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HomeMy WebLinkAboutFinal Agenda PacketCITY OF RENTON FIREMEN'S PENSION BOARD Regular Meeting 7th Floor -Mayor's Conference Room Thursday, September 16, 2010 2:00 P.M. CALL TO ORDER 2. APPROVAL OF MINUTES OF AUGUST 19, 2010 3. CORRESPONDENCE 4. MONTHLY STATEMENT TO AUGUST 31, 2010 MONTHLY BILLS AND PENSION PAYMENTS 6. UNFINISHED BUSINESS 7. NEW BUSINESS 8. ADJOURNMENT � � MINUTES FIREMEN'S PENSION BOARD CITY OF RENTON August 19, 2010 Denis Law, Mayor King Parker, Council Finance Committee Chair Bonnie Walton, City Clerk Ray Barilleaux, Fire Department Representative Bruce Phillips, Fire Department Representative Chuck Christensen, Fire Department Alternate The regular meeting of the Firemen's Pension Board was called to order by Mayor Denis Law at 2:04 p.m. in the Mayor's office, 7th floor of Renton City Hall. In attendance were Board members Bruce Phillips, and Ray Barilleaux. Also in attendance: lason Seth, Deputy City Clerk and acting Board Secretary, and Jill Masunaga, Finance Department Representative. MINUTES APPROVAL MOVED BY BARILLEAUX, SECONDED BY PHILLIPS,THE PENSION BOARD APPROVE THE MINUTES OF THE JUIY 15, 2010 MEETING. CARRIED. MONTHLY STATEMENT The financial report as of July 31, 2010 was reviewed. Total cash/investment balance was $4,232,239.96. Ms. Masunaga stated that the Federal National Mortgage Association was an investment made many years ago and interest will be paid when it matures. MONTHLY BILLS AND PENSION PAYMENTS MOVED BY PHILLIPS, SECONDED BY BARILLEAX, THE BOARD APPROVE THE PENSION/MEDICAL PAYMENTS FOR AUGUST 2009, IN THE TOTAL AMOUNT OF $30,106.13. CARRIED. NEW BUSINESS Ms. Masunaga stated that the annual actuary will be completed after January 1, 2011. ADJOURNMENT MOVED BY PHILLIPS, SECONDED BY BARILLEAUX, THE MEETING OF THE FIREMEN'S PENSION BOARD BE ADJOURNED. CARRIED. Time: 2:08 p.m. ' ,� t'/ i ; � �,� ason Seth, Deputy City Clerk Acting Secretary, Firemen's Pension Board ;W'' �,,�' CITY OF RENTON - FIREMEN'S PENSION FUND CASH & INVESTMENT ACTIVITY REPORT AS OF AUGUST 31, 2010 Report will be distributed at the meeting on Thursday, September 16, 2010 H:\FINANCE\FINPLAN\FIREPEN\1_Fire_Pension_2010.xIsWug blank Page 1 09/09/2010 �•r'� °rr�'' FIREMEN'S PENSION BOARD PENSION/MEDICAL PAYMENTS FOR SEPTEMBER,2010 � �� �����.����,;� � '��P .a,�'� _k.�����a�Pension�Amt��':.��Me�d�ea w,�����otaF��`' ^ , `� � Recr ient�,: �. � . ANKENY,Charlie(Captain) $117.69 117.69 BARILLEAUX, Ray(Battalion Chie� - _ BEATTEAY, Karlen(Widow) $218.62 218.62 BERGMAN,Claudette(Widow) $140.99 140.99 CHRISTENSON,Chuck(Firefighter) $244.14 244.14 GEISSLER, Dick(Fire Chiefl _ _ GOODWIN,Charles(Captain) $4,231.00 1,086.39 5,317.39 GOODWIN, Donald(Firefighter) $1,005.27 1,005.27 HAWORTH, Constance(Widow) $2,968.33 2,968.33 HAWORTH,Jack(Firefighter) $3,191.50 - 3,191.50 HENRY,William,Jr.(Captain) $1,322.82 1,322.82 HURST,Gerald (Firefighter) $531.13 531.13 JONES, Evelyn M.