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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).


TEXAS
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 6,310 5,001*
Covered Applications Filed 5,099 4,060
     
Total Compensation Paid

Payments

2,099 1,820

Total Dollars

$196,457,458
Total Medical Bills Paid

Total Dollars

$31,277,593
Total Compensation + Medical Bills Paid $227,735,051

*A total of 2,931 unique individual workers are represented by the 5,001 cases reported.


Part B

  CLAIMS CASES
Applications Filed 3,501 2,761
Non Covered Applications        (show details) 526 457
Non Covered Employment 214 190
Condition Not Covered 312 267
 
Covered Applications Filed 2,975 2,304
     
  Recommended Decisions*1    
Approved 1,680 1,389
Denied 928 687

Total

2,608 2,076
  Final Decisions*1    
Approved 1,627 1,352
(show details)      Denied 868 648
  Survivor Not Eligible 189 76
  Cancer Not Work Related *2 485 410
  Medical Info Insufficient to Support Claim 194 162
     

Total

2,495 2,000
     
  Compensation Paid    

Payments  

1,517 1,271

Total Dollars

$131,839,810

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 2,809 2,240
Non Covered Applications        (show details) 685 484
Non Covered Employment 135 130
Survivor Not Covered *5 550 354
 
Covered Applications Filed 2,124 1,756
     
  Recommended Decisions*3    
Approved 1,074 958
Denied 559 502

Total

1,633 1,460
  Final Decisions*3    
Approved 1,035 928
(show details)      Denied 510 464
  Cancer Not Work Related*4 165 151
  Medical Info Insufficient to Support Claim 345 313
     

Total

1,545 1,392
     
  Compensation Paid    

Payments

582 549

Total Dollars

$64,617,648

*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) 1,312
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 1,007
            Without Dose Reconstruction (DR) *6 193
   

Total

1,200
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 78
            Reworks or Returns to NIOSH 34
   

Total

112
 
*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
    245
    Cases Paid 244
    Individuals (Claimants) Paid 530
    Amount Paid $36,450,000
 
  Final Decision to Deny and POC Less Than 50% 444
   

Total

689


 

 

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