File #: 21-0984    Version: 1
Type: decision Status: Passed
File created: 10/7/2021 In control: LEOFF I Disability Board
Agenda date: 10/11/2021 Final action: 10/11/2021
Title: Approval of Case 21-9 Dental Request
Attachments: 1. Request

Title

Approval of Case 21-9 Dental Request

 

Report

Issue:

Whether to approve payment for dental request for retired LEOFF 1 member.

 

Staff Contact:

Debbi Hufana, HR Analyst, Human Resources, 360.753.8149

 

Background:

LEOFF 1 member is requesting reimbursement for a buildup and crown and a filling in the amount of $2,216.00.  This request is in accordance with City of Olympia LEOFF policies.

 

Attachments:

Application for payment of services and supporting documentation

 

Reference:
Section III Procedures to Receive Benefits, Paragraph H