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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 258,956 172,565*
     
Total Compensation Paid

Payments

94,912 69,058

Total Dollars

$8,687,368,794
Total Medical Bills Paid

Total Dollars

$1,970,442,022
Total Compensation + Medical Bills Paid $10,657,810,816

* The above numbers of applications filed represent 102,522 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 143,183 91,296
     
  Final Decisions    
Approved 68,872 44,240
     Denied 60,030 41,363

Total

128,902 85,603
     
  Compensation Paid    

Payments

64,764 41,453

Total Dollars

$5,432,714,815
 

Part E

  CLAIMS CASES
Applications Filed 115,773 81,269
     
  Final Decisions    
Approved 44,529 37,218
     Denied 57,433 36,834

Total

101,962 74,052
     
  Compensation Paid    

Payments

30,148 27,605

Total Dollars

$3,254,653,979
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 42,233
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 34,458
            Without Dose Reconstruction (DR) *1 5,847
   

Total

40,305
     
    Cases Currently at NIOSH 1,928
 
*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 9,822
   
 
  Final Decision to Deny and POC Less Than 50% 17,914
   

Total

27,736

 

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 9,074
    Individual Claims Paid 12,828
    Amount Paid $1,348,825,785
       
  Accepted SEC Cases
    Cases Paid 21,317
    Individual Claims Paid 35,363
    Amount Paid $3,181,125,818
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 711
    Individual Claims Paid 851
    Amount Paid $106,725,000
       
*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 31,102
    Individual Claims Paid 49,042
    Total Amount Paid $4,636,676,603