HomeMy WebLinkAbout12-03-2013 Gity of Aubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 3, 2013 - 10c00 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 on the first floor of Aubum City Hall, 25 Wesf Main
Street in Auburn. Members present included Chair Kelly, Chair Pro Tem Biil
Petersen, Member John Holman, Member Wayne Osborne;and Member-at-
large Kurt VogeL Also present were Board Attomey Steve Gross, Employee
Relations and Compensation Manager Aaron Barber and Board Secretary
Danielle Daskam.
11. AGENDA MODIFICATIONS
Glaims from Doris Darough, James Fisk, Fred Fisher, Robert Almy, and Don
Webb were added to the agenda.
III. APPROVAL OF MINUTES
A Minutes of the November 5. 2013 LEOFF Board Meetinq
Motion by Member Osbome, second by Member Holman to approve the.
minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0
N. UNFINISHED BUSINESS
A. Pendinq Disabilitv Leave/Retirement Applications
There was no pending disability leave/reti�ement application.
B. Pendinp MedicaUHearinaNision Dental Claims
1. Ed Henderson*
a. Request for reimbursemeM of dental expenses in the amount
of $1;230.25 for services received on September 3 and 19,
2013. Mr. Henderson's dental expenses have previously
proven to be medically necessary. On November 5, 2013, the
Board tabled Mr. Henderson's claim pending the receipt ofthe
prognosis of future dental needs from Mr. Henderson's denFist.
After the Board meeting on November 5, 2013, the enclosed
response was received from Mr. Henderson and his dentist.
LEOFF Board Minutes
December 3, 2013
Page 1
City ofAuburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 3, 2013 - 10:00 AM —Council Conference Room
Motion by Member Vogel, second by Chair Pro Tem Petersen
to approve the claim as submitted.
MOTION CARRIED UNANIMOUSLY. 5-0
b. Request for reimbursement of inedical equipment expenses in
the amount of $7,234:30. On November 5, 2013, a motion to
deny Mr. Henderson's claim was tabled until the December 3,
2013 meeting.
BoaM Attomey Gross reported that he researched the law,
other jurisdiction's policies, and Medicare and Medicaid
regarding reimbursement of inedical equipment expense and
did not find anything on ,point. He found among other
jurisdictions reim6ursement is not approved if the equipment
has a non-medical use or function. In other words, the
equipment must assist the memberin recovering from an injury
or illness. Attorney Gross also reported that many jurisdictions
require pre-approval, a. prescription, and submission of the
expense to insurance prior to consideration of any claim for
reimbursement of 4he medical equipment expense.
Member Holman stated in some cases there is no recovery,
but the equipment is adaptive. Member Holman stated the
stair climberwill enable the�etiree to stay in his own home.
Board Secretary Daskam reported that per the instructions of
the Board, a letter was sentto Mr. Henderson requesting proof
that the expense had been submitted to Medicare and
Regence. Board Secretary Daskam also advised that in a
telephone conversation, Mr. Henderson indicated he would not
pursue the claim further.
Motion by Chair Pro Tem Petersen, second by Member Vogel
to table the claim until further information is received from Mr.
Henderson.
MOTION CARRIED UNANIMOUSLY. 5-0
V. NEW BUSINESS
A. Disabilitv Leave/Retirement Aoplications
No application for disability leavehetirement was received.
LEOFF Board Minutes
December 3,2013
Page 2
City of Aubum Law Enforcement Officers and Firefighters Disability Board
7uesday, December 3, 2013 - 70:00 AM —Council Conference Room
B. Appeals/Reauests for Reconsideration
No request for reconsideration was received.
C. Medical/HearinqNision/Dental Claims
1. Cov Franklin Grall
Request for reimbursement of dental expenses in the amount of
$170.00 for services received on November 7, 2013.
COY FRANK GRALL $1,200.00 BALANCE
2013 $1,200.00
May 7, 2013 $94.00 $1,106.00
Motion by Chair P.ro Tem Petersen, second by Member Holman to
approve the claim in the amount,of$170.00.
