HomeMy WebLinkAbout07-05-2011
City of Auburn Law Enforcement Officers and Firefghters Disability Board
Tuesday, July 5, 2011 -10:00 AM - Council Conference Room
MINUTES
1. CALL TO ORDER
Chair Jim Kelly called the meeting to otder at 10:00 a.m. in the Couneil
Conference Room located at Auburn City Hall, 25 West Main Street in Aubum.
Chair Kelly and the following Board members were present: Chair Pro Tem Bud
Larson, Member Virginia Haugen, and Member Bill Petersen. Member Lynn
Norman was excused. Also present were Board Attorney Doug Ruth and Acting
Boartl Secretary Cathy Richardson. II., AGENDA MODIFICATIONS
Clairris frorrm William Pitrl and Coy Franklin Grall were added to the agenda.
Also distributed prior to the meeting was additional information from Rudy Peden
and Doris Darough in support of their claims and an inquiry from Rudy Peden. III. APPROVAL OF MINUTES
A. Minutes of the June 7. 201'1 LEOFF Board MeetinQ
` Motion by Member Petersen, second by Chair Pro Tem Larson to approve
the June 7,`2011 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 4-0.
IV. UYVFINISHED BUSINESS
A. Pendinq Disabilitv L-eaveLRetirement Applications
There was no pending _disability leave application for ceview.
B. Pendinq Medical/HearingNision Dental Claims
1. Bcuce Caldwell
- -
" Request for reimbursement of'medical expenses in the amount of
.$1,100 for services received on August 3-5, 2010.
On April 5, May 3, and June 7, 2011, the Board tabled Mr.
CaldwelPs claim pending the receipt of the Medicare and Regence
Explanation of Benefits Statements. No new information was
received.
Motion by Chair Pro Tem Larson, second by Member Petersen to
deny Mr. Caldwell's claim due to lack of information.
LEOFF Board Minutes
July 5, 2011
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City of Auburn Law Enforcement Officers and Firefighters DBsability Board
Tuesday, July 5, 2011 -10:00 AM - Council Conference Room
MOTION CARRIED UNANIMOUSLY. 4-0.
2. Sam Mulkev . Request for reimbursement of long tecm, rehabilitation and nursing
care costs in the amount of $1,364.38.
On June 7, 2011, the Board tabled Mc. Mulkey's claim pending the
receipt of additional information in the form of a more current billing
statement from La Mesa Rehabilitation reflecting Mr. Mulkey's
. payment. No new information was received.
Motion by Member Petersen, second by Chair Pro Tem Larson to
table the claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 4-0.
3. Rudy Peden . .
Request for pre-approval of dental work due to medical necessity.
On June 7, 2011, the Board tabled Mr. Peden's claim pending
receipt of additional information including copies ofi his primary and
secondary insurance preauthorization, and benefit estimates. Mr.-
Peden submitted his predetermination of dental benefits after the
agenda packet was distributed. Committee members reviewed the
original claim and the additional information.
Motion by Chair Pro Tem Larson, second by Member Petersen to
pre-approve up to $5,446.00 for teimbursement of dental expenses
for the services described.
MOTION CARRIED UNANIMOUSLY. 4-0.
V. NEW BUSIiVESS
A. Disability Leave/Retirement Applications
No new application, for disability leave%retirement was submitted.
B. Appeals/Reauests for Reconsideration
No request for reconsideration was received.
C. Medical7HearinQNsion Claims
1. Sam Mulkev
LEOFF Board Minutes
July 5, 2011
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City ofAuburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 5, 2011 -10:00 AiIA - Council Conference Room
Request *for reimbursement of dental expenses in the amount of
$274.00 for services received on June 6, 2011. It was noted that
$154.00 of the charges were approved on June 7, 2011, leaving a
balance of $120.00.
SAMMY MULKEY
2011 $1,200.00 BALANCE
$1,200.00
Date Claim Approved
June 7, 2011 $154.00 $1,046.00
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $120.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
2. Ed Henderson
Request for reimbursement of vision expenses in the amount of
$$0.50 for services received on May :31, 2011. Mr. Henderson has
not received vision expense reimbursemenf in the past year.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approye the claim in the amount of $80.50.
MOTION CARRIED UNANIMOUSLY. 4-0.
3. Robert Almv
Request for reimbursement of dental expenses in the amount of
$234.00 for services received on June 14, 2011. Mr. Almy has not
received dental reimbursement this year.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $234.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
4. Docis Dacouqh.
Request for reimbursement ofi long term care costs for the month of
May 2011 in the amount of $3,203.53, pharmacy/medications in the amount of $233.52, and miscellaneous sundries and
reimbursements in the amount of $175.79 for a total claim of
$3,653.67. The Allianz explanation of benefits statement was
distributed at the meeting.
