2023-11-20 Disability Board PacketEDMONDS LEOFF 1 DISABILITY
BOARD
MEETING NOTICE AND AGENDA
REGULAR MEETING
Monday, November 20, 2023
Zoom
Brackett Room City Hall
11:00 am
https://edmondswa-gov.zoom.us/o/86459591784
E �
• CALL TO ORDER
• APPROVAL OF MEETING MINUTES
a. From the 5/5/2023 Meeting
b. From the 10/10/2023 Meeting
10
10
• DISCUSS AND APPROVE CLAIMS SUMMARY REPORT
c. For the period 07/01/2023 — 09/30/2023
• BUSINESS
d. Review #05-06 Medicare Premium Reimbursement policy (last reviewed
7/19/2018)
• OTHER
o Next Board Meeting date (January 2024)
Page 1
EDMONDS' DISABILITY BOARD
Meeting Minutes
Regular Meeting
5/5/2023
MEMBERS PRESENT:
Ken Jones, Board Chair
Gary McComas, Board Member
Susan Paine, Council President
Jenna Nand, Council Member
Jim Distelhorst, Citizen -at -Large
STAFF PRESENT:
Carly Derrick, HR Analyst
MEMBERS OF THE PUBLIC PRESENT:
None
CALL TO ORDER:
Board Member McComas called the meeting to order at 11:04 AM.
APPROVAL OF MINUTES:
Council President Susan Paine moved to approve the minutes for the 5/31/2022 meeting. Mr.
Distelhorst seconded the motion. Minutes approved unanimously.
DISCUSS AND APPROVE CLAIMS SUMMARY REPORT 01/02/2023 — 3/31/2023
Summary of Current
Costs
01 /01 /2023 - 03/31 /2023
SERVICE
Number of Claims
Total Paid for Service
Deductibles
2
$ 309.98
Dental Expenses
5
$ 1,910.20
Eyeglasses
1
$ 300.00
Long Term Care
6
$ 29,579.14
Medical Services
6
$ 1,954.79
Medicare Premium
14
$ 21,349.20
Prescription
13
$ 2,903.55
Grand Total
47
$ 58,306.86
Claims report approved unanimously.
Edmonds Disability Board — 5/5/2023
BUISINESS
Review/discuss LEOFF 1 member's request for LTC services
Member McComas made a motion to approve the member's request for long-term care. Council member
Nand seconded. Chair Jones abstained. The motion carried.
Review/Revise Board Policies
04-06 Hearing Aids
Upon hearing legal counsel's feedback, the Board approved hearing aid policy as outlined in the 2/24/23
meeting.
Council member Paine made a motion to approve the new hearing aid policy. Mr. Distelhorst seconded.
Motion carried unanimously.
011-16 Medical Services & Equipment
Council member Paine made a motion to keep the $500 current policy, but to update the policy with the
current RCW and reference the new hearing aid policy.
Council member Nand asked for legal counsel to review the RCW to ensure it matches with current
policy.
Chair Jones adjourned the meeting at 11:39 a.m.
Page 2 of 2
EDMONDS' DISABILITY BOARD
Meeting Minutes
Regular Meeting
10/10/2023
MEMBERS PRESENT:
Ken Jones, Board Chair
Gary McComas, Board Member
Susan Paine, Council President
Jenna Nand, Council Member
Jim Distelhorst, Citizen -at -Large
STAFF PRESENT:
Carly Derrick, HR Analyst
Jessica Vuong, HR Assistant
MEMBERS OF THE PUBLIC PRESENT:
None
CALL TO ORDER:
Board Chair Jones called the meeting to order at 11:00 AM.
APPROVAL OF MINUTES: ■
Meeting minutes were inadvertently missed in the packet. Item will move to next meeting for approval.
