HomeMy WebLinkAbout11-06-2012 City of Auburn Law Enforcement O�cers and Firefighters Disability Board
Tuesday, November 6, 2012 - 10:00 AM —Council Conference Room
MINUTES
I. CALL TO ORDER
Chair Jim Kelly called the meeting to order at 10:01 a.m. in the Council
Conference Room located at Auburn City Hall, 25 West Main Street in Auburn.
Chair Keily and the following Board members were present: Bill Petersen, John
Holman, Wayne Osbome, and Kurt Vogel. Also present were Board Attomey
Steve Gross and Board Secretary Danielle Daskam.
II. AGENDA MODIFICATION
Claims from Doris Darough and William Petersen were added to the agenda.
III. APPROVAL OF MINUTES
A. Minutes of the October 2. 2012 LEOFF Board Meetina
Motion by Chair Pro Tem Petersen, second by Member Vogel to approve
the October 2, 2012 minutes as distributed.
MOTION CARRIED UNANIMOUSLY 5-0
IV. UNFINISHED BUSINESS
A. Pending Disabilitv Leave/Retirement Applications
There was no pending disability leave/retirement application.
B. Pendinq Medical/HearinpMsion Dental Claims
1 Doris Darouph
Request for reimbursement of inedical equipment in the amount of
$592.38 for expenses paid on September 6, 2012.
On October 2, 2012, the LEOFF Board tabled the claim pending
receipt of proof of inedical necessity No new information was
received.
Motion by Chair Pro Tem Petersen, second by Member Vogel to
table Ms. Darough's claim for an additional month.
MOTION CARRIED UNANIMOUSLY 5.0
V NEW BUSINESS
LEOFF Board Minutes
November 6, 2012
Page 1
City of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 6, 2012 - 10:00 AM—Council Conference Room
A. Disabilitv Leave/Retirement Aoolications
No application for disability leave/retirement was received.
B. Ac�aeals/Reauests for Reconsideration
No request for reconsideration was received.
C. MedicallHearinqNision/Dental Claims
1 Cov Franklin Grall
Request for reimbursement of dental expenses in the amount of
$111.00 for services received on September 26, 2012.
COY FRANK GRALL $1,200.00 BALANCE
2012 $1,200.00
July 3, 2012 $136.00 $1,064.00
Motion by Chair Pro Tem Petersen, second by Member Osbome to
approve the claim in the amount of$111.00.
MOTION CARRIED UNANIMOUSLY 5-0
2. Theodore Lindback
Request for reimbursement of dental expenses in the amount of
$169.10 for services received on September 25, 2012.
THEODORE
LINDBACK 2012 $1,200.00 BALANCE
$1,200.00
LEOFF BOARD
DATE
April 3, 2012 $877.80 $322.20
Motion by Chair Pro Tem Petersen, second by Member Osbome to
approve the claim in the amourrt of$169.10.
MOTION CARRIED UNANIMOUSLY 5-0
3. John Calkins
Request for reimbursement of vision expenses in the amount of
$77.69 for services received on November 3, 2011 Mr Calkins
last received vision reimbursement in May, 2011 in the amount of I
$215.67
LEOFF Board Minutes
November 6, 2012 �
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 6, 2072 - 70:00 AM —Council Conference Room
Motion by Member Vogel, second by Chair Pro Tem Petersen to
approve the claim.
Motion by Member Holman, second by Members Osbome to
amend the motion to reimburse Mr Calkins the difference befinreen
$215.67 (the amount of vision reimbursement approved for Mr
Calkins in 2011) and the reimbursement limit of$270.00.
MOTION CARRIED UNANIMOUSLY 5-0
THE MAIN MOTION, AS AMENDED, CARRIED UNANIMOUSLY
5-0
4 William Pitzl
Request for reimbursement of dental expenses in the amount of
$212.40 for services received on October 16, 2012.
Bill Pitzl 2012 $1;200.00 BALANCE
$1,200.00
Date Claim Approved
May 1, 2012 $360.00 $840.00
Motion by Chair Pro Tem Petersen, second by Member Osbome to
approve the claim in the amount of$212.40.
MOTION CARRIED UNANIMOUSLY 5-0
5. Marion Dukes
a. Request for reimbursement of dental expenses in the
amount of $419.00 for services received on September 13,
2012.
b. Request for reimbursement of dental expenses iri the
amount of $251.00 for services received on October 17,
2012.
Mr Dukes has not received dental reimbursement in 2012.
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve Mr Dukes' dental claims.
LEOFF Board Minutes
November 6, 2012
Page 3
' I
City of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 6, 2072 - 70:00 AM —Council Conference Room
MOTION CARRIED UNANIMOUSLY 5-0
6. Bruce Caldwell
a. Request for reimbursement of inedical equipment in the
amount of$159.98.
