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TITLE 34 PUBLIC FINANCE
PART 6 TEXAS MUNICIPAL RETIREMENT SYSTEM
CHAPTER 121 PRACTICE AND PROCEDURE REGARDING CLAIMS
RULE §121.1 Definitions
As used in rules and regulations adopted by the Board of Trustees of Texas Municipal Retirement System:
(1) the term "Act" means Subtitle G, Title 8, Government; and
(2) all other words, terms, and phrases as used in such rules and regulations shall have the meaning defined in the Act, unless the context plainly indicates a different meaning.
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RULE §121.2 Scope of Rules
The rules in this chapter shall govern the procedure for the institution, conduct, and determination of all claims arising under the Act. They shall not be construed so as to enlarge, diminish, modify, or alter the jurisdiction, powers, or authority of the system or the substantive rights of any person.
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RULE §121.3 Filing of Documents
All applications, petitions, complaints, replies, and other pleadings seeking to institute any claim, complaint, or other proceeding under the Act, or relating to any such proceeding then pending (other than one that has become a "contested case"), shall be filed with the director, at the offices of the system in Austin. Such instruments shall be deemed filed only when actually received, accompanied by the filing fee, if any, required by statute or by rules of the board. If a proceeding becomes a "contested case," documents shall thereafter be filed in accordance with §§121.12-21.22 of this title (relating to Contest of Application: Form and Content; Notice of Prehearing Disposition; Procedure for Obtaining Hearing of Claim Denied in Whole or in Part by Director; Hearing of Conflicting and Protested Claims; Conduct of Contested Case Hearings; Proposal for Decision; Filing of Exceptions to Proposal, Briefs, and Replies; Board Consideration and Action; Final Decisions and Orders; When Decisions Become Final; Motions for Rehearing; Rendering of Final Decision or Order; The Record).
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RULE §121.4 Computation of Time
(a) Computing time. In computing any period of time prescribed or allowed by these rules, by order of the board, or by any applicable statute, the period shall begin on the day after the act, event, or default in controversy and conclude on the last day of such computed period, unless it be a Saturday, Sunday, or legal holiday, in which event the period runs until the end of the next day that is neither a Saturday, Sunday, nor legal holiday.
(b) Extensions. Unless otherwise provided by statute, the time for filing any application or other form may be extended by order of the director, upon written motion duly filed with the director prior to the expiration of the applicable period of time for the filing of the same, showing that there is good cause for such extension of time and that the need is not caused by the neglect, indifference, or lack of diligence of the movant. A copy of any such motion shall be served upon all other parties of record to the proceeding contemporaneously with filing the motion.
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RULE §121.5 Applications for Benefits or Asserting Other Claims
(a) General. Any person who asserts any claim to any right or benefit under the Act shall file written application with the director of the system at the office of the system in Austin.
(b) Form, content, and signature of applications.
(1) Official forms for applications for certain benefits. Official forms for use in applying for service retirement benefits, for disability retirement benefits, and for refund of accumulated contributions on terminations prior to retirement are available at and may be obtained without charge from the office of the director of the system, in Austin, upon written request; normally, such forms are also available at, and can be obtained from, the director of personnel of the participating city by which the member is or was employed, or (if no such office is maintained) from the officer in charge of payrolls for such city. All applications which are the subject of any official form shall contain the information, statements, and supporting documents designated in that official form, and shall conform substantially to that official form.
(2) Contents of applications having no official form. All applications for which no official form is prescribed shall be typewritten or printed on white paper, 8-1/2 inches wide by 11 inches long, and shall contain:
(A) The name, the Social Security number, and address of the party asserting the right or claim;
(B) A concise statement of the facts relied on as giving rise to the right or claim asserted; and
(C) A prayer stating the type of relief, action, or order desired by the applicant.
(3) Applications required to be signed. All applications for retirement or for retirement benefits must be personally signed in ink by the member seeking retirement, unless there is a legal guardian of the member, in which event the application must be signed by the guardian. The original of all other applications shall be signed by the applicant or by the applicant's authorized representative. The director may require satisfactory proof of the authority of a representative to act for the member.
