HomeMy WebLinkAbout11-02-2010
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November- 2, 2010 -10:00 Al1A - Council Conference Room
lIAINUTES
1. . CALL TO ORDER . .
Chair Pro Tem Bud Larson 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 Pro Tem Larson and the following Board members were present:
Member Lynn Norman, Member Virginia Haugen, and Member Bilf Petersen.
Chair Jim Kelly was excused. Also present was Board Secretary Dani Daskam.
II. AGENDA MODIFICAT80NS
Chair Pro Tem Larson noted an agenda modifcation transmitting claims from
William Petersen, Helen Bowden, Roger Lee, David Jarger, and Don Webb.
III. . APPROVAL OF MINUTES
A. Minutes of the October 5, 2010 LEOFF Board MeetinQ
Motion by Member Petersen, second by Member Norman to approve the
October 5, 2010 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 4-0.
9V. UNFINISHED BUSINESS
A. Pending Disabilitv Leave/Retirement Aqplications
There was no pending disability leave application for review.
B. Pendinq Medical/HearinqNision Dental Claims .
1. David Schuur .
Reques,t for reimbursement ofi medical expenses in the amount of
$32.50 for services received on July 15, 2010.
On October 5, 2010, the Board tabled Mr. Schuur's claim pending
the receipt of the insurance and Medicare explanation of benefits
statements. No new information was received.
Motion by Member Petersen; second by Member Norrnan to table
Mr. Schuur's claim an additional month.
MOTION CARRIED-UNANIMOUSLY. 4-0.
2. Bruce Caldwell
LEOFF Board Minutes
November 2, 2010
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 2, 2010 -10:00 AM - Council Conference Room
. a. Request for reimbursement of inedical expenses in the
amount of $97.93 for services received on July 31, 2010.
b. Request for reimbursement of inedical. expenses in. the
amount of. $1,100.00 for services received on August 3=5,
2010.
On October 5, 2010, the Board tabled Mr. Caldwell's claims
pending receipt of the Medicare explanation of benefts.
sfatements and additional information. No new information
was received.
Motion by Member Petersen; second by Member Norman to
, table Mr. CaldwelPs claims foran additional month.
MOTION CARRIED UNANIMOUSLY. 40.
V. NEW BUSIIVESS -
A. Disabilitv Leave/Refirement Applications
No new application for disabiliiy leave/retirement was submitted.
~
6. Appeals/Repuests_for;Reconsideration
No request for reconsideration was received.
C. Medical/HearinQNision Claims
,
1. Doris Darouqh
a. Request. for ceimbursement of long term home health care
costs in the amount of $1,747.21 for the pedod July 16,
2010 to August 34, 2040.
Motion by Member Petersen, second by Member No[man to
approve the claim in the amount of $1,747.21.
MOTION CARRIED UNANIMOUSLY. 4-0.
b. Request for reimbursement of long term home health care
costs in the amount of $1,13976 for the period September
1, 2010 to September 30; 2010.
LEOFF Board Minutes
Novem6er 2, 2010
Page 2
City of Auburn Law.Enforcement Officers and Firefighters Disability Board
Tuesday, November 2, 2010 -10:00 AM = CounciG Conference Room
Motion by Member Petersen, 'second by Member Norman to approve the claim in the amount of $1,139.76.
MOTION CARRIED UNANIMOUSLY. 4-0.
2. Bruce Caldwell
Requesf for reimbursement of inedical expenses in the amount of
$500,00, Regence Claim No. 1024720055400, for services
received on, April 2, 2009 and last processed by insurance on
September 8, 2010. Motion by Member Petersen, second by Member Norman to table
Mr. Caldwell's claim, pending the receipt of additional information
including the Medicare explanation of benefits statement.
MOTION CARRIED UNANIMOUSLY: 4-0,
3. Murray Board
Request for 'reimbursement of dental expenses in the amount of
$179.00 for services received on October 13, 2010. Mr. Board has
not received_reimbursementfor dental expenses in.2010.
Motion by Member Petersen; second by Member Norman to
approve the.claim in the amount of $179.00.
MOTION `CARRIED UNANIMOUSLY. 4-0.
4. Monroe Shropshire Request for reimbursement of dental expenses in the amount of
$141.00 fot services received on October 6, 2010.
MONROE SWROPSHIRE 2010 $1,200.00 BALANCE
$1,200.00
Feb 2, 2010 $611.00 $589.00
Motion by Member Petersen, second by Member Norman to
approve the claim in the amounfi of'$141.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
5. James KeIIV
LEOFF Board Minutes
November'2, 2010
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 2, 2010 -10:00 AIVI = Council Conference Room
a. Request for reimbursement of inedical expenses in the total
amount of $325.00, Regence Claim Nos: 1023732013900, 1026431956700, 1026431956800, and 1026431956900,.for
services ceceived on August 13 and 16 and September 8,
10, 13, and 17, 2010. Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $325.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
b. Request for reimbursement of inedical expenses in the
amount of $130.00, Regence Claim No. 1027132004600 for
seryices received on September22 and 27, 2010.
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $130.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
c. Request for reimbursement of inedical expenses in the
amount of $325.00 for services received on August 9 and 30 _
. and September 1, 3 and 20, 2010.
; Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $325.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
6. William Petersen
Request for reimbursement of vision expenses in the amount of
$222.00 for services received on Octobec 27, 2010. Mr. Petersen
has not received reimbursement for vision expenses in the past
year. .
Motion by Member Norman, second by Member Haugen to
approve the claim in the amounf of $222.00.
MOTION CARRIED UNANIMOUSLY. 3-0. Member Petersen
abstained from voting.
7. Helen Bowden
LEOFF Board Minutes
November 2, 2010
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, IVovernber 2, 2010 -10:00 AM - Council Conference Rovm
Request forreimbursement of dental expenses 'in the amount of
$293.00 for senrices feceived on Ottober 12, 2010. Ms. Bowden
- has not received dental reimbursement in 2010.
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $293.00. ,
MOTION CARRIED UNANIMOUSLY. 4-0.
8. Roger Lee
Request for reimbursement. of dental expenses 'in the amount of
$268.85 for services received on October 26, 2010. Mr. Lee's past
denfal services have been found medically necessary ROGER LEE 2010 $1,200.00 BALANCE
$1,200.00
April 6, 2010 $165.30 $1,034.70
September 7, 2010*` $1;321.45 ($286.75)
"Found Medically
Necessary
Motion by Member Petersen, second by Member Norman. to
approve the claim in the amount of $268.85.
MOTION CARRIED UNANIMOUSLY. 4-0.
9. David Jarger
Request for reimbursement of inedical expenses in the amount of
$92.00, Regence Claim No. 1023733052702 for services received
on June 29, 2010 and processed by insurance on September 7,
2010.
Motion by Member Petersen., second by Member Norman to
approve the clairn in the amount of $92.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
10. Don.Webb
Request for reimbursement of dental expenses in the amount of
$653.00 for services received on October 28, 2010.
DON WEBB 2010 $1,200:00 BALANCE
$1,200.00
' LEOFF Board Minutes
November 2, 2010
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City of Auburn Law Enforcement Officers and. Firefighters Disability Board
Tuesday, November 2, 2010 -10:00 AM - Council Conference Room
February 2, 2010 $247.00 $953.00
April 6, 2010 $310.00, $643.00
Motion by Member Petersen, second by Member Norman to
approve the claim in the amount of $643.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
VL ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:15.a.m-.
APPROVED THE DAY OF DECEMBER, 2010.
. . "
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Jim Celly, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes .
November2, 2010
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