HomeMy WebLinkAbout06-02-2009
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 2, 2009 -10:00 AM - Council Conference Room
MINUTES
1. 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: 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 MODIFICATIONS
Chair Kelly noted the addition of claims from Robert Almy, Bruce Caldwell,
James Fisk, and Dave Schuur.
III. APPROVAL OF MINUTES
A. Minutes of the Mav 5, 2009 LEOFF Board Meetinp
Motion by Chair Pro Tem Larson, second by Member Petersen to approve
the May 5, 2009 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0.
IV. UNFINISHED BUSINESS
A. Pendinq Disability Leave/Retirement Applications
There was no pending disability/leave retirement application.
B. Medical/Hearinq/Vision/Dental Claims
1. Jake Evans
On March 3, April 7 and May 5, 2009, the Board tabled the
following claim pending the receipt of additional information,
including applicable insurance and Medicare benefits statements.
To date, no new information has been received.
a. Request for reimbursement of inedical laboratory services
received on September 16, 2008 in the amount of $82.00.
Motion by Chair Pro Tem Larson, second by Member Petesen to
deny the claim.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
June 2, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 2, 2009 -10:00 AM - Council Conference Room
V. NEW BUSINESS
A. Disability Leave/Retirement Applications :
1. Stan Laatsch
On March 3, 2009, the LEOFF Board approved Mr. Laatsch's
conditional return to duty effective March 4, 2009 for a term of
ninety days. Mr. Laatsch has submitted the enclosed letter dated
May 26, 2009 from Dr. Mark Kim, MD for the Board's consideration.
Motion by Member Petersen, second by Chair Pro Tem Larson to
return Mr. Laatsch to full duty without restriction.
MOTION CARRIED UNANIMOUSLY. 5-0.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
C. Medical/HearingNision/Dental Claims
1. Ed Henderson
a. Request for reimbursement of dental expenses in the
amount of $393.00. Mr. Henderson's dental expenses have
previously proven to be medically necessary.
Motion by Member Petersen, second by Chair Pro Tem
Larson to approve the claim in the amount of $393.00
finding medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
b. Request for reimbursement of dental expenses in the
amount of $3,018.00 for services received on April 22, 2009.
Motion by Chair Pro Tem Larson, second by Member
Petersen to approve the claim in the amount of $3,018.00
finding medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
c. Request for reimbursement of dental expenses in the
amount of $105.45 for services received on March 23, 2009.
LEOFF Board Minutes
June 2, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 2, 2009 -10:00 AM - Council Conference Room
Motion by Member Petersen, second by Chair Pro Tem
Larson to approve the claim in the amount of $105.45
finding medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Robert Almv
a. Request for reimbursement of inedical expenses in the
amount of $160.00, Regence Claim #0911220486200 for
services received on April 16, 2009 and processed by
insurance on April 28, 2009.
Motion by Chair Pro Tem Larson, second by Member
Petersen to approve the claim in the amount of $160.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
b. Request for reimbursement of inedical expenses in the
amount of $391.00, Regence Claim #0911520457100 for
services received on April 16, 2009 and processed by
insurance on May 5, 2009.
Motion by Member Petersen, second by Chair Pro Tem
Larson to approve the claim in the amount of $391.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
c. Request for reimbursement of dental expenses in the
amount of $46.00 for services received on January 28,
2009.
ROBERT ALMY 2009 $1,200.00 BALANCE
$1,200.00
February 3, 2009 $244.00 $956.00
Motion by Member Petersen, second by Chair Pro Tem
Larson to approve the claim in the amount of $46.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
d. Request for reimbursement of inedical expenses in the
amount of $50.00, Regence Claim #0912420567300 for
LEOFF Board Minutes
June 2, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 2, 2009 -10:00 AM - Council Conference Room
services received on April 29, 2009 and processed by
insurance on May 12, 2009.
Motion by Member Petersen, second by Chair Pro Tem
Larson to approve the claim in the amount of $50.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Russ Vandver
Request for reimbursement of inedical expenses in the amount of
$51.18, Regence Claim #0908232964400 for services rec'eived on
March 6, 2009 and processed by insurance on April 15, 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $51.18.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Dave Schuur
Request for reimbursement of dental expenses in the amount of
$200.45 for services received on May 11, 2009. Mr. Schuur has
not received reimbursement for dental expenses in 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $200.45.
MOTION CARRIED UNANIMOUSLY. 5-0.
5. Sam Mulkev
Request for reimbursement of dental expenses in the amount of
$108.00 for services received on May 6, 2009. Mr. Mulkey has not
received reimbursement for dental expenses in 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $108.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. William Pitzl
Request for reimbursement of dental expenses in the amount of
$107.35 for services received on May 11, 2009. Mr. Pitzl has not
received reimbursement for dental expenses in 2009.
LEOFF Board Minutes
June 2, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 2, 2009 -10:00 AM - Council Conference Room
Motion by member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $107.35.
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Bruce Caldwell
Request for reimbursement of inedical expenses in the amount of
$2,173.81, Regence Claim #0911717065300 for services received
on March 6 and March 19, 2009 and processed by insurance on
May 20, 2009.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $2,173.81.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. James Fisk
Request for pre-approval of dental expenses in the amount of
$1,200.00. Mr. Fisk has not received dental expense
reimbursement in 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim up to $1,200 to be paid (reimbursed) upon
receipt of a statement/invoice showing the work has been
accomplished and directing the Secretary to advise Mr. Fisk of the
same as well as advising that any expenses over and above the
annual maximum of $1,200 would require proof of inedical
necessity to be eligible for reimbursement.
MOTION CARRIED UNANIMOUSL.Y. 5-0.
9. Dave Schuur
Request for pre-authorization for purchase of one denture plate in
the amount of $1,490.55.
Chair Kelly noted that Policy 8.02(D)(4) limits the reimbursement to
a maximum of $1,387.00 per plate.
Motion by Chair Pro Tem Larson, second by Member Petersen to
authorize up to the policy maximum of $1,387.00 for the denture.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Correspondence
LEOFF Board Minutes
June 2, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 2, 2009 -10:00 AM - Council Conference Room
No correspondence was received.
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:20 a.m. .
APPROVED THE ~ +k DAY OF July, 2009 :
Jim Ily, Chair Da ' ile Daskam, Board Secretary
LEOFF Board Minutes
June 2, 2009
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