HomeMy WebLinkAbout10-02-2007City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 2, 2007 - 10:00 AM -Council Conference Room
MINUTES
I. CALL TO ORDER
Chair Jim Kelly called the meeting to order at 10:00 a.m. in the Council
Conference Room located at Auburn City Hall, 25 West Main Street in Auburn.
Chair Kelly and the following Board members were present: Chair Pro Tem Bud
Larson, Member Roger Thordarson, Member Lynn Norman and Member Bill
Petersen. Also present were Board Attorney Joseph Beck and Board Secretary
Danielle Daskam.
II. APPROVAL OF MINUTES
A. Minutes of the September 4, 2007 LEOFF Board Meeting*
Motion by Member Thordarson, second by Member Petersen to approve
the September 4, 2007 minutes as distributed.
MOTION CARRIED UNANIMOUSLY. 5-0.
III. UNFINISHED BUSINESS
A. Pending Disability Leave/Retirement Applications
Rich Schneider
Effective Date of Disability: July 7, 2007
Last Day of Service: July 6, 2007
On July 3, 2007, the LEOFF Board approved disability leave for
Rich Schneider effective July 7, 2007.
No monthly physician's report was received from Mr. Schneider.
Motion by Chair Pro Tem Larson, second by Member Petersen to
continue disability leave for an additional month pending the receipt
of his monthly physician's report.
MOTION CARRIED UNANIMOUSLY. 5-0.
B. Medical/HearingNision Claims
Ray Ogden
LEOFF Board Minutes
October 2, 2007
Page 1
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 2, 2007 -10:00 AM -Council Conference Room
Request for reimbursement of medical expenses in the total
amount of $372.00 per Regence Explanation of Benefits Statement
#0713695025100 for services received April 13, 2007.
On July 3, August 7, and September 4 2007, the LEOFF Board
tabled Mr. Ogden's claim pending the receipt of the Medicare
explanation of benefits statement. No new information was
received.
Motion by Chair Pro Tem Larson, second by Member Thordarson
to deny the claim pending the receipt of additional information as
requested by the Board previously.
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Don Casselman
Request for reimbursement of medical expenses received on June
5, 2007 in the amount of $22.40.
On August 7 and September 4, 2007, the Board tabled Mr.
Casselman's claim pending receipt of additional information in the
form of an insurance explanation of benefits statement.
Mr. Casselman submitted the Regence Explanation of Benefits
Statement Claim #0717734427900 and a highlighted. provider's
statement.
Motion by Chair Pro Tem Larson, second by Member Petersen to
table the claim until the next meeting pending the receipt of the
Medicare explanation of benefits statement.
MOTION CARRIED UNANIMOUSLY. 5-0.
IV. NEW BUSINESS
A. Disability Leave/Retirement Applications
No new application for disability leave/retirement was received.
B. Appeals/Requests for Reconsideration
No request for reconsideration was received.
C. Medical/Hearing/Vision Claims
1. Edward J. Wilson
LEOFF Board Minutes
October 2, 2007
Page 2
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 2, 2007 -10:00 AM -Council Conference Room
Request for reimbursement of medical expenses in the amount of
$665.00 for services received on May 5, 2007.
Chair Kelly noted a letter from the Board Secretary to Mr. Wilson
dated August 28, 2007 in which the Secretary advises Mr. Wilson
that the Regence Explanation of Benefits statement submitted with
his claim is for other services and not the services requested for
reimbursement. No further information was received from Mr.
Wilson.
Motion by Member Thordarson, second by Chair Pro Tem Larson
to table the claim pending the receipt of the insurance explanation
of benefits statement(s).
MOTION CARRIED UNANIMOUSLY. 5-0.
2. Stan Laatsch
Request for reimbursement of vision expenses in the amount of
$97.00.
Mr. Laatsch had not received reimbursement for vision expenses in
the last year.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $97.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
3. Russ Vandver
Request for reimbursement of medical expenses in the amount of
$65.28 per Regence Explanation of Benefits Statement
#0720132447500 for services received June 11, 2007 and
processed by insurance on July 19, 2007.
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $65.28.
MOTION CARRIED UNANIMOUSLY. 5-0.
