Firefighters and second careers · EEOICPA

Were you a firefighter who also worked at the Nevada Test Site?

Your Test Site employment may open a separate federal occupational-benefit pathway — including possible claim compensation and medical benefits — even if you already have firefighter retirement, health or workers’ compensation benefits. Firefighter, military, law enforcement, the trades or another career entirely: if you also worked out at the Nevada Test Site, that second job is the one this page is about.

The honest part, first

The fire service is not what does it. The Test Site work is.

A career in the fire service does not, on its own, open the federal programme this page is about. EEOICPA covers people who worked for the Department of Energy, for its contractors, and for their subcontractors. A city or county fire department is not one of those employers, and no amount of years on the job changes that.

The other job is what opens it. A great many Nevada firefighters also worked out at the Test Site — before they got on a department, on days off, on a crew that went out for a season, or after a pension came through. That employment is the basis for a federal claim, and it is the one thing almost nobody thinks to mention, because it was never the career.

So the question this page asks is narrow and it is answerable: not what you did for a living, but whether you were ever out there, and who was on the paycheck when you were.

The Department of Labor decides every claim. Alara assesses the patient, coordinates the physician documentation and the home-health authorization, and provides the authorized care. It does not file claims and nothing here is a determination of eligibility.

Could this apply to me?

Three things, in this order.

None of these is a decision, and none of them is a form. They are the three facts a nurse needs before anything else is worth discussing.

  1. 1. You worked at the Nevada Test Site.

    The Nevada Test Site, now the Nevada National Security Site, is a covered Department of Energy facility for work from 1951 on. The Tonopah Test Range is covered as well. Area 51 is treated by the Department of Labor as part of the Nevada Test Site for the period 1958 through 1999.

    Any job, any length of time, any company. A single season out there is employment; how much it counts for is a separate question and not one you have to answer yourself.

  2. 2. Somebody was on that paycheck.

    This is the covered-employer question, and it is where most people rule themselves out by mistake. You did not have to work for the Department of Energy. Its contractors and subcontractors are covered the same way, and most of the people who worked at the Nevada Test Site were never federal employees. They worked for REECo, for EG&G, for Wackenhut, for a paving company or a bus line or a drilling outfit out of Las Vegas.

    The Department of Labor publishes its own list of companies with a known contractual relationship to the site — REECo, Bechtel Nevada, NSTec, MSTS, EG&G and several hundred others, down to the paving crews and the bus lines. That list is a starting point and DOL says it may not include every subcontractor.

    A company we cannot match is not a rejection and never will be. Tell a nurse the name you remember, even half of it.

  3. 3. A doctor has diagnosed something.

    Part B covers radiogenic cancer, chronic beryllium disease, beryllium sensitivity and chronic silicosis. Part E is the broader pathway for Department of Energy contractor and subcontractor employees, where exposure to a toxic substance at the facility caused, contributed to or aggravated the illness — and a toxic substance there is not limited to radiation. It includes chemicals, solvents, acids and metals.

    A firefighter arrives with a diagnosis far more often than the rest of this audience does, which is exactly why the employment question is the one that has gone unasked.

Contractor employment plus a Part B disease means both parts are worth checking, not one. Some contractor and subcontractor workers can have a claim evaluated under Part B and under Part E. They are separate determinations with separate requirements, and the Department of Labor makes each of them.

Search all 472 companies on the DOL list → Which conditions are covered →

Second careers

Firefighter, military, law enforcement, the trades — the question is the same.

The shape repeats. One career that is not covered by this programme, and one stretch of Test Site work that may be. What differs is where each one should be sent, so they are set out separately rather than swept together.

Fire service
The department job is not the basis. A Test Site job before it, alongside it or after it can be. Site fire and emergency crews out there were contractor employees — that is Test Site work, not department work.
Military service
A different programme. Uniformed personnel present at an atmospheric test are covered as onsite participants under RECA, and the VA runs its own radiation benefits. Service alone is not Department of Energy contractor employment. But if you later took a civilian job out there — for REECo, EG&G, Wackenhut, any contractor — that job is this question.
Law enforcement
Site security was contractor work: Wackenhut Services and the companies before and after it, all the way to Centerra and Constellis. City or county policing is not. The badge that matters here is the one that got you through the gate at Mercury.
The trades
IBEW, carpenters, operators, teamsters, pipefitters. Dispatched out there off and on for years, often for several different companies. Days across separate stints add up.
Another career entirely
The programme asks where the work was, not what you did for a living the rest of your life. Cafeteria, laundry, warehouse, motor pool, clerical — claims are accepted across all of it.

RECA and onsite participants → If the service is the question → Site security work → Support and services →

Worked out there between 1951 and 1992?

