L.R. and Department of Homeland Security, Transportation Security Administration, Milwaukee, WI (Board decision, March 27, 2020)
L.R. and Transportation Security Administration (ECAB 19-0712): Related disease claims sent back for combined review
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ECAB remand decision. The Board set aside OWCP’s November 14, 2018 decision and ordered combined review of two related claim files. OWCP still must issue a new decision on the claims. 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
A transportation security officer filed two claims involving recurrent facial cellulitis and alleged workplace exposure to MRSA. OWCP denied one claim but accepted a temporary aggravation under the other file. After OWCP again denied the first claim on reconsideration, the Board found that the related files needed to be combined so OWCP could consider all relevant evidence and avoid inconsistent results. It set aside the reconsideration decision and returned the claims to OWCP for a new decision.
Decision snapshot
- Authority: OWCP’s procedure for combining related claim files when adjudication requires cross-referencing.
- Outcome: November 14, 2018 decision set aside; both related files returned to OWCP for combined review and a new decision.
- Key point: The two claims involved the same alleged exposure and condition but had different results, requiring OWCP to review them together.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
L.R., Appellant
)
)
and ) Docket No. 19-0712
) Issued: March 27, 2020
DEPARTMENT OF HOMELAND SECURITY,
)
TRANSPORTATION SECURITY
)
ADMINISTRATION, Milwaukee, WI, Employer
)
__________ )
Appearances: Case Submitted on the Record
Appellant, pro se
Office of Solicitor, for the Director
ORDER REMANDING CASE
Before:
ALEC J. KOROMILAS, Chief Judge
CHRISTOPHER J. GODFREY, Deputy Chief Judge PATRICIA H. FITZGERALD, Alternate Judge
On February 19, 2019 appellant filed a timely appeal from a November 14, 2018 decision of the Office of Workers’ Compensation Programs (OWCP). The Clerk of the Appellate Boards docketed the appeal as No. 19-0712.
The case has previously been before the Board.1 The facts and circumstances as set forth in the Board’s prior decision are incorporated herein by reference. The relevant facts are as follows.
On April 15, 2015 appellant, then a 46-year-old transportation security officer, filed an occupational disease claim (Form CA-2) alleging recurrent facial cellulitis commencing in December 2006 due to factors of her federal employment including exposure to methicillin- resistant staphylococcus aureus (MRSA) in a breakroom and restroom. OWCP assigned the claim File No. xxxxxx918.2 By decisions dated October 29, 2015 and August 2, 2016, it denied
1
Docket No. 16-1673 (issued February 20, 2018).
2
On May 31, 2017 appellant filed an occupational disease claim (Form CA-2) alleging that she sustained recurrent facial cellulitis commencing May 8, 2015 due to alleged MRSA exposures in an employing establishment rest room and break room. OWCP assigned that claim File No. xxxxxx633. On March 16, 2018 OWCP accepted that appellant sustained a temporary aggravation of facial cellulitis. appellant’s claim as she had not established the presence of MRSA bacteria at the employing establishment. On August 17, 2016 appellant appealed to the Board.
By decision dated February 20, 2018 the Board affirmed OWCP’s August 2, 2016 OWCP decision finding that appellant had not established the presence of MRSA bacteria at the employing establishment as alleged.
On August 30, 2018 appellant requested reconsideration. She asserted that as OWCP accepted facial cellulitis under File No. xxxxxx633, it was obligated to accept her occupational disease claim for the same condition under File No. xxxxxx918. By decision dated November 14, 2018, OWCP denied modification finding that the evidence submitted on reconsideration failed to establish the presence of MRSA bacteria at the employing establishment.
The Board has duly considered the matter and finds that the case is not in posture for decision. OWCP’s procedures provide that cases should be administratively combined when correct adjudication of the issues depends on cross-referencing between files.3 For example, if a new injury case is reported for an employee who previously filed an injury claim for a similar condition or the same part of the body, doubling is required.4
Appellant filed two occupational disease claims alleging that she sustained recurrent facial cellulitis due to MRSA exposure while in the performance of duty. OWCP denied the claim under File No. xxxxxx918, but accepted the claim under File No. xxxxxx633. For a full and fair adjudication, the claims in File Nos. xxxxxx918 and xxxxxx633 must be administratively combined.5 This will allow OWCP to consider all relevant claim files in developing this claim and avoid further inconsistent results.6 Following this and such other further development as deemed necessary, OWCP shall issue a de novo decision on appellant’s claims.
3
Federal (FECA) Procedure Manual, Part 2 -- Claims, File Maintenance and Management, Chapter 2.400.8(c) (February 2000).
4
A.C., Docket No. 18-1783 (issued July 29, 2019); J.M., Docket No. 19-0008 (issued July 10, 2019).
5
FECA Procedure Manual, supra note 3 at Chapter 2.400.8(c)(1); A.C., id.; L.S., Docket Nos. 17-1863, 17-1867, 17-1868 (issued April 18, 2018).
6
A.C., supra note 4; William T. McCracken, 33 ECAB 1197 (1982).
2
IT IS HEREBY ORDERED THAT the November 14, 2018 decision of the Office of Workers’ Compensation Programs is set aside and the case is remanded to OWCP for further proceedings consistent with this order of the Board.
Issued: March 27, 2020
Washington, DC
Alec J. Koromilas, Chief Judge
Employees’ Compensation Appeals Board
Christopher J. Godfrey, Deputy Chief Judge Employees’ Compensation Appeals Board
Patricia H. Fitzgerald, Alternate Judge
Employees’ Compensation Appeals Board
3
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