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Home My WebLink About07-05-2000 City of Auburn Law Enforcement Officers and Firefighters Disability Board Wednesday, July 5, 2000 - 10:00 AM - Mayor's Office MINUTES I. CALL TO ORDER Chair Jim Kelly called the meeting to order at 10:00 AM in the Mayor's Office located at Auburn City Hall, 25 West Main Street, Auburn, WA. Members present included: Chair Jim Kelly, Jeanne Barber, and Russ Vandver. Member Pete Lewis arrived at 10:23 AM. Chair Pro Tem Bud Larson was excused from the meeting. Others present included: Associate City Attorney Karen Gulliver, Assistant Personnel Director Roger Cartwright, and LEOFF Board Secretary Danielle Daskam II. APPROVAL OF MINUTES A. Minutes of the June 5, 2000 LEOFF Board Meeting Motion by Member Barber, second by Member Vandver to approve the June 5, 2000 minutes as distributed. MOTION CARRIED UNANIMOUSLY. 3-0. III. UNFINISHED BUSINESS A. Pending Disability Leave/Retirement Applications 1. Rudy V. Peden Effective date of disability leave: April 7, 2000 Last day of service: April 6, 2000 On May 1, 2000, the Board approved disability leave effective April 7, 2000 with last day of service on April 6, 2000. On June 5, 2000 the Board accepted the required monthly physician reports and approved disability leave for another thirty days or until cessation of disability, whichever occurs first. A physician's report dated June 20, 2000 was received on July 3, 2000 and distributed to the members at the meeting. Motion by Member Vandver, second by Member Barber to accept the physician's report and continue Mr. Peden's disability leave for LEOFF Board Minutes July 5, 2000 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Wednesday, July 5, 2000 - 10:00 AM - Mayor's Office an additional thirty (30) days or until cessation of disability, whichever occurs first. MOTION CARRIED UNANIMOUSLY. 3-0. IV. NEW BUSINESS A. Disability Leave/Retirement Applications There was no new application for disability leave/retirement. B. Medical Claims 1. Ernest Miller The Board reviewed the following claims: a) Regence Explanation of Benefits Claim No. 0014300773700 processed on June 7, 2000 for medical services received on May 15, 2000 in the amount of $18.49. b) Regence Explanation of Benefits Claim No. 0013734370700 processed on May 27, 2000 for medical services received on February 4 and 7, 2000 in the amount of $20.00. c) Regence Explanation of Benefits Claim No. 0013734370500 processed on May 20, 2000 for medical services received on February 7 and 9, 2000 in the amount of $10.00. Motion by Member Barber, second by Member Vandver to approve Claim No. 0014300773700 for medical services in the amount of $18.49. MOTION CARRIED UNANIMOUSLY. 3-0. Motion by Member Barber, second by Member Vandver to approve Claim Nos. 0013734370700 and 0013734370500 in the total amount of $30.00. MOTION CARRIED UNANIMOUSLY. 3-0. LEOFF Board Minutes July 5, 2000 Page 2 City of Auburn Law Enforcement Officers and Firefighters Disability Board Wednesday, July 5, 2000 - 10:00 AM - Mayor's Office 2. John Wickstrom The Board reviewed the following claims: a) Regence Explanation of Benefits Claim No. 0006000666000 processed on March 15, 2000 for medical services received on February 7, 2000 in the amount of $9.76. b) Regence Explanation of Benefits Claim No. 0012610554900 processed on June 7, 2000 for medical services received on April 27, 2000 in the amount of $8.16. c) Regence Explanation of Benefits Claim No. 0005934358500 processed on March 27, 2000 for medical services received on February 21, 2000 in the amount of $15.00. Motion by Member Vandver, second by Member Barber to deny Claim No. 0006000666000 in the amount of $9.76 as the claim falls outside the ninety-day limit for filing claims. MOTION CARRIED UNANIMOUSLY. 3-0. Motion by Member Vandver, second by Member Barber to table Claim Nos. 0012610554900 and 0005934358500 and request Mr. Wickstrom provide additional documentation supporting the medical necessity of the medical service. MOTION CARRIED UNANIMOUSLY. 3-0. 3. Gerry E. Fuller Request for reimbursement of prescription co-pays, processed beyond the ninety-day limitation for filing claims, in the amount of $212.00. ($194.00 in pharmacy expenses within the 90-day limitation were already processed for payment.) Motion by Member Barber, second by Member Vandver to deny Mr. Fuller's claim for reimbursement for pharmacy expenses in the amount of $212.00 as the claims are outside the ninety-day limit for filing claims. MOTION CARRIED UNANIMOUSLY. 