HomeMy WebLinkAbout01-08-2013 City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, January 8, 2013 - 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.
Chair Kelly and the following Board members were present: Bill Petersen, John
Holman, Wayne Osbome, and Kurt Vogel. Also present were Councilmember
John Partridge and Deputy City Clerk Shawn Campbell.
II. ELECTION OF CHAIRPERSON AND CHAIRPERSON PRO TEMPORE
Section 1.05 of the LEOFF Board Policies and Procedures provides that at the
first meeting of each year, the members shall elect from among the members, a
member to serve as Chairperson and a member to serve as Chairperson pro
tempore.
Motion by Chair Pro Tem Petersen, second by Member Vogel to nominate and
elect Jim Kelly as Chair of the LEOFF Board for the year 2013.
MOTION CARRIED UNANIMOUSLY 5-0
Motion by Member Vogel, second by Member Holman to nominate and elect Bill
Petersen as Chair Pro Tem for the year 2013.
MOTION CARRIED UNANIMOUSLY 5-0
III. APPROVAL OF MINUTES
A. Minutes of the December 4. 2012 LEOFF Board Meetina
Motion by Member O§tiome, secbnd by Member Holman to approve the
December 4, 2012 LEOFF Board minutes.
,
MOTION CARRIED UNANIMOUSLY 5-0
IV UNFINISHED BUSINESS
A. Pendina Disabilitv Leave/Retirement Aaalications
There was no pending disability leave/retirement application.
B. Pendina MedicaUHearinaNision Dental Claims
1 Doris Darouah
LEOFF Board Minutes
January 8, 2013
Page 1
City of Aubum Law Enforcement Officers and Firetighters Disability Board
Tuesday, January 8, 2013 - 70:00 AM — Council Conference Room
Request for reimbursement of inedical equipment in the amount of
$592.38 for expenses paid on Sepiember 6, 2012.
On October 2, November 6, and December 4, 2012, the LEOFF
Board tabled the claim pending receipt of proof of inedical
necessiry Ms. Darough's physician has submitted the enciosed
statement in support of Ms. Darough's claim.
Committee members reviewed the additional information provided
by Ms. Darough.
Motion by Member Vogel, second by Chair Pro Tem Petersen to
approve the claim in the amount of$592.38.
MOTION CARRIED UNANIMOUSLY 5-0
2. Bruce Caldweli
On November 6 and December 4, 2012, the Board tabled the
claims described below Mr Caldwell submitted an email in
support of his claims in response to the Board's request for further
information regarding the medical necessity of the equipment.
a. Request for reimbursement of inedical equipment in the
amount of$159.98.
Members reviewed Mr Caldwell's email response to the
Board's request for additional information to support the
medical necessity of the equipment.
Motion by Member Vogel, second by Member Osbome to
table the claim for an additional month pending the receipt of
additional information documenting the medical necessity of
the equipment from Mr Caldwell's physician.
Chair Kelly noted that in his email, Mr Caldweil explained
the need for the equipment and the original order for the
equipment was via a hand written note from Mr Caldwell's
doctor Member Holman questioned the need for a
physician's statement when the equipment appears to be
prescribed by the physician.
Chair Kelly recounted previous claims for "prescribed°
equipment when there was no medical evidence on file with
the Board to consider
LEOFF Board Minutes
January 8, 2013
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, January 8, 2073 - 10:00 AM — Council Conference Room
MOTION CARRIED. 4-1 Member Holman voted no.
b. Request for reimbursement of inedical equipment in the
amount of$6.98.
Members reviewed Mr Caldwell's email response to the
Board's request for additional information to support the
medical necessity of the equipment.
Motion by Chair Pro Tem Petersen, second by Member
Holman to approve the claim in the amount of $6.98 finding
the prescription sufficient dooumentation.
MOTION CARRIED UNANIMOUSLY 5-0
V NEW BUSINESS
A. Disabilitv Leave/Retirement Aaalications
No application for disability leave/retirement was received.
B. A�aeals/Reauests for Reconsideration
No request for reconsideration was received.
C Medical/HearinQNision/Dental Claims
1 Robert Wiqlev
Request for reimbursement of dental expenses in the amount of
$1,370.00 for services received on January 2, 2013.
Motion by Chair Pro Tem Petersen, second by Member Osborne to
approve the claim to the policy maximum of$1,200.
MOTION CARRIED UNANIMOUSLY 5-0
2. Cov Franklin Grall
Request for reimbursement of dental expenses in the amount of
$86.00 for services received on December 28, 2012.
