Title
Approval of Case #08-19 Dental Request
Report
Issue:
Whether to approve payment for dental work for a LEOFF 1 member.
Staff Contact:
Debbi Hufana, H R Analyst, Human Resources, 360.753.8149
Background:
The Board must decide whether or not to approve the request for dental work in the amount of $13,998.00.
The member originally contacted the City by email with a request for the City to assist in the cost to replace a bridge of 3 teeth that were crowns. On the estimate, those are identified as teeth #11- #13. The dentist is also recommending filling tooth #10 at the same time due to decay. Total cost for this portion of the work is $4,846.00 which includes the cost to seat the new bridge.
The treatment plan provided by the dentist includes treatment on 12 additional teeth; however, the member’s application for payment is only asking for a new bridge to replace the one that fell out.
This request is in accordance with LEOFF 1 Disability Board Policies & Procedures.
Attachments:
Application for Payment of Services
Explanation of treatment plan
Treatment Plan
Reference:
H. Dental Benefits