F.H. and U.S. Postal Service, Post Office, Cleveland, OH (Board decision, July 15, 2013)
F.H. (ECAB 13-0790): Repeated medical opinion does not reopen claim
Apply this precedent to your situation
This is citable Board precedent from 2013, and it may have been appealed since. Ezel checks how it stands today and answers your situation, with citations.
ECAB final decision. The Board affirmed OWCP’s January 25, 2013 refusal to reopen F.H.’s occupational disease claim for a merits review. The Board did not review the underlying compensation denial in this appeal. A party may petition the Board for reconsideration within 30 days of issuance unless this decision 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
F.H., a postal worker, sought reconsideration of the denial of her claim for a lower back and leg condition. She submitted a 2012 report from a neurosurgeon who linked the condition to carrying mail and other work duties. The Board found that OWCP had already considered earlier reports from that physician with the same findings and conclusions. F.H. also had not presented a new relevant legal argument. The Board affirmed OWCP’s refusal to reopen the claim and said it could not review the compensation merits in this appeal.
Decision snapshot
- Authority: Reopening standards under 5 U.S.C. § 8128(a) and 20 C.F.R. § 10.606(b)(2).
- Outcome: OWCP’s January 25, 2013 refusal to reopen the claim affirmed; underlying merits not reviewed.
- Key point: A report repeating medical conclusions already considered did not qualify as new and pertinent evidence.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
F.H., Appellant
)
)
and ) Docket No. 13-790
) Issued: July 15, 2013
U.S. POSTAL SERVICE, POST OFFICE,
)
Cleveland, OH, Employer
)
__________ )
Appearances: Case Submitted on the Record
Alan J. Shapiro, Esq., for the appellant
Office of Solicitor, for the Director
DECISION AND ORDER
Before:
RICHARD J. DASCHBACH, Chief Judge
ALEC J. KOROMILAS, Alternate Judge
MICHAEL E. GROOM, Alternate Judge
JURISDICTION
On February 19, 2013 appellant, through her attorney, filed a timely appeal of a January 25, 2013 decision of the Office of Workers’ Compensation Programs (OWCP) denying her request for reconsideration without further merit review. Pursuant to the Federal Employees’ Compensation Act1 (FECA) and 20 C.F.R. §§ 501.2(c) and 501.3, the Board has jurisdiction over this decision. Because more than 180 days elapsed from September 30, 2011, the date of the most recent merit decision, to the filing of this appeal, the Board lacks jurisdiction to review the merits of the case.
ISSUE
The issue is whether OWCP properly denied appellant’s request for reconsideration under 5 U.S.C. § 8128(a).
FACTUAL HISTORY
This case has previously been before the Board. By decision dated September 30, 2011, the Board affirmed OWCP’s July 22, 2010 denial of appellant’s occupational disease claim on the basis that the medical evidence did not sufficiently establish that the accepted work activity, 1 5 U.S.C. § 8101 et seq. namely, carrying mail, packages, and magazines and performing other duties involving bending, twisting and climbing stairs, caused or contributed to a lower back and leg condition.2 Following this decision, counsel filed a written request for reconsideration to OWCP on July 20, 2012 and submitted new evidence.
In a February 20, 2012 report, Dr. Roseanna M. Lechner, a Board-certified neurosurgeon, related that appellant was being chased by a dog sometime in November 2008 when she fell and injured her left leg. Thereafter, she experienced back and bilateral leg pain. Magnetic resonance imaging (MRI) scans obtained on February 6 and September 18, 2009 exhibited L4-L5 disc bulge, spondylolisthesis and facet joint disorder. Dr. Lechner concluded:
“It is my opinion, with a reasonable degree of medical certainty, that the continued stress of [appellant] carrying her mailbag, climbing up and down steps, lifting packages that could weigh up to 60 pounds and repeatedly bending and twisting caused progressive disruption of the disc and facet joints at L4-L5 which was already weakened from the initial fall in November 2008 resulting in instability and chronic back and leg pain.”3
By decision dated January 25, 2013, OWCP denied appellant’s request on the grounds that it did not receive new and relevant evidence warranting further merit review.
LEGAL PRECEDENT
To require OWCP to reopen a case for merit review under section 8128(a) of FECA,4 OWCP’s regulations provide that the evidence or argument submitted by a claimant must either: (1) show that OWCP erroneously applied or interpreted a specific point of law; (2) advance a relevant legal argument not previously considered by OWCP; or (3) constitute relevant and pertinent new evidence not previously considered by OWCP.5 Where the request for reconsideration fails to meet at least one of these standards, OWCP will deny the application for reconsideration without reopening the case for a review on the merits.6
ANALYSIS
By decision dated September 30, 2011 decision, the Board affirmed denial of appellant’s occupational disease claim, finding the medical evidence insufficient to establish that her federal employment caused or contributed to a lower back and leg condition. On July 20, 2010 counsel requested reconsideration and submitted a February 20, 2012 report from Dr. Lechner. OWCP subsequently denied the request on January 25, 2013 on the grounds that it did not receive new and relevant evidence warranting further merit review.
2
Docket No. 10-2183 (issued September 30, 2011). The findings contained in the Board’s prior decision are incorporated by reference.
3
Dr. Lechner incorporated the content of earlier reports dated October 23 and December 18, 2009, both of which are in the case record and were previously considered by OWCP. See id. 4 5 U.S.C. § 8128(a).
5
E.K., Docket No. 09-1827 (issued April 21, 2010). See 20 C.F.R. § 10.606(b)(2).
6
L.D., 59 ECAB 648 (2008). See 20 C.F.R. § 10.608(b).
2
The Board finds that OWCP properly denied appellant’s request for reconsideration without further merit review. While her application for reconsideration included Dr. Lechner’s February 20, 2012 report, OWCP had already considered Dr. Lechner’s October 23 and December 18, 2009 reports presenting identical findings and conclusions.7 The submission of evidence that repeats or duplicates evidence already in the case record does not constitute a basis for reopening a case.8 Furthermore, appellant did not assert that OWCP erroneously applied or interpreted a specific point of law or advance a relevant legal argument not previously considered by OWCP. Because she failed to meet one of the standards enumerated under section 8128(a) of FECA, she was not entitled to further merit review of her claim.
Counsel argues on appeal that the January 25, 2013 decision was contrary to fact and law.
As noted, appellant did not offer a valid legal contention or pertinent evidence not previously considered by OWCP. Therefore, OWCP properly denied the request for reconsideration.
CONCLUSION
The Board finds that OWCP properly denied appellant’s request for reconsideration.
ORDER
IT IS HEREBY ORDERED THAT the January 25, 2013 decision of the Office of Workers’ Compensation Programs be affirmed.
Issued: July 15, 2013
Washington, DC
Richard J. Daschbach, Chief Judge
Employees’ Compensation Appeals Board
Alec J. Koromilas, Alternate Judge
Employees’ Compensation Appeals Board
Michael E. Groom, Alternate Judge
Employees’ Compensation Appeals Board
7
See supra note 3.
8
Edward W. Malaniak, 51 ECAB 279 (2000).
3
Does this precedent still control your case?
Ezel checks whether it still stands, including any court review since, and applies it to your situation with citations.
Try Ezel Pro free for 7 days. Cancel anytime before the trial ends and you pay nothing.
- Checks the law as it stands today, not only this page
- Cites every source it relies on, so you can verify it
- Chat, drafting and research in one workspace