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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