HomeMy WebLinkAbout08-06-2001 City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, August 6, 2001 - 10:00 AM - Conference Room I
MINUTES
I. CALL TO ORDER
Chair Pro Tem Bud Larson called the meeting to order at 10:00 AM in
Conference Room I located at Auburn City Hall, 25 West Main Street, Auburn,
WA. Members present included: Chair Pro Tem Bud Larson, Member Jeanne
Barber, and Member Stacey Brothers. Chair Jim Kelly and Member Russ
Vandver were excused from the meeting. Others present included Mayor
Charles A. Booth and Associate City Attorney Karen Gulliver.
I1. APPROVAL OF MINUTES
A. Minutes of the July 2, 2001 LEOFF Board Meeting
Motion by Member Brothers, second by Member Barber to approve the
July 2, 2001 LEOFF Board minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 3-0.
II1. UNFINISHED BUSINESS
A. Pending Disability I eave/Retirement Applications
1. Harold F. Philbin
Effective Date of Disability: April 1, 2001
Last Day of Service: March 31, 2001
On April 2, 2001, the LEOFF Board approved disability leave for
Mr. Philbin effective April 1, 2001 with last day of service on March
31, 2001. On June 4, 2001, the Board waived the monthly
physician's report, with the understanding that Mr. Philbin would be
subject to review by the Board's physician at a time in the future.
The Board's waiver of monthly physician reports was based on the
May 2, 2001 letter from Ron Kuppersmith MD.
Mr. Philbin's six months disability leave will conclude on September
31, 2001
LEOFF Board Minutes
August 6, 2001
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, August 6, 2001 - 10:00 AM - Conference Room 1
Motion by Member Barber, second by Member Brothers to refer Mr.
Philbin to the Board's physician for examination in order to
determine his eligibility for disability retirement; and to continue Mr.
Philbin's disability leave for an additional month, or until cessation
of disability, whichever occurs first.
MOTION CARRIED UNANIMOUSLY. 3-0.
B. Claims
1. John Wickstrom
a. Request dated March 30, 2001 for reimbursement of lenses
expense in the amount of $104.00.
On May 7 and June 4, 2001, the LEOFF Board tabled Mr.
Wickstrom's claim for reimbursement of lenses expense
pending the receipt of information confirming that Mr.
Wickstrom had submitted his claim to the insurance
company, Vision Service Plan.
On June 7, 2001, the LEOFF Board received the enclosed
Eye Exam and Corrective Lenses Worksheet completed by
his provider.
On July 2, 2001, the LEOFF Board tabled Mr. Wickstrom's
claim to allow time for Chair Kelly to contact Mr. Wickstrom
regarding his claim.
Chair Pro Tem Larson recommended that the Board
continue Mr. Wickstrom's claim for an additional month
pending confirmation that Chair Kelly contacted Mr.
Wickstrom.
Motion by Member Brothers, second by Member Barber to
table Mr. Wickstrom's claim until the next regular meeting.
MOTION CARRIED UNANIMOUSLY. 3-0.
LEOFF BoardMinutes
August6,2001
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, August 6, 2001 - 10:00 AM - Conference Room 1
2. Doris G. Damugh
a. Regence Explanation of Benefits Statement No.
0101700238600 processed on January 31, 2001 for
services received on January 11, 2001 in the amount of
$35.00.
On May 7, June 4, and July 2, 2001, the LEOFF Board
tabled Ms. Darough's claim pending submission of her claim
to Medicare as primary insurer and Regence as secondary.
No new information was received.
Motion by Member Barber, second by Member Brothers to
deny Ms. Darough's claim due to lack of documentation and
advise Ms. Darough that she can resubmit her claim at a
later date with the requested additional information.
MOTION CARRIED UNANIMOUSLY. 3-0.
3. John A. Baker
a. Request for reimbursement of medical expenses incurred in
March 2001 in the amount of $62.00.
On July 2, 2001, the Board tabled Mr. Baker's claim pending
the receipt of the appropriate insurance Explanation of
Benefits Statement(s). No new information was received.
Motion by Member Barber, second by Member Brothers to
table Mr. Baker's claim until the next regular meeting.
MOTION CARRIED UNANIMOUSLY. 3-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
There was no new application for disability leave/retirement.
B. Appeals
No request for reconsideration or appeal was received.
LEOFF Board Minutes
August 6, 2001
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, August 6, 2001 - 10:00 AM - Conference Room I
C. Medical Claims
1. Gerry E. Fuller
a. Regence Explanation of Benefits Statement No.
0115020541000 procesed on July 2, 2001 for services
received on March 6, 2001 in the amount of $53.36;
Regence Explanation of Benefits Statement No.
0115020540800 processed on July 2, 2001 for services
received on April 6, 2001 in the amount of $93.36; and
Regence Explanation of Benefits Statement No.
0115020540900 processed on July 2, 2001 in the amount of
$53.36 for a total claim of $200.08.
Motion by Member Barber, second by Member Brothers to
approve Mr. Fuller's claim in the total amount of $200.08.
MOTION CARRIED UNANIMOUSLY. 3-0.
b. Regence Explanation of Benefits Statement No.
0118121232100 processed on July 16, 2001 for services
received on June 6, 2001 in the amount of $53.36.
Motion by Member Brothers, second by Member Barber to
approve Mr. Fuller's claim in the amount of $53.36.
MOTION CARRIED UNANIMOUSLY. 3-0.
2. Ronald L. Cude
a. Request for reimbursement of medical services received on
March 9, 2001 in the amount of $202.47. (No Explanation of
Benefits Statement included.)
b. Request for reimbursement of medical services received in
March, April and May 2001 in the amount of $354.79. (No
Explanation of Benefits Statement included.)
LEOFF Board Minutes
August 6, 2001
Page 4
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Monday, August 6, 2001 - 10:00 AM - Conference Room 1
Chair Pro Tem noted that Mr. Cude's claim for payment was
not accompanied by the required insurance explanation of
benefits statements.
Motion by Member Barber, second by Member Brothers to
table Mr. Cude's claims pending receipt of the required
insurance explanation of benefits statements.
MOTION CARRIED UNANIMOUSLY. 3-0.
3. James Fisk
a. Regence Explanation of Benefits Statement No.
0034631525700 processed on December 20, 2000 for
services received on November 8, 2000 in the amount of
$350.00.
Chair Pro Tem Larson noted that Mr. Fisk's claim was
processed by insurance on December 20, 2000, which is
beyond the Board's ninety (90) day limit for filing claims.
Motion by Member Barber, second by Member Brothers to
reject Mr. Fisk's claim as the claim is beyond the ninety day
limit for filing claims.
MOTION CARRIED UNANIMOUSLY. 3-0.
D. Correspondence
No correspondence was received.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:10 AM.
APPROVED THIS ,L/~-~ DAY OF SEPTEMBER, 2001.
Bud Larson, Chair Pro Tem Board Secretary
LEOFF Board Minutes
August 6, 2001
Page 5