S.R. and U.S. Postal Service, Post Office, New York, NY (Board decision, May 26, 2015)
S.R. (ECAB 15-0409): Board orders related claim files combined
Apply this precedent to your situation
This is citable Board precedent from 2015, and it may have been appealed since. Ezel checks how it stands today and answers your situation, with citations.
ECAB final decision. The Board set aside OWCP’s July 15, 2014 decision and remanded S.R.’s benefits case for consolidation of related claim files and a new merit decision. Entitlement to continued benefits remains unresolved. 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).
Plain-English summary
S.R., a postal clerk, appealed OWCP’s decision sustaining the termination of her medical and wage-loss benefits. OWCP had relied in part on records from a separate accepted carpal tunnel claim. The Board could not access that earlier claim file and therefore could not fully review the termination. It set aside OWCP’s decision and directed it to combine the files and issue a new decision. The Board did not decide whether benefits should continue.
Decision snapshot
- Authority: FECA claim file consolidation procedure.
- Outcome: July 15, 2014 decision set aside; related files to be combined and a new merit decision issued.
- Key point: The Board needed access to the related claim file OWCP used before it could review the benefit termination.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
S.R., Appellant
)
)
and ) Docket No. 15-409
) Issued: May 26, 2015
U.S. POSTAL SERVICE, POST OFFICE,
)
New York, NY, Employer
)
__________ )
Appearances: Case Submitted on the Record
Thomas R. Harkins, Esq., for the appellant
Office of Solicitor, for the Director
ORDER REMANDING CASE
Before:
CHRISTOPHER J. GODFREY, Chief Judge
PATRICIA H. FITZGERALD, Deputy Chief Judge COLLEEN DUFFY KIKO, Judge
On December 12, 2014 appellant, through counsel, filed an application for review of a July 15, 2014 decision of the Office of Workers’ Compensation Programs (OWCP), claim number xxxxxx133, which denied modification of a March 3, 2014 decision terminating appellant’s medical benefits and wage-loss compensation as the weight of the medical evidence as set forth in the second opinion physician’s report established that she no longer had residuals of her accepted work-related condition.1 The appeal was docketed as number 15-409.
In the July 15, 2014 decision, OWCP noted that appellant had two other claims for compensation. It noted that appellant sustained an injury on June 10, 1996 which was accepted for bilateral carpal tunnel syndrome and a ganglion condition of the right wrist, claim number xxxxxx954 and a claim for an injury sustained on May 1, 1997 which was accepted for right carpal tunnel syndrome, claim number xxxxxx260. These claims were consolidated. OWCP noted reviewing claim numbers xxxxxx954 and xxxxxx260 and medical evidence and opined that “Medical records contained in your other case file (xxxxxx260) are merely handwritten notes that are illegible and provide no narrative or explanation of care or discussion of examination findings. The records contained in both files do not substantiate any conflict of
1
On August 13, 2004 appellant, a 54-year-old clerk, filed an occupational disease claim asserting that she developed tennis elbow as a result of performing her work duties. OWCP accepted appellant’s claim for bilateral/ lateral epicondylitis. medical opinion or rationale.” The Board is unable to view claim number xxxxxx260 on the Integrated Federal Employees’ Compensation System (iFECS).
The Board has duly considered the matter and notes that the case is not in posture for a decision. The claim before the Board, claim number xxxxxx133, pertains to a claim where OWCP terminated appellant’s medical benefits and wage-loss compensation. In that July 15, 2014 decision, OWCP noted reviewing medical evidence and findings made in claim number xxxxxx260 which pertains to an accepted right carpal tunnel syndrome. The evidence thus indicates that claim file number xxxxxx260 has evidence germane to whether the termination of appellant’s medical benefits and wage-loss compensation were proper in claim number xxxxxx133. However, as noted, claim file number xxxxxx260 is not presently accessible by the Board. Pursuant to its procedures, OWCP has determined that cases should be combined where correct adjudication depends on cross-referencing between files.2 For a full and fair adjudication, the Board must be able to review the contents of OWCP claim number xxxxxx260.
The case will be remanded to OWCP to consolidate the claims. Following this and such other development as deemed necessary, it shall issue an appropriate merit decision on the matter to preserve appellant’s appeal rights.
IT IS HEREBY ORDERED THAT the July 15, 2014 decision be set aside and the case remanded to Office of Workers’ Compensation Programs for further proceedings consistent with this order of the Board.
Issued: May 26, 2015
Washington, DC
Christopher J. Godfrey, Chief Judge
Employees’ Compensation Appeals Board
Patricia H. Fitzgerald, Deputy Chief Judge Employees’ Compensation Appeals Board
Colleen Duffy Kiko, Judge
Employees’ Compensation Appeals Board
2
Federal (FECA) Procedure Manual, Part 2 -- Claims, File Maintenance and Management, Chapter 2.400.8(c) (February 2000).
2
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