COY FRANK GRALL $1,200.00 BALANCE
2012 $1,200.00
July 3, 2012 $136.00 $1,064.00
November 6, 2012 $111.00 $953.00
LEOFF Board Minutes
January 8, 2013
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, January 8, 2013 - 10:00 AM —Council Conference Room
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amount of$86.00.
MOTION CARRIED UNANIMOUSLY 5-0
3. Rav Sherman
Request for reimbursement of dental expenses in the amount of
$106.60 for services received on July 2, 2012.
RAY SHERMAN $1,200.00 BALANCE
2012 $1,200.00
July 3, 2012 $59.90 $1,140.10
Motion by Chair Pro Tem Petersen, second by Member Osborne to
approve the claim in the amount of$106.60
MOTION CARRIED UNANIMOUSLY 5-0
4 William Pitzl
Request for reimbursement of vision exam expenses in the amount
of $37.00 and lenses and frames in the amount of $163.00 for
services received on November 13, 2012. Mr Pitrl has not
received vision reimbursement in the past twelve months.
Motion by Member Vogel, second by Member Holman to approve
the claim in the amount of $37.00 for the exam and $163.00 for
lenses and frames.
MOTION CARRIED UNANIMOUSLY 5-0
5. Marion Dukes
Request for reimbursement of dental expenses in the amount of
$350.00 for services received on December 11, 2012.
MARION
DUKES $1,200.00 BALANCE
2012 $1,200.00
November 6,
2012 $419.00 $781.00
November 6,
2012 $251.00 $530.00
LEOFF Board Minutes
January 8, 2013
Page 4
C'�ty of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, January 8, 2013 - 70:00 AM — Council Conference Room
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amount of$350.00.
MOTION CARRIED UNANIMOUSLY 5-0
6. Michael Darbv
Request for reimbursement of dental expenses in the amount of
$99.00 for senrices received on December 18, 2012. Mr Darby
has not received dental expense reimbursement in 2012.
Motion by Chair Pro Tem Petersen, second by Member Osborne to
approve the claim in the amount of$99.00.
MOTION CARRIED UNANIMOUSLY 5-0
7 James Fisk
Request for reimbursement of emergency dental work expenses in
the amount of $405.00 for services received on December 17,
2012.
James Fisk 2012 $1,200.00 BALANCE
$1,200.00
Date Claim
Approved
$1,200.00
December4, 2012 $181.90 $1,018.10
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amount of $405.00 for emergency dental
work expenses which were result of an accident.
MOTION CARRIED UNANIMOUSLY 5-0
8. Loren Anderson
Request for reimbursement of dental expenses in the amount of
$776.15 for services received on August 27, September 10, and
December 11, 2012. Mr Anderson has not received dental
expense reimbursement in 2012.
Motion by Chair Pro Tem Petersen, second by Member Holman to
approve the claim in the amount of$776.15.
MOTION CARRIED UNANIMOUSLY 5-0
LEOFF Board Minutes
January 8, 2013
Page 5
City of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, January 8, 2013 - 10:00 AM — Council Conference Room
9 Monroe Shroashire
Request for reimbursement of vision expenses in the amount of
$337.00 for services received on November 29, 2012. Mr
Shropshire has not received vision reimbursement in the past
finrelve months.
Motion by Chair Pro Tem Petersen, second by Member Osborne to
approve reimbursement up to the policy maximum of$270.00
MOTION CARRIED UNANIMOUSLY 5-0
10. Doris Darouah
a. Request for reimbursement of long term care costs for the
month of October 2012 in the amount of$3,387.37
Motion by Chair Pro Tem Petersen, second by Member
Holman to approve the claim in the amount of$3,387.37
MOTION CARRIED UNANIMOUSLY 5-0
b. Request for reimbursement of long term care costs for the
month of November 2012 in the amount of$4,307.86.
Motion by Chair Pro Tem Petersen, second by Member
Osbome to approve the claim in the amount of$4,307.86.
MOTION CARRIED UNANIMOUSLY 5-0
D Other Discussion
1 Fire Department LEOFF Representative Election Results
_ Chair Kelly announced that one nomination was received (from Bill
Petersen) for the Fire representative position to the LEOFF
Disability and Retirement Board. Balloting is not required when
only one person submits a nomination, and Mr Petersen is elected
to the LEOFF Board as the Fire representative for the term January
1, 2013 through December 31, 2014
LEOFF Board Minutes
January 8, 2013
Page 6
City of Auburn Law Enforcement Officers and Firefighbers Disability Board
Tuesday, January 8, 2013 - 70:00 AM —Council Conference Room
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:19 a.m.
APPROVED the�day of�,�h'���, 2013.
� /�lJ
Jim I elly, Chair Board Secretary
LEOFF Board Minutes
.lanuary 8, 2013
Page 7