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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 288,207 192,032*
     
Total Compensation Paid

Payments

108,696 79,045

Total Dollars

$10,144,916,870
Total Medical Bills Paid

Total Dollars

$3,269,057,522
Total Compensation + Medical Bills Paid $13,413,974,392

* The above numbers of applications filed represent 114,444 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 159,248 100,886
     
  Final Decisions    
Approved 77,632 49,733
     Denied 66,696 45,266

Total

144,328 94,999
     
  Compensation Paid    

Payments

72,839 46,788

Total Dollars

$6,186,495,511
 

Part E

  CLAIMS CASES
Applications Filed 128,959 91,146
     
  Final Decisions    
Approved 50,895 42,043
     Denied 63,288 41,319

Total

114,183 83,362
     
  Compensation Paid    

Payments

35,857 32,257

Total Dollars

$3,958,421,359
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 47,478
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 39,314
            Without Dose Reconstruction (DR) *1 6,208
   

Total

45,522
     
    Cases Currently at NIOSH 1,956
 
*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 11,055
   
 
  Final Decision to Deny and POC Less Than 50% 20,403
   

Total

31,458

 

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 10,081
    Individual Claims Paid 14,190
    Amount Paid $1,494,354,213
       
  Accepted SEC Cases
    Cases Paid 24,841
    Individual Claims Paid 40,951
    Amount Paid $3,707,600,645
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 932
    Individual Claims Paid 1,088
    Amount Paid $139,837,500
       
*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 35,854
    Individual Claims Paid 56,229
    Total Amount Paid $5,341,792,358