J.A. and U.S. Postal Service, Processing & Distribution Center, Chicago, IL (Board decision, November 9, 2023)
Board upholds $28,220.59 benefit overpayment recovery (ECAB 23-0868)
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ECAB final decision. The Board affirmed OWCP's May 19, 2023 decision finding a $28,220.59 overpayment to J.A., denying waiver of recovery, and requiring $671.01 deductions every 28 days from his continuing compensation. It found that the overpayment arose from Social Security retirement benefits attributable to federal service that were paid without a FECA offset. 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
J.A., a postal tractor trailer operator, received FECA wage-loss compensation for an accepted shoulder injury while also receiving Social Security retirement benefits partly attributable to federal service. OWCP failed to apply the required offset from February 2020 through September 2022 and calculated a $28,220.59 overpayment. The Board agreed with the calculation and found that, although J.A. was not at fault, his reported assets exceeded the resource limit for waiver and he had not shown that recovery would be against equity and good conscience. It upheld deductions of $671.01 every 28 days from his continuing compensation.
Decision snapshot
- Authority: 5 U.S.C. §§ 8116, 8129; 20 C.F.R. §§ 10.421(d), 10.436, 10.437, 10.441(a).
- Outcome: The $28,220.59 overpayment finding, denial of waiver, and $671.01 repayment deductions were affirmed.
- Key point: Being without fault does not by itself waive recovery of a FECA overpayment.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
J.A., Appellant
)
)
Docket No. 23-0868
and ) Issued: November 9, 2023
)
U.S. POSTAL SERVICE, PROCESSING & )
DISTRIBUTION CENTER, Chicago, IL, )
Employer
)
__________ )
Appearances: Case Submitted on the Record
Alan J. Shapiro, Esq., for the appellant1
Office of Solicitor, for the Director
DECISION AND ORDER
Before:
PATRICIA H. FITZGERALD, Deputy Chief Judge VALERIE D. EVANS-HARRELL, Alternate Judge JAMES D. McGINLEY, Alternate Judge
JURISDICTION
On June 12, 2023 appellant, through counsel, filed a timely appeal from a May 19, 2023 merit decision of the Office of Workers’ Compensation Programs (OWCP). Pursuant to the Federal Employees’ Compensation Act2 (FECA) and 20 C.F.R. §§ 501.2(c) and 501.3, the Board has jurisdiction to consider the merits of this case.
1
In all cases in which a representative has been authorized in a matter before the Board, no claim for a fee for legal or other service performed on appeal before the Board is valid unless approved by the Board. 20 C.F.R. § 501.9(e). No contract for a stipulated fee or on a contingent fee basis will be approved by the Board. Id. An attorney or representative’s collection of a fee without the Board’s approval may constitute a misdemeanor, subject to fine or imprisonment for up to one year or both. Id.; see also 18 U.S.C. § 292. Demands for payment of fees to a representative, prior to approval by the Board, may be reported to appropriate authorities for investigation. 2 5 U.S.C. § 8101 et seq.
ISSUES
The issues are: (1) whether appellant received an overpayment of compensation in the amount of $28,220.59 for the period February 24, 2020 through September 10, 2022, for which he was without fault, because he concurrently received FECA wage-loss compensation and Social Security Administration (SSA) age-related retirement benefits, without an appropriate offset; (2) whether OWCP properly denied waiver of recovery of the overpayment; and (3) whether OWCP properly required recovery of the overpayment by deducting $ 671.01 from appellant’s continuing compensation payments, every 28 days.
FACTUAL HISTORY
On January 10, 2020 appellant, then a 69-year-old tractor trailer operator, filed a traumatic injury claim (Form CA-1) alleging that on January 9, 2020 he sustained a right shoulder strain when he pulled a fifth wheel release to drop a trailer in a lot while in the performance of duty. He stopped work on January 9, 2020. OWCP accepted the claim for tear of right supraspinatus tendon. It paid appellant wage-loss compensation commencing February 24, 2020.
On August 19, 2022 OWCP provided SSA with a Federal Employees Retirement System (FERS)/SSA dual benefits form.
