Title 20

PART 10

Part 10 - Claims For Compensation Under The Federal Employees' Compensation Act, As Amended

PART 10 - CLAIMS FOR COMPENSATION UNDER THE FEDERAL EMPLOYEES' COMPENSATION ACT, AS AMENDED Authority:5 U.S.C. 301, 8102a, 8103, 8145 and 8149; 31 U.S.C. 3716 and 3717; Reorganization Plan No. 6 of 1950, 15 FR 3174, 64 Stat. 1263; Secretary of Labor's Order No. 10-2009, 74 FR 218. Source:76 FR 37903, June 28, 2011, unless otherwise noted.

20:1.0.1.2.2.1SUBPART A
Subpart A - General Provisions
20:1.0.1.2.2.1.39SUBJGRP 39
   Introduction
20:1.0.1.2.2.1.39.1SECTION 10.0
   10.0 What are the provisions of the FECA, in general
20:1.0.1.2.2.1.39.2SECTION 10.1
   10.1 What rules govern the administration of the FECA and this chapter
20:1.0.1.2.2.1.39.3SECTION 10.2
   10.2 What do these regulations contain
20:1.0.1.2.2.1.39.4SECTION 10.3
   10.3 Have the collection of information requirements of this part been approved by the Office of Management and Budget (OMB)
20:1.0.1.2.2.1.40SUBJGRP 40
   Definitions and Forms
20:1.0.1.2.2.1.40.5SECTION 10.5
   10.5 What definitions apply to the regulations in this subchapter
20:1.0.1.2.2.1.40.6SECTION 10.6
   10.6 What special statutory definitions apply to dependents and survivors
20:1.0.1.2.2.1.40.7SECTION 10.7
   10.7 What forms are needed to process claims under the FECA
20:1.0.1.2.2.1.41SUBJGRP 41
   Information in Program Records
20:1.0.1.2.2.1.41.8SECTION 10.10
   10.10 Are all documents relating to claims filed under the FECA considered confidential
20:1.0.1.2.2.1.41.9SECTION 10.11
   10.11 Who maintains custody and control of FECA records
20:1.0.1.2.2.1.41.10SECTION 10.12
   10.12 How may a FECA claimant or beneficiary obtain copies of protected records
20:1.0.1.2.2.1.41.11SECTION 10.13
   10.13 What process is used by a person who wants to correct FECA-related documents
20:1.0.1.2.2.1.42SUBJGRP 42
   Rights and Penalties
20:1.0.1.2.2.1.42.12SECTION 10.15
   10.15 May compensation rights be waived
20:1.0.1.2.2.1.42.13SECTION 10.16
   10.16 What criminal and civil penalties may be imposed in connection with a claim under the FECA
20:1.0.1.2.2.1.42.14SECTION 10.17
   10.17 Is a beneficiary who defrauds the Government in connection with a claim for benefits still entitled to those benefits
20:1.0.1.2.2.1.42.15SECTION 10.18
   10.18 Can a beneficiary who is incarcerated based on a felony conviction still receive benefits
20:1.0.1.2.2.2SUBPART B
Subpart B - Filing Notices and Claims; Submitting Evidence
20:1.0.1.2.2.2.43SUBJGRP 43
   Notices and Claims for Injury, Disease, and Death - Employee or Survivor's Actions
20:1.0.1.2.2.2.43.1SECTION 10.100
   10.100 How and when is a notice of traumatic injury filed
20:1.0.1.2.2.2.43.2SECTION 10.101
   10.101 How and when is a notice of occupational disease filed
20:1.0.1.2.2.2.43.3SECTION 10.102
   10.102 How and when is a claim for wage loss compensation filed
20:1.0.1.2.2.2.43.4SECTION 10.103
   10.103 How and when is a claim for permanent impairment filed
20:1.0.1.2.2.2.43.5SECTION 10.104
   10.104 How and when is a claim for recurrence filed
20:1.0.1.2.2.2.43.6SECTION 10.105
   10.105 How and when is a notice of death and claim for benefits filed
20:1.0.1.2.2.2.44SUBJGRP 44
   Notices and Claims for Injury, Disease, and Death - Employer's Actions
20:1.0.1.2.2.2.44.7SECTION 10.110
   10.110 What should the employer do when an employee files a notice of traumatic injury or occupational disease
20:1.0.1.2.2.2.44.8SECTION 10.111
   10.111 What should the employer do when an employee files an initial claim for compensation due to disability or permanent impairment
20:1.0.1.2.2.2.44.9SECTION 10.112
   10.112 What should the employer do when an employee files a claim for continuing compensation due to disability
