HomeMy WebLinkAbout05-06-2008City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, May 6, 2008 -10:00 AM - Council Conference Room
MINUTES
1. CALL TO ORDER
Chair Jim Kelly called the meeting to order at 10:00 a.m. in the Council
Conference Room located at Auburn City Hall, 25 West Main Street in Auburn.
Chair Kelly and the following Board members were present: Chair Pro Tern Bud
Larson (member at large), Member Lynn Norman, Member Virginia Haugen and
Member Bill Petersen. Also present were Board Attorney Joseph Beck and
Board Secretary Danielle Daskam.
II. APPROVAL OF MINUTES
A. Minutes of the April 1 2008 LEOFF Board Meeting
Motion by Chair Pro Tern Larson, second by Member Petersen to approve
the April 1, 2008 minutes as distributed.
MOTION CARRIED. 5-0.
III. UNFINISHED BUSINESS
There was no unfinished business.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
No new application for disability leave/retirement was received.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
C. Medical/Hearing/Vision Claims
1. Roger Lee
Request for reimbursement of dental expenses in the amount of
$160.55.
ROGER LEE 2008 $1,200.00 BALANCE
$1,200.00
March 6, 2008** $1,264.45 ($64.45)
"Found Medically
Necessary
LEOFF Board Minutes
May 6, 2008
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, May 6, 2008 - 10:00 AM - Council Conference Room
Motion by Member Petersen, second by Chair Pro Tern Larson to
approve the claim in the amount of $160.55.
MOTION CARRIED. 5-0.
2. Michael J. Corkins
Medicare explanation of benefits numbers 20735400096202 and
20803600066002 for services received on November 30, 2007 and
January 16, 2008 in the total amount of $90.80.
Motion by Chair Pro Tern Larson, second by Member Petersen to
approve the claim in the amount of $90.80.
MOTION CARRIED. 5-0.
3. Bruce Caldwell
Request for pre-approval of medical supplies/equipment.
Committee members reviewed Mr. Caldwell's request to purchase
six pair of diabetic support socks. Mr. Caldwell presented a
prescription to dispense two pair with five refills. Mr. Caldwell is
requesting to purchase six pair initially to allow laundering time. Mr.
Caldwell also states in his supporting documentation that he will fill
the balance of the prescription if the socks prove to be beneficial.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the purchase of six pair of support socks.
Motion by Member Petersen, second by Chair Pro Tern Larson to
amend the motion to approve six pair of support socks and an
oximeter.
MOTION ON THE AMENDMENT CARRIED UNANIMOUSLY. 5-0.
MOTION ON THE MAIN MOTION CARRIED. 4-1. Member
Haugen voted no.
4. Doris G. Darough
Requests for reimbursement of home health and community based
long term health care in the amount of $5,506.00 and $3,020.88.
LEOFF Board Minutes
May 6, 2008
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, May 6, 2008 - 10:00 AM - Council Conference Room
Motion by Chair Pro Tern Larson, second by Member Petersen to
table the claim pending receipt of further information.
Chair Kelly noted that the LEOFF Board policies require that the
claimant provide a medical request for home health care form
completed by the attending physician with a description of the
medical necessity and the estimated length of time during which
home health care will be required.
MOTION CARRIED UNANIMOUSLY. 5-0.
5. Theodore Lindback
Request for reimbursement of dental expenses in the amount of
$307.85. Mr. Lindback has not received reimbursement for dental
expenses in 2008.
Motion by Chair Pro Tern Larson, second by Member Petersen to
approve the claim as submitted in the amount of $307.85.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. William Pitzl
Request for reimbursement of dental expenses in the amount of
$76.95. Mr. Pitzl has not received reimbursement for dental
expenses in 2008.
Motion by Chair Pro Tern Larson, second by Member Petersen to
approve the claim as submitted in the amount of $76.95.
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Coy Franklin Grall
Request for reimbursement of vision expenses in the amount of
$145.00. Mr. Grall has not received reimbursement for vision
expenses in the last year.
Motion by Member Petersen, second by Chair Pro Tern Larson to
approve the claim as submitted in the amount of $145.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Helen J. Bowden
LEOFF Board Minutes
May 6, 2008
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, May 6, 2008 - 10:00 AM - Council Conference Room
Request for reimbursement of vision expenses in the amount of
$239.97. Ms. Bowden has not received reimbursement for vision
expenses in the last year.
Motion by Chair Pro Tern Larson, second by Member Petersen to
approve $225.00 in reimbursement pursuant to LEOFF Board
policy.
MOTION CARRIED UNANIMOUSLY. 5-0.
9. Ed Wolters
Request for pre-approval of dental expenses.
Motion by Member Petersen, second by Chair Pro Tern Larson to
send Mr. Wolters a letter advising that members are allowed up to
$1,200 annually for dental expenses and that any expenses over
and above the $1,200 annual limit must be supported by proof of
medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
10. Richard Schneider
Request for reimbursement of dental expenses in the amount of
$247.00. Mr. Schneider has not received reimbursement for dental
expenses in 2008.
