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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.


Data as of

Statistical data updated weekly on Mondays


Combined Part B and E Summary
CLAIMS CASES
Applications Filed 255,795 170,484*
     
Total Compensation Paid

Payments

93,174 67,799

Total Dollars

$8,514,754,873
Total Medical Bills Paid

Total Dollars

$1,864,738,823
Total Compensation + Medical Bills Paid $10,379,493,696

* The above numbers of applications filed represent 101,253 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 141,420 90,250
     
  Final Decisions    
Approved 67,728 43,507
     Denied 59,324 40,979

Total

127,052 84,486
     
  Compensation Paid    

Payments

63,622 40,700

Total Dollars

$5,326,484,070
 

Part E

  CLAIMS CASES
Applications Filed 114,375 80,234
     
  Final Decisions    
Approved 43,751 36,599
     Denied 56,809 36,393

Total

100,560 72,992
     
  Compensation Paid    

Payments

29,552 27,099

Total Dollars

$3,188,270,803
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 41,766
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 33,951
            Without Dose Reconstruction (DR) *1 5,851
   

Total

39,802
     
    Cases Currently at NIOSH 1,964
 
*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 9,698
   
 
  Final Decision to Deny and POC Less Than 50% 17,689
   

Total

27,387

 

Part B Cancer Cases with Final Decision to Accept*2
       
*2 Accepted Part B Cancer cases are defined as either a NIOSH or SEC approval; additional medical conditions could also be included within the Final Decision.
       
  Accepted DR Cases    
    Cases Paid 8,955
    Individual Claims Paid 12,673
    Amount Paid $1,331,702,035
       
  Accepted SEC Cases
    Cases Paid 20,773
    Individual Claims Paid 34,523
    Amount Paid $3,100,711,045
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 696
    Individual Claims Paid 835
    Amount Paid $104,325,000
       
*3 For these cases at least one specified cancer was approved based on SEC employment and at least one other cancer was approved based on the DR process resulting in a POC of 50% or greater.
       
  TOTALS: All Accepted SEC, DR Cases, and Combined  
    Cases Paid 30,424
    Individual Claims Paid 48,031
    Total Amount Paid $4,536,738,080