HomeMy WebLinkAbout11-02-2004
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 2,2004 -10:00 AM - Council Conference Room
MINUTES
I. 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, Auburn.
Chair Kelly and the following Board members were present: Chair Kelly, Chair
Pro Tem Bud Larson, Member Bill Peloza, and Member Roger Thordarson.
Member Russ Vandver was excused. Also present during the meeting were
Board Attorney Joseph Beck and Board Secretary Danielle Daskam.
II. APPROVAL OF MINUTES
A. Minutes of the October 5. 2004 LEOFF Board Meetinq
Motion by Member Thordarson, second by Member Peloza to approve the
minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 4-0.
III. UNFINISHED BUSINESS
A. Pendinq Disabilitv Leave/Retirement Applications
There was no pending disability leave/retirement application.
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, September 7, and October 5
2004, the LEOFF Board tabled Mr. Reno's claim pending the
receipt of the applicable insurance explanation of benefits
statement.
Chair Kelly noted an October 21, 2004 and August 3, 2004
letter from the LEOFF Board Secretary to Mr. Reno and
acknowledged the receipt of a Medicare Part B statement
received from Mr. Reno on October 21, 2004 in response to
the Board's request.
Member Peloza pointed out that the supporting
documentation does not equal the amount requested for
LEOFF Board Minutes
Novemer 2, 2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 2,2004 -10:00 AM - Council Conference Room
reimbursement. Member Peloza suggested that the Board
request Mr. Reno itemize the amount requested for
reimbursement ($494.50).
Chair Kelly noted that Mr. Reno has not provided the
Regence Explanation of Benefits Statement as requested in
the Board Secretary's letters.
Motion by Chair Pro Tem Larson, second by Member Peloza
to deny the claim due to lack of response by the claimant to
the Board's request for the information as follows:
1. Regence Explanation of Benefits Statement
2. Detailed accounting of the amount requested for
reimbursement
MOTION CARRIED UNANIMOUSLY. 4-0.
2. Roqer H. Lee
Request for reimbursement of medical/pharmacy expenses in the
amount of $108.21. On October 5, 2004, the Board instructed the
Board Secretary to return Mr. Lee's claim for clarification of the
expenses. Mr. Lee submitted a letter in response to the Board's
request on October 15, 2004.
Board Secretary .Daskam clarified the documentation submitted by
Mr. Lee based on Mr. Lee's letter and a follow-up conversation
regarding the balance of the claim in the amount of $108.21.
Motion by Member Peloza, second by Chair Pro Tem Larson to
approve the claim in the amount of $108.21 as clarified by the
Board Secretary.
MOTION CARRIED UNANIMOUSLY. 4-0.
IV. NEW BUSINESS
A. Disabilitv Leave/Retirement Applications
There was no new disability leave/retirement application.
B. Appeals
No appeal was filed.
C. Medical/HearinqNision Claims
LEOFF Board Minutes
Novemer 2, 2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 2,2004 -10:00 AM - Council Conference Room
1. Roy S. Johnson
Request for reimbursement of vision expenses in the amount of
$240.00.
Motion by Member Peloza, second by Chair Pro Tem Larson to
approve the claim in the amount of $200.00, which is the maximum
reimbursement provided by Board policy.
MOTION CARRIED UNANIMOUSLY. 4-0.
2. William Petersen
(Mr. Petersen's claim was added as an agenda modification.)
Request for reimbursement of vision expenses in the amount of
$200.00.
Motion by Chair Pro Tem Larson, second by Member Peloza to
approve the claim in the amount of $200.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
E. Discussion
1. Board Secretary report on nomination(s) received for the LEOFF
Board fire representative election.
Chair Kelly acknowledged the receipt of the election notice
submitted by the Board Secretary, which announces that Russ
Vandver was elected as the Fire Department representative to the
LEOFF Board for a two-year term beginning January 1, 2005. One
nomination was received for the Fire Department representative to
the LEOFF Disability Board; therefore, balloting is not required
when only person submits a nomination.
V. ADJOURNMENT
There being no further business, the meeting adjourned at 10:23 a.m.
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APPROVED THE "/
DAY OF DECEMBER, 2004.
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Danielle Daskam, Board Secretary
LEOFF Board Minutes
Novemer 2, 2004
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