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<regulation prefix="Regulation" num=".01" citation="COMAR 22.06.03.01" title_num="22" subtitle_num="06" chapter_num="03" heading="Disability Unit’s Review.">
  <paragraph num="A.">
    <text>Disability Forms Review.</text>
    <paragraph num="(1)">
      <text>On receipt of a Statement of Disability and Preliminary Application for Disability Retirement, the Disability Unit will conduct a disability forms review to determine whether:</text>
      <paragraph num="(a)">
        <text>The appropriate disability forms have been properly completed and include the required information and documentation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Except as permitted under COMAR 22.06.02.04, the disability forms were submitted to the Retirement Agency before the date membership ended; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>If the applicant has filed a claim for ordinary disability retirement only, the applicant has at least 5 years of eligibility service.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the Disability Unit determines that the applicant has not satisfied the requirement set forth in §A(1)(a) of this regulation, the Disability Unit shall:</text>
      <paragraph num="(a)">
        <text>Reject the disability forms;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Return the disability forms to the applicant;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Notify the applicant that the applicant may refile for disability retirement if the applicant properly completes and timely submits a new Statement of Disability and Preliminary Application for Disability Retirement; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Close the applicant’s file in accordance with COMAR 22.06.01.05B.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Denial of Disability Claim.</text>
      <paragraph num="(a)">
        <text>If the Disability Unit determines that the applicant has not satisfied the requirement set forth in §A(1)(b) or (c) of this regulation:</text>
        <paragraph num="(i)">
          <text>The Retirement Agency shall deny the disability claim; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The Disability Unit shall provide the applicant written notice of the denial of the disability claim and the applicant’s appeal rights under §A(3)(b) and (c) of this regulation and in accordance with COMAR 22.06.05.05.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The applicant may appeal the denial of the disability claim by submitting a written request for a hearing in the format required under COMAR 22.03.04.07B to the Executive Director within 30 days of the date of the Disability Unit’s notice of the denial of the disability claim.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>If the applicant does not submit a written request for a hearing to the Executive Director within 30 days of the date of the Disability Unit’s notice, the applicant shall not have any further right to appeal the denial of the disability claim.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Review of Claim by Applicant with Fewer than 5 Years of Eligibility Service.</text>
    <paragraph num="(1)">
      <text>An applicant who has fewer than 5 years of eligibility service is not eligible for ordinary disability retirement.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the applicant has filed a claim for accidental disability retirement, the Disability Unit and medical board may review the applicant’s claim for eligibility for accidental disability retirement only.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The Disability Unit may request an applicant or an applicant’s employer to submit additional information, including but not limited to:</text>
    <paragraph num="(1)">
      <text>Records of proceedings before, or any decisions issued by the Workers’ Compensation Commission or Social Security Administration;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The applicant’s personnel records; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Any other information the Disability Unit considers relevant to the determination of the disability claim.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Review of Claims for Accidental Disability Retirement.</text>
    <paragraph num="(1)">
      <text>Except as provided in §D(2) of this regulation, the Disability Unit shall review an applicant’s claim for accidental disability retirement to determine whether the event claimed to be the natural and proximate cause of the applicant’s disability was an accident that occurred in the actual performance of duty at a definite time and place without willful negligence by the applicant.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the applicant is in the State Police Retirement System or Law Enforcement Officers’ Pension System:</text>
      <paragraph num="(a)">
        <text>Subject to §D(2)(b) of this regulation, the Disability Unit shall review the applicant’s claim for accidental disability retirement to determine whether the occurrence or condition claimed to be the cause of the applicant’s disability arose out of and in the course of the actual performance of duty without willful negligence by the applicant.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If the applicant is a member of the Deferred Retirement Option Program who commenced participation on or after July 1, 2008, the Disability Unit shall also review the applicant’s claim to determine whether the occurrence claimed to be the cause of the applicant’s disability arose out of and in the course of the actual performance of duty during the member’s participation in the Deferred Retirement Option Program, without willful negligence by the applicant.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Except if the applicant is in the State Police Retirement System, Law Enforcement Officers’ Pension System, or Correctional Officers’ Retirement System, the Disability Unit may not consider an accident that took place more than 5 years before the date that the Statement of Disability and Preliminary Application for Disability Retirement was submitted to the Retirement Agency.</text>
    </paragraph>
  </paragraph>
</regulation>