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   "The punishment which the wise suffer who refuse to take part in government, is to live under the government of worse men" - Plato 427-347 BC
  

 

Office of Workers Compensation Programs

     The Federal Employees' Compensation Act (FECA)(1) is administered by the Department of Labor's Division of Federal Employees' Compensation (DFEC). Organizationally, DFEC is within the Office of Workers' Compensation Programs (OWCP) which is within the Employment Standards Administration.

     The Employment Standards Administration is headed by an Assistant Secretary. OWCP is headed by a Director, whose title is Deputy Assistant Secretary for Workers' Compensation. The Branch of Hearings and Review (H&R), an FECA appellate body which conducts oral hearings,(2) is in a peculiar position. H&R Hearing Representatives conduct hearings as delegees of the Secretary, but, organizationally, H&R is located in DFEC.

     For long periods of time, OWCP had no Director. During these periods, OWCP was headed by Mr. Shelby Hallmark, who was the Acting Director, OWCP. Mr. Dennis Mankin was Mr. Hallmark's special assistant. DFEC is headed by Mr. Thomas M. Markey, who is the Director, DFEC. H&R is headed by Mr. Robert Barnes assisted by Mr. Edward Duncan who is the Assistant Branch Chief.

The Workers Compensation Covenant

     Workers' compensation law arose out of the frustrations employees and employers experienced with the common law remedies for workplace injuries and deaths. These frustrations were due to the difficulty employees had in obtaining an award for workplace injuries under the tort system; and the inability of employers

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1  5 U.S.C. §§ 8101-8151 (1994)

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to make provisions for their financial liability since jury awards were unpredictable. Before 1910, the laws determining employers' responsibility for industrial injuries in almost every State had been handed down from the pre-industrial period in England and the United States. Under these laws an injured worker's only recourse was through the courts where the common law rules of liability attempted to determine who was at fault.

     Under the common law, the employer was deemed to have certain legal duties of protection which he owed to his employees. These duties were: 1) to provide and maintain a reasonably safe place to work, and safe appliances, tools and equipment; 2) to provide a sufficient number of suitable and competent fellow employees to permit safe performance of the work; 3) to warn employees of unusual hazards; and 4) to establish and enforce proper safety rules.

     Under the law of negligence, failure to use that degree of care which was reasonably necessary to protect another person from injury constituted a cause of civil action. To sustain this action, the injured party had to prove damage and a natural and continuous sequence, uninterruptedly connecting the breach of the duty of protection with the damage as cause and effect. If the employer properly performed all of its duties of protection, it could not be held liable for an injury to an employee arising out of his employment.

     As the test of the performance of the employer's duty extended only to proper diligence, breach of this duty was not easy to prove in court. This problem of proof was compounded by the fact that the usual witnesses to a work-injury were fellow workers who were reluctant to testify against the employer.

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2 Seen. 101, infra, and accompanying discussion.

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     Furthermore, an employer had several defenses under the common law which deflected responsibility for work-related illnesses, injuries, and deaths from the employer to the affected employee, or to other employees: the principle of contributory negligence; the fellow servant doctrine; and, the assumption of risk doctrine. With the expense of litigation added to these defenses, the worker faced almost insurmountable obstacles in pressing a claim.(3) However, if the employee was successful, the jury award could be very large.

     Workers' compensation differs from tort liability in a number of important ways. The basic test of liability in workers' compensation is work connection rather than fault. Thus, the test is not the relation of an individual's personal fault to an event, but the relationship of an event to employment. Under workers' compensation, unlike tort, the only injuries compensated for are those which produce disability and thereby presumably affect earning power. For this reason, some classes of injuries which resulted in verdicts of thousands of dollars at common law produce no award whatever under a compensation statute. This addresses some of the employers' concerns.

