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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).


OKLAHOMA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 1,038 808*
Covered Applications Filed 793 627
     
Total Compensation Paid

Payments

360 300

Total Dollars

$26,240,474
Total Medical Bills Paid

Total Dollars

$7,175,435
Total Compensation + Medical Bills Paid $33,415,909

*A total of 473 unique individual workers are represented by the 808 cases reported.


Part B

  CLAIMS CASES
Applications Filed 569 443
Non Covered Applications        (show details) 89 77
Non Covered Employment 53 48
Condition Not Covered 36 29
 
Covered Applications Filed 480 366
     
  Recommended Decisions*1    
Approved 280 219
Denied 133 94

Total

413 313
  Final Decisions*1    
Approved 278 217
(show details)      Denied 124 92
  Survivor Not Eligible 41 19
  Cancer Not Work Related *2 63 54
  Medical Info Insufficient to Support Claim 20 19
     

Total

402 309
     
  Compensation Paid    

Payments  

265 211

Total Dollars

$15,791,307

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 469 365
Non Covered Applications        (show details) 156 104
Non Covered Employment 46 44
Survivor Not Covered *5 110 60
 
Covered Applications Filed 313 261
     
  Recommended Decisions*3    
Approved 159 134
Denied 88 75

Total

247 209
  Final Decisions*3    
Approved 157 132
(show details)      Denied 80 69
  Cancer Not Work Related*4 28 21
  Medical Info Insufficient to Support Claim 52 48
     

Total

237 201
     
  Compensation Paid    

Payments

95 89

Total Dollars

$10,449,167

*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) 182
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 130
            Without Dose Reconstruction (DR) *6 41
   

Total

171
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 9
            Reworks or Returns to NIOSH 2
   

Total

11
 
*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
    30
    Cases Paid 30
    Individuals (Claimants) Paid 61
    Amount Paid $4,500,000
 
  Final Decision to Deny and POC Less Than 50% 61
   

Total

91


 

 

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