HomeMy WebLinkAbout08-05-2014 City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, August 5, 2014 - 10:00 AM — Council Conference Room
MINUTES
1. 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 Auburn City Hall, 25 West Main
Street in Auburn. Members present included: Chair Jim Kelly, Chair Pro Tem
Bill Petersen, Member John Holman, Member Wayne Osborne, and Member
Kurt Vogel. Also present were Board Attorney Doug Ruth and Board Secretary
Danielle Daskam.
II. AGENDA MODIFICATIONS
Claims for payment from Ray Nixon and Coy Franklin Grall were added to the
agenda.
III. APPROVAL OF MINUTES
A. Minutes of the JuIV 1. 2014 LEOFF Board Meetinq
Motion by MemberOsborne, second by Member Holman to approve the
July 1, 2014 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0
IV. UNFINISHED BUSINESS
A. Pendinq Disabilitv Leave/Retirement Applications
There is no pending disability leave/retirement application.
B. Pendina Medical/HearinqNision Dental Claims
1. Ed Henderson
Request for reimbursement of inedical expenses in the amount of
$121.27 for services received on an unknown date. On May 6,
June 3, and July 1, 2014, the LEOFF Board tabled the claim
pending receipt of additional information. No new information was
received.
Motion by Member Osborne, second by Member Vogel to deny the
claim due to lack of information.
MOTION CARRIED UNANIMOUSLY. 5-0
LEOFF Board Agenda
August 5, 2014
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, August 5, 2014 - 10:00 AM — Council Conference Room
2. Edward Sluvs
Request for reimbursement medical expenses in the amount of
$43.90 for services received January 16, February 16 and March
16, 2014. On May 6, June 3 and July 1, 2014, the LEOFF Board
tabled the claim pending receipt of additional information. No new
information was received.
Motion by Member Vogel, second by Chair Pro Tem Petersen to
deny the claim due to lack of information.
MOTION CARRIED UNANIMOUSLY. 5-0
3. Ed Henderson
Request for reimbursement of inedical expenses in the amount of
$256.23 for services received on January 28-30, 2014. On July 1,
2014, the LEOFF Board tabled Mr. Henderson's claim pending the
receipt of insurance explanation of benefits statements. On July
17, 2014, Mr. Henderson submitted the enclosed information
reflecting Medicare/insurance payments.
Motion by Chair Pro Tem Petersen, second by Member Vogel to
approve the claim in the amount of $256.23.
MOTION CARRIED UNANIMOUSLY. 5-0
V. NEW BUSINESS
A. Disabilitv Leave/Retirement Applications
No application for disability leave/retirement was received.
B. Appeals/Requests for Reconsidera4ion
No request for reconsideration was received.
C. Medical/HearinqNision/Dental Claims
1. Ed Henderson
Request for reimbursement of dental expenses in the amount of
$1,895.00 for services received on June 10, 2014.
Motion by Chair Pro Tem Petersen, second by Member Holman to
approve payment in the amount of $1,800.25 (the amount owing I
and paid by Mr. Henderson on June 10, 2014).
LEOFF Board Agenda
August 5, 2014
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, August 5, 2014 - 10:00 AM — Council Conference Room
MOTION CARRIED UNANIMOUSLY. 5-0
2. Monroe Shrooshire
Request for reimbursement of dental expenses in the amount of
$1,626.35 for services received on June 2 and 16, 2014.
Motion by Chair Pro Tem Petersen, second by Member Vogel fo
approve the claim in the amount of $1,626.35 due to medical
necessity.
MOTION CARRIED UNANIMOUSLY. 5-0
3. Doris Darouqh
a. Request for reimbursement of long term care for the month of
July, 2014 in the amount of $8,370.00.
Motion by Member Holman, second by Member Vogel to
approve payment for long term care for the month of July, 2014
in the amount of $8;370.00.
MOTION CARRIED UNANIMOUSLY. 5-0
b. Request for reimbursement of equipment in the amount of
$11,771.00.
Committee members reviewed the information provided by Ms.
Darough's caretaker, Ms. DeMille, for fhe installa4ion of a
stairlift. Chair Kelly acknowledged the receipt of a letter dated
July 17, 2013 from Dr. Bosak of Auburn MultiCare Clinic
indicating that Ms. Darough requires a stairlift.
Ms. DeMille explains in her letter that she contacted Medicare
and Regence insurance in 2013 to determine coverage for the
stairlift and has not received a response from either insurance.
Board members briefly discussed the Board's policy on durable
medical equipment.
Motion by Chair Pro Tem Petersen, second by Member
Holman to table the claim pending the receipt of an explanation
of benefits statement or other form of determinafion of
coverage from Medicare and Regence for the installation of the
stairlift in 2013.
LEOFF Board Agenda
August 5, 2014
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, August 5, 2014 - 10:00 AM — Council Conference Room
MOTION CARRIED UNANIMOUSLY. 5-0
Chair Kelly noted that in the information supplied by Ms.
Darough's provider, Kelli DeMille, Ms. DeMille is requesting an
increase in her reimbursement rate to that of the Allianz daily
rate as of September 1, 2014. Chair Kelly requested the Board
Secretary confirm the daily rate w'i4h the City's long term care
insurance provider.
4. Rav M. Nixon
Request for pre-authorization and reimbursement of hearing aid
expenses in 4he amount of $4,160.00 from other than the Board's
preferred provider.
Board members reviewed Mr. Nixon's request and the information
prepared by his provider, Puget Sound Hearing Aid & Audiology,
in which Puget Sound Hearing Aid & Audiology state the
prescribed hearing aids do not have a Costco equivalent. Board
members also reviewed information received by the Board's
preferred provider, Costco Hearing Aid Center, regarding a
hearing aid model Costco technicians believe is equivalent or
comparable to the model recommendeii by Puget Sound Hearing
Aid & Audiology.
Motion by Chair Pro Tem Petersen, second by Member Holman to
table the claim pending the receipt of additional information from
Mr. Nizon and his provider justifying the medical necessity for fhe
particular hearing aids prescribed by his provider.
MOTION CARRIED UNANIMOUSLY. 5-0
5. Cov Franklin Grall
a. Request for reimbursement of dental expenses in the amount
of$102.00 for services received on July 30, 2014.
COY FRANK GRALL $1,200.00 BALANCE
2014 $1,200.00
April 1, 2014 $138.00 $1,062.00
Motion by Chair Pro Tem Petersen, second by Member Vogel
to approve 4he claim in the amount of $102.00.
LEOFF Board Agenda
August 5, 2014
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, August 5, 2014 - 10:00 AM — Council Conference Room
MOTION CARRIED UNANIMOUSLY. 5-0
b. Request for reimbursement of vision expenses in the amount
of $418.00 for services received on July 31, 2014. Mr. Grall
has not received vision reimbursement in the past year.
Motion by Member Vogel, second by Chair Pro Tem Petersen
fo approve the claim in the amount of $270.00, the policy
maximum.
MOTION CARRIED UNANIMOUSLY. 5-0
VI, ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:28 a.m.
APPROVED this d'�day of September, 2014.
QMi\� �C ^� �
Ji Kelly, Chair Danielle Daskam, City Clerk
LEOFF Board Agenda
August 5, 2014
Page 5