|
Office of Workers' Compensation Programs, Longshore and Harbor Workers'
Compensation Act Special Fund System.
None.
Division of Longshore and Harbor Workers' Compensation, Office of
Workers' Compensation Programs, 200 Constitution Avenue, NW, Washington, DC
20210.
Persons receiving compensation and related benefits under the Longshore
and Harbor Workers' Compensation Act, the Non-Appropriated Fund
Instrumentalities Act, the Defense Base Act, the War Hazards Act, and the DC
Workers' Compensation Act, referred to collectively herein as the Longshore and
Harbor Workers' Compensation Act (LHWCA).
Medical and vocational rehabilitation reports, bills, vouchers and
records of payment for compensation and related benefits, statements of
employment status, and formal orders for payment of compensation, and U.S.
Treasury Records.
33 U.S.C. 901 et seq. (20 CFR parts 701 et seq.); 36 DC Code 501 et
seq.; 42 U.S.C. 1651 et seq.; 43 U.S.C. 1331 et seq.; 5 U.S.C. 8171 et seq.
This system provides a record of payments to claimants, their qualified
dependents, or providers of services to claimants from the Special Fund
established pursuant to Section 44 of the Act.
In addition to those universal routine uses listed in the General
Prefatory Statement to this document, disclosure of information from this
system of records may also be made to the following individuals and entities
for the purposes noted when the purpose of the disclosure is compatible with
the purpose for which the information was collected:
a. The employer or employer's representatives, including third-party
administrators, and/or any party providing the employer with workers'
compensation insurance coverage since the employer and insurance carrier are
parties-in-interest to all actions on a case, for the purpose of assisting in
the litigation of the claim, at any time after report of the injury or report
of the onset of the occupational illness, or the filing of a notice of injury
or claim related to such injury or occupational illness.
b. Doctors, pharmacies, and other health care providers for the purpose
of treating the claimant, conducting medical examinations, physical
rehabilitation or other services or obtaining medical evaluations.
c. Public or private rehabilitation agencies to whom the injured worker
has been referred for vocational rehabilitation services so that they may
properly evaluate the injured worker's experience, physical limitations and
future employment capabilities.
d. Federal, state and local agencies conducting similar or related
investigations to verify whether prohibited dual benefits were provided,
whether benefits have been or are being paid properly, including whether dual
benefits prohibited by federal law are being paid; salary offset and debt
collection procedures including those actions required by the Debt Collection
Act of 1982.
e. Labor unions and other voluntary associations from which the
claimant has requested assistance with the processing of the LHWCA claim.
f. Internal Revenue Service for the purpose of obtaining taxpayer
mailing addresses in order to locate such taxpayer to collect, compromise, or
write-off a Federal claim against the taxpayer; discharging an indebtedness
owed by an individual
g. Trust funds that have demonstrated to the OWCP a right to a lien
under 33 U.S.C. 917, for the purpose of permitting the trust funds to identify
potential entitlement to payments upon which the trust funds may execute the
lien.
h. To individuals, and their attorneys and other representatives, and
government agencies, seeking to enforce a legal obligation on behalf of such
individual, to pay alimony and/or child support, for the purpose of enforcing
such an obligation, pursuant to an order of a state or local court of competent
jurisdiction, including Indian tribal courts, within any State, territory or
possession of the United States, or the District of Columbia or to an order of
a State agency authorized to issue income withholding notices pursuant to State
or local law or pursuant to the requirements of section 666(b) of title 42,
United States Code, or for the purpose of denying the existence of funds
subject to such legal obligation.
Disclosure of information contained
in the file to the claimant, a person who is duly authorized to act on his/her
behalf, or to others to whom disclosure is authorized by these routine uses,
may be made over the telephone. Disclosure over the telephone will only be done
where the requestor provides appropriate identifying information. Telephonic
disclosure of information is essential to permit efficient administration and
adjudication of claims.
Information from this system of
records is disclosed to members and staff of the Office of Administrative Law
Judges, the Benefits Review Board, the Office of the Solicitor and other
components of the Department who have a need for the record in the performance
of their duties.
None.
Case files are maintained in manual files and magnetic tapes.
Case files are retrieved by social security number, which is
cross-referenced to injured worker by name.
:
Files are maintained under supervision of OWCP personnel during normal
working hours. Confidential passwords are required for access to automated
records. Files and magnetic tapes are in Federal office building.
Files are destroyed 7 years after last payment is made.
Director for Longshore and Harbor Workers' Compensation, Office of
Workers' Compensation Programs, 200 Constitution Avenue, NW, Washington, DC
20210.
Requests, including name and case number, if known, should be addressed
to the System Manager.
Individuals wishing to request access to records should contact the
System Manager indicated above.
Individuals wishing to contest the contents of a record should contact
the System Manager indicated above.
The system obtains information from injured employees, their qualified
dependents, employers, insurance carriers, physicians, medical facilities,
educational institutions, attorneys, and State, Federal, and private vocational
rehabilitation agencies.
None.
| 
