HomeMy WebLinkAbout07-03-2007City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2007 -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 at Auburn City Hall, 25 West Main Street in Auburn.
Chair Kelly and the following Board members were present: Chair Pro Tem Bud
Larson, Member Roger Thordarson, and Member Bill Petersen. Member Lynn
Norman was excused. Also present were Board Attorney Stephen King and
Board Secretary Danielle Daskam.
At this time Chair Kelly relinquished the Chair to Chair Pro Tem Larson.
II. APPROVAL OF MINUTES
A. Minutes of the June 5, 2007 LEOFF Board Meeting
Motion by Member Thordarson, second by Member Petersen to approve
the June 5, 2007 minutes as distributed.
MOTION CARRIED. 3-0.
III. UNFINISHED BUSINESS
A. Pending Disability Leave/Retirement Applications
1. James Kelly
Effective Date of Disability: June 4, 2007
Last Day of Service: June 3, 2007
On June 5, 2007, the LEOFF Board approved disability leave for
James Kelly effective June 4, 2007. Mr. Kelly submitted his
physician's statement to return to duty without restriction effective
June 18, 2007.
Motion by Member Petersen, second by Member Thordarson to
return Mr. Kelly to duty without restriction effective June 18, 2007.
MOTION CARRIED. 3-0.
Chair Kelly returned to Chair the meeting at this time.
B. Medical/Hearing/Vision Claims
LEOFF Board Minutes
July 3, 2007
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2007 -10:00 AM -Council Conference Room
1. Roger Lee
Request for reimbursement of medical expenses in the total
amount of $285.00 per Regence Explanation of Benefits Statement
#0704795031800 and Medicare claim #11-07032-099-290 for
medical services received on January 29, 2007.
On May 1 and June 5, 2007, the Board tabled Mr. Lee's claim
pending the receipt of additional information regarding the medical
necessity of the medical services provided. No new information
was received.
Motion by Member Petersen, second by Chair Pro Tem Larson to
table Mr. Lee's claim until the next regular meeting.
MOTION CARRIED. 4-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
1. Rudy Peden
Effective Date of Disability: June 9, 2007
Last Day of Service: Unknown
On June 13, 2007, LEOFF Board Chair Pro Tem Bud Larson
tentatively approved disability leave for Rudy Peden effective June
9, 2007, subject to full Board review and approval. Mr. Peden's
application for disability leave/retirement includes physicians'
statements from Physician's Assistant D. Massey dated June 9,
2007 and Dr. Christopher Hill, DC dated June 11, 2007.
Mr. Peden also submitted his work release from Dr. Christopher
Hill, D.C. dated June 18, 2007.
Motion by Member Petersen, second by Member Thordarson to
confirm the action of Chair Pro Tem Larson and approve Mr.
Peden's disability leave application for leave effective June 9,
2007.
MOTION CARRIED. 4-0.
Motion by Member Petersen, second by Member Thordarson to
return Mr. Peden to duty effective June 18, 2007.
LEOFF Board Minutes
July 3, 2007
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2007 -10:00 AM -Council Conference Room
Motion by Chair Pro Tem Larson, second by Member Thordarson
to amend the motion to reflect a 90-day conditional return to duty.
MOTION CARRIED. 4-0.
THE MAIN MOTION AS AMENDED CARRIED. 4-0.
2. Rich Schneider
Effective Date of Disability: July 7, 2007
Last Day of Service: July 6, 2007
Mr. Schneider's disability leave application was added to the
agenda.
On July 2, 2007, LEOFF Board Chair Kelly tentatively approved
disability leave for Rich Schneider effective July 7, 2007, subject to
full Board review and approval. Mr. Schneider's application for
disability leave/retirement includes physicians' statements from Dr.
Deven Vora dated July 2, 2007 and Dr. Gil Johnston received July
2, 2007.
Motion by Member Petersen, second by Chair Pro Tem Larson to
confirm the action by Chair Kelly and approve Mr. Schneider's
application for disability leave effective July 7, 2007 with last day of
service on July 6, 2007.
MOTION CARRIED. 4-0.
B. Appeals/Requests for Reconsideration
No appeal or request for reconsideration was filed.
