PART 10—CLAIMS FOR COMPENSATION UNDER THE FEDERAL EMPLOYEES' COMPENSATION ACT, AS AMENDED

§ 10.0 - What are the provisions of the FECA, in general?
§ 10.1 - What rules govern the administration of the FECA and this chapter?
§ 10.2 - What do these regulations contain?
§ 10.3 - Have the collection of information requirements of this part been approved by the Office of Management and Budget (OMB)?
§ 10.5 - What definitions apply to the regulations in this subchapter?
§ 10.6 - What special statutory definitions apply to dependents and survivors?
§ 10.7 - What forms are needed to process claims under the FECA?
§ 10.10 - Are all documents relating to claims filed under the FECA considered confidential?
§ 10.11 - Who maintains custody and control of FECA records?
§ 10.12 - How may a FECA claimant or beneficiary obtain copies of protected records?
§ 10.13 - What process is used by a person who wants to correct FECA-related documents?
§ 10.15 - May compensation rights be waived?
§ 10.16 - What criminal and civil penalties may be imposed in connection with a claim under the FECA?
§ 10.17 - Is a beneficiary who defrauds the Government in connection with a claim for benefits still entitled to those benefits?
§ 10.18 - Can a beneficiary who is incarcerated based on a felony conviction still receive benefits?
§ 10.100 - How and when is a notice of traumatic injury filed?
§ 10.101 - How and when is a notice of occupational disease filed?
§ 10.102 - How and when is a claim for wage loss compensation filed?
§ 10.103 - How and when is a claim for permanent impairment filed?
§ 10.104 - How and when is a claim for recurrence filed?
§ 10.105 - How and when is a notice of death and claim for benefits filed?
§ 10.110 - What should the employer do when an employee files a notice of traumatic injury or occupational disease?
§ 10.111 - What should the employer do when an employee files an initial claim for compensation due to disability or permanent impairment?
§ 10.112 - What should the employer do when an employee files a claim for continuing compensation due to disability?
§ 10.113 - What should the employer do when an employee dies from a work-related injury or disease?
§ 10.115 - What evidence is needed to establish a claim?
§ 10.116 - What additional evidence is needed in cases based on occupational disease?
§ 10.117 - What happens if, in any claim, the employer contests any of the facts as stated by the claimant?
§ 10.118 - Does the employer participate in the claims process in any other way?
§ 10.119 - What action will OWCP take with respect to information submitted by the employer?
§ 10.120 - May a claimant submit additional evidence?
§ 10.121 - What happens if OWCP needs more evidence from the claimant?
§ 10.125 - How does OWCP determine entitlement to benefits?
§ 10.126 - What does the decision contain?
§ 10.127 - To whom is the decision sent?
§ 10.200 - What is continuation of pay?
§ 10.205 - What conditions must be met to receive COP?
§ 10.206 - May an employee who uses leave after an injury later decide to use COP instead?
§ 10.207 - May an employee who returns to work, then stops work again due to the effects of the injury, receive COP?
§ 10.210 - What are the employee's responsibilities in COP cases?
§ 10.211 - What are the employer's responsibilities in COP cases?
§ 10.215 - How does OWCP compute the number of days of COP used?
§ 10.216 - How is the pay rate for COP calculated?
§ 10.217 - Is COP charged if the employee continues to work, but in a different job that pays less?
§ 10.220 - When is an employer not required to pay COP?
§ 10.221 - How is a claim for COP controverted?
§ 10.222 - When may an employer terminate COP which has already begun?
§ 10.223 - Are there other circumstances under which OWCP will not authorize payment of COP?
§ 10.224 - What happens if OWCP finds that the employee is not entitled to COP after it has been paid?
§ 10.300 - What are the basic rules for authorizing emergency medical care?
§ 10.301 - May the physician designated on Form CA-16 refer the employee to another medical specialist or medical facility?
§ 10.302 - Should the employer authorize medical care if he or she doubts that the injury occurred, or that it is work-related?
§ 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?
§ 10.304 - Are there any exceptions to these procedures for obtaining medical care?
§ 10.310 - What are the basic rules for obtaining medical care?
§ 10.311 - What are the special rules for the services of chiropractors?
§ 10.312 - What are the special rules for the services of clinical psychologists?
§ 10.313 - Will OWCP pay for preventive treatment?
§ 10.314 - Will OWCP pay for the services of an attendant?
§ 10.315 - Will OWCP pay for transportation to obtain medical treatment?
§ 10.316 - After selecting a treating physician, may an employee choose to be treated by another physician instead?
§ 10.320 - Can OWCP require an employee to be examined by another physician?
§ 10.321 - What happens if the opinion of the physician selected by OWCP differs from the opinion of the physician selected by the employee?
§ 10.322 - Who pays for second opinion and referee examinations?
§ 10.323 - What are the penalties for failing to report for or obstructing a second opinion or referee examination?
§ 10.324 - May an employer require an employee to undergo a physical examination in connection with a work-related injury?
§ 10.330 - What are the requirements for medical reports?
§ 10.331 - How and when should the medical report be submitted?
§ 10.332 - What additional medical information will OWCP require to support continuing payment of benefits?
