HomeMy WebLinkAbout04-05-2011
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 5, 2011 -10:00 AM - Council Confer_ence 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 Cify,_Hall, 25 West Main Streefi 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. Boatd Attomey Steve Gross and Board Secretary
Danielle Daskam. II: AGENDA MODIFICATIONS
Claims from Sam Mulkey and Bruce Caldwell were added to the agenda.
111. APPROVAL OF MINUTES A. Minutes of the March 1. 2011 LEOFF Board MeetinA
Motion by Member Petersen, second by Chair Pro Tem Larson to approve
- the March 1, 2011 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0. IV. UNFINISHED BUSlNESS
A. Pendinq Disabilitv LeaVe/Retirement Applications
There was no pending disability leave application for review.
B. Pending: MedicaUHearinqNision Dental Claims
1. Bruce Caldwell
Request for reimbursement of inedical expenses in the amount of
$99.99. ~
On February 1. and March 1, 2011, the Board tabled Mr. CaldwelPs
claim pending fhe receipt of additional information, including
documentation to support the medical necessity of the device. No
new information was received., -
Motion by Chair Pro Tem Larson, second by Member Petersen to
table the claim_ until the next meeting pending receipt of the
requested information:
LEOFF Board Minutes
April 5, 2011
Page 1
City of Auburn Law Enforcement Officers and Firefighters DBsability Board
Tuesday, April 5, 2011 -10:00 AM - Council Conference Room
, MOTION CARRIED UNANIMOUSLY. 5-0.
2. Fred Fisher
Request for reimbursement of inedical expenses in the amount of
$61.00, Regence:. Explanation _ of Benefits statement .
#1032395016101, for services received on October 26, 2010, and -
last processed by insurance on January 5, 2011.
On March 1, 2011, the Board tabled Mr: Fisher's:claim pending the
receipt of the Medicare Explanation of Benefits statement. No new
information was received.
Motion by Member Petersen, second by Chair Pro Tem Larson to
table the claim until the next meeting pending receipt of the
requested information.
MOTION CARRIED UNANIMOUSLY. 5-0.
V. NEW BUSINESS
A. Disabilitv Leave%Retirement Applications
No new application for disability leave/retirement was submitted.
B. Apaeals/ReQUests for_Reconsideration .
No request for reconsideration was received.
C. Medical/HearinqNision Claims
1. Doris Darouqh
a. Request for reimbursement of long term health care costs in
the amount of $1,624.45 for the period December 1-31,
2010.
b. Request for reimbursement of long term health care costs in
the amount of $2,443.42 forthe period January 1-31, 2011.
c. Request for reimbursement of long term health care costs in
the amount of $994.86 for the month of February, 2011.
Motion by Member Petersen, second by Chair. Pro Tem
Larson to approve Ms: Darough's claims in the. amounts of
$11524.45, $2,443.42 and' $994.86.
LEOFF Board Minutes
April 5, 2011
Page 2
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 5, 2011 -'E0:00 AiVI - Council Conference Room
MOTION CARRIED UNANIMOUSLY..5-0:
2. Robert Almv
Request for reimbursement of vision expenses in the amount of
$236.93 for services received on March 10, 2011. Mr. Aimy has
not received vision reimbursement in the past year.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Mr. Almy's claim in the amount of $236.93.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. T. M. Dunbar
a. Request for reimbursement of inedical expenses in the
amounf of $172.80 for services received on January 13,
2011 and processed by insurance on February 16, 2011.
b. Request for reimbursement of inedical expenses in the
amount of $57.51 for medical services received on January
13, 2011 and processed by insurance on February 9, 2011.
Motion by Chair Pro Tem Larson, second by Member
Petersen to approve Mr. Dunbar's claims in the- amounts of
$172.80 and $57:51. MOTION CARRIED UNANIMOUSLY. 5-0.
4. Ed Wolters
, Request for reimbu,rsement of dental expenses in the amount ofi
$115.00 for services received on January 6, 2011. Mr. Wolters has
not received reimbursement for dental expenses in 2011.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Wolters' claim in;the amount of $115.00.
MOTION CARRIED UNANIMOUSLY. 5-0. , 5. William Pitzl
LEOFf Board Minutes '
Apnl 5, 2011
Page 3
City of Auburn Law Enforcement OfFcers and Firefighters Disability Board
Tuesday, April 5, 2011 -10:00 AM - Council Confecence Room
a. Request for : reimbursement of dental expenses in the
amount of $312.10 for services received on February 23,
2011
b.. Request for reimbursement of dental expenses in the
amount of $100.00 for services received on January 3,
2011.
c. Request for reimbursement of dental expenses in the _
amount of $516.80 for services received on March 17, 2011.
Mr. Pitzl has not received dental reimbursement in 2011.
Motion by Chair Pro Tem Larson, second by Member
Petersen to approve Mc. Pitzl's claims in the amounts of
$312.10, $100.00, and $516.80.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. Vic Shivelv
Request 'for: reimbursement of vision expenses in the amount of y
$80.00 for services received on March 15, 2011.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Shively's claim in the a.mount of $80.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Sammy Mulkey.
Request for reimbursement of long term care costs in the amount
of $6,100.69.
Motion.by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Mulkey's claim in the amount of $6,100.69.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Bruce Caldwell
a. Request for reimbursement of vision (lenses and frames)
expenses in the amount of $130.00. Mr. Caldwell has not
received vision care reimbursement in the last year.
LEOFF Board Minutes -
April 5, 2011
Page.4
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, April 5, 2011 -10:00 AM - Council Conference Room
Motion by Cliair Pro Tem Larson, second by Member
Petersen to approve Mr. CaldwelPs claim in the amount of
$130.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
b. Request for reimbursement of inedical expenses in the
amounf of $1,100 for services received on August 3-5, 2010.
Motion by Member Petersen, second . by Chair Pro Tem
Larson to table the claim pending receipt of the Medicare and Regence Explanation of Benefits statements.
MOTION CARRIED UNANIMOUSLY. 5-0.
VI. ADJOURNMENT
There being no further business to come before the . Board, the meeting
adjourned at 10:12 a.m.
APPROVED THE ~ y DAY OF MAY, 2011
4AIA
lle Daskam, Board Secretary
4eiimfly, .
Chair Darney
LEOFF Board Minutes
April 5, 2011
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