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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).


ARGONNE NATIONAL LABORATORY-EAST - ILLINOIS
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 1,420 992*
Covered Applications Filed 1,205 877
     
Total Compensation Paid

Payments

356 278

Total Dollars

$37,167,159
Total Medical Bills Paid

Total Dollars

$1,338,692
Total Compensation + Medical Bills Paid $38,505,851

*A total of 575 unique individual workers are represented by the 992 cases reported.


Part B

  CLAIMS CASES
Applications Filed 730 494
Non Covered Applications        (show details) 57 51
Non Covered Employment 16 14
Condition Not Covered 41 37
 
Covered Applications Filed 673 443
     
  Recommended Decisions*1    
Approved 251 180
Denied 332 227

Total

583 407
  Final Decisions*1    
Approved 249 178
(show details)      Denied 318 222
  Survivor Not Eligible 26 7
  Cancer Not Work Related *2 249 182
  Medical Info Insufficient to Support Claim 43 33
     

Total

567 400
     
  Compensation Paid    

Payments  

228 157

Total Dollars

$23,437,500

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 690 498
Non Covered Applications        (show details) 158 64
Non Covered Employment 16 14
Survivor Not Covered *5 142 50
 
Covered Applications Filed 532 434
     
  Recommended Decisions*3    
Approved 194 183
Denied 220 207

Total

414 390
  Final Decisions*3    
Approved 188 177
(show details)      Denied 210 202
  Cancer Not Work Related*4 71 68
  Medical Info Insufficient to Support Claim 139 134
     

Total

398 379
     
  Compensation Paid    

Payments

128 121

Total Dollars

$13,729,659

*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) 363
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 301
            Without Dose Reconstruction (DR) *6 36
   

Total

337
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 19
            Reworks or Returns to NIOSH 7
   

Total

26
 
*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
    95
    Cases Paid 95
    Individuals (Claimants) Paid 135
    Amount Paid $14,250,000
 
  Final Decision to Deny and POC Less Than 50% 186
   

Total

281


 

 

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