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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 268,051 178,476*
     
Total Compensation Paid

Payments

99,313 72,253

Total Dollars

$9,134,661,253
Total Medical Bills Paid

Total Dollars

$2,307,200,175
Total Compensation + Medical Bills Paid $11,441,861,428

* The above numbers of applications filed represent 106,214 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 148,290 94,251
     
  Final Decisions    
Approved 71,605 45,944
     Denied 62,288 42,639

Total

133,893 88,583
     
  Compensation Paid    

Payments

67,375 43,139

Total Dollars

$5,670,673,541
 

Part E

  CLAIMS CASES
Applications Filed 119,761 84,225
     
  Final Decisions    
Approved 46,460 38,679
     Denied 59,292 38,228

Total

105,752 76,907
     
  Compensation Paid    

Payments

31,938 29,114

Total Dollars

$3,463,987,712
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 43,807
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 35,732
            Without Dose Reconstruction (DR) *1 5,939
   

Total

41,671
     
    Cases Currently at NIOSH 2,136
 
*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 10,154
   
 
  Final Decision to Deny and POC Less Than 50% 18,682
   

Total

28,836

 

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 9,344
    Individual Claims Paid 13,165
    Amount Paid $1,388,104,181
       
  Accepted SEC Cases
    Cases Paid 22,460
    Individual Claims Paid 37,285
    Amount Paid $3,352,849,125
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 780
    Individual Claims Paid 926
    Amount Paid $117,075,000
       
*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 32,584
    Individual Claims Paid 51,376
    Total Amount Paid $4,858,028,306