HomeMy WebLinkAbout03-06-2002 City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 4, 2002 - 10:00 AM - Conference Room I
MINUTES
I. CALL TO ORDER
Chair Jim Kelly called the meeting to order at 10:00 AM on Monday, March 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, Member Stacey Brothers, Member Gene Cerino, and Member Russ
Vandver. Others present included Associate City Attorney Karen Gulliver and
Board Secretary Danielle Daskam.
I1. APPROVAL OF MINUTES
A. Minutes of the February 4, 2002 LEOFF Board Meetin.q
Motion by Chair Pro Tern Larson, second by Member Brothers to approve
the minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0.
III. UNFINISHED BUSINESS
A. Pendinq Disability Leave/Retirement Applications
There was no pending disability leave/retirement application.
B. Claims
1. Richard Huseby
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 and February 4, 2002, the Board tabled Mr.
Huseby's request pending receipt of equivalent cost
information from the Board designated hearing aid provider,
Costco.
Chair Kelly acknowledged the receipt of a letter from Costco
Hearing Aid Center received by the Board Secretary on
LEOFF Board Minutes
March 4, 2002
Page 1
City of Auburn Law Enforcement Officers and Fireflghters Disability Board
Monday, March 4, 2002 - 10:00 AM - Conference Room I
February 4, 2002, containing the equivalent cost information
request by the Board. The cost for equivalent hearing aids
through Costco is $1,599 per hearing aid or a total cost of
$3,198.00.
Motion by Member Brothers, second by Member Cerino to
approve hearing aids for Mr. Huseby in the amount of
$3,198.00 based on Costco's February 4, 2002 letter.
MOTION CARRIED UNANIMOUSLY. 5-0.
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 and February 4, 2002, the LEOFF Board
tabled Mr. Caldwell's claim pending the receipt of additional
information explaining the medical procedure or care
received and its medical necessity.
Chair Kelly acknowledged the receipt of a letter of medical
necessity from Dr. Sandra F. Reilly in response to the
Board's request for additional information. Board members
discussed Dr. Reilly's letter and the medical procedure.
Motion by Member Brothers, second by Member Vandver to
approve Mr. Caldwell's claim in the total amount of $600.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
March 4, 2002
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 4, 2002 - 10:00 AM - Conference Room I
3. 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.
On February 4, 2002, the Board tabled Mr. Caldwell's claims
pending additional information from Mr. Caldwell as to the
medical necessity of the medical services received and
information from the Association of Washington Cities
regarding insurance coverage.
Board members referred to the letter of medical necessity
from Dr. Sandra Reilly under Item III.B.2 of these minutes
and the February 13, 2002, letter from the Association of
Washington Cities regarding Mr. Caldwell's claims. The
Board also received revised Explanation of Benefits
Statements from Mr. Caldwell related to Claim Nos.
0133032381300 and 0133232601800.
According to the letter from the Association of Washington
Cities Employee Benefit Trust, the "surgery" charges on
November 19 and 26, 2001 were reprocessed by Regence
and ultimately paid at 100% of the allowed amount with no
patient responsibility due.
Motion by Chair Pro Tem Larson, second by Member
Vandver to approve reimbursement of medical care received
on November 19 and 26, 2001 per Claim Nos.
LEOFF Board Minutes
March 4, 2002
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 4, 2002 - 10:00 AM - Conference Room '1
0133032381300 and 0133232601800 in the total amount of
$300.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
Motion by Member Vandver, second by Chair Pro Tem
Larson to approve reimbursement of medical care received
on November 29, 2001 per Claim No. 0134732979700 in the
amount of $150.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
Motion by Member Vandver, second by Chair Pro Tem
Larson to approve reimbursement of medical care received
on November 12, 2001 per Claim No. 0131832004600 in the
amount of $150.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Dave Schuur
a. Request for reimbursement of lense and frames expenses in
the amount of $15.43.
On January 7, 2002 and February 4, 2002, the LEOFF
Board tabled Mr. Schuur's claim pending the receipt of
additional information. No new information was received.
Motion by Member Cerino, second by Member Brothers to
table Mr. Schuur's claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 5-0.
5. 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
March 4, 2002
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 4, 2002 - 10:00 AM - Conference Room 1
On February 4, 2002, the Board tabled Mr. Kosko's claim for
additional expenses pending clarification of his claim. No
new information was received.
Motion by Member Brothers, second by Member Vandver to
table Mr. Kosko's claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 5-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
There was no new application for disability leave/retirement.
B. Appeals
No request for reconsideration was filed.
C. Medical Claims
1. Jerome Christin
a. Request for reimbursement of lense ($123.00) and frames
($63.78) expenses.
Motion by Member Brothers, second by Member Cerino to
approve reimbursement of $63.78 for frames and $60.00 for
bifocal lenses for a total reimbursement of $123.78.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Gerry Fuller
a. Regence Explanation of Benefits Claim No.
0202120510400 processed on January 28, 2002, for
medical services received on January 6, 2002, in the
amount of $50.00.
Motion by Member Cerino, second by Member Brothers to
approve Mr. Fuller's claim in the amount of $50.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
March 4, 2002
Page 5
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 4, 2002 - 10:00 AM - Conference Room I
3. Bruce Caldwell
a. Request for approval of the purchase of two hearing aids
through Costco Hearing Aid Center for a total cost of
$2,598.00.
Board members reviewed the information received from Mr.
Caldwell, which included a February 26, 2002 letter from the
Costco Hearing Aid Center and a completed LEOFF Board
Hearing Aid Voucher form. Board members noted that Mr.
Caldwell did not include a copy of his audiologist's (Dr.
Wulfestieg) letter/audiogram dated February 21, 2002, which
was referred to in Costco's letter.
Motion by Member Brothers, second by Member Vandver to
table Mr. Caldwell's claim pending the receipt of Mr.
Caldwell's audiogram performed by Dr. Wulfestieg's on
February 21, 2002.
MOTION CARRIED UNANIMOUSLY. 5~0.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:30 AM.
APPROVED THIS /5~L_' DAY OF APRIL 2002.
Jin~ Kelly, Chair (~ Da"nielle Daskam, Secr-~tary --
LEOFF Board Minutes
March 4, 2002
Page 6