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RULE §121.6 Time for Filing of Retirement Applications
All applications for retirement, whether for service or for disability, must be filed not less than 30 nor more than 90 days prior to the date specified by the member as the effective date of his or her retirement; the date specified as the effective date for retirement must be the last day of a calendar month and may not be a date preceding the termination of the member's employment with the participating municipality. A member who files an application for retirement with the system on or before the effective date of retirement shall be deemed to have waived the requirement to file the application at least 30 days before the effective date of retirement. An application is filed when it is actually received at the office of the director of the system in Austin.
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RULE §121.7 Supporting Documents To Be Submitted
The director is authorized to require submission of documents reasonably related to establishment of a claimed right to benefits. These documents include but are not limited to birth certificates; marriage licenses; divorce decrees; letters of guardianship; letters testamentary or letters of administration; death certificates; relevant court orders; sworn statements of witnesses and attending physicians; autopsy reports; and sworn statements of the claimant or of others having personal knowledge of relevant facts. Except upon good cause being shown, failure to submit all required documents within four months of the date specified by the member as his or her effective retirement date will invalidate the application for retirement (service or disability) for all purposes. Thereafter, a new application must be submitted and a new retirement date chosen in accordance with §121.6 of this title (relating to Time for Filing of Retirement Applications).
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RULE §121.8 Service Retirement Benefits May Be Approved by Director Without Hearing
If the director finds from the records of the system and from the documents supporting the application, that the applicant is entitled to a service retirement benefit, the director may allow the benefit and place it into effect without further hearing, unless a contest has been filed under §121.12 of this title (relating to Contest of Application: Form and Content). All benefits approved shall be reported to the board at its next meeting for confirmation.
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RULE §121.9 Disability Retirement Applications Referred to Medical Board
Applications for disability retirement shall be referred by the director to the medical board. The medical board shall investigate all essential statements and certificates by or on behalf of the member in connection with the application for disability retirement, and shall pass upon, conduct, or cause to be conducted, all medical examinations which in its opinion are necessary to determine the cause, extent, and permanence of the member's disability. The medical board shall make and file with the director a written report of its conclusions and recommendations.
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RULE §121.10 Approval Without Hearing Where Medical Board Certifies Entitlement
If the findings and conclusions of the medical board, as stated in its report, are such as in the director's opinion entitle the member under the terms of the Act to the disability retirement benefit applied for, the director may approve the retirement, calculate the amount of the benefit, and place it into effect without further hearing. All benefits approved by the director shall be reported to the board at its next meeting for confirmation.
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RULE §121.11 Summary Disposition of Other Approved Applications
Applications for benefits under the Act not specified above, including claims for refund of contributions, may be granted by the director without formal hearing, if not contested by any party, and if the director is satisfied upon the basis of the application and supporting documents that the applicant is entitled to the action requested.
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RULE §121.12 Contest of Application: Form and Content
(a) Any party, other than the system, desiring to contest any pending application for benefits, shall file with the director a written answer, setting forth:
(1) the name and address of the party filing such answer who shall be designated as "contestant";
(2) the name of the party making the application or claim being contested;
(3) a concise statement of the facts relied on by the contestant as reasons why the contested application should be denied;
(4) any counterclaim asserted by the contestant; and
(5) a prayer specifying the action which the contestant desires the system to take.
(b) The answer shall be signed by the contestant, or by the contestant's duly authorized representative; and must contain a certificate showing that a true copy of the same was served upon the applicant, and the date and manner of such service.
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RULE §121.13 Notice of Prehearing Disposition
(a) If an application for benefits is approved in whole or in part without hearing, the director, by letter of notification, shall inform the applicant in writing of the action taken.
(b) If the director determines that an application for benefits cannot be approved, the director shall send a letter of notification, informing the applicant that the claim is denied, in whole or in part, and stating the reasons therefor.
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RULE §121.14 Procedure for Obtaining Hearing of Claim Denied in Whole or in Part by Director
(a) A claimant who desires to contest the action of the director in denying, in whole or in part, the claim to any right or benefit under the Act may obtain a hearing of the claim as a "contested case" pursuant to the Administrative Procedure Act (Chapter 2001, Government Code) and the following rules, by filing a written "request for hearing of denied claim" within 60 days after the date of the director's letter of notification.
(b) If no request under subsection (a) of this section is filed by the claimant within the 60-day period provided above, the prehearing disposition made by the director shall become final and unappealable.
