D.S. and U.S. Postal Service, Post Office, Malakoff, TX (Board decision, May 24, 2013)
D.S. (ECAB 12-1641): Wage capacity reconsideration sent back to OWCP
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ECAB remand decision. The Board set aside OWCP’s June 12, 2012 denial of D.S.’s request to modify a wage-earning capacity decision. OWCP used an improper review standard after her modified work hours were reduced under the National Reassessment Process. OWCP must develop the evidence and issue a new decision; entitlement to compensation remains unresolved. A party may petition the Board for reconsideration within 30 days of issuance unless the order specifies another period, under 20 C.F.R. § 501.7(a). FECA compensation decisions are generally not subject to court review under 5 U.S.C. § 8128(b).
Plain-English summary
D.S., a Postal Service rural carrier with accepted arm and shoulder injuries, had a wage-earning capacity decision that reduced her compensation to zero after she returned to modified work. She later sought compensation when the Postal Service had no work for her under its National Reassessment Process. OWCP treated her request to revisit the wage decision as an untimely reconsideration request requiring clear evidence of error. The Board held that the applicable FECA bulletin instead required OWCP to develop the evidence and decide whether the wage decision should be modified. It set aside the denial and remanded for a new decision on that question.
Decision snapshot
- Authority: Modification of a wage-earning capacity decision under FECA Bulletin No. 09-05.
- Outcome: June 12, 2012 denial set aside; OWCP ordered to develop the record and issue a new decision.
- Key point: Reduced hours under the National Reassessment Process required review of possible wage-capacity modification.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
D.S., Appellant
)
)
and ) Docket No. 12-1641
) Issued: May 24, 2013
U.S. POSTAL SERVICE, POST OFFICE,
)
Malakoff, TX, Employer
)
__________ )
Appearances: Case Submitted on the Record
Appellant, pro se
Office of Solicitor, for the Director
DECISION AND ORDER
Before:
RICHARD J. DASCHBACH, Chief Judge
PATRICIA HOWARD FITZGERALD, Judge
ALEC J. KOROMILAS, Alternate Judge
JURISDICTION
On July 30, 2012 appellant, through counsel, filed a timely appeal of the June 12, 2012 decision of the Office of Workers’ Compensation Programs (OWCP) denying her request for reconsideration as it was not timely filed and failed to establish clear evidence of error. As more than 180 days has elapsed from the last merit decision of March 3, 2011 to the filing of this appeal, pursuant to the Federal Employees’ Compensation Act1 (FECA) and 20 C.F.R.
§§ 501.2(c) and 501.3, the Board does not have jurisdiction over the merits of this case.
ISSUE
The issue is whether OWCP properly refused to reopen appellant’s case for further review of the merits on the grounds that her request was untimely filed and failed to demonstrate clear evidence of error.
1
5 U.S.C. § 8101 et seq.
FACTUAL HISTORY
On June 6, 2001 appellant, then a 35-year-old rural carrier, filed a traumatic injury claim alleging that on June 4, 2001 she sustained a fracture of her lower arm during the performance of her federal duties. OWCP accepted her claim for closed fracture of the upper end radius and ulna and right shoulder sprain. On November 10, 2005 appellant returned to work as a modified rural carrier for the employing establishment.
By decision dated March 16, 2006, OWCP issued a decision finding that appellant’s position as a modified rural carrier represented her loss of wage-earning capacity (LWEC), and since the wages in this position met or exceeded her earnings, her compensation payments were reduced to zero. On December 3, 2010 appellant filed a claim for intermittent periods of compensation. She indicated that she was sent home on several dates as there was no work available. Appellant filed subsequent forms noting additional time loss from work.
By decision dated February 8, 2011, OWCP noted that the employing establishment made a determination that no work was available as part of the National Reassessment Process (NRP). It found that appellant did not submit evidence sufficient to warrant modification of the LWEC decision of March 16, 2006 and denied her claim for compensation starting November 29, 2010.
Appellant requested reconsideration on February 22, 2011. On March 3, 2011 OWCP denied modification of the February 8, 2011 decision.
On March 14, 2012 appellant again requested reconsideration. By decision dated June 12, 2012, OWCP denied her request as it found that it was untimely filed and failed to demonstrate clear evidence of error.
