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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 312,103 208,524 *
Total Compensation Paid - Payments 120,672 88,284
Combined Part B and E Dollar Amounts
Total Dollars $11,575,083,599
Total Medical Bills Paid - Total Dollars $5,064,635,687
Total Compensation + Medical Bills Paid $16,639,719,286

* The above numbers of applications filed represent 124,195 unique individual workers.


Part B
  CLAIMS CASES
Applications Filed 171,432 108,713
Final Decisions - Approved 84,422 54,281
Final Decisions - Denied 72,043 48,596
Final Decisions - Total 156,465 102,877
Compensation Paid - Payments 78,917 51,160
Part B Compensation Paid
Compensation Paid - Total Dollars $6,807,190,304

Part E
  CLAIMS CASES
Applications Filed 140,671 99,811
Final Decisions - Approved 57,476 47,170
Final Decisions - Denied 68,210 44,973
Final Decisions - Total 125,686 92,143
Compensation Paid - Payments 41,755 37,124
Part E Compensation Paid
Compensation Paid - Total Dollars $4,767,893,295

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) 51,713
Cases Returned by NIOSH - With Dose Reconstruction (DR) 43,525
Cases Returned by NIOSH - Without Dose Reconstruction (DR) *1 6,430
Cases Returned by NIOSH - Total 49,955
Cases Currently at NIOSH 1,758
Part B - Cases with Dose Reconstruction (DR) and Final Decision
Final Decision to Accept and Probability of Causation (POC) 50% or Greater 12,018
Final Decision to Deny and POC Less Than 50% 22,766
Final Decision - Total 34,784
Part B Cancer Cases with Final Decision to Accept *2
Accepted DR Cases - Cases Paid 10,899
Accepted DR Cases - Individual Claims Paid 15,234
Accepted DR Cases - Amount Paid $1,612,643,499
Accepted SEC Cases - Cases Paid 27,382
Accepted SEC Cases - Individual Claims Paid 44,679
Accepted SEC Cases - Amount Paid $4,087,918,950
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Cases Paid 1,080
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Individual Claims Paid 1,254
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Amount Paid $162,075,000
TOTALS: All Accepted SEC, DR Cases, and Combined - Cases Paid 39,361
TOTALS: All Accepted SEC, DR Cases, and Combined - Individual Claims Paid 61,167
TOTALS: All Accepted SEC, DR Cases, and Combined - Amount Paid $5,862,637,449

*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.