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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 313,791 209,764 *
Total Compensation Paid - Payments 121,639 89,035
Combined Part B and E Dollar Amounts
Total Dollars $11,689,735,619
Total Medical Bills Paid - Total Dollars $5,220,556,429
Total Compensation + Medical Bills Paid $16,910,292,048

* The above numbers of applications filed represent 124,920 unique individual workers.


Part B
  CLAIMS CASES
Applications Filed 172,279 109,290
Final Decisions - Approved 84,956 54,654
Final Decisions - Denied 72,320 48,741
Final Decisions - Total 157,276 103,395
Compensation Paid - Payments 79,455 51,538
Part B Compensation Paid
Compensation Paid - Total Dollars $6,860,050,221

Part E
  CLAIMS CASES
Applications Filed 141,512 100,474
Final Decisions - Approved 57,983 47,588
Final Decisions - Denied 68,401 45,077
Final Decisions - Total 126,384 92,665
Compensation Paid - Payments 42,184 37,497
Part E Compensation Paid
Compensation Paid - Total Dollars $4,829,685,398

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) 52,032
Cases Returned by NIOSH - With Dose Reconstruction (DR) 43,854
Cases Returned by NIOSH - Without Dose Reconstruction (DR) *1 6,457
Cases Returned by NIOSH - Total 50,311
Cases Currently at NIOSH 1,721
Part B - Cases with Dose Reconstruction (DR) and Final Decision
Final Decision to Accept and Probability of Causation (POC) 50% or Greater 12,083
Final Decision to Deny and POC Less Than 50% 22,882
Final Decision - Total 34,965
Part B Cancer Cases with Final Decision to Accept *2
Accepted DR Cases - Cases Paid 10,952
Accepted DR Cases - Individual Claims Paid 15,306
Accepted DR Cases - Amount Paid $1,619,765,999
Accepted SEC Cases - Cases Paid 27,574
Accepted SEC Cases - Individual Claims Paid 44,973
Accepted SEC Cases - Amount Paid $4,116,427,700
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Cases Paid 1,096
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Individual Claims Paid 1,270
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Amount Paid $164,475,000
TOTALS: All Accepted SEC, DR Cases, and Combined - Cases Paid 39,622
TOTALS: All Accepted SEC, DR Cases, and Combined - Individual Claims Paid 61,549
TOTALS: All Accepted SEC, DR Cases, and Combined - Amount Paid $5,900,668,699

*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.