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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).


SANDIA NATIONAL LABS - LIVERMORE - CALIFORNIA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 437 345*
Covered Applications Filed 374 307
     
Total Compensation Paid

Payments

102 86

Total Dollars

$11,038,860
Total Medical Bills Paid

Total Dollars

$1,249,902
Total Compensation + Medical Bills Paid $12,288,762

*A total of 187 unique individual workers are represented by the 345 cases reported.


Part B

  CLAIMS CASES
Applications Filed 218 171
Non Covered Applications        (show details) 15 15
Non Covered Employment 3 3
Condition Not Covered 12 12
 
Covered Applications Filed 203 156
     
  Recommended Decisions*1    
Approved 69 53
Denied 106 89

Total

175 142
  Final Decisions*1    
Approved 70 54
(show details)      Denied 103 86
  Survivor Not Eligible 14 5
  Cancer Not Work Related *2 62 59
  Medical Info Insufficient to Support Claim 27 22
     

Total

173 140
     
  Compensation Paid    

Payments  

56 40

Total Dollars

$6,000,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 219 174
Non Covered Applications        (show details) 48 23
Non Covered Employment 5 5
Survivor Not Covered *5 43 18
 
Covered Applications Filed 171 151
     
  Recommended Decisions*3    
Approved 64 59
Denied 81 79

Total

145 138
  Final Decisions*3    
Approved 67 61
(show details)      Denied 75 74
  Cancer Not Work Related*4 24 24
  Medical Info Insufficient to Support Claim 51 50
     

Total

142 135
     
  Compensation Paid    

Payments

46 46

Total Dollars

$5,038,860

*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) 118
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 92
            Without Dose Reconstruction (DR) *6 16
   

Total

108
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 7
            Reworks or Returns to NIOSH 3
   

Total

10
 
*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
    15
    Cases Paid 15
    Individuals (Claimants) Paid 20
    Amount Paid $2,250,000
 
  Final Decision to Deny and POC Less Than 50% 62
   

Total

77


 

 

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