| 20:1.0.1.2.2 | PART 10
| PART 10 - CLAIMS FOR COMPENSATION UNDER THE FEDERAL EMPLOYEES' COMPENSATION ACT, AS AMENDED | |
| 20:1.0.1.2.2.1 | SUBPART A
| Subpart A - General Provisions | |
| 20:1.0.1.2.2.1.39 | SUBJGRP 39
| Introduction | |
| 20:1.0.1.2.2.1.39.1 | SECTION 10.0
| 10.0 What are the provisions of the FECA, in general | |
| 20:1.0.1.2.2.1.39.2 | SECTION 10.1
| 10.1 What rules govern the administration of the FECA and this chapter | |
| 20:1.0.1.2.2.1.39.3 | SECTION 10.2
| 10.2 What do these regulations contain | |
| 20:1.0.1.2.2.1.39.4 | SECTION 10.3
| 10.3 Have the collection of information requirements of this part been approved by the Office of Management and Budget (OMB) | |
| 20:1.0.1.2.2.1.40 | SUBJGRP 40
| Definitions and Forms | |
| 20:1.0.1.2.2.1.40.5 | SECTION 10.5
| 10.5 What definitions apply to the regulations in this subchapter | |
| 20:1.0.1.2.2.1.40.6 | SECTION 10.6
| 10.6 What special statutory definitions apply to dependents and survivors | |
| 20:1.0.1.2.2.1.40.7 | SECTION 10.7
| 10.7 What forms are needed to process claims under the FECA | |
| 20:1.0.1.2.2.1.41 | SUBJGRP 41
| Information in Program Records | |
| 20:1.0.1.2.2.1.41.8 | SECTION 10.10
| 10.10 Are all documents relating to claims filed under the FECA considered confidential | |
| 20:1.0.1.2.2.1.41.9 | SECTION 10.11
| 10.11 Who maintains custody and control of FECA records | |
| 20:1.0.1.2.2.1.41.10 | SECTION 10.12
| 10.12 How may a FECA claimant or beneficiary obtain copies of protected records | |
| 20:1.0.1.2.2.1.41.11 | SECTION 10.13
| 10.13 What process is used by a person who wants to correct FECA-related documents | |
| 20:1.0.1.2.2.1.42 | SUBJGRP 42
| Rights and Penalties | |
| 20:1.0.1.2.2.1.42.12 | SECTION 10.15
| 10.15 May compensation rights be waived | |
| 20:1.0.1.2.2.1.42.13 | SECTION 10.16
| 10.16 What criminal and civil penalties may be imposed in connection with a claim under the FECA | |
| 20:1.0.1.2.2.1.42.14 | SECTION 10.17
| 10.17 Is a beneficiary who defrauds the Government in connection with a claim for benefits still entitled to those benefits | |
| 20:1.0.1.2.2.1.42.15 | SECTION 10.18
| 10.18 Can a beneficiary who is incarcerated based on a felony conviction still receive benefits | |
| 20:1.0.1.2.2.2 | SUBPART B
| Subpart B - Filing Notices and Claims; Submitting Evidence | |
| 20:1.0.1.2.2.2.43 | SUBJGRP 43
| Notices and Claims for Injury, Disease, and Death - Employee or Survivor's Actions | |
| 20:1.0.1.2.2.2.43.1 | SECTION 10.100
| 10.100 How and when is a notice of traumatic injury filed | |
| 20:1.0.1.2.2.2.43.2 | SECTION 10.101
| 10.101 How and when is a notice of occupational disease filed | |
| 20:1.0.1.2.2.2.43.3 | SECTION 10.102
| 10.102 How and when is a claim for wage loss compensation filed | |
| 20:1.0.1.2.2.2.43.4 | SECTION 10.103
| 10.103 How and when is a claim for permanent impairment filed | |
| 20:1.0.1.2.2.2.43.5 | SECTION 10.104
| 10.104 How and when is a claim for recurrence filed | |
| 20:1.0.1.2.2.2.43.6 | SECTION 10.105
| 10.105 How and when is a notice of death and claim for benefits filed | |
| 20:1.0.1.2.2.2.44 | SUBJGRP 44
| Notices and Claims for Injury, Disease, and Death - Employer's Actions | |
| 20:1.0.1.2.2.2.44.7 | SECTION 10.110
| 10.110 What should the employer do when an employee files a notice of traumatic injury or occupational disease | |
| 20:1.0.1.2.2.2.44.8 | SECTION 10.111
| 10.111 What should the employer do when an employee files an initial claim for compensation due to disability or permanent impairment | |
| 20:1.0.1.2.2.2.44.9 | SECTION 10.112
| 10.112 What should the employer do when an employee files a claim for continuing compensation due to disability | |
| 20:1.0.1.2.2.2.44.10 | SECTION 10.113
| 10.113 What should the employer do when an employee dies from a work-related injury or disease | |
| 20:1.0.1.2.2.2.45 | SUBJGRP 45
| Evidence and Burden of Proof | |
