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Highlights |
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In May 2009 we introduced new Part B statistics for cases sent to NIOSH and cases approved based on Special Exposure Cohort (SEC) status.
Note below that claim numbers represent each employee or survivor who filed for benefits. Case numbers represent employees (living or deceased) whose employment and illness are the basis for the claim.
Note also that we differentiate applications as either covered or non-covered. Non-covered applications are those for which the medical condition claimed is not one of the covered occupational illnesses (applies only to Part B applications); or the employee's covered employment has not been established (Parts B and E); or a survivor did not meet eligibility requirements (Part E).
| Data as of
|
[Compensation
payment totals updated Friday. Medical bill payment totals updated
Monday.] |
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Combined Part B and E Summary |
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CLAIMS |
CASES |
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Applications Filed |
179,963 |
124,311* |
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Covered Applications Filed |
135,572 |
99,505 |
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Total Compensation Paid |
Payments |
52,462 |
38,888 |
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Total Dollars |
$4,634,838,879 |
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Total Medical Bills Paid |
Total Dollars |
$340,098,256 |
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Total Compensation + Medical Bills Paid |
$4,974,937,135 |
*A
total of 73,044 unique individual workers are represented by the
124,311 cases reported.
Part B
| |
CLAIMS |
CASES |
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Applications Filed |
98,776 |
66,638 |
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Non Covered Applications
(show details) |
17,342 |
14,303 |
| Non Covered Employment |
6,300 |
4,682 |
| Condition Not Covered |
11,042 |
9,621 |
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Covered Applications Filed |
81,434 |
52,335 |
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Recommended Decisions*1 |
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Approved |
40,098 |
26,357 |
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Denied |
29,748 |
20,596 |
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Total |
69,846 |
46,953 |
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Final Decisions*1 |
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Approved |
39,320 |
26,033 |
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(show details) Denied |
27,965 |
19,571 |
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Survivor Not Eligible |
2,420 |
578 |
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Cancer Not Work Related
*2 |
18,213 |
13,651 |
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Medical Info Insufficient to Support Claim |
7,332 |
5,342 |
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Total |
67,285 |
45,604 |
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Compensation Paid |
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Payments |
37,110 |
24,306 |
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Total Dollars |
$3,005,187,781 |
*1 With regard to covered applications only
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*2
Probability of Causation is less than 50 percent
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Part E
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CLAIMS |
CASES |
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Applications Filed |
81,187 |
57,673 |
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Non Covered Applications
(show details) |
27,049 |
10,503 |
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Non Covered Employment |
3,885 |
3,248 |
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Survivor Not
Covered
*5 |
23,164 |
7,255 |
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Covered Applications Filed |
54,138 |
47,170 |
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Recommended Decisions*3 |
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Approved |
23,005 |
21,611 |
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Denied |
19,928 |
18,804 |
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Total |
42,933 |
40,415 |
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Final Decisions*3 |
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Approved |
22,127 |
20,951 |
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(show details) Denied |
18,678 |
17,783 |
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Cancer Not Work Related*4 |
5,288 |
5,131 |
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Medical Info Insufficient to Support Claim |
13,390 |
12,652 |
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Total |
40,805 |
38,734 |
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Compensation Paid |
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Payments |
15,352 |
14,582 |
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Total Dollars |
$1,629,651,099 |
*3
With regard to covered applications only
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*4 Probability of Causation is less than 50 percent
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*5 Per EEOICPA
amendments of 2004, adult children are not covered under Part E.
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Part B Cancer Cases - NIOSH and SEC Statistics
| Part B - Status and Location of NIOSH Referrals |
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Cases Referred to NIOSH for Dose Reconstruction (DR) |
29,939 |
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Cases Returned by NIOSH that are
Currently at DOL |
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With Dose Reconstruction (DR) |
21,139 |
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Without
Dose Reconstruction (DR) *6 |
3,214 |
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Total |
24,353 |
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Cases that are Currently at NIOSH |
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Initial Referral to NIOSH |
3,146 |
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Reworks
or Returns to NIOSH |
2,440 |
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Total |
5,586 |
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| *6
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. |
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| Part B - Cases with Dose Reconstruction (DR) and Final Decision |
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Final
Decision to Accept and Probability of Causation (POC) 50% or Greater
|
6,623 |
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Final
Decision to Deny and POC Less
Than 50% |
13,023 |
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Total |
19,646 |
| Part B Cancer Cases with Final Decision to Accept |
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Accepted DR Cases |
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Cases Approved |
6,338 |
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Cases Paid |
6,289 |
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Individuals
(Claimants) Paid |
9,030 |
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Amount
Paid |
$940,206,056 |
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Accepted SEC Cases |
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Cases Approved |
9,624 |
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Cases Paid |
9,522 |
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Individuals
(Claimants) Paid |
15,449 |
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Amount
Paid |
$1,420,579,420 |
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Cases Accepted Based on SEC
Status and POC 50% or Greater
*7 |
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Cases Approved |
285 |
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Cases Paid |
284 |
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Individuals (Claimants) Paid |
364 |
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Amount Paid |
$42,600,000 |
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| *7
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. |
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TOTALS: All Accepted SEC and DR Cases |
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Cases Approved |
16,247 |
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Cases Paid |
16,095 |
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Individuals (Claimants) Paid |
24,843 |
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Total Amount Paid |
$2,403,385,476 |
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