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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).


LINDE CERAMICS PLANT - NEW YORK
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 1,078 647*
Covered Applications Filed 885 528
     
Total Compensation Paid

Payments

476 323

Total Dollars

$45,868,282
Total Medical Bills Paid

Total Dollars

$1,386,274
Total Compensation + Medical Bills Paid $47,254,556

*A total of 444 unique individual workers are represented by the 647 cases reported.


Part B

  CLAIMS CASES
Applications Filed 734 433
Non Covered Applications        (show details) 96 68
Non Covered Employment 27 15
Condition Not Covered 69 53
 
Covered Applications Filed 638 365
     
  Recommended Decisions*1    
Approved 422 255
Denied 147 97

Total

569 352
  Final Decisions*1    
Approved 406 253
(show details)      Denied 142 93
  Survivor Not Eligible 24 5
  Cancer Not Work Related *2 97 70
  Medical Info Insufficient to Support Claim 21 18
     

Total

548 346
     
  Compensation Paid    

Payments  

400 250

Total Dollars

$37,406,250

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 344 214
Non Covered Applications        (show details) 97 51
Non Covered Employment 31 29
Survivor Not Covered *5 66 22
 
Covered Applications Filed 247 163
     
  Recommended Decisions*3    
Approved 124 103
Denied 57 45

Total

181 148
  Final Decisions*3    
Approved 119 101
(show details)      Denied 44 41
  Cancer Not Work Related*4 15 14
  Medical Info Insufficient to Support Claim 29 27
     

Total

163 142
     
  Compensation Paid    

Payments

76 73

Total Dollars

$8,462,032

*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) 292
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 175
            Without Dose Reconstruction (DR) *6 105
   

Total

280
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 7
            Reworks or Returns to NIOSH 5
   

Total

12
 
*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
    91
    Cases Paid 90
    Individuals (Claimants) Paid 134
    Amount Paid $13,500,000
 
  Final Decision to Deny and POC Less Than 50% 66
   

Total

157


 

 

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