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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 286,009 190,623*
     
Total Compensation Paid

Payments

107,481 78,134

Total Dollars

$10,005,455,193
Total Medical Bills Paid

Total Dollars

$3,133,770,755
Total Compensation + Medical Bills Paid $13,139,225,948

* The above numbers of applications filed represent 113,599 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 158,046 100,190
     
  Final Decisions    
Approved 76,960 49,311
     Denied 66,204 44,956

Total

143,164 94,267
     
  Compensation Paid    

Payments

72,140 46,302

Total Dollars

$6,116,103,061
 

Part E

  CLAIMS CASES
Applications Filed 127,963 90,433
     
  Final Decisions    
Approved 50,336 41,621
     Denied 62,856 40,988

Total

113,192 82,609
     
  Compensation Paid    

Payments

35,341 31,832

Total Dollars

$3,889,352,132
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 47,002
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 38,887
            Without Dose Reconstruction (DR) *1 6,210
   

Total

45,097
     
    Cases Currently at NIOSH 1,905
 
*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 10,953
   
 
  Final Decision to Deny and POC Less Than 50% 20,220
   

Total

31,173

 

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 9,997
    Individual Claims Paid 14,072
    Amount Paid $1,481,938,077
       
  Accepted SEC Cases
    Cases Paid 24,509
    Individual Claims Paid 40,452
    Amount Paid $3,658,307,665
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 912
    Individual Claims Paid 1,068
    Amount Paid $136,837,500
       
*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 35,418
    Individual Claims Paid 55,592
    Total Amount Paid $5,277,083,242