LEOFF Board Minutes
July 5, 2011
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 5, 2011 -10:00 AM - Council Conference Room
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $3,244.36, which represents the
amount not paid by Allianz and $40.83 in house supplies provided
by the care provider.
MOTION CARRIED UNANIMOUSLY. 4-0. Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim for pharmacy expenses in the amount of
$233.52.
MOTION CARRIED UNANIMOUSLY. 4-0.
5. David Schuur
Request for pre-approval of denture expenses in the amount of
$1,425.00.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $1,387.00, which is the
maximum amount provided by policy.
MOTION CARRIE-D UNANIMOUSLY. 4-0.
6. Ray Nixon
Request for pre-approval of hearing aid expenses in the amount of
$2,599:98. Mr. Nixon was last approved for hearing aids on
December 5, 2006.
Motion by Member Petersen, second by Chair Pro Tem Larson to
pre-approve the purchase of hearing aids. for Mr. Nixon in the
amount of $2,599.98.
MOTION CARRIED UNANIMOUSLY. 4-0.
7. John Calkins Request for reimbursement of dental expenses in the amount of
$584.00 for sefvices received on March 21 and April 12, 2011. On
Augusf 6, 2008, the Board determined that Mr. Calkins' dental
services were medically necessary.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $584.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
LEOFF Board Minutes
July 5, 2011
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 5; 2011 -10:00 AM - Council Conference Room
8. Robert Wiqlev
Request for reimbutsement of dental expenses in the amount of
$255.00 for services received on June 23, 2011. Mr. Wigley has
not received dental expense reimbursement in 2011.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $255:00.
MOTION CARRIED UNANIMOUSLY. 4-0.
9. Jim Kellv
This item was reviewed after Item IV.C.12 of these minutes.
Mr. Kelly tumed the chair over to Chair Pro Tem Larson at this
time.
a. Request for reimbursement of inedical expenses in the
amount of $97.39, Regence Explanation of Benefits
statements #1114340009500 and #1112331545900 dated
June 18, 2010.
Motion by. Member Pefersen, second by Member Haugen to
approve the claim in the amount of $97.39.
MOTION CARRIED. 34 Mr: Kelly abstained.
b. Request for reimbursement of dental expenses in the
amount of $325.00 for services received on April 15, 2011.
On February 1, 2011, the Board determined that Mr. Kelly's
dental services were medically necessary.
Motion by Member Petersen, second by Member Haugen to
approve the claim. in the amount of $325:00.
MOTION CARRIED. 3-0. Mr. Kelly abstained:
c. Request for reimbursement of dental expenses in the
amount of $1,125.00 for services received on April 19 and May 3, 2011.
Motion by Member Petersen, second by Member Haugen to
approve the claim in the amount of $1,125.00.
LEOFF Board Minutes '
July 5, 2011
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City of Auburn Law Enforcement Oificers and Firefighters Disability Board
Tuesday, July 5, 2011 -10:00 AM - Council Conference Room
MOTION CARRIED. 3-0. Mr. Kelly abstained.
Chair Kelly resumed the chair at this time.
10. Roger Lee
Request for reirnbursement of vision expenses ih the amount of
$199.00 for services received on June 15, 2011. Mr. Lee has not
received vision expense reimbursement in the pasf year.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve fhe clairrm in the amounf of $199.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
11. William Pitzl
Request fot reimbursement of vision expenses in the amount of
$159.98 for services received on May 16, 2011. Mr. Pitzl has not
received vision expense reimbursement in the past year.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $159.98.
MOTION CARRIED UNANIMOUSLY. 4-0.
12. Coy Franklin Grall
Request for reimbursement of ambulance expenses in the amount
of $297.49 for services received on May 28, 2011.
Motion by Member Petersen, second by Chair Pro Tem Larson to
table the claim pending receipt of the insurance Explanation of
Benefits state.ment(s).
MOTION CARRIED UNANIMOUSLY. 4-0.
D. Correspondence
1. Rudv Peden
Ghair Kelly acknowledged the receipt. of an email dated June 30,
2011, .from Rudy Peden regarcling carpel tunnel and any age
related considerations when it comes to returning to duty after a
time of LEOFF disability leave.
Member Petersen reported that he contacted Mr. Peden and
referred him to the LEOFF Board policies and procedures for the
LEOFF Board Minutes
July 5, 2011
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Ci$y of Auburn L"aw Enforcement Officers and firefighters Disability Board
" Tuesday, July 5, 2011 -10:00 AM - Council Conference Room
procedure forfiling for disability leave. He also advised Mr. Peden
that there is no age limit involved for disability leave.
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting adjoumed afi 10:24 a.m.
APPROVED THE -2" DAY OF AUGUST, 2011.
L AAA P
Jim K ly, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes
July 5, 2011 ,
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