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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 286,899 191,158*
     
Total Compensation Paid

Payments

108,057 78,597

Total Dollars

$10,075,861,697
Total Medical Bills Paid

Total Dollars

$3,190,817,276
Total Compensation + Medical Bills Paid $13,266,678,973

* The above numbers of applications filed represent 113,921 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 158,529 100,450
     
  Final Decisions    
Approved 77,269 49,508
     Denied 66,384 45,077

Total

143,653 94,585
     
  Compensation Paid    

Payments

72,457 46,544

Total Dollars

$6,151,289,430
 

Part E

  CLAIMS CASES
Applications Filed 128,370 90,708
     
  Final Decisions    
Approved 50,581 41,811
     Denied 63,049 41,128

Total

113,630 82,939
     
  Compensation Paid    

Payments

35,600 32,053

Total Dollars

$3,924,572,267
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 47,187
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 39,070
            Without Dose Reconstruction (DR) *1 6,215
   

Total

45,285
     
    Cases Currently at NIOSH 1,902
 
*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 11,004
   
 
  Final Decision to Deny and POC Less Than 50% 20,297
   

Total

31,301

 

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 10,039
    Individual Claims Paid 14,128
    Amount Paid $1,487,931,713
       
  Accepted SEC Cases
    Cases Paid 24,680
    Individual Claims Paid 40,678
    Amount Paid $3,684,322,540
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 916
    Individual Claims Paid 1,072
    Amount Paid $137,437,500
       
*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 35,635
    Individual Claims Paid 55,878
    Total Amount Paid $5,309,691,753