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HomeMy WebLinkAbout04-06-2010 Cify of Aubum Law Enforcement Officers and Firefighters Disability Board Tuesday, April 6, 2010 -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 Aubum 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. APPROVAL OF MINUTES > A. Minutes of the March 2, 2010 LEOFF Board Meetinq Motion by Chair. Pro Tem Larson, second by Member Petersen to approve the March 2, 2010 minutes as distributed. MOTION CARRIED. 5-0. III. UNFINISHED BUSINESS A. Pendinq Disability. Leave/Retirement Applications There was no pend'ing disability leave/retirement application. IV. NEW BUSINESS A. Disabilitv Leave/Retirement Applications No new application for disability leave/retirement was received. B. Appeals/Requests for Reconsideration No request for reconsideration was received. C. Medical/HeacinqNision Claims 1. Victor Shivelv Request for reimbursement of vision expenses in the :amount of $80.00 for the examination and $364.93 for lenses and frames. Mr. Shively has not received vision expense reimbursement in the past year. Motion by Member Petersen, second by Chair Pro Tem Larson to approve reimbursement of the exam in the amount of $80.00 and LEOFF Board Minutes , April 6, 2010 Page 1 Cify of Auburn Law Enforcement Officers and Firefghters Disability Board Tuesday, April 6, 2010 -10:00 AM - Counc6l Conference Room approve reimbursement for lenses and frames up to the Board policy limit of $250.00. MOTION CARRIED UNANIMOUSLY. 5-0. 2. Don Webb Request for reimbursement of dental expenses in the amount of $310.00. DON WEBB 2010 $1,200.00 BALANCE $1,200.00 February 2, 2010 $247.00 $953.00 Motion by Member Petersen, second by Chair Pro Tem Larson to approve the claim in the amount of $310.00. MOTION CARRIED UNANIMOUSLY. 5-0. 3. David Jarger Requesf for reimbursemenf of inedical expenses in the amount of $24.40 for services received on June 16, 2009 and last processed by insurance on January 30, 2010. Motion by Member Petersen, second by Chair Pro Tern Larson to table the claim pending receipt of the Medicare and Regence Explanation of Benefits Stafements. MOTION CARRIED UNANIMOUSLY. 5-0. 4. Sammy Mulkev , Requests for reimbursement of dental expenses in the amount of $1,275:00. Mr. Mulkey has not received dental expense reimbursement in 2010. Motion by Chair Pro Tem Larson, second by Member Pefersen to approve reimbursement up to the policy amount of $1,200. MOTION CARRIED UNANIMOUSLY. 5-0. 5. Michael J. Darbv LEOFF Board Minutes Apnl 6, 2010 Page 2 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday; April 6, 2010 -10:00 AM - Council Conference Room Request for reimbursement of vision expenses in the amount of $284:97 for services received on March 25, 2010. Mr. Darby has not received vision reimbursement in the past year. Motion by Member Petersen, second by Chair. Pro Tem Larson to approve the claim up to the policy limit of $250.00 for lenses and frames. MOTION CARRIED UNANIMOUSLY. 5-0. 6. Roaer Lee Request for reimbursement of denfal expenses in the amount of $165.30 for services received on March 23, 2010. Mr. Lee has not received reimbursement for dental expenses in 2010. Mr. Lee's previous dental expenses have been found medically necessary. Motion by Member Petersen, second by Chair Pro Tem Larson to approve the claim in the amount of $165.30. MOTION CARRIED UNANIMOUSLY. 5-0. 7. Ernest Miller Requests for reimbursement of dental expenses in the amount of $560.70 and $35.00 for services received Jan 5- March 11, 2010. Mr: Miller has not received reimbursement for dental expenses in 2010. Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claims in the amounts of $560.70 and $35.00. MOTION CARRIED UNANIMOUSLY. 5-0. 8. Russ Vandver a. Request for reimbursement of dental expenses in the amount of $21.40, naturopathic supplements in the amount of $215.23 and vaccination ih the amount of $10.00. Mr. Vandver has not received reimbursement of dental expenses in 2010. Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claim as submitted. MOTION CARRIED UNANIMOUSLY. 