20:1.0.1.2.2.2.44.10SECTION 10.113
   10.113 What should the employer do when an employee dies from a work-related injury or disease
20:1.0.1.2.2.2.45SUBJGRP 45
   Evidence and Burden of Proof
20:1.0.1.2.2.2.45.11SECTION 10.115
   10.115 What evidence is needed to establish a claim
20:1.0.1.2.2.2.45.12SECTION 10.116
   10.116 What additional evidence is needed in cases based on occupational disease
20:1.0.1.2.2.2.45.13SECTION 10.117
   10.117 What happens if, in any claim, the employer contests any of the facts as stated by the claimant
20:1.0.1.2.2.2.45.14SECTION 10.118
   10.118 Does the employer participate in the claims process in any other way
20:1.0.1.2.2.2.45.15SECTION 10.119
   10.119 What action will OWCP take with respect to information submitted by the employer
20:1.0.1.2.2.2.45.16SECTION 10.120
   10.120 May a claimant submit additional evidence
20:1.0.1.2.2.2.45.17SECTION 10.121
   10.121 What happens if OWCP needs more evidence from the claimant
20:1.0.1.2.2.2.46SUBJGRP 46
   Decisions on Entitlement to Benefits
20:1.0.1.2.2.2.46.18SECTION 10.125
   10.125 How does OWCP determine entitlement to benefits
20:1.0.1.2.2.2.46.19SECTION 10.126
   10.126 What does the decision contain
20:1.0.1.2.2.2.46.20SECTION 10.127
   10.127 To whom is the decision sent
20:1.0.1.2.2.3SUBPART C
Subpart C - Continuation of Pay
20:1.0.1.2.2.3.47SUBJGRP 47
   Eligibility for COP
20:1.0.1.2.2.3.47.1SECTION 10.200
   10.200 What is continuation of pay
20:1.0.1.2.2.3.47.2SECTION 10.205
   10.205 What conditions must be met to receive COP
20:1.0.1.2.2.3.47.3SECTION 10.206
   10.206 May an employee who uses leave after an injury later decide to use COP instead
20:1.0.1.2.2.3.47.4SECTION 10.207
   10.207 May an employee who returns to work, then stops work again due to the effects of the injury, receive COP
20:1.0.1.2.2.3.48SUBJGRP 48
   Responsibilities
20:1.0.1.2.2.3.48.5SECTION 10.210
   10.210 What are the employee's responsibilities in COP cases
20:1.0.1.2.2.3.48.6SECTION 10.211
   10.211 What are the employer's responsibilities in COP cases
20:1.0.1.2.2.3.49SUBJGRP 49
   Calculation of COP
20:1.0.1.2.2.3.49.7SECTION 10.215
   10.215 How does OWCP compute the number of days of COP used
20:1.0.1.2.2.3.49.8SECTION 10.216
   10.216 How is the pay rate for COP calculated
20:1.0.1.2.2.3.49.9SECTION 10.217
   10.217 Is COP charged if the employee continues to work, but in a different job that pays less
20:1.0.1.2.2.3.50SUBJGRP 50
   Controversion and Termination of COP
20:1.0.1.2.2.3.50.10SECTION 10.220
   10.220 When is an employer not required to pay COP
20:1.0.1.2.2.3.50.11SECTION 10.221
   10.221 How is a claim for COP controverted
20:1.0.1.2.2.3.50.12SECTION 10.222
   10.222 When may an employer terminate COP which has already begun
20:1.0.1.2.2.3.50.13SECTION 10.223
   10.223 Are there other circumstances under which OWCP will not authorize payment of COP
20:1.0.1.2.2.3.50.14SECTION 10.224
   10.224 What happens if OWCP finds that the employee is not entitled to COP after it has been paid
20:1.0.1.2.2.4SUBPART D
Subpart D - Medical and Related Benefits
20:1.0.1.2.2.4.51SUBJGRP 51
   Emergency Medical Care
20:1.0.1.2.2.4.51.1SECTION 10.300
   10.300 What are the basic rules for authorizing emergency medical care
20:1.0.1.2.2.4.51.2SECTION 10.301
   10.301 May the physician designated on Form CA-16 refer the employee to another medical specialist or medical facility
20:1.0.1.2.2.4.51.3SECTION 10.302
   10.302 Should the employer authorize medical care if he or she doubts that the injury occurred, or that it is work-related
20:1.0.1.2.2.4.51.4SECTION 10.303
   10.303 Should the employer use a Form CA-16 to authorize medical testing when an employee is exposed to a workplace hazard just once
20:1.0.1.2.2.4.51.5SECTION 10.304
