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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 302,993 202,170*
     
Total Compensation Paid

Payments

116,348 84,887

Total Dollars

$11,047,431,345
Total Medical Bills Paid

Total Dollars

$4,302,725,313
Total Compensation + Medical Bills Paid $15,350,156,658

* The above numbers of applications filed represent 120,505 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 166,809 105,703
     
  Final Decisions    
Approved 81,995 52,650
     Denied 70,191 47,408

Total

152,186 100,058
     
  Compensation Paid    

Payments

76,837 49,628

Total Dollars

$6,591,889,530
 

Part E

  CLAIMS CASES
Applications Filed 136,184 96,467
     
  Final Decisions    
Approved 55,014 45,249
     Denied 66,485 43,678

Total

121,499 88,927
     
  Compensation Paid    

Payments

39,511 35,259

Total Dollars

$4,455,541,815
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 50,145
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 42,068
            Without Dose Reconstruction (DR) *1 6,397
   

Total

48,465
     
    Cases Currently at NIOSH 1,680
 
*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 11,714
   
 
  Final Decision to Deny and POC Less Than 50% 21,934
   

Total

33,648

 

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 10,640
    Individual Claims Paid 14,888
    Amount Paid $1,574,637,785
       
  Accepted SEC Cases
    Cases Paid 26,538
    Individual Claims Paid 43,487
    Amount Paid $3,961,719,546
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 1,038
    Individual Claims Paid 1,212
    Amount Paid $155,775,000
       
*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 38,216
    Individual Claims Paid 59,587
    Total Amount Paid $5,692,132,331