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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-WEST - IDAHO
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 1,329 898*
Covered Applications Filed 1,161 823
     
Total Compensation Paid

Payments

230 199

Total Dollars

$25,678,588
Total Medical Bills Paid

Total Dollars

$3,337,721
Total Compensation + Medical Bills Paid $29,016,309

*A total of 485 unique individual workers are represented by the 898 cases reported.


Part B

  CLAIMS CASES
Applications Filed 643 426
Non Covered Applications        (show details) 60 46
Non Covered Employment 5 2
Condition Not Covered 55 44
 
Covered Applications Filed 583 380
     
  Recommended Decisions*1    
Approved 135 105
Denied 352 244

Total

487 349
  Final Decisions*1    
Approved 123 98
(show details)      Denied 347 244
  Survivor Not Eligible 49 11
  Cancer Not Work Related *2 256 193
  Medical Info Insufficient to Support Claim 42 40
     

Total

470 342
     
  Compensation Paid    

Payments  

100 80

Total Dollars

$11,925,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 686 472
Non Covered Applications        (show details) 108 29
Non Covered Employment 3 3
Survivor Not Covered *5 105 26
 
Covered Applications Filed 578 443
     
  Recommended Decisions*3    
Approved 199 173
Denied 254 231

Total

453 404
  Final Decisions*3    
Approved 190 168
(show details)      Denied 249 226
  Cancer Not Work Related*4 57 51
  Medical Info Insufficient to Support Claim 192 175
     

Total

439 394
     
  Compensation Paid    

Payments

130 119

Total Dollars

$13,753,588

*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) 322
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 281
            Without Dose Reconstruction (DR) *6 18
   

Total

299
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 19
            Reworks or Returns to NIOSH 4
   

Total

23
 
*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
    61
    Cases Paid 61
    Individuals (Claimants) Paid 71
    Amount Paid $9,075,000
 
  Final Decision to Deny and POC Less Than 50% 204
   

Total

265


 

 

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