§ 10.333 - What additional medical information will OWCP require to support a claim for a schedule award?
§ 10.335 - How are medical bills submitted?
§ 10.336 - What are the time frames for submitting bills?
§ 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?
§ 10.400 - What is total disability?
§ 10.401 - When and how is compensation for total disability paid?
§ 10.402 - What is partial disability?
§ 10.403 - When and how is compensation for partial disability paid?
§ 10.404 - When and how is compensation for a schedule impairment paid?
§ 10.405 - Who is considered a dependent in a claim based on disability or impairment?
§ 10.406 - What are the maximum and minimum rates of compensation in disability cases?
§ 10.410 - Who is entitled to compensation in case of death, and what are the rates of compensation payable in death cases?
§ 10.411 - What are the maximum and minimum rates of compensation in death cases?
§ 10.412 - Will OWCP pay the costs of burial and transportation of the remains?
§ 10.413 - May a schedule award be paid after an employee's death?
§ 10.414 - What reports of dependents are needed in death cases?
§ 10.415 - What must a beneficiary do if the number of beneficiaries decreases?
§ 10.416 - How does a change in the number of beneficiaries affect the amount of compensation paid to the other beneficiaries?
§ 10.417 - What reports are needed when compensation payments continue for children over age 18?
§ 10.420 - How are cost-of-living adjustments applied?
§ 10.421 - May a beneficiary receive other kinds of payments from the Federal Government concurrently with compensation?
§ 10.422 - May compensation payments be issued in a lump sum?
§ 10.423 - May compensation payments be assigned to, or attached by, creditors?
§ 10.424 - May someone other than the beneficiary be designated to receive compensation payments?
§ 10.425 - May compensation be claimed for periods of restorable leave?
§ 10.430 - How does OWCP notify an individual of a payment made?
§ 10.431 - What does OWCP do when an overpayment is identified?
§ 10.432 - How can an individual present evidence to OWCP in response to a preliminary notice of an overpayment?
§ 10.433 - Under what circumstances can OWCP waive recovery of an overpayment?
§ 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?
§ 10.435 - Is an individual responsible for an overpayment that resulted from an error made by OWCP or another Government agency?
§ 10.436 - Under what circumstances would recovery of an overpayment defeat the purpose of the FECA?
§ 10.437 - Under what circumstances would recovery of an overpayment be against equity and good conscience?
§ 10.438 - Can OWCP require the individual who received the overpayment to submit additional financial information?
§ 10.439 - What is addressed at a pre-recoupment hearing?
§ 10.440 - How does OWCP communicate its final decision concerning recovery of an overpayment, and what appeal right accompanies it?
§ 10.441 - How are overpayments collected?
§ 10.500 - What are the basic rules governing continuing receipt of compensation benefits and return to work?
§ 10.501 - What medical evidence is necessary to support continuing receipt of compensation benefits?
§ 10.502 - How does OWCP evaluate evidence in support of continuing receipt of compensation benefits?
§ 10.503 - Under what circumstances may OWCP reduce or terminate compensation benefits?
§ 10.505 - What actions must the employer take?
§ 10.506 - May the employer monitor the employee's medical care?
§ 10.507 - How should the employer make an offer of suitable work?
§ 10.508 - May relocation expenses be paid for an employee who would need to move to accept an offer of reemployment?
§ 10.509 - If an employee's light duty job is eliminated due to downsizing, what is the effect on compensation?
§ 10.510 - When may a light duty job form the basis of a loss of wage-earning capacity determination?
§ 10.511 - How may a loss of wage-earning capacity determination be modified?
§ 10.515 - What actions must the employee take with respect to returning to work?
§ 10.516 - How will an employee know if OWCP considers a job to be suitable?
§ 10.517 - What are the penalties for refusing to accept a suitable job offer?
§ 10.518 - Does OWCP provide services to help employees return to work?
§ 10.519 - What action will OWCP take if an employee refuses to undergo vocational rehabilitation?
§ 10.520 - How does OWCP determine compensation after an employee completes a vocational rehabilitation program?
§ 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?
§ 10.525 - What information must the employee report?
§ 10.526 - Must the employee report volunteer activities?
§ 10.527 - Does OWCP verify reports of earnings?
§ 10.528 - What action will OWCP take if the employee fails to file a report of activity indicating an ability to work?
§ 10.529 - What action will OWCP take if the employee files an incomplete report?
§ 10.535 - How are dependents defined, and what information must the employee report?
§ 10.536 - What is the penalty for failing to submit a report of dependents?
§ 10.537 - What reports are needed when compensation payments continue for children over age 18?
§ 10.540 - When and how is compensation reduced or terminated?
§ 10.541 - What action will OWCP take after issuing written notice of its intention to reduce or terminate compensation?
§ 10.600 - How can final decisions of OWCP be reviewed?
§ 10.605 - What is reconsideration?
§ 10.606 - How does a claimant request reconsideration?
§ 10.607 - What is the time limit for requesting reconsideration?
§ 10.608 - How does OWCP decide whether to grant or deny the request for reconsideration?
