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This document outlines the designation of employees from Norton Company in Worcester, Massachusetts, as an addition to the Special Exposure Cohort under the Energy Employees Occupational Illness Compensation
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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 from the official HHS website or relevant authority.
02
Carefully read the instructions on the form to understand the requirements and the information needed.
03
Collect necessary personal information including your name, date of birth, and Social Security number.
04
Document your exposure history, including details about the specific site, location, and duration of exposure to radiation or hazardous substances.
05
Provide any supporting documentation that corroborates your exposure claims (e.g., medical records, employment records).
06
Complete all sections of the form accurately, ensuring that all required fields are filled out.
07
Review the completed form for accuracy and completeness.
08
Submit the form according to the provided submission guidelines, either electronically or by mail, ensuring it's sent to the correct address.
Who needs HHS Designation of Additional Members of the Special Exposure Cohort?
01
Workers who were potentially exposed to radiation or toxic substances during their employment in designated facilities and seek to be recognized as part of the Special Exposure Cohort.
02
Individuals who meet specific criteria regarding their employment and exposure history related to the atomic weapons program and other related activities.
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People Also Ask about
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 designates additional individuals who may have been exposed to harmful substances during their employment at certain facilities and are thus eligible for benefits under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).
Who is required to file HHS Designation of Additional Members of the Special Exposure Cohort?
Individuals who believe they are members of the Special Exposure Cohort due to their exposure to radiation or other toxic substances at designated sites are required to file for the HHS Designation. This includes former employees, contractors, and subcontractors of the Department of Energy and related agencies.
How to fill out HHS Designation of Additional Members of the Special Exposure Cohort?
To fill out the HHS Designation of Additional Members of the Special Exposure Cohort, individuals should complete the specific application form provided by HHS, ensuring that all required information, such as employment history, exposure details, and personal identification, is accurately provided. Supporting documentation may also be necessary.
What is the purpose of HHS Designation of Additional Members of the Special Exposure Cohort?
The purpose of the HHS Designation of Additional Members of the Special Exposure Cohort is to identify individuals who have been exposed to significant amounts of radiation or other harmful substances and to ensure they receive the medical benefits and compensation they may be entitled to for work-related illnesses.
What information must be reported on HHS Designation of Additional Members of the Special Exposure Cohort?
The information that must be reported includes the individual's full name, social security number, date of birth, employment history, specific sites and periods of employment, details of exposure to hazardous substances, and any relevant medical records or documentation that supports their claim.
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