Motion by Member Holman, second by Member Osbome to
table the claim pending receipt of proof of inedical necessity
MOTION CARRIED UNANIMOUSLY 5-0
b. Request for reimbursement of dental expenses in the
amount of $2,241.50 for services received on August 29,
September 4, September 17, and August 16, 2012.
BRUCE CALDWELL $1,200.00 BALANCE
2012 $1,200.00
July 3, 2012 $209.70 $990.30
Motion by Chair Pro Tem Petersen, second by Member
Vogel to approve Mr Caldwell's dental claim, finding medical
necessity
MOTION CARRIED UNANIMOUSLY 5-0
The Board Secretary was instructed to request information
from Mr Caldwell on his long term dental care plan and
prognosis.
c. Request for reimbursement of inedical equipment in the
amount of$6.98.
Motion by Chair Pro Tem Petersen, second by Member
Vogel to table the claim pending receipt of proof of inedical
necessity
MOTION CARRIED UNANIMOUSLY 5-0
d. Request for reimbursement of vision examination expenses
in the amount of$64.00 and lenses and frames expenses in
LEOFF Board Minutes
November 6, 2012
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Ci of Auburn Law Enforcement Officers and Firefi hters Disabili Board
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Tuesday, November 6, 2012 - 10:00 AM —Council Co�ference Room
the amount of$785.71 Mr Caldwell has not received vision
expense reimbursement in the last year
Motion by Chair Pro Tem Petersen, second by Member
Osbome to approve the examination expenses in the
amount of $64.00 and lenses and frames expenses in the
amount of$270.00.
MOTION CARIED UNANIMOUSLY 5-0
7 Richard Husebv
Request for pre-approval of hearing aids purchase in the amount of
$4,997 00
Motion by Chair Pro Tem Petersen, second by Member Holman to
table the claim pending the receipt of information from the Board's
preferred hearing aid provider, Costco Hearing Aid Center, on their
cost of an equivalent hearing aid.
MOTION CARRIED UNANIMOUSLY 5-0
The Board Secretary was instructed to correspond with Costco
Hearing Aid Center for a quote on equivalent equipment and
request an itemized statement from Mr Huseby's provider
8. John Baker
a. Request for reimbursement of vision expenses in the
amount of $264.55. Mr Baker has not received vision
expense reimbursement in the last year
Motion by Chair Pro Tem Petersen, second by Member
Vogel to approve the claim in the amount of$264.55.
MOTION CARRIED UNANIMOUSLY 5-0
b. Request for pre-approval of hearing aids purchase in the
amount of$2,764.22.
Motion by Chair Pro Tem Petersen, second by Member
Votel to approve Mr Baker's purchase of hearing aids ftom
the Board's preferred hearing aid provider, Costco Hearing
Aid Center, in the amount of$2,764.22.
LEOFF Board Minutes
November 6, 2012
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Ci of Auburn Law Enforoement Officers and Firefi hters Disabili Board
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Tuesday, November 6, 2012 - 10:00 AM — Council Conference Room
MOTION CARRIED UNANIMOUSLY 5-0
9 Ed Wolters
Request for reimbursement of dental expenses in the amount of
$320.00 for services received on May 14 and August 15, 2012. Mr
Wolters has not received dental expense reimbursement in 2012.
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve Mr Wolters' claim in the amount of$320.00.
MOTION CARRIED UNANIMOUSLY 5-0
10. Ed Henderson
Request for reimbursement of inedical expenses in the amount of
$550.00 for services received on January-March, 2012.
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve Mr Henderson's cla'im in the amount of$550.00.
MOTION CARRIED UNANIMOUSLY 5-0
11 Doris Darouah
Request for reimbursement of long term care costs for the month of
September 2012 in the amount of $3,278.10 and medical
equipment in the amount of$155.00.
Motion by Member Holman, second by Mr Osbome to approve Ms.
Darough's claim.
MOTION CARRIED UNANIMOUSLY 5-0
12. William R. Petersen
Request for reimbursement of vision expenses in the amourrt of
$44.00 for the exam and $120.00 for contacts. Mr Petersen last
received vision expense reimbursement on December 6, 2011 in
the amount of$130.00
Mr Petersen recused himself from consideration of his claim.
Motion by Member Holman, second by Member Vogel to approve
Mr Petersen's claim in the amount of$164.00.
MOTION CARRIED 4-0 Mr Petersen abstained.
LEOFF Board Minutes
November 6, 2012
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 6, 2012 - 10:00 AM —Council Conference Room
D Discussion
Chair Kelly noted that the new ciaim for payment form and vision claim
forms are now available on the City's web site under "Forms." The forms
are formatted as fill forms so that tFiey can be completed on line, then
printed and mailed with supporting documentation to the Board Secretary
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjoumed at 10:39 a.m.
APPROVED the h��day of�(�k��`.�`J 2012.
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Jim K Ily, Chair Danielle Daskam, Boartl Secretary
LEOFF Board Minutes
November 6, 2012
Page 7