For two long stretches, the radiation dose does not have to be reconstructed.

The Special Exposure Cohort is a designation, not an award. Inside one of its classes, a worker with one of the 22 specified cancers can be compensated under Part B without a NIOSH dose reconstruction — the step that otherwise asks a programme to estimate, decades later, what a particular body absorbed.

The Nevada Test Site has two classes, and between them they cover forty-two years.

27 Jan 1951 – 31 Dec 1962
Department of Energy employees and DOE contractor or subcontractor employees at the Nevada Test Site, totalling at least 250 work days, who were monitored for radiation or should have been.
1 Jan 1963 – 31 Dec 1992
All employees of the Department of Energy, its predecessor agencies, and its contractors and subcontractors at the Nevada Test Site, totalling at least 250 work days. There is no monitoring requirement in this class.
250 work days
Aggregate, not consecutive. Days worked across several stints add up, and days may be combined with work under another Special Exposure Cohort class.
A specified cancer
Membership in a class is not the whole test. The worker must also have been diagnosed with one of the 22 specified cancers, after the covered employment began.

Nevada Test Site work between 1951 and 1992, plus 250 qualifying days, plus a specified cancer — that combination is a reason to check the Special Exposure Cohort. It is not a determination. The Department of Labor decides membership and every claim that follows from it.

And if it was later

Worked after 1992? Do not stop reading.

The Special Exposure Cohort classes end in 1992. The facility’s coverage does not. The Nevada Test Site remains a covered Department of Energy facility after 1992, and it is one today under the name Nevada National Security Site.

A claim from 1998, or 2004, or last decade is still a claim. What ends in 1992 is one shortcut through the radiation-dose question — not the programme, and not the medical benefit that an accepted claim opens. Nobody should be screened out of this because their years fall on the wrong side of a Special Exposure Cohort date.

Bechtel Nevada, 1996 to 2006 → NSTec, 2006 to 2017 → MSTS, 2017 to today →

Could there be claim money?

Two parts, and this page does not add them together.

An accepted claim can pay compensation and it opens a medical benefit for the accepted condition. What follows is what the programme provides when a claim is accepted — not a prediction about any particular claim, and not a total anybody should be counting on.

Part B
A qualifying claim pays a lump sum of $150,000, plus payment of medical expenses for the accepted condition from the date the claim is filed.
Beryllium sensitivity
The exception inside Part B, and worth stating rather than glossing: beryllium sensitivity carries medical monitoring and medical benefits, not the $150,000 lump sum.
Part E
For qualifying Department of Energy contractor and subcontractor employees: impairment compensation, wage-loss compensation where it applies, and medical benefits. Impairment and wage loss together cannot exceed $250,000, excluding medical benefits.
What impairment means
An impairment rating measures permanent whole-person impairment resulting from an accepted occupational illness, and the rating is what Part E impairment compensation is calculated from.
Both parts
Some contractor and subcontractor workers can have a claim evaluated under Part B and under Part E. They are separate determinations, each with its own requirements, and each decided by the Department of Labor.
The medical benefit
The part that lasts. It pays providers directly for care tied to the accepted condition, at no cost to you, and there is no lifetime dollar cap on it.

No amount on this page is promised to anyone. These are the programme’s figures, not a forecast. Whether a claim is accepted, under which part, and for how much, is decided by the Department of Labor on the record of that claim.

I already have firefighter occupational-disease benefits

That doesn’t mean you should ignore your Test Site employment.

Nevada’s firefighter occupational-disease presumptions and workers’ compensation are a state system. EEOICPA is a federal one, run by the Department of Labor for people who worked at Department of Energy facilities. They ask different questions, about different employers, and an award in one is not an application in the other.

A worker with both employment histories should disclose both — to the department, and to the Department of Labor. Neither system is served by the other one being left out.

What coordinates
Part E monetary compensation is coordinated with state workers’ compensation benefits received for the same covered illness. Where that applies, Part E is reduced accordingly.
What does not
Medical benefits and vocational rehabilitation benefits are excluded from that coordination. Part B compensation is not coordinated with state workers’ compensation at all.
What Alara will not do
Promise you a cumulative total. Two systems that coordinate cannot be added up on a landing page, and anyone who does it for you is guessing with your money.
What it is not
A reason to skip the federal claim, and not a reason for anyone here to turn you away. An existing workers’ compensation claim is a fact about the file, not a disqualification.

The Department of Labor decides every claim. Alara assesses the patient, coordinates the physician documentation and the home-health authorization, and provides the authorized care. It does not file claims and nothing here is a determination of eligibility.

If there is already a White Card

An accepted condition comes with medical benefits, and those can reach the house.

