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HomeMy WebLinkAbout07-31-2006 City of Auburn Law Enforcement Officers and Firefighters Disability Board Monday, July 31,2006 (this meeting was originally scheduled for August 1) 3:00 PM - Council Conference Room MINUTES I. CALL TO ORDER Chair Jim Kelly called the meeting to order at 3:00 p.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 Bill Petersen. Also present were Board Attorney Steve King and Board Secretary Danielle Daskam. Chair Kelly introduced new Board member Bill Petersen, the new fire representative, and welcomed him to the Board. II. APPROVAL OF MINUTES A. Minutes of the July 5. 2006 Reqular LEOFF Board Meetinq Motion by Chair Pro Tem Larson, second by Member Thordarson to approve the July 5, 2006 minutes as distributed. MOTION CARRIED. 5-0. III. UNFINISHED BUSINESS A. Pendinq Disability Leave/Retirement Applications There was no pending disability leave/retirement request. B. Medical/HearinqNision Claims 1. Alan Kosko June 5, 2006 request from Alan Kosko for pre-approval of dental treatment in the amount of $475.00. On June 6 and July 5, 2006, the LEOFF Board tabled the above claim pending receipt of additional information that supports the medical necessity of the dental treatment requested. In response to the Board's request, Mr. Kosko submitted additional correspondence from Dr. McGonegle received on July 6, 2006. Upon reviewing the additional information, Member Wagner suggested clarifying for the membership that the Board intended to provide reimbursement only for examinations and cleanings and LEOFF Board Minutes July 31, 2006 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Monday, July 31, 2006 (this meeting was originally scheduled for August 1) 3:00 PM - Council Conference Room that any other procedures require proof of medical necessity by a physician. Member Petersen noted that several years ago, the Association of Washington Cities provided an opportunity for retirees to subscribe to a dental plan at the retiree's expense. Motion by Chair Pro Tem Larson, second by Member Thordarson to table the claim pending receipt of proof of medical necessity from Mr. Kosko's physician or other medical doctor or practitioner. MOTION CARRIED UNANIMOUSLY. 5-0. 2. Richard Huseby Request for pre-approval of dental expenses for other dental treatment in the amount of $1507.50. On July 5, 2006, the LEOFF Board tabled Mr. Huseby's request pending the receipt of additional information supporting the medical necessity of the dental treatment. No new information was received. Motion by Member Thordarson, second by Chair Pro Tem Larson to table Mr. Huseby's claim for an additional month. MOTION CARRIED UNANIMOUSLY. 5-0. 3. M. Eric Bearscove Request for reimbursement of dental treatments in the amount of $495.00. On July 5, 2006, the LEOFF Board tabled Mr. Bearscove's request pending the receipt of additional information supporting the medical necessity of the dental treatment. No new information was received. Motion by Member Thordarson, second by Chair Pro Tem Larson to table Mr. Bearscove's claim for an additional month. MOTION CARRIED UNANIMOUSLY. 5-0. IV. NEW BUSINESS LEOFF Board Minutes July 31,2006 Page 2 City of Auburn Law Enforcement Officers and Firefighters Disability Board Monday, July 31,2006 (this meeting was originally scheduled for August 1) 3:00 PM - Council Conference Room 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. Roqer H. Lee a. Request for reimbursement in the amount of $3.23 per Medicare Explanation of Benefits Claim #11-06167-366-080 for medical services received on May 3, 2006. Motion by Chair Pro Tem Larson, second by Member Petersen to table the claim pending receipt of the Regence Explanation of Benefits statement. MOTION CARRIED UNANIMOUSLY. 5-0. b. Request for reimbursement in the amount of $110.00 per Regence Explanation of Benefits Claim #0613995027101 for medical services received on April 26, 2006. Motion by Member Thordarson, second by Chair Pro Tem Larson to deny the claim finding that the medical services received were preventative. MOTION CARRIED UNANIMOUSLY. 5-0. 3. Alan D. Kosko a. Request for reimbursement of vision expenses dated June 5, 2006 for lenses in the amount of $99.98 and Costco membership in the amount of $45.00. Motion by Chair Pro Tem Larson, second by Member Petersen to deny the request for reimbursement of the Costco membership fee of $45.00. MOTION CARRIED UNANIMOUSLY. 5-0. LEOFF Board Minutes July 31, 2006 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Monday, July 31,2006 (this meeting was originally scheduled for August 1) 3:00 PM - Council Conference Room Motion by Chair Pro Tem Larson, second by Member Petersen to approve the vision expenses in the amount of $99.98. MOTION CARRIED UNANIMOUSLY. 5-0. b. Request for pre-approval of hearing aids to be purchased from Costco Hearing Aid Center in the amount of $2798.00 for the set. Motion by Member Thordarson, second by Chair Pro Tem Larson to approve hearing aids for Mr. Kosko in the amount of $2,798.00 pursuant to Policy 9.03. MOTION CARRIED UNANIMOUSLY. 5-0. 4. COY Franklin Grall Request for reimbursement of dental expenses incurred on April 18, 2006 as follows: $ 39.00 for cleaning Motion by Chair Pro Tem Larson, second by Member Thordarson to approve the dental expenses in the amount of $39.00. MOTION CARRIED UNANIMOUSLY. 5-0. 5. Ed Henderson Request for reimbursement of June 28, 2006 dental treatments in the amount of $570.00. Motion by Chair Pro Tem Larson, second by Member Thordarson to table Mr. Henderson's claim pending receipt of proof of medical necessity from a medical physician or practitioner. MOTION CARRIED UNANIMOUSLY. 5-0. D. Discussion 1. LEOFF Board Fire Representative Election - Short Term Election ballots were mailed June 19, 2006 and were due postmarked by June 29, 2006. Twenty-one eligible ballots were received and counted on July 5, 2006. The results are as follows: LEOFF Board Minutes July 31, 2006 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Monday, July 31, 2006 (this meeting was originally scheduled for August 1) 3:00 PM - Council Conference Room Mick Crawford 6 William Petersen 15 Board members congratulated Mr. Petersen on his election to the LEOFF Board. 2. Licensed Boardinq Homes and Skilled Nursinq Facilities Board members reviewed Board Attorney King's prepared information regarding state licensed Boarding Homes and how those facilities relate to Skilled Nursing Facilities. Board members thanked Mr. King for the research. Mr. King reported that state licensed boarding homes provide housing and services to the elderly and disabled who do not require the constant care of a licensed healthcare professional, and who self-administer their medications, or who could do so except for a mental or physical disability. Mr. King advised that the Board's current policies would need to be amended to include licensed boarding homes as an option. Board members agreed to review the information and consider a possible policy amendment over the next few months. E. Correspondence 1. Letter received July 13, 2006 from Dave Schuur (medical information excluded). Chair Kelly acknowledged receipt of Mr. Schuur's correspondence. V. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 3:39 p.m. .,- .\- L.... APPROVED THE '";:) - DAY OF SEPTEMBER, 2006. ~~ir~~ LEOFF Board Minutes July 31, 2006 Page 5