G.R. and Department of the Navy, Puget Sound Naval Shipyard, Bremerton, WA (Board decision, December 29, 2015)
G.R. (ECAB 15-1047): Overpayment decision returned for missing interview recordings
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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 remand decision. The Board set aside OWCP’s January 28, 2015 forfeiture and overpayment decision and remanded for a complete record and a new decision. Whether G.R. forfeited compensation or owes an overpayment remains unresolved. A party may petition the Board for reconsideration within 30 days of issuance unless this order specifies another period, under 20 C.F.R. § 501.7(a).
Plain-English summary
G.R., a Navy shipyard welder, received compensation after an accepted left shoulder injury. OWCP found that he had failed to report work activities and assessed an overpayment of $64,519.57. Its hearing representative relied on recorded interviews with investigators, but the recordings were missing from the record sent to the Board. The Board held that it could not make an informed decision without them. It set aside OWCP’s decision and ordered a complete record followed by a new decision.
Decision snapshot
- Authority: Federal Employees’ Compensation Act, 5 U.S.C. § 8101 et seq.
- Outcome: January 28, 2015 forfeiture and $64,519.57 overpayment decision set aside; case remanded.
- Key point: The record on appeal omitted recordings that the hearing representative relied on.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
G.R., Appellant
)
)
and ) Docket No. 15-1047
) Issued: December 29, 2015
DEPARTMENT OF THE NAVY, PUGET
)
SOUND NAVAL SHIPYARD, Bremerton, WA,
)
Employer
)
__________ )
Appearances: Case Submitted on the Record
Howard L. Graham, 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
JURISDICTION
On April 10, 2015 appellant, through his representative, filed a timely appeal of a January 28, 2015 merit decision of the Office of Workers’ Compensation Programs (OWCP).1 The claim was docketed as No. 15-1047.
On November 8, 2011 appellant, then a 53-year-old welder, filed an occupational disease claim (Form CA-2) alleging that he developed left shoulder tendinopathy, impingement syndrome, and partial rotator cuff tear. OWCP accepted his claim for left shoulder rotator cuff tear on January 6, 2012. Appellant underwent left shoulder arthroscopic repair on March 7, 2012. OWCP entered appellant on the periodic rolls on April 10, 2012.
On October 16, 2012 and September 10, 2013 appellant completed EN1032 forms and indicated that he had not worked within the past 15 months at the employing establishment. He further indicated that he had not been self-employed or involved in any business enterprise during the previous 15-month period covered by the forms. Appellant indicated that he had not
1
5 U.S.C. § 8101 et seq.; 20 C.F.R. §§ 510.2(c) and 501.3. performed any volunteer work for which any form of monetary or in-kind compensation was received.
In a memorandum of digital versatile disc (DVD) review dated February 25, 2014, OWCP indicated that it had received three DVDs as well as an investigative report from the employing establishment’s criminal investigation service. These records included two DVDs of a video interview with appellant by two investigators which lasted for almost two hours. There was also a DVD of 986 records from appellant’s OWCP file.2
On April 10, 2014 OWCP made a preliminary determination that appellant had received an overpayment of compensation in the amount of $64,519.57 for the period February 10, 2012 through August 21, 2013 as he had forfeited his right to compensation benefits for this period. Counsel requested a prerecoupment hearing before OWCP’s Branch of Hearings and Review and a copy of all the investigative reports.
By decision dated January 28, 2015, OWCP hearing representative affirmed the findings of forfeiture and overpayment in the amount of $64,519.57 for the period February 10, 2012 through September 10, 2013 as appellant knowingly failed to report employment earnings and activities on his EN1032 forms. She stated that she had reviewed the November 15, 2013 DVD interview of appellant and found that during this interview appellant admitted to volunteering during the period covered by his EN1032 forms.
The Board has duly considered the matter and finds that the case is not in posture for decision. Upon review of the case record submitted by OWCP, the Board finds that the record is incomplete because the DVDs containing appellant’s interview with investigators are not in the record. OWCP hearing representative relied on these DVDs in reaching the decision that appellant had an overpayment of compensation because he had forfeited his right to compensation. The Board finds that the case is not in posture for a decision as the record before the Board is incomplete and would not permit an informed adjudication. The case must be remanded to OWCP to furnish the DVD’s containing appellant’s interview and for further reconstruction and assemblage deemed necessary, to be followed by an appropriate de novo decision.
2
By decision dated March 13, 2014, OWCP found that appellant had forfeited his compensation benefits for the period February 10, 2012 through September 21, 2013 on the basis that he “knowingly” failed to report employment or earnings from Caring Place Adult Family Home LLC (Caring Place). It stated that this decision was based on business documents and paperwork for Caring Place which listed appellant as a certified caregiver and staff member. OWCP further stated that appellant stated on camera during an interview of November 15, 2013 that he was the owner of the residential property for Caring Place and the he performed tasks including cleaning, preparing meals, and repairs for six hours a day seven days a week. In a separate letter dated April 10, 2014, it stated that the decision dated March 10, 2014 was issued prematurely and was set aside.
2
IT IS HEREBY ORDERED THAT the January 28, 2015 decision of the Office of Workers’ Compensation Programs is set aside and the case remanded to OWCP for further proceedings consistent with this order of the Board.
Issued: December 29, 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
3
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