L.G. and U.S. Postal Service, Post Office, Margate City, NJ (Board decision, December 21, 2012)
L.G. (ECAB 12-1340): Cervical disease claim returned to combine files
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ECAB remand decision. The Board set aside OWCP's March 9, 2012 occupational disease denial and remanded for consolidation of related claim files and a new merits decision. Whether L.G.'s additional work duties aggravated his cervical condition remains open. A party may petition the Board for reconsideration within 30 days of issuance unless this order specifies another period, under 20 C.F.R. § 501.7(a).
Plain-English summary
L.G., a postal employee, claimed that increased casing and overhead reaching aggravated an accepted cervical condition. OWCP denied the new occupational claim while discussing evidence from another file that was not before the Board. The Board found that the overlapping claims had to be combined for a fair review. It set aside the denial and ordered a new merits decision after consolidation.
Decision snapshot
- Authority: FECA occupational disease and consolidated claim files.
- Outcome: March 9, 2012 denial set aside; new merits decision ordered.
- Key point: Overlapping cervical claim records had to be reviewed together.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
L.G., Appellant
)
)
and ) Docket No. 12-1340
) Issued: December 21, 2012
U.S. POSTAL SERVICE, POST OFFICE,
)
Margate City, NJ, Employer
)
__________ )
Appearances: Case Submitted on the Record
Thomas R. Uliase, Esq., for the appellant
Office of Solicitor, for the Director
ORDER REMANDING CASE
Before:
RICHARD J. DASCHBACH, Chief Judge
PATRICIA HOWARD FITZGERALD, Judge
MICHAEL E. GROOM, Alternate Judge
On June 6, 2012 appellant, through his attorney, filed an application for review of a March 9, 2012 merit decision of the Office of Workers’ Compensation Programs (OWCP), claim number xxxxxx212, denying his occupational disease claim. The appeal was docketed as number 12-1340.
The Board has duly considered the matter and finds that this case is not in posture for a decision. On June 19, 2009 appellant filed a Form CA-2 notice of occupational disease and claim for compensation alleging that on May 23, 2009 the increased workload and increased casing aggravated his work-related cervical radiculopathy. In a September 30, 2010 decision, OWCP denied his claim and by decision dated March 23, 2011, an OWCP hearing representative affirmed the denial of the claim finding that appellant failed to submit a rationalized medical opinion explaining how and why the work factors of casing and reaching overhead aggravated the cervical radiculopathy. By decision dated March 9, 2012, it denied modification of the March 23, 2011 decision.
In OWCP’s March 9, 2012 and March 23, 2011 decisions, it noted the procedural history and medical evidence from File No. xxxxxx870.1 In File No. xxxxxx870, it accepted that appellant had cervical sprain and cervical radiculopathy but did not require surgery on the basis 1 OWCP’s hearing representative noted in the March 23, 2011 decision that the cases xxxxxx680 and xxxxxx212 should be doubled as they concern the same condition. However there is no indication that the cases were doubled. of his June 5, 2006 work injury. On July 28, 2009 appellant underwent a cervical fusion, which OWCP did not authorize. Under File No. xxxxxx870, OWCP also issued a September 27, 2010 decision which granted a schedule award for two percent permanent impairment of the right upper extremity.
Due to the overlapping nature of the claims and the fact that the same body part is at issue in both cases, the medical evidence contained in File No. xxxxxx870 will necessarily bear directly on appellant’s claim for compensation in the instant case.2 Without reviewing the case record in File No. xxxxxx870, the Board is unable to determine whether OWCP properly considered all relevant evidence in rendering its final decision.
Because it is essential for the Board to review the medical evidence contained in File No. xxxxxx870 in order to render a full and fair adjudication of the present appeal, this case will be set aside and remanded to OWCP to consolidate case File No. xxxxxx870 with File No. xxxxxx212.3 Reconstruction of the record will be followed by a de novo decision on the merits of the claim, in order to protect appellant’s appeal rights.
IT IS HEREBY ORDERED THAT the March 9, 2012 decision be set aside and the matter remanded to the Office of Workers’ Compensation Programs for further proceedings consistent with this order of the Board.
Issued: December 21, 2012
Washington, DC
Richard J. Daschbach, Chief Judge
Employees’ Compensation Appeals Board
Patricia Howard Fitzgerald, Judge
Employees’ Compensation Appeals Board
Michael E. Groom, Alternate Judge
Employees’ Compensation Appeals Board
2
It is further noted that counsel’s brief on appeal, references a May 2, 2011 report of a Dr. Robert M. Holtzin.
This report is not in the record before the Board.
3
Federal (FECA) Procedure Manual, Part 2 -- Claims, File Maintenance & Management, Chapter 2.400.8(c) (February 2000) (cases should be doubled when correct adjudication of the issues depends on frequent cross- reference between files).
2
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