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HomeMy WebLinkAbout05-02-2006 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday May 2,2006 -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-at-Iarge), Member Roger Thordarson, Member Rich Wagner, and Member Russ Vandver. Also present were Board Attorney Joseph Beck and Board Secretary Danielle Daskam. II. APPROVAL OF MINUTES A. Minutes of the April 4. 2006 Reqular LEOFF Board Meetinq Motion by Chair Pro Tem Larson, second by Member Thordarson to approve the April 4, 2006 minutes as distributed. MOTION CARRIED UNANIMSOUL Y. 5-0. III. UNFINISHED BUSINESS A. Pendinq Disabilitv Leave/Retirement Applications There was no pending disability leave/retirement request. B. Medical/HearinqNision Claims 1 . Russ Vandver Claim for reimbursement of medical expenses incurred on January 31,2006 in the amount of $120.00 On March 7 and April 4, 2006, the LEOFF Board tabled the above claim pending receipt of the Regence explanation of benefits statement. No new information was received. Motion by Member Thordarson, second by Chair Pro Tem Larson to table Mr. Vandver's claim for an additional month. MOTION CARRIED. 4-0. Member Vandver abstained from voting. 2. Rav Oqden Mr. Ogden submitted letters from Public Healthcare Services District #3 dated March 7, 2006, and OceanView Convalescent Center dated March 23, 2006 for pre-approval of assisted living LEOFF Board Minutes May 2, 2006 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday May 2,2006 -10:00 AM - Council Conference Room expenses under the Board's skilled nursing home or home health care policy at the April 4, 2006 meeting. On April 4th, the Board tabled Mr. Ogden's request pending the receipt of additional information including the fiscal impact and the specific medical necessity. In response to the Board's request, Mr. Ogden submitted a letter from Dr. Kim Y Smith, MD, dated April 4, 2006 and materials from assisted living facilities. Chair Kelly referred to the April 4, 2006 letter from Dr. Kim Smith, which spoke to the types of care needed for Mr. Ogden, i.e. in home care, nursing home care or assisted care. It was pointed out that the current LEOFF Board policies regarding skilled nursing home care and in-home health care, provide that the skilled nursing care and in-home care shall not exceed the daily benefit for nursing care under the City's existing long term care insurance. Motion by Member Thordarson, second by Chair Pro Tem Larson to provide Mr. Ogden skilled nursing care, in-home care, or assisted care in an amount that does not exceed the daily benefit rate of the City's existing long-term care insurance. MOTION CARRIED UNANIMOUSLY. 5-0. IV. NEW BUSINESS A. Disability Leave/Retirement Applications No new application for disability leave/retirement was received. B. Appeals/Requests for Reconsideration No appeal or request for reconsideration was filed. C. Medical/HearinqNision Claims 1 . Bruce Caldwell Regence explanation of benefits statement claim #0603332566600 in the amount of $73.23 for services received on January 18, 2006 and processed by Regence on February 15, 2006. Motion by Member Thordarson, second by Member Vandver to approve Mr. Caldwell's claim in the amount of $73.23. MOTION CARRIED UNANIMOUSLY. 5-0. LEOFF Board Minutes May 2, 2006 Page 2 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday May 2,2006 -10:00 AM - Council Conference Room 2. William R. Petersen Request for reimbursement of vision expenses (contacts) incurred on April 11, 2006 in the amount of $220.00 and examination expenses (contact prescription update) over and above that covered by insurance in the amount of $40.00. (Mr. Petersen has not received vision expense reimbursement in the last year.) Motion by Chair Pro Tem Larson, second by Member Wagner to approve the claim in the amount of $260. MOTION CARRIED UNANIMOUSLY. 5-0. D. Discussion There was no discussion item. V. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 10:26 a.m. APPROVED THE b ~ DAY OF JUNE, 2006. ~. / Danielle Daskam, Secretary LEOFF Board Minutes May 2, 2006 Page 3