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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).


COLORADO
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 13,891 10,189*
Covered Applications Filed 11,691 8,701
     
Total Compensation Paid

Payments

6,253 5,031

Total Dollars

$460,449,287
Total Medical Bills Paid

Total Dollars

$202,344,575
Total Compensation + Medical Bills Paid $662,793,862

*A total of 5,518 unique individual workers are represented by the 10,189 cases reported.


Part B

  CLAIMS CASES
Applications Filed 7,311 5,251
Non Covered Applications        (show details) 754 679
Non Covered Employment 247 229
Condition Not Covered 507 450
 
Covered Applications Filed 6,557 4,572
     
  Recommended Decisions*1    
Approved 4,443 3,287
Denied 1,298 1,016

Total

5,741 4,303
  Final Decisions*1    
Approved 4,412 3,267
(show details)      Denied 1,242 988
  Survivor Not Eligible 233 98
  Cancer Not Work Related *2 730 632
  Medical Info Insufficient to Support Claim 279 258
     

Total

5,654 4,255
     
  Compensation Paid    

Payments  

4,162 3,066

Total Dollars

$227,374,319

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 6,580 4,938
Non Covered Applications        (show details) 1,446 809
Non Covered Employment 188 175
Survivor Not Covered *5 1,258 634
 
Covered Applications Filed 5,134 4,129
     
  Recommended Decisions*3    
Approved 3,008 2,637
Denied 1,227 1,109

Total

4,235 3,746
  Final Decisions*3    
Approved 2,954 2,592
(show details)      Denied 1,167 1,076
  Cancer Not Work Related*4 381 352
  Medical Info Insufficient to Support Claim 786 724
     

Total

4,121 3,668
     
  Compensation Paid    

Payments

2,091 1,965

Total Dollars

$233,074,968

*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) 1,638
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 1,381
            Without Dose Reconstruction (DR) *6 164
   

Total

1,545
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 44
            Reworks or Returns to NIOSH 49
   

Total

93
 
*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
    470
    Cases Paid 468
    Individuals (Claimants) Paid 684
    Amount Paid $67,603,571
 
  Final Decision to Deny and POC Less Than 50% 667
   

Total

1,137


 

 

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