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File #: 21-0162    Version: 1
Type: decision Status: Passed
File created: 2/3/2021 In control: LEOFF I Disability Board
Agenda date: 2/8/2021 Final action: 2/8/2021
Title: Approval of Case 21-1 Dental Request
Attachments: 1. Request

Title

Approval of Case 21-1 Dental Request

 

Report

Issue:

Whether to approve payment for dental implant for retired LEOFF 1 member in the amount of $2,340.00

 

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 the member in the amount of $2,340.00.

 

The member had this dental work done and originally requested reimbursement in the amount of $600.00 as they were not aware the board could approve dental work over the amount of $600.00.  Once the member became aware of this, they are requesting the full amount paid of $2,340.00.  I made the member aware for future dental work over the amount of $600.00 the proper procedure is to submit the application for payment of services and the treatment plan to the board for approval prior to having the work done.

 

Attachments:

Application for payment of services

Treatment plan

Statement of account

 

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