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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).


RHODE ISLAND
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 159 136*
Covered Applications Filed 147 126
     
Total Compensation Paid

Payments

66 58

Total Dollars

$6,530,720
Total Medical Bills Paid

Total Dollars

$334,753
Total Compensation + Medical Bills Paid $6,865,473

*A total of 126 unique individual workers are represented by the 136 cases reported.


Part B

  CLAIMS CASES
Applications Filed 144 124
Non Covered Applications        (show details) 8 7
Non Covered Employment 4 4
Condition Not Covered 4 3
 
Covered Applications Filed 136 117
     
  Recommended Decisions*1    
Approved 68 59
Denied 45 40

Total

113 99
  Final Decisions*1    
Approved 67 58
(show details)      Denied 42 37
  Survivor Not Eligible 0 0
  Cancer Not Work Related *2 34 29
  Medical Info Insufficient to Support Claim 8 8
     

Total

109 95
     
  Compensation Paid    

Payments  

65 57

Total Dollars

$6,480,720

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 15 12
Non Covered Applications        (show details) 4 3
Non Covered Employment 3 2
Survivor Not Covered *5 1 1
 
Covered Applications Filed 11 9
     
  Recommended Decisions*3    
Approved 2 2
Denied 4 4

Total

6 6
  Final Decisions*3    
Approved 2 2
(show details)      Denied 4 4
  Cancer Not Work Related*4 1 1
  Medical Info Insufficient to Support Claim 3 3
     

Total

6 6
     
  Compensation Paid    

Payments

1 1

Total Dollars

$50,000

*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) 46
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 42
            Without Dose Reconstruction (DR) *6 2
   

Total

44
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 2
            Reworks or Returns to NIOSH 0
   

Total

2
 
*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
    10
    Cases Paid 10
    Individuals (Claimants) Paid 15
    Amount Paid $1,500,000
 
  Final Decision to Deny and POC Less Than 50% 29
   

Total

39


 

 

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