C. Medical/HearingNision Claims
1. David Schuur
Request for reimbursement of dental expenses in the amount of
$190.00.
DAVID SCHUUR $1,200.00 BALANCE
2007 $1,200.00
$0.00 $1,200.00
LEOFF Board Minutes
July 3, 2007
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2007 -10:00 AM -Council Conference Room
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Mr. Schuur's claim in the amount of $190.00.
MOTION CARRIED. 4-0.
2. Victor Shively
Request for reimbursement of vision expenses in the amount of
$219.96. (Mr. Shively did not receive reimbursement for vision
expenses in the last year.)
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Mr. Shively's claim in the amount of $219.96.
MOTION CARRIED. 4-0.
3. Ray Ogden
Request for reimbursement of medical expenses in the total
amount of $372.00 per Regence Explanation of Benefits Statement
#0713695025100 for services received April 13, 2007.
Motion by Member Petersen, second by Chair Pro Tem Larson to
table Mr. Ogden's claim until the next regular Board meeting
pending the receipt of Mr. Ogden's Medicare explanation of
benefits form.
MOTION CARRIED. 4-0.
4. Roger Lee
Request for reimbursement of dental expenses in the amount of
$3,313.80.
ROGER LEE 2007 $1,200.00 BALANCE
$1,200.00
May 1, 2007 $330.30 $869.70
Motion by Member Petersen, second by Chair Pro Larson to
approve Mr. Lee's claim in the amount of $869.70 and instruct the
Board Secretary to correspond with Mr. Lee regarding the need for
proof of medical necessity in order to consider the balance of his
dental claim.
MOTION CARRIED. 4-0.
LEOFF Board Minutes
July 3, 2007
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2007 -10:00 AM -Council Conference Room
5. Ernie Miller
Request for reimbursement of vision expenses in the amount of
$172.97. (Mr. Miller did not receive reimbursement for vision
expenses in the last year.)
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Mr. Miller's claim in the amount of $172.97.
MOTION CARRIED. 4-0.
6. John Calkins
Mr. Calkins' claims were added to the agenda.
Request for reimbursement of dental expenses in the amount of
$576.00 for services received on April 24 and June 11, 2007.
JOHN CALKINS 2007 $1,200.00 BALANCE
$1,200.00
March 6, 2007*** $1,776.60 ($576.60)
June 5, 2007**" $1,103.00 ($1,679.60)
*** Found Medically Necessary
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $576.00 finding the dental
services were medically necessary.
MOTION CARRIED. 4-0.
Request for reimbursement of vision expenses in the amount of
$326.00 for services received on June 27, 2007. Mr. Calkins did
not receive reimbursement for vision expenses in the past year.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve Mr. Calkins' claim in the amount of $225.00.
MOTION CARRIED. 4-0.
7. Alan Kosko
Mr. Kosko's claim was added to the agenda.
LEOFF Board Minutes
July 3, 2007
Page 5
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, July 3, 2007 -10:00 AM -Council Conference Room
Request for reimbursement of dental expenses in the amount of
$1,464.50 for services received May 14, 2007.
Mr. Kosko did not receive any dental expense reimbursement in
2007.
Motion by Chair Pro Tem Larson, second by Member Thordarson
to approve Mr. Kosko's claim in the amount of $1,200.00 and
instruct the Board Secretary to correspond with Mr. Kosko
regarding the need for proof of medical necessity in order to
consider the balance of his dental claim.
MOTION CARRIED. 4-0.
8. George Blinn
Mr. Blinn's claim was added to the agenda.
Request for reimbursement of dental expenses in the amount of
$247.00 for services received on May 21, 2007.
Mr. Blinn did not receive any dental expense reimbursement in
2007.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve Mr. Blinn's claim in the amount of $247.00.
MOTION CARRIED. 4-0.
D. Correspondence
No correspondence was received.
E. Discussion
There was no additional discussion.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:20 a.m.
APPROVED THE ~-DAY OF AUGUST, 2007.
Jim Kblly, Chair J(
LEOFF Board Minutes v
July 3, 2007
Page 6
Da 'Ile Daskam, Secretary