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HomeMy WebLinkAbout08-05-2002 City of Auburn Law Enforcement Officers and Firefighters Disability Board Monday, August 5, 2002 - 10:00 AM - Conference Room 1 MINUTES I. CALL TO ORDER Chair Kelly called the meeting to order at 10:00 AM on Monday, August 5, 2002 in Room 1 located at Auburn City Hall, 25 West Main Street, Auburn, WA. Chair Jim Kelly and the following Board members were present: Member Stacey Brothers, Member Gene Cerino, and Chair Pro Tem Bud Larson. Member Russ Vandver was excused. Others present included: Human Resources Director Brenda Heineman and Board Secretary Danielle Daskam. II. APPROVAL OF MINUTES A. Minutes of the July 1, 2002 LEOFF Board Meetin.q Motion by Member Cerino, second by Member Brothers to approve the July 1, 2002 minutes as distributed. MOTION CARRIED UNANIMOUSLY. 4-0. III. UNFINISHED BUSINESS A. Pendinq Disability Leave/Retirement Applications 1. Stan Laatsch Effective Date of Disability Leave: April 1, 2002 Last Day of Service: March 31, 2002 On April 1, 2002, the LEOFF Board approved an application for disability leave/retirement for Battalion Chief Stan Laatsch effective April 1, 2002. Physician's reports were accepted June 3 and July 1,2002, and Mr. Laatsch's disability leave was continued. On July 9, 2002, Mr. Laatsch submitted a request to return to duty together with a physician's statement. On July 10, 2002, Chair Kelly tentatively approved a return to duty effective July 10, 2002. Motion by Member Cerino, second by Chair Pro Tem Larson to approve Mr. Laatsch's return to duty effective July 10, 2002. LEOFF Board Minutes August 5, 2002 Page I City of Auburn Law Enforcement Officers and Fireflghters Disability Board Monday, August 5, 2002 - 10:00 AM - Conference Room I Chair Kelly noted that Mr. Laatsch's return to duty is requested with no restrictions. Member Brothers suggested that members requesting return to duty utilize a standard form to ensure consistency. Ms. Heineman noted that the return to duty form included in Mr. Peden's request to return to duty is a form required by the Human Resources Department. Ms. Heineman offered to ensure that Human Resoumes' return to duty request form is forwarded to the Board Secretary in the future. MOTION CARRIED UNANIMOUSLY. 4-0. 2. Rud¥ Peden Effective Date of Disability: June 6, 2002 Last Day of Service: June 5, 2002 On July 1, 2002, the LEOFF Board approved an application for Disability Leave or Retirement effective June 6, 2002 from Battalion Chief Rudy Peden. On July 8, 2002, Mr. Peden submitted a request to return to duty together with a physician's statement. On July 11, 2002, Chair Kelly tentatively approved a return to duty effective July 15, 2002. Motion by Member Cerino, second by Member Brothers to approve Mr. Peden's return to duty effective July 15, 2002. MOTION CARRIED UNANIMOUSLY. 4-0. B. Claims 1. Richard Huseb¥ a. Regence Explanation of Benefits Claim No. 0205010749701 processed on March 20, 2002 with reference to Medicare Explanation of Benefits Statement No. 0127550209700 for services received on August 31, 2001 in the amount of $56.70. LEOFF Board Minutes August 5, 2002 Page 2 City of Auburn Law Enforcement Officers and Fireflghters Disability Board Monday, August 5, 2002 - 10:00 AM - Conference Room I On May 6, June 3, and July 1, 2002, the LEOFF Board tabled Mr. Huseby's claim pending the receipt of additional information including the Medicare Explanation of Benefits Statement and proof of medical necessity. No new information was received. Motion by Chair Pro Tem Larson, second by Member Brothers to deny Mr. Huseby's claim due to lack of supporting documentation. MOTION CARRIED UNANIMOUSLY. 4-0. 2. Ed Henderson Request for pre-approval of oral surgery expenses. On July 1, 2002, the LEOFF Board tabled Mr. Henderson's request pending the receipt of additional information. In response to the Board's request, Mr. Henderson submitted a letter dated July 25, 2002 accompanied by a July 23, 2002 letter from Dennis L. Meidinger, DDS, MS. Board members reviewed and discussed Mr. Henderson's request and whether medical necessity had been established. Chair Kelly noted that reimbursement for dental expenses is a discretionary benefit. Motion by Chair Pro Tern Larson, second by Member Brothers to deny Mr. Henderson's request. MOTION CARRIED UNANIMOUSLY. 