4. Doris Darough
Request for reimbursement of pharmacy expense in the amount of
$4.00 which is beyond the time period for submission of pharmacy
expenses.
LEOFF Board Minutes
October 2, 2007
Page 3
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 2, 2007 - 10:00 AM -Council Conference Room
Motion by Member Petersen, second by Chair Pro Tem Larson to
deny the claim as it is outside the maximum time period for
submitting the claim and provide Ms. Darough with an explanation
for the denial.
MOTION CARRIED UNANIMOUSLY. 5-0.
5. Clifford Phillips
Request for reimbursement of vision expenses in the amount of
$353.00.
Mr. Phillips had not received reimbursement for vision expenses in
the last year.
Motion by Chair Pro Tem Larson, second by Member Thordarson
to approve the claim in the amount of $225.00, which is the policy
maximum.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. Don Webb
Request for reimbursement of dental expenses in the amount of
$675.00
DON WEBS 2007 $1,200.00 BALANCE
$1,200.00
June 5, 2007 $315.00 $885.00
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $675.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
6. Ed Henderson
Request for reimbursement of vision expenses in the amount of
$329.00.
Mr. Henderson had not received reimbursement for vision
expenses in the last year.
Motion by Chair Pro Tem Larson, second by Member Thordarson
to approve the claim in the amount of $225.00, which is the policy
maximum.
LEOFF Board Minutes
October 2, 2007
Page 4
City of Auburn Law Enforcement Ofgcers and Firefighters Disability Board
Tuesday, October 2, 2007 - 10:00 AM -Council Conference Room
MOTION CARRIED UNANIMOUSLY. 5-0.
7. Roger Lee
Request for reimbursement of dental expenses incurred on
September 18, 2007 in the amount of $2,632.50.
ROGER LEE 2007 $1,200.00 BALANCE
$1,200.00
May 1, 2007 $330.30 $869.70
July 3, 2007 $869.70 $0.00
Sept 4, 2007*"` $2,444.10 ($2,444.10}
"`Found Medically
Necessary
Motion by member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $2,632.50, finding the claim is
medically necessary.
MOTION CARRIED UNANIMOUSLY. 5-0.
8. Loren Anderson
Claims for reimbursement of dental expenses in the total amount of
$1,463.00.
Mr. Anderson had not previously received reimbursement for dental
expenses.
Motion by Chair Pro Tem Larson, second by Member Petersen to
approve reimbursement in the amount of $1,200, which is the
policy maximum without proof of medical necessity.
MOTION CARRIED UNANIMOUSLY. 5-0.
9. Murray Board
Request for reimbursement of dental expenses in the amount of
$171.00.
MURRAY BOARD $1,200.00 BALANCE
2007 $1,200.00
June 5, 2007 $203.00 $997.00
LEOFF Board Minutes
October 2, 2007
Page 5
City of Auburn Law Enforcement Officers and Firefighters Disability Board
Tuesday, October 2, 2007 - 10:00 AM -Council Conference Room
Motion by Member Petersen, second by Member Thordarson to
approve the claim in the amount of $171.00.
MOTION CARRIED UNANIMOUSLY. 5-0.
10. John Calkins
Request for reimbursement of dental expenses in the amount of
$556.00.
JOHN CALKINS 2007 $1,200.00 BALANCE
$1,200.00
March 6, 2007*** $1,776.60 ($576.60)
June 5, 2007*** $1,103.00 ($1,679.60)
July 3, 2007*** $576.00 ($2,255.60)
*** Found Medically Necessary
Motion by Member Petersen, second by Chair Pro Tem Larson to
approve the claim in the amount of $556:00, finding the claim is
medically necessary.
MOTION CARRIED UNANIMOUSLY. 5-0.
D. Correspondence
No correspondence was received.
E. Discussion
1. Election of Police LEOFF Board Representative
Board members reviewed the election calendar for the election of
the Police LEOFF Board representative. Nominations are due by
November 2, 2007.
V. ADJOURNMENT
There being no further business to come before the Board, the meeting
adjourned at 10:22 a.m.
APPROVED THE p2~~ DAY OF NOVEMBER, 2007.
L_ ~n~
Ji Kelly, Chair
Da ~elle Daskam, Secretary
LEOFF Board Minutes
October 2, 2007
Page 6