HomeMy WebLinkAbout07-03-2012 City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 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 Aubum 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 Attomey
8teve Gross and Board Secretary DanielleDaskam.
11. AGENDA MODIFICATION
A claim from Ed Sluys was added to the agenda.
111. APPROVAL OF MINUTES
A. Minutes of the June 5. 2012 LEOFF Board Meetina
Motion by Chair Pro Tem Petersen, second by Member Osbome to
approve the June 5, 2012 minutes as distributed.
MOTION CARRIED UNANIMOUSLY 5-0
N. UNFINISHED BUSINESS
A. Pendinc Disabilitv Leave/Retirement An�lications
TFiere was no pending disability leave/retirement application.
B. Pendinci MedicaUHearinaNision Dental Claims
1 Rudv Peden
Request for reimbursement of $180.00 in medical expenses for
services received February 12, 2012 —April 20, 2012.
—'- On June 5 and July 3, 2012, the Board tabled Mr Peden's claim
pending the receipt of insurance explanation of benefds
statements. No additional information was received.
Motion by Chair Pro Tem Petersen, second by Member Osbome to
table Mr Peden's claim until the next meeting.
MOTION CARRIED UNANIMOUSLY 5-0
V. NEW BUSINESS
LEOFF Board Minutes '
July 3, 2012
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2012 - 70:00 AM -Council Conference Room
A. Disabilitv Leave/Retirement Aoplicatians
No applicatiori for disability leave/retirement was received.
B. Anaeals/Reauests for Reconsideration
No request for reconsideration was received.
C. MedicaUHearinaNision Claims
1 John Baker
Request for reimbursement.of denture expenses in the amount of
$2,774.00 for seroices received on May 14, 2012.
Motion by Chair Pro Tem. Petersen, second by Member Vogel to
approve the claim in the amount of$2,774.00.
MOTION CARRIED UNANIMOUSLY 5-0
2. Bruce Caldwell
Request for reimbursement of dental expenses in the amount of
$209.70 for services received on May 24, 2012. Mr Caldwell has
not received dental reimbursement in 2012
Motion by Chair Pro Tem Petersen, second by Member Osborne to
approve the claim in the amount of$209.70.
MOTION CARRIED UNANIMOUSLY 5-0
3. Robert Wialev
Request for reimbursement of dental expenses in the amount of
$160.00 for services received on June 14, 2012. Mr Wigley has
not received dental expense reimbursement this year
Motion by Member Vogel, second by Member Holman to approve
the claim in the amount of$160.00.
MOTION CARRIED UNANIMOUSLY 5-0
4 Ed Henderson
Request for reimbursement of dental expenses in. the amourit of
$2,028.25 for services regeiyed on May 29 and 31, 2012. Mr
Henderson's dental claims have been previously found to be
medically necessary
LEOFF Board Minutes
July 3, 2012
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2012 - 10:00 AM —Council Conference Room
ED HENDERSON $1,200.00 BALANCE
2012 $1,200.00
April 3, 2012 $304.00 $896.00
June 5,2012 $90.25 $805.75
Motion by Chair Pro Tem Petersen, second by Member Vogel to
aprpove the claim in the amount of$2,028.25.
MOTION CARRIED UNANIMOUSLY 5-0
Motion by Member Holman, second by Chair Pro Tem Petersen to
instruct the:Board Secretary to request a dental treatment plan and
an updated/current letter of inedical necessity from Mr Henderson.
MOTION CARRIED UNANIMOUSLY 5-0
5. Ravmond Sherman
Request for reimbursement of dental expenses in the amount of
$59.90 for services received on February 27, 2012. Mr Sherman
has not received denfal reimbursement in 2012.
Motion by Member Vogel, 'second ,by Chair Pro Tem Petersen to
approve the claim in the amount of$59.90.
