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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 281,622 187,744*
     
Total Compensation Paid

Payments

105,508 76,682

Total Dollars

$9,786,601,977
Total Medical Bills Paid

Total Dollars

$2,901,446,174
Total Compensation + Medical Bills Paid $12,688,048,151

* The above numbers of applications filed represent 111,860 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 155,677 98,780
     
  Final Decisions    
Approved 75,608 48,413
     Denied 65,422 44,496

Total

141,030 92,909
     
  Compensation Paid    

Payments

71,014 45,524

Total Dollars

$6,007,062,723
 

Part E

  CLAIMS CASES
Applications Filed 125,945 88,964
     
  Final Decisions    
Approved 49,293 40,813
     Denied 62,075 40,391

Total

111,368 81,204
     
  Compensation Paid    

Payments

34,494 31,158

Total Dollars

$3,779,539,254
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 46,236
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 38,116
            Without Dose Reconstruction (DR) *1 6,118
   

Total

44,234
     
    Cases Currently at NIOSH 2,002
 
*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 10,779
   
 
  Final Decision to Deny and POC Less Than 50% 19,904
   

Total

30,683

 

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 9,856
    Individual Claims Paid 13,876
    Amount Paid $1,461,904,181
       
  Accepted SEC Cases
    Cases Paid 23,990
    Individual Claims Paid 39,693
    Amount Paid $3,581,147,056
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 885
    Individual Claims Paid 1,038
    Amount Paid $132,787,500
       
*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 34,731
    Individual Claims Paid 54,607
    Total Amount Paid $5,175,838,737