4-0. IV. NEW BUSINESS A. Disability Leave/Retirement Applications There was no new application for review. B. Appeals No request for reconsideration was filed. LEOFF Board Minutes August 5, 2002 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Monday, August 5, 2002 - 10:00 AM - Conference Room l C. Medical Claims 1. Bill Petersen a. Request for reimbursement of lens and frames expenses dated July 18, 2002 as follows: Progressive Lenses: $208.00 Frames: $ 99.00 LEOFF Board Policy 9.02(A)(2) provides for reimbursement as follows: Progressive Lenses: $100.00 Frames $ 90.00 Motion by Member Cerino, second by Member Brothers to approve reimbursement to Mr. Petersen in the total amount of $190. MOTION CARRIED UNANIMOUSLY. 4-0. 2. Alan Kosko a. Request for reimbursement of lens and frames expenses dated June 18, 2002 as follows: Progressive Lenses: $ 99.00 (plus tax) Tint $ 7.00 Frames: $ 99.99 (plus tax) LEOFF Board Policy 9.02(A)(2) provides for reimbursement as follows: Progressive Lenses: $100.00 Frames $ 90.00 Motoin by Member Cerino, second by Member Brothers to approve reimbursement to Mr. Kosko in the total amount of $189, LEOFF Board Minutes August 5, 2002 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Monday, August 5, 2002 - '10:00 AM - Conference Room I MOTION CARRIED UNANIMOUSLY. 4-0. 3. John Baker a. Request for reimbursement of lens expenses dated June 28, 2002 as follows: Bifocal Lenses: $211.91 LEOFF Board Policy 9.02(A)(2) provides for reimbursement as follows: Bifocal Lenses: $ 60.00 Motion by Member Cerino, second by Member Brothers to approve reimbursement to Mr. Baker in the total amount of $60.00. MOTION CARRIED UNANIMOUSLY. 4-0. 4. Ernie Miller 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: Bifocal Lenses : $ 60.00 Frames $ 90.00 Motion by Member Brothers, second by Member Cerino to table Mr. Miller's claim pending Mr. Miller's signature on the claim/worksheet form. MOTION CARRIED UNANIMOUSLY. 4-0. LEOFF Board Minutes August 5, 2002 Page 5 City of Auburn Law Enforcement Officers and Fireflghters Disability Board Monday, August 5, 2002 - 10:00 AM - Conference Room I 5. Ray Nixon 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 Tern Larson, second by Member Cerino to table Mr. Nixon's claim pending receipt of Regence and Medicare explanation of benefits statements. MOTION CARRIED UNANIMOUSLY. 4-0. 6. Raymond Ogden a. Request for reimbursement of health expenses received on June 13, 2002 in the amount of $182.00. (No Medicare or Regence Explanation of Benefits submitted.) Motion by Chair Pro Tern Larson, second by Member Cerino to table Mr. Ogden's claim pending receipt of Regence and Medicare explanation of benefits statements. MOTION CARRIED UNANIMOUSLY. 4-0. 7. Marion Dukes Request for reimbursement of hearing aid costs in the amount of $2,451.20. (Mr. Dukes' request was added as an agenda modification.) Chair Kelly acknowledged receipt of explanation of benefits statements from Mr. Dukes' primary and co-insurance carriers. Chair Kelly noted that Mr. Dukes' co-insurance paid a portion of the hearing aid costs leaving a balance of $2,451.20. Mr. Dukes' primary insurance denied payment. Motion by Member Cerino, second by Chair Pro Tem Larson to table Mr. Dukes' claim pending information from Costco Hearing Aid Center on their cost for comparable hearing aid devices. MOTION CARRIED UNANIMOUSLY. 4-0. LEOFF Board Minutes August 5, 2002 Page 6 City of Auburn Law Enforcement Officers and Fireflghters Disability Board Monday, August 5, 2002 - 10:00 AM - Conference Room 1 D. Discussion There was no discussion item. E. Correspondence There was no correspondence for Board review. V. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 10:45 AM. APPROVED THE ~. DAY OF SEPTEMBER, 2002. JimJ Kelly, Chair ~'~ LEOFF Board Minutes August5,2002 Page 7