D.T. and U.S. Postal Service, Post Office, Las Vegas, NV (Board decision, September 28, 2022)
Board returns postal clerk's COVID-19 pay claim for injury-date review (ECAB 22-0517)
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ECAB remand decision. The Board set aside OWCP's February 7, 2022 denial of continuation of pay and ordered it to apply the COVID-19 guidance for determining the injury date. Eligibility for continuation of pay 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
A postal mail processing clerk reported COVID-19 after contact with coworkers and filed a continuation of pay claim. His form listed January 17, 2021 as the injury date, while the positive test described in the order was collected January 18, 2022. OWCP denied pay because the form was filed more than 30 days after the reported injury date. The Board set aside the denial because OWCP had not applied its COVID-19 rule for identifying the last exposure before diagnosis as the injury date. It directed OWCP to reconsider the claim and issue a new decision.
Decision snapshot
- Authority: 5 U.S.C. §§ 8118(a) and 8122(a)(2); FECA Bulletin No. 21-09.
- Outcome: Continuation of pay denial set aside and remanded.
- Key point: OWCP had to determine the COVID-19 injury date under its own guidance before applying the filing deadline.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
D.T., Appellant
)
)
and ) Docket No. 22-0517
) Issued: September 28, 2022
U.S. POSTAL SERVICE, POST OFFICE,
)
Las Vegas, NV, 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
VALERIE D. EVANS-HARRELL, Alternate Judge JAMES D. McGINLEY, Alternate Judge
On February 18, 2022 appellant filed a timely appeal from a February 7, 2022 merit decision of the Office of Workers’ Compensation Programs (OWCP). The Clerk of the Appellate Boards assigned Docket No. 22-0517.
On January 20, 2022 appellant, then a 38-year-old mail processing clerk, filed a traumatic injury claim (Form CA-1) alleging that on January 17, 2021 he contracted COVID-19 as a result of contact with coworkers while in the performance of duty. He indicated that on January 18, 2021 he got tested for COVID-19 and received positive test results on January 20, 2021. On the reverse side of the claim form the employing establishment did not indicate whether appellant stopped work.
Appellant submitted a polymerase chain reaction (PCR) laboratory test result, collected on January 18, 2022, which revealed that he tested positive for COVID-19.
By decision dated February 7, 2022, OWCP denied appellant’s claim for COP, finding that he failed to report the January 17, 2021 injury on a form approved by OWCP within 30 days, as required. It further noted that the decision affected only his entitlement to COP and did not affect his entitlement to other compensation benefits. OWCP notified appellant that he could claim compensation for wage-loss resulting from the decision by filing a claim for compensation (Form CA-7). The Board, having duly considered this matter, finds that this case is not in posture for decision.
Section 8118(a) of FECA authorizes COP, not to exceed 45 days, to an employee who has filed a claim for a period of wage loss due to a traumatic injury with his or her immediate superior on a form approved by the Secretary of Labor within the time specified in section 8122(a)(2) of this title.1 This latter section provides that written notice of injury shall be given within 30 days.2 The context of section 8122 makes clear that this means within 30 days of the injury. 3
OWCP’s regulations provide, in pertinent part, that to be eligible for COP, an employee must: (1) have a traumatic injury which is job related and the cause of the disability and/or the cause of lost time due to the need for medical examination and treatment; (2) file Form CA-1 within 30 days of the date of the injury; and (3) begin losing time from work due to the traumatic injury within 45 days of the injury. 4
FECA Bulletin No. 21-09 at subsection II.2., however, provides that, “The FECA program considers COVID-19 to be a traumatic injury since it is contracted during a single workday or shift (see 20 C.F.R. § 10.5(ee)), and considers the date of last exposure prior to the medical evidence establishing the COVID-19 diagnosis as the Date of Injury since the precise time of transmission may not always be known due to the nature of the virus.”5
In denying appellant’s claim for COP, OWCP failed to consider the date of last exposure as the date of injury in accordance with the guidance in FECA Bulletin No. 21-09. This case will therefore be remanded for application of FECA Bulletin No. 21-09 with regard to appellant’s claim for COP.6 Following this and other such further development as deemed necessary, OWCP shall issue a de novo decision. Accordingly,
1
Id. at § 8118(a).
2
Id. at § 8122(a)(2).
3
E.M., Docket No. 20-0837 (issued January 27, 2021); J.S., Docket No. 18-1086 (issued January 17, 2019); Robert M. Kimzey, 40 ECAB 762-64 (1989); Myra Lenburg, 36 ECAB 487, 489 (1985). 4 20 C.F.R. § 10.205(a)(1-3); see also T.S., Docket No. 19-1228 (issued December 9, 2019); J.M., Docket No. 09- 1563 (issued February 26, 2010); Dodge Osborne, 44 ECAB 849 (1993).; William E. Ostertag, 33 ECAB 1925(1982). 5 FECA Bulletin No. 21-09.II.2 (issued April 29, 2021). On March 11, 2021 the American Rescue Plan Act (ARPA) of 2021 was signed into law. Pub. L. No. 117–2. OWCP issued FECA Bulletin No. 21-09 to provide guidance regarding the processing of COVID-19 FECA claims as set forth in the ARPA. Previously, COVID-19 claims under FECA were processed under the guidelines provided by FECA Bulletin No. 20-05 (issued March 31, 2020) and FECA Bulletin No. 21-01 (issued October 21, 2020). FECA Bulletin No. 21-09 supersedes FECA Bulletin Nos. 20-05 and 21-01. 6 See, e.g., Order Remanding Case, W.G., Docket No. 18-0451 (issued February 21, 2019) (The Board found that OWCP failed to properly develop the medical evidence by requesting the DMA to provide an impairment rating in accordance with the new guidance in FECA Bulletin No. 17-06 for consistently rating upper extremity impairments. The Board remanded the case for further development consistent with OWCP procedures in FECA Bulletin No. 17-06); Order Remanding Case, H.W., Docket No. 10-404 (issued September 28, 2011) (The Board remanded the case to OWCP for selection of another impartial medical specialist in accordance with its procedures).
2
IT IS HEREBY ORDERED THAT the February 7, 2022 decision of the Office of Workers’ Compensation Programs is set aside and the case is remanded for further proceedings consistent with this order of the Board.
Issued: September 28, 2022
Washington, DC
Alec J. Koromilas, Chief Judge
Employees’ Compensation Appeals Board
Valerie D. Evans-Harrell, Alternate Judge Employees’ Compensation Appeals Board
James D. McGinley, Alternate Judge
Employees’ Compensation Appeals Board
3
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