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AGENDA ITEM REVIEW FORM |  |
2.C.
PSPRS - Fire
- Meeting Date:
- 09/19/2019
- Submitted By:
- Diana Hernandez, Administrative Coordinator, Fire Department
ITEM:
Discussion and possible action on any and all matters regarding designating a physician or physicians to a medical board and adopting that medical board. (Edgardo Carbajal, Human Resources Coordinator).
SUMMARY:
The Board has the power to appoint a medical board (ARS 38-847(D)((9) authority is highlighted in the first attachment). The purpose of a medical board is to determine disability for benefits or determine pre-existing conditions or other disqualifying circumstances. (ARS 38-859 the second attachment explains the purpose of the medical board. ARS 38-844(D) list the disqualifying circumstances.)
ARS 8-859(B) explains that the physicians the board designates cannot be physicians regularly contracted by the City of San Luis when the physician is determining whether a member is disabled for purposes of receiving the plan benefit. However, for purposes of determining whether a pre-existing condition or other disqualifying circumstance exists, the physician may be regularly contracted by the city. Here is the wording of ARS 8-859(B):
"For the purpose of determining a disability, the medical board shall be composed of a designated physician or physicians working in a clinic other than the employer’s regular employee or contractee. Employees employed after October 1, 1992 shall undergo a medical examination for the purpose of identifying a physical or mental condition or injury that existed or occurred prior to a member’s date of membership in the system and for which benefits may otherwise be limited by § 38-844, subsection D, and for this purpose, the medical board shall be composed of a designated physician or physicians working in a clinic that may be the employer’s regular employee or contractee."
Staff recommends the physicians of Pinnacle Health Care, Urgent Care Health Centers, Bruce Carter, M.D. and James Black, M.D.
ARS 8-859(B) explains that the physicians the board designates cannot be physicians regularly contracted by the City of San Luis when the physician is determining whether a member is disabled for purposes of receiving the plan benefit. However, for purposes of determining whether a pre-existing condition or other disqualifying circumstance exists, the physician may be regularly contracted by the city. Here is the wording of ARS 8-859(B):
"For the purpose of determining a disability, the medical board shall be composed of a designated physician or physicians working in a clinic other than the employer’s regular employee or contractee. Employees employed after October 1, 1992 shall undergo a medical examination for the purpose of identifying a physical or mental condition or injury that existed or occurred prior to a member’s date of membership in the system and for which benefits may otherwise be limited by § 38-844, subsection D, and for this purpose, the medical board shall be composed of a designated physician or physicians working in a clinic that may be the employer’s regular employee or contractee."
Staff recommends the physicians of Pinnacle Health Care, Urgent Care Health Centers, Bruce Carter, M.D. and James Black, M.D.
RECOMMENDATION / SUGGESTED MOTION:
I MOVE TO DESIGNATE PHYSICIANS BRUCE CARTER, M.D. AND JAMES BLACK, m.d. AND RATIFY USING THEM FOR THE PRE-MEMBERSHIP EXAMS OF OMAR TERAN, CHRISTIAN OFALLA, DAVID HILPERT III, ANTONIO RIOS JR, ALEJANDRO URZUA, CAROLINE BUCKINGHAM, ANTHONY BURRUEL, AND RAMIRO RODRIGUEZ. AND ADOPT THOSE PHYSICIANS AS THE MEDICAL BOARD.