Upon receipt of prior approval of the executive director on behalf of the system, the medical board or a designated entity may consider additional medical reports offered by the applicant after the submission of the medical board's or designated entity's certifications and findings to the system; provided, however, the additional medical reports must relate to the condition of the member at the time of the application and any determination of disability shall be related to the condition of the member at the time of application.
Haw. Code R. § 6-22-10