Motion by Member Petersen, second by Chair Pro Tern Larson to
approve the claim in the amount of $247.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
10. Alan Kosko
Request for reimbursement of dental expenses in the amount of
$994.00. Mr. Kosko has not received reimbursement for dental
expenses in 2008.
Motion by Member Petersen, second by Chair Pro Tern Larson to
approve the claim in the amount of $994.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Correspondence
The following correspondence was submitted for information only.
LEOFF Board Minutes
May 6, 2008
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, May 6, 2008 - 10:00 AM - Council Conference Room
AWC Personnel News April 2008 bulletin regarding update on
LEOFF 1 medical costs and GASB 45'
E. Policy and Procedure Manual Review
LEOFF Board to consider the following proposed amendments to the
LEOFF Board Policy and Procedure Manual:
? Add a new policy 2.08, City to read as follows:
2.08 CITY
References in these policies to the "City" shall where appropriate
and reasonable be understood to refer to the Valley Regional Fire
Authority (VRFA).
? Amend policy 3.09, Physician's Reports as follows:
Current medical reports are required each month from all treating
and/or attending physicians. They must be received by the
Wednesday prior to the next regular Board meeting. Failure to
hnit reports will hen••1Pa ter the Board to ronemmeRd to the (amity
acru
v
Failure to submit reports may be
cause for the Board to terminate disability leave and recommend to
the City appropriate action consistent with the termination of
disability leave.(Rev 5/2008; Rev 8/94)
? Amend Policy 9.01 (1), relating to Medical Claim Procedures to read
as follows:
All claims, except prescription claims and Social Security Medicare
Part B claims, shall be submitted to the Board within ninety (90)
days of date processed/paid by the insurance documentation. The
Board will review the submitted claim at the next full Board
meeting. If all documentation is submitted properly the Board will
consider reimbursement of expenses. However, if for any reason,
the claim for. payment/reimbursement is insufficient, at the
discretion of the Board, it may table the claim until the next meeting
or until receipt of the requested documentation. The claim may be
tabled for three consecutive Board meetings. If, after three (3)
Board meetings the Claimant has not provided the Board with the
requested documentation, the claim for payment/reimbursement
may be rejected.
? Amend Policy 9.01(J), relating to Medical Claim Procedures to read
as follows:
LEOFF Board Minutes
May 6, 2008
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, May 6, 2008 - 10:00 AM - Council Conference Room
Prescription claims shall be submitted to the Board within twelve
(12) months from date of purchase. This poliGy shall apply te all
p, .,..,..SpurGhased on or after january 1, 2002.
? Amend Policy 9.02(C)(1), (2) and (3) (reimbursement rates) as
follows:
C. Vision Benefits
Payments for eyeglasses and contact lenses, plus the
reasonable costs of necessary eye examination services of
a licensed ophthalmologist or optometrist, will be approved
pursuant to the authority granted to the Board under RCW
41.26.150, if eyeglasses are prescribed by an
ophthalmologist or optometrist.
The Board will approve payment for one pair of eyeglasses
or contact lenses, at the member's option or as prescribed,
to correct vision when required for a new prescription in
accordance with the following schedule:
1. Eyeglass Lenses and Frames:
$22,k.401250.00 maximum per single set of frames and pair
of lenses not more than once every twelve (12) consecutive
months. Lenses covered include single vision, bifocal, or
trifocal lenses.
2. Second Pair: A second pair of monofocal (i.e.
computer) glasses shall be approved only if prescribed by an
ophthalmologist or licensed optometrist. The maximum cost
of the second pair shall not exceed $22-5$250.00 per single
set of frames and pair of lenses not more than once in a
twenty-four (24) consecutive months.
3. Contact Lenses: $125.00 per lens not to
exceed $250 maximum during any twelve (12) month period
including disposable contact lenses.
? Amend Policy 9.02(D), Laser Vision Correction, as follows:
The Board will reimburse the member the amount of "11 000
per eye for Radial Keratotomy (RK) surgery or laser eye surgery
(LASIK and RK). If a member is reimbursed the "$1,000 per
eye for the surgery, he or she will not be reimbursed for eyeglasses
LEOFF Board Minutes
May 6, 2008
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, May 6, 2008 - 10:00 AM - Council Conference Room
or contact lenses during the subsequent two calendar years, unless
eyeglasses or contact lenses are medically necessary.
? Incorporate amendments to Policy 8.02(D)(1) through (6), Dental
Expenses adopted on November 7, 2006.
? Appendix A and the manual's cover page will be amended to reflect
the current membership and member information.
? The Medical Request for Home Health Care to be included in
Appendix B of the Policy and Procedure Manual.
Board members reviewed the proposed amendments to the LEOFF Policy
and Procedure Manual.
Motion by Chair Pro Tern Larson, second by Member Petersen to approve
the proposed amendments as presented.
MOTION CARRIED UNANIMOUSLY. 5-0.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:23 a.m.
APPROVED THE -- DAY OF JUNE 2008.
AAAO- ?4 0 0 ? ? / v , "?,'?--?
Ji Kelly, Chair 6 Dan Ilse a Daskam, Board Secretary
LEOFF Board Minutes
May 6, 2008
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