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This document designates a class of employees from the Sandia National Laboratories for addition to the Special Exposure Cohort (SEC) under the Energy Employees Occupational Illness Compensation Program
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How to fill out hhs designation of additional
How to fill out HHS Designation of Additional Members of the Special Exposure Cohort
01
Obtain the HHS Designation of Additional Members of the Special Exposure Cohort form.
02
Review the eligibility criteria for membership in the Special Exposure Cohort.
03
Fill out the required personal information including name, address, and contact information.
04
Provide details regarding the individual's employment history, particularly any work related to radiation exposure.
05
Include evidence or documentation supporting the claim, if available.
06
Review the completed form for accuracy and completeness.
07
Submit the form according to the instructions provided, ensuring it is sent to the correct address.
Who needs HHS Designation of Additional Members of the Special Exposure Cohort?
01
Individuals who have worked in specific occupations related to radiation exposure.
02
Workers who have been diagnosed with certain illnesses as defined by the Special Exposure Cohort.
03
Survivors of deceased workers who believe they are eligible for benefits.
04
Individuals who may not have been covered under previous claims but meet the criteria for additional designation.
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What cancers are covered by critical illness insurance?
Cancers of the bile ducts, bone, brain, , colon, esophagus, gall bladder, liver, lung, pancreas, pharynx, ovary, salivary gland, small intestine, stomach, thyroid, and urinary tract. Leukemia (except chronic lymphocytic leukemia) Lymphomas (except Hodgkin's disease) Multiple myeloma.
What cancers are covered by the EEOICPA?
EEOICPA: The 22 Specified Cancers Leukemia; Primary or secondary cancer of the lungs; Primary or secondary bone cancer; Primary or secondary renal cancer; Primary thyroid cancer; Primary cancer; Primary esophagus cancer; Primary stomach cancer;
What is special exposure cohort?
The Special Exposure Cohort (SEC) is a uniquely defined category of employees established under The Act. The SEC is comprised of classes of employees who: have at least one of the 22 SEC cancers and. have worked for a specific period of time at one of the SEC Work Sites.
What conditions are covered by the EEOICPA?
About EEOICPA: Covered illnesses include radiation‐induced cancer, chronic beryllium disease, beryllium sensitivity, chronic silicosis, or any illness due to exposure to toxic substances.
What cancers are covered under EEOICPA?
EEOICPA: The 22 Specified Cancers Leukemia; Primary or secondary cancer of the lungs; Primary or secondary bone cancer; Primary or secondary renal cancer; Primary thyroid cancer; Primary cancer; Primary esophagus cancer; Primary stomach cancer;
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What is HHS Designation of Additional Members of the Special Exposure Cohort?
The HHS Designation of Additional Members of the Special Exposure Cohort is a process by which the U.S. Department of Health and Human Services (HHS) designates certain individuals as part of a cohort eligible for compensation due to health effects from exposure to radiation or other hazardous materials while involved in specific activities or at specific locations.
Who is required to file HHS Designation of Additional Members of the Special Exposure Cohort?
Individuals who believe they meet the criteria for being designated as additional members of the Special Exposure Cohort must file the application. This includes those who were exposed to harmful substances during their work in specific government or contractor roles during designated time periods.
How to fill out HHS Designation of Additional Members of the Special Exposure Cohort?
To fill out the designation form, individuals must provide personal information, details about their employment, specific exposure incidents, and any relevant medical information that supports their claim. The form should be completed carefully and accurately to ensure it is considered.
What is the purpose of HHS Designation of Additional Members of the Special Exposure Cohort?
The purpose of HHS Designation of Additional Members of the Special Exposure Cohort is to identify and compensate individuals who were adversely affected by radiation exposure or other toxic hazards while working in certain capacities within the federal government or related projects, ensuring they receive recognition and financial support for health issues resulting from their exposures.
What information must be reported on HHS Designation of Additional Members of the Special Exposure Cohort?
The report must include personal identification information, detailed employment history, dates and locations of possible exposure, descriptions of the nature of exposure, health history related to the exposure, and any supporting documentation such as medical records or witness statements.
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