   10.304 Are there any exceptions to these procedures for obtaining medical care
20:1.0.1.2.2.4.52SUBJGRP 52
   Medical Treatment and Related Issues
20:1.0.1.2.2.4.52.6SECTION 10.310
   10.310 What are the basic rules for obtaining medical care
20:1.0.1.2.2.4.52.7SECTION 10.311
   10.311 What are the special rules for the services of chiropractors
20:1.0.1.2.2.4.52.8SECTION 10.312
   10.312 What are the special rules for the services of clinical psychologists
20:1.0.1.2.2.4.52.9SECTION 10.313
   10.313 Will OWCP pay for preventive treatment
20:1.0.1.2.2.4.52.10SECTION 10.314
   10.314 Will OWCP pay for the services of an attendant
20:1.0.1.2.2.4.52.11SECTION 10.315
   10.315 Will OWCP pay for transportation to obtain medical treatment
20:1.0.1.2.2.4.52.12SECTION 10.316
   10.316 After selecting a treating physician, may an employee choose to be treated by another physician instead
20:1.0.1.2.2.4.53SUBJGRP 53
   Directed Medical Examinations
20:1.0.1.2.2.4.53.13SECTION 10.320
   10.320 Can OWCP require an employee to be examined by another physician
20:1.0.1.2.2.4.53.14SECTION 10.321
   10.321 What happens if the opinion of the physician selected by OWCP differs from the opinion of the physician selected by the employee
20:1.0.1.2.2.4.53.15SECTION 10.322
   10.322 Who pays for second opinion and referee examinations
20:1.0.1.2.2.4.53.16SECTION 10.323
   10.323 What are the penalties for failing to report for or obstructing a second opinion or referee examination
20:1.0.1.2.2.4.53.17SECTION 10.324
   10.324 May an employer require an employee to undergo a physical examination in connection with a work-related injury
20:1.0.1.2.2.4.54SUBJGRP 54
   Medical Reports
20:1.0.1.2.2.4.54.18SECTION 10.330
   10.330 What are the requirements for medical reports
20:1.0.1.2.2.4.54.19SECTION 10.331
   10.331 How and when should the medical report be submitted
20:1.0.1.2.2.4.54.20SECTION 10.332
   10.332 What additional medical information will OWCP require to support continuing payment of benefits
20:1.0.1.2.2.4.54.21SECTION 10.333
   10.333 What additional medical information will OWCP require to support a claim for a schedule award
20:1.0.1.2.2.4.55SUBJGRP 55
   Medical Bills
20:1.0.1.2.2.4.55.22SECTION 10.335
   10.335 How are medical bills submitted
20:1.0.1.2.2.4.55.23SECTION 10.336
   10.336 What are the time frames for submitting bills
20:1.0.1.2.2.4.55.24SECTION 10.337
   10.337 If an employee is only partially reimbursed for a medical expense, must the provider refund the balance of the amount paid to the employee
20:1.0.1.2.2.5SUBPART E
Subpart E - Compensation and Related Benefits
20:1.0.1.2.2.5.56SUBJGRP 56
   Compensation for Disability and Impairment
20:1.0.1.2.2.5.56.1SECTION 10.400
   10.400 What is total disability
20:1.0.1.2.2.5.56.2SECTION 10.401
   10.401 When and how is compensation for total disability paid
20:1.0.1.2.2.5.56.3SECTION 10.402
   10.402 What is partial disability
20:1.0.1.2.2.5.56.4SECTION 10.403
   10.403 When and how is compensation for partial disability paid
20:1.0.1.2.2.5.56.5SECTION 10.404
   10.404 When and how is compensation for a schedule impairment paid
20:1.0.1.2.2.5.56.6SECTION 10.405
   10.405 Who is considered a dependent in a claim based on disability or impairment
20:1.0.1.2.2.5.56.7SECTION 10.406
   10.406 What are the maximum and minimum rates of compensation in disability cases
20:1.0.1.2.2.5.57SUBJGRP 57
   Compensation for Death
20:1.0.1.2.2.5.57.8SECTION 10.410
   10.410 Who is entitled to compensation in case of death, and what are the rates of compensation payable in death cases
20:1.0.1.2.2.5.57.9SECTION 10.411
   10.411 What are the maximum and minimum rates of compensation in death cases
20:1.0.1.2.2.5.57.10SECTION 10.412
   10.412 Will OWCP pay the costs of burial and transportation of the remains
