Medical Eligibility. The District medical plans will be limited to the coverage provided for active unit members. The requirements cited in Section 16.3.7, apply to unit members who were employed on or before July 1, 1984, who are planning to take disability retirement. The requirements cited in Section 16.4.4, apply to unit members who were employed on or after July 1, 1984, who are planning to take disability retirement. Specific Medicare Regulations and protections apply to disability retirements and a unit member who is retiring under PERS or STRS disability provisions must consult the Social Security Administration for details.
Medical Eligibility. AFT requires that the Beneficiary have a mental or physical disability that substantially limits one or more major life activities, regardless of whether the impairment is congenital or caused by accident, injury, age or disease. Such condition must be verified by medical findings that meet the medical- vocational requirements for a finding of disability under Section 223(d) of the Social Security Act, 42 U.S.C. Section 4223(d), or under Section 1614 of the Social Security Act, 42 U.S.C. Section 1382c. Proof of this medical eligibility has been provided to the Trustee.
Medical Eligibility. In addition to financial eligibility, an individual shall meet the medical and functional eligibility criteria as established by the PAS. The PAS is conducted by a registered nurse or social worker with consultation by a physician, if necessary, to evaluate the person’s medical status. The PAS is used to determine whether the person is at immediate risk of placement in an institution for Individuals with Intellectual/Cognitive Disabilities. In most cases, the medical status of each member will not be re-evaluated annually; however, the Contractor is responsible for notifying the Division of significant changes in a member’s condition, which may result in a change in eligibility.
