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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).


DELAWARE
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 201 173*
Covered Applications Filed 128 107
     
Total Compensation Paid

Payments

48 48

Total Dollars

$5,443,750
Total Medical Bills Paid

Total Dollars

$461,262
Total Compensation + Medical Bills Paid $5,905,012

*A total of 103 unique individual workers are represented by the 173 cases reported.


Part B

  CLAIMS CASES
Applications Filed 115 101
Non Covered Applications        (show details) 37 34
Non Covered Employment 18 16
Condition Not Covered 19 18
 
Covered Applications Filed 78 67
     
  Recommended Decisions*1    
Approved 35 35
Denied 30 27

Total

65 62
  Final Decisions*1    
Approved 34 34
(show details)      Denied 28 25
  Survivor Not Eligible 3 2
  Cancer Not Work Related *2 22 20
  Medical Info Insufficient to Support Claim 3 3
     

Total

62 59
     
  Compensation Paid    

Payments  

33 33

Total Dollars

$3,650,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 86 72
Non Covered Applications        (show details) 36 32
Non Covered Employment 17 17
Survivor Not Covered *5 19 15
 
Covered Applications Filed 50 40
     
  Recommended Decisions*3    
Approved 19 19
Denied 14 14

Total

33 33
  Final Decisions*3    
Approved 19 19
(show details)      Denied 13 13
  Cancer Not Work Related*4 1 1
  Medical Info Insufficient to Support Claim 12 12
     

Total

32 32
     
  Compensation Paid    

Payments

15 15

Total Dollars

$1,793,750

*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) 48
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 43
            Without Dose Reconstruction (DR) *6 3
   

Total

46
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 1
            Reworks or Returns to NIOSH 1
   

Total

2
 
*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
    12
    Cases Paid 12
    Individuals (Claimants) Paid 19
    Amount Paid $1,750,000
 
  Final Decision to Deny and POC Less Than 50% 21
   

Total

33


 

 

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