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File #: 26-0116    Version: 1
Type: decision Status: Passed
File created: 2/9/2026 In control: LEOFF I Disability Board
Agenda date: 2/9/2026 Final action: 2/9/2026
Title: Approval of Case #26-3 Dental
Attachments: 1. Case 26-3

Title

Approval of Case #26-3 Dental

 

Report

Issue:

Whether to approve payment in the amount of $3,834.54 for a bridge and associated work.

 

Staff Contact:

Debbi Hufana, HR Analyst, Human Resources, 360.753.8149

 

Background:

LEOFF 1 member is requesting payment for dental services to replace missing teeth with a bridge.

 

Attachments:

Application for payment of services and backup documentation

 

Reference:
Section III Procedures to Receive Benefits, Paragraph n