MOTION CARRIEDUNANIMOUSLY. 5-0
2. Marion Dukes
Request for reimbursement of dental expenses in the amount of
$1,553.90 for services received on September 26 and November
6, 2013.
MARION DUKES $1,200.00 BALANCE
2013 $1,200.00
June 4, 2013 5210.60 $989.40
Motion by Member Vogel, second by Chair Pro Tem Petersen to
approve the claim in the amount of$1,553.90 due to an accident.
MOTION CARRIED UNANIMOUSLY. 5-0
3. Murrav Board
Request for reimbursement of dental expenses in the amount of
$277.00 for services received on November 13, 2013.
MURRAY BOARD $1,200.00 BALANCE
2013 $1,200.00
June 4, 2013 $212.00 $988.00
LEOFF Board Minutes
December 3, 2013
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 3, 2013 - 10:00 AM —Council Conference Room
Motion by Member Holman, second by Chair Pro Tem Petersen to
approve the claim in4he amouM of$277.00.
MOTION CARRIED UNANIMOUSLY. 5-0
4. William Pitzl
Reque§t for reimbursement of dental expenses in the amount of
$240.30 for services received on November 1, 2013.
Bill Pitzl 2013 $1,200.00 BALANCE
$1,200.00
Date Claim Approved
June 4, 2013 $369.90 $830.10
August 6, 2013 $212.40 $617.70
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amount of$240.30.
MOTION CARRIED UNANIMOUSLY. 5-0
5. Loren Anderson.
Request for reimbursement of dental expenses in the :amount of
$412.30 for services received on July 11, 2013 and October 9,
2013.
LOREN ANDERSON 2013 $1,200.00 BALANCE
$1,200.00
February 5, 2013 5433.20 5766.80
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amount of$412.30.
MOTION CARRIED UNANIMOUSLY. 5-0
6. Ed WoRers
a. Request for reimbursement of inedical expenses in the amourrt
of$59.77 forservices received on August 9, 2013
LEOFF Board Minutes
December 3,2013
Page 4
City ofAubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 3, 2013 - 10:00 AM — Council Conference Room
Motion by Chair Pro Tem Petersen, second by Member
Osbome to tabie the claim pending the receipt of the Medicare
and insurance explanation of benefds statements.
MOTION CARRIED UNANIMOUSLY. 5-0
b. Request for reimbursement of inedical expenses in the amount
of$7.44 forservices received on March 28, 2013.
Motion by Chair Pro Tem Petersen, second by Member Vogel
to table the claim pending the receipt of the Medicare and
insurance explanation of benefits statements.
MOTION CARRIED UNANIMOUSLY. 5-0
c. Request for reimbursement of dental expenses in the amount
of$130.00 for services received on September 19, 2013.
ED WOLTERS 2013 $1,200.00 BALANCE
$1,200.00
June 4, 2013 $115.00 $1,085.00 .
July 2, 2013 $205.00 $880.00
Motion by Chair Pro Tem Petersen, second by Member Vogel
to apprbve the olaim in the amourit of$130.00.
MOTION CARRIED UNANIMOUSLY. 5-0
7. Doris Darouah
Request for reimbursement of long term/home health care costs in
the amount of$8,100.00 for the month November 2013.
Motion by M_ember Holman, second by Chair Pro Tem Petersen to
approve the claim in the amount of$8,100.00.
MOTION CARRIED UNANIMOUSLY. 5-0
8. James Fisk
Requesf for reimbursement of dental expenses in the amount of
$119.00 for services received on November 26, 2013. Mr. Fisk
has not received dental expense reimbursement in 2013.
LEOFF Board Minutes
December 3, 2013
Page 5
City of Auburn Law Enforcement Offcers and Firefighters Disability Board
Tuesday, December 3, 2013 - 10:00 AM — Council Conference Room
Motion by Memtier Osborne, second by Member Holman to
approve the claim in 4he amount of$119.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
9. Fred Fisher
Request for reimbursement of dental expenses in the amount of
$63.00 for services received on October 23, 2013. Mr. Fisher has
not received dental expense reimbursement in 2013.
