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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 293,457 195,641*
     
Total Compensation Paid

Payments

111,405 81,034

Total Dollars

$10,449,407,970
Total Medical Bills Paid

Total Dollars

$3,590,484,142
Total Compensation + Medical Bills Paid $14,039,892,112

* The above numbers of applications filed represent 116,636 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 162,011 102,626
     
  Final Decisions    
Approved 79,203 50,760
     Denied 67,950 46,008

Total

147,153 96,768
     
  Compensation Paid    

Payments

74,314 47,787

Total Dollars

$6,328,577,983
 

Part E

  CLAIMS CASES
Applications Filed 131,446 93,015
     
  Final Decisions    
Approved 52,377 43,176
     Denied 64,382 42,115

Total

116,759 85,291
     
  Compensation Paid    

Payments

37,091 33,247

Total Dollars

$4,120,829,987
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 48,455
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 40,269
            Without Dose Reconstruction (DR) *1 6,265
   

Total

46,534
     
    Cases Currently at NIOSH 1,921
 
*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 11,287
   
 
  Final Decision to Deny and POC Less Than 50% 20,889
   

Total

32,176

 

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 10,273
    Individual Claims Paid 14,429
    Amount Paid $1,521,534,213
       
  Accepted SEC Cases
    Cases Paid 25,465
    Individual Claims Paid 41,949
    Amount Paid $3,800,825,141
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 974
    Individual Claims Paid 1,135
    Amount Paid $146,175,000
       
*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 36,712
    Individual Claims Paid 57,513
    Total Amount Paid $5,468,534,354