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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).


LOUISIANA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 606 498*
Covered Applications Filed 462 394
     
Total Compensation Paid

Payments

170 146

Total Dollars

$14,566,278
Total Medical Bills Paid

Total Dollars

$639,041
Total Compensation + Medical Bills Paid $15,205,319

*A total of 288 unique individual workers are represented by the 498 cases reported.


Part B

  CLAIMS CASES
Applications Filed 320 261
Non Covered Applications        (show details) 45 37
Non Covered Employment 15 13
Condition Not Covered 30 24
 
Covered Applications Filed 275 224
     
  Recommended Decisions*1    
Approved 139 116
Denied 104 84

Total

243 200
  Final Decisions*1    
Approved 134 112
(show details)      Denied 101 82
  Survivor Not Eligible 29 14
  Cancer Not Work Related *2 49 48
  Medical Info Insufficient to Support Claim 23 20
     

Total

235 194
     
  Compensation Paid    

Payments  

123 104

Total Dollars

$9,230,417

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 286 237
Non Covered Applications        (show details) 99 67
Non Covered Employment 12 12
Survivor Not Covered *5 87 55
 
Covered Applications Filed 187 170
     
  Recommended Decisions*3    
Approved 84 73
Denied 62 60

Total

146 133
  Final Decisions*3    
Approved 78 68
(show details)      Denied 61 59
  Cancer Not Work Related*4 26 24
  Medical Info Insufficient to Support Claim 35 35
     

Total

139 127
     
  Compensation Paid    

Payments

47 42

Total Dollars

$5,335,861

*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) 122
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 87
            Without Dose Reconstruction (DR) *6 29
   

Total

116
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 3
            Reworks or Returns to NIOSH 3
   

Total

6
 
*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
    23
    Cases Paid 23
    Individuals (Claimants) Paid 58
    Amount Paid $3,375,000
 
  Final Decision to Deny and POC Less Than 50% 53
   

Total

76


 

 

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