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Firefighter cancer presumption in North Carolina

For cancer, North Carolina gives no workers' comp presumption. It provides a line-of-duty death benefit for any firefighter who dies of a covered cancer.

The law is N.C. Gen. Stat. § 143-166.2(6)e. It covers line-of-duty death benefits.

Workers' comp (workers' compensation) is the insurance that pays medical bills and part of your lost pay when work makes you sick. Line-of-duty benefits are paid when an illness or injury comes from your work as a firefighter.

Conditions under North Carolina's law

  • Death must result directly from the cancer.
  • The cancer has to be a type that appears on the law's list.
  • Your firefighting work must be tied to the cancer.
  • Death from the cancer must happen on or after May 13, 1975.
Call about your North Carolina claim

Questions about your diagnosis, your service record or your deadline go to the claims line: +1 833 853 0496

Cancers that North Carolina covers

CancerCovered in North Carolina?
Colon or rectal cancerYes
Esophagus cancerYes
MesotheliomaYes
Testicular cancerYes
Bladder cancerNot named
Brain cancerNot named
Breast cancerNot named
Kidney cancerNot named
LeukemiaNot named
Liver cancerNot named
Lung cancerNot named
Multiple myelomaNot named
Non-Hodgkin lymphomaNot named
Ovarian, cervical or uterine cancerNot named
Pancreatic cancerNot named
Prostate cancerNot named
Skin cancer, melanoma includedNot named
Stomach cancerNot named
Throat or mouth cancerNot named
Thyroid cancerNot named

A cancer listed as "Not named" can still be part of a workers' comp claim. A doctor must connect it to your work.

In North Carolina, how do you go about filing a firefighter cancer claim?

  1. Find out from your department, or from the board that runs its pension or benefits, how to apply for a line-of-duty death benefit. Give the law's name (N.C. Gen. Stat. § 143-166.2(6)e). That board is the office that decides retirement and disability pay for your department.
  2. You can also file a workers' comp claim, which is a second claim with the North Carolina Industrial Commission. North Carolina's cancer law does not help with that one, so your doctor has to say in writing that your work caused the cancer.
  3. Pull together the diagnosis, the dates you were hired and served, any results from physical exams, and your records of fires and exposures.
  4. Try to start soon, because time limits apply. Ask your department or the board how long you have to apply. A workers' comp claim has its own deadlines.

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