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HomeMy WebLinkAbout09-02-2003City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, September 2, 2003 - 10:30 AM - Conference Room #1 MINUTES I1. III. CALL TO ORDER Chair Jim Kelly called the meeting to order at 10:30 AM in Conference Room 1 located at Auburn City Hall, 25 West Main Street, Auburn, WA. Chair Kelly and the following Board members were present: Chair Pro Tem Bud Larson, Member Stacey Brothers, and Member Russ Vandver. Member Gene Cerino was excused. Also present was Board Secretary Danielle Daskam. APPROVAL OF MINUTES Minutes of the Auqust 4, 2003 LEOFF Board Meeting Motion by Chair Pro Tem Larson, second by Member Brothers to approve the minutes as mailed. MOTION CARRIED UNANIMOUSLY. 4-0. UNFINISHED BUSINESS Pending Disability Leave/Retirement Applications There was no pending disability leave/retirement application. B. Claims Rudy Peden Request dated May 6, 2003 for reimbursement of services in the amount of $86.71. On June 2, July 7, and August 4, 2003, the Board tabled Mr. Peden's claim pending the receipt of an insurance explanation of benefits statement and a physician's statement/letter attesting to the medical necessity for the medical device. No new information was received. Motion by Chair Pro Tem Larson, second by Member Brothers to deny Mr. Peden's claim due to lack of requested information. MOTION CARRIED UNANIMOUSLY. 4-0. LEOFF Board Minutes September 2, 2003 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, September 2, 2003 - 10:30 AM - Conference Room #1 Robert Reno Claim for payment for reimbursement of medical expenses in the amount of $156.38 for medical services received on April 15, 2003. On July 7 and August 4, 2003, the Board tabled Mr. Reno's claim pending the receipt of a complete claim including an explanation of benefits statement from insurance and information on Mr. Reno's condition, treatment and prognosis. No new information was received. Motion by Chair Pro Tem Larson, second by Member Brothers to table Mr. Reno's claim for an additional month. MOTION CARRIED UNANIMOUSLY. 4-0. George Blinn Claim for payment for reimbursement of medical expenses in the amount of $840.00 for medical services received April 19 - 26, 2003 and processed by Medicare on May 6, 2003. On August 4, 2003, the Board tabled Mr. Blinn's claim pending the receipt of the Regence explanation of benefits statement. No new information was received. Motion by Chair Pro Tem Larson, second by Member Vandver to table Mr. Blinn's claim for an additional month. MOTION CARRIED UNANIMOUSLY. 4-0. IV. NEW BUSINESS A. Disability Leave/Retirement Applications John Dodd Effective Date of Disability: August 26, 2003 Last Day of Service: August 25, 2003 On August 15, 2003, LEOFF Board Chair Jim Kelly tentatively approved disability leave for John Dodd effective August 26, 2003, subject to full Board review and approval. Mr. Dodd's application for disability leave/retirement includes physicians' statements from Dr. K. Lautman dated August 4, 2003 and Dr. Anna Curtis dated August 12, 2003. LEOFF Board Minutes September 2, 2003 Page 2 City of Auburn Law Enforcement Officers and Fireflghters Disability Board TueSday, September 2, 2003 - 10:30 AM - Conference Room #1 Co Motion by Member Vandver, second by Chair Pro Tem Larson to approve Mr. Dodd's Application for Disability Leave or Retirement filed August 13, 2003 for leave effective August 26, 2003 with last day of service on August 25, 2003. MOTION CARRIED UNANIMOUSLY. 4-0. Appeals No appeal was filed. Medical/HearingNision Claims Bruce Caldwell Request for reimbursement of dental expenses incurred on March 12, 2003 and processed by insurance on June 18, 2003 in the amount of $138.00. Board members reviewed Mr. Caldwell's claim for payment and his letter dated May 21, 2003, in support of the claim as a medical necessity rather than a dental condition. Motion by Member Vandver, second by Chair Pro Tem Larson to table Mr. Caldwell's claim pending receipt of a physician's statement that Mr. Caldwell's condition is a medical condition rather than a dental condition, and the services are required and not elective. MOTION CARRIED UNANIMOUSLY. 