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Home My WebLink AboutFinal Agenda Packet ..rr+ CITY OF RENTON FIREMEN'S PENSION BOARD Regular Meeting 7th Floor-Mayor's Conference Room Thursday, July 2004 3:30 P.M. 1. CALL TO ORDER 2. APPROVAL OF MINUTES OF JUNE 17, 2004 3. CORRESPONDENCE 4. MONTHLY STATEMENT TO 5/31/2004 5. MONTHLY BILLS AND PENSION PAYMENTS 6. UNFINISHED BUSINESS Revised Medical Claim Reimbursement Form 7. NEW BUSINESS 8. ADJOURNMENT MINUTES FIREMEN'S PENSION BOARD CITY OF RENTON June 17, 2004 Kathy Keolker-Wheeler, Mayor Randy Corman, Council Finance Committee Chair Bonnie Walton, City Clerk Ray Barilleaux, Fire Department Representative William Henry, Fire Department Representative William Larson,Fire Department Alternate The regular meeting of the Firemen's Pension Board was called to order by Acting Chairman Randy Corman at 3:48 p.m. in the Mayor's conference room, 7th floor of Renton City Hall. In attendance were Board members Randy Corman, Bill Henry, Ray Barilleaux and Bonnie Walton; and Jill Masunaga, Finance Department Representative. MINUTES APPROVAL MOVED BY BARILLEAUX, SECONDED BY HENRY, THE PENSION BOARD APPROVE THE MINUTES OF THE MAY 20, 2004, MEETING. CARRIED. CORRESPONDENCE Correspondence was entered from the State Office of the Treasurer stating that, in accordance with RCW 41.16.050 which provides that 25% of moneys received from the tax on fire insurance premiums be distributed to cities for the credit of local pension funds, $70,249.69 will be distributed to Renton on May 28, 2004. MONTHLY STATEMENT The financial report as of May 31, 2004, was reviewed. Total cash/investment balance was $5,050,930.03. MONTHLY BILLS AND PENSION PAYMENTS MOVED BY HENRY, SECONDED BY BARILLEAUX, THE BOARD APPROVE THE PENSION/MEDICAL PAYMENTS FOR JUNE 2004, IN THE TOTAL AMOUNT OF $32,013.40. CARRIED. UNFINISHED BUSINESS MOVED BY BARILLEAUX, SECONDED BY HENRY, THE BOARD APPROVE THE CONFIDENTIALITY AGREEMENT FORM AS APPROVED BY THE CITY ATTORNEY WITH ELIMINATION OF PARAGRAPH TWO, AND HAVE BOARD MEMBERS SIGN THE FORM AT THE NEXT MEETING. CARRIED. NEW BUSINESS A memo was entered from the Board Secretary recommending that the Board adopt a 1.5% increase for widows of firemen prior to the LEOFF Act (1970) in accordance with the CPI for the previous calendar year for the Seattle area. MOVED BY BARILLEAUX, SECONDED BY HENRY,THE BOARD ADOPT THE 1.5% INCREASE EF'F'ECTIVE JULY 1, 2004. CARRIED ADJOURNMENT MOVED BY HENRY, SECONDED BY BARILLEAUX, THE MEETING OF THE FIREMEN'S PENSION BOARD BE ADJOURNED. CARRIED. Time: 4:15 p.m. Bonnie I. Walton, City Clerk Member and Secretary, Firemen's Pension Board 2 CITY OF RENTON - FIREMEN'S PENSION FUND CASH & INVESTMENT ACTIVITY REPORT AS OF JUNE 30, 2004 Fireman's Pension Fund Comparison of Cash and Investment Activity 6 -- - ❑2004 ❑2003 1 R 0 4 c, o h C 0 3 _ t e ,, g 2 I 1 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec CURRENT 2004 2004 LAST YEAR 2003 2003 ACTIVITY: MONTH YTD BUDGET CURR MO YTD ADJ BUDGET BEGINNING CASH/INV BALANCE $5,050,930.03 $5,133,315.47 $5,133,315 $5,226,640.48 $5,312,164.41 $5,312,164 RECEIPTS: Property Taxes 0.00 0.00 $0 0.00 0.00 $0 Fire Insurance Premium Tax 0.00 