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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.


CALIFORNIA
Data as of
Statistical data updated weekly on Mondays

Combined Part B and E Summary
  CLAIMS CASES
Applications Filed 13,008 10,357 *
Total Compensation Paid - Payments 5,229 4,446
Combined Part B and E Dollar Amounts
Total Dollars $521,785,310
Total Medical Bills Paid - Total Dollars $71,255,946
Total Compensation + Medical Bills Paid $593,041,256

* The above numbers of applications filed represent 6,077 unique individual workers.


Part B
  CLAIMS CASES
Applications Filed 7,162 5,562
Final Decisions - Approved 3,869 3,095
Final Decisions - Denied 2,676 2,014
Final Decisions - Total 6,545 5,109
Compensation Paid - Payments 3,618 2,940
Part B Compensation Paid
Compensation Paid - Total Dollars $337,836,025

Part E
  CLAIMS CASES
Applications Filed 5,846 4,795
Final Decisions - Approved 2,472 2,178
Final Decisions - Denied 2,690 2,038
Final Decisions - Total 5,162 4,216
Compensation Paid - Payments 1,611 1,506
Part E Compensation Paid
Compensation Paid - Total Dollars $183,949,285

Part B Cancer Cases - NIOSH Statistics
  CASES
Part B - Status and Location of NIOSH Referrals
Cases Referred to NIOSH for Dose Reconstruction (DR) 2,832
Cases Returned by NIOSH - With Dose Reconstruction (DR) 2,146
Cases Returned by NIOSH - Without Dose Reconstruction (DR) *1 604
Cases Returned by NIOSH - Total 2,750
Cases Currently at NIOSH 82
Part B - Cases with Dose Reconstruction (DR) and Final Decision
Final Decision to Accept and Probability of Causation (POC) 50% or Greater 486
Final Decision to Accept and Probability of Causation (POC) 50% or Greater - Cases Paid 486
Final Decision to Accept and Probability of Causation (POC) 50% or Greater - Individual Claims Paid 901
Final Decision to Accept and Probability of Causation (POC) 50% or Greater - Amount Paid $72,656,071
Final Decision to Deny and POC Less Than 50% 1,015
Final Decision - Total 1,501

*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.