| 20:1.0.1.2.2.2.45.11 | SECTION 10.115
| 10.115 What evidence is needed to establish a claim | |
| 20:1.0.1.2.2.2.45.12 | SECTION 10.116
| 10.116 What additional evidence is needed in cases based on occupational disease | |
| 20:1.0.1.2.2.2.45.13 | SECTION 10.117
| 10.117 What happens if, in any claim, the employer contests any of the facts as stated by the claimant | |
| 20:1.0.1.2.2.2.45.14 | SECTION 10.118
| 10.118 Does the employer participate in the claims process in any other way | |
| 20:1.0.1.2.2.2.45.15 | SECTION 10.119
| 10.119 What action will OWCP take with respect to information submitted by the employer | |
| 20:1.0.1.2.2.2.45.16 | SECTION 10.120
| 10.120 May a claimant submit additional evidence | |
| 20:1.0.1.2.2.2.45.17 | SECTION 10.121
| 10.121 What happens if OWCP needs more evidence from the claimant | |
| 20:1.0.1.2.2.2.46 | SUBJGRP 46
| Decisions on Entitlement to Benefits | |
| 20:1.0.1.2.2.2.46.18 | SECTION 10.125
| 10.125 How does OWCP determine entitlement to benefits | |
| 20:1.0.1.2.2.2.46.19 | SECTION 10.126
| 10.126 What does the decision contain | |
| 20:1.0.1.2.2.2.46.20 | SECTION 10.127
| 10.127 To whom is the decision sent | |
| 20:1.0.1.2.2.3 | SUBPART C
| Subpart C - Continuation of Pay | |
| 20:1.0.1.2.2.3.47 | SUBJGRP 47
| Eligibility for COP | |
| 20:1.0.1.2.2.3.47.1 | SECTION 10.200
| 10.200 What is continuation of pay | |
| 20:1.0.1.2.2.3.47.2 | SECTION 10.205
| 10.205 What conditions must be met to receive COP | |
| 20:1.0.1.2.2.3.47.3 | SECTION 10.206
| 10.206 May an employee who uses leave after an injury later decide to use COP instead | |
| 20:1.0.1.2.2.3.47.4 | SECTION 10.207
| 10.207 May an employee who returns to work, then stops work again due to the effects of the injury, receive COP | |
| 20:1.0.1.2.2.3.48 | SUBJGRP 48
| Responsibilities | |
| 20:1.0.1.2.2.3.48.5 | SECTION 10.210
| 10.210 What are the employee's responsibilities in COP cases | |
| 20:1.0.1.2.2.3.48.6 | SECTION 10.211
| 10.211 What are the employer's responsibilities in COP cases | |
| 20:1.0.1.2.2.3.49 | SUBJGRP 49
| Calculation of COP | |
| 20:1.0.1.2.2.3.49.7 | SECTION 10.215
| 10.215 How does OWCP compute the number of days of COP used | |
| 20:1.0.1.2.2.3.49.8 | SECTION 10.216
| 10.216 How is the pay rate for COP calculated | |
| 20:1.0.1.2.2.3.49.9 | SECTION 10.217
| 10.217 Is COP charged if the employee continues to work, but in a different job that pays less | |
| 20:1.0.1.2.2.3.50 | SUBJGRP 50
| Controversion and Termination of COP | |
| 20:1.0.1.2.2.3.50.10 | SECTION 10.220
| 10.220 When is an employer not required to pay COP | |
| 20:1.0.1.2.2.3.50.11 | SECTION 10.221
| 10.221 How is a claim for COP controverted | |
| 20:1.0.1.2.2.3.50.12 | SECTION 10.222
| 10.222 When may an employer terminate COP which has already begun | |
| 20:1.0.1.2.2.3.50.13 | SECTION 10.223
| 10.223 Are there other circumstances under which OWCP will not authorize payment of COP | |
| 20:1.0.1.2.2.3.50.14 | SECTION 10.224
| 10.224 What happens if OWCP finds that the employee is not entitled to COP after it has been paid | |
| 20:1.0.1.2.2.4 | SUBPART D
| Subpart D - Medical and Related Benefits | |
| 20:1.0.1.2.2.4.51 | SUBJGRP 51
| Emergency Medical Care | |
| 20:1.0.1.2.2.4.51.1 | SECTION 10.300
| 10.300 What are the basic rules for authorizing emergency medical care | |
| 20:1.0.1.2.2.4.51.2 | SECTION 10.301
| 10.301 May the physician designated on Form CA-16 refer the employee to another medical specialist or medical facility | |
| 20:1.0.1.2.2.4.51.3 | SECTION 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 | |
| 20:1.0.1.2.2.4.51.4 | SECTION 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 | |
| 20:1.0.1.2.2.4.51.5 | SECTION 10.304
| 10.304 Are there any exceptions to these procedures for obtaining medical care | |
| 20:1.0.1.2.2.4.52 | SUBJGRP 52
| Medical Treatment and Related Issues | |
| 20:1.0.1.2.2.4.52.6 | SECTION 10.310