On September 1, 2022 SSA completed the dual benefits form, reporting appellant’s SSA age-related retirement benefit rates with a FERS offset and without a FERS offset from March 2016 through December 2021. Beginning March 2016, the SSA rate with FERS was $2,362.30 and without FERS was $1,512.90; beginning December 2016, the SSA rate with FERS was $2,369.30 and without FERS was $1,517.40; beginning January 2017, the SSA rate with FERS was $2,383.30 and without FERS was $1,517.40; beginning December 2017, the SSA rate with FERS was $2,430.90 and without FERS was $1,547.70; beginning December 2018, the SSA rate with FERS was $2,498.90 and without FERS was $1,591.00; beginning January 2019, the SSA rate with FERS was $2,507.60 and without FERS was $1,591.00; beginning December 2019, the SSA rate with FERS was $2,547.70 and without FERS was $1,616.40; beginning December 2020, the SSA rate with FERS was $2,587.50 and without FERS was $1,694.80; and beginning December 2021, the SSA rate with FERS was $2,740.10 and without FERS was $1,794.70.
In a FERS offset overpayment calculation worksheet dated September 20, 2022, OWCP calculated a total overpayment of $28,220.59. It found that during the period February 24 through March 28, 2020 appellant had received an overpayment of $1,043.87; from March 29 through April 25, 2020 he had received an overpayment of $859.66; from April 26 through May 23, 2020 appellant had received an overpayment of $859.66; from May 24 through June 20, 2020 he had received an overpayment of $859.66; from June 21 through July 18, 2020 appellant had received an overpayment of $859.66; from July 19 through August 15, 2020 he had received an overpayment of $859.66; from August 16 through September 12, 2020 appellant had received an overpayment of $859.66; from September 13 through November 7, 2020 he had received an overpayment of $1,719.32; from November 8 through 30, 2020 appellant had received an overpayment of $706.15; from December 1 through 5, 2020 he had received an overpayment of $147.15; from December 6, 2020 through January 2, 2021 appellant had received an overpayment of $824.03; from January 3 through 30, 2021 he had received an overpayment of $824.03; from
2
January 31 through February 27, 2021 appellant had received an overpayment of $824.03; from February 28 through March 27, 2021 he had received an overpayment of $824.03; from March 28 through April 24, 2021 appellant had received an overpayment of $824.03; from April 25 through May 22, 2021 he had received an overpayment of $824.03; from May 23 through June 19, 2021 appellant had received an overpayment of $824.03; from June 20 through July 17, 2021 he had received an overpayment of $824.03; from July 18 through August 14, 2021 appellant had received an overpayment of $824.03; from August 15 through September 11, 2021 he had received an overpayment of $824.03; from September 12 through October 9, 2021 appellant had received an overpayment of $824.03; from October 10 through November 6, 2021 he had received an overpayment of $824.03; from November 7 through 30, 2021 appellant had received an overpayment of $706.31; from December 1 through 4, 2021 he had received an overpayment of
$124.67; from December 5, 2021 through January 1, 2022 appellant had received an overpayment of $872.68; from January 2 through 29, 2022 he had received an overpayment of $872.68; from January 30 through February 26, 2022 appellant had received an overpayment of $872.68; from February 27 through March 26, 2022 he had received an overpayment of $872.68; from March 27 through April 23, 2022 appellant had received an overpayment of $872.68; from April 24 through May 21, 2022 he had received an overpayment of $872.68; from May 22 through June 18, 2022 appellant had received an overpayment of $872.68; from June 19 through July 16, 2022 he had received an overpayment of $872.68; from July 17 through August 13, 2022 he had received an overpayment of $872.68; and from August 14 through September 10, 2022 appellant had received an overpayment of $872.68.
