Title
Approval of Case #24-3 Dental Request
Report
Issue:
Whether to approve payment in the amount of $2,436.50 for a dental implant.
Staff Contact:
Debbi Hufana, HR Analyst, Human Resources, 360.753.8149
Background:
LEOFF 1 member is requesting reimbursement in the amount of $2,436.50 for a dental implant. The total for this procedure is $2,548.00 and insurance paid $111.50 of this. This work has been completed and the member did not present this to the board for preapproval as required by the LEOFF policy. The attached documents include services on additional teeth under the board approval threshold which have been reimbursed to the member. There will likely be additional expenses for this implant for a crown to complete the work. This is not in accordance with LEOFF policy as the member did not submit the request for prior approval.
Attachments:
Application for payment of services and supporting documents
Reference:
Section III Procedures to Receive Benefits, H.