In
the latest liar, liar pants on fire files, OWCP is telling claimants in certain
situations that they have no claim to a schedule award. I’ve been hearing this
story more and more lately.
Claimants
entitled to a schedule award are filing their CA-7’s and impairment ratings
only to get a letter from OWCP which states the claimant is not entitled to a
schedule award because they have not reached Maximum Medical Improvement, (MMI)
because they are not working and they are receiving OWCP wage-loss compensation.
This
letter states that a schedule award cannot be paid concurrently with wage-loss compensation or if the claimant is still receiving treatment. The letter ends by telling the claimant no
further action will be taken to process their schedule award.
While
it is true that a claimant cannot receive payment for wage-loss compensation
and a schedule award at the same time (concurrently), a claimant can be at MMI
and file for and receive a schedule award if they are not working and are still
receiving treatment.
OWCP
regulations indicate that if a claimant is not working and is receiving
wage-loss compensation, the wage-loss compensation will be suspended while the
schedule award pays out and when the schedule award is paid, the wage-loss
compensation will be resumed.
Personally,
I believe this is just the latest tactic of lying to claimants so that
claimants will give up on their schedule awards. If you receive this letter,
know that this information is not true.
These
are the regulations that should be brought to OWCP’s attention should you
receive this letter. I’ve written them below in letter form so that if
necessary, you can copy and paste into your letter to OWCP.
If
you have to write this letter to OWCP bringing the regulations to their
attention, you should also ask for written confirmation that OWCP is in fact
going to properly process your schedule award.
These
are the regulations that apply:
There is no provision under the Act that hinders a claim for
a schedule award if a claimant still requires treatment for their injuries. A
claimant can be rated for permanent impairment on the current findings. The
FECA manual states:
“A schedule award may be
payable based on contemporaneous medical evidence of record showing a peak or
plateau in the claimant's recovery status, even if the claimant's condition is
likely to deteriorate. Payment of an increased award based on additional
impairment may be considered at a later date.” See FECA manual part three at 3-0700-3(b).
There is no provision under the Act that indicates a claimant
is required to be released back to work in order to claim a schedule award. In
point of fact, the FECA manual states:
“If payment for TTD is
interrupted to pay a schedule
award, such TTD payments must be resumed at the end of the schedule if the
claimant has not been reemployed or rated for LWEC at the time the award ends. See FECA manual part two at 2-0808-7(5) and
Goldie Washington, 31 ECAB 239 (1979).
A schedule award is not payable concurrently with wage-loss
compensation, however a schedule award is payable consecutively with wage-loss
compensation. The FECA manual states:
“A schedule award is
payable consecutively but not
concurrently with an award for wage loss for disability for the same injury. See FECA manual part two at 2-0808-4(3).
Jesse, I've always been confused about schedule awards anyway, and have never applied for one, but hope to do so some day. I was curious about the last sentence you wrote from the FECA manual. What if you have 2 separate injuries? Can you collect a schedule award for one of them while you're being paid wage loss benefits for the other one? Or is it a no-go either way? Thank you!
ReplyDeleteIf you are receiving wage-loss compensation for one claim, you can apply for and receive a schedule award on a separate claim at the same time.
ReplyDeleteYou have to make sure none of the injuries on the wage-loss claim are on the impairment rating for the schedule award.
Applying for a schedule award is actually pretty easy. Once you're MMI, get your impairment rating from a doctor that understands the 6th Edition of the Guides to Permanent Impairment (you may have to travel for it), complete the schedule award portion of a CA-7 and submit everything to OWCP...that's it!
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ReplyDeleteMona...if I knew of a doctor in TN, s/he would be on my list. Sorry, I don't know of one.
ReplyDelete