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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).


NEW JERSEY
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 659 532*
Covered Applications Filed 467 382
     
Total Compensation Paid

Payments

133 118

Total Dollars

$10,402,500
Total Medical Bills Paid

Total Dollars

$1,517,866
Total Compensation + Medical Bills Paid $11,920,366

*A total of 339 unique individual workers are represented by the 532 cases reported.


Part B

  CLAIMS CASES
Applications Filed 399 323
Non Covered Applications        (show details) 61 53
Non Covered Employment 25 22
Condition Not Covered 36 31
 
Covered Applications Filed 338 270
     
  Recommended Decisions*1    
Approved 134 113
Denied 151 120

Total

285 233
  Final Decisions*1    
Approved 126 110
(show details)      Denied 135 110
  Survivor Not Eligible 17 10
  Cancer Not Work Related *2 91 77
  Medical Info Insufficient to Support Claim 27 23
     

Total

261 220
     
  Compensation Paid    

Payments  

117 102

Total Dollars

$8,707,500

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 260 209
Non Covered Applications        (show details) 131 97
Non Covered Employment 69 61
Survivor Not Covered *5 62 36
 
Covered Applications Filed 129 112
     
  Recommended Decisions*3    
Approved 43 39
Denied 30 30

Total

73 69
  Final Decisions*3    
Approved 41 37
(show details)      Denied 28 28
  Cancer Not Work Related*4 11 11
  Medical Info Insufficient to Support Claim 17 17
     

Total

69 65
     
  Compensation Paid    

Payments

16 16

Total Dollars

$1,695,000

*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) 157
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 126
            Without Dose Reconstruction (DR) *6 22
   

Total

148
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 6
            Reworks or Returns to NIOSH 3
   

Total

9
 
*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
    26
    Cases Paid 26
    Individuals (Claimants) Paid 64
    Amount Paid $3,900,000
 
  Final Decision to Deny and POC Less Than 50% 80
   

Total

106


 

 

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