File #: 24-0158    Version: 1
Type: decision Status: Passed
File created: 2/8/2024 In control: LEOFF I Disability Board
Agenda date: 2/12/2024 Final action: 2/12/2024
Title: Approval of Case #24-2 Dental request
Attachments: 1. Case #24-2

Title

Approval of Case #24-2 Dental request

 

Report

Issue:

Whether to approve payment for dental extraction and placement of implant and crown in the amount of $5,534.00.

 

Staff Contact:

Debbi Hufana, HR Analyst, Human Resources, 360.753.8149

 

Background:

Retired LEOFF 1 member is requesting approval for a dental extraction and placement of implant and crown in the amount of $5,534.00.  This member is covered by Regence dental insurance as provided by the City and the requested amount will be reduced by any amount paid by insurance. This request in in accordance with the LEOFF 1 policies and procedures.

 

Attachments:

Application for payment of services and supporting documentation

 

Reference:
Section III Procedures to Receive Benefits, H.