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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 290,798 193,802*
     
Total Compensation Paid

Payments

110,164 80,110

Total Dollars

$10,306,796,117
Total Medical Bills Paid

Total Dollars

$3,435,741,542
Total Compensation + Medical Bills Paid $13,742,537,659

* The above numbers of applications filed represent 115,516 unique individual workers.


Part B

  CLAIMS CASES
Applications Filed 160,639 101,751
     
  Final Decisions    
Approved 78,475 50,246
     Denied 67,340 45,633

Total

145,815 95,879
     
  Compensation Paid    

Payments

73,662 47,329

Total Dollars

$6,262,716,512
 

Part E

  CLAIMS CASES
Applications Filed 130,159 92,051
     
  Final Decisions    
Approved 51,678 42,639
     Denied 63,846 41,697

Total

115,524 84,336
     
  Compensation Paid    

Payments

36,502 32,781

Total Dollars

$4,044,079,605
 

 


Part B Cancer Cases - NIOSH and SEC Statistics

Part B - Status and Location of NIOSH Referrals
       
  Cases Referred to NIOSH for Dose Reconstruction (DR) 47,999
       
    Cases Returned by NIOSH
            With Dose Reconstruction (DR) 39,743
            Without Dose Reconstruction (DR) *1 6,248
   

Total

45,991
     
    Cases Currently at NIOSH 2,008
 
*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 11,173
   
 
  Final Decision to Deny and POC Less Than 50% 20,632
   

Total

31,805

 

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 10,193
    Individual Claims Paid 14,328
    Amount Paid $1,509,796,713
       
  Accepted SEC Cases
    Cases Paid 25,181
    Individual Claims Paid 41,518
    Amount Paid $3,758,101,170
       
  Cases Accepted Based on SEC Status and POC 50% or Greater *3    
    Cases Paid 952
    Individual Claims Paid 1,113
    Amount Paid $142,875,000
       
*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 36,326
    Individual Claims Paid 56,959
    Total Amount Paid $5,410,772,883