DISCUSS AND APPROVE CLAIMS SUMMARY REPORT 01/02/2023 — 3/31/2023
Summary of Current
Costs
04/01 /2023-06/30/2023
SERVICE
Number of Claims
Total Paid for Service
Long Term Care
4
$ 21,989.29
Medical Services
3
$ 704.34
Medicare Premium
2
$ 3,674.40
Prescription
5
$ 644.99
Grand Total
14
$ 27,013.02
Mr. Distelhorst made a motion to approve claims report. Council member Paine seconded. Motion
carried unanimously.
Edmonds Disability Board — 10/10/2023
BUSINESS
Review/discuss LEOFF 1 member's request for Hearing Aids
Member did not submit enough information for a determination. Mrs. Derrick will request additional
information from member.
Other
3rd quarter meeting scheduled for November 20, 2023 at 11:00 a.m. via Zoom.
Chair Jones adjourned the meeting at 11:13 a.m.
11
kA
Page 2 of 2
CITY OF EDMONDS DISABILITY BOARD
CLAIMS SUMMARY
07/01 /2023 to 09/30/2023
r7 1 g9.>
CLAIM NO.
SERVICE
RCW/PAST PRACTICE
COST
28
Long Term Care
008-11
$ 7,000.00
29
Long Term Care
008-11
$ 5,848.20
30
Prescription
010-15
$ 62.00
Medical Services
RCW
$ 142.23
Long Term Care
008-11
$ 3,726.16
31
Prescription
010-15
$ 38.71
Medical Services
RCW
$ (433.28)
Long Term Care
008-11
$ 3,292.89
32
Long Term Care
008-11
$ 5,848.20
33
Long Term Care
008-11
$ 7,000.00
34
Prescription
010-15
$ 38.71
Long Term Care
008-11
$ 3,263.70
35
Long Term Care
008-11
$ 5,848.20
36
Long Term Care
008-11
$ 7,000.00
37
Prescription
010-15
$ 277.55
Medical Services
RCW
$ 459.00
Hearing Aid
004-06
$ 60.00
38
Prescription
010-15
$ 211.25
Medical Services
RCW
$ 226.00
Dental Expenses
002-05
$ 102.00
39
Prescription
010-15
$ 38.71
Medical Services
RCW
$ 83.77
Long Term Care
008-11
$ 3,292.89
40
Long Term Care
008-11
$ 7,000.00
41
Long Term Care
008-11
$ 7,000.00
42
Prescription
010-15
$ 126.35
Dental Expenses
002-05
$ 417.66
43
Long Term Care
008-11
$ 5,848.20
Total Approved Claims Total Reimbursed $ 73,819.10
Disability Board 2023 Q3 City of Edmonds - Human Resources Department Page 1
Current and Historial Claim Count & Costs
Summary of Current
Costs
07/01 /2023 - 09/30/2023
SERVICE
Number of Claims
Total Paid for Service
Dental Expenses
2
$ 519.66
Hearing Aid
1
$ 60.00
Long Term Care
13
$ 71,968.44
Medical Services
5
$ 477.72
Prescription
7
$ 793.28
Grand Total
28
$ 73,819.10
Summary of Historical
Costs
07/01 /2022 - 09/30/2023
SERVICE
Number of Claims
Total Paid for Service
Deductible
1
$ 233.00
Dental Expenses
3
$ 1,567.00
Eyeglasses
1
$ 259.98
Long Term Care
6
$ 27,334.89
Medical Services
3
$ 209.27
Medicare Premium
1
$ 1,782.00
Prescription
4
$ 1,456.66
Grand Total
20
$ 32,842.80
Disability Board 2023 Q3 [11/20/2023] City of Edmonds - Human Resources Department Page 2
CURRENT SUMMARY OF
COST BY BARS NUMBER 07/01/2023 - 09/30/2023
LEOFF 1 Fund
BARS NUMBER
ANNUAL APPROPRIATION
YTD EXPENDITURE
BALANCE
% USED
009.000.39.517.20.23.00
$64,000.00
$32,682.14
$31,317.86
51.07%
Reimbursement Benefits
009.000.39.517.20.23.10
$142,650.00
$67,280.34
$75,369.66
47.16%
Premium Benefits
009.000.39.517.20.29.00
$152,990.00
$136,516.06
$16,473.94
89.23%
In Home/Assisted Living
009.000.39.517.20.41 - 49
$7,500.00
$19,000.00
($11,500.00)
253.33%
Proff. Svcs, Travel, Misc.
