HomeMy WebLinkAbout02-07-2012 City of Auburn l.aw Enforcement Officers and Firefighters Disability Board
Tuesday, February 7, 2072 - 10:00 AM —Council Conference Room
MINUTES
I. CALL TO ORDER
Chai� Jim Kelly called the meeting to order aY 10:00 a.m. in the Council
Conference Room located at Aubum City Hall, 25 West Main Street in Au6um.
Chair Kelly and the following Board members were presentc Bill Petersen, John
Holman; and Wayne Osbome. At-large-meinber Kurt Vogel was excused. Also
present were Board Attomey Steve Gross and LEOFF Board Secretary Danielle
Daskam.
II. AGENDA MODIFICATIONS
Information was received from Richard Huseby regarding his tabled claim and
additional claims from Ed Henderson, Murray Board, Jake Evans, and David
Schuur were added to the agenda
III. APPROVAL OF MINUTES
A. Minutes of the Januarv 3. 2012 LEOFF Board Meetinq
Motion by Ghair Pro '1'em Petersen, second by Member Holman to
approve the minutes as distributed.
MOTION CARRIED'UNANIMOUSLY. 4-0.
IV: UNFINISHED BUSINESS
A. Pendina Disabilitv Leave/Retirement Anolications
There was no pending disabilityleave/retirement application.
B. Pendina Medical/HearinqNision Dental Claims
1. Richard Husebv
Request for reimb_ursement of dental expenses in the amount of
$900.00 for services �eceived on December 6, 2011. Mr. Huseby
has not received dental reimbursement in 2011.
On January 3,:2012, the Board tabled Mr. Huseby's claim pending
further clarfication of his claim and a more detailed account of the
expenses requested for reimbursement. Additional information
from Mr. Huseby submitted in response to the Board's request was
distributed prior to the meeting. The information consisted of a
corrected statement for services received on December 6, 2011 in
the amount of$751.00.
LEOFF Board Minutes
February 7, 2012
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, February 7, 2012 10:00 AM—Council Conference Room
Motion.by Chair Pro Tem Petersen, second by Member Osbome to
approve the claim in the amounf of$751.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
2. Rav Nixon
Request for reimbursement of inedical expenses in the amount of
$492.33 for sefvices received on or about September 16, 2011.
On January 3, 2012, the Board tabled Mr. Nixon's claim pending
- the receip4 of the explanation of benefds statements from Medicare
and Regence. No additional information was received.
Motion by Chair Pro Tem Petersen, second by Member Holman to
table the claim until the next meeting.
MOTION CARRIED UNANIMOUSLY. 4-0.
V. NEW BUSINESS
A. Disabilitv Leave/Retirement Applications
No application fo�di§ability leave/retirerr9ent was received.
B. Appeals/Reauests for Reconsideration
No request for reconsideration was received.
C. Medical/HearinaNision Claims
1. Doris Darouah
Request fo�reimbursement of long term care costs for the month of
December 2011 �'in fhe amount of$3,064.97.
Motion by Member Holman, second by Ghair Pro Tem Petersen to
approve the claim in the amount of$3,064.97.
MOTION CARRIED UNANIMOUSLY. 40.
LEOFF Board Minutes
Fe6ruary:7, 2012
Page 2 .
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, February 7, 2012 - 10:00 AM —Council Conference Room
2. Cov Franklin.Grall
Request for �eimbursement of dental expenses in the amounY of
$124.00 for dental services received on January 25, 2012. Mr.
Grall has not received dental reimbursement in 2012.
Motion by Chair Pro Tem Petersen, second by Member Holman to
approve the claim in the amount of$124.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
3. Ed Wolters
Request for reimbursement of dental expenses in the amount of
$195.00 for services received on January 24, 2012. Mr. Wolters
has not received dental reimbursemerrt in 2012.
Motion by Ghair Pro Tem Petersen, second by Member Holman to
approve the claim in the amount ofi$195.00.
MOTION CARRIED UNANIMOUSLY. 40.
4. Robert Almv
Request for reimbursement of dental expenses in the amount of
$129.00 for services received on January 3, 2012. Mr. Almy has
not received deMal reimbursement'in 2012.
Motion by Chair Pro Tem Petersen, second by Member Holman to
apprbve tlie claim in the amounf of$129.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
5. Dale Volstad
Request for reimbursement of dental expenses in the amount of
$824.16 for services received on December 13, 2011. Mr. Volstad
did not receive dental reimbursement in 2011.
Motion by Chair Pro Tem Petersen, second by Member Holman to
approve the claim in the amount of$824.16.
MOTION CARRIED UNANIMOUSL`Y. 4-0.
LEOFF Board Minutes
February 7, 2012
Page 3
City of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, Febivary 7, 2012 - 10:00 AM —Council Conference Room
6. Terrv M. Dunbar
a. Request for reimbursement of dental expenses in the
amount of $80.OU for services received on August 16, 2011.
