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Home My WebLink About12-01-2009 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, December 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 Gross and Board Secretary Danielle Daskam. II. AGENDA MODIFICATIONS Chair Kelly noted agenda modifications to add claims from Ernest Miller, Theodore Lindback, Sammy Mulkey, Michael Corkins, Ray Sherman, Murray Board, and Doris Darough. III. APPROVAL OF MINUTES A. Minutes of the November 3, 2009 LEOFF Board Meetinq Motion by Member Petersen, second by Member Norman to approve the November 3, 2009 minutes as distributed. MOTION CARRIED UNANIMOUSLY. 5-0. IV. UNFINISHED BUSINESS A. Pendinq Disabilitv Leave/Retirement Applications There was no pending disability leave/retirement application. B. Medical/Hearinq/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, October 6, and November 3, 2009, the Board tabled Mr. Schneider's claim pending receipt of additional information regarding medical necessity. No new information was received. LEOFF Board Minutes December 1, 2009 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, December 1, 2009 - 10:00 AM - Council Conference Room Motion by Chair Pro Tem Larson, second by Member Petersen to deny the claim. MOTION CARRIED UNANIMOUSLY. 5-0. V. NEW BUSINESS A. Disabilitv 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/Hearinq/Vision/Dental Claims 1. Ronald Cude Request for reimbursement of long term expenses for the months of September and October, 2009 in the total amount of $1,636.40. Motion by Member Petersen, second by Chair Pro Tem Larson to approve the claim in the amount of $1,636.40. MOTION CARRIED UNANIMOUSLY. 5-0. 2. M. Eric Bearscove Request for reimbursement of vision expenses in the amount of $264.97. Mr. Bearscove has not received vision expense reimbursement in the past year. Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claim in the amount of $264.97. It was noted that the claim included $209.97 for lenses and frames and $55.00 for the eye examination not covered by insurance. MOTION CARRIED UNANIMOUSLY. 5-0. 3. Doris Darouph Request for reimbursement of home health care costs in the amount of $923.93 for services received during the month of September 2009. Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claim in the amount of $923.93. LEOFF Board Minutes • December 1, 2009 Page 2 City of Auburn Law Enforcement Officers and FireFghters Disability Board Tuesday, December 1, 2009 - 10:00 AM - Council Conference Room MOTION CARRIED UNANIMOUSLY. 5-0. 4. William Petersen Request for reimbursement of inedical expenses in the amount of $80.00, Regence Explanation of Benefits statement #0926732256300, for services received on August 12, 2009 and paid by insurance on October 14, 2009. Motion by Chair Pro Tem Larson, second by Member Norman to approve the claim in the amount of $80.00. MOTION CARRIED. 4-0. Member Petersen abstained. 5. Ed Henderson Request for reimbursement of dental expenses in the amount of $1,425.00 for services received on November 3, 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) Oct 6, 2009"* $285.00 ($5,051.50) Found Medically Necessary Motion by Member Petersen, second by Chair Pro Tem Larson to approve the claim in the amount of $1,425.00. MOTION CARRIED UNANIMOUSLY. 5-0. 6. Monroe Shropshire Request for reimbursement of dental expenses in the amount of $141.00 for services received on October 15, 2009. MONROE SHROPSHIRE 2009 $1,200.00 BALANCE $1,200.00 May 5, 2009 $141.00 $1,059.00 LEOFF Board Minutes December 1, 2009 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, December 1, 2009 - 10:00 AM - Council Conference Room 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. 7. Ernest Miller Request for reimbursement of dental expenses in the amount of $200.00. Mr. Miller 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 $200.00. MOTION CARRIED UNANIMOUSLY. 5-0. 8 Theodore Lindback Request for reimbursement of dental expenses in the amount of $114.95. THEODORE LINDBACK 2009 $1,200.00 BALANCE $1, 200.00 LEOFF BOARD DATE Feb 3, 2009 $148.20 $1,051.80 Motion by Member Petersen, second by Chair Pro Tem Larson to approve the claim in the amount of $114.95. MOTION CARRIED UNANIMOUSLY. 5-0. 9. Sammv Mulkev Request for reimbursement of dental expenses in the amount of $419.00. SAMMY MULKEY 2009 $1,200.00 BALANCE $1,200.00 Date Claim Approved June 2, 2009 $108.00 $1,092.00 Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claim in the amount of $419.00. LEOFF Board Minutes December 1, 2009 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, December 1, 2009 - 10:00 AM - Council Conference Room MOTION CARRIED UNANIMOUSLY. 5-0. 10. Michael Corkins Request for reimbursement of dental expenses in the amount of $915.70. MICHAEL CORKINS $1,200.00 BALANCE 2009 $1,200.00 Oct 6, 2009 $585.60 $614.40 November 3, 2009 $112.70 $501.70 Motion by Chair Pro Tem Larson, second by Member Petersen to pay the claim as submitted. MOTION CARRIED UNANIMOUSLY. 5-0. 11. Rav Sherman Request for reimbursement of inedical expenses in the amount of $763.20, Regence Explanation of Benefits #E20973184302 and 303 for services received on March 13, 2009 and paid by insurance on September 18, 2009. Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claim in the amount of $763.20. MOTION CARRIED UNANIMOUSLY. 5-0. 12. Murrav Board Request for reimbursement of inedical expenses in the amount of $241.40, Regence Explanation of Benefits Statement #0924095009801 for services received on August 4, 2009 and paid by insurance on September 16, 2009. Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claim in the amount of $241.40. MOTION CARRIED UNANIMOUSLY. 5-0. 13. Doris Darouqh Request for reimbursement of long term/home health care costs in the amount of $1017.28 for the month of October 2009. Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claim in the amount of $1,017.28. LEOFF Board Minutes December 1, 2009 Page 5 CiTy of Auburn Law Enforcement Officers and Firefghters Disability Board Tuesday, December 1, 2009 - 10:00 AM - Council Conference Room MOTION CARRIED UNANIMOUSLY. 5-0. D. Correspondence No correspondence was received. E. Discussion 1. Election of Police LEOFF Board Representative Secretary Daskam announced that Jim Kelly has been re-elected as the LEOFF Board police representative for the two year term beginning January 1, 2010. Ballots were counted on November 30 . A total of 30 valid ballots were returned. The votes are as follows: Jim Kelly 18 Bob Phillips 12 Dave Schuur 0 Chair Pro Tem Larson questioned the election schedule timeline. He requested that the Board review the election schedule for possible amendment. Chair Kelly requested the Secretary prepare a draft election policy for Board review. Chair Kelly reminded Board members that the LEOFF Board Policy and Procedure Manual is scheduled for review in 2010. VI. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 10:23 a.m. ~ APPROVED THE DAY OF JANUARY 2010. Ji Kelly, Chair Danielle Daskam, Board Secretary LEOFF Board Minutes December 1, 2009 Page 6