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Home My WebLink About04-06-2004City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, April 6, 2004 - 10:00 AM - Conference Room 1 MINUTES CALL TO ORDER Chair Jim Kelly called the meeting to order at 10:00 a.m. in Conference Room 1 located at City Hall, 25 West Main Street, Auburn, Washington. The following Board members were present: Chair Kelly, Chair Pro Tem Bud Larson, Member Bill Peloza, and Member Roger Thordarson. Member Russ Vandver was excused. Also present were: Assistant City Attorney Joseph Beck and Board Secretary Danielle Daskam. II. APPROVAL OF MINUTES Minutes of the March 2, 2004 LEOFF Board Meeting Motion by Chair Pro Tem Larson, second by Member Thordarson to approve the March 2, 2004 minutes as distributed. MOTION CARRIED UNANIMOUSLY. 4-0. II1. UNFINISHED BUSINESS A. Pending Disability Leave/Retirement Applications Ronald M. Logan Effective Date of Disability: February 25, 2004 Last Day of Service: February 23, 2004 On March 2, 2004, the Board approved disability leave for Ronald Logan effective February 25, 2004 with last day of service on February 23,'2004. A request to return duty was received by Chair Kelly on April 2, 2004, and tentatively approved. A copy of Mr. Logan's request to return to duty effective April 4, 2004 together with physician statements releasing Mr. Logan to full duty were distributed .at the meeting. Motion by Chair Pro Tem Larson, second by Member Thordarson to approve Mr. Logan's return to duty effective April 4, 2004 with no restrictions or conditions. MOTION CARRIED UNANIMOUSLY. 4-0. B. Claims There was no pending claim. LEOFF Board Minutes April 6, 2004 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, April 6, 2004 - 10:00 AM - Conference Room 1 IV. NEW BUSINESS Ao Disability Leave/Retirement Applications No new application for disability leave/retirement was received. B. Appeals No appeal was filed. C. Medical/HearingNision Claims 1. Rudy Peden ao Regence Explanation of Benefits Claim No. 0332933201200 processed on December 9, 2003 for medical services received on October 22, 2003 in the amount of $144.00. Board members reviewed the information submitted by Mr. Peden. Motion by Member Peloza, second by Chair Pro Tem Larson to table Mr. Peden's claim pending receipt of additional information including an explanation for delay in submitting the claim beyond the 90-day claim period, a description of the medical services received, and information attesting to the medical necessity of the medical services received. MOTION CARRIED UNANIMOUSLY. 4-0. Regence Explanation of Benefits Claim No. 0304432574800 processed on February 19, 2003 for medical services received on January 21, 2003 in the amount of $86.71. This claim was originally submitted to the LEOFF Board on June 2, 2003 at which time the Board tabled the claim pending the receipt of additional information including an insurance explanation of benefits statement and a physician's letter/statement attesting to the medical necessity of the medical device. The Board denied the claim on September 2, 2003 due to lack of information. Board members reviewed the informatiOn submitted by Mr. Peden. The Board members noted that Mr. Peden submitted a Regence Explanation of Benefits Statement in LEOFF Board Minutes April 6, 2004 Page 2 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, April $, 2004 - 10:00 AM - Conference Room 1 response to the Board's June 2, 2003 request for an insurance explanation of benefits statement. Board members also noted that Mr. Peden did not submit the requested physician's letter/statement attesting to the medical necessity of the medical device. Motion by Member Peloza, second by Member Thordarson to not reopen Mr. Peden's claim unless or until the requested information (physician's letter/statement attesting to the medical necessity of the medical device) is received by the Board. MOTION CARRIED UNANIMOUSLY. 4-0. Alan Kosko - ao Regence Explanation of Benefits Claim No. 0334433225100 in the amount of $20.00 processed on December 24, 2003 for medical services received on December 8, 2003. Motion by Chair Pro Tem Larson, second by Member Peloza to deny the claim finding that the claim is for routine, preventative or elective services. MOTION CARRIED UNANIMOUSLY. 4-0. Edward Sluys Request for reimbursement of lenses and frames in the total amount of $212.27. Mr. Sluys has not received reimbursement for lenses or frames within the last year. Motion by Member Peloza, second by Chair Pro Tem Larson to approve reimbursement in the amount of $200.00 per Board policy Section 9.02. MOTION CARRIEDUNANIMOUSLY. 4-0. Monroe Shropshire (The following claim was submitted after preparation of the agenda and was submitted to the Board during the meeting.) LEOFF Board Minutes April 6, 2004 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, April 6, 2004 - '10:00 AM - Conference Room '1 ao Claim for payment (Group 0406315057000) in the amount received on February 19, 2004. Health Claim No. of $75.00 for services Motion by Chair Pro Tem Larson, second by Member Thordarson to approve the claim in the amount of $75.00. MOTION CARRIED UNANIMOUSLY. 4-0. Victor Shively (The following claim was submitted after preparation of the agenda and was submitted to the Board during the meeting.) Request for reimbursement of dental and oral surgery services received in February 2004 in the amount of $1,489.30. Chair Kelly noted that the claim is supported by letters from Dr. Manuel LaRosa and F. Paul Ferguson, DDS describing the necessity for the dental procedures and the benefits to Mr. Shively's general health. Motion by Chair Pro Tem Larson, second by Member Peloza to table the claim pending the receipt of an insurance explanation of benefits statement. MOTION CARRIED UNANIMOUSLY. 4-0. Request for reimbursement of $680.00 for dental services received by Mr. Shively. Motion by Member Peloza, second by Chair Pro Tem Larson to table the claim pending the receipt of clarification of the document information and receipt of an insurance explanation of benefits statement. MOTION CARRIED UNANIMOUSLY. 4-0. Chair Kelly indicated he would contact Mr. Shively personally regarding the Board's requests for additional information related to his claims. D. Correspondence Chair Kelly acknowledged the following correspondence: LEOFF Board Minutes April 6, 200.4 Page 4 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, April 6, 2004 - 10:00 AM - Conference Room 1 Vo Letter dated March 1, 2004 addressed to Jim Kelly, LEOFF Board Member, from William M. Pitzl. Board members briefly discussed the topic of dental benefits for retired LEOFF 1 members. Chair Kelly requested the Board Secretary compile information regarding other LEOFF Boards' policies relating to dental benefits for the July 2004 LEOFF Board meeting. Chair Kelly instructed the Board Secretary to correspond with Mr. Pitzl E. Discussion 1. June 1,2004 LEOFF Board meeting. Chair Kelly announced that he will not be in attendance at the June 1, 2004 LEOFF Board meeting. Chair Pro Tern Larson will preside over the meeting. Washington State LEOFF Education Association Conference, May 11-13, 2004 in Vancouver, Washington. Board members briefly discussed the upcoming LEOFF Conference. As no members of the Board are able to attend this year's conference, Chair Kelly requested Board Secretary Daskam attend the LEOFF Conference on behalf of the Board. ADJOURNMENT There being no further business to adjourned at 10:48 a.m. APPROVED ThiS ~//~ come before the Ily, Chair Board, the meeting DAY OF MAY 2004. Danielle Daskam, Secretary LEOFF Board Minutes April 6, 2004 Page 5