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File #: 20-0718    Version: 1
Type: decision Status: Passed
File created: 9/10/2020 In control: LEOFF I Disability Board
Agenda date: 9/14/2020 Final action: 9/14/2020
Title: Approval of Case 20-11 Dental Request
Attachments: 1. Case 20-11

Title

Approval of Case 20-11 Dental Request

 

Report

Issue:

Whether to approve payment for dental implant for retired LEOFF 1 member in the amount of $6,008.00

 

Staff Contact:

Debbi Hufana, HR Analyst, Human Resources, 360.753.8149

 

Background:

The board must decide whether or not to approve the request for a dental implant for this member in the amount of $6,008.00.  The implant is for a front tooth that broke off at the gum line and the member has started the implant process.

 

Attachments:

Application for Payment of Services

Treatment Plans

Receipts for payment

 

Reference:
Section III Procedures to Receive Benefits, H. Dental