HomeMy WebLinkAbout04-03-2012 City of Aubure Law Enforcement Officers and Firefighters Disability Board
Tuesday,April 3, 2012 - 10:00 AM —Council Conference Room
MINUTES
I. CALL TO ORDER
Chair Jim Kelly called the meeting to order at 10:00 a.m. in the Council
Conference Room located at Au6um City Hall, 25 West Main Street in Aubum.
Chair Kelly and the following Board members were present: Bill Petersen, John
Holman, Wayne Osbome, and Kurt Vogel. Also present were Board Attorney
Steye Gross, Deputy City Clerk Shawn Campbell, and LEOFF Board Secretary
Danielle Daskam.
II. AGENDA MODIFICATIONS
Cla'ims irom Dale Volstad and Tlieodore Lindbackwere added to the agenda.
111. APPROVAL OF MINUTES
A. Minutes of the March 6,_2012 LEOFF Board Meetinq
Motion tiy Chair Pro Tem Petersen, second by Member Osborne to
approve the minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0
IV. UNFINISHED BUSINESS
A. Pendinq Disabilitv Leave/Re4irement Aa�lications
There was no pending disability leave/retirement application.
B. Pendina MedicaVHearinaNision Dental Claims
1. Rav Nixon
Request for reim.bursement of inedical expenses in the amount of
$492.33 for services received on or about September 16, 2011.
On January 3, February 7, and Marcfi 6, 2012, the Board tabled
Mr. Nixon's claim pending the receipt of the explanation of benefits
statements from Medicare and Regence. In response to the
Board's request, Mc. Nixon submitted Regence and Medicare
explanation of benefits statements supporting his claim.
Motion by Chair Pro Tem Petersen, s.econd by Member Holman to
approve the claim in the amount of$492.33.
MOTION CARRIED UNANIMOUSLY. 5-0
LEOFF Board Minutes
April 3, 2012
Page 1
City of Aubum Law Enforcement Offieers and Firefighters Disability Board
7uesday, April 3, 2012 - 10:00 AM —Council Conference Room
2. Monroe Shrooshire
Request for �eimbursement of inedical expenses in the amount of
$25.00 for services received on November 29, 2011.
On February 7 and March 6, 2012, the Board tabled Mr.
Shropshire's claim pending the receipt of the Medicare and
insurance explanation of benefit§ statements. According to the
Board Secretary, Mr. Shopshire explained via a telephone
conversation :that the $25.00 fee is fhe standard Group Health co-
pay.
Motion by Chair .Pro Tem Petersen, second by Member Vogel to
, approve the claim in the amount of$25.00.
MOTION CARRIED UNANIMOUSLY. 5-0
4. Ed Henderson
Request fo� reimbursement of inedical expenses in the amount of
$2,057.00 for ongoing treatment.
On February 7 and March 6; 2012,. the Board tabled Mr.
Henderson's claim pending the receipt of a claim for payment form
and explanation of benefds statements from Medicare and
insurance. Nosdditional infoRnation was received.
Motion by Ghair Pro Tem Petersen, second by Member Holman to
table the claim until the next regularmeeting.
MOTION CARRIED UNANIMOUSLY. 5-0
V. NEW BUSINESS
A. Disabilitv Leave/Retiremenf Aoolications
No application for disa6ility leave/retirement was received.
B. Appeals/Reauestsfor.Reconsideration
No request for�econsideration was received.
C. Medical/Hearina�sion Claims
1. Doris Darouah
Request fo��eimbursement of long term care costs for the month of
February 2012 in the amount of$2,867.23.
LEOFF Board Minutes
April 3,2012
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City of Aubum Law Enforcement Officers and Firefighters Disabiliiy Board
Tuesday, April 3, 2012 - 10:00 AM —Council Conference Room
'Motion by Chair Pro Tem Petersen, second by Member Holman to
approve Ms. Darough's claim in the amount of$2,867.23.
MOTION CARRIED UNANIMOUSLY. 5-0
2. Ed Henderson
Request.for reimbursement of dental expenses in the amount of
$304.00 for §ervices received on March 1 and 8, 2012. Mr.
Henderson's dental services have previously been determined to
be medically necessary.
Motion by Memlie� Vogel, second by Chair Pro Tem Petersen to
approve Mr. Henderson's claim in the amount of$304.00.
MOTION CARRIED UNANIMOUSLY. 5-0
3. Ron Loaan
Request for reim6ursement of inedical expenses in the amourrt of
$288.57, First Choice Health Network Claim #1914442 for services
received on January 26, 2012 and processed by insurance on
February 28,2012.
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amourrt of$288.57.
MOTION CARRIED UNANIMOUSLY. 5-0
4. Steahen Bourdaae
Request for reimbursement of inedical services in the amount of
$1,188,07, Regence Explanation of Benefits Statement
#200179463900 for services received on February 15, 2012.
Motion by Chair Fro Tem Petersen, second by Member Osborne to
approve Mr. Bourdage's claim inthe amount of$1,188.07.
MOTION CARRIED UNANIMOUSLI'. 5-0
5. John Baker
Requestforpreapproval of dental expenses.
Motion by Chair Pro Tem Petersen, second by Member Holman to
approve reimbursement for the purchase of dentures up to the
policy limit of$1,387.00 per plate.
LEOFF Board Minutes
April 3, 2012
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City of Aubum Law Enforeement Officers and Fireflghters Disability Board
Tuesday, April 3, 2012 - 10:00 AM — Council Conference Room
MOTION CARRIED UNANIMOUSLY. 5-0
6. Monroe Shronshire
Request fo� reim6ursement ofi dental expenses in the amount of
$150.00 for services received on January 17, 2012. Mr.
Shropshire has not received reimbursemenY for 2012 dental
expenses.
Motion by Chair Pro Tem Petersen, second 6y Member Vogel to
approve Mr. Shropshire's claim in the amount of$150.00.
MOTION CARRIED UNANIMOUSLY. 5-0
7. Theodore Lindback
Request for reimbursement of dental expenses in the amount of
$877.80 for services received on March 7, 19, and 26, 2012. Mr.
Lindback has not�eceived dental reimbursement in 2012.
Motion by Member Vogel, second by Chair Pro Tem Petersen to
approve Mr. Lindback's claim in the"amount of$877.80.
MOTION CARRIED UNANIMOUSLY. 5-0
8. Dale Volstad.
Reguest for approval of hearing aid expenses in the amount of
$2,651.98 #rom the Board's preferred provider. Mr. Volstad has
not received hearing aid reimbursement in the past.
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve Mr. Vogel's claim in the amount of$2,651.98.
MOTION CARRIED UNANIMOUSLY. 5-0
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjoumed at 10:25 a.m.
APPROVED the 1�day of -MT,2012.
� Q /�
Jim ICelly, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes
April 3, 2012
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