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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 263,502 175,555*
     
Total Compensation Paid

Payments

96,853 70,502

Total Dollars

$8,886,195,467
Total Medical Bills Paid

Total Dollars

$2,130,901,393
Total Compensation + Medical Bills Paid $11,017,096,860

* The above numbers of applications filed represent 104,400 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 145,775 92,807
     
  Final Decisions    
Approved 70,084 45,010
     Denied 61,021 41,953

Total

131,105 86,963
     
  Compensation Paid    

Payments

65,887 42,200

Total Dollars

$5,538,261,458
 

Part E

  CLAIMS CASES
Applications Filed 117,727 82,748
     
  Final Decisions    
Approved 45,408 37,897
     Denied 58,303 37,473

Total

103,711 75,370
     
  Compensation Paid    

Payments

30,966 28,302

Total Dollars

$3,347,934,009
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 42,955
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 35,060
            Without Dose Reconstruction (DR) *1 5,905
   

Total

40,965
     
    Cases Currently at NIOSH 1,990
 
*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 9,965
   
 
  Final Decision to Deny and POC Less Than 50% 18,286
   

Total

28,251

 

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 9,185
    Individual Claims Paid 12,968
    Amount Paid $1,364,854,181
       
  Accepted SEC Cases
    Cases Paid 21,832
    Individual Claims Paid 36,200
    Amount Paid $3,258,225,732
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 747
    Individual Claims Paid 888
    Amount Paid $112,125,000
       
*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 31,764
    Individual Claims Paid 50,056
    Total Amount Paid $4,735,204,913