S.A. and Department of Veterans Affairs, Durham VA Medical Center, Durham, NC (Board decision, June 16, 2023)
Board upholds denial of continuation of pay after late COVID-19 claim (ECAB 23-0050)
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This is citable Board precedent from 2023, and it may have been appealed since. Ezel checks how it stands today and answers your situation, with citations.
ECAB final decision. The Board affirmed OWCP's October 11, 2022 denial of continuation of pay. 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). FECA compensation decisions are generally not subject to court review under 5 U.S.C. § 8128(b).
Plain-English summary
A VA housekeeping assistant stopped work after testing positive for COVID-19. She filed her traumatic injury form more than two months later. The Board held that the date of last workplace exposure was the injury date for this type of COVID-19 claim, and the form was filed beyond the 30-day continuation-of-pay deadline. It affirmed denial of continuation of pay. OWCP's decision did not decide her eligibility for other compensation benefits.
Decision snapshot
- Authority: FECA continuation of pay deadline, 5 U.S.C. § 8118(a); 20 C.F.R. § 10.205(a).
- Outcome: Denial of continuation of pay affirmed.
- Key point: The injury claim form must be filed within 30 days for continuation of pay.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
S.A., Appellant
)
)
and ) Docket No. 23-0050
)
Issued: June 16, 2023
DEPARTMENT OF VETERANS AFFAIRS,
)
DURHAM VA MEDICAL CENTER,
)
Durham, NC, Employer
)
__________ )
Appearances: Case Submitted on the Record
Appellant, pro se
Office of Solicitor, for the Director
DECISION AND ORDER
Before:
ALEC J. KOROMILAS, Chief Judge
JANICE B. ASKIN, Judge
VALERIE D. EVANS-HARRELL, Alternate Judge
JURISDICTION
On October 17, 2022 appellant filed a timely appeal from an October 11, 2022 merit decision of the Office of Workers’ Compensation Programs (OWCP). Pursuant to the Federal Employees’ Compensation Act1 (FECA) and 20 C.F.R. §§ 501.2(c) and 501.3, the Board has jurisdiction over the merits of this case.
ISSUE
The issue is whether appellant has met her burden of proof to establish entitlement to continuation of pay (COP).
FACTUAL HISTORY
On October 7, 2022 appellant, then a 65-year-old hospital housekeeping assistant, filed a traumatic injury claim (Form CA-1) alleging that on July 26, 2022 she contracted COVID-19 while
1
5 U.S.C. § 8101 et seq. in the performance of duty. She stopped work on July 26, 2022 and returned on August 1, 2022. On the reverse side of the claim form, appellant’s supervisor acknowledged that appellant was injured in the performance of duty.
In support of her claim, appellant submitted a test result dated July 26, 2022, which indicated that she was positive for COVID-19.
By decision dated October 11, 2022, OWCP denied appellant’s claim for COP, finding that she had not reported the July 26, 2022 injury on an OWCP-approved form within 30 days of the date of injury. It further noted that the decision affected only her entitlement to COP and did not affect her entitlement to other compensation benefits.
LEGAL PRECEDENT
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.2 This latter section provides that written notice of injury shall be given within 30 days. 3 The context of section 8122 makes clear that this means within 30 days of the injury. 4
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. 5
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.”6
2
Id. at § 8118(a).
3
Id. at § 8122(a)(2).
4
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). 5 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). 6 FECA Bulletin No. 21-09.II.2 (issued April 29, 2021). On March 11, 2021 the American Rescue Plan Act of 2021 (ARPA) 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.
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ANALYSIS
The Board finds that appellant has not met her burden of proof to establish entitlement to COP.
The record reflects that appellant filed written notice of her traumatic injury on a Form CA-1 on October 7, 2022, alleging that on July 26, 2022 she contracted COVID-19 while at work. She stopped work on July 26, 2022. As previously noted, FECA Bulletin No. 21-09 defines date of injury as the date of last exposure, which in this case was July 26, 2022.7 As appellant filed her Form CA-1 on October 7, 2022, more than 30 days after the July 26, 2022 date of injury, the Board finds that she has not met her burden of proof.
Appellant may submit new evidence or argument with a written request for reconsideration to OWCP within one year of this merit decision, pursuant to 5 U.S.C. § 8128(a) and 20 C.F.R.
§§ 10.605 through 10.607.
CONCLUSION
The Board finds that appellant has not met her burden of proof to establish entitlement to COP.
7
Id.
3
ORDER
IT IS HEREBY ORDERED THAT the October 11, 2022 decision of the Office of Workers’ Compensation Programs is affirmed.
Issued: June 16, 2023
Washington, DC
Alec J. Koromilas, Chief Judge
Employees’ Compensation Appeals Board
Janice B. Askin, Judge
Employees’ Compensation Appeals Board
Valerie D. Evans-Harrell, Alternate Judge Employees’ Compensation Appeals Board
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