CFR /  Title 20  /  Part 10: Claims For Compensation Under The Federal Employees' Compensation Act, As Amended

Section No.	Description
Section 10.0	What rules govern the administration of the FECA and this chapter?
Section 10.1	What do these regulations contain?
Section 10.2	Have the collection of information requirements of this part been approved by the Office of Management and Budget (OMB)?
Section 10.3	What definitions apply to the regulations in this subchapter?
Section 10.5	What special statutory definitions apply to dependents and survivors?
Section 10.6	What forms are needed to process claims under the FECA?
Section 10.7	Are all documents relating to claims filed under the FECA considered confidential?
Section 10.10	Who maintains custody and control of FECA records?
Section 10.11	How may a FECA claimant or beneficiary obtain copies of protected records?
Section 10.12	What process is used by a person who wants to correct FECA-related documents?
Section 10.13	May compensation rights be waived?
Section 10.15	What criminal and civil penalties may be imposed in connection with a claim under the FECA?
Section 10.16	Is a beneficiary who defrauds the Government in connection with a claim for benefits still entitled to those
Section 10.17	Can a beneficiary who is incarcerated based on a felony conviction still receive benefits?
Section 10.18	How and when is a notice of traumatic injury filed?
Section 10.100	How and when is a notice of occupational disease filed?
Section 10.101	How and when is a claim for wage loss compensation filed?
Section 10.102	How and when is a claim for permanent impairment filed?
Section 10.103	How and when is a claim for recurrence filed?
Section 10.104	How and when is a notice of death and claim for benefits filed?
Section 10.105	What should the employer do when an employee files a notice of traumatic injury or occupational disease?
Section 10.110	What should the employer do when an employee files an initial claim for compensation due to disability or permanent
Section 10.111	What should the employer do when an employee files a claim for continuing compensation due to disability?
Section 10.112	What should the employer do when an employee dies from a work-related injury or disease?
Section 10.113	What evidence is needed to establish a claim?
Section 10.115	What additional evidence is needed in cases based on occupational disease?
Section 10.116	What happens if, in any claim, the employer contests any of the facts as stated by the claimant?
Section 10.117	Does the employer participate in the claims process in any other way?
Section 10.118	What action will OWCP take with respect to information submitted by the employer?
Section 10.119	May a claimant submit additional evidence?
Section 10.120	What happens if OWCP needs more evidence from the claimant?
Section 10.121	How does OWCP determine entitlement to benefits?
Section 10.125	What does the decision contain?
Section 10.126	To whom is the decision sent?
Section 10.127	What is continuation of pay?
Section 10.200	What conditions must be met to receive COP?
Section 10.205	May an employee who uses leave after an injury later decide to use COP instead?
Section 10.206	May an employee who returns to work, then stops work again due to the effects of the injury, receive COP?
Section 10.207	What are the employee's responsibilities in COP cases?
Section 10.210	What are the employer's responsibilities in COP cases?
Section 10.211	How does OWCP compute the number of days of COP used?
Section 10.215	How is the pay rate for COP calculated?
Section 10.216	Is COP charged if the employee continues to work, but in a different job that pays less?
Section 10.217	When is an employer not required to pay COP?
Section 10.220	How is a claim for COP controverted?
Section 10.221	When may an employer terminate COP which has already begun?
Section 10.222	Are there other circumstances under which OWCP will not authorize payment of COP?
Section 10.223	What happens if OWCP finds that the employee is not entitled to COP after it has been paid?
Section 10.224	What are the basic rules for authorizing emergency medical care?
Section 10.300	May the physician designated on Form CA-16 refer the employee to another medical specialist or medical facility?
Section 10.301	Should the employer authorize medical care if he or she doubts that the injury occurred, or that it is work-related?
Section 10.302	Should the employer use a Form CA-16 to authorize medical testing when an employee is exposed to a workplace hazard
Section 10.303	Are there any exceptions to these procedures for obtaining medical care?
Section 10.304	What are the basic rules for obtaining medical care?
Section 10.310	What are the special rules for the services of chiropractors?
Section 10.311	What are the special rules for the services of clinical psychologists?
