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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