(Widow) $237.15 237.15 LARSON,William(Firefighter) _ _ LAVALLEY,Theodele(Captain) $343.91 343.91 MATTHEW,James(Deputy Chiefl - _ MC LAUGHLIN,JACK(Battalion Chief) $982.45 982.45 NEWTON,Gary(Lieutenant) $258.03 258.03 NICHOLS,Gerald(Battalion Chief) $516.96 516.96 ' PARKS-ANDREASON,Arlene(Widow) $319.23 319.23 PARKS,1ohn(Firefighter) $3,312.50 - 3,312.50 PHILLIPS, Bruce H.(Deputy Chiefl $232.48 232.48 PRINGLE,Arthur(Captain) $464.52 464.52 PRINGLE,S.Joan(Widow) $2,550.14 2,550.14 RIGGLE, David E.(Firefighter D Step) $69.10 69.10 RUPPRECHT,Jim(Firefighter D Step) $104.20 104.20 SMITH, Leroy(Firefighter) $397.89 397.89 STROM, Doris(Widow) $3,255.33 3,255.33 TODD, Franklin (Firefighter) $458.00 458.00 TONDA, Lila Jean(Widow) _ _ VACCA, Nick(Lieutenant) $297.25 297.25 WALLS,Camille(Widow) $131.71 131.71 WALLS, Mercedes(Widow) $92.23 92.23 WALSH, David(Firefighter) $1,052.07 1,052.07 WEISS,Cheryl (Widow) $747.56 747.56 WILLIAMS,Alta(Widow) - _ WOOTEN, Marilyn E.(Widow) $226.72 226.72 ��`�-�F�����7o.tal�'Ezpenses�.PensioiiJMeclicat� ���,.��,� ����$30;020 92���.��"$1;086 39� �". & -$31;1Q7:�1.� Prior Year Pension/Medical Payments: Total Pension Payments for September,2009 35,071.71 Total Medical Bills Reimbursed in September,2009 35.43 Total Expenses: Medical/Pension 35,107.14 4_SUMMARY 2010.XLS 09/09/2010 ``�""' `.r+� FIREMEN'S PENSION BOARD MEDICAL BILLS TO BE REIMBURSED IN SEPTEMBER,2010 PAYMENT �Page��r:';`'���Name�`����,�����Phartriac°/Me`clicalrt�acili ""�� .���-�at�"`q � ."Amounf:;'of BiIT�� 2 Charles Goodwin Bartell Drugs 05/10/10 129.61 2 Charies Goodwin Bartell Drugs 05/20/10 8.09 2 Charles Goodwin Bartell Drugs 05/22/10 37.57 2 Charles Goodwin Bartell Drugs 05/26/10 180.62 2 Charles Goodwin Bartell Drugs 05/26/10 9.89 3 Charies Goodwin Bartell Drugs 06/18/10 9.8g 3 Charles Goodwin Bartell Drugs 06/18/10 8.09 3 Charles Goodwin Bartell Drugs 07/03/10 199.85 3 Charles Goodwin Bartell Drugs 07/10/10 17.99 3 Charles Goodwin Bartell Drugs 07/23/10 9.89 3 Charles Goodwin Bartell Drugs 08/03/10 211.01 4 Charles Goodwin Bartell Drugs 08/03/10 17.99 4 Charles Goodwin Bartell Drugs 08/06/10 15.29 4 Charles Goodwin Bartel� Drugs 06/11/10 91.35 4 Charles Goodwin Bartell Drugs 08/16/10 139.26 1,086.39 Jack Haworth 0.00 John Parks 0.00 ��'��M����"<�'TQTAL���`�$���a wP' ',� . �'���fi_ . '�'.. .., � : �� " ��� �'�,.: �'l;�86:39;: 3_2010 FP Medical.XLS Page 1 of 1 09/09/2010 �„r SENDCLAIMTO: ,,,� City af Renton Finance Dept.-Fire Pension 1055 South Grady Way Renton, WA 98057 TY ♦�K �O� u6 ��N`�°� CITY OF RENTON FIREMEN'S PENSION BOARD Pharmacy/Medical Claim Reimbursement Request 1) DATE � / �Zl��D 2) DISABILITY RETIREE'S NAME (print) ��j�}',�L�S �- C��"�C�� �i`�tJ , `/ � 3) ADDRESS �r/� j���tl/��� ���`c;�� �2�G ���.�1���, lr�� �iy�-.