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November 6, 2008    DOL Home > ESA > OWCP > EEOICP > EEOICP Program Statistics   

Office of Workers' Compensation Programs (OWCP)

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OWCP Administers disability compensation programs that provide benefits for certain workers or dependants who experience work-related injury or illness.
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EEOICP Program Statistics

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This page has been refined to provide more information about cases and claims.*  We now differentiate applications as either covered or non-covered. Non-covered applications are those for which the medical condition claimed is not one of the three conditions covered by the Act (Part B); or the claimant did not establish that the employee had covered employment (Parts B and E); or a survivor did not meet relationship or dependency requirements (Part E). We also provide detail regarding the reasons for denial of covered applications.


* Claim numbers count each survivor and each employee who filed for benefits. Case numbers count only employees (living or deceased) whose reported employment and illness are the basis for the application for benefits.

GENERAL ELECTRIC VALLECITOS - CALIFORNIA

Data as of

[Compensation payment totals updated Friday.  Medical bill payment totals updated Monday.]

Combined Part B and E Summary
CLAIMS CASES
Applications Filed 164 118*
Covered Applications Filed 135 98
     
Total Compensation Paid

Payments

35 30

Total Dollars

$4,172,500
Total Medical Bills Paid

Total Dollars

$24,941
Total Compensation + Medical Bills Paid $4,197,441

*A total of 64 unique individual workers are represented by the 118 cases reported.


Part B

  CLAIMS CASES
Applications Filed 85 58
Non Covered Applications        (show details) 8 7
Non Covered Employment 2 2
Condition Not Covered 6 5
 
Covered Applications Filed 77 51
     
  Recommended Decisions*1    
Approved 28 23
Denied 19 12

Total

47 35
  Final Decisions*1    
Approved 27 22
(show details)      Denied 19 12
  Survivor Not Eligible 3 1
  Cancer Not Work Related *2 15 10
  Medical Info Insufficient to Support Claim 1 1
     
Total 46 34
     
  Compensation Paid    

Payments  

25 20

Total Dollars

$3,000,000

*1 With regard to covered applications only

*2 Probability of Causation is less than 50 percent

 


Part E

  CLAIMS CASES
Applications Filed 79 60
Non Covered Applications        (show details) 21 13
Non Covered Employment 8 8
Survivor Not Covered *5 13 5
 
Covered Applications Filed 58 47
     
  Recommended Decisions*3    
Approved 18 18
Denied 13 13

Total

31 31
  Final Decisions*3    
Approved 15 15
(show details)      Denied 10 10
  Cancer Not Work Related*4 2 2
  Medical Info Insufficient to Support Claim 8 8
     

Total

25 25
     
  Compensation Paid    

Payments

10 10

Total Dollars

$1,172,500

*3 With regard to covered applications only
*4 Probability of Causation is less than 50 percent
*5 Per EEOICPA amendments of 2004, "adult children" are not covered under Part E.

 


Part B - NIOSH Actions

STATUS OF NIOSH REFERRALS
 
Cases Referred to NIOSH 41
Cases Returned from NIOSH
With Dose Reconstruction  (DR) 25
Being Re-worked for Return to NIOSH*6 0
Withdrawn from NIOSH (no DR)*7 2
Total
27
Cases Currently at NIOSH
Initial/Original Referral to NIOSH 7
Reworks or Returns to NIOSH *6 7
Total
14

*6  Examples of re-worked case:  Case was returned to DOL by NIOSH with a dose reconstruction, but additional medical or employment evidence needs to be developed; case is then returned to NIOSH.
*7  Withdrawn case:  Case was sent to NIOSH and later withdrawn without a dose reconstruction. Reasons for withdrawal: claimant request, claimant death, insufficient employment evidence, or confirmation of coverage at a Special Exposure Cohort worksite.

 

DECISION STATUS
NIOSH DOSE RECONSTRUCTED (DR) CASES
 
Cases with Dose Reconstruction (DR) 25
 
DR Cases Pending Recommended Decision by DOL  0
 
DR cases with Recommended Decision  
  Recommended Decision to Accept 16
  Recommended Decision to Deny 9
Total 
25
 DR cases with Final Decision
  Final Decision to Accept      (show details) 12
  Number of cases pending payment 0
Number of cases paid 12
 
Final Decision to Deny 10
Total
22
   
  Compensation Paid - Total Dollars $1,800,000
  Number of Individuals Paid 16
   

 

 

 



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