HomeMy WebLinkAbout09-04-2012 City of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 4, 2012, 2012 - 70:00 AM -Council Conference Room
MINUTES
I. CALL TO ORDER
Chair Jim Kelly calied 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: John Holman,
Wayne Osborne, and Kurt Vogel. Member Bill Petersen was excused. Also
present were Board Attomey Steve Gross and Deputy City Clerk Shawn
Campbell.
The Board was provided with the 2012-2013 LEOFF Board Policies and
Procedures.
II. APPROVAL OF MINUTES
A. Minutes of the Auqust 7. 2012 LEOFF Board Meetinq
Motion by Member Osbome, second by Member Holman to approve the
August 7, 2012 minutes as distributed.
MOTION CARRIED UNANIMOUSLY 4-0
111. UNFINISHED BUSINESS
A. Pendina Disabilitv Leave/Retirement Ao�lications
There was no pending disability leave/retirement application.
B. Pendina Medical/HearinaMsion Dental Claims
1 Rudv Peden
Request for reimbursement of $180.00 in medical expenses for
services received February 12, 2012—April 20, 2012.
On June 5, July 3 and August 7, 2012, the Board tabled Mr
Peden's claim pending the receipt of insurance explanatibn of
benefds statements. No additional information was received.
Motion by Member Osborne, second by Member Vogel to deny the
claim due to lack of information.
MOTION CARRIED UNANIMOUSLY 4-0
LEOFF Board Minutes
September 4, 2012
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City of Aubum Law Enforcement Off'icers and Firefighters Disability Board
Tussday, September 4, 2072, 2072 - 10:00 AM — Council Conference Room
2. Ed Sluvs
Request for reimbursement of inedical services (medical device) in
the amount of$383.20.
On July 3 and August 7, 2012, the Board tabled Mr Sluys' claim
pending the receipt of additional information including a statement
of inedical necessity and the insurance explanation of benefds
statement. No additional information was received.
Motion by Member Vogel, second by Member Holman to table Mr
Sluys' claim until the next meeting.
MOTION CARRIED UNANIMOUSLY 4-0
3. Victor Shivelv
Request for reimbursement of inedical expenses in the amount of
$21.28 for services received on January 12, 2012.
On August 7, 2012, the Board tabled Mr Shively's claim pending
the receipt of the Medicare and insurance explanation of benefits
statements. On August 16, 2012, Mr Shively reported via
telephone coriversation that the claim had been paid in full and nb
reimbursement is requested.
Motion by Member Vogel, second by Member Osborne to deny the
claim as it was paid in full by insurance.
AAOTION CARRIED UNANIMOUSLY 4-0
4 David Hannitv
Request for reimbursement of inedical expenses in the amount of
$47.57 for services received on March 28, 2012.
On August 7, 2012, the Board tabled Mr Hannity's claim pending
the receipt of the insurance explanation of benefits statement. M�
Hannity submitted a Regence Claims Voucher in response to the
Board's request.
Motion by Member Holman, second by Member Vogel to approve
the claim in the amount of$47.57
MOTION CARRIED UNANIMOUSLY 4-0
LEOFF Board Minutes
September 4, 2012
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City of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 4, 2012, 2012 - 10:00 AM —Council Conference Room
5. Richard Husebv
Request fo� reimbursement of dental eupenses in the amount of
$900 for services received on July 16, 2012. Mr Huseby has not
received dental expense reimbursement this year Mr Huseby
advised via a telphone conversation with the Board Secretary on
August 14, 2012, that he mistakenly believed that the maxiumum
dental reimbursement rate is $900 rather than $1,200. He wishes
to change his claim for payment to $1,200 in dental reimbursement
for a crown replacement. Mr Huseby has not received dental
expense reimbursement in 2012.
Motion by Member Vogel, second by Member Osbome to table the
claim pending the receipt of additional information describing the
dental work perFormed.
At 10:07 a.m., the meeting was recessed for three to five minutes
to allow the Board Searetary to check the file for any additional
information from Mr Husbey The meeting was reconvend at
10:10 a.m.
MOTION CARRIED UNANIMOUSLY 4-0
IV. NEW BUSINESS
A. Disabilitv Leave/Retirement Aaalications
No application for disabiliry leave/retirement was received.
B. A�aeals/Reauests for Reconsideration
No request for reconsideration was received.
C. Medical/HearinqMsion Clairtis
1 Victor Shivelv
Request for reimbursement of vision expenses in the amount of
$80.00 for vision examination and $249.96 for lenses and frames
for services received on August 20, 2012. Mr Shively has not
received vision expense reimbursement in the past year
Motion by Member Holman, second by Member Vogel to approve
the claim in the amount of $80.00 for the exam and $249.96 for
lenses and frames.
MOTION CARRIED UNANIMOUSLY 4-0
LEOFF Board Minutes
September 4, 2012
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Gity of Auburn Law Enforoement Officers and Firefighters Disability Board
Tuesday, September 4, 2012, 2012 - 10:00 AM —Council Conference Room
2. Russ Vandver
Request for reimbursement of vision expenses in the amount of
$132.00 for services received on July 11, 2012. Mr Vandver has
not received vision expense reimbursement in the past year
Motion by Member Vogel, second by Member Holman to approve
the claim in the amount of$132.00.
MOTION CARRIED UNANIMOUSLY 4-0
3. Alan Kosko
a. Request for reimbursement of dental expenses in the
amount of$197.20 for services received on July 31, 2012.
b. Request for reimbursement of dental expenses in the
amount of $55420 for services received on August 15,
2012.
Mr Kosko has not received dental expense reimbursement in
2012.
Motion by Member Osbome, second by Member Holman to
approve Mr Kosko's claims in the amounts of $197.20 and
$554.20.
MOTION CARRIED UNANIMOUSLY 4-0
4 Doris Darouah
Request for reimbursemerrt of long term care costs for the month of
July 2012 in the amount of$2,684.91
Motion by Member Holman, second by Member Osbome to
approve the claim in the amount of$2,684.91
MOTION CARRIED UNANIMOUSLY 4-0
5. Ed Henderson
Request for reimbursement of dental expenses for services
received on July 12 and July 31, 2012 in the amount of $3,869.35.
Mr Henderson's dental expenses have previously been found to
be medically necessary
Motion by Member Osborne, second by Member Holman to
approve the claim in the amount of$3,869.35.
LEOFF BoarcJ Minutes
September 4, 2012
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City of Auburn Law Enforoement Officers and Firefighters Disability BoaM
Tuesday, September 4, 2012, 2012 - 10:00 AM—Council Conference Room
MOTION CARRIED UNANIMOUSLY 4-0
V ADJOURNMENT
There being no further business to come before the Board, the meeting
adjoumed at 10:17 a.m.
APPROVED the��day of ��%�J-�4N , 2012.
��
Ji Kelly, Chair Darnelle Daskam, Board Seoretary
LEOFF Board Minutes
September 4, 2012
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