HomeMy WebLinkAbout09-01-2009
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 1, 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 Acting Board
Secretary Cathy Richardson. II. AGENDA MODIFICATIONS
Chair Kelly noted the addition of claims from Ray Sherman for dental expenses
and Ron Cude for long term care expenses.
III. APPROVAL OF MINUTES
A. Minutes of the August 4, 2009 LEOFF Board Meetinq
Motion by Member Petersen, second by Chair Pro Tem Larson to approve
the August 4, 2009 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0.
. IV. UNFINISHED BUSINESS
A. Pending Disability Leave/Retirement Applications
Chair Kelly recused himself from consideration of his Application for
Disability or Retirement Leave.
1. James Kelly 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. The Board reviewed Mr.
Kelly's monthly physician's report dated August 19, 2009.
Motion by Member Petersen, second by Member Norman to
continue Mr. Kelly's disability for an additional thirty days or until
cessation of disability.
MOTION CARRIED. 4-0. Jim Kelly abstained.
LEOFF Board Minutes
September 1, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 1, 2009 - 10:00 AM - Council Conference Room '
B. Medical/HearinqNision/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 and August 4
2009, the Board tabled Mr. Caldwell's claim pending the receipt of
the Medicare and Regence Explanation of Benefits Statements.
No new information was received.
Motion by Chair Pro Tem Larson, second by Member Petersen to
table Mr. Caldwell's claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. David J. Hannity
Request for reimbursement of inedical expenses in the amount of
$56.26 for services received on June 24, 2009.
On August 4, 2009, the Board tabled Mr. Hannity's claim pending
receipt of the Regence Explanation of Benefits statement. Mr.
Hannity provided the Regence EOB Claim #0920332630700 for
services received on June 3, 2009 and paid by Regence on August
5, 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $56.26.
MOTION CARRIED UNANIMOUSLY. 5-0.
V. NEW BUSINESS
A. Disability Leave/Retirement Applications
There was no new disability leave/retirement application.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
C. Medical/Hearing/Vision/Dental Claims
1. Ed Henderson
LEOFF Board Minutes
September 1, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 1, 2009 - 10:00 AM - Council Conference Room
a. Request for reimbursement of dental expenses in the
amount of $1,102.00 for dental services received on June
26, 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)
Found Medically Necessary
Motion by Chair Pro Tem Larson, second by Member
Petersen to approve Mr. Henderson's claim in the amount of
, $1,102.00 finding medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
b. Request for reimbursement of dental expenses in the
amount of $1,140.00 for dental services received on August
4, 2009.
Motion by Member Petersen, second by Chair Pro Tem
Larson to approve Mr. Henderson's claim in the amount of
$1,140.00 finding medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Monroe Shropshire
Request for reimbursement of dental expenses in the amount of
$141.00. Mr. Shropshire has not received dental expense
reimbursement this year.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $141.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Cali Ann Edwards
LEOFF Board Minutes
September 1, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 1, 2009 - 10:00 AM - Council Conference Room
Request for reimbursement of vision care expenses in the amount
of $213.30. Ms. Edwards has not received vision care
reimbursement in the past year.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $213.30.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Michael Darbv
Request for reimbursement of dental expenses in the amount of
$849.00. Mr. Darby has not received dental care reimbursement
this year.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $849.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
5. 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.
Motion by Chair Pro Tem Larson, second by Member Petersen to
table the claim pending receipt of additional information as to the
medical necessity of the medical services.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. Stan Laatsch
Request for reimbursement of vision expenses in the amount of
$97.00. Mr. Laatsch last received reimbursement for vision
expenses on November 4, 2008 in the amount of $217.00.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $97.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Fred Fisher LEOFF Board Minutes
September 1, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 1, 2009 - 10:00 AM - Council Conference Room
Request for reimbursement of dental expenses in the amount of
$53.00. Mr. Fisher has not received dental expense
reimbursement in 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $53.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Dale Volstad
Request for reimbursement of dental expenses in the amount of
$509.60. Mr. Volstad has not received dental expense
reimbursement in 2009.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $509.60.
MOTION CARRIED UNANIMOUSLY. 5-0.
9. Doris Darouqh
Request for reimbursement of home health care costs in the
amount of $1,292.53 for services received from June 16 through
July 31, 2009.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $1,292.53.
MOTION CARRIED UNANIMOUSLY. 5-0.
10. Robert Phillips
Request for reimbursement of inedical expenses in the amount of
$52.00 for services received on August 4, 2009.
, Motion by Chair Pro Tem Larson, second by Member Petersen to
table the claim pending receipt of the Regence Explanation of
Benefits statement.
MOTION CARRIED UNANIMOUSLY. 5-0.
11. 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. In 2008, Mr. Wolters was reimbursed for
LEOFF Board Minutes
September 1, 2009
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 1, 2009 - 10:00 AM - Council Conference Room
dental expenses that were found medically necessary specific to
the claim submitted.
Motion by Chair Pro Tem Larson, second by Member Petersen to
. table Mr. Wolters' claim pending receipt of additional information
regarding the medical necessity of the treatment.
MOTION CARRIED UNANIMOUSLY. 5-0.
12. Ray Sherman
Request for reimbursement of dental expenses in the amount of
$332.50. Mr. Sherman has not received dental expense
reimbursement this year.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $332.50.
MOTION CARRIED UNANIMOUSLY. 5-0.
13. Ron Cude
Request for reimbursement of long term care expenses for the
months of July and August 2009 in the amount of $1,636.40.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim (less $31.00 in cable service) in the amount of
$1,605.40.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Correspondence
No correspondence was received. VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:18 a.m.
APPROVED THE DAY OF OCTOBER, 2009
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Jim Celly, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes
September 1, 2009
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