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RULE §121.15 Hearing of Conflicting and Protested Claims
(a) Where a party, pursuant to §121.12 of this title (relating to Contest of Application: Form and Content) has filed an answer to a pending application, the issues presented shall be heard as a "contested case" in accordance with the provisions of the Administrative Procedure Act (Chapter 2001, Government Code) and the following rules adopted by the Board.
(b) If different persons make claim to any benefit which the system concedes, or if a party challenges the competency or right of a member to dispose of such a benefit in accordance with the latest written designation executed by the member and filed with the system, the director may decline any decision on the issues between the opposing claimants, and file an appropriate action in a court of competent jurisdiction making opposing claimants parties and may tender payment through the court to the party adjudged entitled to it.
(c) Upon a written request by a party or upon motion by the director or the board of trustees, the director may issue subpoenas addressed to the sheriff or any constable to require the attendance of witnesses and the production of books, records, papers, or other objects that may be appropriate for purposes of a deposition or hearing.
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RULE §121.16 Conduct of Contested Case Hearings
(a) After filing of a request for a contested case hearing pursuant to these rules, or after filing of a third-party answer under §121.12 of this title (relating to Contest of Application: Form and Content), the director shall cause the contested case to be docketed in the State Office of Administrative Hearings (SOAH), by filing with the SOAH either a "Request for Setting of Hearing" or a "Request for Assignment of Administrative Law Judge" as the Director deems appropriate, along with a certified copy of the pleadings, orders, and other relevant documents in the system's files at that time concerning the issues in dispute.
(b) After the case has been docketed at the SOAH and an administrative law judge has been assigned, the director shall notify all parties to the proceeding of the actions taken. Thereafter, any amended pleading or any motion filed in connection with the contested case, including, but not limited to, motions for continuance, discovery, settings and other relief, shall be filed with the SOAH at its office in Austin, Texas, until such time as the proposal for a decision has been presented to the board of trustees as hereinafter provided.
(c) At least ten days prior to hearing, the director shall give notice to all parties as required by §2001.051 of the Administrative Procedures Act (Chapter 2001, Government Code).
(d) A hearing will be conducted by an administrative law judge assigned by the SOAH, and shall be conducted in accordance with the Administrative Procedure Act (Chapter 2001, Government Code), these rules, and the rules adopted by the SOAH. Hearings will ordinarily be conducted in Austin, unless on motion of a party for good cause shown, the hearing, or a portion thereof, is conducted elsewhere in the State of Texas; hearings will be conducted at the site designated by the SOAH.
(e) All parties to the hearing, including the system, may be represented by counsel. All parties, including the system, may introduce testimony of witnesses, records, documents, and other evidence relevant to the claim or matter, which is the subject of the hearing. The administrative law judge shall have authority to administer oaths, examine witnesses, rule on the admissibility of evidence, recess the hearing from day to day or to a specified date, and otherwise regulate and conduct the hearing to the end that the issues may be presented with order and decorum.
(f) The provisions of the Administrative Procedures Act (Chapter 2001, Government Code) shall govern the admissibility of evidence, but the system will take notice of any facts established by its records unless a party to the proceedings files a written protest of its validity.
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RULE §121.17 Proposal for Decision
(a) The administrative law judge who conducted the hearing, or one who has read the record, shall prepare a written proposal for decision for action by the board of trustees. The proposal for decision shall contain:
(1) findings of fact and conclusions of law, separately stated; and
(2) if appropriate, a proposed order.
(b) When a proposal for decision is prepared, a copy of the proposal shall be served forthwith by the State Office of Administrative Hearings on each party or the party's attorney, if any. Unless exceptions to the proposal for decision have been filed within the time prescribed in §121.18 of this title (relating to Filing of Exceptions to Proposal, Briefs, and Replies), the proposal for decision may be adopted at any date thereafter by written order of the board.
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RULE §121.18 Filing of Exceptions to Proposal, Briefs, and Replies
(a) Any party to the proceeding may, within 20 days after date of service of a proposal for decision, file with the State Office of Administrative Hearings (SOAH) exceptions to the proposal and may submit briefs in support of such exceptions; replies to exceptions and reply briefs may be filed within 15 days after date for filing of such exceptions and briefs. A request for an extension of time within which to file exceptions, briefs, or replies may be filed with the SOAH, and the SOAH shall promptly notify the parties of its action upon such requests.