20:1.0.1.2.2.5.57.11SECTION 10.413
   10.413 May a schedule award be paid after an employee's death
20:1.0.1.2.2.5.57.12SECTION 10.414
   10.414 What reports of dependents are needed in death cases
20:1.0.1.2.2.5.57.13SECTION 10.415
   10.415 What must a beneficiary do if the number of beneficiaries decreases
20:1.0.1.2.2.5.57.14SECTION 10.416
   10.416 How does a change in the number of beneficiaries affect the amount of compensation paid to the other beneficiaries
20:1.0.1.2.2.5.57.15SECTION 10.417
   10.417 What reports are needed when compensation payments continue for children over age 18
20:1.0.1.2.2.5.58SUBJGRP 58
   Adjustments to Compensation
20:1.0.1.2.2.5.58.16SECTION 10.420
   10.420 How are cost-of-living adjustments applied
20:1.0.1.2.2.5.58.17SECTION 10.421
   10.421 May a beneficiary receive other kinds of payments from the Federal Government concurrently with compensation
20:1.0.1.2.2.5.58.18SECTION 10.422
   10.422 May compensation payments be issued in a lump sum
20:1.0.1.2.2.5.58.19SECTION 10.423
   10.423 May compensation payments be assigned to, or attached by, creditors
20:1.0.1.2.2.5.58.20SECTION 10.424
   10.424 May someone other than the beneficiary be designated to receive compensation payments
20:1.0.1.2.2.5.58.21SECTION 10.425
   10.425 May compensation be claimed for periods of restorable leave
20:1.0.1.2.2.5.59SUBJGRP 59
   Overpayments
20:1.0.1.2.2.5.59.22SECTION 10.430
   10.430 How does OWCP notify an individual of a payment made
20:1.0.1.2.2.5.59.23SECTION 10.431
   10.431 What does OWCP do when an overpayment is identified
20:1.0.1.2.2.5.59.24SECTION 10.432
   10.432 How can an individual present evidence to OWCP in response to a preliminary notice of an overpayment
20:1.0.1.2.2.5.59.25SECTION 10.433
   10.433 Under what circumstances can OWCP waive recovery of an overpayment
20:1.0.1.2.2.5.59.26SECTION 10.434
   10.434 If OWCP finds that the recipient of an overpayment was not at fault, what criteria are used to decide whether to waive recovery of it
20:1.0.1.2.2.5.59.27SECTION 10.435
   10.435 Is an individual responsible for an overpayment that resulted from an error made by OWCP or another Government agency
20:1.0.1.2.2.5.59.28SECTION 10.436
   10.436 Under what circumstances would recovery of an overpayment defeat the purpose of the FECA
20:1.0.1.2.2.5.59.29SECTION 10.437
   10.437 Under what circumstances would recovery of an overpayment be against equity and good conscience
20:1.0.1.2.2.5.59.30SECTION 10.438
   10.438 Can OWCP require the individual who received the overpayment to submit additional financial information
20:1.0.1.2.2.5.59.31SECTION 10.439
   10.439 What is addressed at a pre-recoupment hearing
20:1.0.1.2.2.5.59.32SECTION 10.440
   10.440 How does OWCP communicate its final decision concerning recovery of an overpayment, and what appeal right accompanies it
20:1.0.1.2.2.5.59.33SECTION 10.441
   10.441 How are overpayments collected
20:1.0.1.2.2.6SUBPART F
Subpart F - Continuing Benefits
20:1.0.1.2.2.6.60SUBJGRP 60
   Rules and Evidence
20:1.0.1.2.2.6.60.1SECTION 10.500
   10.500 What are the basic rules governing continuing receipt of compensation benefits and return to work
20:1.0.1.2.2.6.60.2SECTION 10.501
   10.501 What medical evidence is necessary to support continuing receipt of compensation benefits
20:1.0.1.2.2.6.60.3SECTION 10.502
   10.502 How does OWCP evaluate evidence in support of continuing receipt of compensation benefits
20:1.0.1.2.2.6.60.4SECTION 10.503
   10.503 Under what circumstances may OWCP reduce or terminate compensation benefits
20:1.0.1.2.2.6.61SUBJGRP 61
   Return to Work - Employer's Responsibilities
20:1.0.1.2.2.6.61.5SECTION 10.505
   10.505 What actions must the employer take