� � — 4) DISABILITY AT TIME OF RETIREMENT ���% "�'i1�� j/�r`,� �� �� �� ./�� 5) DESCRIPTION OF CLAIM: (Supporting docume�2tation must be attached.) (Effective 4/1/2008,pre-LEOFF retirees may submit all prescription drug expenses for reimbursement, whether or not related to the retirement disability,provided that the ezpense is not covered by another plan,�urce or insurance coverage. Supporting documentation for all must be attached.) _" � ���-Z� � 6} TOTAL AMOLJNT OF CLAIM: $ %�1 ,��, ,�� Amount of total claim (above} that is related to the Retirement Disability: $ 7) I certify that I have not been and will not be compensated by any other organization, insurance carrier or Medicare for the above-mentioned claim for reimbursement other than the City of Renton. I further certify that the above statements are c�mplete and accurate to the best of my knowledge, and that any charges other than prescription drug charges, are related to my disability as determined at the time of my retirement from the Renton Fire Department. e Signatur ' ��� � �"�� � Note: Supporting documentation must be attached. i�E I , � �I,�' � /'f�f �' � ' ��tf`�,�J�'Z, ��.*�=✓``-� � � � . � _ �j��r� `�,.--�,(.�!'� ���r'�-�• "�„° /� ,_ 1 Lc�/ r"t,1 �.����r�1 %��%t I '. 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O cc m Tm °-�� 02 j �� � p y..� o� m �ARTELL � ` �� � �' m� o � CD cn � 4700 NE 4TH STREET RENTON,WA 38Q59 (425)793-1015 CHARLES GOODWIN DOB:O6/02/1915 1 ��; � f�� „�. 1414 MONROE AVE NE#306,RENTON,WA 98056- � . RX#C 545345-045 R DR. P.AGARWAL FILL DATE: Q5/20/2010 (425)899-3123 _ ZOLPIDEM TARTRATE 5MG TABS �c� � a m oz � �x A= NDC#13668-0007-'10 Refiiis Remaining: 3.00 p D � � -n n �� � REF#00005959942601 Qty Dispensed: 30 �� 2 m �o Q p cn o D BARTELL DRUGS PRICE_$19.99 y p � o �a C m c��n �m WITHNEWYOUPAY $ 8.09 �,�, .� � .� w �o �� � �u� � YOU MAY RE�PORTOSIDOE EF ECTS TO THE FDAOAT 1 8I00-FDA-E1088. O� C� cn � y' O ►�t�ii "Z'Q o � —_ � — 7�.7--� '� � � N j � o� � � r� 't�) � p� -C tnrl � O m< R! " j m0 ii � � z— A m��� � oZ = � m m °� � "� � a� r"", BARTELL � ! "� � `� ° � vm r"'' Q �� � N �� OD °' �� 4700 NE 4TH STREET RENTON,WA 98059 .�� o z ' � (425)793-1015 � CHARLES GOODWIN D06:06/02f1915 ..�m �? � 1414 MONROE AVE NE#306,REMON,WA 98QSE �� D� �G� � �{ RX#541029-045 R DR.G. LORCH � - N� Do �,. O n FI LL DATE:Q5/22/2010 (425)251-5110 �� �� ^'� � m � a 7J 1� O o GEMFlBROZIL600MG TABS o� m � ;� o `° NDC#31722-0225-Q5 Refills Remaining: 2.00 o m P.-�• o= � REF#00005977271601 Qty Dispensed: 180 D� o`� � � BARTELL DRUGS PRICE_$90.49 �n o v' WITH NEW YOU PAY $ 37.57 �� � GALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. Plk��,% � � � _j �� �;. :� � � �%'�` �., � � r� �Yf/y�r v i-- � �� '',�...1,�?ti��':��/'C � � - /; � ' �-�����' `�" ����� "I'f w�✓ ����: C;r'�i�'!�i �� � _ ����cJ��!�' �/i �,�.�.'���� � � ��.�.�`��� � � ���!���a�i7s�KUH�s C3tpn.I�rfe�atorrah,.w.w��....w.,e, ���YaaFti��ptOh�a f3Wn�re�sfarna���b 4700 NE 4TH STREET RENTON,WA 98059 4700 NE 4TH STREET RENTON,WA 98059 (425)793-1015 (425}793-1015 CHARLES GJOD`�1/IN DOB:06/02/XXX CHARLES GOODWIN DOB:OBIOZIXXX 1414 MONROE P,VE NE#306,RENTON,WA 98056- 1414 MONROE AVE NE#306,RENTON,WA 98056- � RX#539589-045 R DR.G.LORCH RX#C 545345-045 R DR. P.AGARWAL FILL DATE: 06/18/2010 (425)251-5110 FILL DATE: 071�f3/2010 (425)899-3123 ZOLPI�EM�ART�ATE 5MG TABS ALLOPtJRINOL 100MG TABS NDC#13668-G007-10 NDC#00603-2115-32 Refilis Remaining: NO Refills Remaining: 1.00 REF#fi312328662509 Qty Dispensed: 30 REF#61Q5282692509 Qty Dispensed: 30 gARTELL DRUGS PRICE_$19.99 BARTELL DRUGS PRICE_$10.99 WITH SR YOU PAY $ 17.99 1,NITH SR YOU PAY $ J.S9 CAI_L YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU IV1AY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. ^ P I �� � r �.