§ 10.609 - How does OWCP decide whether new evidence requires modification of the prior decision?
§ 10.610 - What is a review by the Director?
§ 10.615 - What is a hearing?
§ 10.616 - How does a claimant obtain a hearing?
§ 10.617 - How is an oral hearing conducted?
§ 10.618 - How is a review of the written record conducted?
§ 10.619 - May subpoenas be issued for witnesses and documents?
§ 10.620 - Who pays the costs associated with subpoenas?
§ 10.621 - What is the employer's role when an oral hearing has been requested?
§ 10.622 - May a claimant or representative withdraw a request for or postpone a hearing?
§ 10.625 - What kinds of decisions may be appealed?
§ 10.626 - Who has jurisdiction of cases on appeal to the ECAB?
§ 10.700 - May a claimant designate a representative?
§ 10.701 - Who may serve as a representative?
§ 10.702 - How are fees for services paid?
§ 10.703 - How are fee applications approved?
§ 10.704 - What penalties apply to representatives who collect a fee without approval?
§ 10.705 - When must an employee or other FECA beneficiary take action against a third party?
§ 10.706 - How will a beneficiary know if OWCP or SOL has determined that action against a third party is required?
§ 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”?
§ 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?
§ 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?
§ 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?
§ 10.711 - How is the amount of the recovery of the FECA beneficiary determined?
§ 10.712 - How much of any settlement or judgment must be paid to the United States?
§ 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?
§ 10.714 - What amounts are included in the refundable disbursements?
§ 10.715 - Is a beneficiary required to pay interest on the amount of the refund due to the United States?
§ 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?
§ 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?
§ 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?
§ 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?
§ 10.725 - When is a Federal grand or petit juror covered under the FECA?
§ 10.726 - When does a juror's entitlement to disability compensation begin?
§ 10.727 - What is the pay rate of jurors for compensation purposes?
§ 10.730 - What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States?
§ 10.731 - What is the pay rate of Peace Corps volunteers and volunteer leaders for compensation purposes?
§ 10.735 - When is a non-Federal law enforcement officer (LEO) covered under the FECA?
§ 10.736 - What are the time limits for filing a LEO claim?
§ 10.737 - How is a LEO claim filed, and who can file a LEO claim?
§ 10.738 - Under what circumstances are benefits payable in LEO claims?
§ 10.739 - What kind of objective evidence of a potential Federal crime must exist for coverage to be extended?
§ 10.740 - In what situations will OWCP automatically presume that a law enforcement officer is covered by the FECA?
§ 10.741 - How are benefits calculated in LEO claims?
§ 10.800 - How do providers enroll with OWCP for authorizations and billing?
§ 10.801 - How are medical bills to be submitted?
§ 10.802 - How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses?
§ 10.803 - What are the time limitations on OWCP's payment of bills?
§ 10.805 - What services are covered by the OWCP fee schedule?
§ 10.806 - How are the maximum fees defined?
§ 10.807 - How are payments for particular services calculated?
§ 10.808 - Does the fee schedule apply to every kind of procedure?
§ 10.809 - How are payments for medicinal drugs determined?
§ 10.810 - How are payments for inpatient medical services determined?
§ 10.811 - When and how are fees reduced?
§ 10.812 - If OWCP reduces a fee, may a provider request reconsideration of the reduction?
§ 10.813 - If OWCP reduces a fee, may a provider bill the claimant for the balance?
§ 10.815 - What are the grounds for excluding a provider from payment under the FECA?
§ 10.816 - What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies?
§ 10.817 - How are OWCP's exclusion procedures initiated?
§ 10.818 - How is a provider notified of OWCP's intent to exclude him or her?
§ 10.819 - What requirements must the provider's answer and OWCP's decision meet?
§ 10.820 - How can an excluded provider request a hearing?
§ 10.821 - How are hearings assigned and scheduled?
§ 10.822 - How are subpoenas or advisory opinions obtained?
§ 10.823 - How will the administrative law judge conduct the hearing and issue the recommended decision?
§ 10.824 - How does the recommended decision become final?
§ 10.825 - What are the effects of exclusion?
§ 10.826 - How can an excluded provider be reinstated?
§ 10.900 - What is the death gratuity under this subpart?
§ 10.901 - Which employees are covered under this subpart?
§ 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?
§ 10.903 - Is the death gratuity payment applicable retroactively?
§ 10.904 - Does a death as a result of occupational disease qualify for payment of the death gratuity?
§ 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?
§ 10.906 - What special statutory definitions apply to survivors under this subpart?
§ 10.907 - What order of precedence will OWCP use to determine which survivors are entitled to receive the death gratuity payment under this subpart?
§ 10.908 - Can an employee designate alternate beneficiaries to receive a portion of the death gratuity payment?
§ 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?
§ 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?
§ 10.911 - How is the death gratuity payment process initiated?
§ 10.912 - What is required to establish a claim for the death gratuity payment?
§ 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?
§ 10.914 - What are the responsibilities of the employing agency in the death gratuity payment process?
§ 10.915 - What are the responsibilities of OWCP in the death gratuity payment process?
§ 10.916 - How is the amount of the death gratuity calculated?