Expenses
TOTAL:
$367,140.00
$255,478.54
$111,661.46
69.59%
Fireman's Pension Fund
BARS NUMBER
ANNUAL APPROPRIATION
YTD EXPENDITURE
BALANCE
% USED
001.000.39.517.20.23.20
$10,000.00
$2,850.00
$7,150.00
28.50%
Reimbursement Benefits
001.000.39.517.20.23.10
$14,560.00
$10,772.96
$3,787.04
73.99%
Premium Benefits
001.000.39.517.20.23.00
$25,000.00
$4,385.22
$22,076.52
11.69%
Pension & Other Benefits
001.000.39.517.20.29.00
$165,023.00
$59,726.64
$105,296.36
36.19%
Pension and Disability
Payments
001.000.39.517.20.41.00
$1,200.00
$12,500.00
($11,300.00)
1041.67%
Professional Svcs.
TOTAL:
$215,783.00
$90,234.82
$127,009.92 41.82%
Disability Board 2023 Q3 [11/20/2023] City of Edmonds - Human Resources Department Page 3
HISTORICAL SUMMARY
OF COST BY BARS
NUMBER 07/01/2022 - 09/30/2022
LEOFF 1 Fund
BARS NUMBER
ANNUAL APPROPRIATION
YTD EXPENDITURE
BALANCE
% USED
009.000.39.517.20.23.00
$64,000.00
$44,324.32
$19,675.68
69.26%
Reimbursement Benefits
009.000.39.517.20.23.10
$142,650.00
$77,904.99
$64,745.01
54.61 %
Premium Benefits
009.000.39.517.20.29.00
$252,990.00
$69,711.96
$183,278.04
27.56%
In Home/Assisted Living
009.000.39.517.20.41 - 49
$7,500.00
$14,189.25
($6,689.25)
189.19%
Proff. Svcs, Travel, Misc.
Expenses
TOTAL:
$467,140.00
$206,130.52
$261,009.48
44.13%
Fireman's Pension Fund
BARS NUMBER
ANNUAL APPROPRIATION
YTD EXPENDITURE
BALANCE
% USED
001.39.517.20.23.20.23.20
$10,000.00
$3,971.80
$6,028.20
39.72%
Reimbursement Benefits
001.000.39.517.20.23.10
$14,560.00
$11,337.57
$3,222.43
77.87%
Premium Benefits
001.000.39.517.20.23.00
$25,000.00
$5,515.20
$19,484.80
22.06%
Pension & Other Benefits
001.000.39.517.20.29.00
$70,944.00
$63,843.07
$7,100.93
89.99%
Pension and Disability
Payments
001.000.39.517.20.41.00
$1,200.00
$0.00
$1,200.00
0.00%
Professional Svcs.
TOTAL:
$121,704.00
$84,667.64
$37,036.36 69.57%
Disability Board 2023 Q3 [11/20/2023] City of Edmonds - Human Resources Department Page 4
05-06
Effective:
Revised:
City of Edmonds Disability Board
POLICY AND PROCEDURE
As approved by the Board at the July 26, 2006 meeting
As approved by Board at the April 19, 2017 and July 19, 2018 meeting(s)
SUBJECT: MEDICARE PREMIUM REIMBURSEMENTS, #05-06
The City of Edmonds LEOFF 1 Disability Board has been reimbursing eligible LEOFF 1
members for medicare premiums deducted from their Social Security benefits since
1999. The Disability Board formalized this past practice into policy effective July 26,
2006. The Disability Board hereby revises that policy to adopt certain reimbursement
limitations as of the above meeting date.
To receive a reimbursement under this policy, eligible LEOFF 1 members must submit to
the Disability Board a photocopy of Form SSA — 1099: Social Security Benefit Statement
from the Social Security Administration. The form must clearly state the amount of
Medicare Part A or B premium deducted from the Social Security benefit. With the
submission of this form, the Human Resources staff will advise the Disability Board and
process the reimbursement.