(b) Briefs, exceptions, and replies shall be of the size and shall conform as nearly as possible to the form prescribed for applications and other pleadings.
(c) The administrative law judge may amend the proposal for decision pursuant to exceptions, briefs, and replies to exceptions and briefs, without the proposal for decision again being served on the parties.
(d) The administrative law judge shall submit the proposal for decision to the board of trustees, with a copy to each party.
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RULE §121.19 Board Consideration and Action
(a) The final decision in contested cases shall be made by the board of trustees, normally on the basis of a proposal for decision, of exceptions to the proposal, and briefs supporting and opposing the proposal for decision. The board, in exceptional cases, on its own motion, or on request of a party, may allow oral argument, may make its decision on the record, or may order the hearing to be conducted before the board sitting as a body.
(b) The case will be considered by the board, normally at its next regular meeting after time has expired for filing of exceptions to the proposal for decision, or any extension of time granted for filing such exceptions, or briefs in support of or against exceptions.
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RULE §121.20 Final Decisions and Orders
All final decisions and orders of the board of trustees in contested cases shall be in writing and shall be signed by the director. The final decision shall include findings of fact and conclusions of law, separately stated. The date of rendition shall be stated in the decision or order. Parties shall be notified either personally or by mail of any decision or order. On written request, a copy of the decision or order shall be delivered or mailed to any party and to his or her attorney of record.
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RULE §121.21 When Decisions Become Final
A decision of the board of trustees is final in the absence of a timely motion for rehearing, and is final and appealable on the date of rendition of an order overruling a motion for rehearing, or on the date the motion is overruled by operation of law.
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RULE §121.22 Motions for Rehearing
A motion for rehearing is a prerequisite to judicial review. A motion for rehearing must be filed with the director within 20 days after the date of rendition of a final decision or order. Replies to a motion for rehearing must be filed with the system within 25 days after the date of rendition of the final decision or order, and system action on the motion must be taken within 45 days after the date of rendition of the final decision or order. If system action is not taken within the 45-day period, the motion for rehearing is overruled by operation of law 45 days after the date of rendition of the final decision or order. The director may by written order entered prior to the expiration of the 45-day period extend the period of time for filing the motions and replies and taking system action, except that an extension may not extend the period for system action beyond 90 days after the date of rendition of the final decision or order. In the event of an extension, the motion for rehearing is overruled by operation of law on the date fixed by the order or, in the absence of a fixed date, 90 days after the date of the final decision or order. The parties may by agreement, with the approval of the director, provide for a modification of the time provided in this section.
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RULE §121.23 Rendering of Final Decision or Order
The final decision or order shall be rendered within 60 days after the date the hearing is finally closed. In a contested case heard by an administrative law judge or judges, the hearing is considered closed on the date the board considers and acts on the proposed decision.
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RULE §121.24 The Record
(a) The record in a contested case shall include:
(1) all applications, answers, and other pleadings, and intermediate rulings;
(2) evidence received or considered;
(3) a statement of matters officially noticed;
(4) questions and offers of proof, objections, and rulings on them;
(5) proposed findings and exceptions thereto;
(6) any decision, opinion, or report by the officer presiding at the hearing; and
(7) all staff memoranda or data submitted to or considered by the hearing officer or members of the agency who are involved in making the decision.
(b) Findings of fact will be based exclusively on the evidence presented and matters officially noticed.
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RULE §121.25 Proceedings for Review, Suspension, or Revocation of Disability Benefit
(a) The director, either on the director's own motion, on recommendation of the medical board, or upon sufficient written complaint, may order any person (the "retiree") who is receiving a disability retirement benefit under §854.302 of the Act and who is less than 60 years of age:
(1) to undergo a medical examination by one or more physicians designated by the director, at such time and place as the director by letter may order; or
(2) to furnish answers, in writing under oath, to such questions concerning the person's present and previous employment as may be propounded by the director in writing.
