Longshore and Harbor Workers' Compensation (17.302)

 

Program

17.302 Longshore and Harbor Workers' Compensation

 

Federal Agency

OFFICE OF WORKERS' COMPENSATION PROGRAMS, EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR

 

Authorization

Longshore and Harbor Workers' Compensation Act as extended, Public Laws 92-576, and 98-426; 5 U.S.C. 8171; 33 U.S.C. 901- 952; 42 U.S.C. 1651; 42 U.S.C. 1701; 43 U.S.C. 1331.

 

Program Number

17.302

 

Last Known Status

Active

 

Objectives

To provide compensation for disability or death resulting from injury, including occupational disease, to eligible private employees.

 

Types of Assistance

Direct Payments with Unrestricted Use.

 

Uses and Use Restrictions

This program provides income replacement and supplement; schedule awards for the loss of sight or hearing, dismemberment, disfigurement etc., medical expenses (including hospital care); and funeral expenses up to $3,000. Benefits are paid by private insurance carriers or self-insured employers. Appropriated Federal funds are available in certain cases of permanent total disability, and death.

 

Eligibility Requirements

Applicant Eligibility

Longshore workers, harbor workers, and certain other employees engaged in maritime employment on the navigable waters of the United States and adjoining pier and dock areas, employees engaged in activities on the Outer Continental Shelf, employees of nonappropriated fund instrumentalities, employees of private employers engaged in work outside the United States under contracts with the United States Government, and others as specified, including survivors of the above. Employees of private concerns in the District of Columbia and their survivors are eligible for benefits under an extension of the Act, applicable to injuries or deaths based upon employment events that occurred prior to July 26, 1982. Puerto Rico is not covered by the Longshore and Harbor Workers' Compensation Act.

Beneficiary Eligibility

Longshore workers, harbor workers, and certain other employees engaged in maritime employment on the navigable waters of the United States and adjoining pier and dock areas, employees engaged in activities on the Outer Continental Shelf, employees of nonappropriated fund instrumentalities, employees of private employers engaged in work outside of the United States under contracts with the United States Government, and other as specified, including survivors of the above. Employees of private concerns in the District of Columbia and their survivors are eligible for benefits under an extension of the Act, applicable to injuries or deaths based upon employment events that occurred prior to July 26, 1982. Puerto Rico is not covered by the Longshore and Harbor Workers' Compensation Act.

Credentials/Documentation

Necessary documentation is developed when claim is contested by employer or insurance carrier. The claimant may be required to submit to physical examination.

 

Application and Award Process

Preapplication Coordination

None. This program is excluded from coverage under E.O. 12372.

Application Procedure

Employee or his or her survivor files written claim for compensation (Form LS-203 or LS-262) to the local district office of the Office of Workers' Compensation Programs (OWCP).

Award Procedure

Authority to adjudicate claims informally under this program rests with the District Director in (OWCP) district offices. Claims unresolved on voluntary basis are referred for formal hearing under the Administrative Procedure Act.

Deadlines

Claim must be filed within 1 year after (a) the injury or death (2 years if injury is an occupational disease which does not immediately result in death or disability), or (b) the last compensation payment. Time begins to run when prudent person should have been aware of relationship between injury or death and employment. For hearing loss claims, time does not begin to run until an audiogram together with a report showing a hearing loss, is given claimant.

 

Range of Approval/Disapproval Time

Appeals

Application for modification of awards must be filed within 1 year after (a) the last compensation payment, or (b) rejection of a claim by an Administrative Law Judge or District Director Office of Workers' Compensation Programs. Appeal from Administrative Law Judge's decision must be filed within 30 days; Appeals from Benefits Review Board decision must be filed within 60 days.

Renewals

Not applicable.

 

Assistance Considerations

Formula and Matching Requirements

Not applicable.

Length and Time Phasing of Assistance

Injury: The period of total or partial disability with no monetary limit. Death: Spouse - until death or remarriage; children - until age 18 or to age 23 if qualified as a student as defined in the Act. Employers or their insurance carriers are required to begin compensation within 14 days of (a) knowledge of the injury or death or (b) injured employee's report of loss of wages. Payments are generally disbursed on a bi-weekly basis.

 

Post Assistance Requirements

Reports

Not applicable.

Audits

Not applicable.

Records

Not applicable.

 

Program Accomplishments

During a typical month in the fiscal year 2001, approximately 14,830 longshore and harbor workers, District of Columbia workers in private industry, and specified other workers covered by extensions of the Act, or their survivors were receiving benefits under this Act, respectively. A total of 23,480 lost-time injuries were reported during fiscal year 2001. Estimated accomplishments for fiscal year 2002 and projections for fiscal year 2003 in these same categories are as follows: Workers or their survivors being compensated in a typical month, estimated at 15,000 and the total number of lost-time injuries reported is estimated at 23,000.

 

Financial Information

Account Identification

16-1521-0-1-601.

Obligations

(Direct Compensation) FY 02 $3,003,000; FY 03 est $2,900,000; and FY 04 est $2,750,000.

Range and Average of Financial Assistance

Disability - 66-2/3 percent of average weekly wage; death benefits 50 percent average wages of deceased to such widow or widower, plus 16-2/3 percent for each surviving child with 66-2/3 percent limit. Average benefit unknown. Benefits limited to 200 percent of national average weekly wage.

 

Regulations, Guidelines and Literature

Longshore and Harbor Workers' Compensation Act, as extended. Copies may be obtained from the Office of Workers' Compensation Programs, Division of Longshore and Harbor Workers' Compensation, Washington, DC 20210.

 

Related Programs

57.001, Social Insurance for Railroad Workers.

 

Information Contacts

Regional or Local Office

Persons are encouraged to communicate with the district offices of the Office of Workers' Compensation Programs. See Appendix IV of the Catalog for addresses and areas of jurisdiction listed under Employment Standards Administration.

Headquarters Office

Office of Workers' Compensation Programs, Division of Longshore and Harbor Workers' Compensation, Washington, DC 20210. Telephone: (202) 693-0038. Contact: Michael Niss.

Web Site Address

http://www.dol.gov

 

Examples of Funded Projects

Not applicable.

 

Criteria for Selecting Proposals

Not applicable.

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