3-0. LEOFF Board Minutes July 5, 2000 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Wednesday, July 5, 2000 - 10:00 AM - Mayor's Office 4. Ed Henderson The Board reviewed the following claims: a) Request for reimbursement of prescription co-pays (some beyond the ninety-day limitation for filing claims) in the total amount of $91.50. b) Request for reimbursement of vision exam deductible in the amount of $10.00. Chair Kelly noted that Mr. Henderson included a notation of "Duplicate" next to some of the claims. Board Secretary Daskam explained that during the first week of May 2000, Mr. Henderson telephoned inquiring about the status of his claim, which he said he had mailed several weeks before. She explained to Mr. Henderson that there was no record of receiving a claim from him since before January 2000. Member Vandver verified that Board Secretary Daskam had called him after Mr. Henderson's telephone call, inquiring whether Mr. Vandver recalled receiving a claim from Mr. Henderson. No claim had been received from Mr. Henderson. The claim before the Board includes duplicates of those claims previously mailed by Mr. Henderson, but not received by the LEOFF Board. Motion by Member Vandver, second by Member Barber to waive the ninety-day limitation for Mr. Henderson's claims in light of the explanation regarding the delay in receiving them and approve Mr. Henderson's claims for pharmacy expenses in the amount of $91.50 and vision exam deductible in the amount of $10.00. MOTION CARRIED UNANIMOUSLY. 3-0. LEOFF Board Minutes July 5, 2000 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Wednesday, July 5, 2000 - 10:00 AM - Mayor's Office 5. Bruce Caldwell The Board reviewed the following claims: a) Request for reimbursement of the following claims in the total amount of $200.96 REGENCE CLAIM DATE(S) DATE PAID AMOUNT NUMBER OF /PROCESSE SERVICE D 0006331102900 02/28/00 03/15/00 $ 16.87 0007631111800 03/15/00 03/29/00 $ 16.87 0008431000700 03/23/00 04/05/00 $ 16.87 0009031119300 03/29/00 04/12/00 $ 16.87 0010531108900 04/11/00 05/03/00 $ 16.87 0011931200300 04/25/00 05/10/00 $ 16.87 0011931200400 04/26/00 05/10/00 $ 9.13 0012940221400 01/18/00 05/24/00 $ 56.87 0012940302900 01/25/00 05/24/00 $ 16.87 0012940303000 01/26/00 05/24/00 $ 16.87 TOTAL $200.96 Motion by Member Vandver, second by Member Barber to approve Mr. Cadwell's claims with date processed from March 29, 2000 to May 24, 2000 in the total amount of $184.09 and deny Claim No. 0006331102900 in the amount of $16.87 as it falls outside the ninety-day limit for filing claims. MOTION CARRIED UNANIMOUSLY. 3-0. Member Lewis arrived at this time. The Board discussed Mr. Caldwell's letter dated June 26, 2000 and the accompanying letter from his physician, Dr. Dennis Frederick. In his letter, Mr. Caldwell requests direction from the Board regarding Dr. Frederick's announcement that he is withdrawing as a Regence preferred provider. The Board discussed the Board's options and obligations regarding medical expenses for LEOFF members and the number of physicians/providers who are withdrawing from Regence. LEOFF Board Minutes July 5, 2000 Page 5 City of Auburn Law Enforcement Officers and Firefighters Disability Board Wednesday, July 5, 2000 - 10:00 AM - Mayor's Office Chair Kelly instructed the Board Secretary to correspond with Mr. Caldwell to explain that the Board will continue to follow the LEOFF Board Policies and Procedures and state law, and the Board will continue to reimburse members' claims according to Board policy regardless of whether his physician is a preferred provider under the Regence health plan. 6. Patricia Djarf The Board reviewed the following claims: a) Request for reimbursement of mail order and local pharmacy expenses (some outside the ninety-day limitation) in the total amount of $141.26. b) 1999 Form SSA-1099 Benefit Statement for reimbursement of Medicare premiums paid in the amount of $546.00. Motion by Member Lewis, second by Member Barber to approve Ms. Djarfs claim for reimbursement of 1999 Medicare premiums in the amount of $546.00. MOTION CARRIED UNANIMOUSLY. 4-0. Motion by Member Barber, second by Member Lewis to approve Ms. Djarf's pharmacy expense claims within the ninety-day limit ($56.00) and deny the pharmacy claims. outside the ninety-day limit ($85.26.) MOTION CARlED UNANIMOUSLY. 4-0. C. Correspondence 1. June 5, 2000 correspondence from the State Department of Retirement Systems transmitting revised LEOFF Plan 1 Local Disability Board Guidelines. Chair Kelly acknowledged receipt of the revised LEOFF Plan 1 Local Disability Board Guidelines received from the State Department of Retirement Systems. LEOFF Board Minutes July 5, 2000 Page 6 City of Auburn Law Enforcement Officers and Firefighters Disability Board Wednesday, July 5, 2000 - 10:00 AM - Mayor's Office V. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 10:38 AM. Approved this 9 ''~' day of August, 2000. Jim ,Kelly, LEOFFB~Chair Danielle Daskam, Board Secretary LEOFF Board Minutes July 5, 2000 Page 7