| 10.310 What are the basic rules for obtaining medical care | |
| 20:1.0.1.2.2.4.52.7 | SECTION 10.311
| 10.311 What are the special rules for the services of chiropractors | |
| 20:1.0.1.2.2.4.52.8 | SECTION 10.312
| 10.312 What are the special rules for the services of clinical psychologists | |
| 20:1.0.1.2.2.4.52.9 | SECTION 10.313
| 10.313 Will OWCP pay for preventive treatment | |
| 20:1.0.1.2.2.4.52.10 | SECTION 10.314
| 10.314 Will OWCP pay for the services of an attendant | |
| 20:1.0.1.2.2.4.52.11 | SECTION 10.315
| 10.315 Will OWCP pay for transportation to obtain medical treatment | |
| 20:1.0.1.2.2.4.52.12 | SECTION 10.316
| 10.316 After selecting a treating physician, may an employee choose to be treated by another physician instead | |
| 20:1.0.1.2.2.4.53 | SUBJGRP 53
| Directed Medical Examinations | |
| 20:1.0.1.2.2.4.53.13 | SECTION 10.320
| 10.320 Can OWCP require an employee to be examined by another physician | |
| 20:1.0.1.2.2.4.53.14 | SECTION 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 | |
| 20:1.0.1.2.2.4.53.15 | SECTION 10.322
| 10.322 Who pays for second opinion and referee examinations | |
| 20:1.0.1.2.2.4.53.16 | SECTION 10.323
| 10.323 What are the penalties for failing to report for or obstructing a second opinion or referee examination | |
| 20:1.0.1.2.2.4.53.17 | SECTION 10.324
| 10.324 May an employer require an employee to undergo a physical examination in connection with a work-related injury | |
| 20:1.0.1.2.2.4.54 | SUBJGRP 54
| Medical Reports | |
| 20:1.0.1.2.2.4.54.18 | SECTION 10.330
| 10.330 What are the requirements for medical reports | |
| 20:1.0.1.2.2.4.54.19 | SECTION 10.331
| 10.331 How and when should the medical report be submitted | |
| 20:1.0.1.2.2.4.54.20 | SECTION 10.332
| 10.332 What additional medical information will OWCP require to support continuing payment of benefits | |
| 20:1.0.1.2.2.4.54.21 | SECTION 10.333
| 10.333 What additional medical information will OWCP require to support a claim for a schedule award | |
| 20:1.0.1.2.2.4.55 | SUBJGRP 55
| Medical Bills | |
| 20:1.0.1.2.2.4.55.22 | SECTION 10.335
| 10.335 How are medical bills submitted | |
| 20:1.0.1.2.2.4.55.23 | SECTION 10.336
| 10.336 What are the time frames for submitting bills | |
| 20:1.0.1.2.2.4.55.24 | SECTION 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 | |
| 20:1.0.1.2.2.5 | SUBPART E
| Subpart E - Compensation and Related Benefits | |
| 20:1.0.1.2.2.5.56 | SUBJGRP 56
| Compensation for Disability and Impairment | |
| 20:1.0.1.2.2.5.56.1 | SECTION 10.400
| 10.400 What is total disability | |
| 20:1.0.1.2.2.5.56.2 | SECTION 10.401
| 10.401 When and how is compensation for total disability paid | |
| 20:1.0.1.2.2.5.56.3 | SECTION 10.402
| 10.402 What is partial disability | |
| 20:1.0.1.2.2.5.56.4 | SECTION 10.403
| 10.403 When and how is compensation for partial disability paid | |
| 20:1.0.1.2.2.5.56.5 | SECTION 10.404
| 10.404 When and how is compensation for a schedule impairment paid | |
| 20:1.0.1.2.2.5.56.6 | SECTION 10.405
| 10.405 Who is considered a dependent in a claim based on disability or impairment | |
| 20:1.0.1.2.2.5.56.7 | SECTION 10.406
| 10.406 What are the maximum and minimum rates of compensation in disability cases | |
| 20:1.0.1.2.2.5.57 | SUBJGRP 57
| Compensation for Death | |
| 20:1.0.1.2.2.5.57.8 | SECTION 10.410
| 10.410 Who is entitled to compensation in case of death, and what are the rates of compensation payable in death cases | |
| 20:1.0.1.2.2.5.57.9 | SECTION 10.411
| 10.411 What are the maximum and minimum rates of compensation in death cases | |
| 20:1.0.1.2.2.5.57.10 | SECTION 10.412
| 10.412 Will OWCP pay the costs of burial and transportation of the remains | |
| 20:1.0.1.2.2.5.57.11 | SECTION 10.413
| 10.413 May a schedule award be paid after an employee's death | |
| 20:1.0.1.2.2.5.57.12 | SECTION 10.414
| 10.414 What reports of dependents are needed in death cases | |