The White Card is the medical benefit that comes with an accepted claim. It pays for care that is medically necessary to treat the accepted condition — which can include skilled nursing and home health aide services at home, when a treating physician documents the need and the Department of Labor authorizes it.

Where you are now decides what happens next, so the three positions are set out separately.

No White Card
The work-history and federal-claim route. Establish where and when the work was, then file — the Department of Labor’s Resource Center does that at no charge, and nobody should be taking a percentage of a federal award.
A White Card, no home care
The clinical route. An accepted condition, a care need, a treating physician who documents it, and a DEEOIC authorization. Alara does the assessment and the physician coordination; the authorization is the Department of Labor’s.
A White Card and care already authorized
You have a provider and the care is running. If you want Alara instead, that is a provider change, and nothing about your claim or your card changes with it.

What the White Card covers → Changing home-health provider → The Las Vegas Resource Center →

Check it

A short check, and a nurse reads the answers.

Where the work was, who paid you, roughly when, and what a doctor has said since — plus the two questions this page exists for: whether you were in the fire service, and whether a workers’ compensation claim is already running. That is enough for a nurse to say whether there is something here worth opening, and if there is not, to say that instead.

Nothing here is a determination of eligibility, nobody takes a percentage of anything, and claim help through the Department of Labor’s Resource Center is free.

Check a Test Site work history → Start a case review → Or call (702) 814-9630 →

Common questions

What people ask first.

Does being a firefighter qualify me for EEOICPA?

No. The fire service on its own does not create eligibility. EEOICPA covers Department of Energy employees, DOE contractor and subcontractor employees, atomic weapons employer employees and certain uranium workers. What can create eligibility is separate employment at a covered facility such as the Nevada Test Site, and that is the employment worth checking.

I worked at the Test Site for a contractor, not the government. Does that still count?

Contractor and subcontractor employees at a covered facility are covered the same as federal employees, and the job title does not decide it. Most people who worked at the Nevada Test Site were contractor employees — for REECo, EG&G, Wackenhut, Bechtel Nevada, NSTec, MSTS or one of several hundred subcontractors the Department of Labor publishes.

I already have a Nevada firefighter workers’ compensation claim. Does that cancel a federal claim?

No. State workers’ compensation and EEOICPA are different systems. Part E monetary compensation is coordinated with state workers’ compensation benefits received for the same covered illness, so Part E can be reduced; medical benefits and vocational rehabilitation benefits are excluded from that coordination, and Part B compensation is not coordinated with state workers’ compensation at all. An existing claim is a fact to disclose, not a disqualification.

I worked out there after 1992. Am I too late?

No. The Special Exposure Cohort classes for the Nevada Test Site end in 1992, but the site remains a covered Department of Energy facility after that and is one today as the Nevada National Security Site. What the Special Exposure Cohort provides is a route around dose reconstruction for those years, not the programme itself.

Does work at Area 51 count as the Nevada Test Site?

The Department of Labor states that Area 51 is considered to be part of the Nevada Test Site for the period 1958 through 1999. Employment there in those years is treated as employment at the covered facility, and the usual questions about employer, dates and illness still apply.

What are the 250 work days about?

They are a requirement of the two Nevada Test Site Special Exposure Cohort classes. The days are aggregate rather than consecutive, so separate stints add up, and they may be combined with days worked under another Special Exposure Cohort class. Work outside those classes is not governed by the 250-day rule.

I was in the military at the Test Site, not a civilian employee.

That is a different programme. Uniformed personnel present at an atmospheric nuclear test are covered as onsite participants under the Radiation Exposure Compensation Act, and the VA administers its own radiation-related benefits. If you also held a civilian job at the site — for a contractor or subcontractor, at any point — that employment is the EEOICPA question and is worth raising separately.

I am a retired firefighter and the Test Site work was decades ago. Is it too late?

No. Nothing closes on old employment at the Nevada Test Site — claims are filed on work from the 1960s and 1970s. What gets harder with time is documenting it, which is the argument for establishing the record while a retired firefighter still has the union hall, the department file and the people who were out there with him. Old paperwork writes the site as NTS and anything recent writes it as NNSS; both are the same covered facility.

What does Alara get out of this?

Alara is a Nevada-licensed, nurse-owned home health agency that provides the care an accepted White Card pays for. It does not file claims and takes no percentage of any award. Claim help through the Department of Labor’s Resource Center is free.

Start here

A nurse reads it, not a form.

The check takes a few minutes and needs no records, no claim number and no appointment. Nothing here is a determination of eligibility, and the Department of Labor decides every claim.

Every company on the DOL list → Start from the beginning → What the White Card covers →