HomeMy WebLinkAbout10-04-2011 City ofAubum Law Enforcement�cers and Firefighters Disability Board
_Tuesday, October 4, 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 Aubum City Hall, 25 West Main Street in Aubum. .
Cha'ir Kelly and fhe following Board members were present: Chair Pro Tem Bud
Larson and Member Bill Petersen. Member Lynn Norman and Member �rginia
Haugen were excused. Also present were Board Attorney Steve Gross, Fire
Battalion Chief Rudy Peden, and Board Secretary Danielle Daskam.
II. AGENDA MODIFICATIONS
Cla'ims from Fred Fisher, James Fisk, and James Kelly were added to the
agenda. A. physician's statement from Dr. Jones dated September 14, 2011
rela#ed to the disability of Rudy'Peden was distributed at the meeting.
III. APPROVAL OF MINUTES
A. Minutes of the September 6. 2011 LEOFF Board Meetinq
Motion 6y Member Petersen, second by Chair Pro Tem Larson to approve
the September6, 2011 minutes as distri6uted.
MOTION CARRIED UNANIMOUSLY. 3-0.
IV. UNFINISHED BUSINESS
A. Pendina Disabilitv Leave/Retirement Aaalications
There was no pending disability leave applica6on for review.
B. Pendin4 Medical/HearinaNision Dental Claims
There is no pending claim.
V. NEW BUSINESS
A. Disabilitv Leave/RetirementAaalications
L Rudv Peden
Effective date of Disability: September 10, 2011
Last Day of Service: September 9, 2011
Application for Disability Leave or Retirement from Rudy Peden
with physician statemerrts submitted by Dr. Cheryl Hayes, DO, and
Physician's:AssistantAlan Itkin.
LEOFF Board Minutes
October 4,2011
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City of Auburn Law Enforcement Officers and Firefighbers Disability Board
Tuesday, October 4, 2011 - 10:00 AM—Council Conference Room
On September 11, 2011, Chair Kelly tentatively approved disability
leave for Mr. Peden effective September 10, 2011.
A physician's statement from Dr. Jones dated September 14, 2011
related to the disability of Rudy Peden was distributed at. the
meeting.
Motion by Chair Pro Tem Larson, second by Member Petersen to
confirm Chair Kelly's action and approve disability leave for Mr.
Peden effective September 10, 201 T with last day of serVice on
September9, 2011.
MOTION CARRIED UNANIMOUSLY. 3-0..
B. A�aeals/Repuests for Reconsideration
No request for reconsideration was received.
C. MedicaUHearin�sion Claims
1. Rudv Peden .
Request for reimbursement of inedical expenses in the amount of
$51.90, Regence Explanation of Benefits statement
#1117131596300 dated July 13,.2011.
Motion by Member Petersen; second by Chair Pro Tem Larson to
approve the claim in the amount of$51.90.
MOTION CARRIED UNANIMOUSLY. 3-0.
• 2. Doris Darouah
Request fior long term care costs for the morrth of August, 2011 in
the amount of$2,132.80.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the ctaiin in the amounYof$2,132.80.
MOTION CARRIED'UNANIMOUSLY. 3-0.
3. Monroe ShroasFiire
Request for reimbursement of derrtal expenses in the amount of
$15a.00 forservices received on September 6, 2011.
MONROE SHROPSHIRE 2011 $1,200.00 BALANCE
LEOFFBoard Minutes
Qcfober 4, 2011
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City of Aubum Law Enforceme�Officers and Firefighters Disability Board
Tuesday, Oc�ber 4, 2011 - 70:00 AM —Council Conference Room
s�,zoo.00
June 7, 2011 $150.00 $1,050.00
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of$150.00.
MOTION CARRIED UNANIMOUSLY. 3-0.
- 4. Alan Kosko
Request for reimbursement for the purchase of two hearing aid
devices from the Board's approved hearing aid provider in ttie total
amount of$2,599.98.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of$2,599.98.
MOTION CARRIED UNANIMOUSLY. 3-0.
5. Theodore Lindback
Reguest for reimbursement of dental expe,nses in the amount of
' $167.20 for services received on Septem6er 7, 2011. Mr. Lindback
has not received reimbursement for dental expenses in 2011.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve the claim in the amount of$167,20. .
MOTION CARRIED UNANIMOUSLY. 3-0.
6. Fred Fisher
Request for reimbursement of dental expenses in the amouM of
$45.00 for, services received on September 21, 2011. Mr. Fisher
has not received dental reimbursemenf in 2011.
Motion by Ghair Pro Tem Larson, second by Member Petersen to
approve the claim in the amounf of$45.00.
MOTION CARRIED UNANIMOUSLY. 3-0.
7. James Fisk
Reguest fo� reimbursement of dental expenses in the amount of
$81.00 for ser4ices received on September 19, 2011. Mc Fisk has
not receivecl dental reimbursement in'2011.
LEOFF Board Minutes
Octobec4,2011
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 4, 2071 - 10:00 AM —Council Conference Room
Motion 6y Chair Pro Tem Bud Larson, second by Member Petersen
to approve the claim in the amount of$81.00
MOTION CARRIED UNANIMOUSLY. 3-0.
8. James Keliv
Request for reimbursement of dental expenses in the amount of
$71.00 for services received on July 27, 2011. The Board has
previously found 4hat Mr. Kelly's dental services are medically
necessary.
Chair Kelly's claim was postponed to the November 1, 2011 Board
meeting.
D. Discussion
1. Election of the Police LEOFF Board Representative
Board members reviewed the election schedule for the Police
LEOFF Boafd representative.
2. Chair Kelly reminded Mr. Peden that monthly physician's reports
are due the Iast Wednesday of each month.
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjoumed at 10:10 a,m.
APPROVED THE � DAY OF NOVEMBER, 2011.
� �, ���.-�
Ji Kelly, Chair Danielle Daskam, Board Secretary
LEOFF B6ard Minutes
October 4, 2011
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