File #: 24-0743    Version: 1
Type: decision Status: In Committee
File created: 9/5/2024 In control: LEOFF I Disability Board
Agenda date: 9/9/2024 Final action:
Title: Approval of Case #24-7 Dental Request
Attachments: 1. Case 24-7
Date Ver.Action ByActionResultAction DetailsMeeting DetailsMedia
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Title

Approval of Case #24-7 Dental Request

 

Report

Issue:

Whether to approve payment for a dental implant and crown in the amount of $3,760.00

 

Staff Contact:

Debbi Hufana, HR Analyst, Human Resources, 360.753.8149

 

Background:

Retired LEOFF 1 member is requesting reimbursement for a dental implant and crown in the amount of $3,760.00.  The attached treatment plan reduced this amount by $510.50 for proposed insurance, however member confirmed he does not have dental insurance.  This request is in accordance with LEOFF policy.

 

Attachments:

Application for Payment of Services and Treatment Plan

 

Reference:
Section III Procedures to Receive Benefits, H