HomeMy WebLinkAbout11-04-2014 City of Auburn Law Enforcement Officers and Firefghters Disability Board
Tuesday, November 4, 2014 - 10:00 AM — Council Conference Room
MINUTES
I. CALL TO ORDER
Chair Pro Tem Bill Petersen 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 Pro Tem Bill Petersen,
Member Wayne Osborne, Member John Holman, and Member Kurt Vogel.
Chair Jim Kelly was excused. Also present were Board Attorney and Assistant
City Attomey Doug Ruth, Assistant City Attorney Neil Wachter, and Board
Secretary Danielle Daskam.
II. AGENDA MODIFICATIONS
Claims from Doris Darough, Monroe Shropshire, and William Petersen were
added to the agenda.
III. APPROVAL OF MINUTES
A. Minutes of the October 7,2014 LEOFF Board.Meetinq
Motion by Member Osborne, second by Member Holman to approve the
October 7, 2014 miriutes.
MOTION CARRIED UNANIMOUSLY. 4-0
IV. UNFINISHED BUSINESS
A. Pendinq Disabilitv Leave/Reti�ement Applications
There was no pending disability leave/retirement application.
B. Pendinp 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 necessity for the models prescribed. On
September 2, 2014, the Board tabled Mr. Nixon's claim pending
further information from Costco Hearing Aid Center. On October
7, 2014, the Board tabled the claim pending the receipt of
additional information from Mr. Nixon's provider. No new
information was received.
LEOFF Board Minutes
November 4, 2014
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 4, 2014 - 10:00 AM — Council Conference Room
Motion by Member Vogel, second by Member Osborne to table the
claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 4-0
2. Doris Darouqh
Request for reimbursement of equipment in the amount of
$11,771.00. On August 5, September 2, and October 7, 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 Osborne, second by Member Vogel to reject
Ms. Darough's claim.
MOTION CARRIED UNANIMOUSLY. 4-0
3. Ed Henderson
Requesf for reimbursement of inedical expenses in the amount of
$103.24 for services received on September 11, 2014.
On October 7, 2014, the Board tabled the claim pending fhe
receipt of a Medicare/insurance Explanation of Benefits
Statement. No new information was received.
Chair Pro Tem Petersen noted in the materials provided to the
Board on October 7, 2014, Mr. Henderson signed a patient
responsibility statement that the medical expenses were not a
covered benefit as the services were performed in an office setting
and insurance would not be billed for the expense.
Board Secretary Daskam reported she sent a letter to Mr.
Henderson requesting that he submit the bill to insurance himself
in order to receive an Medicare Advantage Explanation of Benefits
Statement.
Motion by Member Osborne, second by Member Vogel to table
Mr. Henderson's claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 4-0
LEOFF Board Minutes
November 4, 2014
Page 2
City of Auburn Law Enforcement O�cers and Firefighters Disability Board
Tuesday, November 4, 2014 - 10:00 AM — Council Conference Room
V. NEW BUSINESS
A. Disability Leave/Retirement Applications
No application for disability leave/retirement was received.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
C. Medical/HearinqNision/Dental Claims
1. Helen J. Bowden
Request for reimbursement of vision expenses in the amount of
$309.98 for services received on October 15, 2014. Ms. Bowden
has not received vision expense reimbursement in the past year.
Motion by Member Vogel, second by Member Osborne to approve
reimbursement of $270.00.
MOTION CARRIED UNANIMOUSLY. 4-0
2. Sammv Mulkev
Request for reimbursement of dental expenses in the amount of
$139.00 for services received on October 1, 2014.
SAMMY MULKEY 2014 1200 BALANCE •
$1,200.00
April 1, 2014 $932.00 $268.00
$268.00
Motion by Member Osborne, second by Member Vogel to approve
4he claim in the amount of $139.00.
MOTION CARRIED UNANIMOUSLY. 4-0
LEOFF Board Minutes
November 4, 2014
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, November 4, 2014 - 10:00 AM — Council Conference Room
3. William Pitzl
Request for reimbursement of dental expenses in the amount of
$240.30 for services received on October 7, 2014..
Bill Pitzl 2014 $1,200.00 BALANCE
$1,200.00
Date Claim Approved
May 6, 2014 $299.70 $900.30
October 7, 2014 $422.00 $478.30
Motion by Member Vogel, second by Member Holman to approve
the claim in the amount of $240.30.
MOTION CARRIED UNANIMOUSLY. 4-0
4. Cov Franklin Grall
Request for reimbursement of dental expenses in the amount of
$4,841.95 for services received on September 30 and October 7,
2014 as medically necessary.
Motion by Member Vogel, second by Member Holman to approve
4he claim in the amount of $4,841.95 finding medical necessity.
MOTION CARRIED UNANIMOUSLY. 4-0
5. Bruce Caldwell
Request for reimbursement of inedical expenses in the amount of
$425.70 for services received on August 28, September 4,
September 10 and September 18, 2014.
Motion by Member Holman, second by Member Vogel to approve
the claim in the amount of $425.70.
MOTION CARRIED UNANIMOUSLY. 4-0
6. Doris Darouqh
Request for reimbursement of long term/home health care costs in
the amount of $8,804.00 (31 days $284/day) for the month of
October, 2014.
LEOFF Board Minutes
NoOember 4, 2014
Page 4
City of Auburn Law Enforcement O�cers and Firefighters Disability Board
Tuesday, November 4, 2014 - 10:00 AM — Council Conference Room
Motion by Member Osborne, second by Member Vogel to approve
the claim in the amount of $8,804.00 for long term care.
MOTION CARRIED UNANIMOUSLY. 4-0
7. Monroe Shropshire
Request for reimbursement of dental expenses in the amount of
$172.00 for services received on October 23, 2014. Mr.
Shropshire's dental expenses were previously found to be
medically necessary.
Motion by Member Osborne, second by Member Vogel to approve
the claim in the amount of $172.00.
MOTION CARRIED UNANIMOUSLY. 4-0
S. William Petersen
Request for reimbursement of hearing aid repair expenses in the
amount of $179.98 for services received on November 3, 2014.
Chair Pro Tem Petersen relinquished the chair during consideration
of his claim.
Motion by Member Vogel, second by Member Holman to approve
the claim in the amount of $179.98.
MOTION CARRIED. 3-0 Chair Pro Tem Petersen abstained.
D. Other Discussion
Board Secretary Daskarim reported today at 5:00 p.m. is the deadline for
nominations for the Fire representative on the LEOFF Board. One
nomination has been received.
VI. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:14 a.m.
APPROVED this � day of December, 2014.
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Jim Kelly, Chair Danielle Daskam, Board Secretary
LEOFF Board Minutes
November 4, 2014
Page 5