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Home My WebLink About11-03-2015 Minutes City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, November 3, 2015 - 10:00 AM — Council Conference Room MINUTES I. 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 Kelly, Chair Pro Tem Bill Petersen, Member Yolanda Trout, and Member-at-large Kurt Vogel. Member Claude DaCorsi arrived at 10:07 a.m. Also present were Board Attorney Doug Ruth and Acting Board Secreta_ry Ashley Payment. II. AGENDA MODIFICATIONS Claims from Coy Franklin Grall, Doris Darough, John Calkins, Russ Vandver, Sam Mulkey, and Ed Sluys were added to the agenda, 111. APPROVAL OF MINUTES A. Minutes of the October 6. 2015 LEOFF Board Meetinq Mofion by Chair Pro Tem Petersen, second by Member Trout to approve the minutes as distributed. MOTION CARRIED UNANIMOUSLY. 4-0 IV. UNFINISHED BUSINESS A. Pendinq Disabilitv Leave/Retirement Applications There was no pending disability leave/retirement application. B. Pendinq Medical/HearinqNision Dental.Claims There was no pending disability leave/retirement application. V. NEW BUSINESS A. Disabilitv Leave/Retirement Applications No application for disability leave/retirement was received. B. Appeals/Reauests for Reconsideration No request for reconsideration was received. C. Medical/HearinqNision/Dental Claims 1. Sam Mulkev LEOFF Board Minutes November 3, 2015 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, November 3, 2015 - 10:00 AM — Council Conference Room Request for reimbursement of dental plates and denture expenses in the amount of $4,639.00 for services received on September 10 and October 1, 2015. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount submitted. During discussion, it was determined the claim should be processed up to the allowed amounts under Section 8.02 (D) (4)8(5). LEOFF Board Policies and Procedures limit fhe member to reimbursement up to $1,756 per denture plate (Section 8.02 (D) (4)), and up to $1,200 for dental related expenses (Section 8.02 (D) (5)). MOTION CARRIED UNANIMOUSLY. 5-0 *It was determined after the meeting Mr. Mulkey had already been reimbursed $654.00 for dental related expenses in 2015. The remaining balance of $546.00 will be reimbu�sed. 2. Cov Franklin Grall a. Request for reimbursement of dental expenses in the amount of $150.00 for services received on October 13, 2015. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim as submitted. MOTION CARRIED UNANIMOUSLY. 5-0 b. Request for reimbursement of shipping charges in the amount of$30.00 for services received on October 6, 2015. Mo4ion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim as submitted. Mr. Grall submitted an explanation as to why shipping costs were medically necessary for the pharmaceuticals. MOTION CARRIED UNANIMOUSLY. 5-0 LEOFF Board Minutes November 3, 2015 Page 2 Gity of Aubum Law Enforcement Officers and Firefighters Disability Board Tuesday, November 3, 2015 - 10:00 AM — Council Conference Room 3. David HanniN Request for reimbursement of vision expenses (lenses and frames) in the amount of $272.00 for services received on October 19, 2015. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount of $270.00, the policy limit on corrective lenses and frames. MOTION CARRIED UNANIMOUSLY. 5-0 4. Ed Henderson Request for reimbursement of dental expenses in the amount of $4,567.60 for services received in September and October 2015. Mr. Henderson's dental services were previously determined by the Board to be medically necessary. Motion by Member Vogel, second by Chair Pro Tem Petersen to approve the claim as submitted. MOTION CARRIED UNANIMOUSLY. 5-0 5. Doris Darouqh Request for reimbursement of long-term care/home health costs in the amount of $9,238.00 (31 days @ $298/ day) for the month of October 2015. Motion by Chair Pro Tem Petersen, second by Member Trout to approve the claim in the amount of$9;238.00. MOTION CARRIED UNANIMOUSLY. 5-0 6. John Calkins Request for reimbursement of dental expenses in the amount of $3,425.00 for services received in June, July, and September 2015. Mr. Calkins' dental services were previously determined by the Board to be medically necessary. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount of$3,425.00. LEOFF Board Minutes November 3, 2015 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, November 3, 2015 - 10:00 AM — Council Conference Room MOTION CARRIED UNANIMOUSLY. 5-0 7. Russ Vandver a. Request for reimbursement of inedical expenses in the amount of $127.00 for services received on October 14, 2015. Motion by Chair Pro Tem Petersen, second by Member Trout to approve the claim in the amount of $127.00. MOTION CARRIED UNANIMOUSLY. 5-0 b. Request for reimbursement for medical expenses in the amount of $100.00 for services received on September 24, 2015. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount of$100.00. MOTION CARRIED UNANIMOUSLY. 5-0 8. Sam Mulkev Request for reimbursement of hearing aids in the amount of$3,400 for services received on October 28, 2015. Mr. Mulkey's pre- authorization request for hearing aids at a non-board approved provider was approved by the board on October 6, 2015. Motion by Chair Pro Tem Petersen, second by Member Vogel to approve the claim in the amount of$3,400.00. MOTION CARRIED UNANIMOUSLY. 5-0 9. Ed Sluvs a. Request for reimbursement of long-term care costs in the amount of $1,642.54, Cleaning Fees in the amount of$600.00, and Pet Deposit Fees in the amount of $750.00, for a total of $2,992.54 in the month of October 2015. Motion by Chair Pro Tem Petersen, second by Member Trout to approve the claim as submitted, LEOFF Boartl Minutes November 3, 2015 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, November 3, 2015 - 10:00 AM — Council Conference Room The Board discussed if cleaning fees and pet deposit fees are qualified for reimbursement. The Board also questioned if preauthorizafion was received from Mc Sluys for reimbursement for long-term care at The Viilage Concepts facility. MOTION FAILED. 0-5 Motion by Chair Pro Tem Petersen, second by Member Vogel to table the requesYpending receipt of additional documentation. MOTION CARRIED UNANIMOUSLY. 5-0 b. Request for reimbursement of long-term care/ home health costs in the amount of$3,113.75 for services received in August and September 2015. Motion by Member Vogel, second by Chair Pro Tem Petersen to approve the claim in the amount of $3,113.75. MOTION CARRIED UNANIMOUSLY. 5-0 D. Other Discussion 1. Section 9.02 — Medical Claims for Corrective Lenses and Frames Board Attorney Doug Ruth reviewed Section 9.02 and it is the opinion of the Legal Department that either lenses or contacts can be reimbursed per 12 month period, not lenses and contacts. VI. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 10:24 a.m. APPROVED this 1st day of December, 2015. �NVIc� �� ' "`-" JI KELLY, CHAIR Ashley Paym , Acting Board Secretary LEOFF Board Minutes Novemtier 3, 2015 Page 5