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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).


CANOGA AVENUE FACILITY/VANOWEN BUILDING - CALIFORNIA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 1,098 799*
Covered Applications Filed 906 660
     
Total Compensation Paid

Payments

375 306

Total Dollars

$41,715,500
Total Medical Bills Paid

Total Dollars

$1,126,572
Total Compensation + Medical Bills Paid $42,842,072

*A total of 438 unique individual workers are represented by the 799 cases reported.


Part B

  CLAIMS CASES
Applications Filed 547 389
Non Covered Applications        (show details) 64 57
Non Covered Employment 47 45
Condition Not Covered 17 12
 
Covered Applications Filed 483 332
     
  Recommended Decisions*1    
Approved 254 185
Denied 172 126

Total

426 311
  Final Decisions*1    
Approved 257 188
(show details)      Denied 159 118
  Survivor Not Eligible 33 9
  Cancer Not Work Related *2 100 85
  Medical Info Insufficient to Support Claim 26 24
     

Total

416 306
     
  Compensation Paid    

Payments  

247 182

Total Dollars

$27,225,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 551 410
Non Covered Applications        (show details) 128 82
Non Covered Employment 50 50
Survivor Not Covered *5 78 32
 
Covered Applications Filed 423 328
     
  Recommended Decisions*3    
Approved 188 172
Denied 138 130

Total

326 302
  Final Decisions*3    
Approved 189 173
(show details)      Denied 131 124
  Cancer Not Work Related*4 33 32
  Medical Info Insufficient to Support Claim 98 92
     

Total

320 297
     
  Compensation Paid    

Payments

128 124

Total Dollars

$14,490,500

*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) 272
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 200
            Without Dose Reconstruction (DR) *6 58
   

Total

258
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 10
            Reworks or Returns to NIOSH 4
   

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
    24
    Cases Paid 24
    Individuals (Claimants) Paid 29
    Amount Paid $3,600,000
 
  Final Decision to Deny and POC Less Than 50% 86
   

Total

110


 

 

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