Printing - FECA-PT2 - National Association of Letter Carriers

d. Notice Not Required to Terminate Medical Benefits. Pre-termination notice is not needed
when:
(1) The physician indicates that further medical treatment is not necessary or that
treatment has ended.
(2) The OWCP denies payment for a particular charge on an exception basis. For
example, disallowance of a bill because the treatment was not given for the accepted
condition does not represent a termination of an authorization of medical benefits, and pretermination
procedures do not apply.
e. Notice Not Required to Suspend Compensation.
Pre-termination notice is not needed before suspending compensation payments because the
claimant did not undertake certain actions required by the OWCP, as follows:
(1) Failure to report earnings from employment as required by 5 U.S.C. 8106(b);
(2) Failure or refusal to seek or accept suitable employment as required by 5 U.S.C.
8106(c);
(3) Refusal to undergo a medical examination required by 5 U.S.C. 8123; or
(4) Refusal to undergo treatment for substance abuse (see 5 U.S.C. 8113).
(5) Conviction and imprisonment for a felony other than defrauding the FECA program
(see 5 U.S.C. 8148).
The CE must, however, notify the claimant of the legal basis for the action and the consequences
of failure to comply, and provide the claimant an opportunity to comply with the OWCP's
instructions, before suspending benefits.
FECA-PT2 Printed: 06/08/2010 618