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Office of Workers' Compensation Programs

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 281,813 187,882*
     
Total Compensation Paid

Payments

105,602 76,746

Total Dollars

$9,796,257,385
Total Medical Bills Paid

Total Dollars

$2,910,500,974
Total Compensation + Medical Bills Paid $12,706,758,359

* The above numbers of applications filed represent 111,942 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 155,777 98,850
     
  Final Decisions    
Approved 75,640 48,438
     Denied 65,462 44,529

Total

141,102 92,967
     
  Compensation Paid    

Payments

71,065 45,554

Total Dollars

$6,011,647,009
 

Part E

  CLAIMS CASES
Applications Filed 126,036 89,032
     
  Final Decisions    
Approved 49,329 40,843
     Denied 62,110 40,423

Total

111,439 81,266
     
  Compensation Paid    

Payments

34,537 31,192

Total Dollars

$3,784,610,376
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 46,270
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 38,154
            Without Dose Reconstruction (DR) *1 6,119
   

Total

44,273
     
    Cases Currently at NIOSH 1,997
 
*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 10,786
   
 
  Final Decision to Deny and POC Less Than 50% 19,932
   

Total

30,718

 

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 9,861
    Individual Claims Paid 13,882
    Amount Paid $1,462,629,181
       
  Accepted SEC Cases
    Cases Paid 24,011
    Individual Claims Paid 39,731
    Amount Paid $3,584,668,842
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 886
    Individual Claims Paid 1,040
    Amount Paid $132,975,000
       
*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 34,758
    Individual Claims Paid 54,653
    Total Amount Paid $5,180,273,023