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2024-10-16 Disability Board PacketEDMONDS LEOFF 1 DISABILITY MEETING NOTICE AND AGENDA REGULAR MEETING Wednesday, October 16, 2024 Fourtner Room City Hall 11:00 am • CALL TO ORDER • APPROVAL OF MEETING MINUTES a. Minutes from the regular, 7/22/2024 meeting will be available at a future meeting. • DISCUSS AND APPROVE CLAIMS SUMMARY REPORT b. For the period 07/01/2024 — 09/30/2024 BUSINESS c. LEOFF 1 Member Request for Reimbursement (misc expenses) d. LEOFF 1 Member Request for Reimbursement (medical bed) e. LEOFF 1 Member Request for Reimbursement (dental expenses) • OTHER o Notice of increase in Medicare Supplement premium. o Next Board Meeting date (January 2025) Page 1 Current and Historial Claim Count & Costs Summary of Current Costs 07/01/2024 - 09/30/2024 SERVICE Number of Reimbursements Total Paid for Service Deductible 1 136.61 Dental Expenses 0 - Eyeglasses 1 240.00 Hearing Aids 1 749.99 Long Term Care 5 28,087.78 Medical Services 1 (106.91) Prescription 4 335.60 Grand Total 13 $ 29,443.07 Summary of Historical Costs 07/01 /2023 - 09/30/2023 SERVICE Number of Reimbursements Total Paid for Service Deductible 0 - Dental Expenses 2 519.66 Eyeglasses 0 - 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 Disability Board 2024 Q3 [10/16/2024] City of Edmonds - Human Resources Department Page 1 CURRENT SUMMARY OF COST BY BARS NUMBER 01/01/2024 - 09/30/2024 LEOFF 1 Fund BARS NUMBER ANNUAL APPROPRIATION YTD EXPENDITURE BALANCE % USED 009.000.39.517.20.23.00 64,000.00 43,160.87 20,839.13 67.44% Reimbursement Benefits 009.000.39.517.20.23.10 142,650.00 86,990.80 55,659.20 60.98% Premium Benefits 009.000.39.517.20.29.00 152,990.00 95,158.07 57,831.93 62.20% In Home/Assisted Living 009.000.39.517.20.41 - 49 7,500.00 7,400.00 100.00 98.67% Proff. Svcs, Travel, Misc. Expenses TOTAL: $367,140.00 $232,709.74 $134,430.26 63.38% Fireman's Pension Fund BARS NUMBER ANNUAL APPROPRIATION YTD EXPENDITURE BALANCE %USED 001.000.39.517.20.23.00 6,000.00 - 6,000.00 0.00% Pension & Other Benefits 001.000.39.517.20.23.10 16,000.00 4,273.90 11,726.10 26.71% Premium Benefits 001.000.39.517.20.23.20 6,000.00 3,230.20 2,769.80 53.84% Reimbursement Benefits 001.000.39.517.20.29.00 141,668.00 30,483.79 111,184.21 21.52% Pension and Disability Payments 001.000.39.517.20.41.00 1,200.00 (714.18) 1,914.18 -59.52% Professional Svcs. TOTAL: $170,868.00 $37,273.71 $133,594.29 21.81% Disability Board 2024 Q3 [10/16/2024] City of Edmonds - Human Resources Department Page 2 HISTORICAL SUMMARY OF COST BY BARS NUMBER 01 /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 001.000.39.517.20.23.00 25,000.00 4,385.22 20,614.78 17.54% Pension & Other Benefits 001.000.39.517.20.23.10 14,560.00 10,772.96 3,787.04 73.99% Premium Benefits 001.000.39.517.20.23.20 10,000.00 2,850.00 7,150.00 28.50% Reimbursement 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 $125,548.18 41.82% Disability Board 2024 Q3 [10/16/2024] City of Edmonds - Human Resources Department Page 3 September 25, 2024 Dear Leoff 1 Board, The receipts sent in for —are for the following: • Ramp: lumber, screws, paint from Home Depot to build a ramp (our son built it) scM can walk in and out of our home safely. Currently_uses canes and a walker, but Eis transitloning to a wheelchair to get to the car.