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Application for Approval of a Representative's Fee In a Black Lung Claim Proceeding Conducted by The U.S. Department of Labor Reset Office of Worker's Compensation Programs Division of Coal Mine Workers'.

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(SURVIVOR) The Black Lung Benefits Act provides monthly benefits to eligible surviving family members of coal miners whose deaths were due to black lung disease, or "pneumoconiosis." The Act also provides monthly benefits to survivors of miners who were entitled to benefits based on their own lifetime claims.

Division of Coal Mine Workers' Compensation (DCMWC) ClaimBenefit RatePrimary beneficiary$737.90Primary beneficiary and one dependent$1,106.90Primary beneficiary and two dependents$1,291.30Primary beneficiary and three or more dependents$1,475.80

Coal miners may also be exposed to silica-containing dust because coal mining may involve some drilling into silica-containing rock. However, not all workers will develop the disease. Recent studies have found that about 16% of coal miners in the U.S. will contract the disease.

Division of Coal Mine Workers' Compensation (DCMWC) ClaimBenefit RatePrimary beneficiary$737.90Primary beneficiary and one dependent$1,106.90Primary beneficiary and two dependents$1,291.30Primary beneficiary and three or more dependents$1,475.80

The Black Lung Benefits Act provides monthly payments and medical benefits to coal miners totally disabled from pneumoconiosis (black lung disease) arising from their employment in or around the nation's coal mines. The Act also provides monthly benefits to a miner's dependent survivors.

Under the black lung program, a claimant must meet three general conditions in order for the application to be approved: (1) the miner must have (or, if deceased, must have had) pneumoconiosis; (2) the miner must be totally disabled by the disease (or must have been to- tally disabled by it at the time of death); and ( ...

The Black Lung Benefits Act provides monthly benefits to eligible surviving family members of coal miners whose deaths were due to black lung disease, or "pneumoconiosis." The Act also provides monthly benefits to survivors of miners who were entitled to benefits based on their own lifetime claims.

The amount of the basic black lung benefit payable monthly to an entitled miner or widow is defined as 50 percent of the current minimum monthly payment payable to a totally disabled Federal employee in grade GS-2 under the Fed- eral Employees' Compensation Act.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232