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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).


VIRGINIA
Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 1,708 1,500*
Covered Applications Filed 1,417 1,263
     
Total Compensation Paid

Payments

665 603

Total Dollars

$68,572,960
Total Medical Bills Paid

Total Dollars

$4,716,602
Total Compensation + Medical Bills Paid $73,289,562

*A total of 1,058 unique individual workers are represented by the 1,500 cases reported.


Part B

  CLAIMS CASES
Applications Filed 1,152 1,014
Non Covered Applications        (show details) 117 103
Non Covered Employment 35 29
Condition Not Covered 82 74
 
Covered Applications Filed 1,035 911
     
  Recommended Decisions*1    
Approved 615 549
Denied 316 276

Total

931 825
  Final Decisions*1    
Approved 598 534
(show details)      Denied 305 269
  Survivor Not Eligible 46 25
  Cancer Not Work Related *2 199 189
  Medical Info Insufficient to Support Claim 60 55
     

Total

903 803
     
  Compensation Paid    

Payments  

579 521

Total Dollars

$59,034,167

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 556 486
Non Covered Applications        (show details) 174 134
Non Covered Employment 29 27
Survivor Not Covered *5 145 107
 
Covered Applications Filed 382 352
     
  Recommended Decisions*3    
Approved 183 164
Denied 96 92

Total

279 256
  Final Decisions*3    
Approved 178 160
(show details)      Denied 91 88
  Cancer Not Work Related*4 22 22
  Medical Info Insufficient to Support Claim 69 66
     

Total

269 248
     
  Compensation Paid    

Payments

86 82

Total Dollars

$9,538,793

*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) 522
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 363
            Without Dose Reconstruction (DR) *6 122
   

Total

485
     
    Cases that are Currently at NIOSH *7
            Initial Referral to NIOSH 26
            Reworks or Returns to NIOSH 11
   

Total

37
 
*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
    87
    Cases Paid 86
    Individuals (Claimants) Paid 203
    Amount Paid $12,900,000
 
  Final Decision to Deny and POC Less Than 50% 208
   

Total

295


 

 

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