In a preliminary overpayment determination dated November 10, 2022, OWCP notified appellant that he had received an overpayment of compensation in the amount of $28,220.59 because his wage-loss compensation benefits had not been reduced for the period February 24, 2020 through September 10, 2022 by the portion of his SSA benefits that were attributable to his federal service. It calculated the overpayment amount by determining the difference between his SSA age-related retirement benefit rates with and without FERS for the stated period and totaling this amount to find an overpayment of $28,220.59.3 OWCP further advised appellant of its preliminary overpayment determination that he was without fault in the creation of the overpayment. It requested that he complete an overpayment action request form and an overpayment recovery questionnaire (Form OWCP-20) and submit supporting financial documentation including tax returns, bank account statements, bills and cancelled checks, pay slips, and other records which supported income and expenses listed. Additionally, OWCP notified appellant that he could request a final decision based on the written evidence or a prerecoupment hearing within 30 days.
On November 22, 2022 appellant requested a prerecoupment hearing before a representative of OWCP’s Branch of Hearings and Review. He contested the fact and amount of the overpayment and requested waiver of recovery.
3
OWCP informed appellant that his compensation would be offset by the portion of his SSA age-related retirement benefits attributable to his federal service, effective September 11, 2022.
3
Appellant completed a Form OWCP-20 on November 22, 2022. He reported monthly income totaling $2,740.00 and monthly expenses totaling $4,400.00. Appellant further reported assets totaling $2,500.00.
Following a March 21, 2023 telephonic hearing, appellant submitted a revised Form OWCP-20 dated April 14, 2023. He reported monthly income totaling $5,785.02 and monthly expenses totaling $6,555.00. Appellant also reported assets totaling $207,900.00. He submitted supporting financial documentation.
By decision dated May 19, 2023, an OWCP hearing representative finalized the preliminary overpayment determination that appellant had received an overpayment of compensation in the amount of $28,220.59 for the period February 24, 2020 through September 10, 2022. The hearing representative determined that he was without fault in the creation of the overpayment but, denied waiver of recovery of the overpayment. The hearing representative required recovery of the overpayment by deducting $671.01 from appellant’s continuing compensation payments, every 28 days.
LEGAL PRECEDENT -- ISSUE 1
Section 8102(a) of FECA provides that the United States shall pay compensation for the disability or death of an employee resulting from personal injury sustained while in the performance of duty.4 However, section 8116 also limits the right of an employee to receive compensation. While an employee is receiving compensation, he or she may not receive salary, pay, or remuneration of any type from the United States.5 When an overpayment has been made to an individual because of an error of fact or law, adjustment shall be made under regulations prescribed by the Secretary of Labor by decreasing later payments to which the individual is entitled.6
Section 10.421(d) of OWCP’s implementing regulations requires that it reduce the amount of compensation by the amount of any SSA benefits that are attributable to the employee’s federal service.7 FECA Bulletin No. 97-09 states that FECA benefits have to be adjusted for the FERS portion of SSA benefits because the portion of the SSA benefit earned as a federal employee is part of the FERS retirement package, and the receipt of FECA benefits and federal retirement concurrently is a prohibited dual benefit. 8
4
Supra note 2 at § 8102(a).
5
Id. at § 8116.
6
Id. at § 8129(a).
7
20 C.F.R. § 10.421(d); see B.W., Docket No. 21-0277 (issued May 6, 2022; R.R., Docket No. 19-0104 (issued March 9, 2020); T.B., Docket No. 18-1449 (issued March 19, 2019); L.J., 59 ECAB 264 (2007). 8 FECA Bulletin No. 97-09 (issued February 3, 1997); see also N.B., Docket No. 18-0795 (issued January 4, 2019).
4
ANALYSIS -- ISSUE 1
The Board finds that appellant received an overpayment of compensation in the amount of $28,220.59 for the period February 24, 2020 through September 10, 2022, for which he was without fault, because he concurrently received FECA wage-loss compensation and SSA age- related retirement benefits, without an appropriate offset.
In a May 19, 2023 decision, OWCP’s hearing representative found that an overpayment of compensation was created for the period February 24, 2020 through September 10, 2022. The overpayment was based on the evidence received from SSA with respect to retirement benefits paid to appellant. As noted, a claimant cannot receive both compensation for wage loss under FECA and SSA age-related retirement benefits attributable to federal service for the same period. 9 The information provided by SSA established that appellant received SSA age-related retirement benefits that were attributable to federal service beginning February 24, 2020. OWCP, however, neglected to offset his FECA benefits until September 10, 2022. Accordingly, the Board finds that fact of overpayment has been established.
