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or appliances, have been paid by an injured employee on account of an injury incurred while in the performance of duty, an itemized bill, receipted and signed by the person who has received payment, together with a medical report as provided in $ 2.10, may be submitted to the Bureau for consideration. If payment has been made to a hospital, corporation or firm, the receipted bill shall bear the signature or initials of the person acting for the payee. If receipted by a mechanical stamp or device, which shows clearly its intent and purpose, the usual formalities attendant to the receipting of bills may be dispensed with. Where the means of transportation is not furnished by the Government, a claim for reimbursement of the cost of necessary transportation, and of necessary incidental expenses incurred by an injured employee for travel for the purpose of securing medical or hospital treatment, appliances or supplies, or for medical examinations, should be submitted promptly to the Bureau for consideration, Standard Forms 1012 and 1012a, properly executed, shall be used for this purpose. Where transportation by automobile is used, reimbursement may be made at the rate per mile fixed by law, Executive, administrative, or other order for employees of the United States authorized to travel at Government expense.
83.1 Prosecution of third party action
by beneficiary. If an injury or death for which compensation is payable under said act is caused under circumstances creating a legal liability upon some person other than the United States to pay damages therefor, the Bureau may require the beneficiary to prosecute an action for damages against such third person. When required by the Bureau, such cause of action shall be prosecuted in the name of the injured employee or of his personal representative by attorneys designated or approved by the Bureau. § 3.2 Assignment of third party.
If an injury or death for which compensation is payable under said act is caused under circumstances creating a legal liability upon some person other than the United States to pay damages therefor, the beneficiary shall, if required by the Bureau, assign any right of action he may have to the United States. All such assignments shall be in writing and no such cause of action shall vest in the United States unless and until the assignment is accepted by the Bureau. § 3.3 Refusal to assign or prosecute
claim when required; effect. Refusal on the part of a beneficiary to assign his right of action to the United States or to prosecute said action in his own name when required by the Bureau shall deprive the employee of all rights to compensation. & 3.4 Distribution of damages recovered
by beneficiary. If an injury or death for which compensation is payable under said act is caused under circumstances creating a legal liability upon some person other than the United States to pay damages therefor, and, as a result of suit brought by the beneficiary or by someone on his behalf, or as a result of settlement made by him or on his behalf in satisfaction of the liability of such other person, the beneficiary shall recover damages or receive any money or other property in satisfaction of the liability of such other person on account of such injury or death, the proceeds of such recovery shall be applied as follows:
(a) If an attorney is employed, a reasonable attorney's fee and cost of col
PART 3—CASES INVOLVING THE
LIABILITY OF A THIRD PARTY Sec. 8.1 Prosecution of third party action by ben
eficiary. 8.2 Assignment of third party. 3.3 Refusal to assign or prosecute claim
when required; effect. 3.4 Distribution of damages recovered by
beneficiary. 3.6 Distribution of damages where cause of
action is assigned. 8.6 Bureau may require beneficiary to settle
or compromise third party suit. AUTHORITY: The provisions of this Part 8 ssued under sec. 82, 39 Stat. 749, as amended; 5 U.S.C. 8145, 8149, 1946 Reorg. Plan No. 2, $ 3, 3 CFR, 1948–1948 Comp., p. 1064; 60 Stat. 1095; 1950 Reorg. Plan No. 19, 81, 8 CFR 1949–1953 Comp., p. 1010; 64 Stat. 1271.
SOURCE: The provisions of this Part 3 contained in Regulations under the United States Employees' Compensation Act, June 1, 1988, unless otherwise noted.
lection, if any, shall first be deducted reau shall be deemed to be sufficient from the gross amount of the settlement; cause for refusal on the part of the Bu
(b) There shall then be remitted to reau to pay compensation on account of the Bureau the full amount of compen the same injury or death, or the Bureau sation which has been paid on account of may suspend compensation during the the injury, which shall include payments period of such refusal. made on account of medical or hospital (4 F.R. 4558, Nov. 11, 1989) treatment, funeral expense, and any other payments that have been made by PART 25— COMPENSATION FOR DISthe Bureau on account of the injury or
ABILITY AND DEATH OF NONdeath;
CITIZENS OUTSIDE THE UNITED (c) Any surplus then remaining may be retained by the injured employee or
STATES his dependents, and the net amount of
Subpart A-General Provisions damages received by the beneficiary shall Sec. be credited against future payments of
25.1 General statement. compensation to which the beneficiary
25.2 General adoption of local law.
25.3 may be entitled under the said act on ac
General provisions relating to special
schedule. count of the same injury.
