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Home My WebLink About08-02-2005 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, August 2,2005 -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: Chair Pro Tem Bud Larson (member-at-Iarge), Member Bill Peloza, Member Roger Thordarson, and Member Russ Vandver. Also present were Board Attorney Joseph Beck and Board Secretary Danielle Daskam. II. APPROVAL OF MINUTES A. Minutes of the Julv 5. 2005 LEOFF Board Meetinq Motion by Chair Pro Tem Larson, second by Member Thordarson to approve the July 5, 2005 minutes. MOTION CARRIED UNANIMOUSLY. 5-0. III. UNFINISHED BUSINESS A. Pendinq Disabilitv Leave/Retirement Applications There was no pending disability leave/retirement application. B. Medical/HearinqNision Claims 1. Fred Fisher Claim for payment in the amount of $117.54 for medical services received on October 18, 2004. Mr. Fisher's claim was tabled on June 7 and July 5, 2005, pending the receipt of the Regence Explanation of Benefits Statement. No new information was received. Motion by Chair Pro Tem Larson, second by Member Thordarson to table Mr. Fisher's claim for an additional month. MOTION CARRIED UNANIMOUSLY. 5-0. 2. Don Casselman Claim for reimbursement of vision expenses in the amount of $329.00. LEOFF Board Minutes August2,2005 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, August 2, 2005 - 10:00 AM - Council Conference Room Mr. Casselman's claim was tabled on June 7, 2005 pending the receipt of the Regence Explanation of Benefits Statement for his vision exam. Mr. Casselman submitted the requested information and it was included in the Board's packet. Board members reviewed Mr. Casselman's vision worksheet, the billing from the optometrist and the Regence explanation of benefits statement. Board members concluded that the vision worksheet completed by the claimant was not consistent with the documentation. Motion by Chair Pro Tem Larson, second by Member Thordarson to table the claim and return the claim for further clarification. MOTION CARRIED UNANIMOUSLY. 5-0. IV. NEW BUSINESS A. Disability Leave/Retirement Applications 1. John T. Dodd Effective Date of Disability: July 22, 2005 Last Day of Seryice: July 21, 2005 On July 18, 2005, LEOFF Board Chair Jim Kelly tentatively approved disability leave for John Dodd effective July 22, 2005, subject to full Board review and approval. Mr. Dodd's application for disability leave/retirement includes physicians' statements from Dr. Anna T. Curtis dated July 18, 2005 and Dr. Mike Moore dated July 18, 2005. Motion by Chair Pro Tem Larson, second by Member Vandver to confirm the Chair's action and approve disability leave for Mr. Dodd effective July 22, 2005 with last day of service on July 21, 2005. MOTION CARRIED UNANIMOUSLY. 5-0. B. Appeals/Requests for Reconsideration No appeal or request for reconsideration was filed. C. Medical/HearinqNision Claims 1. Doris Darouoh LEOFF Board Minutes August 2, 2005 Page 2 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, August 2,2005 -10:00 AM - Council Conference Room Claim for reimbursement of lenses and frames expenses in the amount of $220.00. (Ms. Darough has not received vision reimbursement within the last year.) Motion by Member Peloza, second by Chair Pro Tem Larson to approve the claim in the amount of $200.00 per Section 9.02 relating to claims for corrective lenses and frames. MOTION CARRIED UNANIMOUSLY. 5-0. D. Correspondence 1. Letter dated July 4,2005 from Ed Henderson regarding claim. Chair Kelly acknowledged receipt of Mr. Henderson's correspondence. E. Discussion 1. Policy and Procedure Amendment - Medical Claims Procedure Board members to consider the following proposed amendment to Section 9.01 (I) of the LEOFF Policy and Procedure Manual: I. All claims, except prescription claims, shall be submitted to the Board within ninety (90) days of date processed/paid by the insurance documentation. The Board will review the submitted claim at the next full Board meetinq. If all documentation is submitted properly the Board will consider reimbursement of expenses. However. if for any reason. the claim for payment/reimbursement is insufficient. at the discretion of the Board. it may table the claim until the next meetinq or until receipt of the requested documentation. The claim may be tabled for three consecutive Board meetinqs. If, after three (3) Board meetinQs the Claimant has not provided the Board with the requested documentation. the claim for payment/reimbursement may bc denied pendinq receipt ef the roquestod information. F::liluro to comply may-result in rejection of the claim. Motion by Member Peloza, second by Chair Pro Tem Larson to suspend Policy (rule) 10.01 and 10.02 in order to review the proposed amendment to Policy 9.01 (I). LEOFF Board Minutes August2,2005 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, August 2,2005 - 10:00 AM - Council Conference Room MOTION CARRIED UNANIMOUSLY. 5-0. Motion by Member Peloza, second by Chair Pro Tem Larson to adopt the amendment to Policy 9.01 (I) as presented on the agenda. Member Peloza spoke in favor of the motion noting that the proposed amendment formalizes Board practice. Board Attorney Beck suggested that the last sentence of the proposed amendment be changed to read in part as follows: ".... the claim for payment/reimbursement may be rejected." Board members concurred and Member Peloza withdrew the previous motion. Motion by Member Peloza, second by Chair Pro Tem Larson to adopt the amendment to Policy 9.01 (I) as revised to read as follows: I. All claims, except prescription claims, shall be submitted to the Board within ninety (90) days of date processed/paid by the insurance documentation. The Board will review the submitted claim at the next full Board meetinq. If all documentation is submitted properly the Board will consider reimbursement of expenses. However, if for any reason. the claim for payment/reimbursement is insufficient. at the discretion of the Board. it may table the claim until the next meetinq or until receipt of the requested documentation. The claim may be tabled for three consecutive Board meetinqs. If. after three (3) Board meetinqs the Claimant has not provided the Board with the requested documentation. the claim for payment/reimbursement may be denied pendinq receipt of tho requested informotion. F::liluFO to comply m::lY result in rejeotion of the oloim be reiected. MOTION CARRIED UNANIMOUSLY. 5-0. The Secretary will publish the policy amendment. 2. New Medicare Part D Voluntary Prescription Druo Coveraoe Chair Kelly advised that the presentation on the new Medicare Part D Voluntary Prescription Drug Coverage will be held over to the LEOFF Board Minutes August 2. 2005 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, August 2, 2005 - 10:00 AM - Council Conference Room next meeting in anticipation of information from the Association of Washington Cities. 3. Continued Discussion from June 7. 2005 Meetino Reqardino Annual Eye Examinations Board Attorney Beck reported that his research revealed there is no provision in the Revised Code of Washington or Washington Administrative Code that would limit one eye examination per year. Policy 9.01 (K) provides that medical expenses which are necessary, shall be reimbursed. Policy 9.02(C) provides for reimbursement of eye examination, but no time limit is provided. The policies also provide that lenses and frames (up to $200.00) will be reimbursed annually. There is no limit on the frequency for eye examinations if the examination is medically necessary. V. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 10:34 a.m. APPROVED THE ~ ~ DAY OF~;..J..u--.J ,2005. J~ / /' 4;;.. . I/.. '2~~~T~"--~ Jim Kelly, Chair / fJ~~ ) Danielle Daskam, Secretary LEOFF Board Minutes August 2, 2005 Page 5