HomeMy WebLinkAbout10-06-2009
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 6, 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 Steve King and Board Secretary
Danielle Daskam.
II. APPROVAL OF MINUTES
A. Minutes of the September 1, 2009 LEOFF Board Meetinq
Motion by Chair Pro Tem Larson, second by Member Petersen to approve
the September 1, 2009 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0.
III. UNFINISHED BUSINESS
A. Pending Disability Leave/Retirement Applications
1. James Kellv
Effective Date of Disability: August 10, 2009
Last Day of Service: August 9, 2009
On August 4, 2009, the LEOFF Board approved disability leave for
Mr. Kelly effective August 10, 2009. Mr. Kelly submitted his
request to return to duty effective October 10, 2009.
Chair Kelly recused himself from the meeting at this time, and
Chair Pro Tem Larson assumed the Chair. (Chair Kelly
relinquished the chair and Chair Pro Tem Larson presided over the
meeting for this item and Item IV.C.4 only.)
The Board reviewed Mr. Kelly's physician's statement dated
September 10, 2009 from Dr. Neville Lewis approving Mr. Kelly's
return to work effective October 10, 2009.
Motion by Member Petersen, second by Member Norman to return
Mr. Kelly to duty without restriction effective October 10, 2009.
LEOFF Board Minutes
October 6, 2009
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 6, 2009 - 10:00 AM - Council Conference Room
MOTION CARRIED. 4-0.
B. Medical/Hearinq/Vision/Dental Claims
1. Bruce Caldwell
Request for reimbursement of inedical expenses in the amount of
$59.01 for services received in April 2009. On July 7, August 4,
and September 1 2009, the Board tabled Mr. Caldwell's claim
pending the receipt of the Medicare and Regence Explanation of
Benefits Statements. No additional information has been received.
Motion by Chair Pro Tem Larson, second by Member Petersen to
deny Mr. Caldwell's claim due to insufficient documentation.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. 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, 2009, the Board tabled Mr. Schneider's claim
pending receipt of additional information regarding medical
necessity. To date no new information has been received.
Motion by Chair Pro Tem Larson, second by Member Petersen to
table Mr. Schneider's claim until the next meeting.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Robert Phillips
Request for reimbursement of inedical expenses in the amount of
$52.00 for services received on August 4, 2009.
On September 1, 2009, the Board tabled Mr. Phillips' claim pending
receipt of the Regence and Medicare Explanation of Benefits
Statements. No new information has been received.
Motion by Chair Pro Tem Larson, second by Member Petersen to
table Mr. Phillips' claim until the next meeting.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
October 6, 2009
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 6, 2009 - 10:00 AM - Council Conference Room
4. Edward Wolters
Request for reimbursement of dental expenses in the amount of
$2,082.00. Mr. Wolters has not received dental expense
reimbursement in 2009.
On September 1, 2009, the Board tabled Mr. Wolters' claim
pending receipt of additional information regarding the medical
necessity of the dental treatment. Mr. Wolters has indicated via
telephone that he is requesting reimbursement of the annual
amount allowed for dental expense reimbursement and is not
requesting reimbursement due to medical necessity.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim to the maximum annual amount of $1,200.
MOTION CARRIED UNANIMOUSLY. 5-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
1. Rudy Peden
Effective date of Disability: September 25, 2009
Last Day of Service: September 24, 2009
Application for Disability Leave or Retirement from Rudy Peden
with physician statements submitted by Dr. Mark T. Lewis, Dr.
Petrina Lewis and Dr. Thomas Landino.
On September 24, 2009, Chair Kelly tentatively approved disability
leave for Mr. Peden effective September 25, 2009 with last day of
service on September 24, 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
confirm the action taken by Chair Kelly and approve disability leave
for Mr. Peden effective September 25, 2009 with last day of service
on September 24, 2009.
MOTION CARRIED UNANIMOUSLY. 5-0.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
LEOFF Board Minutes
October 6, 2009
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 6, 2009 -10:00 AM - Council Conference Room
C. Medical/Hearinq/Vision/Dental Claims
1. Ed Henderson
Request for reimbursement of dental expenses in the amount of
$285.00 for dental services received on August 20, 2009.
