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HomeMy WebLinkAbout05-04-2004 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, May 4,2004 -10:00 AM - Conference Room 1 MINUTES I. 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, Member Roger Thordarson, and Member Russ Vandver. Board Secretary Danielle Daskam was also present. II. APPROVAL OF MINUTES A. Minutes of the April 6, 2004 LEOFF Board Meetinq Motion by Chair Pro Tem Larson, second by Member Thordarson to approve the April 6, 2004 minutes as distributed. MOTION CARRIED UNANIMOUSLY. 5-0. III. UNFINISHED BUSINESS A. Pendinq Disabilitv Leave/Retirement Applications There was no pending disability leave/retirement applications. B. Claims 1. Rudv Peden a. 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. On April 6, 2004, the Board tabled 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. No new information was received. Motion by Vice Chair Larson, second by Member Vandver to table Mr. Peden's claim until the next regular meeting. MOTION CARRIED UNANIMOUSLY. 5-0. LEOFF Board Minutes May 4, 2004 Page 1 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, May 4,2004 -10:00 AM - Conference Room 1 At the recommendation of Member Peloza, Chair Kelly instructed the Board Secretary to include a statement on future agendas that a letter has been sent to the claimant on behalf of the Board advising of the Board's action. 2. Victor Shivelv a. Request for reimbursement of dental and oral surgery services received in February 2004 in the amount of $1,489.30. On April 6, 2004, the Board tabled Mr. Shively's claim pending the receipt of an insurance explanation of benefits statement. Mr. Shively submitted additional Information for his claim after the Board agenda packet was distributed, therefore, the materials were distributed during the meeting. The Board members reviewed Mr. Shively's May 2, 2004 correspondence and Washington Dental Service Explanation of Benefits statements. Motion by Member Peloza, second by Member Vandver to approve reimbursement of expenses in the amount of $2,188.30 based on the Washington Dental Service Explanation of Benefits statements. MOTION CARRIED UNANIMOUSLY. 5-0. b. Request for reimbursement of $680.00 for dental services received by Mr. Shively. On April 6, 2004, the Board tabled Mr. Shively's claim pending the receipt of clarification of the document information and receipt of an insurance explanation of benefits statement. See Item III.B.2.a above for action on this claim. IV. NEW BUSINESS A. Disabilitv Leave/Retirement Applications No new application for disability leave/retirement was received. B. Appeals No appeal was filed. LEOFF Board Minutes May 4, 2004 Page 2 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, May 4,2004 -10:00 AM - Conference Room 1 C. Medical/HearinqNision Claims 1. Martin Eric Bearscove a. Regence Explanation of Benefits Claim No. 0406895022200 processed on March 17, 2004 and Medicare statement of benefits claim no. 04058804816000 processed on April 1, 2004 for medical devices in the amount of $270.00. Board members reviewed the Medicare and Regence Explanation of Benefits Statements denying coverage for the medical devices and a prescription for the medical devices from Mr. Bearscove's provider. Motion by Chair Pro Tem Larson, second by Member Thordarson to approve reimbursement for the medical devices in the amount of $270.00. MOTION CARRIED UNANIMOUSLY. 5-0. 2. Don Webb a. Request for reimbursement of lenses and frames in the total amount of $233.65. Mr. Webb has not received reimbursement for lenses or frames within the last year. Motion by Member Thordarson, second by Chair Pro Tem Larson to approve reimbursement in the amount of $200.00 in accordance with Board policy. MOTION CARRIED UNANIMOUSLY. 5-0. 3. John Baker a. Request for reimbursement of lenses and frames in the total amount of $196.13. Mr. Baker has not received reimbursement for lenses or frames within the last year. Motion by Member Peloza, second by Member Vandver to approve reimbursement in the amount of $196.13 in accordance with Board policy. MOTION CARRIED UNANIMOUSLY. 5-0. LEOFF Board Minutes May 4, 2004 Page 3 City of Auburn Law Enforcement Officers and Firefighters Disability Board Tuesday, May 4,2004 -10:00 AM - Conference Room 1 4. William Pitzl a. Request for reimbursement of lenses and frames in the total amount of $455.00. Mr. Pitzl 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 in accordance with Board policy. MOTION CARRIED UNANIMOUSLY. 5-0. 5. Rav Oqden Request for pre-approval for the purchase one hearing aid from Costco Hearing Aid Center in the amount of $899.00. Mr. Ogden's request was added to the agenda. Motion by Chair Pro Tem Larson, second by Member Vandver to approve the purchase of one hearing aid in the amount of $899.00 for Mr. Ogden. MOTION CARRIED UNANIMOUSLY. 5-0. D. Correspondence Chair Kelly acknowledged the following correspondence as informational only: 1. April 27, 2004 e-mail from Department of Retirement Systems Rules Coordinator regarding possible rule-making (Chapter 4, Laws of 2004 [HB 2418]). E. Discussion Chair Kelly reminded the Board members that he will be unable to attend the June 1, 2004 Board meeting. V. ADJOURNMENT There being no further business to come before the Board, the meeting adjourned at 10:26 a.m. 51-- APPROVED THIS / DAY OF JUNE, 2004. "Ûtlt¿;;;y J1ud¡~ Danielle Daskam, Secretary LEOFF Board Minutes May 4, 2004 Page 4