FECA Overview

2/3/08 1 FECA Overview Kathee Secor, RN Workers00 Compensation Case Manager U.S. Army Materiel Command 2/3/08 2 Winners of the Contest Maintenance of Industrial Health and Safety Standards 2/3/08 3 Fifth Place 2/3/08 4 4th place 2/3/08 5 3rd place 2/3/08 6 2nd place 2/3/08 7 and the winner is... 2/3/08 8 2/3/08 9 FECA Basics FECA provides for the payment of workers00compensation benefits to civilian officers and employees of all branches of the Government. The FECA is non-adversarial Provides for the payment of benefits including Compensation for wage loss Scheduled awards Medical and related benefits Vocation rehabilitation services Survivor benefits 2/3/08 10 Definitions Traumatic Injury (Form CA-1 Occupational disease or illness (Form CA-2) Recurrence (Form CA-2a): 2/3/08 11 Conditions of Coverage There are 5 basic requirements which must be met before OWCP will accept the claim These requirements, which employee must establish to meet his/her burden of proof, are: Timeliness Civil Employee Fact of Injury Performance of Duty Causal Relationship 2/3/08 12 Timeliness Written Notice Statutory Requirements CA-1 3 years from DOI CA-2 3 years from date of injury; last exposure; or when the employee first became aware or should have reasonably been aware of the medical condition 2/3/08 13 Civil Employee Must be a civil employee within the meaning of the law All civilian federal employees are covered except NAF Special legislation for some groups Temporary employees are covered under the same basis as permanent employees 2/3/08 14 Fact of Injury Two factors are involved: Occurrence of Event Existence of medical condition 2/3/08 15 Performance of Duty This is the biggie!! Numerous factors involved Agency Premises Outside Working Hours Representational Functions Parking Facilities Agency Housing 2/3/08 16 Performance of Duty cont00. Off-Premises Injuries To and From Work Lunch Hour Travel Status Vehicular Accidents 2/3/08 17 Performance of Duty cont00 Other Recreation Horseplay Assault Emergencies 2/3/08 18 Causal Relationship Establishes a connection Based entirely on medical evidence provided by physicians Opinions of the employee, supervisor or witness are not considered Published articles is not considered Kinds of causal relationship Medical Evidence Consequential and Intervening Injuries 2/3/08 19 Statutory Exclusions Willful Misconduct Intoxication Intent to Bring About Injury or Death of Oneself or Another 2/3/08 20 Continuation of Pay (COP) Regular pay continues up 45 Days Prima facie medical evidence Controversion Termination of COP 2/3/08 21 Where to Get More Information DoD Website https://icucweb.cpms.osd.mil/cognos Numerous links to OWCP, Ergonomics Resources, Occupational Health Resources and DoD information