70,249.69 $40,000 0.00 63,087.83 $32,000 Investment Interest 463.90 8,559.73 $110,000 791.61 8,191.06 $115,000 DISBURSEMENTS: Fire Pension 30,864.32 188,801.28 $375,000 28,790.61 177,520.82 $355,000 Office/Operating Supplies 0.00 0.00 $400 0.00 0.00 $400 Actuarial/Firemen's Pens 0.00 0.00 $0 0.00 4,575.00 $4,000 Reimb General/Clerical&Acct 558.00 3,352.00 $6,700 542.00 3,248.00 $6,500 ENDING CASH/INV BALANCE $5,019,971.61 $5,019,971.61 $4,901,215 $5,198,099.48 $5,198,099.48 $5,093,264 CURRENT PREVIOUS LAST YEAR LAST YEAR ACTIVITY: MONTH MONTH CURR MO PREV MO CASH $61,340.53 $92,298.95 $123,561.42 $152,102.42 INVESTMENTS CD's&State Investment Pool 529,767.46 529,767.46 749,767.46 749,767.46 Snohomish County Housing Authority 0.00 0.00 98,272.00 98,272.00 Federal National Mortgage Assn 99,555.84 99,555.84 0.00 0.00 Treasury Strips&Zero Coupon Bonds 4,329,307.78 4,329,307.78 4,226,498.60 4,226,498.60 Corporate Bonds 0.00 0.00 0.00 0.00 Convertable Bonds 0.00 0.00 0.00 0.00 Mutual Funds 0.00 0.00 0.00 0.00 TOTAL CASH AND INVESTMENTS $5,019,971.61 $5,050,930.03 $5,198,099.48 $5,226,640.48 The State Investment Pool interest 1.0312% 1.0169% 1.1904% 1.2261% H:\FINANCE\FINPLAN\FIREPEN\2003 Fire Pension\1_Fire_Pension_2003.xls Page 1 7/9/2004 Niame FIREMEN'S PENSION BOARD PENSION/MEDICAL PAYMENTS FOR JULY, 2004 Recipient Pension Amt Medicals Total ANKENY, Charlie (Captain) $83.60 83.60 ASHURST, James (Assistant Chief) $3,927.00 - 3,927.00 BANASKY, George (Captain) $830.82 830.82 BEATTEAY, Karlen (Widow) $173.27 173.27 BERGMAN, Claudette (Widow) $107.78 107.78 CHRISTENSON, Chuck(Firefighter) $256.48 256.48 COLOMBI, Jack(Captain) $351.97 351.97 CONNELL, Robert(Captain) $604.89 604.89 GOODWIN, Charles (Captain) $3,563.00 - 3,563.00 GOODWIN, Donald (Firefighter) $835.12 835.12 * HAWORTH, Constance (Widow) C)rig. Fire Pensio• $2,472.05 2,472.05 HAWORTH, Jack(Firefighter) $2,688.00 - 2,688.00 HENRY, Teresa A. (Widow) L.oFF L $235.62 235.62 HENRY, William, Jr. (Captain) $1,099.60 1,099.60 HURST, Gerald (Firefighter) $436.61 436.61 JONES, Gerald D. (Firefighter) $188.09 188.09 LAVALLEY, Theodele (Captain) $274.95 274.95 MC LAUGHLIN, JACK(Battalion Chief) $656.13 656.13 NEWTON, Gary (Lieutenant) $204.14 204.14 NICHOLS, Gerald (Battalion Chief) $286.52 286.52 PARKS-ANDREASON, Arlene (Widow) Leoc I- $255.17 255.17 PARKS, John (Firefighter) $2,789.50 295.33 3,084.83 PHILLIPS, Bruce H. (Deputy Chief) $15.71 15.71 PRINGLE, Arthur(Captain) $376.80 376.80 * PRINGLE, S. Joan (Widow) Orifi Fire Pertsio& $2,123.77 2,123.77 RIGGLE, David E. (Firefighter D Step) $46.81 46.81 SMITH, Leroy (Firefighter) $325.09 325.09 STROM, Karl (Firefighter) $2,688.00 - 2,688.00 TODD, Franklin (Firefighter) $375.94 375.94 VACCA, Nick(Lieutenant) $238.36 238.36 WALLS, Kenneth (Firefighter D Step) $98.89 98.89 WALSH, David (Firefighter) $874.71 874.71 WALSH, Patrick(Captain) $804.52 804.52 WEISS, Larry (Battalion Chief) $463.47 463.47 WOOTEN, Marilyn E. (Widow)_14_8r-p L $179.86 179.86 Total Expenses: Pension/Medical 30,932.24 295.33 31,227.57 Prior Year Pension/Medical Payments: Total Pension Payments for July, 2003 28,870.67 Total Medical Bills Reimbursed in July, 2003 0.00 Total Expenses: Medical/Pension 