     A workers' compensation system, unlike a tort recovery, does not pretend to restore to the injured employee what he or she has lost; instead it gives the disabled worker a sum which, added to his remaining earning ability, if any, will presumably

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enable the disabled worker to exist without being a burden to others. In summary, tort litigation is an adversary contest to right a wrong between the contestants; workers' compensation is a system, not a contest, to supply security to injured workers and distribute the cost to the consumers of the product,

     Workers' compensation, therefore, represents a covenant. Under workers' compensation law each side gives up something that is available to it under the common law, but simultaneously receives something as well. The employer relinquishes the defenses enjoyed under the common law, but this loss is offset by a known level of liability for work place injuries and deaths. The employee gives up the opportunity for large settlements provided under the common law, but receives the advantage of prompt payment of compensation and medical bills. These tradeoffs make the workers' compensation system acceptable to both parties.(4) However, where either party does not receive the benefits of this covenant, the system becomes unacceptable.

DFEC's Mission

According to DFEC's Mission Statement

[t]he purpose of the Federal Employees' Compensation program is to provide Federal employees who sustain work-related injury or disease with adequate and timely benefits for medical care and wage loss replacement, as well as assistance in returning to work where necessary.(5)

     DFEC's Customer Service Plan emphasizes that injured employees can expect timely adjudication of their claims and prompt payment of accepted claims.

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4 Willis J. Nordlund, A History of the Federal Employees'Compensation Program 10 (1992).

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     Injured employees can also expect assistance in returning to work.

     Although various OWCP and DFEC documents state that the interests of injured employees are paramount, an analysis of the data published by OWCP, together with the enormous numbers of complaints from injured employees suggests otherwise. These complaints, together with the implications of OWCP's data, pose the question: is DFEC properly carrying out its mission?

A Paradigm for Success

     According to its current Strategic Plan, DFEC has the following vision

[a]s the country's largest self-insured employer, the Federal government is uniquely situated to find the best ways to take care of people affected by workplace injuries. And as one of the longeststanding workers' compensation programs in the nation, FECA can be a laboratory for excellence in the field. It takes pride in its return to work success, its swift benefit delivery its cost-effective and peopleoriented administration, and its low friction costs and nonadversarial procedures for adjudicating and managing claims (emphasis added)

     DFEC wants "Federal employees who experience work-related injuries of illness to know that they can rely on the FECA program to provide them with the best assistance and services possible." To implement this vision, DFEC has established, among others, the following Strategic Goals and Objectives

STRATEGIC GOAL 1 : Under the FECA, employees return to work following a work injury at the earliest appropriate moment.

Objective 1.1: Reduce the average number of lost production days.(6)

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5 Query: are employing agencies customers?

6 "Lost production day" actually means a day lost from work due to disability. In its Strategic Plan, DFEC has established annual goals, extending through the year 2002, for reducing "the previous year's average number of days lost due to disability for cases in Quality Case Management."

     According to the FY96 OWCP Annual Report to Congress,. "prompt and effective service to [Claimants and beneficiaries] continues to be a high priority within the FEC program." FY96

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STRATEGIC GOAL 7: Enhance adjudicatory efficiency and quality.

Objective 7.2: Increase adjudication quality in FECA.7

STRATEGIC GOAL 8: Injured FECA workers are served by a fair, swift, and people-oriented compensation system. (8)

Rising Compensation Costs Upset Employers' Expectations

     In 1993, the Office of Workers' Compensation Programs (OWCP) first submitted a report to Congress regarding administration of the Federal Employees' Compensation Act by its Division of Federal Employees' Compensation (DFEC).(9)

     This Report, covering activities during fiscal year (FY) 1992, noted: "[i]ncreases in the number of injury cases in the 1970's and 1980's resulted in a substantial growth in the size of the number of long-term disability cases which is called the 'periodic roll."' The FY93 Report noted: from 1980 to 1991, the number of Federal employees receiving long-term compensation payments increased by approximately three percent per year even though the number of Federal employees remained constant." (10)

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Report at 13. In light of this, why is the reduction of compensation the number one StrategicGoal?

7 According to DFEC, through the first 2 quarters of FY97 "70+% of decisions in the four offices measured thus far are fully supportable on appeal." This contradicts data OWCP publishes in its Annual Report. See e.g., Table 4.

8 Query: why isn't this the number one goal?

9 OWCP Annual Report to Congress FY 1992 (FY92 Report).

10 FY93 Report at 10.

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