HomeMy WebLinkAbout03-05-2001 City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 5, 2001 - 10:00 AM - Conference Room I
MINUTES
I. CALL TO ORDER
Chair Kelly called the meeting to order at 10:00 AM in Conference Room 1
located in Auburn City Hall, 25 West Main Street, Auburn, WA. Members
present included Chair Kelly, Chair Pro Tem Bud Larson, and Member Stacey
Brothers. Members Jeanne Barber and Russ Vandver were excused. Others
present included: Mayor Charles A. Booth, Associate City Attorney Karen
Gulliver, Personnel Director Brenda Heineman, and Board Secretary Danielle
Daskam.
I1. APPROVAL OF MINUTES
A. Minutes of the February 5, 2001 LEOFF Board Meeting
Motion by Member Brothers, second by Member Larson to approve the
February 5, 2001 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 3-0.
III. UNFINISHED BUSINESS
A. Pending Disability Leave/Retirement Applications
There was no pending disability leave/retirement application.
B. Claims
1. Richard Huseby
On December 4, 2000, the LEOFF Board tabled Mr. Huseby's
claim pending the receipt of additional information documenting the
medical necessity of the medical services received. On December
18, 2000, Mr. Huseby submitted a letter from Dr. David Wukasch
regarding Mr. Huseby's medical condition. On January 2, 2001,
the LEOFF Board tabled Mr. Huseby's claim and requested that he
resubmit his claim to Regence with the additional information
provided by his physician. On February 5, 2001, the Board tabled
Mr. Huseby's claim. No new information was received.
LEOFF Board Minutes
March 5, 2001
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 5, 2001 - 10:00 AM - Conference Room 1
a. Regence Explanation of Benefits Claim No. 0029810230900
processed on October 24, 2000 and Medicare Explanation
of Benefits Statement dated August 4, 2000 for medical
services received on May 16, 2000 in the amount of
$210.00.
Motion by Member Larson, second by Member Brothers to
table Mr. Huseby's claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 3-0.
2. Hans Hansen
On January 2 and February 5, 2001, the LEOFF Board tabled the
following claim pending the receipt of the Regence Explanation of
Benefits Statement. No new information was received.
a. Medicare Claim Number 531147586A processed on
September 16, 2000 for medical services received July 15
through July 22, 2000 in the amount of $776.00.
Motion by member Larson, second by Member Brothers to
table Mr. Hansen's claim for an additional month.
MOTION CARRIED UNANIMOUSLY. 3-0.
3. Raymond E. Sherman
On February 5, 2001, the Board tabled Mr. Sherman's claim.
a. Regence Explanation of Benefits Statement No.
0022931407600 processed on August 23, 2000 for medical
services received on June 27, 2000 in the amount of $28.00.
Chair Kelly noted that although Mr. Sherman's claim was
tabled at the last meeting, further review of Mr. Sherman's
claim revealed the claim was outside the ninety (90) day limit
for filing claims.
Motion by Member Larson, second by Member Brothers to
deny Mr. Sherman's claim in the amount of $28.00 and
instruct the Board Secretary to notify Mr. Sherman of the
Board's action.
LEOFF Board Minutes
March 5, 2001
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 5, 2001 - 10:00 AM - Conference Room I
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. Bruce Caldwell
a. Regence Explanation of Benefits Statement No.
0034331158000 processed on December 27, 2000, for
services received on December 5, 2000, in the amount of
$210.00; and Regence Explanation of Benefits Statement
No. 0028631210700 processed on October 25, 2000 for
services received on October 10; 2000 in the amount of
$40.00; for a total claim amount of $250.00.
b. Regence Explanation of Benefits Statement No.
0101131213400 processed on January 31, 2001, for
services received on January 9, 2001, in the amount of
$84.07; and Regence Explanation of Benefits Statement No.
0034931325500 processed on December 27, 2000 for
services received on December 12, 2000, in the amount of
$59.54, for a total claim amount of $143.61.
Board members reviewed Mr. Caldwell's claims and
determined that some were outside the ninety (90) day limit
for filing claims.
Motion by Member Larson, second by Member Brothers to
approve claim for payment for Regence Explanation of
Benefits Statement No. 0034331158000 in the amount of
$210.00.
MOTION CARRIED UNANIMOUSLY. 3-0.
Motion by Member Larson, second by Member Brothers to
deny claim for payment for Regence Explanation of Benefits
LEOFF Board Minutes
March 5, 2001
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 5, 2001 - 10:00 AM - Conference Room I
Statement No. 0028631210700 in the amount of $40.00 as
the date processed is outside the ninety day limit for filing
claims.
MOTION CARRIED UNANIMOUSLY. 3-0.
Motion by Member Larson, second by Member Brothers to
approve claim for payment for Regence Explanation of
Benefits Statement Nos. 0101131213400 and
0034931325500 in the total amount of $143.61.
MOTION CARRIED UNANIMOUSLY. 3-0.
2. James Monnett
a. Regence Explanation of Benefits Statement No.
0034600055400 processed on December 20, 2000, for
services received on November 27 and 28, 2000, in the
amount of $28.25.
Motion by Member Larson, second by Member Brothers to
approve Mr. Monnett's claim in the amount of $28.25.
MOTION CARRIED UNANIMOUSLY. 3-0.
3. Sammy Mulkey
a. 2000 Form SSA-1099 Benefit Statement for reimbursement
of Medicare premiums paid in the amount of $546.00.
Motion by Member Larson, second by Member Brothers to
approve reimbursement of Medicare premiums paid in the
year 2000 in the amount of $546.00.
MOTION CARRIED UNANIMOUSLY. 3-0.
It was consensus of the Board members to authorize the
secretary to process for payment all future claims for
payment for reimbursement of Medicare premiums paid,
unless unusual circumstances occur.
LEOFF Board Minutes
March 5, 2001
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, March 5, 2001 - 10:00 AM - Conference Room 1
4. William Pitzl
a. Regence Explanation of Benefits Statement No.
0101110389100 processed on January 24, 2001, for
services received on December 27, 2000, in the amount of
$62.00 (Claim for Payment says $61.90).
Motion by Member Larson, second by Member Brothers to
approve Mr. Pitzl's claim in the amount of $61.90.
MOTION CARRIED UNANIMOUSLY. 3-0.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:10 AM.
APPROVED THE ~2~'~DAY OF APRIL, 2001.
Jim Kelly, Chairperson~ Danielle Daskam, Secretary
LEOFF Board Minutes
March 5, 2001
Page 5