25.4 Authority to settle and pay claims. $ 3.5 Distribution of damages where 26.6 Applicable criteria. cause of action is assigned.
Subpart B Special Schedule of Compensation If the Bureau realizes upon a cause of
26.11 Compensation for disability. action assigned to the United States pur 25.12 Compensation for death. suant to section 26 of said act, it shall 25.13 General provisions. apply the money or other property so
Subpart ( Extensions of Special Schedule of received in the following manner;
Compensation namely: After deducting the amount of any
25.21 Republic of the Philippines.
26.22 Australla. compensation paid in respect of the in
25.23 Non-citizen employees of Office of jury or death on account of which the
Strategic Services and Strategic cause of action arose, and the expense of
Services Unit. such realization or collection, which sum 35.24 Territory of the Pacific Islands. shall be placed to the credit of the proper 35.26 Republic of Korea. fund of the Bureau, the surplus, if any, of 25.26 Japanese seamen. such amount received shall be paid to the AUTHORITY: The provisions of this part 25 beneficiary and credited pro tanto upon issued under sec. 32, 89 Stat, 749, as amended; any future payments of compensation 6 U.S.C. 8145, 8149; 1946 Reorg. Plan No. 2, payable to him on account of the same
sec. 3, 3 CFR, 1948–1948 Comp., p. 1064; 60 injury.
Stat. 1095; 1950 Reorg. Plan No. 19, sec. 1,
8 CFR, 1949–1953 Comp., p. 1010; 64 Stat. § 3.6 Bureau may require beneficiary to 1271, unless otherwise noted. settle or compromise third party suit.
SOURCE: The provisions of this Part 25 Where a beneficiary under said act has appear at 18 F.R. 3112, June 10, 1948, unless commenced an action in his own name
otherwise noted. or has initiated such action through an
Subpart A-General Provisions administrator of a deceased person to recover damages against the third party $ 25.1 General statement. liable for the injury or death, the Bureau The provisions of this part shall apply shall, at all times, have authority to re in respect to compensation, under the quire the beneficiary or such adminis United States Employees' Compensation trator to settle or compromise such action Act, payable only to employees of the whenever it shall appear to the Bureau United States who are neither citizens that further prosecution of the cause of nor residents of the United States, any action is not warranted. Refusal on the Territory, or Canada, or payable to any part of such beneficiary or other person dependents of such employees. It has acting in the interest of the beneficiary previously been determined, pursuant to to make such settlement or to effect such section 42 of such act, that the amount compromise when so directed by the Bu- of compensation, as provided under such
act, is substantially disproportionate to the compensation for disability or death which is payable in similar cases under local law, regulation, custom, or otherwise, in areas outside the United States any Territory, or Canada. Therefore, in respect to cases of such employees whose injury (or injury resulting in death) has occurred subsequent to December 7, 1941, or may occur, the following provisions shall be applicable. 8 25.2 General adoption of local law.
(a) Pursuant to the provisions of section 42 of such act, the benefit features of local workmen's compensation laws, or provisions in the nature of workmen's compensation, in effect in the areas referred to in 25.1, shall, effective as of December 7, 1941, by adoption and adap tation, as recognized by the Director, Bureau of Employees' Compensation, apply in the cases of the employees specified in § 25.1; Provided however, That there is not established and promulgated under this part, for the particular locality, or for a class of employees in the particular locality, a special schedule of compensation for injury or death.
(b) The benefit provisions as thus adopted or adapted are those dealing with the money payments for injury and death (including provisions dealing with medical, surgical, hospital and similar treatment and care), as well as those dealing with services and purposes forming an integral part of the local plan, provided they are of a kind or character similar to services and purposes authorized by the Employees' Compensation Act. Procedural provisions, designations of classes of beneficiaries in death cases, limitations (except those affecting amounts of benefit payments), and any other provisions not directly affecting the amounts of the benefit payments, in such local plans, shall not apply, but in lieu thereof the pertinent provisions of the Employees' Compensation Act shall apply, unless modified by further specification in this section.
