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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 310,538 207,425 *
Total Compensation Paid - Payments 119,768 87,595
Combined Part B and E Dollar Amounts
Total Dollars $11,467,250,494
Total Medical Bills Paid - Total Dollars $4,911,600,957
Total Compensation + Medical Bills Paid $16,378,851,451

* The above numbers of applications filed represent 123,577 unique individual workers.


Part B
  CLAIMS CASES
Applications Filed 170,626 108,186
Final Decisions - Approved 83,879 53,923
Final Decisions - Denied 71,730 48,396
Final Decisions - Total 155,609 102,319
Compensation Paid - Payments 78,462 50,840
Part B Compensation Paid
Compensation Paid - Total Dollars $6,761,807,268

Part E
  CLAIMS CASES
Applications Filed 139,912 99,239
Final Decisions - Approved 56,948 46,741
Final Decisions - Denied 67,917 44,766
Final Decisions - Total 124,865 91,507
Compensation Paid - Payments 41,306 36,755
Part E Compensation Paid
Compensation Paid - Total Dollars $4,705,443,226

Part B Cancer Cases - NIOSH and SEC Statistics
  CASES
Part B - Status and Location of NIOSH Referrals
Cases Referred to NIOSH for Dose Reconstruction (DR) 51,416
Cases Returned by NIOSH - With Dose Reconstruction (DR) 43,264
Cases Returned by NIOSH - Without Dose Reconstruction (DR) *1 6,438
Cases Returned by NIOSH - Total 49,702
Cases Currently at NIOSH 1,714
Part B - Cases with Dose Reconstruction (DR) and Final Decision
Final Decision to Accept and Probability of Causation (POC) 50% or Greater 11,962
Final Decision to Deny and POC Less Than 50% 22,633
Final Decision - Total 34,595
Part B Cancer Cases with Final Decision to Accept *2
Accepted DR Cases - Cases Paid 10,851
Accepted DR Cases - Individual Claims Paid 15,163
Accepted DR Cases - Amount Paid $1,605,476,535
Accepted SEC Cases - Cases Paid 27,228
Accepted SEC Cases - Individual Claims Paid 44,448
Accepted SEC Cases - Amount Paid $4,064,223,712
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Cases Paid 1,072
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Individual Claims Paid 1,246
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Amount Paid $160,875,000
TOTALS: All Accepted SEC, DR Cases, and Combined - Cases Paid 39,151
TOTALS: All Accepted SEC, DR Cases, and Combined - Individual Claims Paid 60,857
TOTALS: All Accepted SEC, DR Cases, and Combined - Amount Paid $5,830,575,247

*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.

*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.

*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.