ED HENDERSON $1,200.00 BALANCE
2009 $1,200.00
March 3, 2009 $208.05 $991.95
June 2, 2009*** $393.00 $598.95
June 2, 2009**" $3,018.00 ($2,419.05)
June 2, 2009*** $105.45 ($2,524.50)
Sept 1, 2009*** $1,102.00 ($3,626.50)
Sept 1, 2009**" $1,140.00 ($4,766.50)
Found Medically Necessary
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $285.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. William R. Petersen
Request for reimbursement of vision care expenses in the amount
of $239.00. Mr. Petersen has not received vision care
reimbursement in the past year.
Motion by Chair Pro Tem Larson, second by Member Norman to
approve Mr. Petersen's claim in the amount of $239.00.
MOTION CARRIED. 4-0. Member Petersen abstained.
3. Robert Almy
Request for reimbursement of dental expenses in the amount of
$129.00.
ROBERT ALMY 2009 $1,200.00 BALANCE
$1,200.00
February 3, 2009 $244.00 $956.00
June 2, 2009 $46.00 $910.00
LEOFF Board Minutes
October 6, 2009
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 6, 2009 - 10:00 AM - Council Conference Room
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Almy's claim in the amount of $129.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. James Kellv
Request for reimbursement of inedical expenses in the amount of
$51.76, Regence Claim #0923032291900 for services received on
August 14, 2009.
(The Board took action on this claim immediately following Item
III.A of these minutes.)
Motion by Member Petersen, second by Member Norman to
approve Mr. Kelly's claim in the amount of $51.76.
MOTION CARRIED. 4-0. (Mr. Kelly had recused himself from the
meeting earlier under Item III.A of these minutes.)
5. Murray Board
Request for reimbursement of dental expenses in the amount of
$179.00.
MURRAY BOARD $1,200.00 BALANCE
2009 $1,200.00
March 3, 2009 $174.75 $1,025.25
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Board's claim in the amount of $179.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. Roqer H. Lee
Request for reimbursement of dental expenses in the amount of
$268.85.
ROGER LEE 2009 $1,200.00 BALANCE
$1,200.00
April 7, 2009"* $165.30 $1,034.70
April 7, 2009** $3,253.75 ($2,219.05)
May 5, 2009** $1,007.95 ($3,227.00)
LEOFF Board Minutes
October 6, 2009
Page 5
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 6, 2009 - 10:00 AM - Council Conference Room
**Found Medically
Necessary
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $268.85 finding medical
necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Michael Corkins
Request for reimbursement of dental expenses in the amount of
$585.60. Mr. Corkins has not received dental expense
reimbursement in 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Corkins' claim in the amount of $585.60.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Doris Darouqh
Request for reimbursement of home health care costs in the
amount of $1,033.05 for services received from August 1 through
31, 2009.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $1,033.05.
MOTION CARRIED UNANIMOUSLY. 5-0.
9. Ron Cude
Request for reimbursement of long term care costs for the months
of September and October, 2009.
Board Secretary Daskam advised the Board that Mr. Cude has
withdrawn his claim at this time as he is waiting for additional
information from his long term care insurance provider.
10. David J. Hannitv
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. No explanation of
benefits statement has been received for the May 20, 2009
expenses in the amount of $60.00.)
LEOFF Board Minutes
October 6, 2009
Page 6
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 6, 2009 - 10:00 AM - Council Conference Room
Motion by Member Petersen, second by Chair Pro Tem Larson to
table the claim for the non-paid portion pending receipt of the
insurance explanation of benefits statement.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Correspondence
No correspondence was received.
E. Discussion
1. Election of Police LEOFF Board Representative
Board Secretary Daskam advised that requests for nominations will
be mailed in October. If more than one nomination is received,
election ballots will be mailed in November.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:15 a.m.
~
APPROVED THE DAY OF NOVEMBER, 2009
1
Jim elly, Chair Danie le Daskam, Board Secretary
LEOFF Board Minutes
October 6, 2009
Page 7