T.C. and U.S. Postal Service, New Orleans Post Office (Board decision, June 3, 2024)
Board orders joint review of prior shoulder awards (ECAB 24-0418)
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ECAB remand decision. The Board set aside OWCP’s decision and remanded to combine claim files and assess any overlapping awards; further award entitlement 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). FECA compensation decisions are generally not subject to court review under 5 U.S.C. § 8128(b).
Plain-English summary
A New Orleans postal worker sought another upper extremity schedule award. OWCP denied it because an earlier claim had already paid a larger award for both arms. The Board found OWCP had not explained whether the new impairment duplicated what the earlier award compensated. It ordered the related claim files combined and a new assessment of any overlap.
Decision snapshot
- Authority: Federal Employees’ Compensation Act, 5 U.S.C. § 8101 et seq.
- Outcome: Schedule-award denial set aside; related files and awards to be reviewed.
- Key point: OWCP had to show how the prior award duplicated the new impairment.
Full text (ECAB public release)
United States Department of Labor
Employees’ Compensation Appeals Board
________
)
T.C., Appellant
)
)
and ) Docket No. 24-0418
)
Issued: June 3, 2024
U.S. POSTAL SERVICE, NEW ORLEANS )
POST OFFICE, New Orleans, LA, 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
JANICE B. ASKIN, Judge
VALERIE D. EVANS-HARRELL, Alternate Judge
On March 11, 2024 appellant filed a timely appeal from a February 16, 2024 merit decision of the Office of Workers’ Compensation Programs (OWCP). 1 The Clerk of the Appellate Boards assigned the appeal Docket No. 24-0418.
On April 22, 2015 appellant, then a 50-year-old retired mail processor, filed an occupational disease claim (Form CA-2) alleging that she sustained injury to her neck, back and hands due to factors of her federal employment. OWCP assigned the claim OWCP File No. xxxxxx612 and accepted it for bilateral carpal tunnel syndrome, intervertebral cervical disc degeneration, and intervertebral lumbar disc degeneration. 2
1
The Board notes that, following the February 16, 2024 decision, appellant submitted additional evidence to OWCP. However, the Board’s Rules of Procedures provides: “The Board’s review of a case is limited to the evidence in the case record that was before OWCP at the time of its final decision. Evidence not before OWCP will not be considered by the Board for the first time on appeal.” 20 C.F.R. § 501.2(c)(1). Thus, the Board is precluded from reviewing this additional evidence for the first time on appeal. Id. 2 Appellant also has a previously accepted occupational disease claim for left shoulder sprain, disorder of left shoulder bursae and tendons, and right shoulder osteoarthrosis, under OWCP File No. xxxxxx907.
On May 16 and August 7, 2019 appellant filed a claim for compensation (Form CA-7) for a schedule award. By decision dated August 14, 2019, OWCP denied appellant’s schedule award claim as she failed to establish a permanent impairment of a scheduled member or function of the body.
On October 3, 2023 appellant again filed a Form CA-7 for a schedule award.
By decision dated November 7, 2023, OWCP denied appellant’s schedule award claim, finding that the medical evidence of record was insufficient to establish permanent impairment of a scheduled member or function of the body, warranting a schedule award. While it found that the medical evidence established five percent permanent impairment of the left upper extremity and five percent permanent impairment of the right upper extremity, it determined that appellant had received a prior schedule award for 26 percent permanent impairment of the left upper extremity and 26 percent permanent impairment of the right upper extremity under OWCP File No. xxxxxx907. Because the new rating did not exceed the percentage already paid, OWCP concluded that appellant was not entitled to an additional schedule award.
On November 15, 2023 appellant requested reconsideration. By decision dated February 16, 2024, OWCP denied modification of its November 7, 2023 decision.
The Board, having duly considered this matter, finds that th e case is not in posture for decision.
The Federal Employees’ Compensation Act3 (FECA) and its regulations provide for the reduction of compensation for subsequent injury to the same scheduled member. Specifically, benefits payable under section 8107(c) shall be reduced by the period of compensation paid or payable under the schedule for an earlier injury if: (1) compensation in both cases is for impairment of the same member or function or different parts of the same member or function; and (2) the latter impairment in whole or in part would duplicate the compensation payable for the preexisting impairment. 4 The Board has held that OWCP must adequately explain how the latter impairment duplicated the compensation the claimant previously received under a separate file number.5
In this case, OWCP did not detail how appellant’s five percent permanent impairment of the left upper extremity and five percent permanent impairment of the right upper extremity under the current claim, OWCP File No. xxxxxx612, duplicated the schedule award previously paid for 26 percent permanent impairment of the left upper extremity and 26 percent permanent impairment of the right upper extremity of the same member under OWCP File No. xxxxxx907. The case record, however, is limited to OWCP File No. xxxxxx612. Pursuant to its procedures, OWCP has determined that cases should be combined when correct adjudication of the issues depends on
3
5 U.S.C. § 8101 et seq.
4
Id. at § 8108; 20 C.F.R. § 10.404(d). See also R.B., Docket No. 09-1786 (issued July 1, 2010).
5
T.S., Docket No. 09-1308 (issued December 22, 2009).
2 frequent cross-reference between files. 6 In order to obtain sufficient clarification as to whether appellant’s recent rating would duplicate the prior schedule award in whole or in part, her claims must be doubled. 7
Therefore, for a full and fair adjudication, the case must be remanded to OWCP to administratively combine the current case record, OWCP File No. xxxxxx612, with OWCP File No. xxxxxx907. On remand, OWCP shall review all evidence to determine whether appellant’s recent rating would duplicate the prior schedule award in whole or in part. Following this and other such further development as deemed necessary, OWCP shall issue a de novo decision.8 Accordingly,
IT IS HEREBY ORDERED THAT the February 16, 2024 decision of the Office of Workers’ Compensation Programs is set aside and the case is remanded for further proceedings consistent with this decision of the Board.
Issued: June 3, 2024
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
6
Federal (FECA) Procedure Manual, Part 2 -- Claims, File Maintenance and Management, Chapter 2.400.8(c) (February 2000).
7
Order Remanding Case, R.B., Docket No. 13-792 (issued July 25, 2013).
8
Order Remanding Case, J.B., Docket No. 22-0127 (issued February 16, 2023).
3
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