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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