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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).


GRAND JUNCTION OPERATIONS CENTER - COLORADO
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 384 242*
Covered Applications Filed 311 206
     
Total Compensation Paid

Payments

124 87

Total Dollars

$11,543,571
Total Medical Bills Paid

Total Dollars

$4,107,976
Total Compensation + Medical Bills Paid $15,651,547

*A total of 130 unique individual workers are represented by the 242 cases reported.


Part B

  CLAIMS CASES
Applications Filed 192 119
Non Covered Applications        (show details) 16 10
Non Covered Employment 6 5
Condition Not Covered 10 5
 
Covered Applications Filed 176 109
     
  Recommended Decisions*1    
Approved 103 64
Denied 44 40

Total

147 104
  Final Decisions*1    
Approved 100 63
(show details)      Denied 41 38
  Survivor Not Eligible 1 0
  Cancer Not Work Related *2 35 33
  Medical Info Insufficient to Support Claim 5 5
     

Total

141 101
     
  Compensation Paid    

Payments  

96 61

Total Dollars

$8,028,571

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 192 123
Non Covered Applications        (show details) 57 26
Non Covered Employment 10 8
Survivor Not Covered *5 47 18
 
Covered Applications Filed 135 97
     
  Recommended Decisions*3    
Approved 63 49
Denied 40 39

Total

103 88
  Final Decisions*3    
Approved 60 48
(show details)      Denied 40 38
  Cancer Not Work Related*4 8 6
  Medical Info Insufficient to Support Claim 32 32
     

Total

100 86
     
  Compensation Paid    

Payments

28 26

Total Dollars

$3,515,000

*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) 81
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 64
            Without Dose Reconstruction (DR) *6 7
   

Total

71
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 3
            Reworks or Returns to NIOSH 7
   

Total

10
 
*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
    20
    Cases Paid 20
    Individuals (Claimants) Paid 34
    Amount Paid $2,878,571
 
  Final Decision to Deny and POC Less Than 50% 32
   

Total

52


 

 

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