San Bernardino County Employees Retirement Association
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File #: 22-210    Name:
Type: Consent Item
File created: 5/19/2022 In control: BOARD OF RETIREMENT
On agenda: 6/2/2022 Final action:
Title: Approve the Service-Connected Disability Retirement application of Martin A. Lozano - San Bernardino County - Sheriff.
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FROM:                                          Barbara Hannah, Chief Counsel

 

SUBJECT:                                          Disability Retirement Application of Martin A. Lozano                     

 

RECOMMENDATION:

title

Approve  the Service-Connected Disability Retirement application of Martin A. Lozano - San Bernardino County - Sheriff.

body

 

Requested Benefit:

1.                     Service-Connected Disability Retirement

 

Staff Recommendation:

1.                     Martin A. Lozano is permanently incapacitated for the performance of duties and a disability retirement should be granted.

 

2.                     Martin A. Lozano’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.                     Staff shall initiate disability benefit payments with an effective date of February 13, 2021, the day after the last day of regular compensation.

 

BACKGROUND:

Independent Medical Examiner - Michael G. Klassen, M.D.

Attorney - None

 

STAFF CONTACT:

Barbara Hannah

David Lantzer

 

ATTACHMENTS:

Exhibit A:                     Claimed Injury or Disease

Exhibit B:                     Demographic Information

Exhibit C:                     Independent Medical Examiner’s Report - Dr. Klassen 12/17/21

Exhibit D:                     Independent Medical Examiner’s Report - Dr. Klassen 04/23/22

Exhibit E:                     Independent Medical Examiner’s Report - Dr. Klassen 05/18/22

Exhibit F:                     Applicant’s Statement of Facts and Physician’s Report

Exhibit G                     Department Statement of Facts

Exhibit H:                     Job Description, Physical Requirements