HomeMy WebLinkAbout06-01-2004
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 1, 2004 -10:00 AM - Conference Room 1
MINUTES
I. CALL TO ORDER
Chair Pro Tem Bud Larson called the meeting to order at 10:00 a.m. in
Conference Room 1 located at Auburn City Hall, 25 West Main Street. The
following Board members were present: Chair Pro Tem Larson, Member Bill
Peloza, Member Roger Thordarson and Member Russ Vandver. Chair Jim Kelly
was excused. Also present were: Board Secretary Danielle Daskam and Board
Attorney Joe Beck.
II. APPROVAL OF MINUTES
A. Minutes of the May 4. 2004 LEOFF Board Meetina
Motion by Member Thordarson, second by Member Vandver to approve
the May 4, 2004 minutes.
MOTION CARRIED UNANIMOUSLY. 4-0.
III. UNFINISHED BUSINESS
A. Pendina Disability Leave/Retirement Applications
There was no pending disability leave/retirement applications.
B. Claims
1. Rudy 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 and May 4, 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.
LEOFF Board members discussed Mr. Peden's claim in the
amount of $144.00 and an e-mail from Mr. Peden dated May
24, 2004 distributed at today's meeting. Board members
LEOFF Board Minutes
June 1, 2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 1, 2004 -10:00 AM - Conference Room 1
noted that in his e-mail.Mr. Peden requested that his
physician, Dr. Leifheit, respond to the Board's questions.
Motion by Member Thordarson, second by Member Vandver
to table the claim and instruct the Board Secretary to send
another letter to Mr. Peden reiterating the Board's initial
request for a description of-the medical services received
and information attesting to the medical necessity of the
medical services received.
MOTION CARRIED UNANIMOUSLY. 4-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
1. Rudy Peden
Effective Date of Disability: May 17, 2004
Last Day of Service: May 16, 2004
On May 19, 2004, LEOFF Board Chair Jim Kelly tentatively
approved disability leave for Rudy Peden effective May 17, 2004,
subject to full Board review and approval. Mr. Peden's application
for disability leave/retirement includes physicians' statements from
Dr. Schlitt dated May 12, 2004 and Dr. Peter Balouseki dated May
12, 2004.
Motion by Member Thordarson, second by Member Peloza to
approve disability leave for Rudy Peden effective May 17, 2004
with last day of service on May 16, 2004.
MOTION CARRIED UNANIMOUSLY. 4-0.
B. Appeals
No appeal was filed.
C. Medical/HearinaNision Claims
1 . RudY Peden
Request for reconsideration of the following claim:
a. 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.
LEOFF Board Minutes
June 1, 2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 1, 2004 -10:00 AM - Conference Room 1
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.
On March 4, 2004, Mr. Peden submitted the requested
Explanation of Benefits statement in response to the Board's
June 2, 2003 request for additional information. On April 6,
2004 the Board noted that Mr. Peden submitted a Regence
Explanation of Benefits Statement but did not submit the
requested physician's letter/statement attesting to the
medical necessity of the medical device.
On May 11, 2004, Mr. Peden submitted a physician's
statement dated June 20, 2002 from Dr. John Lombardi in
response to the Board' request.
Motion by Chair Pro Tem Larson, second by Member Peloza
to reaffirm the Board's September 3, 2003 action denying
the claim.
MOTION CARRIED UNANIMOUSLY. 4-0.
2. Bruce Caldwell
a. Regence Explanation of Benefits Claim No. 0409032930500
processed on April 14, 2004 for services received on March
22,2004 in the amount of $395.00.
Board members reviewed the claim including the physician's
statement accompanying the claim. Motion by Member
Peloza, second by Member Vandver to approve the claim in
the amount of $395.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
3. James Monnett
LEOFF Board Minutes
June 1, 2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 1, 2004 -10:00 AM - Conference Room 1
a. Regence Explanation of Benefits Claim No. 0408420840600
processed on April 9, 2004 for services received on March 9,
2004 in the amount of 203.00.
Board members reviewed Mr. Monnett's claim.
Motion by Member Vandver, second by Member Thordarson to
approve Mr. Monnett's claim in the amounf of $203.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
4. Dave Schuur
Request for reimbursement of lenses and frames in the amount of
$361.22 and dated May 19, 2004.
On February 2, 2004, the LEOFF Board approved reimbursement
of vision expenses in the amount of $195.97. Mr. Schuur received
his reimbursement on February 12, 2004. Mr. Schuur was
unsatisfied with the glasses he purchased and subsequently
returned them to the vendor and received a full refund. Mr. Schuur
reimbursed the City in the full amount on April 9, 2004.
Board members reviewed the claim and history.
Motion by Member Thordarson, second by Member Peloza to
approve reimbursement for Mr. Schuur in the amount of $200.00.
MOTION CARRIED UNANIMOUSLY. 4-0.
5. John Wickstrom
Claim for reimbursement of lens and frame vision expenses in the
amount of $50.00 for an exam, $27.99 for lenses and $99.99 for
frames. Mr. Wickstrom's claim was received too late for the
agenda packet and was distributed at the meeting.
The Board noted that the examination should be covered in full by
insurance.
Motion by Member Thordarson, second by Member Vandver to
approve reimbursement in the amount of $136.08 for lenses and
frames.
MOTION CARRIED UNANIMOUSLY. 4-0.
LEOFF Board Minutes
June 1, 2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 1, 2004 -10:00 AM - Conference Room 1
6. Ed Henderson
Claim for payment for reimbursement of vision expenses in the
amount of $207.71. Mr. Henderson's claim was received too late
for the agenda packet and was distributed at the meeting.
Motion by Member Peloza, second by Member Thordarson to
approve reimbursement in the amount of $200.00 for lenses and
frames.
MOTION CARRIED UNANIMOUSLY. 4-0.
Motion by Member Vandver, second by Member Peloza to table the
medical portion of Mr. Henderson's correspondence pending the
receipt of a claim for payment form for the surgery expenses.
MOTION CARRIED UNANIMOUSLY. 4-0.
D. Correspondence
No correspondence was received.
E. Discussion
1. LEOFF Conference
Board Secretary Daskam spoke briefly regarding the LEOFF
Conference she attended on behalf of the Board on May 12 and
13, 2004. She noted that the Board members have been provided
with copies of conference materials including Board policy
comparisons and Attorney Fishnaller's conference presentation on
necessary medical expenses. The conference also included a
legislative update, an actuarial report on the pension funds, and a
Board Secretaries' roundtable discussion.
2. Member Peloza brought to the Board's attention an Association of
Washington Cities article relating to the requirement to meet new
Governmental Accounting Standards Board (GASB) rules for
reporting LEOFF 1 medical liability. Chair Pro Tem Larson stated
that it will be the responsibility of the Finance Department to
comply with the GASB rules.
LEOFF Board Minutes
June 1, 2004
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City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, June 1, 2004 -10:00 AM - Conference Room 1
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:38 a.m.
APPROVED THIS ~/Ø DAY OF JULY, 2004.
As;;¡~----
banielle Daskam, Secretary
~/
LEOFF Board Minutes
June 1,2004
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