HomeMy WebLinkAbout11 INDUSTRIAL LIABILITY RETIREMENT OF GENTRY MAYFIELDAgenda Item 11
Reviewed:
AGENDA REPORT City Manager
Finance Director fN1
MEETING DATE: SEPTEMBER 20, 2016
TO: JEFFREY C. PARKER, CITY MANAGER
FROM: DERICK YASUDA, DIRECTOR OF HUMAN RESOURCES
SUBJECT: FINDING AND DETERMINING THE INDUSTRIAL DISABILITY RETIREMENT
OF GENTRY MAYFIELD
SUMMARY
Adoption of the attached Resolution will certify that Gentry Mayfield is industrially
disabled from his position of Police Officer and enable CalPERS to process his
industrial disability retirement.
RECOMMENDATION
Adopt Resolution No. 16-52 finding that Police Officer Gentry Mayfield is industrially
disabled from performing the duties of his position.
FISCAL IMPACT
None.
BACKGROUND AND DISCUSSION
An industrial disability retirement is retirement resulting from an employee's mental or
physical incapacity to perform his/her usual job duties as the result of a job-related
injury or illness. For local safety employees (e.g. sworn Police Officers) enrolled in the
California Public Employees' Retirement System (CaIPERS), state law requires the
employer to make a determination on a member's eligibility for industrial disability
retirement.
In accordance with the California Public Employees Retirement Law (PERL), a local
safety employee qualifies for an industrial disability retirement if he/she 1) is
determined, on the basis of competent medical opinion, to be substantially incapacitated
from performing the usual and customary duties of his/her position, 2) the disability is
permanent or of an extended and uncertain duration, and 3) the cause of the injury or
illness is industrial, arising out of and in the course of employment.
In accordance with CalPERS guidelines, as soon as it is believed that an employee is
unable to perform his/her job because of an industrial injury or illness that is expected to
City Council Agenda Report
September 20, 2016
Industrial Disability Retirement of Gentry Mayfield
Page 2
be permanent or of an extended and uncertain duration, the employee (or the employer
on his/her behalf) should submit an application for industrial disability retirement.
Gentry Mayfield separated from City service on October 2, 2015 and submitted to
CalPERS an application for a Service Retirement Pending Industrial Disability
Retirement, with an effective date of October 3, 2015. For individuals who have reached
the "normal" retirement age (age 50 for a Police Officer), filing for a Service Retirement
Pending Industrial Disability Retirement allows Officer Mayfield to receive a service
retirement benefit while his Industrial Disability Retirement is being reviewed.
Gentry Mayfield has been employed by the City of Tustin as a Police Officer for
approximately 19 years. Officer Mayfield filed a workers' compensation claim on May
27, 2015 for back pain. The injury was ultimately determined to be cumulative trauma to
the thoracolumbar spine and was accepted by the City as industrially related.
After working for two weeks following the report of injury, Officer Mayfield's primary
treating physician, Dr. Luis Rivera at U.S. Healthworks, took him off work on June 15,
2015. Officer Mayfield remained physically unable to return to work for the remainder of
his time with the City and voluntarily separated from City service on October 2, 2015;
prior to the expiration of Labor Code Section 4850 salary continuation benefits. As an
individual who is eligible for a normal service retirement based on his age and years of
service, Officer Mayfield filed for a Service Retirement Pending Industrial Disability
Retirement in order to begin to receive a retirement benefit as he awaits a determination
on his Industrial Disability Retirement.
The City scheduled Officer Mayfield for an orthopedic Independent Medical Examination
for the specific purpose of confirming whether Mayfield is disabled within the meaning of
the PERIL. In July, the City received a report from Independent Medical Evaluator (IME)
Richard I. Woods, MD, stating 1) Officer Mayfield is substantially incapacitated from
performing the usual and customary duties of a Police Officer, 2) Officer Mayfield has
reached Maximum Medical Improvement (MMI) with a permanent incapacitating
disability, and 2) Officer Mayfield's disability is industrial and arose out of the course of
his employment with the City.
Considering the above, the City's human resources staff and third -party workers'
compensation administrator believe that the City has all the information necessary to
determine that Gentry Mayfield is industrially disabled from his position as a Police
Officer in accordance with the criteria set forth in the PERL. Upon City Council adoption
of the attached resolution, staff will send the resolution to CaIPERS to certify his
industrial disability and allow CaIPERS to process his industrial disability retirement
application.
City Council Agenda Report
September 20, 2016
Industrial Disability Retirement of Gentry Mayfield
Page 3
Derick Yasuda
Director of Human Resources
Attachments:
1. City Council Resolution No. 16-52
RESOLUTION NO. 16-52
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
TUSTIN, CALIFORNIA, FINDING THAT GENTRY
MAYFIELD, A LOCAL SAFETY MEMBER, IS
INDUSTRIALLY DISABLED FROM HIS DUTIES AS A
POLICE OFFICER
WHEREAS, the City of Tustin (hereinafter referred to as Agency) is a contracting
agency of the California Public Employees' Retirement System (CaIPERS); and
WHEREAS, the California Public Employees' Retirement Law (PERL) requires
that a contracting agency determine whether an employee of such agency in
employment in which he/she is classified as a local safety member is disabled for
purposes of the PERL and whether such disability is "industrial" within the meaning of
such law; and
WHEREAS, an application for the industrial disability retirement of Gentry
Mayfield, employed by the Agency in the position of Police Officer, has been filed with
CaIPERS; and
WHEREAS, the City of Tustin has reviewed the medical and other evidence
relevant to such alleged disability.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of
Tustin does hereby find and determine that Gentry Mayfield is incapacitated within the
meaning of the PERL from performing his usual and customary duties in the position of
Police Officer; and
BE IT FURTHER RESOLVED that the City of Tustin does hereby find and
determine that such disability is a result of injury or disease arising out of and in the
course of employment. Neither said Gentry Mayfield nor the Agency has applied to the
Workers' Compensation Appeals Board for a determination pursuant to Section 21166
whether such disability is industrial; and
BE IT FURTHER RESOLVED that the member voluntarily separated from his
position of Police Officer prior to the expiration of his rights under Section 21164,
Government Code, and that no dispute as to the expiration of such leave rights is
pending. His last day on paid status was October 2, 2015 and his retirement date was
October 3, 2015. There is no possibility of third party liability. Advanced Disability
Pension Payments were not made, as the member filed for a Service Retirement
Pending Industrial Disability Retirement. The primary disabling condition is orthopedic.
Resolution 16-52
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PASSED AND ADOPTED at a regular meeting of the City Council of the City of Tustin
held on the 20"' day of September 2016.
JOHN NIELSEN
Mayor
ATTEST:
ERICA N. RABE
City Clerk
STATE OF CALIFORNIA )
COUNTY OF ORANGE ) SS
CITY OF TUSTIN
I, Erica N. Rabe, City Clerk and ex -officio Clerk of the City Council of the City of Tustin,
California, do hereby certify that the whole number of the members of the City Council of
the City of Tustin is five; that the above and foregoing Resolution No. 16-52 was duly
passed and adopted at a regular meeting of the Tustin City Council, held on the 201' day of
September 2016, by the following vote:
COUNCILMEMBER AYES:
COUNCILMEMBER NOES:
COUNCILMEMBER ABSTAINED:
COUNCILMEMBER ABSENT:
ERICA N. RABE
City Clerk
Resolution 16-52
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