FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Hui Fong Chieng
RECOMMENDATION:
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Review and determine the disability retirement application of Hui Fong Chieng.
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Requested Benefit:
1. Service-Connected Disability Retirement with Supplemental Retirement Allowance
Staff Recommendation:
1. Hui Fong Chieng is permanently incapacitated for the performance of duties and a disability retirement be granted.
2. Hui Fong Chieng’s disability is service-connected based on the claimed injury(ies)/disease as listed in Exhibit A; therefore, grant a service-connected disability benefit.
3. Hui Fong Chieng is not capable of gainful employment; therefore, grant the supplemental disability retirement allowance.
4. Staff shall initiate disability benefit payments with an effective date of the day after the last day of regular compensation as determined by staff provided the benefit is requested in writing.
BACKGROUND:
Medical Advisor - Lance R. Mohr, MD, MPH.
Attorney - None
STAFF CONTACT:
David Lantzer
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Medical Advisor’s Report
Exhibit D: Independent Medical Examiner’s Report
Exhibit E: Applicant’s Statement of Facts and Physician’s Report
Exhibit F: Department Statement of Facts
Exhibit G: Job Description, Physical Requirements