HomeMy WebLinkAbout09-07-2004
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 7,2004 -10:00 AM - Council Conference Room
MINUTES
I. CALL TO ORDER
Chair Pro Tem Larson called the meeting to order at 10:00 a.m. in the City of
Auburn Mayor's Office. Members present included: Chair Pro Tem Bud Larson,
Member Bill Peloza, Member Roger Thordarson, and Member Russ Vandver.
The meeting was paused pending the arrival of Chair Jim Kelly and to allow
relocation of the meeting to the Council Conference Room. Chair Kelly arrived
at 10:02 a.m. at which time the meeting proceeded. Also present during the
meeting were Board Attorney Joseph Beck and Board Secretary Danielle
Daskam.
II. APPROVAL OF MINUTES
A. Minutes of the AUQust 3. 2004 LEOFF Board MeetinQ
Motion by Chair Pro Tem Larson, second by Member Thordarson to
approve the August 3, 2004 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 3-0.
III. UNFINISHED BUSINESS
A. PendinQ Disability Leave/Retirement Applications
1 Rudy Peden
Effective Date of Disability: May 17, 2004
Last Day of Service: May 16, 2004
On June 1, 2004, the Board approved disability leave for Rudy
Peden effective May 17, 2004, with last day of service on May 16,
2004. On July 7, 2004, the LEOFF Board continued Mr. Peden's
disability leave. On August 3, 2004 no new information was
received.
The Board reviewed and acknowledged receipt of the following
documents: a physician's statement dated July 28, 2004 received
by the Board Secretary on August 6, 2004, a physician's statement
dated August 5, 2004 received by the Board Secretary on August
19, 2004, and a request to return to work dated August 28, 2004
(physician's statement received August 27,2004).
LEOFF Board Minutes
September 7,2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 7,2004 -10:00 AM - Council Conference Room
Motion by Member Peloza, second by Member Member
Thordarson to accept Dr. Schlitt's (Mr. Peden's attending physician)
August 27, 2004 return to work notice and approve Mr. Peden's
return to work on September 13, 2004 for a 90-day conditional
period with no restrictions pursuant to LEOFF policy 3.15.
MOTION CARRIED UNANIMOUSLY. 5-0.
B. Medical/HearinQNision Claims
1 . Robert Reno
a. Request for reimbursement of medical expenses in the
amount of $494.50 for medical services received in May and
June 2004. On August 3, 2004, the LEOFF Board tabled
Mr. Reno's claim pending the receipt of the applicable
insurance explanation of benefits statement. No new
information was received.
Motion by Chair Pro Tem Larson, second by Member
Thordarson to table Mr. Reno's claim until the next regular
Board meeting.
MOTION CARRIED UNANIMOUSLY. 5-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
There was no new disability leave/retirement application.
B. Appeals
No appeal was filed.
C. Medical/HearinQNision Claims
1. Ronald M. LOQan
Regence Explanation of Benefits Claim No. 0408433523000
processed on May 5, 2004 for medical services received on
February 26,2004 in the amount of $57.26.
Motion by Member Peloza, second by Member Vandver to approve
Mr. Logan's claim in the amount of $57.26.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
September 7,2004
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 7,2004 -10:00 AM - Council Conference Room
2. Rudy Peden
Regence Explanation of Benefits Claim No. 0416033373200
processed on June 16, 2004 for medical services received on May
17,2004 in the amount of $224.00.
Motion by Member Peloza, second by Member Vandver to approve
Mr. Peden's claim in the amount of $224.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. M. Eric Bearscove
Request for reimbursement of vision expenses dated August 11,
2004 in the amount of $27.90.
On January 5, 2004, the Board authorized payment to Mr.
Bearscove in the amount of $134.00 for reimbursement of vision
expenses.
Motion by Member Peloza, second by Chair Pro Tem Larson to
approve Mr. Bearscove's claim in the amount of $27.90.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Bruce Caldwell
Request for reimbursement of vision expenses received August 6,
2004 in the total amount of $197.79 (supporting documentation
indicates $198.78).
Mr. Caldwell has not received vision expense reimbursement within
the last year.
Motion by Chair Pro Tem Larson, second by Member Thordarson
to approve Mr. Caldwell's claim in the amount of $198.78,
according to the supporting documentation.
MOTION CARRIED UNANIMOUSLY. 5-0.
A letter will be sent to Mr. Caldwell clarifying the difference in the
approved amount, supported by the Costco documentation,
compared to the amount reflected on the claim worksheet.
5. 1. Michael Dunbar
LEOFF Board Minutes
September 7,2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 7,2004 -10:00 AM - Council Conference Room
Regence Explanation of Benefits Claim No. 0420232896600
processed on July 28, 2004 for medical services received on July
12,2004 in the amount of $50.00.
Motion by Chair Pro Tem Larson, second by Member Peloza to
approve Mr. Dunbar's claim in the amount of $50.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Correspondence
No correspondence was received.
E. Discussion
There was no discussion.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:24 a.m.
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APPROVED THIS ,'-- - DAY OF OCTOBER 2004.
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Jim Kelly, Chair .-\
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LEOFF Board Minutes
September 7,2004
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