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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).


UTAH
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 4,012 2,785*
Covered Applications Filed 3,247 2,339
     
Total Compensation Paid

Payments

1,807 1,476

Total Dollars

$116,511,721
Total Medical Bills Paid

Total Dollars

$50,615,020
Total Compensation + Medical Bills Paid $167,126,741

*A total of 1,544 unique individual workers are represented by the 2,785 cases reported.


Part B

  CLAIMS CASES
Applications Filed 2,158 1,489
Non Covered Applications        (show details) 214 179
Non Covered Employment 171 144
Condition Not Covered 43 35
 
Covered Applications Filed 1,944 1,310
     
  Recommended Decisions*1    
Approved 1,297 972
Denied 378 232

Total

1,675 1,204
  Final Decisions*1    
Approved 1,292 973
(show details)      Denied 352 211
  Survivor Not Eligible 165 51
  Cancer Not Work Related *2 121 105
  Medical Info Insufficient to Support Claim 66 55
     

Total

1,644 1,184
     
  Compensation Paid    

Payments  

1,258 955

Total Dollars

$56,478,258

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 1,854 1,296
Non Covered Applications        (show details) 551 267
Non Covered Employment 105 82
Survivor Not Covered *5 446 185
 
Covered Applications Filed 1,303 1,029
     
  Recommended Decisions*3    
Approved 743 658
Denied 251 215

Total

994 873
  Final Decisions*3    
Approved 733 650
(show details)      Denied 235 204
  Cancer Not Work Related*4 68 56
  Medical Info Insufficient to Support Claim 167 148
     

Total

968 854
     
  Compensation Paid    

Payments

549 521

Total Dollars

$60,033,463

*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) 389
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 303
            Without Dose Reconstruction (DR) *6 66
   

Total

369
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 11
            Reworks or Returns to NIOSH 9
   

Total

20
 
*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
    75
    Cases Paid 74
    Individuals (Claimants) Paid 144
    Amount Paid $10,300,000
 
  Final Decision to Deny and POC Less Than 50% 137
   

Total

212


 

 

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