| 20:1.0.1.2.2.5.57.13 | SECTION 10.415
| 10.415 What must a beneficiary do if the number of beneficiaries decreases | |
| 20:1.0.1.2.2.5.57.14 | SECTION 10.416
| 10.416 How does a change in the number of beneficiaries affect the amount of compensation paid to the other beneficiaries | |
| 20:1.0.1.2.2.5.57.15 | SECTION 10.417
| 10.417 What reports are needed when compensation payments continue for children over age 18 | |
| 20:1.0.1.2.2.5.58 | SUBJGRP 58
| Adjustments to Compensation | |
| 20:1.0.1.2.2.5.58.16 | SECTION 10.420
| 10.420 How are cost-of-living adjustments applied | |
| 20:1.0.1.2.2.5.58.17 | SECTION 10.421
| 10.421 May a beneficiary receive other kinds of payments from the Federal Government concurrently with compensation | |
| 20:1.0.1.2.2.5.58.18 | SECTION 10.422
| 10.422 May compensation payments be issued in a lump sum | |
| 20:1.0.1.2.2.5.58.19 | SECTION 10.423
| 10.423 May compensation payments be assigned to, or attached by, creditors | |
| 20:1.0.1.2.2.5.58.20 | SECTION 10.424
| 10.424 May someone other than the beneficiary be designated to receive compensation payments | |
| 20:1.0.1.2.2.5.58.21 | SECTION 10.425
| 10.425 May compensation be claimed for periods of restorable leave | |
| 20:1.0.1.2.2.5.59 | SUBJGRP 59
| Overpayments | |
| 20:1.0.1.2.2.5.59.22 | SECTION 10.430
| 10.430 How does OWCP notify an individual of a payment made | |
| 20:1.0.1.2.2.5.59.23 | SECTION 10.431
| 10.431 What does OWCP do when an overpayment is identified | |
| 20:1.0.1.2.2.5.59.24 | SECTION 10.432
| 10.432 How can an individual present evidence to OWCP in response to a preliminary notice of an overpayment | |
| 20:1.0.1.2.2.5.59.25 | SECTION 10.433
| 10.433 Under what circumstances can OWCP waive recovery of an overpayment | |
| 20:1.0.1.2.2.5.59.26 | SECTION 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 | |
| 20:1.0.1.2.2.5.59.27 | SECTION 10.435
| 10.435 Is an individual responsible for an overpayment that resulted from an error made by OWCP or another Government agency | |
| 20:1.0.1.2.2.5.59.28 | SECTION 10.436
| 10.436 Under what circumstances would recovery of an overpayment defeat the purpose of the FECA | |
| 20:1.0.1.2.2.5.59.29 | SECTION 10.437
| 10.437 Under what circumstances would recovery of an overpayment be against equity and good conscience | |
| 20:1.0.1.2.2.5.59.30 | SECTION 10.438
| 10.438 Can OWCP require the individual who received the overpayment to submit additional financial information | |
| 20:1.0.1.2.2.5.59.31 | SECTION 10.439
| 10.439 What is addressed at a pre-recoupment hearing | |
| 20:1.0.1.2.2.5.59.32 | SECTION 10.440
| 10.440 How does OWCP communicate its final decision concerning recovery of an overpayment, and what appeal right accompanies it | |
| 20:1.0.1.2.2.5.59.33 | SECTION 10.441
| 10.441 How are overpayments collected | |
| 20:1.0.1.2.2.6 | SUBPART F
| Subpart F - Continuing Benefits | |
| 20:1.0.1.2.2.6.60 | SUBJGRP 60
| Rules and Evidence | |
| 20:1.0.1.2.2.6.60.1 | SECTION 10.500
| 10.500 What are the basic rules governing continuing receipt of compensation benefits and return to work | |
| 20:1.0.1.2.2.6.60.2 | SECTION 10.501
| 10.501 What medical evidence is necessary to support continuing receipt of compensation benefits | |
| 20:1.0.1.2.2.6.60.3 | SECTION 10.502
| 10.502 How does OWCP evaluate evidence in support of continuing receipt of compensation benefits | |
| 20:1.0.1.2.2.6.60.4 | SECTION 10.503
| 10.503 Under what circumstances may OWCP reduce or terminate compensation benefits | |
| 20:1.0.1.2.2.6.61 | SUBJGRP 61
| Return to Work - Employer's Responsibilities | |
| 20:1.0.1.2.2.6.61.5 | SECTION 10.505
| 10.505 What actions must the employer take | |
| 20:1.0.1.2.2.6.61.6 | SECTION 10.506
| 10.506 May the employer monitor the employee's medical care | |
| 20:1.0.1.2.2.6.61.7 | SECTION 10.507
| 10.507 How should the employer make an offer of suitable work | |