■does not safely navigate stairs because of lack of strength. (AMBULATING) • Electrical Wiring: -has a lift chairas well as blood pressure needs, so we wired an outlet under the house to the middle of the floor wherelWhalr sits. Our son did the labor, but material costs are included in the receipts. (AMBULATING AND HEALTH CARE) • Baby Monitor:=wanders and is a fall risk. This is a safety need. The baby monitor is so I can monitor movements when 1 am not in the room wimp (SAFETY) • Hospital Bed Rental: Mneeds a hospital bed with rails to sleep in for comfort and safety. This is also where Ecan sit and be raised high enough so I can changeMostomy. (AMBULATORY) • Hoses and Shower Chair for the shower are necessary to safely take a shower. The hose for the toilet Is necessary for jWstomy bag care. (GROOMING) _needs assistance with dressing, showering, transferring, the toilet , feeding, grooming and getting in and out of the house. All of the above items assist with the five Activities of Daily Living (ADLs). The ADLs are: Grooming, toileting, ambulating, feeding, and dressing. Memory care, or compensation for dementia, counts as a separate but important part of the ADLs (SAFETY). The equipment is necessary for me, _ to safely care for=2417. Sincerely, LEOFF 1 Requested MISC Reimbursement, total Requested $859.64 Wal Mart - Baby Monitor, with tax $119.35 W a I m a r t :;:. 509-765-8979 M r:ROBERT 1005 N STRAT ORD RD MOSES LAK WA 98837 STII 02007 Op# 0001 H T#i 25 IR# 6M�Lp429 628(rly9TC# 6248 03 2758 � N5 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII DISH CODE # 100027564923 BABY MONITOR 073507805070 110.00DX PRODUCT SERIAL r� 071909170000 Home Depot - Ramp Supplies, with tax $455.88 FHow doers 'All" get more done_ ?80 W CENTRAL DRIVE MOSES LAKE, WA 988 509-765-912B ;966 00002 21911 06/23/24 07:56 111 A:,E CASHIER PETRYSHA 814795001957 2X4-16 GDF <A> 2X4-16FT PREMIUM FIR 2@11.52 23.04 604603002296 2X4-8 SELECT <A> 2X4-8FT PT OUTDOOR WOOD 4@7.68 30.72 091162009628 CLAMP 24IN <A> 19.9'i BESSF,Y BAR CLAMP 24X2-1/2 IN, 600 LB SUBTOTAL 73.73 SALES TAX 6.27 TOTAL S80.00 How doers get more done_ 'BJ W CENTRAL DRIVE MCSES LAKE, WA 98837 sna-7C,5-9128 966 00062 85092 ALE SELF CHECKOUT FHow doers '412- get more done_ 980 W CENTRAL DRIVE MOSES LAKE, WA 98837 509-765-9128 11 8966 00002 18812 06/22/24 02:42 pM SALE CASHIER MILES 32474669518 PPP&FSLTGRYG <A> 37.98 PREM PLUS PRCH 6 FLR SLATE GRAY -GAL J02-169-000 GL RecycS <A,U> 0.95 PAINTCARE FEE 38309410577 2-7/8"SCREW <A> 26.97 HEADLOK 2-7/8" FLATHEAD 50PK 37083014129 TB3 WD GLU 4 <A> 4.98 TITEBOND III WOOD GLUE 40Z '64666619937 BRWN DCKSCRW <A> 11.97 DECKMATE COMP, BROWN, 2-1/2 IN, 1 LB 20066322519 ROANTISKD <A> 15.48 R-0 ANTI-SKID ADDITIVE 8OZ 77089601305 6PCTRAYKIT <A> 12.98 BETTER 9 IN TRAY SET - 6 PIECE SUBTOTAL 111.31 SALES TAX 9.46 TOTAL $120.77 06/22/24 08:37 PM 043374431551 WTHR STRIP <A> MD 1/4"X1"X10' RUBBER WS-5 YR 2@5.93 11.86 043374020069 A/C W/S <A> MD 1-1/4"X1-1/4"X42" AC WS-GRY 4@2.93 11.72 074985001543 GREAT STUFF <A> 4.38 GREAT STUFF GAPS & CRACKS 120Z 857442000736 23/32 PLY SB <A> 23/32 4X8 RADIATA PINE PLYWOOD 2@55.88 111.76 604603002791 2X6X12 PT GC <A> 16.98 2X6-12FT PT GC CONSTRUCTION SELECT 604603002364 2X6-16 PT/OW <A> 2X6-16FT PT OUTDOOR WOOD 3@23.78 71.34 604603002487 2X4X8 PT GC <A> 7.08 2X4-8FT PT GC CONSTRUCTION SELECT SUBTOTAL 235.12 SALES TAX 19.99 TOTAL $255.11 Amazon - Electrical Wiring, with tax $208.06 Order Placed: June 7, 2024 Amazon.com order number: 114-9060896-1565839 Order Total: $127.22 Shipped on June 7, 2024 / Items Ordered 1 of: Hubbell Wiring Systems RF515BN rradeSELECT Aluminumm Floor Box for Structural Wood Floor, 1SA, 12SV, Chestnut Bron556.30 L Paint Sob br: Amazor.com SaVKK, Inc Suopbd Cv. OUW Corddbn: Nei. Order Placed: June 7, 2024 Amazon.com order number: 114-0427612-6621818 Order Total: $146.97 Shipped on June 7, 2024 Price Items Ordered 1 of: Residential Floor Box Cover, Flange & Hinged Door Cover Assembly, for Use with Bryant RF500, Aluminum, Brown Pa1�37.02 Sold oy: AMMO-.MM 5e r(K M Suppead W. Orer Ll— ccndrux New 1 of: RACO 62390K Floor Kit with Recessed Duplex 15A TR Dunce and Adjustable Steel Box, I -Gang, Black 549 73 Solo ter: Anuzon.com Sar c . Inc S.