(b) If a disability retiree fails or refuses to submit to a medical examination as ordered by the director, the director shall suspend the retiree's annuity payments until the retiree submits to an examination. The director at the time of suspension shall notify the retiree of this action. If the retiree thereafter fails to make arrangements with the director, or the director's designee, for a time for such a medical examination, or fails to submit to such an examination, for a period of one year from the date of initial failure to submit to such a medical examination, the director shall order the annuity discontinued, and shall give notice of such actions to the retiree by written letter of notification.
(c) If the retiree submits to a medical examination, the report of the examining physician(s) shall be submitted to the medical board; if the medical board certifies that the retiree is no longer mentally or physically incapacitated for the performance of duty, or is able to engage in a gainful occupation, the director may order the disability annuity discontinued and the director shall give written notice of such action to the retiree.
(d) In the event the director finds that a disability retiree is engaged in a gainful occupation, the director may order the disability annuity discontinued, and in that event the director shall give written notice to the retiree of the director's actions.
(e) The director shall require each person who is receiving an occupational disability benefit under §854.407 of the Act and who is less than 60 years of age to file an annual report on such form as the director prescribes concerning receipt by the retiree of income as described in §854.409(b) of the Act, along with copies of such federal tax forms as the director may designate. The director shall give notice of the requirements to the person affected, and shall fix a date by which the information is to be furnished.
(f) In the event that a person subject to such an order fails to furnish the required information within the period specified by the director, the director shall suspend the benefit until such time as the required information is furnished, and shall notify the person of the director's actions.
(g) In the event the director determines that the person has received income which together with the occupational disability benefit received by the person, exceeds the amount allowable under §854.408 of the Act, the director shall reduce subsequent monthly payments successively until the amounts of the overpayments have been offset. The director shall give written notice of such action to the person affected, along with the reasons therefor.
(h) If the person affected by the director's action in discontinuing a disability retirement benefit in whole or in part desires to contest the same, the person may obtain a hearing of the issue as a "contested case" pursuant to the Administrative Procedure Act (Chapter 2001, Government Code) and these rules, by filing with the director a written "request for hearing of discontinuance of benefit" within 60 days after the date of the director's letter of notification of discontinuance. If the request for a contested case hearing is timely filed, the contested case shall be docketed, heard, and disposed of in accordance with §§121.12-121.24 of this title (relating to Contest of Application: Form and Content; Notice of Prehearing Disposition; Procedure for Obtaining Hearing of Claim Denied in Whole or in Part by Director; Hearing of Conflicting and Protested Claims; Conduct of Contested Case Hearings; Proposal for Decision; Filing of Exceptions to Proposal, Briefs, and Replies; Board Consideration and Action; Final Decisions and Orders; When Decisions Become Final; Motions for Rehearing; Rendering of Final Decision or Order; The Record). If no request for contested case hearing is filed within the 60 day period provided in this paragraph, the action of the director in discontinuing a disability benefit shall be final and unappealable.
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RULE §121.26 Applicability to Pending Proceedings
The provisions of this chapter govern all proceedings pending at their effective date, except to the extent that the director or the board of trustees shall determine that their application in a particular pending proceeding would work an injustice or is otherwise unfeasible, in which event the procedures followed before adoption of this chapter will be permitted.
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RULE §121.27 Subpoenas
(a) The issuance of subpoenas in any proceeding shall be governed by §2001.089 of the Administrative Procedure Act (Chapter 2001, Government Code). Following written request by a party or on the system's own motion, the director (or in a contested case the director or administrative law judge) may issue subpoenas addressed to the sheriff or any constable to require the attendance of witnesses and the production of books, records, papers, or other objects as may be necessary and proper for the purposes of a proceeding. The subpoena may be issued by the director, or in a contested case by the director or by the administrative law judge.
(b) Motions for subpoenas to compel the production of books, records, papers, or other objects shall specify as nearly as may be the books, records, papers, or other objects desired and the material and relevant facts to be proven by them.
(c) Subpoenas shall be issued by the director or administrative law judge only after showing of good cause and the deposit of sums sufficient to insure payment of expense incident to the subpoenas. Service of subpoenas and payment of witness fees shall be made in the manner prescribed in the Administrative Procedure Act.
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RULE §121.28 Depositions
The taking and use of depositions in any proceeding shall be governed by the Administrative Procedure Act (Chapter 2001, Government Code). The director is authorized to issue commissions to take depositions on his/her own motion, or on written motion of a part to the proceeding.
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