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HomeMy WebLinkAbout10-07-2014 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, October 7, 2014 - 10:00 AM — Council Conference Room MINUTES I. CALL TO ORDER Chair Jim Kelly cailed 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 Wayne Osborne, and Member Kurt Vogel. Member John Holman arrived at 10:01 a,m. Also present were Board Attorney Doug Ruth and Board Secretary Danielle Daskam. II. AGENDA MODIFICATIONS A claim from Doris Darough was added to 4he agenda. III. APPROVAL OF MINUTES A. Minutes of the September 2, 2014 LEOFF Board Meetinq* Motion tiy Member Vogel, second by Member Osborne to approve the minutes as distributed. MOTION CARRIED UNANIMOUSLY. 4-0 IV. UNFINISHED BUSINESS A. Pendinq Disabilitv Leave/Re4irement Applications There was no pending disability leave/retirement application. B. Pendinq Medical/HearinqNision Dental Claims 1. Rav M. Nixon Request for pre-authorization and reimbursement of hearing aid expenses in the amount of $4,160.00 from other than the Board's preferred provider. On August 5, 2014, the Board tabled Mr. Nixon's request pending the receipt of additional information from Mr. Nixon regarding the necessi.ty for the models prescribed. On September 2, 2014, the Board tabled Mr. Nixon's claim pending further information from Costco Hearing Aid Center. The agenda packet includes additional information received from Costco. (Member Holman arrived at this time.) Board members reviewed the documents received from Mr. Nixon and more recently from Costco Hearing Aid Center. Costco LEOFF Board Minutes October 7, 2014 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, October 7, 2014 - 10:00 AM — Council Conference Room reports that Costco Hearing Aid Center can provide a comparable hearing aid device at a cost of$2,599.98 for a pair. Motion by Member Osbome, second by Member Holman to reimburse Mr. Nixon up to the Costco Hearing Aid price for similar hearing aids. Chair Pro Tem Petersen stated he believes the hearing aids are prescribed by Mr. Nixon's provider and those recommended by Costco Hearing Aid Center are two different types of hearing aids. Chair Pro Tem Petersen expressed his belief that the Costco recommended type of hearing aid does not address Mr. Nixon's type of hearing loss. Upon further discussion, Member Osborne withdrew his motion. Chair Pro Tem Petersen moved to contact Mr. Nixon and request that his doctor provide 4he medical necessity for the type of hearing aid prescribed by his provider, whe.ther the hearing aids recommended by Costco are comparable, and, if not, an explanation for the reason the Costco hearing aids are not adequate to treat Mr. Nixon's condition. Motion was seconded by Member Vogel. MOTION CARRIED UNANIMOUSLY. 5-0 2. Doris Darouqh Request for reimbursement of equipment in the amount of $11,771.00. On August 5 and September 2, 2014, the Board tabled Ms. Darough's claim pending the receipt of insurance explanation of benefits statement(s). No new information was received. Motion by Member Vogel, second by Chair Pro Tem Petersen to table the claim until the next meeting. MOTION CARRIED UNANIMOUSLY. 5-0 V. NEW BUSINESS A. Disabilitv Leave/Refirement Applications No application for disability leave/retirement was received. LEOFF Board Minutes October 7, 2b14 Page 2 City of Auburn Law Enforcement Officers and Firefghters Disability Board Tuesday, October 7, 2014 - 10:00 AM — Council Conference Room B. AppealslReauests for Reconsideration No request for reconsideration was received. C. Medical/Hearinq/Vision/Dental Claims 1. Cov Franklin Grall Request for reimbursement of dental expenses in the amount of $75.00 for services received on September 17, 2014. COY FRANK GRALL $1,200.00 BALANCE 2014 $1,200.00 April 1, 2014 $138.00 $1,062.00 August4, 2014 $102.00 $960.00 Motion by Member Vogel, second by Chair Pro Tem Petersen to approve the claim in the amount of $75.00. MOTION CARRIED UNANIMOUSLY. 5-0 2. Roqer H. Lee Request for reimbursement of dental expenses in the amount of $342.00 for services received on September 4, 2014. In 2007, Mr. Lee's dental services were determined to be medically necessary. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount of$342.00. MOTION CARRIED UNANIMOUSLY. 