Addressee
Address
City, State, Zip
Dear
I
am writing in reference to your claim for benefits under the Energy Employees
Occupational Illness Compensation Program Act.
If
you are not already aware, employees who worked at the Connecticut Aircraft
Nuclear Engine Laboratory (CANEL) in
In
order to begin this process, I must first vacate our previous decision(s) and
reopen your case. The attached
Director’s Order explains the reason why the prior decision(s) is being vacated
and your case reopened. Please read this
Order very carefully. If any of the
basic information has changed since your final decision was issued (such as
medical condition(s) or employment dates), please contact this office
immediately and ask for your assigned claims examiner. Your information will be incorporated into
your case file and considered in our decision.
Once we have completed our review of your file, a new recommended
decision will be issued concerning your eligibility under this SEC
designation.
If
you have any questions about the Director’s Order, please feel free to call my
office, toll free, at: (xxx) xx-xxxx.
Sincerely,
{Name
of District Director}
District
Director
EMPLOYEE: [Employee Name]
CLAIMANT: [Claimant(s) Name]
FILE NUMBER: [File Number]
DOCKET NUMBER: [Insert Docket Number]
DIRECTOR’S
ORDER
On {date} you were
issued a final decision denying your claim for benefits under (Part B/E) of the Energy Employees Occupational Illness Compensation Program Act (EEOICPA
or the Act). A final decision may be
reopened at any time on motion of the Director of the Division of Energy
Employees Occupational Illness Compensation (DEEOIC). Because of new developments described in this
Director’s Order, the {date} Final Decision
under (Part B/E) of the Act is hereby vacated
and your case reopened under this provision.
BACKGROUND
{Provide a concise and accurate synopsis
of the claim’s history. Some sample paragraphs are provided here, though these
should be altered to tailor-fit the specifics of the case.}
Under the Act, all
cancer cases must be referred to the National Institute for Occupational Safety
and Health (NIOSH), a division of the Department of Health and Human Services
(HHS) in order to receive a dose reconstruction. A dose reconstruction allows the Department
of Labor to run a program that provides a number called the probability of
causation (PoC). Under Part B of the
Act, a cancer is “at least as likely as not” related
to employment at a covered facility if the PoC is 50% or greater. In your case, the PoC was calculated to be {XX.XX%}
As a
result, on {date},
the district office issued a recommended decision denying the claim under Part
B of the Act, because the PoC was less than 50%.
DISCUSSION
Under the Act, there is a provision that allows for
payment of some cases regardless of a previous PoC. This provision becomes available when
employees are included in a class of the Special Exposure Cohort (SEC). To be included as a member in a class of the
SEC, the employee must be diagnosed with a specified cancer and meet all the
employment requirements of the SEC class.
In order for certain classes of employees at a facility
to be included in the SEC, individuals may submit petitions to NIOSH for
review. NIOSH evaluates the petitions,
and they determine whether a new SEC class will be added. Effective
November 23, 2008,
NIOSH added to the SEC a new class of employees who worked at Connecticut
Aircraft Nuclear Engine Laboratory. The designation added the following class of
employees to the SEC:
All employees of the Department of Energy
(DOE), it predecessor agencies, and DOE contractors or subcontractors who
worked at Connecticut Aircraft Nuclear Engine Laboratory in Middletown,
Connecticut, from January 1, 1958, through December 31, 1965, for a number of
work days aggregating at least 250 work days, occurring either solely under
this employment or in combination with work days within the parameters
established for one or more other classes of employees in the Special Exposure
Cohort.
CONCLUSION (Note: This paragraph is particularly important)
Based
on the designation of this new class into the SEC, the district office has
reviewed the file and finds there is sufficient evidence to warrant reopening
of this claim.
If you disagree
with the recommended decision, you will have the opportunity to file an
objection and request an oral hearing or a review of the written record.
{city of district office}
{Name of District
Director}
District
Director
CERTIFICATE
OF SERVICE
I hereby certify
that on a
copy of the Director’s Order was sent by regular mail to the following:
Addressee
Address
City, State, Zip
{Name of District
Director}
District
Director