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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 304,832 203,467*
     
Total Compensation Paid

Payments

117,074 85,493

Total Dollars

$11,141,330,303
Total Medical Bills Paid

Total Dollars

$4,439,220,487
Total Compensation + Medical Bills Paid $15,580,550,790

* The above numbers of applications filed represent 121,274 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 167,770 106,333
     
  Final Decisions    
Approved 82,411 52,942
     Denied 70,519 47,617

Total

152,930 100,559
     
  Compensation Paid    

Payments

77,180 49,918

Total Dollars

$6,632,401,197
 

Part E

  CLAIMS CASES
Applications Filed 137,062 97,134
     
  Final Decisions    
Approved 55,436 45,579
     Denied 66,814 43,914

Total

122,250 89,493
     
  Compensation Paid    

Payments

39,894 35,575

Total Dollars

$4,508,929,106
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 50,430
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 42,304
            Without Dose Reconstruction (DR) *1 6,394
   

Total

48,698
     
    Cases Currently at NIOSH 1,732
 
*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 11,776
   
 
  Final Decision to Deny and POC Less Than 50% 22,074
   

Total

33,850

 

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 10,689
    Individual Claims Paid 14,945
    Amount Paid $1,581,446,713
       
  Accepted SEC Cases
    Cases Paid 26,691
    Individual Claims Paid 43,681
    Amount Paid $3,984,299,784
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 1,054
    Individual Claims Paid 1,228
    Amount Paid $158,175,000
       
*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 38,434
    Individual Claims Paid 59,854
    Total Amount Paid $5,723,921,497