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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).


NEVADA SITE OFFICE - NEVADA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 404 316*
Covered Applications Filed 369 295
     
Total Compensation Paid

Payments

111 99

Total Dollars

$13,285,000
Total Medical Bills Paid

Total Dollars

$3,539,853
Total Compensation + Medical Bills Paid $16,824,853

*A total of 179 unique individual workers are represented by the 316 cases reported.


Part B

  CLAIMS CASES
Applications Filed 195 146
Non Covered Applications        (show details) 14 11
Non Covered Employment 7 4
Condition Not Covered 7 7
 
Covered Applications Filed 181 135
     
  Recommended Decisions*1    
Approved 84 71
Denied 67 51

Total

151 122
  Final Decisions*1    
Approved 83 69
(show details)      Denied 63 50
  Survivor Not Eligible 4 1
  Cancer Not Work Related *2 48 40
  Medical Info Insufficient to Support Claim 11 9
     

Total

146 119
     
  Compensation Paid    

Payments  

71 62

Total Dollars

$9,300,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 209 170
Non Covered Applications        (show details) 21 10
Non Covered Employment 11 7
Survivor Not Covered *5 10 3
 
Covered Applications Filed 188 160
     
  Recommended Decisions*3    
Approved 74 69
Denied 80 74

Total

154 143
  Final Decisions*3    
Approved 73 67
(show details)      Denied 77 72
  Cancer Not Work Related*4 17 14
  Medical Info Insufficient to Support Claim 60 58
     

Total

150 139
     
  Compensation Paid    

Payments

40 37

Total Dollars

$3,985,000

*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) 85
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 68
            Without Dose Reconstruction (DR) *6 12
   

Total

80
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 3
            Reworks or Returns to NIOSH 2
   

Total

5
 
*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
    8
    Cases Paid 8
    Individuals (Claimants) Paid 11
    Amount Paid $1,200,000
 
  Final Decision to Deny and POC Less Than 50% 43
   

Total

51


 

 

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