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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).


OAK RIDGE THERMAL DIFFUSION PLANT (S-50) - TENNESSEE
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 166 94*
Covered Applications Filed 139 87
     
Total Compensation Paid

Payments

66 49

Total Dollars

$6,760,000
Total Medical Bills Paid

Total Dollars

$345,423
Total Compensation + Medical Bills Paid $7,105,423

*A total of 49 unique individual workers are represented by the 94 cases reported.


Part B

  CLAIMS CASES
Applications Filed 85 48
Non Covered Applications        (show details) 2 1
Non Covered Employment 0 0
Condition Not Covered 2 1
 
Covered Applications Filed 83 47
     
  Recommended Decisions*1    
Approved 44 28
Denied 30 18

Total

74 46
  Final Decisions*1    
Approved 43 28
(show details)      Denied 27 17
  Survivor Not Eligible 2 1
  Cancer Not Work Related *2 15 13
  Medical Info Insufficient to Support Claim 10 3
     

Total

70 45
     
  Compensation Paid    

Payments  

41 27

Total Dollars

$4,050,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 81 46
Non Covered Applications        (show details) 25 6
Non Covered Employment 1 1
Survivor Not Covered *5 24 5
 
Covered Applications Filed 56 40
     
  Recommended Decisions*3    
Approved 32 26
Denied 15 12

Total

47 38
  Final Decisions*3    
Approved 32 27
(show details)      Denied 11 10
  Cancer Not Work Related*4 1 1
  Medical Info Insufficient to Support Claim 10 9
     

Total

43 37
     
  Compensation Paid    

Payments

25 22

Total Dollars

$2,710,000

*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) 35
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 28
            Without Dose Reconstruction (DR) *6 7
   

Total

35
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 0
            Reworks or Returns to NIOSH 0
   

Total

0
 
*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
    7
    Cases Paid 7
    Individuals (Claimants) Paid 7
    Amount Paid $1,050,000
 
  Final Decision to Deny and POC Less Than 50% 13
   

Total

20


 

 

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