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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).


MICHIGAN
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 1,192 889*
Covered Applications Filed 895 670
     
Total Compensation Paid

Payments

324 257

Total Dollars

$25,527,773
Total Medical Bills Paid

Total Dollars

$2,800,084
Total Compensation + Medical Bills Paid $28,327,857

*A total of 566 unique individual workers are represented by the 889 cases reported.


Part B

  CLAIMS CASES
Applications Filed 714 531
Non Covered Applications        (show details) 122 104
Non Covered Employment 57 49
Condition Not Covered 65 55
 
Covered Applications Filed 592 427
     
  Recommended Decisions*1    
Approved 277 209
Denied 264 178

Total

541 387
  Final Decisions*1    
Approved 273 207
(show details)      Denied 242 168
  Survivor Not Eligible 58 31
  Cancer Not Work Related *2 143 99
  Medical Info Insufficient to Support Claim 41 38
     

Total

515 375
     
  Compensation Paid    

Payments  

262 200

Total Dollars

$19,137,565

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 478 358
Non Covered Applications        (show details) 175 115
Non Covered Employment 22 22
Survivor Not Covered *5 153 93
 
Covered Applications Filed 303 243
     
  Recommended Decisions*3    
Approved 140 112
Denied 98 78

Total

238 190
  Final Decisions*3    
Approved 144 112
(show details)      Denied 91 77
  Cancer Not Work Related*4 31 27
  Medical Info Insufficient to Support Claim 60 50
     

Total

235 189
     
  Compensation Paid    

Payments

62 57

Total Dollars

$6,390,208

*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) 257
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 207
            Without Dose Reconstruction (DR) *6 36
   

Total

243
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 8
            Reworks or Returns to NIOSH 6
   

Total

14
 
*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
    66
    Cases Paid 66
    Individuals (Claimants) Paid 168
    Amount Paid $9,878,571
 
  Final Decision to Deny and POC Less Than 50% 113
   

Total

179


 

 

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