section 5 awardees from DOJ receive $50,000 and medical benefits under Part B of the

EEOICPA

12

A Quick Look at Part E

Any occupational illness with causal relationship to toxic substance/chemical supported by well reasoned and rationalized medical evidence

DOE contractor/subcontractor or worker at RECA Section

5 facility

Certain survivors of deceased workers; eligible spouse; if no spouse, eligible child

Available compensation based on permanent impairment, years of eligible wage loss, medical care for covered conditions, and for survivors, if employee’s death caused, contributed to, or aggravated by covered illness

13

Part E: Who’s Eligible?

DOE contractors and subcontractors

Does NOT include AWE, BV workers

EXCEPTION: if AWE/BV is designated as a

DOE contractor for remediation, and the employee worked on the remediation

Eligible survivors

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Part E Eligible Survivors

(at time of employee’s death)

Spouse – married to covered employee for at least one year immediately prior to death

Covered Child – if no surviving spouse, a child is eligible for compensation if at the time of the employee’s death the child was:

Under the age of 18,

Under the age of 23 and a full-time student, continuously enrolled in an educational institution since age 18, or

Any age, if incapable of self support

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Basic Part E Claim Criteria

Employment:

Proof of Section 5 employment (uranium mining, uranium milling, or ore transporting) at a Section 5 facility (uranium mine or uranium mill), and exposure to a toxic substance

Medical:

Diagnosed illness, e.g. asbestosis, cancer, dermatitis, asthma, etc .

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Basic Part E Claim Criteria cont’d

Proof of Survivorship Eligibility:

 i.e. Marriage Certificate, Birth Certificate

Burden of Proof:

Claimant carries the burden to prove the elements of the claim

DOL will assist in collection of evidence, i.e. medical documentation, employment & exposure records

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Part E Benefits

$250,000 maximum lump sum compensation payment per covered employee (includes wage loss and/or impairment

$175,000 Maximum survivor benefit

$125,000 standard survivor lump sum compensation benefit

+ additional $25,000 or $50,000 for established wage loss

State Workers’ Compensation/Tort offset can be applied

Medical benefits for covered conditions

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Survivor – Compensation Categories

Category 1

$125,000

Category 2

$150,000

Category 3

$175,000

 Category 1 – employee death was caused, contributed to, or aggravated by toxic exposure

 Category 2 – Category 1 plus employee had 10 years- 19 years wage loss due to covered illness

 Category 3 – Category 1 plus employee had 20 years or more wage loss due to covered illness

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Section 5 Uranium Workers and Part

E of the EEOICPA

Part E expands eligibility for Section 5 uranium workers (uranium miners, millers, and ore transporters) and their eligible survivors

Treated same as covered DOE contractor/subcontractor employees and eligible for same benefits

An award under Section 5 of RECA administered by DOJ is NOT required for consideration under

Part E of the EEOICPA

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Means of Verifying Exposure

DOL Resource Centers

Occupational History Questionnaires (OHQ)

DOE Document Acquisition Request (DAR)

Former Worker Protection Records (FWP)

Claimant Records

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Means of Verifying Exposure cont’d

Site Exposure Matrices (SEM)

Identifies toxic substances related to labor categories, processes, buildings, and major incidents

Designed to assist with exposure evaluation and houses exposure information for uranium sites

4,170 Uranium Mines

48 Uranium Mills

17 Ore Buying Stations

A version of the SEM database is available to the public on the DEEOIC website at http://www.sem.dol.gov/

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Proving Causation Under

Part E of the EEOICPA

“At least as likely as not” that exposure to a toxic substance (including radiation) at a Section 5 facility (uranium mine or uranium mill) was a significant factor in causing, contributing to, or aggravating the worker’s illness

Automatic establishment of causation for the condition

Part B condition accepted by DOL

For survivor claims, causation between covered condition and death must also be established

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Part E: Impairment

Determination of % of permanent whole body impairment due to covered illness

Impairment rating performed at maximum medical improvement

(MMI)

Well-stabilized and unlikely to improve with medical treatment

Covered illness in terminal stage prior to MMI

DOL proceeds to determine impairment rating

Standard Applied – 5 th Edit. AMA’s Guides to the Evaluation of

Permanent Impairment

Decreased function in a body part or organ established by medical evidence

Claimant may request re-evaluation every two years or upon acceptance of new illness

