Printing - FECA-PT2 - National Association of Letter Carriers

are correct and that continuing entitlement is substantiated in the file.
a. Placement. When periodic roll payments are initiated, the CE should advise the claimant by
Form CA-1049 or equivalent narrative letter. The letter should notify the claimant of the conditions
for termination of benefits without prior notice and the requirement that employment be reported.
A copy of the notice should be sent to the employing agency regardless of the claimant's current
employment status.
b. Monitoring. The CE will document the Periodic Entitlement Review (PER) annually, and all
cases on the periodic roll will be monitored closely to:
(1) Verify continuing entitlement to compensation and the appropriate level of
payments.
(2) Ensure quality and appropriateness of medical care.
(3) Reduce or terminate compensation payments when a claimant recovers from the
employment-related condition or returns to work.
(4) Initiate vocational rehabilitation and reemployment action as soon as it appears that
permanent impairment may result or a change of job duties may be required due to the
work-related injury.
2-0812-5 Definition and Frequency of Reviews.
5. Definition and Frequency of Reviews. All cases on the periodic roll require completion of
Forms CA-1032 and SSA-581 on a yearly basis. The office generates and mails Form CA-1032 and Form
CA-935 (with enclosure SSA-581) to claimants. The CE should then review each case after 30 days has
elapsed and complete the PER.
Medical reviews should be accomplished in accordance with the case status as follows:
a. PR. Cases in which temporary total disability payments are being paid require medical
review once a year.
b. PW. Cases in which payments are being made for a loss of wage-earning capacity require
medical review every two years.
c. PN. Cases in which the CE has determined, and the Supervisory Claims Examiner (SCE)
has verified, that no wage-earning capacity exists require medical review every three years.
d. PS. No medical reports need be requested in a case where a schedule award is being paid.
These cases require annual release of Form CA-1032 where payment extends beyond one year to
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