HomeMy WebLinkAbout11-03-2009
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 3, 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: Member Lynn
Norman and Member Bill Petersen. Chair Pro Tem Bud Larson and Member
Virginia Haugen were excused. Also present were Valley Regional Fire Authority
Administrator Eric Robertson, Board Attorney Steve King and Board Secretary
Danielle Daskam.
II. APPROVAL OF MINUTES
A. Minutes of the October 6, 2009 LEOFF Board Meetinq
Motion by Member Petersen, second by Member Norman to approve the
October 6, 2009 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 3-0.
III. UNFINISHED BUSINESS
A. Pendinq Disability Leave/Retirement Applications
1. RudY Peden
Effective date of Disability: September 25, 2009
Last Day of Service: September 24, 2009
On October 6, 2009, the Board approved disability leave for Mr.
Peden effective September 25, 2009 with last day of service on
September 24, 2009. Since the preparation of the agenda packet,
Mr. Peden submitted a request to return to work together with a
physician's statement releasing Mr. Peden to work effective
November 3, 2009.
Motion by Member Petersen, second by Member Norman to return
Mr. Peden to work with no restrictions effective November 3, 2009.
Valley Regional Fire Authority (VRFA) Administrator Robertson
submitted a letter from the VRFA dated November 2, 2009
regarding Mr. Peden's intermittent medical leave from the VRFA
due to a chronic back condition. Mr. Robertson asked the Board to
clarify if the Board is considering both injuries/conditions.
LEOFF Board Minutes
November 3, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 3, 2009 - 10:00 AM - Council Conference Room
Chair Kelly explained that the Board received and acted on a
request for disability leave from Mr. Peden for an injury/condition
related to Mr. Peden's right foot. The Board is limited to acting on
the disability outlined in Mr. Peden's disability leave application.
Board Attorney King concurred with Chair Kelly's explanation.
MOTION CARRIED UNANIMOUSLY. 3-0.
B. Medical/Hearing/Vision/Dental Claims
1. Richard Schneider
Request for reimbursement of inedical expenses in the amount of
$87.00, Regence Claim #0921632378500 for services received on
August 3, 2009 and Regence Claim #092103253770 for services
received on July 28, 2009.
On September 1 and October 6, 2009, the Board tabled Mr.
Schneider's claim pending receipt of additional information
regarding medical necessity. No new information has been
received.
Motion by Member Petersen, second by Member Norman to table
Mr. Schneider's claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 3-0.
2. Robert Phillips
Request for reimbursement of inedical expenses in the amount of
$52.00 for services received on August 4, 2009.
On September 1 and October 6, 2009, the Board tabled Mr.
Phillips' claim pending receipt of the Regence and Medicare
Explanation of Benefits Statements. Mr. Phillips has advised
verbally that he will not be responding with the additional requested
information.
Motion by Member Petersen, second by Member Norman to deny
the claim.
MOTION CARRIED UNANIMOUSLY. 3-0.
3. David J. Hannity
LEOFF Board Minutes
November 3, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 3, 2009 - 10:00 AM - Council Conference Room
Request for reimbursement of inedical expenses in the amount of
$116.26. (Please note that the June 3, 2009 charges of $56.26
were paid by the Board on September 1, 2009.) Mr. Hannity has
submitted the explanation of benefits statement for the May 20,
2009 expenses.
Motion by Member Petersen, second by Member Norman to
approve the May 20, 2009 expenses in the amount of $60.00.
MOTION CARRIED UNANfMOUSLY. 3-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
There was no new application for disability leave/retirement.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
C. Medical/Hearing/Vision/Dental Claims
1. Dale Volstad
Request for reimbursement of dental expenses in the amount of
$75.48 for dental services received on August 20, 2009.
DALE VOLSTAD
2009 $1,200.00 BALANCE
$1,200.00
Sept 1, 2009 $509.60 $690.40
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $75.48.
MOTION CARRIED UNANIMOUSLY. 3-0.
2. Robert Almy
Request for reimbursement of vision expenses in the amount of
$169.99. Mr. Almy has not received vision expense
reimbursement in the past year.
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of 169.99.
MOTION CARRIED UNANIMOUSLY. 3-0.
LEOFF Board Minutes
November 3, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 3, 2009 - 10:00 AM - Council Conference Room
3. Ernest Miller
Request for reimbursement of inedical expenses in the amount of
$18.96, Regence Claim #0923395019101 for services received on
July 2, 2009 and processed by insurance on September 4, 2009.
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $18.96.
MOTION CARRIED UNANIMOUSLY. 3-0.
4. Gerrv Fuller
Request for reimbursement of vision expenses in the amount of
$226.50. Mr. Fuller has not received vision expense
reimbursement in the past year.
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $226.50.
MOTION CARRIED UNANIMOUSLY. 3-0.
5. Michael Corkins
Request for reimbursement of dental expenses in the amount of
$112.70.
MICHAEL CORKINS $1,200.00 BALANCE
2009 $1,200.00
Oct 6, 2009 $585.60 $614.40
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $112.70.
MOTION CARRIED UNANIMOUSLY. 3-0.
6 Monroe Shropshire
Request for reimbursement of vision expenses in the amount of
$129.00. Mr. Shropshire has not received reimbursement for vision
expenses in the past year.
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $129.00.
MOTION CARRIED UNANIMOUSLY. 3-0.
LEOFF Board Minutes
November 3, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 3, 2009 -10:00 AM - Council Conference Room
D. Correspondence
With the exception of correspondence received under Item III.A.1 of these
minutes, no additional correspondence was received.
E. Discussion
1. Election of Police LEOFF Board Representative
Secretary Daskam reported that the deadline for nominations for
the Police LEOFF Board representative is November 6, 2009 at
5:00 p.m. Thus far, three nominations have been received.
Election ballots will be mailed November 10, 2009.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:20 a.m.
APPROVED THE DAY OF DECEMBER, 2009.
' Ji Kelly, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes
November 3, 2009
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