HomeMy WebLinkAbout12-07-2004
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7,2004 - 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 Tern Bud Larson, Member Bill Peloza, Member Roger Thordarson and
Member Russ Vandver. Also present during the meeting were Board Attorney
Joseph Beck and Board Secretary Danielle Daskam.
II. APPROVAL OF MINUTES
A. Minutes of the November 2. 2004 LEOFF Board Meetina
Motion by Chair Pro Tem Larson, second by Member Vandver to approve
the November 2, 2004 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0.
III. UNFINISHED BUSINESS
A. Pendina Disabilitv Leave/Retirement Applications
There was no pending disability leave/retirement application.
B. Medical/HearinaNision Claims
There was no pending claim.
IV. NEW BUSINESS
A. Disabilitv Leave/Retirement Applications
There was no new disability leave/retirement application.
B. Appeals/Reauests for Reconsideration
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 November 7, the LEOFF Board denied Mr.
Reno's claim because no insurance explanation of benefits
statement was submitted with the claim and there was a lack
of detailed accounting for the amount requested for
reimbursement.
LEOFF Board Minutes
December 7, 2004
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7,2004 -10:00 AM - Council Conference Room
Mr. Reno submitted a letter from the Association of
Washington Cities Employee Benefit Trust regarding his
benefits and a letter from Dr. Owen W. Miller, ND in support
of his claim. Based on the Statements of Account submitted
by Mr. Reno, the following is an itemization of the charges
submitted for reimbursement:
Service Date
May 28, 2004
June 4, 2004
June 16, 2004
June 16, 2004
June 16, 2004
June 16, 2004
June 16, 2004
June 16, 2004
May 26, 2004
May 26, 2004
May 26, 2004
May 26, 2004
May 26, 2004
May 26, 2004
Charae
$ 65.00
$ 65.00
$ 18.00
$ 24.75
$ 9.00
$ 26.00
$ 29.75
$ 11.50
$ 50.00
$ 15.00
$ 18.00
$ 16.25
$ 16.50
$ 14.00
$378.75
Board members reviewed the correspondence from the Association of
Washington Cities Employee Benefit Trust explaining that the
services/prescriptions received by Mr. Reno are excluded from coverage
under Regence BlueShield.
Board Secretary Daskam noted that there were duplicate itemizations for
services received on May 26, 2004, and the duplicate charges are the
reason for the difference in the claim amount and the itemized amount
shown above.
Motion by Member Peloza, second by Member Vandver to approve the
claim in the amount of $378.75.
In response to questions from Board members, Attorney Beck explained
that naturopathic physicians are licensed under State statute. The Board
policy provides that covered medical services include drugs and
medicines upon a physician's prescription. Attorney Beck also noted that
the medical services defined in Policy 8.03 are minimum services to be
provided.
LEOFF Board Minutes
December 7, 2004
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7,2004 - 10:00 AM - Council Conference Room
MOTION CARRIED UNANIMOUSLY. 5-0.
C. Medical/HearinQNision Claims
1. Murrav M. Board
Request for reimbursement of vision expenses in the amount of
$185.97. (Mr. Board has not received vision benefits within the last twelve
months.)
Motion by Chair Pro Tern Larson, second by Member Thordardson
to approve Mr. Board's claim in the amount of $185.97.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Helen J. Bowden
Request for reimbursement of vision expenses in the amount of
$99.97. (Ms. Bowden has not received vision benefits within the last twelve
months.)
Motion by Chair Pro Tem Larson, second by Member Vandver to
approve Ms. Bowden's claim in the amount of $99.97.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Michael J. Darbv
Request for reimbursement of vision expenses in the amount of
$276.00. (Mr. Darby has not received vision benefits within the last twelve
months.)
Motion by Member Peloza, second by member Vandver to approve
$200.00 of Mr. Darby's claim in accordance with Board policy.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Gerrv Fuller
Request for reimbursement of vision expenses in the amount of
$166.00. (Mr. Fuller has not received vision benefits within the last twelve
months.)
Motion by Member Vandver, second by Chair Pro Tem Larson to
approve Mr. Fuller's claim in the amount of $166.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
December 7, 2004
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7,2004 -10:00 AM - Council Conference Room
5. John C. Wickstrom
Regence Explanation of Benefits Statement Claim
#0419495495501 processed on August 16, 2004 in the amount of
$51.92 for medical services received on May 4, 2004.
Motion by Chair Pro Tem Larson, second by Member Thordarson
to approve Mr. Wickstrom's claim in the amount of $51.92.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. Robert Almv
Request for reimbursement of medical expenses incurred on March
29,2004 in the amount of $11.80.
Motion by Chair Pro Tem Larson, second by Member Peloza to
approve Mr. Almy's claim in the amount of $11.80 subject to the
receipt of the Regence Explanation of Benefits Statement.
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Richard Husebv
Request for reimbursement of hearing aid repairs in the amount of
$372.50.
Motion by Member Peloza, second by Member Vandver to approve
Mr. Huseby's claim in the amount of $370.00.
Board members noted that $2.50 of the claim was not itemized.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Discussion
1. Membership
Chair Kelly noted that Chair Pro Tem Larson's term as member at
large will expire on December 31, 2004. Chair Pro Tem Larson
expressed a desire to continue as the Board's member at large
representative.
Motion by Member Vandver, second by Member Peloza to appoint
Bud Larson as the Board's member at large for a term beginning
January 1, 2005 through December 31,2006.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
December 7,2004
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7,2004 -10:00 AM - Council Conference Room
V. ADJOURNMENT
There being no further business, the meeting adjourned at 10:26 a.m.
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APPROVED THIS I--f c..--- DAY OF
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J m Kelly, Chair
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. nZtJ:2! I!JLU~¿f~
Da 'elle Daskam, Board Secretary
,2005.
LEOFF Board Minutes
December 7, 2004
Page 5