HomeMy WebLinkAbout12-06-2016 Minutes City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 6, 2016 - 10:00 AM —Conference Room 2
MINUTES
I. CALL TO ORDER
Chair Jim Kelly called the meeting to order at 10;00 a.m. in Conference Room 2
located on the second floor of Auburn City Hall, 25 West Main Street in Auburn.
Members present included: Chair Kelly, Chair Pro Tem Bill Petersen, Member
Yolanda Trout-Manuel, and Member Bob Baggett. Member-at-large David Cook.
arrived at 10:01 a.m. Also present were Board Attorney Doug Ruth and Board
Secretary Danielle Daskam.
II. AGENDA MODIFICATIONS
Claims from Dale Volstad were added to the agenda.
III. APPROVAL OF IIAINUTES
A. Minutes of the November 1, 2016 LEOFF Board Meetinq
Motion by Chair Pro Tem Petersen, second by Member Baggett to
approve the minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0
IV. U9VFINISHED BUSINESS
A. Pendinq Disabilitv Leave/Retirement Applications
There was no pending disability leave%retirement application.
6. Pendinq Medical/Hearing/Vision/Dental Claims
1. Michael Corkins
Request for approval of hydro-therapy walk in tub in the amount of
$15,000.00. On August 2, September 6 and October 4, 2016, the
Board tabled Mr. Corkins' claim pending the receipt of a statement
from Mr. Corkins' physician supporting the medical necessity of the
equipment. On November 1, 2016, Mr. Corkins submitted
additional information in response to the Board's request, and the
Board subsequently referred Mr. Corkins to an independent
medical examination (IME). The IME is scheduled for January 10,
2017. The Board acknowledge the date of the IME.
2. Victor Shivelv
Request for reimbursement of inedical expenses in the amount of
$75.00 for services received on June 22, 2016. On September 6,
LEOFF Board Minutes
Decem.ber 6, 2016
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City of Auburn Law Enforcement Oificers and Fire�ghters Disability Board
Tuesday, December 6, 2016 = 10:00 ABA — Conference Room 2
October 4, and November 1, 2016, the LEOFF Board tabled the
claim pending the receipt of an explanation of benefits statement.
No new information was received.
Motion by Chair Pro Tem Petersen, second by Member Cook to
deny the claim due to lack of information.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Cali Ann Edwards
Request for reimbursement of equipment in the amount of
$20,077.35 (This request was originally submitted at the January
5, 2016 LEOFF Board meeting.) On October 4 and November 1,
2016, the Board tabled Ms. Edwards' claim pending the receipt of
additional information supporting the medical necessity of the
equipment. No new information was received.
Motion by Chair Pro Tem Petersen, second by Member Baggett to
table the claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 5-0
4. Robert Wiqlev
Request for pre-authorization of dental expenses in the amount of
$10,214.00. On October 4 and November 1, 2016, the LEOFF
Board tabled the claim pending receipt of proof of inedical
necessity for the dental work. No new information was received.
Motion by Chair Pro Tem Petersen, second by Member Baggett to
table the claim for an additional month.
_
MOTION CARRIED UNANIMOUSLY. 5-0
5. Ed Wilson
Request for reimbursement of inedical expenses in the amount of
$1,812.19 for senrices ceceived January 13, March 30, July 25,
August 4. On November 1, 2016, the Board tabled the claim
pending the receipt of Medieare/insurance explanation of benefits
statements. No new information was received,
Motion by Chair Pro Tem Petersen, second by Member Trout-
Manuel to table the claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 5-0
LEOFF Board Minutes
December 6, 2016
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 6, 2016 - 10:00 Ailfl — Conference Room 2
V. NEVV BUSINESS
A. Disability Leave/Retirement Applications
No new application for disability leave was received.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
C. Medical/HearingNision/Dental Claims
1. Dave Schuur
Request for approval/reimbursement of long-term care expenses
for the month of November 2016 in the amount of$5,460.00.
Motion by Chair Pro Tem Petersen, second by Member Baggett fo
approve the claim in the amount of$5,460.00.
MOTION CARRIED UNANIMOUSLY. 5-0
2. James Schulec
Request for approval of long-term care/home health care in the
amount of $1,523.18 for the period October 16 to October 31,
2016.
Motion by Member Baggett, second by Chair Pro Tem Petersen to
approve the claim in the amount of$1,523.18.
MOTION CARRIED UNANIMOUSLY. 5-0
3. Ed Wolters
a. Request for reimbursement of dental expenses in the
amount of $115.00 #or services received on August 29,
2016.
