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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).


KENTUCKY
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 15,903 11,071*
Covered Applications Filed 11,699 8,346
     
Total Compensation Paid

Payments

4,614 3,732

Total Dollars

$480,469,908
Total Medical Bills Paid

Total Dollars

$89,087,291
Total Compensation + Medical Bills Paid $569,557,199

*A total of 6,152 unique individual workers are represented by the 11,071 cases reported.


Part B

  CLAIMS CASES
Applications Filed 8,106 5,641
Non Covered Applications        (show details) 1,755 1,486
Non Covered Employment 331 242
Condition Not Covered 1,424 1,244
 
Covered Applications Filed 6,351 4,155
     
  Recommended Decisions*1    
Approved 3,223 2,336
Denied 2,425 1,642

Total

5,648 3,978
  Final Decisions*1    
Approved 3,135 2,296
(show details)      Denied 2,390 1,635
  Survivor Not Eligible 404 145
  Cancer Not Work Related *2 1,298 1,004
  Medical Info Insufficient to Support Claim 688 486
     

Total

5,525 3,931
     
  Compensation Paid    

Payments  

2,928 2,176

Total Dollars

$297,013,381

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 7,797 5,430
Non Covered Applications        (show details) 2,449 1,239
Non Covered Employment 327 263
Survivor Not Covered *5 2,122 976
 
Covered Applications Filed 5,348 4,191
     
  Recommended Decisions*3    
Approved 2,409 2,060
Denied 2,095 1,821

Total

4,504 3,881
  Final Decisions*3    
Approved 2,356 2,021
(show details)      Denied 2,025 1,788
  Cancer Not Work Related*4 679 571
  Medical Info Insufficient to Support Claim 1,346 1,217
     

Total

4,381 3,809
     
  Compensation Paid    

Payments

1,686 1,556

Total Dollars

$183,456,527

*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) 2,130
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 1,824
            Without Dose Reconstruction (DR) *6 203
   

Total

2,027
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 47
            Reworks or Returns to NIOSH 56
   

Total

103
 
*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
    466
    Cases Paid 466
    Individuals (Claimants) Paid 635
    Amount Paid $69,950,000
 
  Final Decision to Deny and POC Less Than 50% 1,080
   

Total

1,546


 

 

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