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Office of Workers' Compensation Programs

Office of Workers' Compensation Programs (OWCP)

EEOICP Program Statistics

Highlights

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).


AMES LABORATORY - IOWA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 879 679*
Covered Applications Filed 768 637
     
Total Compensation Paid

Payments

341 273

Total Dollars

$37,312,500
Total Medical Bills Paid

Total Dollars

$1,639,265
Total Compensation + Medical Bills Paid $38,951,765

*A total of 368 unique individual workers are represented by the 679 cases reported.


Part B

  CLAIMS CASES
Applications Filed 445 332
Non Covered Applications        (show details) 16 9
Non Covered Employment 7 3
Condition Not Covered 9 6
 
Covered Applications Filed 429 323
     
  Recommended Decisions*1    
Approved 258 192
Denied 121 99

Total

379 291
  Final Decisions*1    
Approved 247 185
(show details)      Denied 116 93
  Survivor Not Eligible 5 0
  Cancer Not Work Related *2 83 74
  Medical Info Insufficient to Support Claim 28 19
     

Total

363 278
     
  Compensation Paid    

Payments  

221 160

Total Dollars

$23,950,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 434 347
Non Covered Applications        (show details) 95 33
Non Covered Employment 3 3
Survivor Not Covered *5 92 30
 
Covered Applications Filed 339 314
     
  Recommended Decisions*3    
Approved 204 190
Denied 96 95

Total

300 285
  Final Decisions*3    
Approved 195 184
(show details)      Denied 93 89
  Cancer Not Work Related*4 44 44
  Medical Info Insufficient to Support Claim 49 45
     

Total

288 273
     
  Compensation Paid    

Payments

120 113

Total Dollars

$13,362,500

*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) 193
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 134
            Without Dose Reconstruction (DR) *6 38
   

Total

172
     
    Cases that are Currently at NIOSH
            Initial Referral to NIOSH 17
            Reworks or Returns to NIOSH 4
   

Total

21
 
*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.
       
Part B - Cases with Dose Reconstruction (DR) and Final Decision
       
  Final Decision to Accept and Probability of Causation (POC) 50% or Greater
    33
    Cases Paid 33
    Individuals (Claimants) Paid 41
    Amount Paid $4,950,000
 
  Final Decision to Deny and POC Less Than 50% 59
   

Total

92