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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).


MISSOURI
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 7,326 5,372*
Covered Applications Filed 5,292 3,917
     
Total Compensation Paid

Payments

1,612 1,297

Total Dollars

$154,176,850
Total Medical Bills Paid

Total Dollars

$15,956,367
Total Compensation + Medical Bills Paid $170,133,217

*A total of 3,145 unique individual workers are represented by the 5,372 cases reported.


Part B

  CLAIMS CASES
Applications Filed 3,972 2,885
Non Covered Applications        (show details) 897 720
Non Covered Employment 433 331
Condition Not Covered 464 389
 
Covered Applications Filed 3,075 2,165
     
  Recommended Decisions*1    
Approved 1,281 961
Denied 1,378 1,006

Total

2,659 1,967
  Final Decisions*1    
Approved 1,252 944
(show details)      Denied 1,318 971
  Survivor Not Eligible 238 111
  Cancer Not Work Related *2 747 611
  Medical Info Insufficient to Support Claim 333 249
     

Total

2,570 1,915
     
  Compensation Paid    

Payments  

1,100 817

Total Dollars

$98,159,695

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 3,354 2,487
Non Covered Applications        (show details) 1,137 735
Non Covered Employment 362 319
Survivor Not Covered *5 775 416
 
Covered Applications Filed 2,217 1,752
     
  Recommended Decisions*3    
Approved 879 750
Denied 881 769

Total

1,760 1,519
  Final Decisions*3    
Approved 865 743
(show details)      Denied 824 725
  Cancer Not Work Related*4 263 224
  Medical Info Insufficient to Support Claim 561 501
     

Total

1,689 1,468
     
  Compensation Paid    

Payments

512 480

Total Dollars

$56,017,155

*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) 1,335
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 994
            Without Dose Reconstruction (DR) *6 255
   

Total

1,249
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 55
            Reworks or Returns to NIOSH 31
   

Total

86
 
*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
    244
    Cases Paid 243
    Individuals (Claimants) Paid 408
    Amount Paid $36,350,000
 
  Final Decision to Deny and POC Less Than 50% 653
   

Total

897


 

 

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