20:1.0.1.2.2.6.61.6SECTION 10.506
   10.506 May the employer monitor the employee's medical care
20:1.0.1.2.2.6.61.7SECTION 10.507
   10.507 How should the employer make an offer of suitable work
20:1.0.1.2.2.6.61.8SECTION 10.508
   10.508 May relocation expenses be paid for an employee who would need to move to accept an offer of reemployment
20:1.0.1.2.2.6.61.9SECTION 10.509
   10.509 If an employee's light duty job is eliminated due to downsizing, what is the effect on compensation
20:1.0.1.2.2.6.61.10SECTION 10.510
   10.510 When may a light duty job form the basis of a loss of wage-earning capacity determination
20:1.0.1.2.2.6.61.11SECTION 10.511
   10.511 How may a loss of wage-earning capacity determination be modified
20:1.0.1.2.2.6.62SUBJGRP 62
   Return to Work - Employee's Responsibilities
20:1.0.1.2.2.6.62.12SECTION 10.515
   10.515 What actions must the employee take with respect to returning to work
20:1.0.1.2.2.6.62.13SECTION 10.516
   10.516 How will an employee know if OWCP considers a job to be suitable
20:1.0.1.2.2.6.62.14SECTION 10.517
   10.517 What are the penalties for refusing to accept a suitable job offer
20:1.0.1.2.2.6.62.15SECTION 10.518
   10.518 Does OWCP provide services to help employees return to work
20:1.0.1.2.2.6.62.16SECTION 10.519
   10.519 What action will OWCP take if an employee refuses to undergo vocational rehabilitation
20:1.0.1.2.2.6.62.17SECTION 10.520
   10.520 How does OWCP determine compensation after an employee completes a vocational rehabilitation program
20:1.0.1.2.2.6.62.18SECTION 10.521
   10.521 If an employee elects to receive retirement benefits instead of FECA benefits, what effect may such an election have on that employee's entitlement to FECA compensation
20:1.0.1.2.2.6.63SUBJGRP 63
   Reports of Earnings From Employment and Self-Employment
20:1.0.1.2.2.6.63.19SECTION 10.525
   10.525 What information must the employee report
20:1.0.1.2.2.6.63.20SECTION 10.526
   10.526 Must the employee report volunteer activities
20:1.0.1.2.2.6.63.21SECTION 10.527
   10.527 Does OWCP verify reports of earnings
20:1.0.1.2.2.6.63.22SECTION 10.528
   10.528 What action will OWCP take if the employee fails to file a report of activity indicating an ability to work
20:1.0.1.2.2.6.63.23SECTION 10.529
   10.529 What action will OWCP take if the employee files an incomplete report
20:1.0.1.2.2.6.64SUBJGRP 64
   Reports of Dependents
20:1.0.1.2.2.6.64.24SECTION 10.535
   10.535 How are dependents defined, and what information must the employee report
20:1.0.1.2.2.6.64.25SECTION 10.536
   10.536 What is the penalty for failing to submit a report of dependents
20:1.0.1.2.2.6.64.26SECTION 10.537
   10.537 What reports are needed when compensation payments continue for children over age 18
20:1.0.1.2.2.6.65SUBJGRP 65
   Reduction and Termination of Compensation
20:1.0.1.2.2.6.65.27SECTION 10.540
   10.540 When and how is compensation reduced or terminated
20:1.0.1.2.2.6.65.28SECTION 10.541
   10.541 What action will OWCP take after issuing written notice of its intention to reduce or terminate compensation
20:1.0.1.2.2.7SUBPART G
Subpart G - Appeals Process
20:1.0.1.2.2.7.66SUBJGRP 66
   Reconsiderations and Reviews by the Director
20:1.0.1.2.2.7.66.1SECTION 10.600
   10.600 How can final decisions of OWCP be reviewed
20:1.0.1.2.2.7.66.2SECTION 10.605
   10.605 What is reconsideration
20:1.0.1.2.2.7.66.3SECTION 10.606
   10.606 How does a claimant request reconsideration
20:1.0.1.2.2.7.66.4SECTION 10.607
   10.607 What is the time limit for requesting reconsideration
20:1.0.1.2.2.7.66.5SECTION 10.608
   10.608 How does OWCP decide whether to grant or deny the request for reconsideration
20:1.0.1.2.2.7.66.6SECTION 10.609
   10.609 How does OWCP decide whether new evidence requires modification of the prior decision
