Maryland State Retirement and Pension System members open a disability retirement claim with Form 20, the Statement of Disability, and Section Three is the treating physician's medical report. The Agency's Medical Board decides the claim without examining the applicant, so the physician's history, findings, studies, diagnosis, treatment, evaluation and prognosis carry the case for ordinary, accidental or special disability.
The member completes Section One and signs Part One of Section Three, the authorization, and the retirement coordinator or employer completes Section Two. The treating physician completes Part Two of Section Three, the Physician's Medical Report.
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Statement of Disability Retirement (Section Three: Physician's Medical Report)
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Sections Two and Three must be completed and submitted within 45 days of the date the member's claim is submitted. If the Physician's Medical Report is not received within 45 days, the claim file is closed and the disability claim is terminated.
Not routinely. The instructions say the Medical Board decides the claim without a personal examination, so the physician's documentation must show the severity and duration of the condition. The member does agree to see Agency-designated physicians if the Board needs an additional opinion.
The member completes Section One, including the claim type and any work accident, and signs the release in Section Three, Part One. The retirement coordinator completes Section Two and sends the job description, two years of evaluations and attendance records. Section Four lists points the member should know.