5-0 3. Michael Darbv Request for reimbursement of dental expenses in the amoun4 of $643.50 for services received on June 30, July 1, and September 9, 2014. MIKE DARBY $1,200.00 BALANCE 2014 $1,200.00 February 4, 2014 $605.70 $594.30 LEOFF Board Minutes October 7, 2014 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, October 7, 2014 - 70:00 AM — Council Conference Room Motion by Member Vogel, second by Chair Pro Tem Petersen to approve the claim in the amount of $594.30. MOTION CARRIED UNANIMOUSLY. 5-0 4. Robert Almv a. Request for reimbursement of dental expenses in the amount of$109.00 for services received on August 21, 2014. Mr. Almy has not received dental reimbursement in 2014. Motion by Member Holman, second by Member Osborne to approve the claim in the amount of$109.00. MOTION CARRIED UNANIMOUSLY. 5-0 b: Request for reimbursement of vision co-pay in the amount of $20.00 for services received on July 10, 2014. Motion by Member Vogel, second by Chair Pro Tem Petersen to approve the claim in the amount of$20.00. MOTION CARRIED UNANIMOUSLY. 5-0 c. Request for reimbursement of vision expenses for services received on September 3, 2014 in the amount of $137.04. Mr. Almy has not received vision expense reimbursement in the past year. Motion by Chair Pro Tem Petersen, second by Member Osborne to approve the claim in the amount of$137.04. MOTION CARRIED UNANIMOUSLY. 5-0 5. William Pitrl a. Request for reimbursement of vision expenses in the amount of $199.98 for services received on September 22, 2014. Mr. Pitzl has not received vision expense reimbursement in the last year. Motion by Member Wayne Osborne, second by Chair Pro Tem Petersen to approve the claim in the amount of$199.98. LEOFF Board Minutes October'7, 2014 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, October 7, 2014 - 10:00 AM — Council Conference Room MOTION CARRIED UNANIMOUSLY. 5-0 b. Request for reimbursement of dental expenses in the amount of$422.00 for services received on September 4, 2014. Bill Pitrl 2014 $1,200.00 BALANCE $�,zoo.00 Date Claim Approved May 6, 2014 $299.70 $900.30 Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount of $422.00. MOTION CARRIED UNANIMOUSLY. 5-0 6. Monroe Shropshire Request for reimbursement of dental expenses in the amount of $102.00 for services received on July 21, 2014. MONROE SHROPSHIRE 2014 1200 BALANCE $1,200.00 May 6, 2014 $772.00 $1,028.00 Jtily 1, 2014 $155.00 $873.00 August 4, 2014• $1,626.35 -$753.35 Sept2, 2014 $333.00 -$1,086.35 Sept2, 2014' $1,161.00 -$2,247.35 'Medically necessary Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount of$102.00. MOTION CARRIED UNANIMOUSLY. 5-0 7. Ed Henderson a. Request for reimbursement of dental expenses in the amount of $118.00 for services received on April 28, 2014. Mr. Henderson's dental expenses have previously been determined as medically necessary. LEOFF Board Minutes October 7, 2014 Page 5 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, October 7, 2014 - 10:00 AM —Council Conference Room Motion by Member Vogel, second by Chair Pro Tem Petersen to approve the claim in the amount of$118.00. MOTION CARRIED UNANIMOUSLY. 5-0 b. Request for reimbursement of inedical expenses in the amount of $103.24 for services received on September 11, 2014. Motion by Chair Pro Tem Petersen, second by Member Vogel to table the claim pending 4he receipt of a Medicare/insurance Explanation of Benefits Statement. MOTION CARRIED UNANIMOUSLY. 5-0 8. Theodore Lindback Request for reimbursement of dental expenses in the amount of $240.35 for services received on August 25, 2014. THEODORE LINDBACK2014 $1,200.00 BALANCE $1;200.00 LEOFF BOARD DATE March 4, 2014 $178.15 51,021.85 April 1, 2014 $814.95 $206.90 Motion by Member Vogel, second by Chair Pro Tem Petersen to approve the claim in the amount of $206.90. MOTION CARRIED UNANIMOUSLY. 5-0 9. Doris Daroucah Request for reimbursement of long term/home health care costs in 4he amount of $8,520.00 (30 days @ $284/day) for the month of September, 2014. Motion by Chair Pro Tem Petersen, second by Member Osborne to approve the claim in the amount of $8,520.00 for 30 days of long term/home health care. MOTION CARRIED UNANIMOUSLY. 5-0 D. Other Discussion LEOFF Board Minutes October 7, 2014 Page 6 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, October 7, 2014 - 10:00 AM —Council Conference Room a. Fire LEOFF Representative Election Committee members reviewed the draft Fire LEOFF Representative election schedule. Nomination forms will be distributed in October. VI. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 10:26 a.m. APPROVED this � day of November, 2014. ��:�c��� .����� �Jim Kelly, Chair Danielle Daskam, Board Secretary LEOFF Boarii Minutes October 7, 2014 Page 7