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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 299,651 199,860*
     
Total Compensation Paid

Payments

114,637 83,575

Total Dollars

$10,843,386,613
Total Medical Bills Paid

Total Dollars

$4,050,772,106
Total Compensation + Medical Bills Paid $14,894,158,719

* The above numbers of applications filed represent 119,151 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 165,167 104,625
     
  Final Decisions    
Approved 81,044 51,993
     Denied 69,485 46,995

Total

150,529 98,988
     
  Compensation Paid    

Payments

75,956 48,990

Total Dollars

$6,501,856,911
 

Part E

  CLAIMS CASES
Applications Filed 134,484 95,235
     
  Final Decisions    
Approved 54,158 44,584
     Denied 65,789 43,194

Total

119,947 87,778
     
  Compensation Paid    

Payments

38,681 34,585

Total Dollars

$4,341,529,702
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 49,627
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 41,448
            Without Dose Reconstruction (DR) *1 6,341
   

Total

47,789
     
    Cases Currently at NIOSH 1,838
 
*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 11,603
   
 
  Final Decision to Deny and POC Less Than 50% 21,569
   

Total

33,172

 

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 10,539
    Individual Claims Paid 14,748
    Amount Paid $1,559,846,713
       
  Accepted SEC Cases
    Cases Paid 26,167
    Individual Claims Paid 42,983
    Amount Paid $3,906,595,498
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 1,028
    Individual Claims Paid 1,193
    Amount Paid $154,155,000
       
*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 37,734
    Individual Claims Paid 58,924
    Total Amount Paid $5,620,597,211