4-0. Murray Board Claim for payment follows: for reimbursement of vision expenses as Trifocal Vision Lenses: $235.00 LEOFF Board Policy 9.02(A)(2) provides for reimbursement for lenses and frames as follows: Trifocal Vision Lenses $ 80.00 Mr. Board has not received reimbursement for either lenses or frames within the last two years. LEOFF Board Minutes September 2, 2003 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, September 2, 2003.10:30 AM - Conference Room #1 Motion by Chair Pro Tem Larson, second by Member Brothers to reimburse Mr. Board in the amount of $80.00 per Board policy. MOTION CARRIED UNANIMOUSLY. 4-0. William Petersen Claim for payment for reimbursement of vision expenses follows: as Soft Contact Lenses: $200.00 LEOFF Board Policy 9.02(A)(2) provides for reimbursement for lenses and frames as follows: Hard Contact Lenses: Soft Contact Lenses: $ 40.00/pair $15.00/six pack On August 5, 2002, the Board approved reimbursement of the following vision expenses: $100 for lenses, $90 for frames. Chair Kelly noted that LEOFF Board policy states that retired LEOFF I members must show that contacts are medically necessary to be eligible for reimbursement. Motion by Chair Pro Tem Larson, second by Member Brothers to table Mr. Petersen's claim pending receipt of additional information, specifically, documentation supporting the medical necessity for the contact lenses and the type of contact lenses prescribed. MOTION CARRIED UNANIMOUSLY. 4-0. Coy Franklin Grail Claim for payment follows: for reimbursement of vision expenses as Progressive Lenses: Frames $200.00 $100.00 LEOFF Board Policy 9.02(A)(2) provides for reimbursement for lenses and frames as follows: Progressive Lenses: Frames $100.00 $ 90.00 LEOFF Board Minutes September 2, 2003 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, September 2, 2003 - 10:30 AM - Conference Room #1 Mr. Grail has not received reimbursement for either lenses or frames within the last two years. Motion by Chair Pro Tem Larson, second by Member Brothers to approve reimbursement in the amount of $190.00 per LEOFF Board policy. MOTION CARRIED UNANIMOUSLY. 4-0. Correspondence No correspondence was received. Discussion Amendment to LEOFF Board Policy 1.05 to reflect changes in state law (Senate Bill 5090) relating to disability board elections. Members conducted a follow-up discussion of the state law changes relating to LEOFF Board elections. Chair Kelly recalled that at the last Board meeting, members discussed the change in law which changes who can elect and be elected a Board member. Chair Kelly reported there appears to be differing interpretations of the new law. Board members reviewed City of Lynwood's new policy on LEOFF Board elections, which incorporates the law change. Members also reviewed the Department of Retirement Systems July 15, 2003 letter which states in part, "The bill clarifies that any Law Enforcement Officers' and Fire Fighters' (LEOFF) Plan 1 or Plan 2 member may serve on a city or county disability board provided they are elected by those LEOFF Plan 1 members and retirees who are subject to the jurisdiction of the board." Member Vandver also reported that a representative from the State Retirement System advised him that either LEOFF 1 or 2 members can serve on a board, but only LEOFF 1 active or retired members can vote. Chair Kelly recalled that at the last Board meeting Associate City Attorney Gulliver interpreted the law to require that only those members "subject to the jurisdiction of the board" could elect or be elected a member of the board. LEOFF Board Minutes September 2, 2003 Page 5 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, September 2, 2003 - 10:30 AM - Conference Room #1 It was consensus of the Board to refer the question of the interpretation of Senate Bill 5090 to City Attorney Held for a legal opinion. Chair Kelly advised that he will forWard a request for an opinion to City Attorney Heid. ADJOURNMENT There being no further business, the meeting adjourned at 10:55 AM. APPROVED THE-- ~ ~ DAY OF OCTOBER, 2003. Jir~ Kelly, Chair Danielle Daskam, Board Secretary LEOFF Board Minutes September 2, 2003 Page 6