File #: 25-0629    Version: 1
Type: decision Status: In Committee
File created: 7/11/2025 In control: LEOFF I Disability Board
Agenda date: 7/14/2025 Final action:
Title: Approval of Case #25-5 Dental
Attachments: 1. Case # 25-5
Date Ver.Action ByActionResultAction DetailsMeeting DetailsMedia
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Title

Approval of Case #25-5 Dental

 

Report

Issue:

Whether approve payment in the amount of $2,122.00 for dental

 

Staff Contact:

Debbi Hufana, HR Analyst, Human Resources, 360.753.7149

 

Background:

Retired LEOFF 1 member is requesting approval and reimbursement for a buildup and crown in the amount of $2,122.00.

 

Attachments:

Application for Payment of Services and supporting documentation

 

Reference:
Section III Procedures to Receive Benefits, Paragraph H