Section 10.312	Will OWCP pay for preventive treatment?
Section 10.313	Will OWCP pay for the services of an attendant?
Section 10.314	Will OWCP pay for transportation to obtain medical treatment?
Section 10.315	After selecting a treating physician, may an employee choose to be treated by another physician instead?
Section 10.316	Can OWCP require an employee to be examined by another physician?
Section 10.320	What happens if the opinion of the physician selected by OWCP differs from the opinion of the physician selected by the
Section 10.321	Who pays for second opinion and referee examinations?
Section 10.322	What are the penalties for failing to report for or obstructing a second opinion or referee examination?
Section 10.323	May an employer require an employee to undergo a physical examination in connection with a work-related injury?
Section 10.324	What are the requirements for medical reports?
Section 10.330	How and when should the medical report be submitted?
Section 10.331	What additional medical information will OWCP require to support continuing payment of benefits?
Section 10.332	What additional medical information will OWCP require to support a claim for a schedule award?
Section 10.333	How are medical bills submitted?
Section 10.335	What are the time frames for submitting bills?
Section 10.336	If an employee is only partially reimbursed for a medical expense, must the provider refund the balance of the amount
Section 10.337	What is total disability?
Section 10.400	When and how is compensation for total disability paid?
Section 10.401	What is partial disability?
Section 10.402	When and how is compensation for partial disability paid?
Section 10.403	When and how is compensation for a schedule impairment paid?
Section 10.404	Who is considered a dependent in a claim based on disability or impairment?
Section 10.405	What are the maximum and minimum rates of compensation in disability cases?
Section 10.406	Who is entitled to compensation in case of death, and what are the rates of compensation payable in death cases?
Section 10.410	What are the maximum and minimum rates of compensation in death cases?
Section 10.411	Will OWCP pay the costs of burial and transportation of the remains?
Section 10.412	May a schedule award be paid after an employee's death?
Section 10.413	What reports of dependents are needed in death cases?
Section 10.414	What must a beneficiary do if the number of beneficiaries decreases?
Section 10.415	How does a change in the number of beneficiaries affect the amount of compensation paid to the other beneficiaries?
Section 10.416	What reports are needed when compensation payments continue for children over age 18?
Section 10.417	How are cost-of-living adjustments applied?
Section 10.420	May a beneficiary receive other kinds of payments from the Federal Government concurrently with compensation?
Section 10.421	May compensation payments be issued in a lump sum?
Section 10.422	May compensation payments be assigned to, or attached by, creditors?
Section 10.423	May someone other than the beneficiary be designated to receive compensation payments?
Section 10.424	May compensation be claimed for periods of restorable leave?
Section 10.425	How does OWCP notify an individual of a payment made?
Section 10.430	What does OWCP do when an overpayment is identified?
Section 10.431	How can an individual present evidence to OWCP in response to a preliminary notice of an overpayment?
Section 10.432	Under what circumstances can OWCP waive recovery of an overpayment?
Section 10.433	If OWCP finds that the recipient of an overpayment was not at fault, what criteria are used to decide whether to
Section 10.434	Is an individual responsible for an overpayment that resulted from an error made by OWCP or another Government agency?
Section 10.435	Under what circumstances would recovery of an overpayment defeat the purpose of the FECA?
Section 10.436	Under what circumstances would recovery of an overpayment be against equity and good conscience?
Section 10.437	Can OWCP require the individual who received the overpayment to submit additional financial information?
Section 10.438	What is addressed at a pre-recoupment hearing?
Section 10.439	How does OWCP communicate its final decision concerning recovery of an overpayment, and what appeal right
Section 10.440	How are overpayments collected?
Section 10.441	What are the basic rules governing continuing receipt of compensation benefits and return to work?
Section 10.500	What medical evidence is necessary to support continuing receipt of compensation benefits?
Section 10.501	How does OWCP evaluate evidence in support of continuing receipt of compensation benefits?
Section 10.502	Under what circumstances may OWCP reduce or terminate compensation benefits?
Section 10.503	What actions must the employer take?
Section 10.505	May the employer monitor the employee's medical care?
