HomeMy WebLinkAbout12-07-2010
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7, 2010 -10:00 AM - Council Conference Room
MIN4JTE8
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 Aubum.
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
Dani Daskam.
II. AGENDA MODIFICAT, IONS
Chair Kelly nofed an agenda modification transmitting claims from Jim Kelly,
Michael Corkins, and David Hannity.
111. APPROVAL OF IVIINUTES
A. Minutes of the November 2. 2010 LEOFF Board Meetinq
Motion :by Member Petersen, second by Chair Pro Tem to approve the
November 2, 2010 minutes as distributed. _
MOTION CARRIED UNANIMOUSLY. 5-0.
IV. UNFINISHED BUSINESS -
A. Pending Disability Leave/Retirement Aqqlications
There was no pending disability leave application for review.
B. Pendina Medical/HearingNision Dental Claims
1. David Schuur
Request for reimbursement of inedical expenses in the.amounf of
$32.50 for services received on July 15, 2010.
On October 5 and November 2, 2010, the Board tabled Mr.
Schuur's claim pending the receipt of the insurance and Medicare
explanation~ of benefits statements. Mr. Schuur's daughter
provided an explanation for the claim via email.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $32:50.
MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes .
December 7, 2010
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7, 2010 -10:00 AM = Council Conference Room
2. Bruce Caldwell -
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 and November 2, 2010, the Board tabled Mr...
Caldwell's claims pending receipt of the Medicare explanation of
benefits statements and additional information. No new
information was received. -
Motion by Chair Pro Tem Larson, second by Member Petersen to
table the claim for an additional mohth.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Bruce Caldwell Request for reimbursement of inedical expenses in the amount of
, $500.00, Regence . Claim No. '1024720055400, for services
received on April 2, 2009 and lasf processed by insurance on
September 8, 2010.
On November 2, 2010, the Board fabled Mr: CaldwelPs claim
pending, the receipt of additional information. No new information
was received. Motion by Chair Pro Tem Larson, second by Member Petersen to
table the claim for an additional. month.
MOTION CARRIED UNANIMOUSLY. 5-0. -
V. NEW BUSINESS
A. Disability Leave/Retirement Applications
No new application for disability leave/retirement was submitted.
B. AppealslRequests_foc'Reconsideration .
No request for reconsideration was received.
C. MedicaUHearinqNision Claims
LEOFF Board Minutes "
December 7, 2010
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Coty of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7, 2010 -10:00 AM - Council Conference Room
1. James Fisk
Request for reimbursement of dental expenses- in the amount of
- $39.00 for services received on October 26, 2010. Mr. Fisk has not
received any dental reimbursement in 2010:
Motion by Member Pefersen, second by Chair Pro Tem Larson to
approve Mr. Fisk's claim in the amount of $39.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Rav Nixon -
Request for reimbursement of hearing aid repair expenses in the
amount of $135.00 for services received on September 2, 2010.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Nixon's claim.in the amount of $135.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Robert Almv
Request for reimbursement of dental expenses in the amount of
$89.00 for services received on October 19, 2010.
ROBERT.ALMY 2010 $1,200.00 BALANCE
$1;200.00
June 1, 2010 $129.00 $1,071.00
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Mr. Almy's claim in the amount of $89.00.
, MOTION CARRIED UNANIMOUSLY. 5-0.
5. Richard Schneider
Request for reimbursement of inedical expenses in the amount ofi $32.00, Regence Explanation of Benefits statement
#1028131888800, for services received on October 7, 2010 and
last processed by insurance on November 3, 2010.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $32.00.
LEOFF Board Minutes
December 7, 2010
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7, 2010 -10:00 AM - Council Conference Roorn
;
Member Petersen noted Mr. Schneider's medical history related to
the services provided.
MOTION CARRIED UNANIMOUSLY. 5-0.
, 6. Loren Anderson -
Request for reimbursement of dental expenses. in the amount of
$1,200.00 for services received on November 12, 2010. Mr.
Anderson has not received dental expense reimbucsement in 2010.
Motion .by,Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Anderson's claim in the amount of $1,200.
MOTION CARRIED UNANIMOUSLY. 5-0.
-7. RobertPhillips
Request for reimbursement of vision expenses in the amount of
$189.97 for services received on November 10, 2010. Mr: Phillips
- has not received vision care expense reimbursement in the past
year.
, Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Phillips' claim in the,amount of $189.97.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Michael Corkins
a. Request for reimbursement of dental expenses in the _
amount of $659.60 for senrices received on September 1
and 9, 2010. Mr. Corkins has not received reimbursement
for dental expenses in 2010.
Motion by Member Pefersen, second by Chair Pro Tem
Larson to approve the claim in the_ amount of $659.60.
MOTION CARRIED UNANIMOUSLY. 5-0.
b. Request for reimbursement of inedical expenses in the
amount of $135.18 for services received on August 31,
2010.
LEOFF Board Minutes
December 7, 2010
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 7, 2010 -10;00 AM - Council Conference Roorn
Motion by Member Petersen, second by Chair Pro Tem
: Larson to table the claim pending receipt of the insurance
explanation of benefits statement(s). .
MOTION CARRIED UNANIMOUSL-Y. 5-0.
9. David Hannitv
Request for reimbursement of inedical expenses in the amount of
$144.00 for services received on October 12, 2010.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Mr. Hannity's claim in the amount of $144.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
At this time, ChairKelly relinquished the Chair:to Chair Pro Tem Lars6n.
- 10. Jim Kellv
Request for reimbursement of inedical expenses in the amount of
$65.00, Regence Explanation , of , Benefits statement.
#1027932105600, for services received on September 29, 2010 ~
and last processed by insurance on November 3, 2010.
Motion by Member Petersen, second' by Member Norman to
approve Mr. Kelly's claim in the amount of $65.00.
. MOTION CARRIED UNANIMOUSLY. 4-0. Jim Kelly abstained
from voting.
11. Jim Kellv
Request for reimbursement of inedical expenses in the amount of
$65.00, Regence Claim #1031631792500, for services received on
November 9, 2010.
Motion by Member Petersen, second by Member Norman to approve M,r.. Kelly's claim in the amount of $65.00.
MOTION CARRIED UNANIMOUSLY: 4-0. Jim Kelly absfained
from voting.
Mr. Kelly updated the Board on his treatment and prognosis.
At this time, Chair Kelly re=assumed the Chair.
LEOFF Board Minutes '
December 7, 2010
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City of Aubum Law fnforcerraent OfFicers and Firefighters Dasability Board
Tuesday,,December 7, 2010 -10:00 AM - Council Conference Room
D. Discussion
1. Election of Fire LEOFF Board Repcesentative
_ -
Board Seccetary - D - askam reported tFiat one nomination for the Fire
LEOFF Board representative was received from Bill Petersen. In
accordance with LEOFF Board Policy, balloting is not required
when only one person submits a nomination. Bill Petersen is
therefore electedas the Fire Representative to the LEOFF Board for a term beginning January 1, 2011 through December 31, 2012
VI. ADJOURNMENT
There being no further business to come before the Boacd, the meeting
adjourned at 10:14 a.m.
APPROVED THE . DAY OF JANUARY, 2011.
Jim elly, Chair = D elle Daskam, Board Secretary
i.
LEOFF Board Minutes December 7; 2010
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