The base Medicare premium amount per year that is reimbursable under this policy is up
to the dollar amount determined annually by the Social Security Administration.
Medicare Part D deductions are not reimbursable under this policy, since prescription
coverage is already provided to LEOFF 1 members under the Disability Board policies.
Documentation must be submitted to the Disability Board within a 12 month period from
the date of service to be considered eligible for reimbursement under this policy.
NOTE: Any special needs above and beyond the dollar amount set in this policy are
subject to appeal by the LEOFF 1 member to the City of Edmonds Disability Board with
appropriate medically necessary documentation. This policy will be reviewed by the
Disability Board on an annual basis.
City of Edmonds — Disability Board
Revised 7/18
expstat.rpt
11/17/2023 4:34PM
Periods: 0 through 9
009 LEOFF-MEDICAL INS. RESERVE
39 NON -DEPARTMENTAL EXPENSES
Account Number
009.39.517
EMPLOYEE BENEFIT PROGRAMS
009.39.517.20
"` Title Not Found `""
009.000.39.517.20.23.00
REIMBURSEMENT BENEFITS
009.000.39.517.20.23.10
PREMIUM BENEFITS
009.000.39.517.20.29.00
IN -HOME LTC CLAIMS
009.000.39.517.20.41.00
PROFESSIONAL SERVICES
009.000.39.517.20.43.00
TRAVEL
009.000.39.517.20.49.00
MISCELLANEOUS
Total LEOFF-MEDICAL
INS. RESERVE
Grand Total
Expenditure Status Report
City of Edmonds
1/1/2023 through 9/30/2023
Page: 1
Adjusted Year-to-date Year-to-date Prct
Appropriation Expenditures Expenditures Encumbrances Balance Used
64,000.00
32,682.14
32,682.14
0.00
31,317.86
51.07
142,650.00
67,280.34
67,280.34
0.00
75,369.66
47.16
152,990.00
136,516.06
136,516.06
0.00
16,473.94
89.23
7,000.00
19,000.00
19,000.00
0.00
-12,000.00
271.43
0.00
0.00
0.00
0.00
0.00
0.00
500.00
0.00
0.00
0.00
500.00
0.00
367,140.00
255,478.54
255,478.54
0.00
111,661.46
69.59
367,140.00
255,478.54
255,478.54
0.00
111,661.46
69.59
Page: 1
expstat.rpt
11/17/2023 4:43PM
Periods: 0 through 9
001 GENERAL FUND
39 NON -DEPARTMENTAL EXPENSES
Account Number
001.39.517
EMPLOYEE BENEFIT PROGRAMS
001.39.517.20
"` Title Not Found `""
001.000.39.517.20.23.00
PENSION & OTHER BENEFITS
001.000.39.517.20.23.10
PREMIUM BENEFITS
001.000.39.517.20.23.20
REIMBURSEMENT BENEFITS
001.000.39.517.20.29.00
PENSION AND DISABILITY PAYMENTS
001.000.39.517.20.41.00
PROFESSIONAL SERVICES
Total GENERAL
FUND
Grand Total
Expenditure Status Report
City of Edmonds
1/1/2023 through 9/30/2023
Page: 1
Adjusted Year-to-date Year-to-date Prct
Appropriation Expenditures Expenditures Encumbrances Balance Used
25,000.00
4,385.22
4,385.22
0.00
20,614.78
17.54
14,560.00
10,772.96
10,772.96
0.00
3,787.04
73.99
10,000.00
2,850.00
2,850.00
0.00
7,150.00
28.50
165,023.00
59,726.64
59,726.64
0.00
105,296.36
36.19
1,200.00
12,500.00
12,500.00
0.00
-11,300.00
1,041.67
215,783.00
90,234.82
90,234.82
0.00
125,548.18
41.82
215,783.00
90,234.82
90,234.82
0.00
125,548.18
41.82
Page: 1