ED WOLTERS 2016 v $1,200.00 BALANCE�"mmm��!
$1,200.00 �
�
May 3, 2016 $115.00 $1,085.00 ;
Motion by Chair Pro Tem Petersen, second by Member
Trout-Manuel to approve the claim in the amount of$115.00.
LEOFF Board Minutes
December 6, 2016
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 6, 2016 - 10:00 AM —Conference Room 2
MOTION CARRIED UNANIMOUSLY. 5-0
b. Request for reimbursement of hearing aid costs in the
amount of $2;699:98 for hearing aids from the Board
preferred provider. Mr. Wolters has not received hearing aid
reimbursement in the past.
Motion by Chair Pro Tem Petersen, second by Member
Baggett to approve the claim as submitted.
MOTION CARRIED UNANIMOUSLY. 5-0
4. Sammy.Mulkev
Request for reimbursement of dental expenses in the amount of
$95.00 for services received on October 25, 2016.
SAMMY MULKEY 2016 1200�BALANCE
$1,200.00
�
� ____
J une 7, 2016 $150 00 �$1,050.00
_ ----
;Nov�ember 1, 2016 $150 00�___$900.00
Motion by Member Baggett, second by Member Trout-Manuel to
approve the claim in the amount of$95.00.
MOTION CARRIED UNANIMOUSLY. 5-0
5. Fred Fisher
Request for reimbursement of dental expenses in the amount of
$209.00 for services received on November 30, 2016. Mr. Fisher
has not received dental expense reimbursement in 2016.
Motion by Member Trout-Manuel, second by Member Cook to
approve the claim in the amount of$209.00.
MOTION CARRIED UNANIMOUSLY. 5-0
6. Ed Henderson
a. Request for reimbursement of vision expenses in the amount of
$61.00 for services received on November 10, 2016. Mr.
Henderson has not received vision expense reimbursement in
the past year.
LEOFF Board Minutes
December 6, 2016
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 6, 20'i 6 - 10:00 AiIA — Conference Room 2
Motion by Member Trout-Manuel, second by Member Baggett to
approve the claim in the amount of$61.00.
MOTION CARRIED UNANIMOUSLY. 5-0
b. Request for reimbursement of dental expenses in the amount of
$147.25 for services received on November 2, 2016. Mr.
Henderson's dental expenses have previously been found to be
medically necessary.
Motion by Chair Pro Tem Petersen, second by Member Baggett
to approve the claim in the amount of$147.25.
MOTION CARRIED UNANIMOUSLY. 5-0
7. John Calkins ;
Request for reimbursement of dental expenses in the amount of
$1,219.00 for services received on June 13, September 7, October
5, 2016. Mr. Calkins' dental expenses have been previously found
to be medically necessary.
Motion by Chair Pro Tem Petersen, second by Member Trout-
Manuel to approve fhe claim in the amount of$1,219.00.
MOTION CARRIED UNANIMOUSLY. 5-0
8. Cov Franklin Grall
Request for reimbursement of eye examination and lenses and
frames expenses in the amount of $330.00 ($60.00 exam and
$270.00 for lenses and frames). Mr, Grall has not received vision
expense reimbursement in the past year.
Motion by Member Cook, second by Chair Pro Tem Petersen to
approve the claim in the amount of$330.00.
MOTION CARRIED UNANIMOUSLY. 5-0
9. Dale Volstad
a. Request for reimbursement of dental expenses in the amount of
$1,044.48 for services received on November 21, 2016. Mr.
Volstad has not received dental expense reimbursement in
2016.
LEOFF Board Minutes
December 6, 2016
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 6, 2016 - 10:00 ANi — Conference Room 2
Motion by Chair Pro Tem Petersen, second by Member Trout-
Manuel to approve the claim in the amount of$1,044.48.
MOTION CARRIED UNANIMOUSLY. 5-0
b. Request for reimbursement of inedical expenses in the amount
of $408.00 for services received on July 22, 2016 and
processed by insurance on October 30, 2016.
Motion by Chair Pro Tem Petersen, second by Member Baggett
to approve the claim in the amount of$408.00.
D. Other_Discussion
Chair Kelly requested that the Board Attorney review the current format of
the Board meeting agenda and minutes to ensure they are in
eonformanee with HIPAA regulations.
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:23 a.m.
APPROVED this �� day of , 2017.
�I��
J M KELLY, CH Board Secretary
LEOFF Board Minutes
December 6, 2016
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