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HomeMy WebLinkAbout03-05-2013 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, March 5, 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 Auburn. Gliair Kelly and the following Board members were present: Bill Petersen;JoFin Holman, Wayne Osbome, and KurtVogel: Also present were Scot Pondelick, Board Attomey Doug Ruth, and Records Clerk Stephanie Fuller. ' II. AGENDA MODIFICATIONS A claim for poris Darough was added to the agenda. III. APPROVAL OF MINUTES A. Minutes of the Februarv 5. 2013 LEOFF Board Meetina Member Holman moVed and Chair Pro Tem Petersen seconded to approve 4he February 3,2013 minutes as distributed. MOTION CARRIED UNANIMOUSLY. 5-0 IV. UNFINISHED BUSINESS A. Pendina DisabiliN Leave/Retirement Apulications There was no pending disability leave/retirement application. B. Pendina MedicaUHearin�sion Dental Claims There was no pending claim. V. NEW BUSINESS A. Disabilitv Leave/Retiremenf Aaalications No applicafion for disability leave/retirement was received. B. Aaoeals/Reauests for Reconsideration No request for reconsideration was received. C. Medical/HearinqNision/Dental Claims 1. Roaer Lee Request for reimbursement of dental expenses in the amount of $194.75 for services received on February 7, 2013.. Mr. Lee has LEOFF Board Agenda March 5, 2013 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, March 5, 2013 - 10:00 AM—Council Conference Room not received dental reimbursement in 2013. Mr. Lee's dental services have been previously found to be medically necessary. Motion by Chair Pro Tem Petersen, second by Member Holman to approve the claim in the amount of$194J5. MOTION CARRIED UNANIMOUSLY. 5-0 2. Robert S. Phillips Request for reimbursement of vision expenses in the amount o.f $189.97 for services received on February 7, 2013. Mr. Phillips has not received vision reimbursement in the last year: Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount of$189.97. MOTION CARRIED UNANIMOUSLY. 5-0 3. Rudv Peden Request for pre-approval of inedical treatment in the approximate amount of$1,200.00. Motion by Member Holman, second by Chair Pro Tem Petersen to table the item until the Board Attomey arrives at 4he meefing. MOTION CARRIED UNANIMOUSLY. 5-0 The Board considered Item V.C.3 immediately following action on Item V.C.4. Board members and Board Attomey Ruth discussed the medical treatment proposed by LEOFF 1 member Peden; its status as other than experimental treatment, and its medical necessity. Board members reviewed information submitted by Mr: Peden from the American Academy of Physical Medicine and Rehabilitation, March 2011 on clinical review of platelet-rich plasma injections in musculoskeletal and sport medicine. Chair Kelly noted that Mr. Peden has submitted a letter ftom his treating physician, Alan Itkin, PA-C, and Cheryl A Hayes, DO, recommending the treatment. In Mr. Peden's cover letter, he states that he has had the physician's letter for over a year, while he "tried acupuncture, phj+sical therapy, reduced activity and massage"to relieve his contlition. LEOFF Board Agenda March 5, 2013 Page 2 City of Auburn Law Enforcement Officers and Fire�ighters Disability Board Tuesday, March 5, 2013 - 70:00 AM —Council Conference Room Motion by Member Holman, second by Chair Pro Tem Petersen to deny pre-approval of 4he procedure due to lack of information on the medical necessity of the treatrnent. MOTION CARRIED UNANIMOUSLY. 5-0 4. Rudv Peden Request for reimbursement of inedical expenses in the amount of $1,840.05 for 2012 me.dical expenses. Motion by Chair Pro Tem Petersen, second by Member Holman to approve the claim as submitted. Member Vogel questioned the services provided noting that the documents submitted did not include a description of the medical services. Chair Kelly reminded that it is the LEOFF 1 member`s responsibility to supply the Board with su�cient information to make an informed deasion on the claim(s). MOTION TO PAY THE CLAIM FAILED. 