94-411 MAINE PUBLIC EMPLOYEES RETIREMENT SYSTEM

Chapter 512: INDEPENDENT MEDICAL EXAMINATIONS

SUMMARY: This Chapter implements and describes procedures for conducting independent medical examinations under 5 M.R.S. §17106-B(2).

SECTION 1. REIMBURSEMENT FOR INDEPENDENT MEDICAL EXAMINATIONS

1. Under 5 M.R.S. §17106-B(2), a member’s representative who attends the member’s independent medical examination is entitled to reimbursement of mileage and, if the representative is a health care provider, a per diem payment. The Maine Public Employees Retirement System (“the System”) will make these reimbursements and payments as follows:
   1. 1. The member must identify the representative to the System in writing within 30 days after the independent medical examination. Within 60 days after the independent medical examination, the representative must provide the System with the representative’s tax identification number by submitting IRS Form W-9 and any other information reasonably necessary to permit reimbursement and payment, if applicable. The member and representative will provide the System with information reasonably necessary to determine mileage and whether the representative is a health care provider.
   2. 2. Mileage will be reimbursed at the standard rate set by the Internal Revenue Service.
   3. 3. The health care provider per diem rate is set at $300.

SECTION 2. WAIVER OF INDEPENDENT MEDICAL EXAMINATION

1. A member may waive an independent medical examination pursuant to 5 M.R.S. §17106-B(2) by:
   1. 1. Signing a waiver form developed by the System’s Chief Executive Officer for that purpose or otherwise clearly communicating a waiver in writing; or
   2. 2. On more than one occasion, failing to attend a scheduled independent medical examination or canceling a scheduled independent medical examination after the time at which the independent health care provider imposes a cancellation fee, unless the member reimburses the System for any no-show or cancellation fee or the failure or cancellation was not within the member’s control.
      1. STATUTORY AUTHORITY:

         5 M.R.S. §§ 17103(4), 17106-B(2)

EFFECTIVE DATE:

May 31, 2022 – filing 2022-099

APAO ACCESSIBILITY CHECK:

February 2, 2026 (no issues detected)