HomeMy WebLinkAbout08-02-2011 City of Auburn Law Enforcement Offecers and Firefighters Disability Board
Tuesday, August 2,2011 - 10:00 AM —Council Conference Room
MINUTES
I. CALL TO.ORDER "
Chair Jim, Kelly 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 Kelly and the following Board members were present: Chair Pro .Tem Bud
� Larson, Member Virginia Haugen, Member ,Lynn Norman, and Member Bill
Petersen. Also present were Board Attorney Steve Gross and Board Secretary
Danielle Daskam.
II. AGENDA MODIFICATIOIVS . '
' A claim from Dave Schuur was added to the agenda.
111. APPROVAL OF MINUTES �
A: Minutes of the July 5,201:i LEOFF Board Meetinp
Motion by Chair Pro Tem Larson second by Member Petersen to approve
#he:July.5, 2011 minutes as distributed.
" MOTION CARRIED�UNANIMOUSLY. 5-0.
IV. UNFINISHED BUSINESS
A. Pendinq Disabilify Leave/Retirement Applications
�There was no pending disability leave application for review.
B� ` Pending MedicaUHearingMsion Dental_Claims
� 1. Sam Mulkev.
Requesfi for reimbursement of long term, rehabilitation and nursing
care costs in the amount of$1,364.38.
- On June 7 and July 5, 2011, the Board tabled Mr. 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 Chair Pro Tem Larson, second by Member Petersen to
table Mr. Mulkey's for an additional month.
. MOTION CARRIED UNANIMOUSLY. 5-0.
LEOFF Board Minutes
August 2,2011
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday,August 2, 2011 - 10:00 AM —Counci6 Conference Room
2. Coy Franklin Grall*
Request for reimbursement of ambulance expenses in the amount
of$297.49 for services received on May 28, 2011.
On July 5, 2011, the Board tabled Mr: Grall's claim pending receipt
of the insurance Explanation of Benefits statement(s). Mr. Grall
submitted the requested Regence Explanation of Benefits
statement dated June 9, 2011
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of$297.49.
MOTION CARRIED UNANIMOUSLY. 5-0.
-�
V. NEW BUSINESS
, A. Disability Leave/Retirement Applications
No new application for disability leave/retirement was submitted.
. B. Aapeals/ReQUests for Reconsideration
No request for reconsideration was received.
C. Medical/HearinqNision .Claims
1. Cali Ann Edwards �
Request for reimbursement of dental expenses due to medical
necessity. Ms. Edwards has not received any dental expense
� reimbursement in 2011.
a. Dental expenses in the amount of $2,095.50 for senrices
received on June 24, July 8 and July 12, 2011.
b. Dental expenses in the amount of $319.00 for services
received on June 22, 2011.
Motion by Chair- Pro Tem Larson, second by Member Petersen to
approve the claims due to medical necessity.
MOTON CARRIED UNANIMOUSLY. 5-0.
Motion by Member Petersen, second by Chair Pro Tem Larson to
find that Ms. Edwards' future dental claims be considered medically
necessary due to her underlying medical condition.
LEOFF Board Minutes
August 2, 2011
Page 2 �; '
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, August 2, 2011 - 10:00 AM —Council Conference Room
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Sammv Mulkev
Request for reimbursement of dental expenses in the amount of
$125.00 for services received on June 20, 2011.
SAMMY MULKEY
2011 $1,200.00 BALANCE
$1,200.00
Date Claim Approved
� June7, 2011 $154.00 $1,046.00
July 5, 2011 $120.00 $926:00
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Mr. Mulkey's claim in the amount of$125.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Michael Darbv
Request for�reimbursement of dental expenses in the amount of
$1,284.30 for services received on July 12, 2011. Mr. Darby has
not received dental reimbursement this year.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of $1,200, the maximum policy
amount.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. John Baker
Request for reimbursement of vision expenses in the amount of
$169.99 for services received on July 8, 2011. Mr. Baker has not
received vision expense reimbursement in the last year.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of$169.99.
MOTION CARRIED UNANIMOUSLY. 5-0.
5. Stan Laatsch -
Request for reimbursement of vision expenses in the amount of
$192.00 for services received on M'ay 12 and July 20; 2011. Mr.
Laatsch has not received vision expense reimbursement in the last
year. .
LEOFF Board Minutes
August2; 2011
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City of Auburn Law Enforcement Officers and Firefghters Disability Board
Tuesday, August 2, 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$192.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. Hacold Philbin
Request for reimbursement of hearing aid expenses in the amount
of$1,299.99.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the reimbursement of a hea.ring aid for Mr. Philbin in the
amount of $1,299.99, per the invoice from Costco Hearing Aid
Center.
MOTION CARRIED UNANIMOUSLY. 5-0.
In a related discussion, the Board discussed the Board's policy that
the Costco Hearing Aid Center is the Board's preferred vendor from .
which members purchase hearing aids. Chair Kelly requested that
the Board Secretary inquire of Costco whether a Costco
membership is now required to purchase hearing aids.
7. Doris DarouQh
Request for long term care costs for the month.of June 2011 in the
amount of $3,316.20, pharmacy/medications in the amount of
$68.84, and miscellaneous sundcies in the amount of$112.74.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve long term care costs for the month of June in the amount
of $3,316.20, pharmacy in the amount of $68.84 and
miscellaneous expenses related to long term care in the amount of
$112.74.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Vc Shivelv
Request fo� reimbursement of inedical expenses in the amount of
� $123.90 Medicare Explanation of Benefits Statement Claim Nos.
35-11129-910-130 and Regence Explanation of Benefits Statement
Claim Nos. 1117320013001 and 1117320013000 for services
received February 16 — March 4, 2011 and last processed by
insurance on July 19, 2011. �
LEOFF Board Minutes
August 2, 2011
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City of Auburn Law Enforcemenfi Officers and Firefighters Disability Board
Tuesday, August 2, 2011 - 1'0:00 AM —Council Conference Room
Motion by Chair Pro Tem Larson, second by Member Petersen to
deny the claim finding that the Regence explanation of benefits
form� indicated that total patient responsibility is $0.00 and it was
not the Board's responsibility to pay the difference between the
amount paid by Regence and the amount billed by the doctor,
since the retiree chose to go to a doctor that did not accept
insurance.
" MOTION CARRIED UNANIMOUSLY. 5-0.
9, Dave Schuur
Request for reimbucsement of dental expenses in the amount of
$333.00 for senrices received on July 19 and 28, 2011.
DAVID SCHUUR $1,200.00 BALANCE
2011 $1,200.00
Date Claim Approved
March 1,2011 $24.00 $1,176.00
�
Motion by Member Petersen, second by Chair Pro Tem Larson to
; approve the claim in the amount of$333.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
VI. ADJOURNIVIENT�
There being no further' business to come before the Board, the meeting
adjoumed at 10:23 a.m.
of'�
APPROVED THE (o� DAY OF SEPTEMBER, 2011.
Q� �C
Jim elly, Chair Da ' Ile Daskam, Board Secretary
LEOFF Board Minutes -.
August 2, 2011
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