C.D. and Department of Veterans Affairs, Castle Point VA Medical Center, Wappingers Falls, NY (Board decision, May 10, 2023)
Board upholds denial of continuation of pay for late COVID claim (ECAB 23-0147)
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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 3, 2022 decision denying C.D. continuation of pay because she filed the approved injury form more than 30 days after the claimed August 9, 2022 incident. A party may petition the Board for reconsideration within 30 days of issuance unless the 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 licensed practical nurse reported contracting COVID-19 while caring for patients at work. She filed the approved traumatic injury form on September 26, 2022, more than 30 days after the alleged August 9 incident. The Board held that the statutory filing deadline barred continuation of pay and affirmed OWCP’s decision. The ruling did not decide her entitlement to other compensation benefits.
Decision snapshot
- Authority: FECA continuation of pay filing rule, 5 U.S.C. §§ 8118(a), 8122(a)(2).
- Outcome: Continuation of pay denial affirmed.
- Key point: Continuation of pay requires a claim on an approved form within 30 days of the injury.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
C.D., Appellant
)
)
and ) Docket No. 23-0147
) Issued: May 10, 2023
DEPARTMENT OF VETERANS AFFAIRS,
)
CASTLE POINT VA MEDICAL CENTER,
)
Wappingers Falls, NY, Employer
)
__________ )
Appearances: Case Submitted on the Record
Appellant, pro se
Office of Solicitor, for the Director
DECISION AND ORDER
Before:
PATRICIA H. FITZGERALD, Deputy Chief Judge JANICE B. ASKIN, Judge
VALERIE D. EVANS-HARRELL, Alternate Judge
JURISDICTION
On November 10, 2022 appellant filed a timely appeal from an October 3, 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 September 26, 2022 appellant, then a 46-year-old licensed practical nurse, filed a traumatic injury claim (Form CA-1) alleging that on August 9, 2022 she contracted COVID-19 as a result of taking care of veterans who were positive for COVID-19, while in the performance
1
5 U.S.C. § 8101 et seq. of duty. On the reverse side of the claim form, M.W., appellant’s supervisor, acknowledged that appellant was injured while in the performance of duty . He indicated that the employing establishment received notice of the alleged injury on September 26, 2022. M.W. did not indicate whether appellant stopped work.
An August 11, 2022 medical record from the employing establishment health unit, signed by Sidney C. Wallin, a physician assistant, noted that appellant was last at work on August 9, 2022. A COVID-19 test performed on August 9, 2022 was reported by a laboratory to be positive for COVID-19.
By decision dated October 3, 2022, OWCP denied appellant’s claim for COP, finding that she had not reported the alleged August 9, 2022 injury on an OWCP-approved form within 30 days of the date of the 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
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).
2 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
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 September 26, 2022 alleging that, on August 9, 2022, she was exposed to COVID-19 when taking care of infected veterans while in the performance of duty. As previously noted, FECA Bulletin No. 21-09 defines date of injury as the date of last exposure, which in this case was August 9, 2022.7 Because appellant filed her Form CA-1 on September 26, 2022, the Board finds that it was not filed within 30 days of the August 9, 2022 date of injury, as specified in sections 8118(a) and 8122(a)(2) of FECA.8 Accordingly, appellant is not entitled to COP.9
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.
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. 7 Id.
8
5 U.S.C. §§ 8118(a), 8122(a)(2).
9
T.J., Docket No. 23-0003 (issued April 26, 2023); D.R., Docket No. 22-0361 (issued July 8, 2022); B.G., Docket No. 21-0865 (issued May 6, 2022).
3
ORDER
IT IS HEREBY ORDERED THAT the October 3, 2022 decision of the Office of Workers’ Compensation Programs is affirmed.
Issued: May 10, 2023
Washington, DC
Patricia H. Fitzgerald, Deputy Chief Judge Employees’ Compensation Appeals Board
Janice B. Askin, Judge
Employees’ Compensation Appeals Board
Valerie D. Evans-Harrell, Alternate Judge Employees’ Compensation Appeals Board
4
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