HomeMy WebLinkAbout04-07-2009
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 7, 2009 -10:00 AM - Council Conference Room
MINUTES
1. CALL TO ORDER
Chair Jim Kelly called the meeting to order at 1.0:00 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 Tem Bud
Larson, Member Lynn Norman, Member Virginia Haugen, and Member Bill
Petersen. Also present were Board Attorney Stephen King and Board Secretary
Danielle Daskam.
II. AGENDA MODIFICATION
Chair Kelly noted the addition of claims from Monroe Shropshire and Dave
Schuur to the agenda and follow-up materials for a pending claim from Jake
Evans.
Chair Kelly paused the meeting to allow Board members an opportunity to review
the agenda modifications.
III. APPROVAL OF MINUTES
A. Minutes of the March 3, 2009 LEOFF Board Meetina
Motion by Chair Pro Tem Larson, second by Member Petersen to approve
the March 3, 2009 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0.
IV. UNFINISHED BUSINESS
A. Pending Disability Leave/Retirement Applications
There was no pending disability/leave retirement application.
B. Medical/HearingNision/Dental Claims
1. James Monnett
Request for reimbursement of inedical expenses in the amount of
$3,633.70, Regence Claim #0817720502300 for services received
on June 16, 2008. The Board tabled Mr. Monnett's claim on
February 3 and March 3, 2009 pending the receipt of additional
information. No new information was received.
LEOFF Board Minutes
April 7, 2009 Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 7, 2009 -10:00 AM - Council Conference Room
Motion by Chair Pro Tem Larson, second by Member Petersen to
table the claim for an additional month pending receipt of the
requested information.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Jake Evans
On March 3, 2009, the Board tabled the following claims pending
the receipt of additional information, including proof of inedical
necessity for the services/products -received and applicable
insurance and Medicare benefits statements.
a. Request for reimbursement of inedical expenses in the
amount of $225.00, Regence Claim #0830595022101 for
services received on September 16, 2008.
b. Request for reimbursement of natural pharmacy products in
the amounts of $224.53 and $124.82.
c. Request for reimbursement of inedical laboratory services
received on September 16, 2008 in the amount of $82.00.
A letter from Jake Evans dated March 15, 2009 was distributed to
the Board members in response to the Board's request for
additional information.
Motion by Chair Pro Tem Larson, second by Member Haugen to
deny the request for reimbursement of inedical expenses in the
amount of $225, Regence Claim #0830595022101 for services
received on September 16, 2008.
Board members discussed Policy 9.01(I) that provides that all
claims, except for prescription claims and social security Medicare
Part B claims, shall be submitted to the Board within 90 days of
date of processing by insurance.
MOTION CARRIED UNANIMOUSLY. 5-0.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the request for reimbursement of natural pharmacy
products in the amounts of $224.53 and $124.82.
MOTON CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
April 7, 2009
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 7, 2009 -10:00 AM - Council Conference Room
Motion by Member Petersen, second by Chair Pro Tem Larson to
table the claim for reimbursement of inedical laboratory services
received on September 16, 2008 in the amount of $82.00 pending
receipt of the Regence Explanation of Benefits Statement and
Medicare Explanation of Benefits Statement.
MOTION CARRIED. 4-1. Member Haugen voted no.
V. NEW BUSINESS
A. Disabilitv Leave/Retirement Applications
1. Rudv Peden
Effective Date of Disability: March 9, 2009
Last Day of Service: March 8, 2009
On March 9, 2009, LEOFF Board Chair Kelly tentatively approved
disability leave for Rudy Peden effective March 9, 2009 with last
day of service on March 8, 2009, subject to full Board review and
approval. Mr. Peden's application for disability leave/retirement
includes physician statements from Dr. Bruce Neeley and Dr. Doug
Birkebak dated March 9, 2009.
Motion by Chair Pro Tem Larson, second by Member Petersen to
concur with action by the Chair and approve disability leave
effective March 9, 2009 with last day of service on Mach 8, 2009.
MOTION CARRIED UNANIMOUSLY. 5-0.
On April 1, 2009, Chair Kelly granted Mr. Peden tentative approval
to return to duty effective April 6, 2009 based on a physician's
statement dated March 27, 2009. Action on the return to duty is
pending full Board review. .
Motion by Chair Pro Tem Larson, second by Member Petersen to
concur with action by the Chair and approve Mr. Peden's return to
duty effective April 6, 2009.
MOTION CARRIED UNANIMOUSLY. 5-0.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
C. Medical/Hearinq/Vision/Dental Claims
LEOFF Board Minutes
April 7, 2009
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 7, 2009 -10:00 AM - Council Conference Room
1. Rudy Peden
Request for pre-authorization to purchase orthotics in the amount
of $395.00. The agenda packet included a letter of inedical
necessity from Dr. Mark T. Lewis dated March 4, 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the purchase of orthotics in an amount up to $395.00 plus
tax.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Ray Ogden Request for reimbursement of vision expenses in the amount of
$189.97 for vision services received on February 11, 2009.
