Printing - FECA-PT2 - National Association of Letter Carriers

employees under their respective jurisdictions. These services are limited to (1) treatments on-the-job
illness and dental conditions requiring emergency attention; (2) pre-employment and other examinations;
(3) referral of employees to private physicians and dentists; and (4) preventive programs relating to
health.
a. An employee who participates voluntarily in the health service program is considered in the
performance of duty on those occasions when such participation causes absence from regular
duties for the specific purpose of obtaining the medical service offered by the employer.
Deleterious effects such as injury while undergoing periodic medical examination, reaction to
agency-sponsored inoculation, or disease contracted from instrumentation are compensable.
b. Coverage for the deleterious effects of employer provided medical services is limited to
employees who are voluntary participants in the employer's sponsored health service program and,
only for the effects of treatment for on-the-job illness and dental conditions requiring emergency
attention. Coverage for deleterious effects does not extend beyond the immediate service
contemplated by P.L.-658; therefore it does not follow the employee who is referred for, or
obtains, outside medical services.
c. The medical procedures involved in a pre-employment medical examination come within the
rule for coverage provided the person has already been appointed or hired when the examination is
performed. A prospective employee is not covered for compensation benefits.
d. Deleterious effects of medical services may be unavoidable or may occur because of error or
agency failure to report examination results to the employee or to the employee's physician in time
to alter the course of a disease. They may also result from an act such as inadvertently
administering the wrong drug, or failure to inform an employee of positive test results.
e. Following appropriate development, all cases of this type should be referred to a District
Medical Adviser for an opinion on whether the condition claimed was causally related to the agency
medical service or was adversely affected by the failure to promptly alert the employee or the
employee's physician.
FECA-PT2 Printed: 06/08/2010 210