HomeMy WebLinkAbout07-01-2008City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 1, 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. Board Attorney Stephen King and Board Secretary
Danielle Daskam were also present.
II. APPROVAL OF MINUTES
A. Minutes of the June 3, 2008 LEOFF Board Meeting
Motion by Chair Pro Tern Larson, second by Member Petersen to approve
the June 3, 2008 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0.
111. UNFINISHED BUSINESS
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.
On May 6 and June 3, 2008, the LEOFF Board tabled Ms. Darough's
claim pending receipt of additional information. In response, Ms. Darough
submitted the LEOFF claim for long term care.
Committee members reviewed the documentation and noted that the first
day of service for home health care was not included on the claim form.
Also, the claim in the amount of $5,506.00 was lacking supporting
documents (billing statements, invoices) for $4,880 of the expenses.
Motion by Member Petersen, second by Chair Pro Tern Larson to table
the claim in the amount of $5,506 pending the receipt of additional
information and to pay the claim in the amount of $3,020.88.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
July 1, 2008
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 1, 2008 -10:00 AM - Council Conference Room
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. William Pitzl
Request for reimbursement of dental expenses from accidental
injury in the amount of $3,036.45.
Motion by Member Petersen, second by Chair Pro Tern Larson to
approve the claim in the amount of $3,036.45.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Bruce Caldwell
a. Request for reimbursement of medical expenses in the
amount of $41.59, Regence Claim #0813320870000 for
services received on March 14, 2008
b. Request for reimbursement of medical expenses in the
amount of $41.59, Regence Claim #0814021031600 for
services received on April 14, 2008
C. Request for reimbursement of medical supplies received on
May 16, 2008 in the amount of $70.00.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Caldwell's claims in the amounts of $41.59, $41.59
and $70.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. David Schuur
a. Request for reimbursement of dental expense in the amount
of $220.40 for services received on May 28, 2008.
LEOFF Board Minutes
July 1, 2008
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 1, 2008 - 10:00 AM - Council Conference Room
b. Request for reimbursement of dental expenses in the
amount of $210.90 for services received on June 9, 2008.
Mr. Schuur had not received reimbursement for dental expenses in
2008.
Motion by Member Petersen, second by Chair Pro Tern Larson to
approve Mr. Schuur's claims in the amounts of $220.40 and
$210.90.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Victor Shively
Request for reimbursement of medical expenses in the amount of
$120.00, Regence Claim #0803722273500 for services received
on January 22, 2008.
Motion by Chair Pro Tern Larson, second by Member Petersen to
approve the claim in the amount of $120.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
5. Theodore Lindback
Request for reimbursement of dental expenses in the amount of
$201.85 for services received on May 27, 2008.
THEODORE
LINDBACK $1,200.00 BALANCE
$1,200.00
LEOFF BOARD
DATE
May 6, 2008 $307.85 $892.15
Motion by Member Petersen, second by Chair Pro Tern Larson to
approve the claim in the amount of $201.85.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. Richard Huseby
Mr. Huseby's claim was added to the agenda.
LEOFF Board Minutes
July 1, 2008
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 1, 2008 -10:00 AM - Council Conference Room
Request for reimbursement of dental expenses in the amount of
$93.10 and pre-approval of dental expenses in the amount of
$1,480.10.
Mr. Huseby had not received reimbursement for dental expenses in
2008.
Motion by Chair Pro Tern Larson, second by Member Petersen to
approve the dental claim in the amount of $93.10.
MOTION CARRIED UNANIMOUSLY. 5-0.
Motion by Member Petersen, second by Chair Pro Tem Larson to
send a letter to Mr. Huseby advising him that LEOFF Board policy
8.02(D) provides for reimbursement of dental related expenses up
to $1,200 annually; any request for reimbursement of expenses
above the annual limit of $1,200 must be proven to be medically
necessary and accompanied by supporting documentation
evidencing the medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Ed Henderson
Mr. Henderson's claim was added to the agenda.
Request for reimbursement of dental expenses in the amount of
$630.82.
ED HENDERSON $1,200.00 BALANCE
$1,200.00
April 1, 2008 $380.00 $820.00
April 1, 2008 $189.18 $630.82
Motion by Chair Pro Tern Larson, second by Member Petersen to
approve the claim in the amount of $630.82.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Murray Board
Mr. Board's claim was added to the agenda.
LEOFF Board Minutes
July 1, 2008
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 1, 2008 - 10:00 AM - Council Conference Room
Request for reimbursement of vision expenses in the amount of
$135.97 for services received on June 13, 2008.
Mr. Board had not received reimbursement for vision expenses in
the past year.
Motion by Chair Pro Tern Larson, second by Member Petersen to
approve the claim in the amount of $135.97.
MOTION CARRIED UNANIMOUSLY. 5-0.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:20 a.m.
kk
APPROVED THE G DAY OF AUGUST 2008.
cl?
C,
Jim Kelly, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes
July 1, 2008
Page 5