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Office of Workers' Compensation Programs (OWCP)

EEOICP Program Statistics

Last year, the DEEOIC deployed a new case management system for use by our claims staff. The new system is constructed differently than the previous system, and we determined that it was appropriate to re-examine our statistics and how they are displayed on the web site. For the past several months, we have been working on reconstructing the site and the statistics. Therefore, viewers may notice some differences in the web statistics.

The separate category for the non-covered applications has been removed and those counts are now included in the Final Decision counts. Although the number of posted denials appears to increase, there is not an increase in total numbers. Denials are being shown under a single category instead of being split into two separate counts.

In the past, on our state-by-state pages, medical bill payments were attributed to each state in which any claimant (including multiple survivors) on the case resided, resulting in an overstatement of the amount of medical bill payments in a given state. Medical bill payments are now being attributed to the state in which the employee resides. Although the National page total was not affected by this change, the current state medical totals will show a reduction from previously-reported amounts.

A list of definitions for the terms used on the EEOICP Program Statistics web pages is available here.


CALIFORNIA
Data as of
Statistical data updated weekly on Mondays

Combined Part B and E Summary
  CLAIMS CASES
Applications Filed 14,267 11,385 *
Total Compensation Paid - Payments 5,919 5,055
Combined Part B and E Dollar Amounts
Total Dollars $605,490,882
Total Medical Bills Paid - Total Dollars $166,988,945
Total Compensation + Medical Bills Paid $772,479,827

* The above numbers of applications filed represent 6,668 unique individual workers.


Part B
  CLAIMS CASES
Applications Filed 7,794 6,074
Final Decisions - Approved 4,289 3,443
Final Decisions - Denied 2,889 2,175
Final Decisions - Total 7,178 5,618
Compensation Paid - Payments 3,994 3,270
Part B Compensation Paid
Compensation Paid - Total Dollars $379,867,513

Part E
  CLAIMS CASES
Applications Filed 6,473 5,311
Final Decisions - Approved 2,854 2,504
Final Decisions - Denied 2,914 2,208
Final Decisions - Total 5,768 4,712
Compensation Paid - Payments 1,925 1,785
Part E Compensation Paid
Compensation Paid - Total Dollars $225,623,369

Part B Cancer Cases - NIOSH Statistics
  CASES
Part B - Status and Location of NIOSH Referrals
Cases Referred to NIOSH for Dose Reconstruction (DR) 3,055
Cases Returned by NIOSH - With Dose Reconstruction (DR) 2,356
Cases Returned by NIOSH - Without Dose Reconstruction (DR) *1 644
Cases Returned by NIOSH - Total 3,000
Cases Currently at NIOSH 55
Part B - Cases with Dose Reconstruction (DR) and Final Decision
Final Decision to Accept and Probability of Causation (POC) 50% or Greater 519
Final Decision to Accept and Probability of Causation (POC) 50% or Greater - Cases Paid 518
Final Decision to Accept and Probability of Causation (POC) 50% or Greater - Individual Claims Paid 940
Final Decision to Accept and Probability of Causation (POC) 50% or Greater - Amount Paid $77,281,071
Final Decision to Deny and POC Less Than 50% 1,142
Final Decision - Total 1,661

*1 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.