Motion by Member Osborn,e, second by Member Vogel to approve
the claim in the amount of$63.00.
MOTION CARRIED UNANIMOUSLY. 5-0
10. Robert Almv
Request for reimbursement of dental expenses in the amount of
$153.00 for services received on July30, 2013.
ROBERTALMY 2013 $1;200.00 BALANCE
$1,200.00
Feb 5, 2013 $109.00 $1,091.00
Motion by Member Osbome, second by Chair Pro Tem Petersen ,
to approve the claim in the'amount of$153.00.
MOTION CARRIED UNANIMOUSLY. 5-0
11. Don Webb
Request for reimbursement of dental expenses in the amount of
$247.00 for services received on November 15, 2013.
DON WEBB 2013 $1,200.00 BALANCE
$1,200.00
February 5, 2013 $125.00 51,075.00
Apri12, 2013 $210.00 $865.00
June 4, 2013 $370.00 $495.00
July 2, 2013 $65.00 $430.00
Motion by Member Osbome, second by Chair Pro Tem Petersen
to approve the claim in the amount of$247.00.
MOTION CARRIED UNANIMOUSLY. 5-0
LEOFF Board Minutes
December 3, 2013
Page 6
City ofAuburn Law Enforcement Officers and Eirefighters Disability Board
Tuesday, December 3, 2013 - 10:00 AM —Council Conference Room
D. Other Discussion
1. Medicare Advantage Program
Employee Relations and Gompensation Manager Barbec was in
attendance to answer questions regarding any services not
covered by the new Medicare Advantage Program and any non-
paRicipating providers.
Mr. Barber stated that any services not covered would be handled
as they are now and submitted to the LEOFF Board for
determination of whetherthe expense was a reasonable medical
expense and eligible for reimbursement.
Should there be any changes in non-contracted providers, the
Association of Washington Cities Trust would be contacted to
determine whether a separate arrangement exists.
Chair Pro Tem Petersen inquired how a current retiree who is
enrolled in Group Health will be affected. Mr. Barber stated the
Association of Washington Cifies may retain 4he Group Health
subscriber on Plan A.
Attorney Gross reported RCVN 41.26.150(2) states that medical
services payable will be reduced by any amount received or
eligible to be received.
Board members spoke regarding the need to revise the Board
policies and procedures to allow flexibil"ity to approve claims
consistent with the state statute and to allow the Board the ability
to consider claims on a case by case basis.
Mr. Barber encouraged the Board to monitor non-participating
provider claims.
2. LEOFF 1 Police Representative Election
Board Secretary Daskam provided the results for the LEOFF 1
Police representative election.
Thirty-three ballots were mailed and 28 ballots were retumed.
James Kelly was elected as the Police representafive. The vofing
results are as follows:
Kelly 16
LEOFF Board Minutes
December 3,2013
Page 7
City ofiAubum Law Enforcement Officers and Firefighters Disability Board
Tuesday, December 3, 2073 -10:00 AM—Council Conference Room
Phillips 8
Bourdage 4
Wickman 0
3. Home Care Monitoring
MemberOsbome inquired whether there is a need to follow-up on
home health care conditions for retirees. Members indicated an
_
irrterest in obtaining copies of State inspection reports for nursing
homes or home heaRh care facilities in which LEOFF 1 retirees
reside. Chair Pro Tem Petersen offered to follow-up on this
inquiry.
Chair Kelly reported that home heafth care givers are licensed
annually.
VI. ADJOURNMENT
There being no furthec business to come before the Board, the meeting
adjourned at 10:40 a.m.
APPROVED this �day of January, 2014.
� �
Chair Da ielle Daskam, Board Secretary
LEOFF Board Minutes
December 3, 2013
Page 8