File #: 25-0225    Version: 1
Type: decision Status: Passed
File created: 3/7/2025 In control: LEOFF I Disability Board
Agenda date: 3/10/2025 Final action: 3/10/2025
Title: Approval of Case #25-2 Dental
Attachments: 1. Case 25-2

Title

Approval of Case #25-2 Dental

 

Report

Issue:

Whether to approve payment in the amount of $2,395.00 for crown and associated work

 

Staff Contact:

Debbi Hufana, HR Analyst, Human Resources, 360.753.8149

 

Background:

Retired LEOFF 1 member is requesting reimbursement for a crown and associated work to place the crown.  This work has been completed.  The member did not request prior approval from the LEOFF board as the tooth was cracked and needed an emergency repair.

 

Attachments:

Application for payment of services and supporting documentation

 

Reference:
Section III Procedures to Receive Benefits