Office of Workers' Compensation Programs (OWCP)
EEOICP Program Statistics
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In May 2009 we introduced new Part B statistics for cases sent to NIOSH and cases approved based on Special Exposure Cohort (SEC) status.
Note below that claim numbers represent each employee or survivor who filed for benefits. Case numbers represent employees (living or deceased) whose employment and illness are the basis for the claim.
Note also that we differentiate applications as either covered or non-covered. Non-covered applications are those for which the medical condition claimed is not one of the covered occupational illnesses (applies only to Part B applications); or the employee's covered employment has not been established (Parts B and E); or a survivor did not meet eligibility requirements (Part E).
| ALBUQUERQUE OPERATIONS OFFICE - NEW MEXICO |
| Data as of |
|
Statistical data updated weekly on Mondays |
| Combined Part B and E Summary | ||||
|---|---|---|---|---|
| CLAIMS | CASES | |||
| Applications Filed | 249 | 165* | ||
| Covered Applications Filed | 213 | 146 | ||
| Total Compensation Paid | Payments |
74 | 53 | |
|
Total Dollars |
$7,837,500 | |||
| Total Medical Bills Paid | Total Dollars |
$902,454 | ||
| Total Compensation + Medical Bills Paid | $8,739,954 | |||
*A total of 98 unique individual workers are represented by the 165 cases reported.
Part B
| CLAIMS | CASES | ||
| Applications Filed | 146 | 95 | |
| Non Covered Applications (show details) | 6 | 4 |
|
| Covered Applications Filed | 140 | 91 | |
| Recommended Decisions*1 | |||
| Approved | 75 | 46 | |
| Denied | 43 | 33 | |
|
Total |
118 | 79 | |
| Final Decisions*1 | |||
| Approved | 66 | 43 | |
| (show details) Denied | 46 | 32 |
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|
Total |
112 | 75 | |
| Compensation Paid | |||
|
Payments |
60 | 40 | |
|
Total Dollars |
$6,000,000 | ||
*1 With regard to covered applications only
| *2 Probability of Causation is less than 50 percent |
Part E
| CLAIMS | CASES | ||||||||||||||
| Applications Filed | 103 | 70 | |||||||||||||
| Non Covered Applications (show details) | 30 | 15 | |||||||||||||
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Covered Applications Filed | 73 | 55 | ||||||||||||
| Recommended Decisions*3 | |||||||||||||||
| Approved | 31 | 25 | |||||||||||||
| Denied | 27 | 22 | |||||||||||||
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Total |
58 | 47 | |||||||||||||
| Final Decisions*3 | |||||||||||||||
| Approved | 29 | 23 | |||||||||||||
| (show details) Denied | 25 | 22 | |||||||||||||
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Total |
54 | 45 | |||||||||||||
| Compensation Paid | |||||||||||||||
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Payments |
14 | 13 | |||||||||||||
|
Total Dollars |
$1,837,500 | ||||||||||||||
*3 With regard to covered applications only
| *4 Probability of Causation is less than 50 percent |
| *5 Per EEOICPA amendments of 2004, adult children are not covered under Part E. |
Part B Cases - NIOSH Statistics
| Part B - Status and Location of NIOSH Referrals | ||||
| Cases Referred to NIOSH for Dose Reconstruction (DR) | 76 | |||
| Cases Returned by NIOSH | ||||
| With Dose Reconstruction (DR) | 49 | |||
| Without Dose Reconstruction (DR) *6 | 13 | |||
Total |
62 | |||
| Cases that are Currently at NIOSH *7 | ||||
| Initial Referral to NIOSH | 12 | |||
| Reworks or Returns to NIOSH | 2 | |||
Total |
14 | |||
| *6 Most cases without a DR are cases withdrawn from NIOSH for DOL review and approval based on a new SEC designation. Other reasons for withdrawal include administrative closure, death of claimant. | ||||
| *7 A recent update to our claims processing application has shifted the manner in which NIOSH reworks and returns are calculated. The Cases that are currently at NIOSH counts have decreased, and the Cases Returned by NIOSH have increased from previous reports. | ||||
| Part B - Cases with Dose Reconstruction (DR) and Final Decision | ||||
| Final Decision to Accept and Probability of Causation (POC) 50% or Greater | ||||
| 8 | ||||
| Cases Paid | 8 | |||
| Individuals (Claimants) Paid | 11 | |||
| Amount Paid | $1,200,000 | |||
| Final Decision to Deny and POC Less Than 50% | 28 | |||
Total |
36 | |||
