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
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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.
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October 7, 2b14
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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
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October 7, 2014
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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
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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
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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
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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.
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�Jim Kelly, Chair Danielle Daskam, Board Secretary
LEOFF Boarii Minutes
October 7, 2014
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