MOTION CARRIED UNANIMOUSLY 5-0
6. Roaer Lee
Request for reimbursement of vision expenses in the amount of
$195.00 for services received on June 20, 2012. Mr Lee last
received vision expense reimbursement on July 5, 2011
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amount of $195.00 and instruct the Board
Secretary to remind Mr Lee that vision expenses are reimbursed
every twelve months.
MOTION CARRIED UNANIMOUSLY 5-0
7 Richard Schneider
Request for reimbursement of dental expenses in the amount of
$270.00 for services received:on May 23, 2012. Mr Schneider has
not received dental reimbursement in 2012.
LEOFF Board Minutes
Juty 3, 2012
Page 3
City of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2012 - 10:00 AM—Council Conference Room
Motion by Chair Pro Tem Petersen, second by Member Osbome to
approve the claim in the amount of$270.00.
MOTION CARRIED UNANIMOUSLY 5-0
8. Doris Darouah
Request for reimbursement of long term care costs for the month of
May 2012 in the amount of$3,064:97
Motion by Chair Pro Tem Petersen,. second by Member Vogel to
approve the claim in tF9e amount of$3,064.97
MOTION CARRIED UNANIMOUSLY 5-0
9. Monroe Shronshire
Request for reimbursement of dental expenses in the amount of
$498.00 for services received on May 9, 2012.
MONROE SHROPSHIRE 2012 $1,200.00 BALANCE
$1,200.00
April 3, 2012 $150.00 $1,050.00
May 1, 2012 $150.00 $900.00
Motion by Member Vogel, .second by Chair Pro Tem Petersen to
approve the claim in the amount of$498.00.
MOTION CARRIED UNANIMOUSLY 5-0
10. Russ Vandver
Request for reimbursement of dental e�enses in the amount of
$170.00 for services received on May 17, 2012. Mr Vandver has
not received reimbursement for dental expenses in 2012.
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amount of$170.00.
MOTION CARRIED UNANIMOUSLY 5-0
11 Cov Franklin Grall
Request for reimbursemeM of dental expenses .in the amount of
$136.00 for services received on May 23, 2012. Mr Grall has not
received reimbursement for dental expenses in 2012.
LEOFF Board Minutes
July 3, 2012
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2012 - 10:00 AM-Council Conference Room
Motion ,by Member Vogel, sepond by Chair Pro Tem Petersen to
approve the olaim in the amount of$136.00.
MOTION CARRIED UNANIMOUSLY 5-0
12. Ed Sluvs
Request for reimburserrSent of inedical services (medical
equipment) in the amount of$383.20.
Mr Sluys' claim was added as an agenda modification.
Motion by Member Holrrian, second by Chair Pro Tem Petersen to
tabled Mr Sluys' claim pend'ing the receipt of additionat information
including a statement of inedical necessity and the insurance
explanation of benefits statement.
MOTION CARRIED UNANIMOUSLY 5-0
D. LEOFF Board Policies and Procedures
The Board reviewed the 2010-2011 Policy and Procedure Manual section
by section for any needed revisions.and surveys of local vision and dental
costs. The following amendments were approved.
Section 1.02 Terms
Motion by Member Holman, second by Member Osbome to
substitute the word "shall" with the word "should" in the second
sentence of Section 1.02.
MOTION CARRIED UNANIMOUSLY 5-0
Section 1 13 Minutes
Motion by Chair Pro Tem Petersen, second by Member Vogel to
replace the term "Fire ChieP' with °Valley Regional Fire Authority
Administrato�'
MOTION CARRIED UNANIMOUSLY 5-0
Section 1 14 Delegation of Authority to Secretary
Chair Kelly noted that Uie Board Secretary has been authorized to
process claims for payment for pharmacy and Medipre
reimbursement upon signature on the claim by the Police or Fire
LEOFF Board Minutes
Juty 3, 2012
Page 5
City oi Auburn Law Enforcement OfFcers and Firefighters Disability Board
Tuesday, July 3, 2012 - 10:00 AM—Council Conference Room
LEOFF Board representative. Full Board approval is not required
for claims for paymeM for phartnacy and Medicare Part B
reimbursement.
