HomeMy WebLinkAbout02-04-2002 City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, February 4, 2002 - 10:00 AM - Conference Room 1
MINUTES
I. CALL TO ORDER
Chair Jim Kelly called the meeting to order at 10:00 AM on Monday, February 4,
2002, in Room 1 located at Auburn City Hall, 25 West Main Street, Auburn, WA.
Chair Kelly and the following Board members were present: Chair Pro Tem Bud
Larson and Member Stacey Brothers. Member Russ Vandver arrived at 10:03.
Member Gene Cerino was excused. Board Secretary Danielle Daskam was also
present.
I1. APPROVAL OF MINUTES
A. Minutes of the January 7, 2002 LEOFF Board Meeting
Motion by Chair Pro Tern Larson, second by Member Brothers to approve
the minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 3-0.
III. UNFINISHED BUSINESS
A. Pending Disability Leave/Retirement Applicationc
There was no pending disability leave/retirement application.
B. Claims
1. Richard Huseb¥
a. Request for Board consideration on Mr. Huseby's request to
purchase hearing aids from other than the Board designated
hearing aid provider.
On January 7, 2002, the Board tabled Mr. Huseby's request
pending receipt of equivalent cost information from the
Board designated hearing aid provider, Costco. No new
information was received.
Board Secretary Daskam reported that the Costco Hearing
Aid Center had not yet responded in writing to the Board's
LEOFF Board Minutes
February 4, 2002
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, February 4, 2002 - 10:00 AM - Conference Room 1
request, but their representative had advised over the phone
that the equivalent Costco cost would be $1,599 per hearing
aid.
Motion by Chair Pro Tern Larson, second by Member
Brothers to table Mr. Huseby's claim until the next meeting
and receipt of Costco's written response for equivalent
hearing aid costs.
MOTION CARRIED UNANIMOUSLY. 4-0.
2. Bruce Caldwell
a. Regence Explanation of Benefits Claim No. 0130432051800
processed on November 21, 2001 for services received on
October 29, 2001 in the amount of $150.00.
b. Regence Explanation of Benefits Claim No. 0131032080500
processed on November 21, 2001 for services received on
November 1, 2001 in the amount of $150.00.
c. Regence Explanation of Benefits Claim No. 0131634112600
processed on November 21, 2001 for services received on
November 5, 2001 in the amount of $300.00.
On January 7, 2002, the LEOFF Board tabled Mr. Caldwell's
claims pending the receipt of additional information
explaining the medical procedure or care received. No new
information was received.
Chair Kelly reviewed the pending claims. Chair Kelly also
reported that he received an e-mail from Mr. Caldwell
regarding the Board's correspondence requesting additional
information relating to his claims. Chair Kelly explained to
Mr. Caldwell by return e-mail that the Board requires specific
information as to the procedure and its medical necessity.
Motion by Member Brothers, second by Member Vandver to
table Mr. Caldwell's claims until the next meeting pending
the receipt of the additional information requested.
LEOFF Board Minutes
February 4, 2002
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, February 4, 2002 - 10:00 AM - Conference Room I
MOTION CARRIED UNANIMOUSLY. 4-0.
3. Dave Schuur
a. Request for reimbursement of lense and frames expenses in
the amount of $15.43.
On January 7, 2002, the LEOFF Board tabled Mr. Schuur's
claim pending the receipt of a vision care worksheet. The
Board reviewed a vision care worksheet submitted by Mr.
Schuur.
The Board noted the worksheet did not equal the amount on
the provider receipt. The Board also discussed whether the
claim included the co-pay amount of $10.00. Chair Kelly
noted that according to the worksheet the total cost for
frames and lenses is $335.00. The claim appears to exceed
the reimbursement limit.
Motion by Member Brothers, second by Chair Pro Tern
Larson to table Mr. Schuur's claim for an additional month
and request clarification of the claim from Mr. Schuur.
MOTION CARRIED UNANIMOUSLY. 4-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Application,~
There was no new application for disability leave/retirement.
B. Appeals
No request for reconsideration was filed.
C. Medical Claims
1. Alan Kosko
a. Request for pre-approval of additional procedures
supplemental to the oral surgery, which was approved by
the Board on January 7, 2002.
LEOFF Board Minutes
February 4, 2002
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, February 4, 2002 - 10:00 AM - Conference Room 1
Chair Kelly reviewed the January 24, 2002, letter from Dr.
Woo regarding Mr. Kosko's oral surgery. Chair Kelly
recalled that on January 7, 2002, the Board approved
$10,028 for the oral surgery. According to the letter, there
are additional expenses related to the surgery.
Board members expressed concern that the letter and
attachments were unclear as to the additional procedure and
its expense.
Motion by Chair Pro Tern Larson, second by Member
Brothers to table Mr. Kosko's request for additional
expenses pending clarification of his claim for oral surgery.
MOTION CARRIED UNANIMOUSLY. 4-0.
2. Bruce Caldwell
a. Regence Explanation of Benefits Claim No. 0133232601800
processed on January 9, 2002 for services received on
November 26, 2001 and Regence Explanation of Benefits
Claim No. 0133032381300 processed on January 9, 2002
for services received on November 19, 2001 in the total
amount of $600.00.
b. Regence Explanation of Benefits Claim No. 0134732979700
processed on December 26, 2001 for services received on
November 29, 2001 in the amount of $150.00.
c. Regence Explanation of Benefits Claim No. 0131832004600
processed on January 23, 2002 for services received on
November 12, 2001 in the amount of $150.00.
Chair Kelly reviewed Mr. Caldwell's claims. He noted that
the items identified as surgery on Regence Claim Nos.
0134732979700 and 0131832004600 were paid by the
insurance, but the same items identified as surgery on
Regence Claim Nos. 0133232601800 and 0133032381300
were not covered by insurance according to Regence
Explanation of Benefits. Board members questioned the
inconsistency in insurance coverage.
LEOFF Board Minutes
February 4, 2002
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, February 4, 2002 - 10:00 AM - Conference Room I
Motion by Chair Pro Tern Larson, second by Member
Brothers to table Mr. Caldwell's claims pending additional
information from Mr. Caldwell as to the medical necessity of
the medical services and clarification from the Association of
Washington Cities Benefits Specialist and the insurance
company as to the reason for Regence's coverage of some
of the surgery charges while others are not covered by
insurance.
MOTION CARRIED UNANIMOUSLY. 4-0.
D. Correspondence
1. Chair Kelly acknowledged receipt of a copy of the 2001 Summary
of Annual Financial Report for the Year Ended June 30, 2001, from
the Washington State Department of Retirement Systems. Copies
were provided to the Board members for information only.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:28 AM.
APPROVED THIS ~' DAY OF MARCH 2002.
Jim Kelly, Chair (~ ~,'_"'~'~%~ ~-'L.
Danielle Daskam, Secretary
LEOFF Board Minutes
February 4, 2002
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