$2,500 awarded for each percentage point of impairment

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Impairment Rating Procedures

Options For Getting Impairment Rating:

Option 1- Physician of the employee’s choice OR

Option 2- DOL gathers appropriate tests and has a qualified physician complete an impairment evaluation based on the medical records

Criteria for Physician Selection:

Trained and certified to perform impairment ratings using the AMA’s Guides to the Evaluation of Permanent

Impairment, or experience using the Guides

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Part E: Wage Loss

Evidence must show reduced earned wages prior to reaching normal SSA retirement age as a result of a covered illness due to exposure to a toxic substance at a DOE facility or RECA Section 5 facility

Calculations based on evidence from multiple sources including SSA earnings, tax documents, & wage earnings records

Earnings adjusted for inflation to determine years qualifying for wage loss award

Claimants may file for additional qualifying years of wage loss 1 year after initial payment

Employee potentially eligible for $10,000 or $15,000 per year in wage loss benefit depending on level of wage loss

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Issuing Decisions

 Recommended decision – issued by the District

Office (DO)

Waive objections

File objections

Review of Written Record

Oral Hearing

 Final decision – issued by the Final Adjudication

Branch (FAB)

Reconsideration within 30 days

Reopening at any time (with new evidence or change in Program)

Federal Court

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Claimant Resources

Resource Centers – 11 locations

Takes claims and provides customer service

Newly expanded assistance capabilities

District Offices – 4 locations

Toll Free Phone Numbers

DEEOIC Website

General program information

Forms

Sample decisions

SEM Website

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Program Statistics

For Part B and Part E available at DOL’s web site: http://www.dol.gov/esa/owcp/energy/regs/compliance

/weeklystats.htm

By state and worksite available at: http://www.dol.gov/esa/owcp/energy/regs/compliance

/statistics/Statistics.htm

Updated daily

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Resource Center Contact Info

Las Vegas Resource Center

Office Manager

Name: Joe Krachenfels

E-mail: vegas.center@rrohio.com

Resource Center Address/Phone

Flamingo Executive Park

1050 East Flamingo Road, Suite W-156

Las Vegas, NV 89119

Telephone: (702) 697-0841

Fax: (702) 697-0843

Toll Free: (866) 697-0841

Denver Resource Center

Office Manager

Name: Janele Horner

E-mail: denver.center@rrohio.com

Resource Center Address/Phone

8758 Wolff Court, Suite 101

Westminster, Colorado 80031

Telephone: (720) 540-4977

Fax: (720) 540-4976

Toll Free: (866) 540-4977

Idaho Resource Center

Office Manager

Name: Steve Beehler

E-mail: idaho.center@rrohio.com

Resource Center Address/Phone

Exchange Plaza

1820 East 17th Street, Suite 375

Idaho Falls, ID 83404

Telephone: (208) 523-0158

Fax: (208) 557-0551

Toll Free: (800) 861-8608

Espanola Resource Center

Office Manager

Name: Karen Martinez

E-mail: espanola.center@rrohio.com

Resource Center Address/Phone

412 Paseo De Onate, Suite "D"

Espanola, NM 87532

Telephone: (505) 747-6766

Fax: (505) 747-6765

Toll Free: (866) 272-3622

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District Office Jurisdictional Map

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District Office Contact Info

District Office 3 -- Denver, Colorado

(Arkansas, Colorado, Iowa, Kansas, Louisiana, Missouri, Montana, Nebraska, North Dakota, Oklahoma, South Dakota,

Texas, Utah, Wyoming and all claims from RECA Section 5 awardees)

Address

U. S. Department of Labor, DEEOIC

1999 Broadway, Suite 1120

P.O. Box 46550

Denver, Colorado 80201-6550

Phone Numbers

(720) 264-3060 (Main)

(720) 264-3099 (Fax)

(888) 805-3389 (Toll Free)

District Office 4 -- Seattle, Washington

(Alaska, Arizona, California, Idaho, Hawaii, Marshall Islands, Nevada, New Mexico ,Oregon and Washington)

Address

U. S. Department of Labor, DEEOIC

719 2nd Avenue, 6th floor Suite 601

Seattle, Washington 98104

Phone Numbers

(206) 373-6750 (Main)

(206) 373-6798 (Fax)

(888) 805-3401 (Toll Free)

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Questions?

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