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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).


GENERAL ATOMICS - CALIFORNIA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 546 387*
Covered Applications Filed 411 285
     
Total Compensation Paid

Payments

146 117

Total Dollars

$16,393,625
Total Medical Bills Paid

Total Dollars

$896,829
Total Compensation + Medical Bills Paid $17,290,454

*A total of 221 unique individual workers are represented by the 387 cases reported.


Part B

  CLAIMS CASES
Applications Filed 291 205
Non Covered Applications        (show details) 43 37
Non Covered Employment 19 15
Condition Not Covered 24 22
 
Covered Applications Filed 248 168
     
  Recommended Decisions*1    
Approved 114 84
Denied 86 67

Total

200 151
  Final Decisions*1    
Approved 114 84
(show details)      Denied 83 64
  Survivor Not Eligible 15 2
  Cancer Not Work Related *2 55 50
  Medical Info Insufficient to Support Claim 13 12
     

Total

197 148
     
  Compensation Paid    

Payments  

112 84

Total Dollars

$12,510,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 255 182
Non Covered Applications        (show details) 92 65
Non Covered Employment 65 56
Survivor Not Covered *5 27 9
 
Covered Applications Filed 163 117
     
  Recommended Decisions*3    
Approved 66 54
Denied 50 46

Total

116 100
  Final Decisions*3    
Approved 68 55
(show details)      Denied 45 42
  Cancer Not Work Related*4 14 13
  Medical Info Insufficient to Support Claim 31 29
     

Total

113 97
     
  Compensation Paid    

Payments

34 33

Total Dollars

$3,883,625

*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) 144
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 84
            Without Dose Reconstruction (DR) *6 56
   

Total

140
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 3
            Reworks or Returns to NIOSH 1
   

Total

4
 
*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
    19
    Cases Paid 19
    Individuals (Claimants) Paid 24
    Amount Paid $2,760,000
 
  Final Decision to Deny and POC Less Than 50% 52
   

Total

71


 

 

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