The Board may elect to develop an alternative to the process set forth in the Administrative Process Act (§ 2.2-4000 et seq.) to allow appeals of case decisions related to the payment of disability benefits under this chapter. This alternative process shall be modeled after the claims provisions as provided for in the federal Employee Retirement Income Security Act of 1974, as amended, and shall (i) provide for adequate notice in writing to any participant whose claim for benefits has been denied setting forth the specific reasons for such denial and (ii) afford a reasonable opportunity to any participant whose claim for benefits has been denied for a review of the decision denying the claim. Articles 3 (§ 2.2-4018 et seq.) and 4 (§ 2.2-4024 et seq.) of the Administrative Process Act shall not apply to any portion of this alternative appeals process.
However, any person aggrieved by, and claiming the unlawfulness of, a final case decision issued pursuant to this alternative appeals process, whether issued by the Board or by the Board's delegate, shall have a right to seek judicial review thereof. Such judicial review shall be in accordance with Article 5 (§ 2.2-4025 et seq.) of the Administrative Process Act.
2012, cc. 701, 823.
Structure Code of Virginia
Title 51.1 - Pensions, Benefits, and Retirement
Chapter 11.1 - Disability Program for Hybrid Retirement Program Participants
§ 51.1-1151. Sickness and disability program; disability insurance policies
§ 51.1-1152. Additional powers of the Board
§ 51.1-1153. Participation in the program
§ 51.1-1154. Applicability of article
§ 51.1-1155. Short-term disability benefit
§ 51.1-1156. Successive periods of short-term disability
§ 51.1-1157. Long-term disability benefit
§ 51.1-1158. Successive periods of long-term disability
§ 51.1-1159. Adjustments to disability benefits
§ 51.1-1160. Rehabilitation incentive
§ 51.1-1161. Cessation of disability benefits; service retirement
§ 51.1-1162. Applicability of article
§ 51.1-1163. Supplemental short-term disability benefit
§ 51.1-1164. Successive periods of short-term disability
§ 51.1-1165. Supplemental long-term disability benefit
§ 51.1-1166. Successive periods of long-term disability
§ 51.1-1167. Adjustments in supplemental disability benefits
§ 51.1-1168. Rehabilitation incentive
§ 51.1-1169. Cessation of supplemental disability benefits; service retirement
§ 51.1-1170. Coordination of benefits
§ 51.1-1171. Supplemental benefits for catastrophic disability
§ 51.1-1172. Employer contributions during disability absences
§ 51.1-1173. Health insurance coverage during disability absences
§ 51.1-1174. Life and accident insurance coverage during disability absences
§ 51.1-1175. Optional insurance during disability absences
§ 51.1-1176. Exclusions and limitations
§ 51.1-1178. Board authorized to provide long-term care insurance and benefits
§ 51.1-1179. Limitation on coverage
§ 51.1-1180. Keeping records and furnishing information required by Board
§ 51.1-1181. Benefits exempt from process
§ 51.1-1182. Policies to provide for accounting to Board; advance premium deposit reserve