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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).


MEDINA MODIFICATION CENTER - TEXAS
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 180 119*
Covered Applications Filed 157 100
     
Total Compensation Paid

Payments

74 53

Total Dollars

$7,440,000
Total Medical Bills Paid

Total Dollars

$86,736
Total Compensation + Medical Bills Paid $7,526,736

*A total of 74 unique individual workers are represented by the 119 cases reported.


Part B

  CLAIMS CASES
Applications Filed 109 72
Non Covered Applications        (show details) 18 15
Non Covered Employment 2 2
Condition Not Covered 16 13
 
Covered Applications Filed 91 57
     
  Recommended Decisions*1    
Approved 53 34
Denied 17 15

Total

70 49
  Final Decisions*1    
Approved 52 33
(show details)      Denied 15 13
  Survivor Not Eligible 0 0
  Cancer Not Work Related *2 13 12
  Medical Info Insufficient to Support Claim 2 1
     

Total

67 46
     
  Compensation Paid    

Payments  

51 33

Total Dollars

$4,920,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 71 47
Non Covered Applications        (show details) 5 4
Non Covered Employment 2 2
Survivor Not Covered *5 3 2
 
Covered Applications Filed 66 43
     
  Recommended Decisions*3    
Approved 41 30
Denied 8 8

Total

49 38
  Final Decisions*3    
Approved 40 29
(show details)      Denied 6 6
  Cancer Not Work Related*4 3 3
  Medical Info Insufficient to Support Claim 3 3
     

Total

46 35
     
  Compensation Paid    

Payments

23 20

Total Dollars

$2,520,000

*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) 49
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 39
            Without Dose Reconstruction (DR) *6 7
   

Total

46
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 1
            Reworks or Returns to NIOSH 2
   

Total

3
 
*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
    16
    Cases Paid 16
    Individuals (Claimants) Paid 18
    Amount Paid $2,400,000
 
  Final Decision to Deny and POC Less Than 50% 11
   

Total

27


 

 

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