(c) Compensation in all cases of such employees paid and closed prior to the effective date of the regulations in this part shall be deemed compromised and paid under section 42 of such act; in all other cases compensation may be adjusted to conform with the regulations in this part, or the beneficiary may by
compromise or agreement with the Bureau have compensation continued on the basis of a previous adjustment of the claim. $ 25.3 General provisions relating to
special schedule. The special schedule established by Subpart B of this part is intended as the vehicle of general basic provisions, to be adapted, with such modifications as may be necessary, and as local conditions outside the United States require. The application of this special schedule will be by specific and appropriate provi. sion in the regulations in this part, such provision specifying the locality to which applied, and the particular modifications of or additions to the schedule, as may be made. 8 § 25.4 Authority to settle and pay
claims. In addition to the authority to receive, process and pay claims, when delegated such representative or agency receiving delegation of authority shall, in respect to cases adjudicated under this part, and when so authorized by the Director, have authority (a) to make lump sum awards (in the manner prescribed by section 14 of such act) whenever such authorized representative shall deem such settlement to be for the best interest of the United States, and (b) to compromise and pay claims for any benefits provided for under this part, including claims in which there is a dispute as to jurisdiction or other facts, or questions of law. The Director shall, in administrative instructions to the particular representative concerned, establish such procedures in respect to action under this section as may be deemed necessary, and may specify the scope of any administrative review of such action. § 25.5 Applicable criteria.
The following criteria shall apply to cases of employees specified in % 25.1 and such cases, if otherwise compensable, shall be approved only upon evidence of the following nature without regard to the date of the injury or death for which claim is made:
(a) Appropriate certification by the Federal employing establishment, or;
(b) An Armed Services casualty or medical record, or;
(c) Verification of the employment and casualty by military personnel, or;
(d) Recommendation of an Armed Services "Claim Service" based on investigations conducted by it. (79 Stat. 592) (81 F.R. 2876, Feb. 4, 1966, as amended at 33 F.R. 12090, Aug. 27, 1968]
Subpart B-Special Schedule of
Compensation 8 25.11 Compensation for disability. Compensation for disability shall be
houston shall be paid to the employee as follows:
(a) Permanent total disability. In case of disability, total in character and permanent in quality, 6633 per centum of the monthly pay during the continu. ance of such disability.
(b) Temporary total disability. In case of disability, total in character and temporary in quality, 66343 per centum of the monthly pay during the continuance of such disability.
(c) Permanent partial disability. In case of disability, partial in character and permanent in quality, 66243 per centum of the monthly pay, for the following losses and periods:
(1) Arm lost, 280 weeks' compensation.
(2) Leg lost, 248 weeks' compensation.
(3) Hand lost, 212 weeks' compensation.
(4) Foot lost, 173 weeks' compensation.
(5) Eye lost, 140 weeks' compensation.
(6) Thumb lost, 51 weeks' compensation.
(7) First Ainger lost, 28 weeks' compensation.
(8) Great toe lost, 26 weeks' compensation.
(9) Second finger lost, 18 weeks' compensation.
(10) Third finger lost, 17 weeks' compensation.
(11) Toe, other than great toe, lost, 8 weeks' compensation.
(12) Fourth finger lost, 7 weeks' com. pensation.
(13) Loss of hearing: One ear, 52 weeks' compensation; both ears, 200 weeks' compensation.
(14) Phalanges: Compensation for loss of more than one phalanx of a digit shall be the same as for the loss of the
entire digit. Compensation for loss of the first phalanx shall be one-half of the compensation for the loss of the entire digit.
(16) Amputated arm or leg: Compensation for an arm or a leg, if amputated at or above the elbow or the knee, shall be the same as for the loss of the arm or leg; but, if amputated between the elbow and the wrist, or between the knee and the ankle, the compensation shall be the same as for the loss of the hand or the foot.
(16) Binocular vision or per centum of vision: Compensation for loss of binocular vision, or for 80 per centum or more of the vision of an eye shall be the same as for loss of the eye.
(17) Two or more digits: Compensation for loss of two or more digits, one or more phalanges of two or more digits, of a hand or foot may be proportioned to the loss of use of the hand or foot occasioned thereby, but shall not exceed the compensation for the loss of a hand or a foot.
(18) Total loss of use: Compensation for permanent total loss of use of a member shall be the same as for loss of the member.
