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HomeMy WebLinkAbout05-03-2005 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, May 3,2005 -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 in Auburn. Chair Kelly and the following Board members were present: Member Bill Peloza, and Member Roger Thordarson. Chair Pro Tem Bud Larson (member-at-Iarge) and Member Russ Vandver were excused. Also present were Board Attorney Joseph Beck and Deputy City Clerk Cathy Richardson. II. APPROVAL OF MINUTES A. Minutes of the April 5. 2005 LEOFF Board Meetinq Motion by Member Thordarson, second by Member Peloza to approve the April 5, 2005 minutes. MOTION CARRIED UNANIMOUSLY. 3-0. III. UNFINISHED BUSINESS A. Pendinq Disabilitv Leave/Retirement Applications There was no pending disability leave/retirement application. B. Medical/HearinqNision Claims 1. Rav Oqden Request for pre-approval of medic alert service. Mr. Ogden's claim was tabled April 5, 2005 pending the receipt of additional information including the type of device, the vendor name, the cost of the service and a letter from the treating physician supporting the medical necessity. To date, no response has been received. Motion by Member Vandver, second by Member Peloza to table the claim pending the receipt of additional information. MOTION CARRIED UNANIMOUSLY. 3-0. 2. Ed Henderson Request for reimbursement of (Medicare) claim #11-05025-241- 830 (no Regence EOB submitted) for medical services received on LEOFF Board Minutes May 3, 2005 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, May 3,2005 - 10:00 AM - Council Conference Room January 21, 2005 and processed by Medicare on February 11, 2005 in the amount of $23.30. Mr. Henderson's claim was tabled on April 5, 2005, pending the receipt of the Regence Explanation of Benefits statement. To date, no response has been received. Motion by Member Thordarson, second by Member Peloza to table the claim pending the receipt of additional information. MOTION CARRIED UNANIMOUSLY. 3-0. 3. John T. Calkins Request for reimbursement of Regence Claim #0500432571900 for medical services received on December 8, 2004 and processed by Regence on January 21, 2005 in the amount of $274.00. On April 5, 2005, the Board tabled Mr. Calkins' claim pending review by the Association of Washington Cities (AWC) Benefits Trust representative. On April 27, 2005, the enclosed letter was received from Beverly Lakey, Employee Benefits Specialist for the Association of Washington Cities. Motion by Member Thordarson, second by Member Peloza to table the claim, and instruct the Secretary to transmit correspondence to Mr. Calkins that AWC benefits specialist indicated ,that his physician may resubmit his claim to Regence with supporting medical data that medical services received were non- routine/preventative as per correspondence from AWC dated April 26, 2005. MOTION CARRIED UNANIMOUSLY. 3-0. IV. NEW BUSINESS A. Disability Leave/Retirement Applications There was no new disability leave/retirement application. B. Appeals/Requests for Reconsideration No appeal or request for reconsideration was filed. C. Medical/HearinqNision Claims LEOFF Board Minutes May 3, 2005 Page 2 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, May 3,2005 - 10:00 AM - Council Conference Room 1. Edward Sluys Request for pre-approval of hearing aid(s) purchase. Member Thordarson inquired if retired employees are entitled to compensation from Department of Labor and Industries if hearing loss was due to work related conditions. On behalf of the LEOFF Board, Chair Kelly requested Board Attorney Beck research Member Thordarson's inquiry related to disability benefits with the City's Human Resources Department. Chair Kelly pointed out that Mr. Sluys is entitled to benefits under the LEOFF plan. Motion by Member Thordarson, second by Member Peloza to direct the Secretary to transmit correspondence to Mr. Sluys that Price/Costco is the preferred provider and allowable benefits will be reimbursed according to page 32, Section 9.03 of the LEOFF Policy and Procedure Manual. MOTION CARRIED UNANIMOUSLY. 3-0. D. Discussion There was no other discussion. V. ADJOURNMENT There being no further adjourned at 10: 15 a.m. rl.;1J APPROVED THE I .~ business to come before the Board, the meeting DAY OF f)t~ Q~n-/ Cathy I hardson, Deputy City Clerk ,2005. ·-.r"jl,,"\Í:..~ ~f21t~ Jim kelly, Chair '-H LEOFF Board Minutes May 3, 2005 Page 3