20:1.0.1.2.2.7.66.7SECTION 10.610
   10.610 What is a review by the Director
20:1.0.1.2.2.7.67SUBJGRP 67
   Hearings
20:1.0.1.2.2.7.67.8SECTION 10.615
   10.615 What is a hearing
20:1.0.1.2.2.7.67.9SECTION 10.616
   10.616 How does a claimant obtain a hearing
20:1.0.1.2.2.7.67.10SECTION 10.617
   10.617 How is an oral hearing conducted
20:1.0.1.2.2.7.67.11SECTION 10.618
   10.618 How is a review of the written record conducted
20:1.0.1.2.2.7.67.12SECTION 10.619
   10.619 May subpoenas be issued for witnesses and documents
20:1.0.1.2.2.7.67.13SECTION 10.620
   10.620 Who pays the costs associated with subpoenas
20:1.0.1.2.2.7.67.14SECTION 10.621
   10.621 What is the employer's role when an oral hearing has been requested
20:1.0.1.2.2.7.67.15SECTION 10.622
   10.622 May a claimant or representative withdraw a request for or postpone a hearing
20:1.0.1.2.2.7.68SUBJGRP 68
   Review by the Employees' Compensation Appeals Board (ECAB)
20:1.0.1.2.2.7.68.16SECTION 10.625
   10.625 What kinds of decisions may be appealed
20:1.0.1.2.2.7.68.17SECTION 10.626
   10.626 Who has jurisdiction of cases on appeal to the ECAB
20:1.0.1.2.2.8SUBPART H
Subpart H - Special Provisions
20:1.0.1.2.2.8.69SUBJGRP 69
   Representation
20:1.0.1.2.2.8.69.1SECTION 10.700
   10.700 May a claimant designate a representative
20:1.0.1.2.2.8.69.2SECTION 10.701
   10.701 Who may serve as a representative
20:1.0.1.2.2.8.69.3SECTION 10.702
   10.702 How are fees for services paid
20:1.0.1.2.2.8.69.4SECTION 10.703
   10.703 How are fee applications approved
20:1.0.1.2.2.8.69.5SECTION 10.704
   10.704 What penalties apply to representatives who collect a fee without approval
20:1.0.1.2.2.8.70SUBJGRP 70
   Third Party Liability
20:1.0.1.2.2.8.70.6SECTION 10.705
   10.705 When must an employee or other FECA beneficiary take action against a third party
20:1.0.1.2.2.8.70.7SECTION 10.706
   10.706 How will a beneficiary know if OWCP or SOL has determined that action against a third party is required
20:1.0.1.2.2.8.70.8SECTION 10.707
   10.707 What must a FECA beneficiary who is required to take action against a third party do to satisfy the requirement that the claim be “prosecuted”
20:1.0.1.2.2.8.70.9SECTION 10.708
   10.708 Can a FECA beneficiary who refuses to comply with a request to assign a claim to the United States or to prosecute the claim in his or her own name be penalized
20:1.0.1.2.2.8.70.10SECTION 10.709
   10.709 What happens if a beneficiary directed by OWCP or SOL to take action against a third party does not believe that a claim can be successfully prosecuted at a reasonable cost
20:1.0.1.2.2.8.70.11SECTION 10.710
   10.710 Under what circumstances must a recovery of money or other property in connection with an injury or death for which benefits are payable under the FECA be reported to OWCP or SOL
20:1.0.1.2.2.8.70.12SECTION 10.711
   10.711 How is the amount of the recovery of the FECA beneficiary determined
20:1.0.1.2.2.8.70.13SECTION 10.712
   10.712 How much of any settlement or judgment must be paid to the United States
20:1.0.1.2.2.8.70.14SECTION 10.713
   10.713 How is a structured settlement (that is, a settlement providing for receipt of funds over a specified period of time) treated for purposes of reporting the gross recovery
20:1.0.1.2.2.8.70.15SECTION 10.714
   10.714 What amounts are included in the refundable disbursements
20:1.0.1.2.2.8.70.16SECTION 10.715
   10.715 Is a beneficiary required to pay interest on the amount of the refund due to the United States
20:1.0.1.2.2.8.70.17SECTION 10.716
   10.716 If the required refund is not paid within 30 days of the request for repayment, can it be collected from payments due under the FECA
20:1.0.1.2.2.8.70.18SECTION 10.717
