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FECA Overview

FECA Overview. Kathee Secor, RN Workers’ Compensation Case Manager U.S. Army Materiel Command. Winners of the Contest. Maintenance of Industrial Health and Safety Standards. Fifth Place. 4th place. 3rd place. 2nd place. and the winner is. FECA Basics .

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FECA Overview

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  1. FECA Overview Kathee Secor, RN Workers’ Compensation Case Manager U.S. Army Materiel Command

  2. Winners of the Contest Maintenance of Industrial Health and Safety Standards

  3. Fifth Place

  4. 4th place

  5. 3rd place

  6. 2nd place

  7. and the winner is...

  8. FECA Basics • FECA provides for the payment of workers’ compensation 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

  9. Definitions • Traumatic Injury (Form CA-1 • Occupational disease or illness (Form CA-2) • Recurrence (Form CA-2a):

  10. 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

  11. 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

  12. 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

  13. Fact of Injury • Two factors are involved: • Occurrence of Event • Existence of medical condition

  14. Performance of Duty • This is the biggie!! • Numerous factors involved • Agency Premises • Outside Working Hours • Representational Functions • Parking Facilities • Agency Housing

  15. Performance of Duty cont’d. • Off-Premises Injuries • To and From Work • Lunch Hour • Travel Status • Vehicular Accidents

  16. Performance of Duty cont’d • Other • Recreation • Horseplay • Assault • Emergencies

  17. 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

  18. Statutory Exclusions • Willful Misconduct • Intoxication • Intent to Bring About Injury or Death of Oneself or Another

  19. Continuation of Pay (COP) • Regular pay continues up 45 Days • Prima facie medical evidence • Controversion • Termination of COP

  20. 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

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