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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 270,285 180,023*
     
Total Compensation Paid

Payments

100,301 72,970

Total Dollars

$9,238,777,440
Total Medical Bills Paid

Total Dollars

$2,383,257,453
Total Compensation + Medical Bills Paid $11,622,034,893

* The above numbers of applications filed represent 107,141 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 149,533 95,014
     
  Final Decisions    
Approved 72,272 46,344
     Denied 62,848 42,949

Total

135,120 89,293
     
  Compensation Paid    

Payments

67,942 43,515

Total Dollars

$5,723,048,292
 

Part E

  CLAIMS CASES
Applications Filed 120,752 85,009
     
  Final Decisions    
Approved 46,920 39,015
     Denied 59,790 38,589

Total

106,710 77,604
     
  Compensation Paid    

Payments

32,359 29,455

Total Dollars

$3,515,729,148
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 44,131
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 36,007
            Without Dose Reconstruction (DR) *1 5,973
   

Total

41,980
     
    Cases Currently at NIOSH 2,151
 
*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 10,239
   
 
  Final Decision to Deny and POC Less Than 50% 18,831
   

Total

29,070

 

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 9,413
    Individual Claims Paid 13,257
    Amount Paid $1,397,538,467
       
  Accepted SEC Cases
    Cases Paid 22,707
    Individual Claims Paid 37,670
    Amount Paid $3,390,055,423
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 791
    Individual Claims Paid 940
    Amount Paid $118,725,000
       
*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 32,911
    Individual Claims Paid 51,867
    Total Amount Paid $4,906,318,890