To determine the amount of the overpayment, the portion of the SSA benefits that were attributable to federal service must be calculated. OWCP received documentation from SSA with respect to the specific amount of SSA age-related retirement benefits that were attributable to federal service. The SSA provided appellant’s SSA rates with FERS and without FERS for the period February 24, 2020 through September 10, 2022. OWCP provided its calculations of the amount that it should have offset during the relevant period based on the SSA worksheet.
The Board has reviewed OWCP’s calculation of SSA age-related retirement benefits received by appellant for the period February 24, 2020 through September 10, 2022 and finds that an overpayment of compensation in the amount of $28,220.59 was created. 10
LEGAL PRECEDENT -- ISSUE 2
Section 8129 of FECA provides that an individual who is without fault in creating or accepting an overpayment is still subject to recovery of the overpayment unless adjustment or recovery would defeat the purpose of FECA or would be against equity and good conscience. 11
Section 10.436 of OWCP’s implementing regulations provides that recovery of an overpayment would defeat the purpose of FECA if such recovery would cause hardship because the beneficiary from whom OWCP seeks recovery needs substantially all of his or her current income (including compensation benefits) to meet current ordinary and necessary living expenses and, also, if the beneficiary’s assets do not exceed a specified amount as determined by OWCP.
9
Id.
10
See M.M., Docket No. 23-0129 (issued May 19, 2023); J.H., Docket No. 22-1375 (issued May 16, 2023); P.M., Docket No. 21-0915 (issued December 14, 2021); K.W., Docket No. 20-1169 (issued April 7, 2021); W.C., Docket No. 20-1241 (issued February 9, 2021). 11 5 U.S.C. § 8129; 20 C.F.R. §§ 10.433, 10.434, 10.436, and 10.437; see A.S., Docket No. 17-0606 (issued December 21, 2017).
5
An individual is deemed to need substantially all of his or her current income to meet current ordinary and necessary living expenses if monthly income does not exceed monthly expenses by more than $50.00. 12 Also, assets must not exceed a resource base of $6,200.00 for an individual or $10,300.00 for an individual with a spouse or dependent plus $1,200.00 for each additional dependent.13 An individual’s liquid assets include, but are not limited to cash, the value of stocks, bonds, saving accounts, mutual funds, and certificate of deposits. 14 Nonliquid assets include, but are not limited to, the fair market value of an owner ’s equity in property such as a camper, boat, second home, furnishings/supplies, vehicle(s) above the two allowed per immediate family, retirement account balances (such as Thrift Savings Plan or 401(k)), jewelry, and artwork. 15
Section 10.437 of OWCP’s implementing regulations provides that recovery of an overpayment is considered to be against equity and good conscience when an individual who received an overpayment would experience severe financial hardship attempting to repay the debt; and when an individual, in reliance on such payments or on notice tha t such payments would be made, gives up a valuable right or changes his or her position for the worse. 16 OWCP’s procedures provide that, to establish that a valuable right has been relinquished, an individual must demonstrate that the right was in fact valuable, that he or she was unable to get the right back, and that his or her action was based primarily or solely on reliance on the payment(s) or on the notice of payment. 17
ANALYSIS -- ISSUE 2
The Board finds that OWCP properly denied waiver of recovery of the overpayment.
As OWCP found appellant without fault in the creation of the overpayment, waiver must be considered, and recovery is still required unless adjustment or recovery of the overpayment would defeat the purpose of FECA or be against equity and good conscience. 18
The Board finds that as appellant reported $207,900.00 in total assets in a Form OWCP-20 on April 14, 2023, he has not met the standard for waiver of recovery of the overpayment because his assets exceed the allowable resource base of $10,300.00 for an individual with a spouse, such as appellant.19 Because he has not met the second prong of the two-prong test of whether recovery
12
Federal (FECA) Procedure Manual, Part 6 -- Debt Management, Final Overpayment Determinations, Chapter 6.400.4a(2) (September 2020); N.J., Docket No. 19-1170 (issued January 10, 2020); M.A., Docket No. 18-1666 (issued April 26, 2019). 13 Id. at Chapter 6.400.4.a(2) (September 2020).
