Title
Amendment on Permanent Total Disability Claims Approval
Law
Gsis No. 24
Decision Date
Feb 23, 2012
The amendment to Board Resolution No. 11 mandates that all approved but unpaid applications for permanent total disability benefits under Section 16 (d) (5) of R.A. No. 8291 must be submitted to the Board for final approval by the assigned Medical Officer.

Interim Measure and its Amendment

  • Original Board Resolution No. 11 (26 January 2012) established that pending approval of the policy on permanent total disability, applications must go through Board approval.
  • The amendment extends this requirement to include applications already approved by the Medical Evaluation and Underwriting Department (MEUD) but remain unpaid.

Procedural Requirements

  • All applications under the specified section, whether new or previously approved but unpaid, must be submitted to the Board via the concerned Medical Officer for final approval.
  • This process ensures further oversight and final confirmation by the Board before benefits are disbursed.

Role of Medical Officers and MEUD

  • Medical Officers assigned to each Operations Group (Luzon, NCR, VisMin) play a key role in recommending applications.
  • The Medical Evaluation and Underwriting Department (MEUD) approves applications initially, after which they are subject to Board review if unpaid.

Legal and Administrative Significance

  • The amendment confirms and approves the extension of the interim measure to cover unpaid but approved applications, thereby strengthening administrative control.
  • It promotes careful evaluation and management of permanent total disability claims to ensure compliance with R.A. No. 8291.

Board Authority

  • The Board holds final authority in approving or confirming permanent total disability benefit applications falling under Section 16(d)(5) of R.A. No. 8291.
  • The resolution reinforces the Board's oversight role over claims before the release of benefits.

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