FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Paula J. Licka
RECOMMENDATION:
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Review and determine the Service-Connected Disability Retirement with Supplemental Retirement Allowance of Paula J. Licka - San Bernardino County - Human Services.
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Requested Benefit:
1. Service-Connected Disability Retirement with Supplemental Retirement Allowance
Staff Recommendation:
1. Paula J. Licka is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Paula J. Licka’s disability is nonservice-connected based on the claimed injury(ies)/disease as listed in Exhibit A; therefore, grant a nonservice connected disability benefit.
3. Paula J. Licka 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 July 16, 2022, the day after the last day of regular compensation.
BACKGROUND:
This matter is in closed session because the Applicant is permanently incapacitated, but there is not a real and measurable connection between the incapacity and employment. Therefore, staff recommends granting a nonservice-connected disability retirement based on the injuries cited in Section II of Exhibit A.
Medical Advisor - Jeffrey Wainstein, M.D.
Attorney - None
STAFF CONTACT:
Barbara Hannah
David Lantzer
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Medical Advisor’s Report - Dr. Wainstein 02/22/24
Exhibit D: Independent Medical Examiner’s Report - Dr. Schreiber 01/11/24
Exhibit E: Applicant’s Statement of Facts and Physician’s Report
Exhibit F: Department Statement of Facts
Exhibit G: Job Description, Physical Requirements