Printing - FECA-PT2 - National Association of Letter Carriers

a. Where disability is present, the CE must decide whether to pay a claimant on the daily roll
or the periodic roll.
(1) The daily roll should be used where the term of disability is not likely to exceed 60
days, unless return to work is imminent. It is best to avoid lengthy periods of payment on
the basis of Forms CA-8.
(2) The periodic roll should be reserved for cases that involve clearly defined and well
established long-term disability, early in the life of the case. Any uncertainty regarding the
duration of long-term injury-related disability should be resolved before a case is placed on
the periodic roll.
b. If the accepted condition is included in the medical matrix (see paragraph 5 above) the CE
should consider both the period of disability indicated by the matrix and the period stated by the
claimant's physician.
c. If the accepted condition is not included in the matrix the CE should use the projected date
of return to light or full duty supplied by the attending physician as the intervention point. If no
return to duty date is specified, the CE, or the RN at the CE's request, should call the attending
physician immediately to obtain this information. A written confirmation must always be
requested, and payment should continue for a reasonable period to allow for its receipt, but not
beyond any return-to-work date estimated by the physician on the telephone.
2-0811-8 Daily Roll Payments
8. Daily Roll Payments. The following procedures apply specifically to payments made on the daily
roll.
a. The claimant must submit Form CA-8 prior to payment, but no Form CA-20 is necessary if
the condition involved is found in the matrix and the period claimed is shorter than the period
specified in the matrix. Before setting up payment, the CE should telephone the employing agency
or the claimant to verify that the claimant has not returned to work. If the claimant has not
returned to work, payment may be set up through the current date.
b. When the first payment is made, the CE should advise both the claimant and the attending
physician in writing of the following: the beginning and ending dates of compensation; the return
to regular or light duty date provided by the attending physician or the matrix; the need to submit
Form CA-8 to claim any additional compensation, whether during or after the period of disability
specified by the matrix; and the likelihood that further intervention will be undertaken if the
claimant does not return to work by the date specified. This notification may be made via Form
CA-1650. Form CA-1655 should not be sent unless the claim is placed on the periodic roll.
c. Where payment will likely continue through the entire period specified by the matrix, the CE
should set a call-up for five days prior to the ending date. At this time, the CE should query the
agency or the claimant to determine whether the claimant has returned to duty (unless the nurse
has already obtained this information).
If the claimant has not returned to duty, an intervention as described in paragraph 6 above must
FECA-PT2 Printed: 06/08/2010 367