Section 10.506	How should the employer make an offer of suitable work?
Section 10.507	May relocation expenses be paid for an employee who would need to move to accept an offer of reemployment?
Section 10.508	If an employee's light duty job is eliminated due to downsizing, what is the effect on compensation?
Section 10.509	When may a light duty job form the basis of a loss of wage-earning capacity determination?
Section 10.510	How may a loss of wage-earning capacity determination be modified?
Section 10.511	What actions must the employee take with respect to returning to work?
Section 10.515	How will an employee know if OWCP considers a job to be suitable?
Section 10.516	What are the penalties for refusing to accept a suitable job offer?
Section 10.517	Does OWCP provide services to help employees return to work?
Section 10.518	What action will OWCP take if an employee refuses to undergo vocational rehabilitation?
Section 10.519	How does OWCP determine compensation after an employee completes a vocational rehabilitation program?
Section 10.520	If an employee elects to receive retirement benefits instead of FECA benefits, what effect may such an election have
Section 10.521	What information must the employee report?
Section 10.525	Must the employee report volunteer activities?
Section 10.526	Does OWCP verify reports of earnings?
Section 10.527	What action will OWCP take if the employee fails to file a report of activity indicating an ability to work?
Section 10.528	What action will OWCP take if the employee files an incomplete report?
Section 10.529	How are dependents defined, and what information must the employee report?
Section 10.535	What is the penalty for failing to submit a report of dependents?
Section 10.536	What reports are needed when compensation payments continue for children over age 18?
Section 10.537	When and how is compensation reduced or terminated?
Section 10.540	What action will OWCP take after issuing written notice of its intention to reduce or terminate compensation?
Section 10.541	How can final decisions of OWCP be reviewed?
Section 10.600	What is reconsideration?
Section 10.605	How does a claimant request reconsideration?
Section 10.606	What is the time limit for requesting reconsideration?
Section 10.607	How does OWCP decide whether to grant or deny the request for reconsideration?
Section 10.608	How does OWCP decide whether new evidence requires modification of the prior decision?
Section 10.609	What is a review by the Director?
Section 10.610	What is a hearing?
Section 10.615	How does a claimant obtain a hearing?
Section 10.616	How is an oral hearing conducted?
Section 10.617	How is a review of the written record conducted?
Section 10.618	May subpoenas be issued for witnesses and documents?
Section 10.619	Who pays the costs associated with subpoenas?
Section 10.620	What is the employer's role when an oral hearing has been requested?
Section 10.621	May a claimant or representative withdraw a request for or postpone a hearing?
Section 10.622	What kinds of decisions may be appealed?
Section 10.625	Who has jurisdiction of cases on appeal to the ECAB?
Section 10.626	May a claimant designate a representative?
Section 10.700	Who may serve as a representative?
Section 10.701	How are fees for services paid?
Section 10.702	How are fee applications approved?
Section 10.703	What penalties apply to representatives who collect a fee without approval?
Section 10.704	When must an employee or other FECA beneficiary take action against a third party?
Section 10.705	How will a beneficiary know if OWCP or SOL has determined that action against a third party is required?
Section 10.706	What must a FECA beneficiary who is required to take action against a third party do to satisfy the requirement
Section 10.707	Can a FECA beneficiary who refuses to comply with a request to assign a claim to the United States or to prosecute
Section 10.708	What happens if a beneficiary directed by OWCP or SOL to take action against a third party does not believe that a claim
Section 10.709	Under what circumstances must a recovery of money or other property in connection with an injury or death for which benefits
Section 10.710	How is the amount of the recovery of the FECA beneficiary determined?
Section 10.711	How much of any settlement or judgment must be paid to the United States?
Section 10.712	How is a structured settlement (that is, a settlement providing for receipt of funds over a specified period of time)
Section 10.713	What amounts are included in the refundable disbursements?
Section 10.714	Is a beneficiary required to pay interest on the amount of the refund due to the United States?