| 20:1.0.1.2.2.6.61.8 | SECTION 10.508
| 10.508 May relocation expenses be paid for an employee who would need to move to accept an offer of reemployment | |
| 20:1.0.1.2.2.6.61.9 | SECTION 10.509
| 10.509 If an employee's light duty job is eliminated due to downsizing, what is the effect on compensation | |
| 20:1.0.1.2.2.6.61.10 | SECTION 10.510
| 10.510 When may a light duty job form the basis of a loss of wage-earning capacity determination | |
| 20:1.0.1.2.2.6.61.11 | SECTION 10.511
| 10.511 How may a loss of wage-earning capacity determination be modified | |
| 20:1.0.1.2.2.6.62 | SUBJGRP 62
| Return to Work - Employee's Responsibilities | |
| 20:1.0.1.2.2.6.62.12 | SECTION 10.515
| 10.515 What actions must the employee take with respect to returning to work | |
| 20:1.0.1.2.2.6.62.13 | SECTION 10.516
| 10.516 How will an employee know if OWCP considers a job to be suitable | |
| 20:1.0.1.2.2.6.62.14 | SECTION 10.517
| 10.517 What are the penalties for refusing to accept a suitable job offer | |
| 20:1.0.1.2.2.6.62.15 | SECTION 10.518
| 10.518 Does OWCP provide services to help employees return to work | |
| 20:1.0.1.2.2.6.62.16 | SECTION 10.519
| 10.519 What action will OWCP take if an employee refuses to undergo vocational rehabilitation | |
| 20:1.0.1.2.2.6.62.17 | SECTION 10.520
| 10.520 How does OWCP determine compensation after an employee completes a vocational rehabilitation program | |
| 20:1.0.1.2.2.6.62.18 | SECTION 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 | |
| 20:1.0.1.2.2.6.63 | SUBJGRP 63
| Reports of Earnings From Employment and Self-Employment | |
| 20:1.0.1.2.2.6.63.19 | SECTION 10.525
| 10.525 What information must the employee report | |
| 20:1.0.1.2.2.6.63.20 | SECTION 10.526
| 10.526 Must the employee report volunteer activities | |
| 20:1.0.1.2.2.6.63.21 | SECTION 10.527
| 10.527 Does OWCP verify reports of earnings | |
| 20:1.0.1.2.2.6.63.22 | SECTION 10.528
| 10.528 What action will OWCP take if the employee fails to file a report of activity indicating an ability to work | |
| 20:1.0.1.2.2.6.63.23 | SECTION 10.529
| 10.529 What action will OWCP take if the employee files an incomplete report | |
| 20:1.0.1.2.2.6.64 | SUBJGRP 64
| Reports of Dependents | |
| 20:1.0.1.2.2.6.64.24 | SECTION 10.535
| 10.535 How are dependents defined, and what information must the employee report | |
| 20:1.0.1.2.2.6.64.25 | SECTION 10.536
| 10.536 What is the penalty for failing to submit a report of dependents | |
| 20:1.0.1.2.2.6.64.26 | SECTION 10.537
| 10.537 What reports are needed when compensation payments continue for children over age 18 | |
| 20:1.0.1.2.2.6.65 | SUBJGRP 65
| Reduction and Termination of Compensation | |
| 20:1.0.1.2.2.6.65.27 | SECTION 10.540
| 10.540 When and how is compensation reduced or terminated | |
| 20:1.0.1.2.2.6.65.28 | SECTION 10.541
| 10.541 What action will OWCP take after issuing written notice of its intention to reduce or terminate compensation | |
| 20:1.0.1.2.2.7 | SUBPART G
| Subpart G - Appeals Process | |
| 20:1.0.1.2.2.7.66 | SUBJGRP 66
| Reconsiderations and Reviews by the Director | |
| 20:1.0.1.2.2.7.66.1 | SECTION 10.600
| 10.600 How can final decisions of OWCP be reviewed | |
| 20:1.0.1.2.2.7.66.2 | SECTION 10.605
| 10.605 What is reconsideration | |
| 20:1.0.1.2.2.7.66.3 | SECTION 10.606
| 10.606 How does a claimant request reconsideration | |
| 20:1.0.1.2.2.7.66.4 | SECTION 10.607
| 10.607 What is the time limit for requesting reconsideration | |
| 20:1.0.1.2.2.7.66.5 | SECTION 10.608
| 10.608 How does OWCP decide whether to grant or deny the request for reconsideration | |
| 20:1.0.1.2.2.7.66.6 | SECTION 10.609
| 10.609 How does OWCP decide whether new evidence requires modification of the prior decision | |
| 20:1.0.1.2.2.7.66.7 | SECTION 10.610
| 10.610 What is a review by the Director | |
| 20:1.0.1.2.2.7.67 | SUBJGRP 67
| Hearings | |