Section 7.01 Record of Statement of Falsifieation
The Board concurred to update the current reference to RCW
41.26.300 to RCW 41.26.062.
Section 8.02(D)(4) related to dental expenses:
Motion by Chair Pro Tem Petersen, second by Member Holman to
amend the section to read:
"Dentures may be approved; however, prior authorization by the
Board is required. Dentures will be reimbursed to maximum
amount of$�991.756.00 per plate.°
MOTION CARRIED UNANIMOUSLY 5-0
Section 9.01(C) correct the scriveners error to remove the underiine from
the end of the paragraph.
Section 9.01(L)
Motion by Chair Pro Tem Petersen, second by Member Vogel to
substitute the word "surrogated" with "subrogated"
MOTION CARRIED UNANIMOUSLY 5-0
Section 9.02(C)(1) related to eyeglass lenses and frames:
Motion by Member Holman, second by Chair Pro Tem Petersen to
add the word "progressive"to the types of covered lenses
MOTION CARRIED UNANIMOUSLY 5-0
Section 9.02(C)(3) relafing to contact lenses:
Motion by Chair Pro Tem Petersen, second by Member Vogel to
amend the paragraph to read:
" . Not to exceed $250 maximum during any
twelve (12) month period including disposatile contaot lenses.
LEOFF Board Minutes
July 3, 2012
Page 6
City of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2012 - 10:00 AM -Council Conference Room
MOTION CARRIED UNANIMOUSCY 5-0
Section 9.02(E) related to vision coITective surgery•
Motion by Chair Pro Tem Petersen, second by Member Osborne to
amend the paragraph as follows:
�aseFCorrective vsion GeKes�ieRSuraerv
The Board will reimburse the member the amount of $1,000 per
eye for rrective vision surgery-eNaseF
. If a member is reiinbursed the $1,000
per eye for the surgery, he or she will not be reimbursed for
eyeglasses or contact lenses during the subsequent two calendar
years, unless eyeglasses or oontact lenses are medically
necessary (Rev 57/�89�2012)
MOTION CARRIED UNANIMOUSLY 5-0
Section 9.04 Skilled Nursing Facility Care Reimbursement
Motion.by Membe� Osbome, second by Chair Pro Tem Petersen to
remove Section 9.94(A)(1) and renumber the remaining two
paragraphs.
MOTION CARRIED UNANIMOUSLY 5-0
The language #o be deleted is as follows:
' • �
MOTION CARRRIED UNANIMOUSLY 5-0
Section 9.10 Medical Claims for Board Required Re-examinations
Correct the scrivener's error and change the reference to
Washington Administrative Code (WAC) from 415-105-0901 to
WAC 415-105-090.
Sections 10.01 and 10.02 regarding biennial review and formal adoption
of revisions to policies and procedures
LEOFF Board Minutes
July 3,2012
Page 7
City of Auburn Law Enforcement Officers and Firefighters Disability BoaM
Tuesday, July 3, 2012 - 10:00 AM —Council Conference Room
Motion by Member Os6orne, second by Member Holman to amend
Sections 10.01 and 10.02 as follows:
10.01 Biennial Review
These policies and p�ocedures shall be reviewed in even years in
daaaar�y-Februarv to assure that:
A. Provisions herein remain in conformance with Washington
Statutory and Administrative Codes.
B. Dollar amourrts spec�ed in schedule.s of benefits reflect
current average charges in the local area.
C. Provisions he�ein reflect current philosophy and intent of the
Board.
10.02 Formal Adoption
Revisions of the Board's policies and procedures shall be adopted
no later than the regularly scheduled Board meeting in �ebiaa�
Sentember of the year of review.
MOTION CARRIED UNANIMOUSLY 5-0
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjoumed at 10:58 a.m.
APPROVED the ��day of_�2�2012.
, �
Jim :elty, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes
July 3, 2012
Page S