Mr. Dunbar did not receive dental reimbursement in 2011.
b. Request for reimbursement of vision expenses in the
amount of $169.97 for services received on September 23,
2011. Mr. Dunbar did not receive vision expense
reimbursement in 2011.
Motion liy Chair Pro Tem Petersen, second by Member
Holman to approve Mr: Dunbar's dental claim in the amount
of$80.00 and his vision claim in the amount of$169.97.
MOTION CARRIED UNANIMOUSLY: 4-0.
7. Don Webb
Request for reimbursement of dental expenses in the amount of
$1,200 for services received on unknown date (enclosed
documentation is an estimate only). Mr. Webb has expended all
but $133 in 2011 and has received no reimbursement in 2012.
Motion by Chair Fro Tem Petersen, second by Member Holman to
pay the claim in the amount of$133.00.
Upon further review and discussion of the claim, Chair Pro Tem
Petersen moved to table the claim and request more information on
dates of service and whether the dental services are medically
necessary. Motion was secondedby Member Holman.
MOTION CARRIED UNANIMOUSLY. 4-0.
8. Monroe Shroashire
Request for reimbursement of inedical.expenses in the amount of
$25.00 for services received on November 29, 2011.
Motion by Chair Pro Tem Petersen, second 6y Member Osborne to
table the claim pending receipt of 4he insurance and Medicare
explana4ion of benefds statemen4s.
MOTION CARRIED UNANIMOUSLY. 4-0..
LEOFFBoard Minutes
February 7, 2012
Page 4
City of Auburn Law Enforcement O�cers and Firefighters Disability Board
Tuesday, February 7, 2012 - 10:00 AM — Council Conference Room
9. Robert Wiqlev
Request for reimbursement of dental expenses in the amount of
$966 for services received on January 11 and 12, 2012. Mr.
Wigley has not received dental reim6ursement in 2012.
Motion by Chair Pro Tem Petersen, second by Member Holman to
approve the claim in the amount of$966.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
10. Ed Henderson.
Request for reimbursement of inedical expenses in the amount of
$2,057.00 forongoing treatment.
The Board reviewed Mr. Henderson's letter and a letter from his
treating physician for services that are, according to his physician,
not covered by insurance.
Motion by Chair Pro Tem Petersen, second by Member Holman to
table the claim until the next meeting and request Mr. Henderson
file a claim for payment with explanation of beneffts statements
from Medicare and'insurance.
MOTION CARRIED UNANIMOUSLY. 4-0.
11. Ed Henderson.
Request for �eimbursement ofi denfal expenses in the amount of
$1,644:00 for services received on January 3, 2012. Mr.
Henderson's dental work has previously been determined to be
medically necessary.
I
�i Mr. Henderson's claim was added as an agenda modification.
I Chair Pro Tem Retersen moved and Member Holman seconded to
approve the claim in the amount of$1,644.
, _.
MOTION CARRIED UNANIMOUSLY. 4-0.
12. Murrav Board
Request for reimbursement of vision expenses in the amount of
$109.98 for services received on January 13, 2012. Mr. Board has
not received vision expense reimbursement in 2012.
Mr. Board's claim was added as an agenda modification.
LEOFF Board Miriutes
Febniary 7, 2012
Page 5
City of Aubum Law Enforcement Officers and Firefighbers Disability Board
Tuesday, February 7, 2012 - 10:00 AM —Council Conference Room
Motion by Chair Pro Tem Petersen, second by Member Holman to
approve the claim in the amount of$109.98.
MOTION GARRIED UNANIMOUSLY. 4-0.
13. Jake Evans
a. Request for reimbursement of inedical expenses in the
amourrt of$899.43 for services received in 2011.
b. Request for reimbursement of dental expenses for serVices
received in 2011 in the amount of'$549.00. Mr. Evans did
not receive reimbursement for dental expenses in 2011.
Mr. Evan's claim was added as an agenda mod�cation.
Motion by Chair Pro Tem Petersen, second by Member
Holman to approve derrtal expenses in the amount of
$549.00 and naturopathic pharmacy in the amount of
$750,00 per Policy 8.03(B).
MOTION CARRIED UNANIMOUSLY. 4-0.
14. David Schuur
I Request for reimbursement of vision expenses in the amount of
$231.96 fo� services received on January 31, 2012. Mr. Schuur
has not received vision expense reimbursement in 2012.
Mr. Schuur's claim was added as an agenda modification.
Motion by Chair Pro Tem Larson, second by Member Holman to
approve the claim in the amount of$231.96.
MOTION CARRIED UNANMOUSLY. 4-0.
tEOFF Board Minutes
February Z, 2012
Page 6
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, February 7, 2072 - 10:00 AM —Council Conference Room
I
II V1. ADJOURNMENT
There being no further business_ to come before the Board, the meeting
adjoumed at 10:37 a.m,
� APPROVED THE � DAY OF MARCH, 2012.
Q�,1 ' �� /�-������---�
Jim Kelly, Chair Danielle Daskam, Board Secretary
I
i
I
�I
LEOFF Board Minutes
February 7,2012
Page 7