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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).


FLORIDA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 6,709 5,669*
Covered Applications Filed 5,402 4,656
     
Total Compensation Paid

Payments

1,934 1,744

Total Dollars

$183,591,890
Total Medical Bills Paid

Total Dollars

$18,304,627
Total Compensation + Medical Bills Paid $201,896,517

*A total of 3,460 unique individual workers are represented by the 5,669 cases reported.


Part B

  CLAIMS CASES
Applications Filed 3,805 3,212
Non Covered Applications        (show details) 535 475
Non Covered Employment 168 158
Condition Not Covered 367 317
 
Covered Applications Filed 3,270 2,737
     
  Recommended Decisions*1    
Approved 1,562 1,369
Denied 1,364 1,141

Total

2,926 2,510
  Final Decisions*1    
Approved 1,519 1,334
(show details)      Denied 1,328 1,115
  Survivor Not Eligible 178 86
  Cancer Not Work Related *2 778 692
  Medical Info Insufficient to Support Claim 372 337
     

Total

2,847 2,449
     
  Compensation Paid    

Payments  

1,425 1,250

Total Dollars

$128,447,685

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 2,904 2,457
Non Covered Applications        (show details) 772 538
Non Covered Employment 132 126
Survivor Not Covered *5 640 412
 
Covered Applications Filed 2,132 1,919
     
  Recommended Decisions*3    
Approved 882 815
Denied 865 818

Total

1,747 1,633
  Final Decisions*3    
Approved 864 799
(show details)      Denied 834 794
  Cancer Not Work Related*4 257 244
  Medical Info Insufficient to Support Claim 577 550
     

Total

1,698 1,593
     
  Compensation Paid    

Payments

509 494

Total Dollars

$55,144,205

*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) 1,639
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 1,350
            Without Dose Reconstruction (DR) *6 225
   

Total

1,575
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 45
            Reworks or Returns to NIOSH 19
   

Total

64
 
*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
    390
    Cases Paid 389
    Individuals (Claimants) Paid 811
    Amount Paid $58,260,000
 
  Final Decision to Deny and POC Less Than 50% 751
   

Total

1,141


 

 

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