+o, by CtMr V Condton N— I of: Southwire Romex Brand Simpull Solid Indoor 1212 WIG NMB Cable 50ft coil - SWR 28828222 548.70 50lo w: Amazon.Com SYKei. :nC Suppler ty Othv Condton New Amazon - Shower Supplies, with tax $76.35 Order Placed: 1„ne r, 1014 Amazon.com order number: 114-2180612 533865H Order Total: $50.89 Shipped on June 8, 2024 Items Ordered Prlc 1 of: Essential Medical Supply Height Adjustable Shower and Bath Bench with Padded Arms and Textured Shower Chair Seat 546.90 SoldoV Arnaroo.com Services, Inc SuppW by: Otter FSA or NSA 449M Corgton: New Order Placed: June 8, 2024 Amazon.com order number: 114-9905364-6735411 Order Total: S25.46 Shipped on June 9, 2024 Items Ordered- - Price 1 of: BOPai ORB Suction Shower Head Holder, Relocatable Handheld Showerhead Holder, Chrome $13.49 Soo nV 6oparmar-us 4416er Profit) Suppled 7v tiuP&,-MaI-US (Sete Pro%) Conaton New Shipped on June 9, 2024 Items Ordered '-p\i4p- 1 ot:,5170wer )lose, 118 Inches Shower Hose Extra Long, Premium 304 Stainless Steel Shower Head Hose, Plexwble Hand Held Shower Hose &renston, Universal Shower Hose Replacement G112 Threaded Insert and Nut SoldDv- orquW11041e10roree) SAxw bv: ouquen)i (weer oro9w) Condwr,: New Invoice Statement Date Sent: 07/30/2024 BALANCE DUE: $276 68 orco M Engfooyx Oenn<t Cmnpany I -Pay Online pay.norco-inc.com rr Account #: KNNP3 (Reconvnended)Invoice #: 41208064 Where applicable, insurance has been filed and paid. .�, Detach payment coupon and submit with a ��►Pay by Mail � Primary: SELF PAY check or credit card information. —_ I — ■ Phone: (208) 577-5280 ■ • • Office Hours: M-F 8:00am - 6:00pm MT i� Visit pay.norco-inc.com to make a payment today. You can also set up Autopay, enroll in eDelivery Only, check balances and update insurance information. ot; PATIENT ADJUSTED BALANCE-' 1 =_ _RESP. • UE PATIENT NAME: ME 07/22/2024 141208064 �001-000 - E0265 - RENTAL FULL ELECTRIC BED $217.00 $0.00 I $0.00 $276.68 - K0001 - RENTAL STANDARD WIC 18 INCH TOTAL CREDITS AND PREVIOUS BALANCE TOTAL DUE IMPORTANT MESSAGES $0.00 $276.68 • Questions on deductible, co-insurance, max out of pocket? Please watch the video Norco created on the following URL: norco-inc.com/insurancebasics • If you have new insurance, please contact us. • Payments made within 10 days prior to this statement may not be reflected in the account balance. • Contact US: Phone: (208) 577-5280 • Website: pay.norco-inc.com • Email: Estatements@norco-inc.com Kjersten Heron, DMD To Whom It May Concern: -requires cleanings and exams 3 times a year due tcobattle with the bone loss around. teeth. Prior to coming to see us, had lost 13 teeth despite an excellent home care routine. ■hopes not to lose any more teeth in the future and is requesting financial assistance with the cost of this treatment which is estimated to be $724.51. Please consider these costs to help this deserving retired first responder keep the remaining teeth Was left. Feel free to contact us with any questions or additional information that you might need. Sincerely, Kjersten Heron, DMD To date, member has been reimbursed $700.00 (policy max) Pending reimbursement is $111.71 Division Street Dental rem,y„�,E.,.,omm„ud,o....��.M. Dr. Kjenbn A. Xeron, D.D.9.