HomeMy WebLinkAbout09-05-2017 Minutes �
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 5, 2017 - 10:00 AM —Conference Room 2
MINUTES
I. CALL TO ORDER
, Chair Jim Kelly called the meeting to order at 10:00 a.m. in Conference Room 2
located on the second floor of Auburn City Hall, 25 West Main Street in Auburn.
Members present included Chair Jim Kelly, Chair Pro Tem Bill Peiersen,
Member Yolanda Trout-Manuel, Member Bob Baggett, and Member-at-large
David Cook. Also present were Board Attorney Doug Ruth and Acfing Board
Secretary Ashley Payment.
II. AGEfVDA MODIFICATIONS
There was no change to the agenda
III. APPROVAL OF nAINUTES
A. Minutes of the Auqust_1,2017 LEOFF Board Meetinq
Motion by Chair Pro Tem Petersen, second by Member Trout-Manuel to
approve the minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0,
IV. UNFINISHED BUSINESS
A. PendinQ Disabilitv LeaveLRetirement_Applications
There was no pending disability leave%retirement application.
B. Pendinq Medical/HearinqNision/Dental Claims
1. LEOFF 1 Member#444135
Request for reimbursement of inedical expenses in the amount of
$38.90.
On June 6, July 5, and August 1, 2017, the LEOFF Board tabled
the claim pending the receipt of the insurance explanation of
benefits statement. No new information was received.
Motion by Chair Pro Tem Petersen, second by Member Trout-
IVlanuel to deny the claim.
MOTION CARRIED UNANIMOUSLY. 5-0
LEOFF Board Minutes
September 5, 2017
Page 1 �
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 5, 2017 - 10:00 AnA —Conference Room 2
V. NEV1l �USINESS
A. Disability Leave/Retirement Applications
No new application for disability leave was received.
B. A�peals/Requests for Reconsideration
No request for reconsiderafion was received.
C. Medical/Hearing/Vision/Dental Claims
1. LEOFF 1 Member#728069
Request for approval/reimbursement of long-term care expenses
for the month of July 2017 in the amount of$5,965.00.
Motion by Chair Pro Tem Petersen, second by IVlember Baggett to
approve the claim in the amount of$5,965.00.
MOTION CARRIED UNANIMOUSLY. 5-0
2. LEOFF 1 Member#52707_9
Request for reimbursement of dental expenses in the amount of
$427.50 for services received on August 3, 2017. The LEOFF 1
member has not received dental expense reimbursement in 2017.
Motion by� Chair Pro Tem Petersen, second by Member Trout-
Manuel to approve the claim in the amount of$427.50.
MOTION CARRIED UNANfMOUSLY. 5-0
3. LEOFF 1 Member:#608522
Request for reimbursement of inedical expenses in the amount of
$139.28 for services received on February 13, 2017.
Motion by Chair Pro Tem Petersen, second by Member Cook to
table the claim pending the receipt of further information, including
the insurance/Medicare explanation of benefits statement.
MOTION CARRIED UNANIMOUSLY. 5-0
4. LEOFF 1 Member#230947
Request for reimbursement of dental expenses in the amount of
$1,506.25 for services received on August 1, 2017.
LEOFF Board Minutes
September 5, 2017
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, Sep4ember 5, 2017 - 10:00 AM —Conference Room 2
#230947 2017 I,$1,200.00 �BALANCE.
�._....�_.._._.___ ._ � ._��$1,200.00
LEOFF BOARD DATE �
_�...�_.__�__� _�..W
February 7, 2017 ; $404.70� $795.30
Februar 7, 2017 I $160.55;75
Motion by Member Trout-Manuel, second by Member Baggett to
approve the claim in the amount of$634.75, up to the policy limit.
MOTION CARRIED UNANIMOUSLY: 5-0
5. LEOFF 1 IVlember#221843
a1. Request for reimbursement of Medicare expenses in the
amount of$3,169.20 for 2014 and 2015.
Motion by Chair Pro Tem Petersen, second by Member Trout-
Manuel to table to the claim pending receipt of Social Security
Administration form 1099 from 2014 and 2015.
MOTION CARRIED UNANIMOUSLY. 5-0
a2. Request for reimbursement of inedical expenses in the amount
of $222.50 for services received on January 9, 2015 and April 24,
2017.
Motion by Chair Pro Tem Petersen, second by Member Trout-
Manuel to table the claim pending the receipt of further information,
including the insurance/Medicare explanation of benefits statement,
and an explanation for the delay in submitting the claim within the
policy guidelines of 90 days.
MOTION CARRIED UNANIMOUSLY. 5-0 ,
6. LEOFF 1 Member#321061
Request for reimbursement of dental expenses in the amount of
$209.00 for services received on June 14, 2017, and dental
expenses in the amount of $581:40 for services received on July
31, 2017. The LEOFF 1 Member's dental expenses were
previously de#ermined to be medically necessary.
Motion by Member Cook, second by Member Baggett to approve �
the claim in the amount of$790.40. '
MOTION CARRIED UNANIMOUSLY. 5-0
LEOFF Board Minutes
September 5, 2017
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, September 5, 2017 - 10:00 AflA —Conference Room 2
7. LEOFF 1 Member#444135
Request for reimbursement of inedical expenses in the amount of
$77.00.
Motion by Chair Pro Tem Petersen, second by Member Trout-
Manuel to table the claim pending the receipt of further information,
ineluding the insurance/Medicare explanation of benefits statement.
MOTION CARRIED UNANIMOUSLY. 5-0
8. LEOFF 1 Member#165508
Request for reimbursemenf of vision expenses in the amount of
$40.00 for services received on June 19, 2017.
Motion by Chair Pro Tem Petersen; second by Member Cook to
approve the claim in the amount of$40.00.
MOTION CARRIED UNANIMOUSLY. 5-0
D. Other Discussion
There was no other discussion.
VI. ADJOURPIMENT
There being no further business, the meeting adjourned at 10:10 a.m.
APPROVED this �� day of OC'���vv , 2017.
�
JI KELLY, CHAI Ashley Payme , cting Board Secretary
LEOFF Board Minutes
September 5, 2017
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