F.L. and U.S. Postal Service, Post Office, Hartford, CT (Board decision, January 17, 2023)
Board returns postal employee's back claim for combined file review (ECAB 23-0070)
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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 remand decision. The Board set aside OWCP's August 18, August 22, and October 3, 2022 decisions and returned the claim for a new decision after related files are combined. Entitlement to compensation 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 delivery employee claimed a back condition caused by her work and connected it to an earlier accepted injury. OWCP denied the new claim and twice refused to reconsider it. The Board found that OWCP needed the earlier injury file to evaluate her current claim fairly. It set aside the decisions and directed OWCP to combine the files, consider all relevant evidence, and issue a new decision.
Decision snapshot
- Authority: FECA Procedure Manual, Part 2, Chapter 2.400.8c.
- Outcome: Claim and reconsideration denials set aside; case remanded for a new decision.
- Key point: OWCP must review the related accepted injury file when deciding whether the current back condition is connected to work.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
F.L., Appellant
)
)
and ) Docket No. 23-0070
) Issued: January 17, 2023
U.S. POSTAL SERVICE, POST OFFICE,
)
Hartford, CT, 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
PATRICIA H. FITZGERALD, Deputy Chief Judge VALERIE D. EVANS-HARRELL, Alternate Judge
On October 20, 2022 appellant filed a timely appeal from an August 18, 2022 merit decision and August 22 and October 3, 2022 nonmerit decisions of the Office of Workers’ Compensation Programs (OWCP). The Clerk of the Appellate Boards docketed the appeal as Docket No. 23-0070.
On July 7, 2022 appellant, then a 30-year-old city delivery specialist, filed an occupational disease claim (Form CA-2) alleging that she developed a disc injury which caused severe pain and discomfort in her right leg due to factors of her federal employment, including walking, lifting, climbing, and driving.1 She noted that she first became aware of her condition on March 10, 2022 and realized its relation to her federal employment on May 17, 2022. Appellant stopped work on July 8, 2022.
In statements dated July 2 and August 18, 2022, appellant alleged that the present condition was a recurrence of her previously accepted traumatic injury under OWCP File No. xxxxxx539. She noted that she returned to work on October 9, 2021 and concluded therapy in December 2021.
1
OWCP assigned the present claim OWCP File No. xxxxxx643. Appellant has a previously -accepted July 1, 2021 traumatic injury claim for a contusion of unspecified front wall of the thorax and a strain of muscle, fascia, and tendon at neck level under OWCP File No. xxxxxx539. The claims have not been administratively combined by OWCP. Appellant contends that, thereafter, her previously accepted injury was aggravated by her work duties, resulting in her present condition.
By decision dated August 18, 2022, OWCP denied appellant’s occupational disease claim, finding that she had not submitted suff icient evidence to establish the implicated factors of her federal employment. Consequently, it found that she had not met the requirements to establish an injury as defined by FECA.
On August 19, 2022 appellant requested reconsideration of the August 18, 2022 decision and submitted additional evidence in support of her request.
By decision dated August 22, 2022, OWCP denied appellant’s request for reconsideration of the merits of the claim, pursuant to 5 U.S.C. § 8128(a).
OWCP continued to receive evidence. In a medical report dated July 14, 2022, Dr. Kenneth Kramer, a Board-certified orthopedic surgeon, related that appellant had been under his care since September 7, 2021, for treatment of neck and back injuries she sustained in a motor vehicle accident on July 1, 2021 under OWCP File. No. xxxxxx539. He noted that her lumbar symptoms increased with performing her regular work duties and, in his medical opinion, her present condition was caused by the accepted July 1, 2021 employment injury.
On September 16 and 28, 2022 appellant requested reconsideration of the August 18, 2022 decision. By decision dated October 3, 2022, OWCP denied her request for reconsideration of the merits of the claim, pursuant to 5 U.S.C. § 8128(a).
The Board has duly considered the matter and concludes that this 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 frequent cross-referencing between files. 2 Herein, OWCP referenced appellant’s prior claim under OWCP File No. xxxxxx539. Thus, for a full and fair adjudication, this case shall be returned to OWCP to administratively combine the current case record with OWCP File No. xxxxxx539, so that it can consider all relevant claim files and accompanying evidence in adjudicating the present claim.3
Following this and other such further development as deemed necessary, OWCP shall issue a de novo decision.
2
Federal (FECA) Procedure Manual, Part 2 -- Claims, File Maintenance and Management, Chapter 2.400.8c (February 2000).
3
Id., at Chapter 2.400.8c(1); W.D., Docket No. 19-0961 (issued March 31, 2021); L.P., Docket Nos. 18-1558, 18-1568 (issued June 21, 2019).
2
IT IS HEREBY ORDERED THAT the August 18, 22, and October 3, 2022 decisions of the Office of Workers’ Compensation Programs are set aside and the case is remanded for further proceedings consistent with this order of the Board.
Issued: January 17, 2023
Washington, DC
Alec J. Koromilas, Chief Judge
Employees’ Compensation Appeals Board
Patricia H. Fitzgerald, Deputy Chief Judge Employees’ Compensation Appeals Board
Valerie D. Evans-Harrell, Alternate Judge Employees’ Compensation Appeals Board
3
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