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Office of Workers' Compensation Programs (OWCP)

EEOICP Program Statistics

Highlights

Last year, the DEEOIC deployed a new case management system for use by our claims staff. The new system is constructed differently than the previous system, and we determined that it was appropriate to re-examine our statistics and how they are displayed on the web site. For the past several months, we have been working on reconstructing the site and the statistics. Therefore, viewers may notice some differences in the web statistics.

The separate category for the non-covered applications has been removed and those counts are now included in the Final Decision counts. Although the number of posted denials appears to increase, there is not an increase in total numbers. Denials are being shown under a single category instead of being split into two separate counts.

In the past, on our state-by-state pages, medical bill payments were attributed to each state in which any claimant (including multiple survivors) on the case resided, resulting in an overstatement of the amount of medical bill payments in a given state. Medical bill payments are now being attributed to the state in which the employee resides. Although the National page total was not affected by this change, the current state medical totals will show a reduction from previously-reported amounts.

A list of definitions for the terms used on the EEOICP Program Statistics web pages is available here.

WEST VIRGINIA
Data as of

Statistical data updated weekly on Mondays

Combined Part B and E Summary
CLAIMS CASES
Applications Filed 1,411 1,205*
     
Total Compensation Paid

Payments

 278 256

Total Dollars

 $26,648,419
Total Medical Bills Paid

Total Dollars

 $4,178,352
Total Compensation + Medical Bills Paid $30,826,771

* The above numbers of applications filed represent 771 unique individual workers.

Part B

  CLAIMS CASES
Applications Filed 811 697
Non Covered Employment 178 162
Condition Not Covered 193 179
       
  Final Decisions    
Approved 171 153
     Denied 569 504
  Survivor Not Eligible 26 12
  Cancer Not Work Related *1 106 90
  Medical Info Insufficient to Support Claim 66 61
  Non Covered Employment 178 162
  Condition Not Covered 193 179
     

Total

 740 657
     
  Compensation Paid    

Payments

 161 147

Total Dollars

$13,635,496


 

Part E

  CLAIMS CASES
Applications Filed 600 508
Non Covered Employment 178 162
Condition Not Covered 193 179
       
  Final Decisions    
Approved 158 145
     Denied 382 313
  Survivor Not Eligible 26 12
  Cancer Not Work Related *1 106 90
  Medical Info Insufficient to Support Claim 66 61
  Non Covered Employment 178 162
  Condition Not Covered 193 179
     

Total

 540 458
     
  Compensation Paid    

Payments

 117 109

Total Dollars

$13,012,923


 

 

Part B Cases - NIOSH Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 180
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 149
            Without Dose Reconstruction (DR) *1 21
   

Total

 170
     
    Cases Currently at NIOSH 10
 
*1 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.
       
       
Part B - Cases with Dose Reconstruction (DR) and Final Decision
       
  Final Decision to Accept and Probability of Causation (POC) 50% or Greater
    43
    Cases Paid 43
    Individual Claims Paid 91
    Amount Paid $6,450,000
 
  Final Decision to Deny and POC Less Than 50% 87
   

Total

 130