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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 261,159 174,020*
     
Total Compensation Paid

Payments

95,793 69,714

Total Dollars

$8,778,601,207
Total Medical Bills Paid

Total Dollars

$2,042,641,406
Total Compensation + Medical Bills Paid $10,821,242,613

* The above numbers of applications filed represent 103,444 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 144,434 92,037
     
  Final Decisions    
Approved 69,388 44,579
     Denied 60,477 41,645

Total

129,865 86,224
     
  Compensation Paid    

Payments

65,286 41,796

Total Dollars

$5,481,407,467
 

Part E

  CLAIMS CASES
Applications Filed 116,725 81,983
     
  Final Decisions    
Approved 44,909 37,517
     Denied 57,839 37,130

Total

102,748 74,647
     
  Compensation Paid    

Payments

30,507 27,918

Total Dollars

$3,297,193,740
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 42,560
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 34,695
            Without Dose Reconstruction (DR) *1 5,890
   

Total

40,585
     
    Cases Currently at NIOSH 1,975
 
*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 9,890
   
 
  Final Decision to Deny and POC Less Than 50% 18,091
   

Total

27,981

 

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 9,124
    Individual Claims Paid 12,897
    Amount Paid $1,356,075,785
       
  Accepted SEC Cases
    Cases Paid 21,553
    Individual Claims Paid 35,742
    Amount Paid $3,216,723,470
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 728
    Individual Claims Paid 869
    Amount Paid $109,275,000
       
*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 31,405
    Individual Claims Paid 49,508
    Total Amount Paid $4,682,074,255