�.�'���� � '� �A►RTELL � ` o ��w�3i�'ersfei�tuh�8C3¢C+nI}ru{jatnrra���'�1b 4700 NE 4TM STREET RENTON,WA 98059 47�Q NE 4TH STREET RENTON,WA 98059 (425)793-1015 (425)793-1015 CHARLES GOODWIN DOB:06/OZ/XXX CHARLES GOODWIN DOB:06/02/XXX 1414 MONROE AVE NE 7t306,RENTON,WA 98056 1414 MONROE AVE NE#306,RENTON,WA 98056- RX#0569669-045 N DR.J.NEMANICH RX#C 545345-045 R DR.P.AGARWAL FILL DATE: 07/23/2010 (425)251-5110 FILL DATE:06/18/2010 (425) 899-3123 ALLOPURINOL 100MG TABS ZOLPIDEM TARTRATE 5MG TABS N�C#oosoa-2i�s-32 Refilis Remaining: YES NDC#13668-0007-10 Refills Remaining: 2.00 REF#6442154592505 Qty Dispensed: 30 REF#00006174130001 Qty Dispensed: 30 BARTELL DRUGS PRICE_$10.99 BARTELL DRUGS PRICE_$19.99 WITH SR YOU PAY $ 9.89 WITH NEW YOU PAY $ 8.09 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. YOU MAY REPORT SIDE EFFEGTS TO THE FDA AT 1-800-FDA-1088. � �{� �. G� � � B�RTELL � ' � � �.�►.�.'����. � � _ a y ��`"�w� 4700 NE 4TH STREET RENTON,WA$8059 �'��-**�'�'aahis�lri��8 f3inn:L}re�afoma.+�.�w� (425)793-1015 ` 4700 NE 4TH STREET RENTON,WA 98059 DOB:06/02/XXX (a2s)7s�-iois CHARLES GOODWIN � �Q��',F���S Ca00DWIN DOB:OG/OZ/XXX 1414 MONROE AVE NE k306,RENTON,WA 98Q56- DR.G.LORCH 1414 MONROE AVE NE#306,RENTON,WA 98056- RX#O�J6OS99-O4�J R � RX#�560595-045 R DR.G.LORCH FILL DATE: 08/03/2010 (a25)251-5�10 FILL DRTE: O7/03/2010 (425)251-5110 1 AGGRENOX 25-200MG CP12 Refiils Remaining: 6.00 � �CCF��NOX 25-200MG CP12 NDC#00597-0001-60 NDC�00597-0001-60 Refilis Remainin 7.00 REF#8712673787609 Qty Dispensecf: 60 �` P,EF#1 0388028 7 54659 Qty Dispensed: 60 BARTELL DRUGS PRICE_$226.89 BARTELL DRUGS PRICE_$214.89 WITH SR YOU PAY $ 211.01 � WITH SR YCU PAY $.199.85 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. � CALL l�"OUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. ? 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CHARLES GOODWIN DOB:06/021XXX �� g `�� 1414 MONROE AVE NE#306,RENTON,WA 98056- • RX#535806-045 R DR.G.KATO FILL DATE: 08/06/2010 (425)255-9310 LISiNOPRIL 5MG TABS NDC#64679-0928-06 Refills Remaining: NO REF# 10844820524659 Qty Dispensed: 100 BARTELL DRUGS PRICE_$16.99 � � ����j WITH SR YOU PAY $ 15.29 � � ��'� CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. �� YOU MAY REPORT SIDE EFFECTS T�THE FDA AT 1-80Q-FDA-1088. � .��� �� �� �- �� �t .�� t�l�' � -T`��`� 3(�.�� ��.����� � � � ��3$erahirs,�tieh'e(�t+n I�rey�afarra.ww.w�.wwww�4 � � 4700 NE 4TH STREET RENTON,WA 98059 f��� �� (425)793-1015 ��,(� /_______ CHARLES GOODWlN DOB:06/02/XXX � ��� , 1414 MONROE AVE NE#306,RENTON,WA 98056- RX#530119-045 R DR.G.LORCH FILL DATE: 06/11%2010 (425)251-5110 CARVEDILOL 6.25MG TABS NDC#00093-0135-05 Refills Remaining: 1.00 REF#4582548128709 Qty Dispensed: 180 BARTELL DRUGS PRICE_$99.29 WfTH SR YOU PAY $ 91.35 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. 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