| 20:1.0.1.2.2.7.67.8 | SECTION 10.615
| 10.615 What is a hearing | |
| 20:1.0.1.2.2.7.67.9 | SECTION 10.616
| 10.616 How does a claimant obtain a hearing | |
| 20:1.0.1.2.2.7.67.10 | SECTION 10.617
| 10.617 How is an oral hearing conducted | |
| 20:1.0.1.2.2.7.67.11 | SECTION 10.618
| 10.618 How is a review of the written record conducted | |
| 20:1.0.1.2.2.7.67.12 | SECTION 10.619
| 10.619 May subpoenas be issued for witnesses and documents | |
| 20:1.0.1.2.2.7.67.13 | SECTION 10.620
| 10.620 Who pays the costs associated with subpoenas | |
| 20:1.0.1.2.2.7.67.14 | SECTION 10.621
| 10.621 What is the employer's role when an oral hearing has been requested | |
| 20:1.0.1.2.2.7.67.15 | SECTION 10.622
| 10.622 May a claimant or representative withdraw a request for or postpone a hearing | |
| 20:1.0.1.2.2.7.68 | SUBJGRP 68
| Review by the Employees' Compensation Appeals Board (ECAB) | |
| 20:1.0.1.2.2.7.68.16 | SECTION 10.625
| 10.625 What kinds of decisions may be appealed | |
| 20:1.0.1.2.2.7.68.17 | SECTION 10.626
| 10.626 Who has jurisdiction of cases on appeal to the ECAB | |
| 20:1.0.1.2.2.8 | SUBPART H
| Subpart H - Special Provisions | |
| 20:1.0.1.2.2.8.69 | SUBJGRP 69
| Representation | |
| 20:1.0.1.2.2.8.69.1 | SECTION 10.700
| 10.700 May a claimant designate a representative | |
| 20:1.0.1.2.2.8.69.2 | SECTION 10.701
| 10.701 Who may serve as a representative | |
| 20:1.0.1.2.2.8.69.3 | SECTION 10.702
| 10.702 How are fees for services paid | |
| 20:1.0.1.2.2.8.69.4 | SECTION 10.703
| 10.703 How are fee applications approved | |
| 20:1.0.1.2.2.8.69.5 | SECTION 10.704
| 10.704 What penalties apply to representatives who collect a fee without approval | |
| 20:1.0.1.2.2.8.70 | SUBJGRP 70
| Third Party Liability | |
| 20:1.0.1.2.2.8.70.6 | SECTION 10.705
| 10.705 When must an employee or other FECA beneficiary take action against a third party | |
| 20:1.0.1.2.2.8.70.7 | SECTION 10.706
| 10.706 How will a beneficiary know if OWCP or SOL has determined that action against a third party is required | |
| 20:1.0.1.2.2.8.70.8 | SECTION 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” | |
| 20:1.0.1.2.2.8.70.9 | SECTION 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 | |
| 20:1.0.1.2.2.8.70.10 | SECTION 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 | |
| 20:1.0.1.2.2.8.70.11 | SECTION 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 | |
| 20:1.0.1.2.2.8.70.12 | SECTION 10.711
| 10.711 How is the amount of the recovery of the FECA beneficiary determined | |
| 20:1.0.1.2.2.8.70.13 | SECTION 10.712
| 10.712 How much of any settlement or judgment must be paid to the United States | |
| 20:1.0.1.2.2.8.70.14 | SECTION 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 | |
| 20:1.0.1.2.2.8.70.15 | SECTION 10.714
| 10.714 What amounts are included in the refundable disbursements | |
| 20:1.0.1.2.2.8.70.16 | SECTION 10.715
| 10.715 Is a beneficiary required to pay interest on the amount of the refund due to the United States | |
| 20:1.0.1.2.2.8.70.17 | SECTION 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 | |
| 20:1.0.1.2.2.8.70.18 | SECTION 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 | |
| 20:1.0.1.2.2.8.70.19 | SECTION 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 | |
| 20:1.0.1.2.2.8.70.20 | SECTION 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 | |
| 20:1.0.1.2.2.8.71 | SUBJGRP 71
| Federal Grand and Petit Jurors | |
| 20:1.0.1.2.2.8.71.21 | SECTION 10.725
| 10.725 When is a Federal grand or petit juror covered under the FECA | |
| 20:1.0.1.2.2.8.71.22 | SECTION 10.726
| 10.726 When does a juror's entitlement to disability compensation begin | |
| 20:1.0.1.2.2.8.71.23 | SECTION 10.727
| 10.727 What is the pay rate of jurors for compensation purposes | |
| 20:1.0.1.2.2.8.72 | SUBJGRP 72
| Peace Corps Volunteers | |
| 20:1.0.1.2.2.8.72.24 | SECTION 10.730
