Office of Workers' Compensation Programs (OWCP)
EEOICP Program Statistics
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
| CLAIMS | CASES | |
|---|---|---|
| Applications Filed | 340,343 | 228,927 * |
| Total Compensation Paid - Payments | 138,205 | 102,751 |
| Total Compensation Dollars Paid | $13,836,881,371 |
|---|---|
| Total Medical Bills Paid - Total Dollars | $8,781,750,078 |
| Total Compensation + Medical Bills Paid | $22,618,631,449 |
* The above numbers of applications filed represent 136,515 unique individual workers.
| CLAIMS | CASES | |
|---|---|---|
| Applications Filed | 184,313 | 117,454 |
| Final Decisions - Approved | 92,365 | 60,018 |
| Final Decisions - Denied | 76,539 | 51,491 |
| Final Decisions - Total | 168,904 | 111,509 |
| Compensation Paid - Payments | 86,194 | 56,756 |
| Compensation Paid - Total Dollars | $7,597,530,617 |
|---|
| CLAIMS | CASES | |
|---|---|---|
| Applications Filed | 156,030 | 111,473 |
| Final Decisions - Approved | 68,863 | 56,650 |
| Final Decisions - Denied | 71,120 | 46,432 |
| Final Decisions - Total | 139,983 | 103,082 |
| Compensation Paid - Payments | 52,011 | 45,995 |
| Compensation Paid - Total Dollars | $6,239,350,754 |
|---|
| CASES | |
|---|---|
| Part B - Status and Location of NIOSH Referrals | |
| Cases Referred to NIOSH for Dose Reconstruction (DR) | 56,444 |
| Cases Returned by NIOSH - With Dose Reconstruction (DR) | 47,938 |
| Cases Returned by NIOSH - Without Dose Reconstruction (DR) *1 | 6,818 |
| Cases Returned by NIOSH - Total | 54,756 |
| Cases Currently at NIOSH | 1,688 |
| Part B - Cases with Dose Reconstruction (DR) and Final Decision | |
| Final Decision to Accept and Probability of Causation (POC) 50% or Greater | 12,907 |
| Final Decision to Deny and POC Less Than 50% | 24,919 |
| Final Decision - Total | 37,826 |
| Part B Cancer Cases with Final Decision to Accept *2 | |
| Accepted DR Cases - Cases Paid | 11,633 |
| Accepted DR Cases - Individual Claims Paid | 16,108 |
| Accepted DR Cases - Amount Paid | $1,716,878,142 |
| Accepted SEC Cases - Cases Paid | 30,215 |
| Accepted SEC Cases - Individual Claims Paid | 48,513 |
| Accepted SEC Cases - Amount Paid | $4,510,725,379 |
| Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Cases Paid | 1,241 |
| Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Individual Claims Paid | 1,426 |
| Cases Accepted Based on SEC Status and POC 50% or Greater *3 - Amount Paid | $186,225,000 |
| TOTALS: All Accepted SEC, DR Cases, and Combined - Cases Paid | 43,089 |
| TOTALS: All Accepted SEC, DR Cases, and Combined - Individual Claims Paid | 66,047 |
| TOTALS: All Accepted SEC, DR Cases, and Combined - Amount Paid | $6,413,828,521 |
*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.