14
Id. at Chapter 6.400.4.b(3).
15
Id. at Chapter 6.400.4b(3)(a), (b).
16
20 C.F.R. § 10.437; see E.H., Docket No. 18-1009 (issued January 29, 2019).
17
Supra note 12 at Chapter 6.400.4c(3) (September 2020).
18
20 C.F.R. § 10.436.
19
Supra note 12 at Chapter 6.400.4c(3) (September 2020).
6 of the overpayment would defeat the purpose of FECA, it is not necessary for OWCP to consider the first prong of the test, i.e., whether he needs substantially all of his current income to meet ordinary and necessary living expenses. 20 Appellant has not established that he was entitled to waiver on the basis of defeating the purpose of FECA. 21
Additionally, appellant has not established that recovery of the overpayment would be against equity and good conscience because he has not shown, for the reasons noted above, that he would experience severe financial hardship in attempting to repay the debt or that he relinquished a valuable right or changed his position for the worse in reliance on the payment which created the overpayment. Therefore, OWCP properly found that recovery of the overpayment would not defeat the purpose of FECA or be against equity and good conscience. 22
Because appellant has not established that recovery of the overpayment would defeat the purpose of FECA or be against equity and good conscience, the Board finds that OWCP properly denied waiver of recovery of the $38,895.43 overpayment. 23
LEGAL PRECEDENT -- ISSUE 3
Section 10.441(a) of OWCP’s regulations24 provides in pertinent part:
“When an overpayment has been made to an individual who is entitled to further payments, the individual shall refund to OWCP the amount of the overpayment as soon as the error is discovered or his or her attention is called to same. If no refund is made, OWCP shall decrease later payments of compensation, taking into account the probable extent of future payments, the rate of compensation, the financial circumstances of the individual, and any other relevant factors, so as to minimize any hardship.”25
ANALYSIS -- ISSUE 3
The Board finds that OWCP properly required recovery of the overpayment by deducting $671.01 from appellant’s continuing compensation payments, every 28 days.
OWCP gave due regard to the financial information submitted, as well as the factors set forth in 20 C.F.R. § 10.441 and found that this method of recovery would minimize resulting
20
H.S., Docket No. 22-1040 (issued May 12, 2023); J.C., Docket No. 22-1296 (issued May 3, 2023); P.B., Docket No. 22-0976 (issued April 17, 2023); R.G., Docket No. 21-0491 (issued March 23, 2023). 21 Id.
22
Id.; L.D., Docket No. 18-1317 (issued April 17, 2019); William J. Murphy, 41 ECAB 569, 571-72 (1989).
23
J.C., supra note 20; P.B., supra note 20; D.M., Docket No. 17-0810 (issued October 2, 2017).
24
20 C.F.R. § 10.441(a).
25
Id.; see C.M., Docket No. 19-1451 (issued March 4, 2020).
7 hardship. Therefore, it properly required recovery of the overpayment by deducting $671.01 every 28 days from appellant’s continuing compensation payments. 26
CONCLUSION
The Board finds that appellant received an overpayment of compensation in the amount of $28,220.59 for the period February 24, 2020 through September 10, 2022, for which he was without fault, because he concurrently received FECA wage-loss compensation and SSA age- related retirement benefits, without an appropriate offset. The Board further finds that OWCP properly denied waiver of recovery of the overpayment and properly required recovery of the overpayment by deducting $671.01 from appellant’s continuing FECA compensation, every 28 days.
ORDER
IT IS HEREBY ORDERED THAT the May 19, 2023 decision of the Office of Workers’ Compensation Programs is affirmed.
Issued: November 9, 2023
Washington, DC
Patricia H. Fitzgerald, Deputy 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
26
J.H., supra note 10; P.M., supra note 10; M.B., Docket No. 20-1578 (issued March 25, 2021).
8
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