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What is the Difference Between EEOICPA Part B and Part E?

What is the Difference Between EEOICPA Part B and Part E?
What is the Difference Between EEOICPA Part B and Part E?
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The difference between EEOICPA Part B and Part E explained

The main difference between EEOICPA Part B and Part E is what each part covers. Part B provides benefits for specific occupational illnesses associated with radiation, beryllium, or silica exposure, while Part E covers a broader range of occupational illnesses linked to toxic-substance exposure during covered DOE employment. A person may qualify for both Parts B and E when the worker and illness meet the eligibility requirements of both programs.

  • Part B = specific covered illnesses + specific types of exposure.

  • Part E = broader occupational illnesses + toxic exposure + a demonstrated connection between the exposure and illness.

EEOICPA Part B and Part E at a glance

Each part has different eligibility rules, approved illnesses, and types of compensation.

Part B

  • Specific conditions strongly associated with radiation exposure and some cancers 
  • $150,000 tax-free compensation
  • Up to $250,000 additional based on Impairment Ratings 
  • Medical benefits

Part E

  • All other diagnoses that can be tied to employment
  • Up to $250,000 payout solely based on Impairment Ratings
  • Medical benefits

 

What is EEOICPA Part B? 

Part B provides compensation and medical benefits to certain current or former workers (or eligible survivors) whose covered occupational illness resulted from exposure to radiation, beryllium, or silica during employment at a covered DOE facility.

Who is covered under Part B?

  • Current or former DOE employees

  • DOE contractor or subcontractor employees

  • Atomic Weapons Employer (AWE) employees

  • Certain uranium workers employed under the AEC between 1942–1990

What benefits does Part B provide?

  • $150,000 lump-sum, tax-free compensation to eligible workers (or eligible survivors).

  • Up to $250,000 additional compensation based on Impairment Ratings conducted following approval.

  • Free home healthcare for approved illnesses including coverage for related medical expenses such as visits, prescriptions, treatment, and travel for care.

What are approved illnesses listed under Part B?

Part B focuses on illnesses strongly associated with radiation, beryllium or silica exposure.

  • Radiogenic cancer

  • Chronic beryllium disease (CBD)

  • Beryllium sensitivity

  • Silicosis (for certain uranium workers)

  • Other cancers

What is EEOICPA Part E?

Part E provides compensation and medical benefits to certain DOE contractors and subcontractor employees (or eligible survivors) who developed an occupational illness that was at least as likely as not caused, contributed to, or aggravated by toxic-substance exposure during covered employment.

Who is covered under Part E?

  • DOE contractor and subcontractor employees who worked at covered DOE facilities and developed illness due to toxic exposure (not limited to radiation).

What benefits does Part E provide?

  • Impairment compensation based on the degree of permanent impairment. The stated schedule is $2,500 per 1% impairment, up to $250,000.

  • Wage-loss compensation may apply when the illness caused missed work or early retirement.

  • Free home healthcare for approved conditions and related care.

  • Survivor benefits if the worker died from an exposure-related illness, eligible survivors may receive up to $125,000, with possible additional amounts tied to wage-loss factors (as described).

What are approved illnesses listed under Part E?

Eligibility commonly depends on medical and work records supporting a likely connection between workplace exposure and the illness. Illnesses include:

  • Radiation and chemicals/solvents/acids/metals

  • Asbestos-related conditions

  • Lung/respiratory disease (e.g., COPD, pulmonary fibrosis)

  • Kidney and liver disease

  • Heart disease (including from solvent exposure, as described)

  • Certain cancers

  • Neurological disorders

  • Chemical poisoning and systemic illnesses

Can I qualify for both EEOICPA Part B and Part E?

Yes, a person can qualify for benefits under both EEOICPA Part B and Part E.

Part B and Part E can provide different types of benefits for the same covered condition, but it’s important to note that Part B approval does not automatically make a person eligible for Part E. The worker must also meet Part E’s separate employment and eligibility requirements.

Example: If a covered worker has a condition accepted under Part B, that acceptance can establish the exposure and causation requirements for that same condition under Part E. If those requirements are met, the worker may receive applicable Part E benefits, such as compensation for qualifying impairment or wage loss, in addition to Part B benefits.

Official sources

Does EEOICPA actually pay claims?

Yes, and as of September 2026, over $33 billion has been paid in total settlements and medical bills paid.

Official source

U.S. Department of Labor (OWCP) — EEOICPA Program Statistics

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Frequently Asked Questions

Q: What is EEOICPA?

A: The Energy Employees Occupational Illness Compensation Program Act (EEOICPA) is a federal program that provides compensation and medical benefits to nuclear weapons workers — or their survivors — who became ill due to their work.

Q: What does EEOICPA Part B cover?

A: Part B focuses on illnesses directly linked to radiation exposure, such as certain cancers, chronic beryllium disease (CBD), beryllium sensitivity, and silicosis (for qualifying uranium workers). It provides a $150,000 tax-free lump-sum payment plus medical benefits. Uranium workers who previously received RECA compensation may be eligible for an additional $50,000.

Q: What does EEOICPA Part E cover?

A: Part E covers a broader range of illnesses caused by toxic exposures on the job — including chemicals, metals, acids, and solvents, in addition to radiation. It provides up to $250,000 tax-free, based on the worker's degree of impairment and/or wage loss, plus medical benefits.

Q: Can a worker qualify for both EEOICPA Part B and Part E?

A: Yes. Workers may be eligible for benefits under both parts if they have qualifying illnesses and employment history that meet the criteria for each.

Q: Who is covered under EEOICPA Part B and Part E?

A: Both parts cover DOE employees, contractors, and subcontractors at covered facilities. Part B also extends to Atomic Weapons Employer (AWE) employees and certain uranium workers (miners, millers, ore transporters) who worked under the Atomic Energy Commission between 1942 and 1990.

Q: How is compensation calculated under EEOICPA Part E?

A: Part E compensation is impairment-based — workers receive $2,500 per 1% of impairment, up to a maximum of $250,000. Additional compensation may be available for documented wage loss caused by the illness.

Q: Are survivor benefits available for EEOICPA Part B and Part E?

A: Yes. Both parts offer survivor benefits. Part E generally has broader eligibility, including spouses, children under 18 (or up to 23 if a full-time student), and dependents with disabilities.