Office of Workers Compensation (OWCP) Missouri National Guard Federal Employee Supervisor Course

Overview OWCP program Who can apply? ECOMP Injury claims filing and responsibilities Continuation of Pay Documents Additional Information Forms Resources

If You Have an Injured Employee… The employee has the option to file a Workers’ Comp claim. We cannot force them to do so! We also cannot prevent them from filing. OWCP is protected under the Privacy Act. If someone files a claim, do not tell others about it without the employee’s consent. The only people that should be involved are the claimant, their immediate supervisor, and HR. If they need medical care immediately, send them to get care right away! Investigate the injury and how it happened. Ask questions. What were they doing? Why were they doing that? Where were they? Who were they with? How did it happen? Were they in federal employment status at time of injury? Were they doing PT?

Conditions of Coverage for a Claim The following conditions must be met or established to have a valid claim per Dept of Labor: 1) Must be a federal employee. 2) Timely Filing: Within 10 work days of injury. Employees have three years from the date of injury, first awareness, or last exposure to submit a claim. 3) Fact of Injury: The injury actually occurred as alleged, and the employee has a medical condition. 4) Performance of Duty: The injury occurred while performing assigned duties for their technician position. •The person must be in technician status—not military status. 5) Causal Relationship: The injury or condition was directly caused by a work-related incident, based on medical documentation provided by a doctor. NOT based on the opinions of the employee, supervisor, or witness. Challenging a Claim: If a claim does not meet all five conditions, the agency can challenge the claim. Please contact HR to do so ASAP.

ECOMP COMP Department of Labor application, ECOMP allows DOD to file OSHA-301, CA-1, CA-2, and CA-7 forms electronically. Employee can file a claim from home and submit to their supervisor. They do not have to use a computer at work or sit with their supervisor in order to file a claim.

ECOMP ECEOMP Documents supporting the claim can be uploaded at the time the claim is entered by the employee. This means that crucial information will be seen by the Claims Examiner when the claim is submitted, speeding up adjudication of the claim. Employees can log into ECOMP and view and print copies of claim forms when necessary. Once the employee submits the OSHA-301 form they can fill out the CA- 1 or CA-2 form as necessary. Processing of the OSHA-301 will not affect the processing of the CA-1 or CA-2 form. Verify supervisor’s email address

EECOMP OMP Employees can check status of claim submission and will receive claim numbers when assigned by DOL. Claim numbers are received more quickly from DOL allowing medical providers to bill OWCP and thus reduce any problems when providers want to initially submit bills after treatment.

ECOMP’s Workflow

OSHA-301 Must be completed before the CA-1 or CA-2 Once filed it will have no further effect on the CA-1 or CA-2

OSHA-301 – Supervisor’s Responsibility Will receive an email notification with link Review for accuracy If changes are needed, send back to employee Submit electronically

OWCP Claims There are two types of claims: 1) Traumatic Injury (Happens in one work shift or less. Caused by specific event(s)) •Example: Slipping on ice, slamming a hand in a door •Filed using a CA-1 (Note: Should be filed within 10 days of injury to be timely) CA-16 – Authorization for treatment (use sparingly) CA-17 – Duty status report and/or CA-20 - Attending Physicians Report or exam summary

OWCP Claims (con’t) COP is not provided for Occupational Diseases 2) Occupational Disease (Produced by repetitive/continuous stress/ exposure for 2 or more days) Example: Carpal Tunnel Syndrome, hearing loss COP is not provided for Occupational Diseases CA-16 is not issued for Occupational Diseases Forms: • CA-2 - Federal Employee’s Notice of Occupational Disease and Claim for Compensation • CA-7 - Claim for Compensation • CA-20 - Attending Physician’s Report or exam summary

CA-1 & CA-2 Forms – Supervisor’s Responsibility Will receive an email notification with link Review for accuracy If changes are needed, send back to employee Submit electronically Authorize treatment and right to elect COP, sick or annual leave, or LWOP-NTE, as appropriate Advise employee of responsibility to submit documentation Go to ECOMP training slide 10

Office of Workers’ Compensation Documentation Flow All CA-1’s and CA-2’s should be filled out on-line. If this cannot be accomplished, call the Human Resources Office or your Remote Designee for assistance. All paperwork, i.e., forms, bills, statements, letters, etc. from doctors, hospitals, ambulance services (all providers) must be sent to the Human Resources Office (Remote Designee)-no exceptions.

Office of Workers’ Compensation Recurrences Recurrences can occur with either traumatic injury or occupational disease. It is a spontaneous return or increase of disability due to a previous injury or occupational disease without intervening cause. Forms for Recurrence CA-2a Recurrence of Disability CA-7 Claim for Compensation CA-20 Attending Physician’s Report or exam summary

Office of Workers’ Compensation Continuation of Pay (COP) Only available for Traumatic Injury cases. 45 calendar day maximum. COP eligibility countdown starts the first day after injury with time lost OR 45 days from the date of injury (DOI) if no time lost. “LU” is the correct code for time lost the DOI on time card. “LT” is the correct code for time lost under COP on time card. Be sure to annotate hours lost due to injury. If no time lost, enter “O” on timecard. Claim number should be noted on timecard.

Reason for Controverting COP Agency may controvert COP even if only one of the following apply: Disability is a result of occupational disease or injury Employee is not a citizen of the US or Canada Injury occurred off agency premises and the employee was not engaged in official duty(ies) Willful misconduct Not reported within 30 days of injury Employee reported injury after employment ended

Additional Information and Supervisor’s Responsibilities: Annotate all PT related injuries Inform HR of work restrictions/light duty. May use Light Duty memo format – (See attachment 16d LD memo example) Goal is to return employees back to work as soon as possible so assist with light duties they can perform Encourage safe work habits and conditions and enforce safety regulations Report injuries promptly

Office of Workers’ Compensation Help and Information To fill out an OSHA-301 and CA-1 or CA-2 form online go to: https://www.ecomp.dol.gov You can find more information and training at: www.moguard.com click on Human Resources/Office of Workers’ Compensation Program (OWCP) www.dol.gov/owcp/

Questions?