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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).


ILLINOIS
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 5,941 4,427*
Covered Applications Filed 4,147 3,063
     
Total Compensation Paid

Payments

1,596 1,242

Total Dollars

$148,815,205
Total Medical Bills Paid

Total Dollars

$9,257,488
Total Compensation + Medical Bills Paid $158,072,693

*A total of 2,998 unique individual workers are represented by the 4,427 cases reported.


Part B

  CLAIMS CASES
Applications Filed 3,853 2,841
Non Covered Applications        (show details) 1,009 834
Non Covered Employment 307 243
Condition Not Covered 702 591
 
Covered Applications Filed 2,844 2,007
     
  Recommended Decisions*1    
Approved 1,346 982
Denied 1,173 870

Total

2,519 1,852
  Final Decisions*1    
Approved 1,320 970
(show details)      Denied 1,141 849
  Survivor Not Eligible 146 72
  Cancer Not Work Related *2 744 576
  Medical Info Insufficient to Support Claim 251 201
     

Total

2,461 1,819
     
  Compensation Paid    

Payments  

1,281 939

Total Dollars

$112,871,454

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 2,088 1,586
Non Covered Applications        (show details) 785 530
Non Covered Employment 270 227
Survivor Not Covered *5 515 303
 
Covered Applications Filed 1,303 1,056
     
  Recommended Decisions*3    
Approved 561 475
Denied 471 417

Total

1,032 892
  Final Decisions*3    
Approved 552 469
(show details)      Denied 450 402
  Cancer Not Work Related*4 168 148
  Medical Info Insufficient to Support Claim 282 254
     

Total

1,002 871
     
  Compensation Paid    

Payments

315 303

Total Dollars

$35,943,751

*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) 1,369
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 1,046
            Without Dose Reconstruction (DR) *6 270
   

Total

1,316
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 35
            Reworks or Returns to NIOSH 18
   

Total

53
 
*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
    320
    Cases Paid 320
    Individuals (Claimants) Paid 585
    Amount Paid $47,887,500
 
  Final Decision to Deny and POC Less Than 50% 606
   

Total

926


 

 

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