HomeMy WebLinkAbout09-03-2002 City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 3, 2002 - 10:00 AM - Conference Room 1
MINUTES
I. CALL TO ORDER
Chair Kelly called the meeting to order at 10:00 AM in Room 1 located at Auburn
City Hall, 25 West Main Street, Auburn, WA. Chair Jim Kelly and the following
Board members were present: Chair Pro Tem Bud Larson, Member Stacey
Brothers, Member Gene Cerino and Member Russ Vander. Also present were
Meredith Shropshire, Associate City Attorney Karen Gulliver, and Board
Secretary Danielle Daskam.
I1. APPROVAL OF MINUTES
A. Minutes of the August 5, 2002 LEOFF Board Meeting
Motion by Member Cerino, second by Chair Pro Tem Larson to approve
the August 5, 2002 minutes.
MOTION CARRIED UNANIMOUSLY. 5-0.
II1. UNFINISHED BUSINESS
A. Pending Disability Leave/Retirement Applications
There was no pending disability leave/retirement application.
B. Claims
1. Ernie Miller
On August 5, 2002 the Board tabled Mr. Miller's claim pending his
signature on his claim/worksheet form. Mr. Miller's signed claim
form was received on August 9, 2002.
a. Request for reimbursement of lens and frames expenses
dated July 1, 2002 as follows:
Bifocal Lenses: $ 89.00
Frames: $ 54.04
LEOFF Board Policy 9.02(A)(2) provides for reimbursement
as follows:
LEOFF Board Minutes
September 3, 2002
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 3, 2002 - 10:00 AM - Conference Room I
Bifocal Lenses $ 60.00
Frames $ 90.00
Motion by Chair Pro Tem Larson, second by member
Brothers to approve Mr. Miller's request for reimbursement
for lenses and frames in the total amount of $114.04.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Ray Nixon
On August 5, 2002, the LEOFF Board tabled Mr. Nixon's claim for
payment pending receipt of Regence and Medicare explanation of
benefits statements. No new information was received.
a. Request for reimbursement for medical services received on
March 13, 2002 in the amount of $69.00. (No Medicare or
Regence Explanation of Benefits submitted.)
Motion by Chair Pro Tem Larson, second by Member Vandver to
table Mr. Nixon's claim until the next meeting.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Raymond Ogden
On August 5, 2002, the LEOFF Board tabled Mr. Ogden's claim for
payment pending receipt of Regence and Medicare explanation of
benefits statements. No new information was received.
a. Request for reimbursement of medical expenses received
on June 13, 2002 in the amount of $182.00. (No Medicare
or Regence Explanation of Benefits submitted.)
Motion by Member Vandver, second by Chair Pro Tern Larson to
table Mr. Ogden's claim until the next meeting.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
September 3, 2002
Page 2
City of Auburn Law Enforcement Officers and Fireflghters Disability Board
Tuesday, September 3, 2002 - 10:00 AM - Conference Room 1
4. Marion Dukes
Request for reimbursement of hearing aid costs in the amount of
$2,451.20.
On August 5, 2002, the LEOFF Board tabled Mr. Dukes' claim
pending the receipt of equivalent cost information from the Costco
Hearing Aid Center.
The Board reviewed a letter dated August 23, 2002 from Shirley
Haarhues of the Costco Hearing Aid Center advising that the
hearing aid cost quoted by Dr. Kozie was less than Coscto's for
comparable hearing aids.
Motion by Member Brothers, second by Chair Pro Tem Larson to
approve reimbursement in the amount of $2,451.20.
Chair Kelly noted that Mr. Dukes' secondary insurance coverage
through his spouse paid a portion of the total cost of $3,700.
MOTION CARRIED UNANIMOUSLY. 5-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
There was no new application for review.
B. Appeals
1. Ed Henderson
In a letter dated August 23, 2002, Mr. Henderson filed a request for
reconsideration of the August 5, 2002 LEOFF Board action denying
Mr. Henderson's request for pre-approval of oral surgery expenses.
Included in the Board's agenda packet were the following: LEOFF
Board Policy 9.07; Mr. Henderson's August 23, 2002 request for
reconsideration letter, with attached doctors' statements, received
by the LEOFF Board Secretary on August 27, 2002; the August 5,
2002 letter to Mr. Henderson conveying the Board's August 5, 2002
action; Mr. Henderson's July 25, 2002 letter; July 16, 2002 Board
letter to Mr. Henderson requesting additional information regarding
LEOFF Board Minutes
September 3, 2002
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 3, 2002 - '10:00 AM - Conference Room I
Mr. Henderson's condition; and Mr. Henderson's letter dated June
5, 2002 requesting the Board's pre-approval of dental expenses.
Board members reviewed Mr. Henderson's request for
reconsideration.
Motion by Chair Pro Tem Larson, second by Member Cerino to
accept Mr. Henderson's request for reconsideration and set a
hearing date on Mr. Henderson's appeal for the next regular
meeting, October 7, 2002 at 10:00 AM.
MOTION CARRIED UNANIMOUSLY. 5-0.
C. Medical Claims
1. Monroe Shropshire
(For clarification of these minutes, Mr. Shropshire's claim was
considered immediately following Item II.A of these minutes.) A
claim for payment from Monroe Shropshire was added as an
agenda modification. The claim for payment was in the amount of
$7,378.00. Mrs. Shropshire was in attendance to answer questions
regarding her husband's claim.
Chair Kelly noted that the claims consisted of $7,208.00 for skilled
nursing facility costs not eligible for payment by Group Health
Insurance coverage for the period of August 15 through August 31,
2002; a total of 17 days at $424.00 per day. A letter from Group
Health confirming that Group Health Insurance does not cover the
services received accompanied the claim. The claim also
consisted of $170 for massage therapy not covered by the health
insurance. Also enclosed with Mr. Shropshire's claim was a letter
dated August 15, 2002 from Allianz Life Insurance Company
regarding the City-paid long-term care insurance. The Allianz letter
explained that the long-term care insurance has a 90 day
elimination period before benefits are payable under the policy.
Benefits currently payable under the policy are $158.03 per day.
Board members reviewed the claim materials submitted by Mr.
Shropshire. Chair Kelly noted Section 9.04 of the Policies and
Procedures regarding skilled nursing care.
LEOFF Board Minutes
September 3, 2002
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 3, 2002 - 10:00 AM - Conference Room I
Chair Kelly recessed the meeting to a closed session to discuss Mr.
Shropshire's medical claim for payment.
Following conclusion of Board discussion regarding Mr.
Shropshire's medical claim, Chair Kelly reconvened the regular
meeting.
Motion by Member Brothers, second by Chair Pro Tem Larson to
approve reimbursement in the amount of $158.03 per day for 17
days and the amount of $170.00 for reimbursement of massage
therapy, pending the receipt of additional information on the
supplemental care that has been administered.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Discussion
No additional discussion was held.
E. Correspondence
No additional correspondence was received.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:50 AM.
APPROVED THIS '-I~-~ DAY OF ~) (-'TO~E_~,. , 2002.
Ji~Kelly, LEOFF Board ~r Da~ielle Dasl~a~n, City Clerk
LEOFF Board Minutes
September 3, 2002
Page 5