On February 3, 2009, the LEOFF Board approved vision expenses
in the amount of $169.98 for vision services received on November
21, 2007.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the expenses in the amount of $189.97 for vision services
received on February 11, 2009.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Bruce Caldwell
Request for reimbursement of inedical expenses in the amount of
$231.39, Regence Claim #0904220713000 for services received
on February 3, 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $231.39.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Roqer Lee
a. Request for reimbursement of dental expenses in the
amount of $165.30 for services received on March 3, 2009.
Mr. Lee has not received dental reimbursement in 2009.
Motion by Chair Pro Tem Larson, second by Member
Petersen to approve the claim in the amount of $165.30.
LEOFF Board Minutes
April 7, 2009
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 7, 2009 -10:00 AM - Council Conference Room
MOTION CARRIED UNANIMOUSLY. 5-0.
b. Request for pre-approval of dental expenses in the amount
of $3,253.75.
Motion by Chair Pro Tem Larson, second by Member
Petersen to pre-approve dental expenses in the amount of
$3,253.75 finding medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
5. James Detrick
a. Request for reimbursement of inedical expenses in the
amount of $99.05, Regence Claim #0809433437800 for
services received on March 27, 2008 and processed by
insurance on April 9, 2008.
Motion by Member Petersen, second by Member Haugen to
deny the claim finding that the cl;aim falls outside the ninety
(90) day limitation for filing claims pursuant to LEOFF Board
Policy Section 9.01(I) and lack of proof of inedical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
b. Request for reimbursement of inedical expenses in the
amount of $295.00, Regence Claim #0805634085700 for
services received on February 14, 2008 and processed by
insurance on March 5, 2008.
Motion by Chair Pro Tem Larson, second by Member
Petersen to deny Mr. Detrick's claims under Items b, c, d, e,
f, and g finding that either the claims fall outside the ninety
(90) day limitation for filing claims pursuant to LEOFF Board
Policy Section 9.01 (I) and/or lack of proof of inedical
necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
c. Request for reimbursement of inedical expenses in the
amount of $110.14, Regence Claim #0820920503900 for
services received on February 14, 2008 and processed by
insurance on August 6, 2008.
LEOFF Board Minutes
April 7, 2009
Page 5
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 7, 2009 -10:00 AM - Council Conference Room
See Item V.C.5.b for action on this item.
d. Request for reimbursement of inedical expenses in the
amount of $40.00, Regence Claim #0800840141700 for
services received on November 9, 2007 and processed by
insurance on January 16, 2008.
See Item V.C.5.b for action on this item.
e. Request for reimbursement of vision exam expenses in the
amount of $45.00 for services received on November 19,
2007.
See Item V.C.S.b for action on this item.
f. Request for reimbursement of vision expenses in the
amount of $52.22 for services received on March 12, 2008.
Mr. Detrick has not received reimbursement for vision
expenses in the past year.
See Item V.C.5.b for action on this item.
g. Request for reimbursement of vision expenses in the
amount of $828.00 for services received on January 11,
2008.
See Item V.C.5.b for action on this item.
6. Stan Laatsch
Request for reimbursement of inedical expenses in the amount of
$30.00 for medical services received on February 23, 2009.
Motion by Chair Pro Tem Larson, second by Member Petersen to
deny the claim finding that the medical services provided were
preventative in nature.
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Alan Kosko
Request for reimbursement of inedical expenses in the amount of
$12.17 for medical services received on September 29, 2008.
LEOFF Board Minutes
April 7, 2009
Page 6
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 7, 2009 -10:00 AM - Council Conference Room
Motion by Member Petersen, second bjr Chair Pro Tem Larson to
deny the claim finding that the claim falls outside the ninety (90)
day limitation for filing claims pursuant to Section 9.01 (I) of the
LEOFF Board Policies and Procedures.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Doris Darouqh
Request for reimbursement of home health care costs in the
amount of $1,801.58.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Ms. Darough's claim in the amount of $1,801.58.
MOTION CARRIED UNANIMOUSLY. 5-0.
9. Monroe Shropshire
Mr. Shropshire's claim was added to the agenda.
Request for reimbursement of dental expenses in the amount of
$800.00. Mr. Shropshire has not received dental expense
reimbursement in 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $800.00
MOTION CARRIED UNANIMOUSLY. 5-0.
10. Dave Schuur
Mr. Schuur's claim was added to the agenda.
Request for reimbursement of vision expenses in the amount
$199.97 for services received on March 20, 2009. Mr. Schuur has
not received vision expense reimbursement in the last finrelve
months.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $199.97.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Correspondence
No correspondence was received.
LEOFF Board Minutes
April 7, 2009
Page 7
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 7, 2009 -10:00 AM - Council Conference Room
E. ADJOURNMENT -
There being no further business to come before the Board, the meeting
adjourned at 10:37 a.m. '
~
APPROVED THE DAY OF MAY, 2009
Q" t~
Jim elly, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes
April 7, 2009
Page 8