5-0. LEOFF Board Minutes April 6, 2010 Page 3 - , City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, April 6, 2010 -10:00 AM - Council Conference Room b. Request for reimbursement of vision expenses in the amount of $85.00 for services received on February 11, 2010. Mr. Vandver has not received reirribursement of vision expenses in the past year. Motion by Member Petersen, second by Chair Pro Tem Larson to approve the claim in the amount of $85.00. MOTION CARRIED UNANIMOUSLY. 5-0. 9. Ed Wolters Request for reimbursement of dental expenses in the amount of $925.00 for services received in March 2010. Mr. Wolters has not received reimbursement for dental expenses in 2010. Motion by Chair Pro Tem Larson, second by Member Petersen to approve the claim in the amount of $925.00. MOTION CARRIED UNANIMOUSLY. 5-0. 10. Jake Evans Request for reimbursement of natural pharmacy products in the amount of $631.70 and request for reimbursement of dental expenses in the amount of $237.00 #or services received in 2009. Mr. Evans did not receive reimbursement for dental expenses in 2009. ' Motion by Chair Pro Tem Larson, second by Member Petersen to approve-the claim as submitted. ' MOTION CARRIED UNANIMOUSLY. 5-0. 11. Jim Kellv The request from Jim Kelly was added as an agenda modification. Chair Kelly recused himself from the Board discussion and Chair Pro Tem Larson assumed the chair for the duration of #he discussion and action on Mr. Kelly's request. Mr. Kelly presented a request for pre-authorization from the Board to seek the consultation of a back surgeon from the Seattle Spine Institute for Mr. Kelly's lower back injury. The back surgeon is not a participating provider under Regence. Mr. Kelly stated that he has LEOFF Board Minutes April 6, 2010 Page 4 City of Auburn L.aw Enforcement Officers and Firefighters Disability Board Tuesday, April 6, 2010 -10:00 AM - Council Conference Room been treated by other physicians which have not been able fo correct his injury. Mr. Kelly stated that his research indicates that the physician, Dr. Paul Schwaegler, is the premier back specialist in the region. Motion by Member :Petersen, second by Member Norman to approve pre-authorization for Mr. Kelly to seek consultation from Dr. Schwaegler. MOTION CARRIED. 4-0. D. Cocrespondence No correspondence was received. E. Discussion 1. Policy and Procedure Manual Review ` Chief Kelly reported that he continues his review of the LEOFF Policy and Procedure Manual. He encouraged other members of the Board to review the Pol'icy and Procedure Manual for any changes for consideration. 2. Elvis T. Swisher vs. City of Moses Lake Board Attomey King briefly reviewed the result of a Grant Counfy Superior Court case, Elvis T. Swisher versus City of Moses L-ake. The court found that the City of Moses Lake had improperly denied benefit coverage to Mr. Swisher, and 'the court awarded him judgment for $904.20 in medical costs. The court also awarded attomeys fees in the amount of approximately $6,400 based upon RCW 49.48.030 relating to contesting wage disputes. Mr. King explained that the ruling is not binding on any other party other than the parties involved in the case; the case has no precedence value, but the Board should be aware of`the case. Member Petersen stated that he understood that the underlying issue was that the Grant County Disability Board had approved the claim, but the City of Moses Lake refused to pay. Chair Kelly commended the Board members for their judicious and responsive work on the Board. 3. Board Attornev Board Attorney King announced that he will be leaving the City of Auburn at the end of April to enter private practice. Another LEOFF Board Minutes April 6, 2010 Page 5 Cityof Aubum Law Enforcernenf Officers and Firefighters Disability Board Tuesday, April 6, 2010 -10:00 Al1A - CounciB Conference Room attorney from the Legal Department will be acting as the Board Attorney at the next meeting. Board members thanked Mr. King for his counsel to the Board. V. ADJOURNNlENT There being no further business to come before the Board, .the meeting adjoumed at 10:35 a.m. - APPROVED THE ~ DAY OF MAY, 2010. Danielle Daskam, Board Secretary Jim elly, Chair QS LEOFF Board Minutes April 6, 2010 Page 6