   10.717 Is a settlement or judgment received as a result of allegations of medical malpractice in treating an injury covered by the FECA a gross recovery that must be reported to OWCP or SOL
20:1.0.1.2.2.8.70.19SECTION 10.718
   10.718 Are payments to a beneficiary as a result of an insurance policy which the beneficiary has purchased a gross recovery that must be reported to OWCP or SOL
20:1.0.1.2.2.8.70.20SECTION 10.719
   10.719 If a settlement or judgment is received for more than one wound or medical condition, can the refundable disbursements paid on a single FECA claim be attributed to different conditions for purposes of calculating the refund or credit owed to the United States
20:1.0.1.2.2.8.71SUBJGRP 71
   Federal Grand and Petit Jurors
20:1.0.1.2.2.8.71.21SECTION 10.725
   10.725 When is a Federal grand or petit juror covered under the FECA
20:1.0.1.2.2.8.71.22SECTION 10.726
   10.726 When does a juror's entitlement to disability compensation begin
20:1.0.1.2.2.8.71.23SECTION 10.727
   10.727 What is the pay rate of jurors for compensation purposes
20:1.0.1.2.2.8.72SUBJGRP 72
   Peace Corps Volunteers
20:1.0.1.2.2.8.72.24SECTION 10.730
   10.730 What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States
20:1.0.1.2.2.8.72.25SECTION 10.731
   10.731 What is the pay rate of Peace Corps volunteers and volunteer leaders for compensation purposes
20:1.0.1.2.2.8.73SUBJGRP 73
   Non-Federal Law Enforcement Officers
20:1.0.1.2.2.8.73.26SECTION 10.735
   10.735 When is a non-Federal law enforcement officer (LEO) covered under the FECA
20:1.0.1.2.2.8.73.27SECTION 10.736
   10.736 What are the time limits for filing a LEO claim
20:1.0.1.2.2.8.73.28SECTION 10.737
   10.737 How is a LEO claim filed, and who can file a LEO claim
20:1.0.1.2.2.8.73.29SECTION 10.738
   10.738 Under what circumstances are benefits payable in LEO claims
20:1.0.1.2.2.8.73.30SECTION 10.739
   10.739 What kind of objective evidence of a potential Federal crime must exist for coverage to be extended
20:1.0.1.2.2.8.73.31SECTION 10.740
   10.740 In what situations will OWCP automatically presume that a law enforcement officer is covered by the FECA
20:1.0.1.2.2.8.73.32SECTION 10.741
   10.741 How are benefits calculated in LEO claims
20:1.0.1.2.2.9SUBPART I
Subpart I - Information for Medical Providers
20:1.0.1.2.2.9.74SUBJGRP 74
   Medical Records and Bills
20:1.0.1.2.2.9.74.1SECTION 10.800
   10.800 How do providers enroll with OWCP for authorizations and billing
20:1.0.1.2.2.9.74.2SECTION 10.801
   10.801 How are medical bills to be submitted
20:1.0.1.2.2.9.74.3SECTION 10.802
   10.802 How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses
20:1.0.1.2.2.9.74.4SECTION 10.803
   10.803 What are the time limitations on OWCP's payment of bills
20:1.0.1.2.2.9.75SUBJGRP 75
   Medical Fee Schedule
20:1.0.1.2.2.9.75.5SECTION 10.805
   10.805 What services are covered by the OWCP fee schedule
20:1.0.1.2.2.9.75.6SECTION 10.806
   10.806 How are the maximum fees defined
20:1.0.1.2.2.9.75.7SECTION 10.807
   10.807 How are payments for particular services calculated
20:1.0.1.2.2.9.75.8SECTION 10.808
   10.808 Does the fee schedule apply to every kind of procedure
20:1.0.1.2.2.9.75.9SECTION 10.809
   10.809 How are payments for medicinal drugs determined
20:1.0.1.2.2.9.75.10SECTION 10.810
   10.810 How are payments for inpatient medical services determined
20:1.0.1.2.2.9.75.11SECTION 10.811
   10.811 When and how are fees reduced
20:1.0.1.2.2.9.75.12SECTION 10.812
   10.812 If OWCP reduces a fee, may a provider request reconsideration of the reduction
20:1.0.1.2.2.9.75.13SECTION 10.813
   10.813 If OWCP reduces a fee, may a provider bill the claimant for the balance
20:1.0.1.2.2.9.76SUBJGRP 76
   Exclusion of Providers
20:1.0.1.2.2.9.76.14SECTION 10.815
