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Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

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Page 1: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace
Page 2: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Terms Service-connected Disability

Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Nonservice-connected Disability Must have at least 5 years of service (60 months) Must be permanently disabled No direct link to the workplace

Service Retirement Concurrent with Disability Application Waive reinstatement rights

Page 3: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Workers’ Compensation provides different benefits from County Retirement:

Temporary Disability Permanent Disability Rehab or supplemental job displacement benefit

LACERA’s Board of Retirement (BOR) not bound by Workers’ Compensation; not party to Workers’ Compensation Decisions

LACERA is separate, legal entity – findings made in Workers’ Compensation cases are not binding in County Retirement System

LACERA grants only Permanent Incapacity

Workers’ Compensation vs. Disability Retirement Law Comparison

Page 4: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Application Employee may fill out a Disability application

or a Human Resources Professional may fill it out on the employees behalf.

Disability packages can be found on lacera.com. You may download or order online.

Page 5: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace
Page 6: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Disability Retirement Package for Employees Disability Retirement Brochure Disability Retirement Eligibility and Application Instructions Application for Disability Retirement Physician Statement for Disability Retirement Taxability of a LACERA Disability Retirement Allowance Claims Against Third Parties Authorization to Obtain and Release Records

Page 7: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Disability Retirement Package for Employers Disability Retirement brochure Disability Retirement Eligibility and Application Instructions

(Department version) Application for Disability Retirement

Page 8: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Discovery and Obtaining Records Records obtained prior to interviewing the employee:

Medical/Psychiatric Records through TPA or private Personnel Records (cooperative effort with county departments)

Performance Evaluations Grievance Filing/Internal Investigations

Worker’s Compensation Files Benefit Awards Notice of Work Restrictions List of All Claims Filed Electronic Access Listing Third Party Administrator Assistance CAO Office Communication

Page 9: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Employee Interview Prepare a Disability Evaluation Summary Report The interview is conducted to obtain the following information:

History of Injury/Illness Occupational History/Physical Requirements Light Duty/Accommodated Assignments Current Symptoms/Complaints Retroactive Recommendation

Page 10: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Witness Statements Investigator contacts supervisor and/or co-workers:

Statements to verify the witnessing of injury/illness “Actual job duties” Physical requirements Frequency of movements Ability to perform duties

Return-to-work Coordinator statements regarding accommodation

Page 11: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Medical Examination Send Medical Records and Summary Report to Panel Physician

(Panel Physician Guidelines) The mechanism of injury Show history and track treatment rendered General medical history

Page 12: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Board Preparation Notify the Member/Attorney, in writing, of exam

date Notify the Member/Attorney, in writing, of Board

date

Member/Attorney may attend the closed session, but he/she may not address the Board regarding the application

Page 13: Terms Service-connected Disability Eligible from 1st day of employment Must be permanently disabled Must have a direct causational link to the workplace

Processing Timeframes Minimum amount of time to process a disability application is 7

to 9 months This is based on a single claim of disability Extra time may be needed for extensive investigation or delays in

obtaining medical evidence Additional medical specialties evaluations may also be required