Section 10.715	If the required refund is not paid within 30 days of the request for repayment, can it be collected from payments due under
Section 10.716	Is a settlement or judgment received as a result of allegations of medical malpractice in treating an injury covered by
Section 10.717	Are payments to a beneficiary as a result of an insurance policy which the beneficiary has purchased a gross recovery that
Section 10.718	If a settlement or judgment is received for more than one wound or medical condition, can the refundable disbursements paid on
Section 10.719	When is a Federal grand or petit juror covered under the FECA?
Section 10.725	When does a juror's entitlement to disability compensation begin?
Section 10.726	What is the pay rate of jurors for compensation purposes?
Section 10.727	What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside
Section 10.730	What is the pay rate of Peace Corps volunteers and volunteer leaders for compensation purposes?
Section 10.731	When is a non-Federal law enforcement officer (LEO) covered under the FECA?
Section 10.735	What are the time limits for filing a LEO claim?
Section 10.736	How is a LEO claim filed, and who can file a LEO claim?
Section 10.737	Under what circumstances are benefits payable in LEO claims?
Section 10.738	What kind of objective evidence of a potential Federal crime must exist for coverage to be extended?
Section 10.739	In what situations will OWCP automatically presume that a law enforcement officer is covered by the FECA?
Section 10.740	How are benefits calculated in LEO claims?
Section 10.741	How do providers enroll with OWCP for authorizations and billing?
Section 10.800	How are medical bills to be submitted?
Section 10.801	How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of
Section 10.802	What are the time limitations on OWCP's payment of bills?
Section 10.803	What services are covered by the OWCP fee schedule?
Section 10.805	How are the maximum fees defined?
Section 10.806	How are payments for particular services calculated?
Section 10.807	Does the fee schedule apply to every kind of procedure?
Section 10.808	How are payments for medicinal drugs determined?
Section 10.809	How are payments for inpatient medical services determined?
Section 10.810	When and how are fees reduced?
Section 10.811	If OWCP reduces a fee, may a provider request reconsideration of the reduction?
Section 10.812	If OWCP reduces a fee, may a provider bill the claimant for the balance?
Section 10.813	What are the grounds for excluding a provider from payment under the FECA?
Section 10.815	What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies?
Section 10.816	How are OWCP's exclusion procedures initiated?
Section 10.817	How is a provider notified of OWCP's intent to exclude him or her?
Section 10.818	What requirements must the provider's answer and OWCP's decision meet?
Section 10.819	How can an excluded provider request a hearing?
Section 10.820	How are hearings assigned and scheduled?
Section 10.821	How are subpoenas or advisory opinions obtained?
Section 10.822	How will the administrative law judge conduct the hearing and issue the recommended decision?
Section 10.823	How does the recommended decision become final?
Section 10.824	What are the effects of exclusion?
Section 10.825	How can an excluded provider be reinstated?
Section 10.826	What is the death gratuity under this subpart?
Section 10.900	Which employees are covered under this subpart?
Section 10.901	Does every employee's death due to injuries incurred in connection with his or her service with an Armed Force in a
Section 10.902	Is the death gratuity payment applicable retroactively?
Section 10.903	Does a death as a result of occupational disease qualify for payment of the death gratuity?
Section 10.904	If an employee incurs a covered injury in connection with his or her service with an Armed Force in a contingency
Section 10.905	What special statutory definitions apply to survivors under this subpart?
Section 10.906	What order of precedence will OWCP use to determine which survivors are entitled to receive the death gratuity payment
Section 10.907	Can an employee designate alternate beneficiaries to receive a portion of the death gratuity payment?
Section 10.908	How does an employee designate a variation in the order or percentage of gratuity payable to survivors and how does the
Section 10.909	What if a person entitled to a portion of the death gratuity payment dies after the death of the covered employee but
Section 10.910	How is the death gratuity payment process initiated?
Section 10.911	What is required to establish a claim for the death gratuity payment?
Section 10.912	In what situations will OWCP consider that an employee incurred injury in connection with his or her service with an Armed
Section 10.913	What are the responsibilities of the employing agency in the death gratuity payment process?
Section 10.914	What are the responsibilities of OWCP in the death gratuity payment process?
Section 10.915	How is the amount of the death gratuity calculated?
Section 10.916	How are claims of Federal employees who are neither citizens nor residents adjudicated?