   10.815 What are the grounds for excluding a provider from payment under the FECA
20:1.0.1.2.2.9.76.15SECTION 10.816
   10.816 What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies
20:1.0.1.2.2.9.76.16SECTION 10.817
   10.817 How are OWCP's exclusion procedures initiated
20:1.0.1.2.2.9.76.17SECTION 10.818
   10.818 How is a provider notified of OWCP's intent to exclude him or her
20:1.0.1.2.2.9.76.18SECTION 10.819
   10.819 What requirements must the provider's answer and OWCP's decision meet
20:1.0.1.2.2.9.76.19SECTION 10.820
   10.820 How can an excluded provider request a hearing
20:1.0.1.2.2.9.76.20SECTION 10.821
   10.821 How are hearings assigned and scheduled
20:1.0.1.2.2.9.76.21SECTION 10.822
   10.822 How are subpoenas or advisory opinions obtained
20:1.0.1.2.2.9.76.22SECTION 10.823
   10.823 How will the administrative law judge conduct the hearing and issue the recommended decision
20:1.0.1.2.2.9.76.23SECTION 10.824
   10.824 How does the recommended decision become final
20:1.0.1.2.2.9.76.24SECTION 10.825
   10.825 What are the effects of exclusion
20:1.0.1.2.2.9.76.25SECTION 10.826
   10.826 How can an excluded provider be reinstated
20:1.0.1.2.2.10SUBPART J
Subpart J - Death Gratuity
20:1.0.1.2.2.10.77.1SECTION 10.900
   10.900 What is the death gratuity under this subpart
20:1.0.1.2.2.10.77.2SECTION 10.901
   10.901 Which employees are covered under this subpart
20:1.0.1.2.2.10.77.3SECTION 10.902
   10.902 Does every employee's death due to injuries incurred in connection with his or her service with an Armed Force in a contingency operation qualify for the death gratuity
20:1.0.1.2.2.10.77.4SECTION 10.903
   10.903 Is the death gratuity payment applicable retroactively
20:1.0.1.2.2.10.77.5SECTION 10.904
   10.904 Does a death as a result of occupational disease qualify for payment of the death gratuity
20:1.0.1.2.2.10.77.6SECTION 10.905
   10.905 If an employee incurs a covered injury in connection with his or her service with an Armed Force in a contingency operation but does not die of the injury until years later, does the death qualify for payment of the death gratuity
20:1.0.1.2.2.10.77.7SECTION 10.906
   10.906 What special statutory definitions apply to survivors under this subpart
20:1.0.1.2.2.10.77.8SECTION 10.907
   10.907 What order of precedence will OWCP use to determine which survivors are entitled to receive the death gratuity payment under this subpart
20:1.0.1.2.2.10.77.9SECTION 10.908
   10.908 Can an employee designate alternate beneficiaries to receive a portion of the death gratuity payment
20:1.0.1.2.2.10.77.10SECTION 10.909
   10.909 How does an employee designate a variation in the order or percentage of gratuity payable to survivors and how does the employee designate alternate beneficiaries
20:1.0.1.2.2.10.77.11SECTION 10.910
   10.910 What if a person entitled to a portion of the death gratuity payment dies after the death of the covered employee but before receiving his or her portion of the death gratuity
20:1.0.1.2.2.10.77.12SECTION 10.911
   10.911 How is the death gratuity payment process initiated
20:1.0.1.2.2.10.77.13SECTION 10.912
   10.912 What is required to establish a claim for the death gratuity payment
20:1.0.1.2.2.10.77.14SECTION 10.913
   10.913 In what situations will OWCP consider that an employee incurred injury in connection with his or her service with an Armed Force in a contingency operation
20:1.0.1.2.2.10.77.15SECTION 10.914
   10.914 What are the responsibilities of the employing agency in the death gratuity payment process
20:1.0.1.2.2.10.77.16SECTION 10.915
   10.915 What are the responsibilities of OWCP in the death gratuity payment process
20:1.0.1.2.2.10.77.17SECTION 10.916
   10.916 How is the amount of the death gratuity calculated