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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.
Data as of
[Compensation
payment totals updated Friday. Medical bill payment totals updated
Monday.]
|
Combined Part B and E Summary |
|
|
|
CLAIMS |
CASES |
|
Applications Filed |
170,215 |
118,467* |
|
Covered Applications Filed |
128,188 |
94,505 |
|
|
|
|
|
Total Compensation Paid |
Payments |
45,857 |
33,916 |
|
Total Dollars |
$4,051,466,392 |
|
Total Medical Bills Paid |
Total Dollars |
$262,270,643 |
|
Total Compensation + Medical Bills Paid |
$4,313,737,034 |
*A
total of 69,767 unique individual workers are represented by the
118,467 cases reported.
Part B
| |
CLAIMS |
CASES |
|
Applications Filed |
94,018 |
63,986 |
|
Non Covered Applications
(show details) |
16,904 |
14,059 |
| Non Covered Employment |
5,845 |
4,358 |
| Condition Not Covered |
11,059 |
9,701 |
| |
|
|
|
|
Covered Applications Filed |
77,114 |
49,927 |
|
|
|
|
|
|
Recommended Decisions*1 |
|
|
|
Approved |
36,994 |
24,526 |
|
Denied |
27,729 |
19,346 |
|
Total |
64,723 |
43,872 |
|
|
Final Decisions*1 |
|
|
|
Approved |
35,724 |
23,922 |
|
(show details) Denied |
25,784 |
18,193 |
| |
Survivor Not Eligible |
2,186 |
544 |
| |
Cancer Not Work Related
*2 |
16,648 |
12,541 |
| |
Medical Info Insufficient to Support Claim |
6,950 |
5,108 |
| |
|
|
|
|
Total |
61,508 |
42,115 |
|
|
|
|
|
|
Compensation Paid |
|
|
|
Payments |
33,467 |
22,110 |
|
Total Dollars |
$2,708,400,619 |
*1 With regard to covered applications only
|
*2
Probability of Causation is less than 50 percent
|
Part E
| |
CLAIMS |
CASES |
|
Applications Filed |
76,197 |
54,481 |
|
Non Covered Applications
(show details) |
25,123 |
9,903 |
|
Non Covered Employment |
3,613 |
3,011 |
|
Survivor Not
Covered
*5 |
21,510 |
6,892 |
| |
|
|
|
Covered Applications Filed |
51,074 |
44,578 |
|
|
|
|
|
|
Recommended Decisions*3 |
|
|
|
Approved |
20,462 |
19,350 |
|
Denied |
18,709 |
17,803 |
|
Total |
39,171 |
37,153 |
| |
Final Decisions*3 |
|
|
|
Approved |
19,287 |
18,421 |
|
(show details) Denied |
17,091 |
16,396 |
| |
Cancer Not Work Related*4 |
4,413 |
4,310 |
| |
Medical Info Insufficient to Support Claim |
12,678 |
12,086 |
| |
|
|
|
|
Total |
36,378 |
34,817 |
|
|
|
|
|
|
Compensation Paid |
|
|
|
Payments |
12,390 |
11,806 |
|
Total Dollars |
$1,343,065,773 |
*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.
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Part B - NIOSH Actions
|
STATUS OF NIOSH REFERRALS |
|
|
|
|
| Cases Referred to NIOSH |
28,145
|
|
|
| |
Cases Returned from NIOSH |
|
|
With Dose Reconstruction (DR) |
18,620 |
|
Being Re-worked for Return to NIOSH*6 |
28 |
| |
Withdrawn from NIOSH (no DR)*7 |
2,688 |
|
Total |
21,336 |
| |
Cases Currently at NIOSH |
|
|
Initial/Original Referral to NIOSH |
3,671 |
|
Reworks or Returns to NIOSH *6 |
3,120 |
Total |
6,791 |
|
*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) |
18,620 |
| |
|
DR Cases Pending Recommended Decision by DOL |
380 |
|
|
|
|
DR cases with Recommended Decision |
|
| |
Recommended Decision to Accept |
7,144 |
| |
Recommended Decision to Deny |
11,094 |
|
Total |
18,238 |
|
DR cases with Final Decision |
|
| |
Final Decision to Accept
(show details) |
5,895 |
| |
Number of cases pending payment |
49 |
|
Number of cases paid |
5,846 |
| |
|
|
|
Final Decision to Deny |
10,118 |
|
Total |
16,013 |
| |
|
|
| |
Compensation Paid - Total Dollars |
$873,908,791 |
| |
Number of Individuals Paid |
8,310 |
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