M.B. and U.S. Postal Service, Post Office, Basking Ridge, NJ (Board decision, February 27, 2013)
M.B. (ECAB 12-1722): Wage-loss claim returned for combined case record
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ECAB remand decision. The Board set aside OWCP’s March 20 and July 30, 2012 decisions denying M.B.’s wage-loss claims and directed it to combine relevant case files. Whether she is entitled to compensation for the claimed periods 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).
Plain-English summary
M.B., a postal employee, sought wage-loss compensation connected to an accepted occupational disease claim involving her hands. Her attorney identified an earlier right-wrist claim whose medical evidence might bear on the wage-loss question. The Board found that the earlier file was not part of the record before it, although the hearing representatives had referred to reviewing it. The Board set aside both OWCP denials and directed OWCP to combine the relevant files and issue a new decision.
Decision snapshot
- Authority: OWCP procedure for combining files when adjudication requires cross-referencing them.
- Outcome: March 20 and July 30, 2012 denials set aside; case remanded for a combined record and new decision.
- Key point: Evidence considered by OWCP had to be included in the record available for Board review.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
M.B., Appellant
)
)
and ) Docket No. 12-1722
) Issued: February 27, 2013
U.S. POSTAL SERVICE, POST OFFICE,
)
Basking Ridge, 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
COLLEEN DUFFY KIKO, Judge
PATRICIA HOWARD FITZGERALD, Judge
On August 15, 2012 appellant, through her attorney, filed a timely appeal of March 20 and July 30, 2012 Office of Workers’ Compensation Programs’ (OWCP) merit decisions denying her claims for compensation. The Board docketed the appeal as No. 12-1722.
Appellant filed a notice of occupational disease on February 2, 2011 alleging that on June 20, 2010 she first became aware of her bilateral carpal and cubital tunnel syndromes. OWCP accepted her claim on May 13, 2011. Appellant filed claims requesting wage-loss compensation from October 8, 2010 through January 17, 2011. By decision dated August 24, 2011, OWCP denied appellant’s claim for compensation on the basis that the medical evidence in the record did not support total disability during this period.
Counsel requested an oral hearing of the August 24, 2011 decision which was held on January 4, 2012. At the hearing, counsel referenced a claim appellant had previously filed on June 20, 2010 for her right wrist. Although that claim had been denied as a traumatic injury claim, counsel believed the medical evidence would be helpful to determine the occupational disease claim and requested that the prior claim, number xxxxxx118, be combined with the current occupational disease claim of number xxxxxx217.
By decision dated March 20, 2012, the hearing representative affirmed the denial of appellant’s claim for compensation finding the medical evidence insufficient to meet appellant’s burden of proof.
Appellant had also filed claims for compensation for the period September 10 through October 7, 2010. These claims were denied by OWCP by decision of February 24, 2012. Counsel requested an oral hearing of that decision and at the June 6, 2012 hearing he continued to reference medical evidence in appellant’s claim number xxxxxx118. The transcript reflected that the hearing representative stated, “I do not have that other file. So I’ll get that and take a look at that documentation. It’s not in this one.”
The Board has duly considered the matter and notes that the case is not in posture for a decision. The claim before the Board, number xxxxxx217, involves appellant’s occupational disease claim for carpal tunnel syndrome. In both the March 20 and July 30, 2012 decisions, the hearing representatives noted appellant’s separate claim for traumatic injury to her right hand on June 20, 2010 and suggested their intention to review that record prior to issuing the decisions before the Board.
Pursuant to its procedures, OWCP has determined that cases should be combined where correct adjudication depends on cross-referencing between files. In the instant appeal, the hearing representative noted reviewing both files. Any evidence that the hearing representative considered must be made part of the record before the Board.1 For a full and fair adjudication, OWCP claims with evidence germane to appellant’s hand conditions should be combined pursuant to OWCP procedures.2 This will allow OWCP to consider all relevant claims and medical reports in developing appellant’s wage-loss claim.
The case will be remanded to OWCP to combine relevant case files. Following this and such other development as deemed necessary, OWCP shall issue a de novo decision on appellant’s claim.
1
L.B., Docket No. 11-1501 (issued February 27, 2012).
2
Federal (FECA) Procedure Manual, Part 2 -- Claims, File Maintenance and Management, Chapter 2.400.8(c) (February 2000). D.R., Docket No. 12-696 (issued July 25, 2012).
2
IT IS HEREBY ORDERED THAT the July 30 and March 20, 2012 decisions of the Office of Workers’ Compensation Programs are set aside and the case remanded for further proceedings consistent with this order of the Board.
Issued: February 27, 2013
Washington, DC
Richard J. Daschbach, Chief Judge
Employees’ Compensation Appeals Board
Colleen Duffy Kiko, Judge
Employees’ Compensation Appeals Board
Patricia Howard Fitzgerald, Judge
Employees’ Compensation Appeals Board
3
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