| 10.730 What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States | |
| 20:1.0.1.2.2.8.72.25 | SECTION 10.731
| 10.731 What is the pay rate of Peace Corps volunteers and volunteer leaders for compensation purposes | |
| 20:1.0.1.2.2.8.73 | SUBJGRP 73
| Non-Federal Law Enforcement Officers | |
| 20:1.0.1.2.2.8.73.26 | SECTION 10.735
| 10.735 When is a non-Federal law enforcement officer (LEO) covered under the FECA | |
| 20:1.0.1.2.2.8.73.27 | SECTION 10.736
| 10.736 What are the time limits for filing a LEO claim | |
| 20:1.0.1.2.2.8.73.28 | SECTION 10.737
| 10.737 How is a LEO claim filed, and who can file a LEO claim | |
| 20:1.0.1.2.2.8.73.29 | SECTION 10.738
| 10.738 Under what circumstances are benefits payable in LEO claims | |
| 20:1.0.1.2.2.8.73.30 | SECTION 10.739
| 10.739 What kind of objective evidence of a potential Federal crime must exist for coverage to be extended | |
| 20:1.0.1.2.2.8.73.31 | SECTION 10.740
| 10.740 In what situations will OWCP automatically presume that a law enforcement officer is covered by the FECA | |
| 20:1.0.1.2.2.8.73.32 | SECTION 10.741
| 10.741 How are benefits calculated in LEO claims | |
| 20:1.0.1.2.2.9 | SUBPART I
| Subpart I - Information for Medical Providers | |
| 20:1.0.1.2.2.9.74 | SUBJGRP 74
| Medical Records and Bills | |
| 20:1.0.1.2.2.9.74.1 | SECTION 10.800
| 10.800 How do providers enroll with OWCP for authorizations and billing | |
| 20:1.0.1.2.2.9.74.2 | SECTION 10.801
| 10.801 How are medical bills to be submitted | |
| 20:1.0.1.2.2.9.74.3 | SECTION 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 | |
| 20:1.0.1.2.2.9.74.4 | SECTION 10.803
| 10.803 What are the time limitations on OWCP's payment of bills | |
| 20:1.0.1.2.2.9.75 | SUBJGRP 75
| Medical Fee Schedule | |
| 20:1.0.1.2.2.9.75.5 | SECTION 10.805
| 10.805 What services are covered by the OWCP fee schedule | |
| 20:1.0.1.2.2.9.75.6 | SECTION 10.806
| 10.806 How are the maximum fees defined | |
| 20:1.0.1.2.2.9.75.7 | SECTION 10.807
| 10.807 How are payments for particular services calculated | |
| 20:1.0.1.2.2.9.75.8 | SECTION 10.808
| 10.808 Does the fee schedule apply to every kind of procedure | |
| 20:1.0.1.2.2.9.75.9 | SECTION 10.809
| 10.809 How are payments for medicinal drugs determined | |
| 20:1.0.1.2.2.9.75.10 | SECTION 10.810
| 10.810 How are payments for inpatient medical services determined | |
| 20:1.0.1.2.2.9.75.11 | SECTION 10.811
| 10.811 When and how are fees reduced | |
| 20:1.0.1.2.2.9.75.12 | SECTION 10.812
| 10.812 If OWCP reduces a fee, may a provider request reconsideration of the reduction | |
| 20:1.0.1.2.2.9.75.13 | SECTION 10.813
| 10.813 If OWCP reduces a fee, may a provider bill the claimant for the balance | |
| 20:1.0.1.2.2.9.76 | SUBJGRP 76
| Exclusion of Providers | |
| 20:1.0.1.2.2.9.76.14 | SECTION 10.815
| 10.815 What are the grounds for excluding a provider from payment under the FECA | |
| 20:1.0.1.2.2.9.76.15 | SECTION 10.816
| 10.816 What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies | |
| 20:1.0.1.2.2.9.76.16 | SECTION 10.817
| 10.817 How are OWCP's exclusion procedures initiated | |
| 20:1.0.1.2.2.9.76.17 | SECTION 10.818
| 10.818 How is a provider notified of OWCP's intent to exclude him or her | |
| 20:1.0.1.2.2.9.76.18 | SECTION 10.819
| 10.819 What requirements must the provider's answer and OWCP's decision meet | |
| 20:1.0.1.2.2.9.76.19 | SECTION 10.820
| 10.820 How can an excluded provider request a hearing | |
| 20:1.0.1.2.2.9.76.20 | SECTION 10.821
| 10.821 How are hearings assigned and scheduled | |
| 20:1.0.1.2.2.9.76.21 | SECTION 10.822
| 10.822 How are subpoenas or advisory opinions obtained | |
| 20:1.0.1.2.2.9.76.22 | SECTION 10.823
| 10.823 How will the administrative law judge conduct the hearing and issue the recommended decision | |
| 20:1.0.1.2.2.9.76.23 | SECTION 10.824
| 10.824 How does the recommended decision become final | |
| 20:1.0.1.2.2.9.76.24 | SECTION 10.825
