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HomeMy WebLinkAbout28 Disability ReExamination Investigation Policy TAB 28 DISABILITY REEXAMINATION INVESTIGATION POLICY July 21 , 2009 DISABILITY REEXAMINATION INVESTIGATION POLICY This policy is to assist the Police and Fire Retirement Board (the Board) in the implementation of disability retirement reexaminations under Lansing Ordinance Section 294.02(p). The guidelines and procedure expressed in this policy may be used to assist the Board in its determination of when to require a disability retiree to undergo a medical examination or when to seek assistance in verifying the earnings of a disability retiree. This policy is not intended to be a limitation on the Board's discretion regarding reexaminations or earnings verification, but is to provide a practical approach for dealing with situations where the Board receives a complaint or other information that calls into question the nature or extent of a disability retiree's condition or the validity of a statement of earnings submitted by a disability retiree. A complaint or information received by the Board, or a Board member, may form the basis for a reexamination referral when it is verifiable and reliable and meets the threshold criteria of being relevant to the disability eligibility standard that must be met by the disability retiree. A complaint or information received by the Board, or a Board member, may form the basis for seeking assistance in verifying the earnings of a disability retiree when it is verifiable and reliable and meets the threshold criteria of being relevant to the compensation limitations imposed upon a disability retiree by Lansing Ordinance Section 294.02(p)(3). If, based on the complaint or information that meets the threshold criteria above, the Board, through its Disability Committee, determines there is prima facie evidence that the disability retiree is no longer physically disqualified from work or that the earnings reported by the disability retiree are inaccurate, and decides that an additional third party investigative report would be beneficial and would further the Board's consideration of the issue, the Disability Committee may engage the services of an outside investigator, subject to the following: Before engaging the services of an investigator, the Disability Committee should consider the need for verification of the retiree's personal or financial condition by a third party, the cost and cost effectiveness of an investigative report and the scope of the investigation. The scope may include whether the investigative services should be limited to surveillance or should also include actively questioning neighbors, coworkers, friends, family, etc. as to the retiree's functional capacity or earnings. A fund for such investigative services will be established from securities lending in the amount of $2,500.00. The services may only be contracted for by the Chair of the Disability Committee on consideration and action by a majority serving and then only after the threshold criteria in this policy has been met. The Disability Committee may only approve a contract for services on a"cost not to exceed contract basis"and the scope of services must be clearly defined in the contract. The Disability Committee may only approve a contract for services that is nonassignable. Despite this policy, no single disability retiree investigation shall exceed $750,00 without first being submitted and approved by the full Board. To ensure compliance with the requirements of this policy, prior to entering into a contract for services the Disability Committee shall require an investigative services firm to disclose whether any of the firm's current investigators were previously employed as a police officer or law enforcement official, or as a firefighter or fire official, in Ingham, Eaton or Clinton Counties. A contract for services with an investigative services firm shall specify that this disclosure requirement is ongoing during the contract term. Should the Disability Committee determine to engage the services of an investigator to investigate a retiree's personal or financial condition, the retiree who shall be the subject of such investigation shall be referred to publicly by a case number assigned by the Disability Committee to ensure the confidentiality and effectiveness of the investigation. The report should be received by the Disability Committee and if sufficiently persuasive, may form the basis for a recommendation to the full Board to make a medical referral or to challenge the reported earnings of a disability retiree. The report may, upon Board action, also be provided to the Medical Director to assist in his/her review and reexamination. 5811245.4 26005/118235