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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 270,125 179,910*
     
Total Compensation Paid

Payments

100,205 72,907

Total Dollars

$9,228,909,541
Total Medical Bills Paid

Total Dollars

$2,377,169,835
Total Compensation + Medical Bills Paid $11,606,079,376

* The above numbers of applications filed represent 107,076 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 149,439 94,955
     
  Final Decisions    
Approved 72,210 46,304
     Denied 62,796 42,922

Total

135,006 89,226
     
  Compensation Paid    

Payments

67,887 43,486

Total Dollars

$5,718,673,769
 

Part E

  CLAIMS CASES
Applications Filed 120,686 84,955
     
  Final Decisions    
Approved 46,868 38,977
     Denied 59,739 38,553

Total

106,607 77,530
     
  Compensation Paid    

Payments

32,318 29,421

Total Dollars

$3,510,235,772
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 44,096
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 35,978
            Without Dose Reconstruction (DR) *1 5,960
   

Total

41,938
     
    Cases Currently at NIOSH 2,158
 
*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 10,233
   
 
  Final Decision to Deny and POC Less Than 50% 18,810
   

Total

29,043

 

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 9,409
    Individual Claims Paid 13,248
    Amount Paid $1,396,853,467
       
  Accepted SEC Cases
    Cases Paid 22,686
    Individual Claims Paid 37,628
    Amount Paid $3,386,632,566
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 790
    Individual Claims Paid 939
    Amount Paid $118,575,000
       
*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 32,885
    Individual Claims Paid 51,815
    Total Amount Paid $4,902,061,033