T.T. and Department of Veterans Affairs, Command Station, Albuquerque, NM (Board decision, August 22, 2014)
T.T. (ECAB 14-1120): Refusal to reopen knee injury claim affirmed
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ECAB final decision. The Board affirmed OWCP’s November 21, 2013 refusal to reopen T.T.’s injury claim for another merits review. Under 20 C.F.R. § 501.6(d), this Board decision becomes final 30 days after issuance unless the Board fixed a different period in it. A party may petition the Board for reconsideration within 30 days 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
T.T., a VA motor vehicle operator, had claimed a knee injury from pushing and pulling linen carts. OWCP accepted that the May 2011 work incident occurred but denied the claim for lack of medical proof linking it to an injury. T.T. later asked OWCP to reconsider without submitting new evidence or a substantive legal argument. The Board held that this request did not meet the standard for reopening and affirmed OWCP’s refusal. It did not review the underlying injury claim on its merits.
Decision snapshot
- Authority: FECA reconsideration, 5 U.S.C. § 8128(a), and 20 C.F.R. § 10.606(b).
- Outcome: November 21, 2013 denial of merit review affirmed.
- Key point: A reconsideration request without relevant new evidence or a new legal argument did not warrant reopening.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
T.T., Appellant
)
)
and ) Docket No. 14-1120
) Issued: August 22, 2014
DEPARTMENT OF VETERANS AFFAIRS,
)
COMMAND STATION, Albuquerque, NM,
)
Employer
)
__________ )
Appearances: Case Submitted on the Record
Appellant, pro se
Office of Solicitor, for the Director
DECISION AND ORDER
Before:
PATRICIA HOWARD FITZGERALD, Acting Chief Judge ALEC J. KOROMILAS, Alternate Judge
MICHAEL E. GROOM, Alternate Judge
JURISDICTION
On April 14, 2014 appellant filed a timely appeal from a November 21, 2013 nonmerit decision of the Office of Workers’ Compensation Programs (OWCP). Because more than 180 days elapsed from the last merit decision dated March 11, 2013 to the filing of this appeal, the Board lacks jurisdiction to review the merits of his claim pursuant to the Federal Employees’ Compensation Act1 (FECA) and 20 C.F.R. §§ 501.2(c) and 501.3.
ISSUE
The issue is whether OWCP properly refused to reopen appellant’s case for reconsideration under 5 U.S.C. § 8128.
1
5 U.S.C. § 8101 et seq.
FACTUAL HISTORY
Appellant, a 62-year-old motor vehicle operator, filed a Form CA-1 claim for benefits on July 18, 2011, alleging that he injured his back, hands and knees while pushing and pulling linen carts on May 15, 2011.
By letter dated July 25, 2011, OWCP informed appellant that it required additional medical evidence in support of his claim. It requested that he submit the evidence within 30 days.
By decision dated August 26, 2011, OWCP denied the claim, finding that appellant failed to establish fact of injury.
On November 2, 2011 appellant requested reconsideration. By decision dated January 31, 2012, OWCP denied modification of the August 26, 2011 decision.
On December 26, 2012 appellant again requested that OWCP reconsider his case. He submitted additional medical evidence. In a January 17, 2012 report, Dr. John E. Grasinger, a specialist in orthopedic surgery, stated that appellant was experiencing bilateral knee pain with significant lesions in both the lateral and medial femoral condyles. He had moderate swelling in both knees with passive motion; there were mild effusions bilaterally. Dr. Grasinger stated that appellant worked in housekeeping and pushed 700-pound carts. He asserted that appellant would be unable to perform that job after joint replacement surgery due to his age, the wear and tear shown by a magnetic resonance imaging scan and the pain he experienced with walking. Dr. Grasinger recommended that appellant undergo a right knee replacement procedure.
In a February 7, 2012 report, received by OWCP on December 26, 2012, Dr. Grasinger stated that appellant was awaiting right total knee replacement surgery. He opined that it was medically probable that pushing heavy carts would aggravate degenerative joint disease.
By decision dated March 11, 2013, OWCP modified the January 31, 2012 decision. It found that appellant submitted sufficient factual evidence to establish the incident at work on May 15, 2011. It found, however, that he failed to submit sufficient medical evidence to establish that the incident resulted in a knee injury.
On November 12, 2013 appellant requested reconsideration of the March 11, 2013 decision. He did not submit any additional factual or medical evidence with his request.
By decision dated November 21, 2013, OWCP denied appellant’s application for review on the grounds that it did not raise any substantive legal questions or include new and relevant evidence sufficient to require OWCP to review its prior decision.
LEGAL PRECEDENT
Under 20 C.F.R. § 10.606(b), a claimant may obtain review of the merits of his or her claim by showing that OWCP erroneously applied or interpreted a specific point of law; by advancing a relevant legal argument not considered by OWCP; or by constituting relevant and
2 pertinent evidence not previously considered by OWCP.2 Evidence that repeats or duplicates evidence already in the case record has no evidentiary value and does not constitute a basis for reopening a case.3
ANALYSIS
In the present case, appellant has not shown that OWCP erroneously applied or interpreted a specific point of law; nor has he advanced a relevant legal argument not previously considered. Appellant did not submit any medical evidence in connection with his November 12, 2013 reconsideration request. He failed to submit any evidence pertinent to the issue on appeal; i.e., whether he established that he sustained an injury in the performance of duty on May 15, 2011. Appellant’s reconsideration request failed to show that OWCP erroneously applied or interpreted a point of law or advance a point of law or fact not previously considered. The Board finds that OWCP did not abuse its discretion by refusing to reopen appellant’s claim for further review on the merits in its November 21, 2013 decision.
CONCLUSION
The Board finds that OWCP properly refused to reopen appellant’s case for reconsideration on the merits of his claim under 5 U.S.C. § 8128(a).
2
20 C.F.R. § 10.606(b)(1); see generally 5 U.S.C. § 8128(a).
3
Howard A. Williams, 45 ECAB 853 (1994).
3
ORDER
IT IS HEREBY ORDERED THAT the November 21, 2013 decision of the Office of Workers’ Compensation Programs be affirmed.
Issued: August 22, 2014
Washington, DC
Patricia Howard Fitzgerald, Acting Chief Judge Employees’ Compensation Appeals Board
Alec J. Koromilas, Alternate Judge
Employees’ Compensation Appeals Board
Michael E. Groom, Alternate Judge
Employees’ Compensation Appeals Board
4
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