(19) Partial loss or partial loss of use: Compensation for permanent partial loss or loss of use of a member may be for proportionate loss of use of the member.
(20) Consecutive awards: In any case in which there shall be a loss or loss of use of more than one member or parts of more than one member, set forth in subparagraphs (1) to (19), inclusive, of this paragraph but not amounting to permanent total disability, the award of compensation shall be for the loss or loss of use of each such member or part thereof, which awards shall run consecutively, except that where the injury affects only two or more digits of the same hand or foot, subparagraph (17) of this paragraph shall apply.
(21) Other cases: In all other cases within this class of disability the compensation during the continuance of disability shall be that proportion of com. pensation for permanent total disability, as determined under paragraph (a) of this section, which is equal in percentage to the degree or percentage of physical impairment caused by the disability.
(22) Compensation under subpar&
graph (1) to (21), inclusive, of this paragraph for permanent partial dis ability, shall be in addition to any compensation for temporary total or temporary partial disability under this section, and awards for temporary total, temporary partial, and permanent partial disability shall run consecutively.
(d) Temporary partial disability. In case of disability, partial in character and temporary in quality, during the continuance of disability that proportion of compensation for temporary total disability, as determined under paragraph (b) of this section, which is equal in percentage to the degree or percentage of physical impairment caused by the disability. 8 25.12 Compensation for death.
If the disability causes death the compensation shall be payable in the amount, and to or for the benefit of the persons, determined as follows:
(a) To the undertaker or person entitled to reimbursement, reasonable funeral expenses not exceeding $200.
(b) To the widow, if there is no child, 35 per centum of the monthly pay until her death or remarriage.
(c) To the widower, if there is no child and if wholly dependent for support upon the deceased employee at the time of her death, 35 per centum of the monthly pay until his death or remarriage.
(d) To the widow or widower, if there is a child, the compensation payable under paragraph (b) or (c) of this section, and in addition thereto 10 per centum of the monthly wage for each child, not to exceed a total of 662/3 per centum for such widow or widower and children. I a child has a guardian other than the surviving widow or widower, the compensation payable on account of such child shall be paid to such guardian. The compensation of any child shall cease when he dies, marries, or reaches the age of 18 years, or if over such age, and incapable of self-support, becomes capable of self-support.
(e) To the children, if there is no widow or widower, 25 per centum of such monthly pay for one child and 10 per centum thereof for each additional child, not to exceed a total of 662 per centum thereof, divided among such children share and share alike. The compensa,
tion of each child shall be paid until he dies, marries, or reaches the age of 18, or if over such age, and incapable of self-support, becomes capable of selfsupport. The compensation of a child under legal age shall be paid to its guardian, if there is one, otherwise to the person having the custody or care of such child, for such child, as the Bureau in its discretion shall determine.
(f) To the parents, if one is wholly dependent for support upon the deceased employee at the time of his death and the other is not dependent to any extent, 25 per centum of such monthly pay; if both are wholly dependent, 20 per centum thereof to each; if one is or both are partly dependent, a proportionate amount in the discretion of the Bureau. The compensation to a parent or parents in the percentages specified shall be paid if there is no widow, widower, or child, but if there is a widow, widower, or child, there shall be paid so much of such percentages for a parent or parents, as, when added to the total of the percentages of the widow, widower, and children, will not exceed a total of 6633 per centum of such pay.
(g) To the brothers, sisters, grandparents, and grandchildren, if one is wholly dependent upon the deceased employee for support at the time of his death, 20 per centum of such pay to such dependent; if more than one are wholly dependent, 30 per centum of such pay, divided among such dependents share and share alike; if there is no one of them wholly dependent, but one or more are partly dependent, 10 per centum of such pay divided among such dependents share and share alike. The compensation to such beneficiaries shall be paid if there is no widow, widower, child, or dependent parent. If there is a widow, widower, child, or dependent parent, there shall be paid so much of the above percentages as, when added to the total of the percentages payable to the widow, widower, children, and dependent parents, will not exceed a total of 6623 per centum of such pay.
(h) The compensation of each beneficiary under paragraphs (f) and (g) of this section shall be paid until he, if a parent or grandparent, dies, marries, or ceases to be dependent, or, if a brother, sister, or grandchild, dies, marries, or reaches the age of 18 years, or if over such