| 10.825 What are the effects of exclusion | |
| 20:1.0.1.2.2.9.76.25 | SECTION 10.826
| 10.826 How can an excluded provider be reinstated | |
| 20:1.0.1.2.2.10 | SUBPART J
| Subpart J - Death Gratuity | |
| 20:1.0.1.2.2.10.77.1 | SECTION 10.900
| 10.900 What is the death gratuity under this subpart | |
| 20:1.0.1.2.2.10.77.2 | SECTION 10.901
| 10.901 Which employees are covered under this subpart | |
| 20:1.0.1.2.2.10.77.3 | SECTION 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 | |
| 20:1.0.1.2.2.10.77.4 | SECTION 10.903
| 10.903 Is the death gratuity payment applicable retroactively | |
| 20:1.0.1.2.2.10.77.5 | SECTION 10.904
| 10.904 Does a death as a result of occupational disease qualify for payment of the death gratuity | |
| 20:1.0.1.2.2.10.77.6 | SECTION 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 | |
| 20:1.0.1.2.2.10.77.7 | SECTION 10.906
| 10.906 What special statutory definitions apply to survivors under this subpart | |
| 20:1.0.1.2.2.10.77.8 | SECTION 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 | |
| 20:1.0.1.2.2.10.77.9 | SECTION 10.908
| 10.908 Can an employee designate alternate beneficiaries to receive a portion of the death gratuity payment | |
| 20:1.0.1.2.2.10.77.10 | SECTION 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 | |
| 20:1.0.1.2.2.10.77.11 | SECTION 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 | |
| 20:1.0.1.2.2.10.77.12 | SECTION 10.911
| 10.911 How is the death gratuity payment process initiated | |
| 20:1.0.1.2.2.10.77.13 | SECTION 10.912
| 10.912 What is required to establish a claim for the death gratuity payment | |
| 20:1.0.1.2.2.10.77.14 | SECTION 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 | |
| 20:1.0.1.2.2.10.77.15 | SECTION 10.914
| 10.914 What are the responsibilities of the employing agency in the death gratuity payment process | |
| 20:1.0.1.2.2.10.77.16 | SECTION 10.915
| 10.915 What are the responsibilities of OWCP in the death gratuity payment process | |
| 20:1.0.1.2.2.10.77.17 | SECTION 10.916
| 10.916 How is the amount of the death gratuity calculated | |
| 20:1.0.1.2.3 | PART 25
| PART 25 - COMPENSATION FOR DISABILITY AND DEATH OF NONCITIZEN FEDERAL EMPLOYEES OUTSIDE THE UNITED STATES | |
| 20:1.0.1.2.3.1 | SUBPART A
| Subpart A - General Provisions | |
| 20:1.0.1.2.3.1.77.1 | SECTION 25.1
| 25.1 How are claims of Federal employees who are neither citizens nor residents adjudicated | |
| 20:1.0.1.2.3.1.77.2 | SECTION 25.2
| 25.2 In general, what is the Director's policy regarding such claims | |
| 20:1.0.1.2.3.1.77.3 | SECTION 25.3
| 25.3 What is the authority to settle and pay such claims | |
| 20:1.0.1.2.3.1.77.4 | SECTION 25.4
| 25.4 What type of evidence is required to establish a claim under this part | |
| 20:1.0.1.2.3.1.77.5 | SECTION 25.5
| 25.5 How does OWCP adjudicate claims of non-citizen residents of possessions or territories | |
| 20:1.0.1.2.3.2 | SUBPART B
| Subpart B - The Special Schedule of Compensation | |
| 20:1.0.1.2.3.2.77.1 | SECTION 25.100
| 25.100 What general provisions does OWCP apply to the Special Schedule | |
| 20:1.0.1.2.3.2.77.2 | SECTION 25.101
| 25.101 How is compensation for disability paid | |
| 20:1.0.1.2.3.2.77.3 | SECTION 25.102
| 25.102 How is compensation for death of a non-citizen non-resident employee paid | |
| 20:1.0.1.2.3.3 | SUBPART C
| Subpart C - Extensions of the Special Schedule of Compensation | |
| 20:1.0.1.2.3.3.77.1 | SECTION 25.200
| 25.200 How is the Special Schedule applied for employees in the Republic of the Philippines | |
| 20:1.0.1.2.3.3.77.2 | SECTION 25.201
| 25.201 How is the Special Schedule applied for employees in Australia | |
| 20:1.0.1.2.3.3.77.3 | SECTION 25.202
| 25.202 How is the Special Schedule applied for Japanese seamen | |
| 20:1.0.1.2.3.3.77.4 | SECTION 25.203
| 25.203 How is the Special Schedule applied to non-resident aliens in the Territory of Guam | |