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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).


SIMONDS SAW AND STEEL CO - NEW YORK
Data as of

Statistical data updated weekly on Mondays

 

Part B

  CLAIMS CASES
Applications Filed 623 369
Non Covered Applications        (show details) 166 107
Non Covered Employment 33 23
Condition Not Covered 133 84
 
Covered Applications Filed 457 262
     
  Recommended Decisions*1    
Approved 215 121
Denied 199 135

Total

414 256
  Final Decisions*1    
Approved 213 121
(show details)      Denied 194 129
  Survivor Not Eligible 21 8
  Cancer Not Work Related *2 118 87
  Medical Info Insufficient to Support Claim 55 34
     

Total

407 250
     
  Compensation Paid    
Payments 213 121
Total Dollars $18,025,000
   

Medical Bills Paid  
Total Dollars $59,222
   
Total Compensation + Medical Bills Paid $18,084,222
 

 
*1 With regard to covered applications only
*2 Probability of Causation is less than 50 percent

 


Part B Cases - NIOSH Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 208
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 183
            Without Dose Reconstruction (DR) *6 24
   

Total

207
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 0
            Reworks or Returns to NIOSH 1
   

Total

1
 
*6 Most cases without a DR are cases withdrawn from NIOSH for DOL review and approval based on a new SEC designation.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
    77
    Cases Paid 77
    Individuals (Claimants) Paid 125
    Amount Paid $11,500,000
 
  Final Decision to Deny and POC Less Than 50% 88
   

Total

165