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Printing - FECA-PT2 - National Association of Letter Carriers

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percentage <strong>of</strong> the award under the Sixth Edition is not required. Should the later<br />

calculation result in a percentage impairment lower than the original award (as sometimes<br />

occurs), a finding should be made that the claimant has no more than the percentage <strong>of</strong><br />

impairment originally awarded, that the evidence does not establish an increased<br />

impairment, and that the Office has no basis for declaring an overpayment.<br />

2-1602-6 Prima Facie Denials<br />

6. Non-merit Review/Denial (without review on the merits). A timely application for review, which is<br />

not supported by additional evidence or argument for error in fact or law is insufficient to warrant a merit<br />

review <strong>of</strong> the case. According to 20 C.F.R. §10.608, in such instances the SrCE should prepare a letter<br />

decision denying the application. The claimant’s only appeal from this decision is to request a review by<br />

the ECAB.<br />

a. Original Denial Issued After June 1, 1987. If the time limit has not expired, the claimant<br />

may again request reconsideration within one year from the date <strong>of</strong> the original decision, or from<br />

any merit decision including a denial <strong>of</strong> modification, or from ECAB decision on the merits.<br />

b. Original Denial Issued Before June1, 1987. The cover letter or appeal rights attached to the<br />

decision should include a notice <strong>of</strong> the one-year time limitation for requesting reconsideration.<br />

Thereafter, the claimant would have one year from the decision denying the application to again<br />

request reconsideration <strong>of</strong> the contested decision.<br />

2-1602-7 Evaluating Sufficiency <strong>of</strong> Evidence<br />

7. Evaluating Sufficiency <strong>of</strong> Evidence. When the request for reconsideration is accompanied by new<br />

evidence, the SrCE must determine whether it is sufficient to review the case on its merits. This step<br />

<strong>of</strong>ten requires study <strong>of</strong> the file to assess what material it already contains. Such examination should not<br />

be confused with merit review <strong>of</strong> the case.<br />

a. Nature <strong>of</strong> Evidence. The following kinds <strong>of</strong> evidence are not sufficient to reopen the claim for<br />

merit review:<br />

(1) Cumulative evidence, which is substantially similar to material on file which, has<br />

already been considered. Jacqueline M. Nixon-Steward, 52 ECAB 140 (2000)(Doctor's<br />

reports were similar to previously submitted reports).<br />

(2) Repetitious evidence, which consists <strong>of</strong> copies <strong>of</strong> documents previously<br />

submitted or a restatement <strong>of</strong> previously considered evidence. David J. McDonald, 50<br />

ECAB 185, 190(1998) (Documents previously considered by the Office).<br />

(3) Irrelevant or immaterial evidence which has no bearing on the issue or which is<br />

frivolous or inconsequential in regard to the issue. Linda I. Sprague, 49 ECAB 386 (1997).<br />

The SrCE should use caution in characterizing medical evidence as "cumulative" or "irrelevant." A<br />

rationalized supporting statement from a physician not previously <strong>of</strong> record requires a merit review<br />

when the denial rested on medical issues. However, a checked “yes” on a form report would not<br />

require a merit review just because it was from a new physician.<br />

<strong>FECA</strong>-<strong>PT2</strong> Printed: 06/08/2010 679

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