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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 296,484 197,733*
     
Total Compensation Paid

Payments

112,892 82,215

Total Dollars

$10,631,216,941
Total Medical Bills Paid

Total Dollars

$3,780,458,525
Total Compensation + Medical Bills Paid $14,411,675,466

* The above numbers of applications filed represent 117,884 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 163,566 103,627
     
  Final Decisions    
Approved 80,079 51,344
     Denied 68,670 46,465

Total

148,749 97,809
     
  Compensation Paid    

Payments

75,079 48,359

Total Dollars

$6,410,507,239
 

Part E

  CLAIMS CASES
Applications Filed 132,918 94,106
     
  Final Decisions    
Approved 53,245 43,867
     Denied 65,041 42,620

Total

118,286 86,487
     
  Compensation Paid    

Payments

37,813 33,856

Total Dollars

$4,220,709,702
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 48,985
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 40,831
            Without Dose Reconstruction (DR) *1 6,300
   

Total

47,131
     
    Cases Currently at NIOSH 1,854
 
*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 11,442
   
 
  Final Decision to Deny and POC Less Than 50% 21,216
   

Total

32,658

 

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 10,400
    Individual Claims Paid 14,574
    Amount Paid $1,539,409,213
       
  Accepted SEC Cases
    Cases Paid 25,803
    Individual Claims Paid 42,441
    Amount Paid $3,851,925,230
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 997
    Individual Claims Paid 1,158
    Amount Paid $149,625,000
       
*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 37,200
    Individual Claims Paid 58,173
    Total Amount Paid $5,540,959,443