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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 323,644 216,739 *
Total Compensation Paid - Payments 128,228 94,383
Combined Part B and E Dollar Amounts
Total Dollars $12,498,303,948
Total Medical Bills Paid - Total Dollars $6,377,578,999
Total Compensation + Medical Bills Paid $18,875,882,947

* The above numbers of applications filed represent 129,007 unique individual workers.


Part B
  CLAIMS CASES
Applications Filed 177,060 112,450
Final Decisions - Approved 88,308 57,027
Final Decisions - Denied 74,295 50,089
Final Decisions - Total 162,603 107,116
Compensation Paid - Payments 82,524 53,840
Part B Compensation Paid
Compensation Paid - Total Dollars $7,188,793,127

Part E
  CLAIMS CASES
Applications Filed 146,584 104,289
Final Decisions - Approved 61,900 50,801
Final Decisions - Denied 69,986 46,139
Final Decisions - Total 131,886 96,940
Compensation Paid - Payments 45,704 40,543
Part E Compensation Paid
Compensation Paid - Total Dollars $5,309,510,821

Part B Cancer Cases - NIOSH and SEC Statistics
  CASES
Part B - Status and Location of NIOSH Referrals
Cases Referred to NIOSH for Dose Reconstruction (DR) 53,812
Cases Returned by NIOSH - With Dose Reconstruction (DR) 45,724
Cases Returned by NIOSH - Without Dose Reconstruction (DR) *1 6,522
Cases Returned by NIOSH - Total 52,246
Cases Currently at NIOSH 1,566
Part B - Cases with Dose Reconstruction (DR) and Final Decision
Final Decision to Accept and Probability of Causation (POC) 50% or Greater 12,476
Final Decision to Deny and POC Less Than 50% 23,838
Final Decision - Total 36,314
Part B Cancer Cases with Final Decision to Accept *2
Accepted DR Cases - Cases Paid 11,285
Accepted DR Cases - Individual Claims Paid 15,694
Accepted DR Cases - Amount Paid $1,667,555,999
Accepted SEC Cases - Cases Paid 28,779
Accepted SEC Cases - Individual Claims Paid 46,639
Accepted SEC Cases - Amount Paid $4,296,288,662
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Cases Paid 1,155
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Individual Claims Paid 1,329
Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Amount Paid $173,325,000
TOTALS: All Accepted SEC, DR Cases, and Combined - Cases Paid 41,219
TOTALS: All Accepted SEC, DR Cases, and Combined - Individual Claims Paid 63,662
TOTALS: All Accepted SEC, DR Cases, and Combined - Amount Paid $6,137,169,661

*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.

*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.

*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.