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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).


ROCKY FLATS PLANT - COLORADO
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 8,412 6,409*
Covered Applications Filed 7,005 5,440
     
Total Compensation Paid

Payments

2,252 1,929

Total Dollars

$252,315,086
Total Medical Bills Paid

Total Dollars

$36,431,383
Total Compensation + Medical Bills Paid $288,746,469

*A total of 3,417 unique individual workers are represented by the 6,409 cases reported.


Part B

  CLAIMS CASES
Applications Filed 4,165 3,142
Non Covered Applications        (show details) 647 577
Non Covered Employment 32 26
Condition Not Covered 615 551
 
Covered Applications Filed 3,518 2,565
     
  Recommended Decisions*1    
Approved 1,626 1,297
Denied 1,420 1,127

Total

3,046 2,424
  Final Decisions*1    
Approved 1,598 1,278
(show details)      Denied 1,379 1,106
  Survivor Not Eligible 154 43
  Cancer Not Work Related *2 924 790
  Medical Info Insufficient to Support Claim 301 273
     

Total

2,977 2,384
     
  Compensation Paid    

Payments  

1,306 1,018

Total Dollars

$152,088,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 4,247 3,267
Non Covered Applications        (show details) 760 392
Non Covered Employment 52 42
Survivor Not Covered *5 708 350
 
Covered Applications Filed 3,487 2,875
     
  Recommended Decisions*3    
Approved 1,624 1,476
Denied 1,309 1,216

Total

2,933 2,692
  Final Decisions*3    
Approved 1,587 1,442
(show details)      Denied 1,255 1,181
  Cancer Not Work Related*4 405 382
  Medical Info Insufficient to Support Claim 850 799
     

Total

2,842 2,623
     
  Compensation Paid    

Payments

946 911

Total Dollars

$100,227,086

*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) 1,761
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 1,530
            Without Dose Reconstruction (DR) *6 131
   

Total

1,661
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 47
            Reworks or Returns to NIOSH 53
   

Total

100
 
*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
    514
    Cases Paid 513
    Individuals (Claimants) Paid 657
    Amount Paid $76,825,000
 
  Final Decision to Deny and POC Less Than 50% 797
   

Total

1,311


 

 

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