0-5 Motion by Chair Pro Tem Petersen, second by Member Holman to table the claim for a monfh and request additional information regarding the services received, and remind the LEOFF 1 member of the Board policy that medical claims are to be submitted within ninety days of services received (Policy Section 9.01j. MOTION CARRIED UNANIMOUSLY. 5-0 5. Mumay Board Request for reimbursement of vision expenses in the amount of $89.98 for services received on February 4, 2013. Mr. Board has not received vision expense reimbursement in the last year. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve Mr. Board's claim in the amount of$89.98. MOTION CARRIED UNANMOUSLY. 5-0 6. Rav Sherman Request for reim6ursement of dental expenses in the amount of $229.10 for services received on October 2, 2012. LEOFF Board Agenda March 5, 2013 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, March 5, 2013 - 70:00 AM —Council Conference Room RAY SHERMAN $1,200.00 BALANCE 2012 $1,200.00 July 3, 2012 $59.90 $1,140.10 January 8, 2013 $106.60 $1,033.50 Motion by Chair Pro Tem Petersen, second by Member Vogel to approve Mr. Sherman's claim in the amount of$229.10. MOTION CARRIED UNANIMOUSLY. 5-0 7. Russ Vandver Request for medical reimbursement in the amount of $180.U0 for services received on December 17, 2012. Motion by Member Vogel, second by Chair Pro Tem Petersen to approve Mr. Vandver's claim in the amount of$180.00. MOTION CARRIED UNANIMOUSLY. 5-0 8. Mick Crawford a. Request for reimbursement of vision expenses in the amount of $270;00 for services received on January 30, 2013. Mr: Grawford has not received vision expense reimbursement in 4he last year. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve Mr. CrawrfoM's claim in the amount of $270.00. MOTION CARRIED UNANIMOUSLY. 5-0 b. Request for reimbursement of computer glasses in the amount of $185.00 for services received on January 30, 2013. Mr. Crawford has not received vision expense reimbursement in the last year. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve Mr. CrawFord's claim in the amount of $185.00. MOTION CARRIED UNANIMOUSLY. 5-0 LEOFF Board Agenda March 5, 2013 Page 4 City of Aubum Law Enforceme�t Officers and Firefighters Disability Board Tuesday, March 5, 2073 - 70:00 AM —Council Conference Room 9. Ron Loaan Request for reimbursement of inedicaUpharmacy expenses in the amount of$50.00 for services received on February 11, 2013. Motion by Chair Pro Tem Petersen, second by member Osbome to approve Mr. Logan's claim in the amount of$50.00. MOTION CARRIED UNANIMOUSLY. 5-0 10. Ed Henderson Request for reimbursement of dental expenses in the amount of $211.85 for seryices received on February 5, 2013. Mr. Henderson's dental services have been previously found to be medically necessary. Motion by Chair Rro Tem Petersen, second by Member Vogel to approve Mr. hlenderson's claim in the amount of$211.85. MOTION CARRIED UNANIMOUSLY. 5-0 11. Doris Darouah Request for reimbursement of long term/home health care costs in the amount of$11,064.42 for the month of February 2013. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amourrt of$11,064.42. Motion by Chair Osbome, second by Chair Pro Tem Petersen to amend the claim amount to $11,065.42 (finding a scrivener's error on the agenda). MOTION CARRIED UNANIMOUSLY. 5-0 THE MAIN MOTION, AS AMENDED, CARRIED UNANIMOUSLY. 5-0 D. Other Discussion Chair Kelly acknowledged the receipt of the Premera Blue Cross plan highlights and coverage limits:that apply to LEOFF 1 members Peden and Logan, who are retired or active under the Valley Regional Fire Authority. LEOEF Board Agenda March 5, 2013 Page 5 City ofAubum Law Enforcement Officers and Firefighters Disability Board Tuesday,March 5, 2013 - 10:00 AM —Council Conference Room VI. ADJOURNMENT There being no further business to come before the Board, the meeting adjoumed at 10:25 a.m. �P APPROVED the a'�'day of�, 2013. �OlN1�lYi�-(�£ �� ��.dG<'-cv"� Jim jCelly, Chair � Board Secretary LEOFF Board Agenda March 5, 2013 Page 6