LEGAL PRECEDENT
A wage-earning capacity decision is a determination that a specific amount of earnings, either actual earnings or earnings from a selected position, represents a claimant’s ability to earn wages.2 Compensation for loss of wage-earning capacity is based upon loss of the capacity to earn and not on actual wages lost.3 Compensation payments are based on the wage-earning capacity determination, which remains undisturbed until properly modified.4
Modification of a standing loss of wage-earning capacity determination is not warranted unless there is a material change in the nature and extent of the injury-related condition, the employee has been retrained or otherwise vocationally rehabilitated or the original determination
2
5 U.S.C. § 8115(a); K.R., Docket No. 09-415 (issued February 24, 2010); Lee R. Sires, 23 ECAB 12, 14 (1971) (the Board held that actual wages earned must be accepted as the measure of a wage-earning capacity in the absence of evidence showing that they do not fairly and reasonably represent the employee’s wage-earning capacity). 3 K.R., id; Ernest Donelson, Sr., 35 ECAB 503, 505 (1984); Roy Matthew Lyon, 27 ECAB 186, 190 (1975).
4
See Sharon C. Clement, 55 ECAB 552, 557 (2004).
2 was erroneous.5 The burden of proof is on the party attempting to show a modification of the loss of wage-earning capacity determination.6 There is no time limit for appellant to submit a request for modification of a loss of wage-earning capacity determination.7
ANALYSIS
In the instant case, on March 16, 2006 OWCP issued a decision finding that appellant had no loss of wage-earning capacity and reduced appellant’s compensation benefits to zero. On February 8, 2011 it noted that, although the employing establishment indicated that no work was available under NRP, appellant had not submitted evidence sufficient to warrant modification of the LWEC determination. OWCP reviewed this decision on reconsideration, but denied modification on March 3, 2011. Appellant filed a request for reconsideration on March 14, 2012 and, by decision dated June 12, 2012, OWCP denied appellant’s request for reconsideration as it was untimely filed and failed to demonstrate clear evidence of error.
The Board finds that this case is not in posture for decision, as OWCP applied an improper standard of review. OWCP erred when it denied appellant’s claim under the clear evidence of error standard. When, as in this case, appellant files a claim for compensation after a loss of wage-earning capacity decision has been issued and her hours have been reduced under NRP, FECA Bulletin No. 09-05 requires OWCP to develop the evidence to determine whether a modification of the decision is appropriate.8 On remand, OWCP shall further adjudicate appellant’s request for modification of the loss of wage-earning capacity determination and issue an appropriate decision in the case, taking into consideration the provisions of FECA Bulletin No. 09-05.9
CONCLUSION
The Board finds that appellant is entitled to a merit review of the loss of wage-earning capacity determination. The case will be remanded to OWCP for all necessary development and issuance of a de novo decision on this issue.
5
Sue A. Sedgwick, 45 ECAB 211, 215-16 (1993).
6
Selden H. Swartz, 55 ECAB 272, 278 (2004).
7
See D.O., Docket No. 11-1607 (issued April 23, 2012); Daryl Peoples, Docket No. 05-462 (issued July 19, 2005); Emmitt Taylor, Docket No. 03-1780 (issued July 21, 2004); Gary L. Moreland, 54 ECAB 638 (2003). 8 D.T., Docket No. 12-217 (issued October 16, 2012).
9
FECA Bulletin No. 09-05 outlines procedures when limited-duty positions are withdrawn or hours reduced pursuant to NRP. If, as in the present case, a formal loss of wage-earning capacity decision has been issued, OWCP must develop the evidence to determine whether a modification of that decision is appropriate. FECA Bulletin No. 09-05 (issued August 18, 2009).
3
ORDER
IT IS HEREBY ORDERED THAT the decision of the Office of Workers’ Compensation Programs dated June 12, 2012 is set aside and the case remanded for further action consistent with this decision of the Board.
Issued: May 24, 2013
Washington, DC
Richard J. Daschbach, Chief Judge
Employees’ Compensation Appeals Board
Patricia Howard Fitzgerald, Judge
Employees’ Compensation Appeals Board
Alec J. Koromilas, Alternate Judge
Employees’ Compensation Appeals Board
4
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