28,870.67 * Received a 1.5% CPI increase effective July 1. - ()fig. rife, Persi0^ 4_SUMMARY 2004 7/9/2004 8:14 AM 4ftry .wee FIREMEN'S PENSION BOARD MEDICAL BILLS TO BE REIMBURSED IN JULY, 2004 PAYMENT Page Name Pharmacy/Medical Facility Amount of Bill James Ashurst 0.00 Charles Goodwin 0.00 Jack Haworth 0.00 2 John Parks Olympic Drug 23.22 2 John Parks Olympic Drug 72.66 2 John Parks Olympic Drug 23.85 2 John Parks Olympic Drug 94.89 2 John Parks Olympic Drug 27.07 2 John Parks Olympic Drug 53.64 295.33 Karl Strom 0.00 TOTAL 295.33 3_2004 FP Medical 7/9/2004 8.13 AM Nov ,Ndisf CITY OF RENTON FIREMEN'S PENSION CLAIM FOR REIMBURSEMENT FORM h ,, RECEIVED r1 l NAME U 0 ' h; rc1 /I 5 JUL - $ 200k DATE c/U /l /j A.0 4Y CitY ofAccounts Renton 3 AMOUNT OF CLAIM $ `� J . ,:----- Reason for medication/hospitalization/physician's exam: e 4 ' 6I Tie -(' e7 r s m a c'h 4 r6-! fed 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 that the City of Renton. All of the above are related to my disability from the Fire Department. C in Signature 441 f, _,Ct'f4 Note: Proper Documentation must accompany this claim form. Mail forms to: City of Renton Finance Department—Fire Pension 1055 South Grady Way Renton,WA 98055 Revised 12/24/02 PA I Value al the smiling'0' Value Ilh linq'o � in latoYMPIC DRUG 1244 15th Ave.,Longview,WA 98632 Ph.(360)423-3360 1244 15th Ave.,Lop n gview,WA 96632 Ph.(360)423-3360 1244 5t Ave.1w ew,W 9863n/PM.alalrrM h.(36 Man23-3360 8244 5th veallmr ew,WA9 brypeismaprM h.(3 b23-3360 RX#C412237 DR.RICHARDS RX# 412239 DR.RICHARDS UNKNOWN 6/7/04 JS UNKNOWN 6/7/04 JS PARKS, JOHN PARKS, JOHN iniiiiinNiNkilinlin 1111110111111111111011nliiil ALPRAZOLAM 0.5MG TAB GENE REMERON SOLTAB 45MG QTY#120 NDC#00781-1077-05 GENEV QTY#30 NDC#00052 0110 30 ORGAN NO REFILLS CALL PHARMACY 5 REFILLS UNTIL: 6/7/05 PRICE: $23.22 PRICE: $94.89 111111IIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111II 1 1101111011110M01111111101111 1 RECEIPT RECEIPT J„luc ul the smilinq'O' YMPIC DRUG1 'J.i,��t iM1esmilina'G YMPIC ORV _ 1244 15th Ave.,Longview,WA 98632 Ph.(360)423-3360 wawIw.smrar.aa,lw.woo-m”au:mybaypeaona6aer3aepa,mla3,+a.a3 aeWma 124415thAve.,Lon view,WA98632 Ph.(360)423-3360 RX#1:412240 DR.RICHARDS "�"" "F" "° tr�aduab8baya3nmamaeaneep3aa6.a 3 ffipe,amm UNKNOWN 6/7/04 JS RX# 412254 DR.RICHARDS UNKNOWN 6/7/04 JS PARKS,JOHN PARKS, JOHN 1111111011111111101111111111 1 Ill 6810161110101811111 1 AMBIEN 10MG TABS**** PRILOSEC OTC 20MG TAB QTY#20 NDC#00024-5421-31 WINTH QTY#28 NDC#37000 0455 03 P&G NO REFILLS CALL PHARMACY 11 REFILLS UNTIL: 6/7/05 PRICE: $72.66 PRICE: $27.07 I 1111111110 M1111101111111111111111111111111111 111111111111101111111111111111110111RECEIPT I RECEIPT Value at the smihnq'O' '''YMPIC DRUG . c-:T ._lYMPIC DRUG w44 15aAAve.,.L.°va liewar<ae 42 aaa.2.. ,p)4F3-3360 a nNl $Thto F I:vi pmon v wINN 9$63 wn 3 OWiM RX# 412236 DR.RICHARDS RX# 412038 DR.ARONSKY UNKNOWN 6/7/04 JS UNKNOWN 6/7/04 DG PARKS, JOHN PARKS, JOHN lilt" lit Iiiimmum1111 1111111111ESII II II III I II II II II METOCLOPRAMIDE TAB 5MG Z-PAK TABLETS^ QTY#100 NDC#50111-0517-01 QTY#6 NDC#00069-3060-75 PFIZR Generic For:REGLAN 5MG 5 REFILLS UNTIL: 6/7/05 NO REFILLS CALL PHARMACY PRICE: $23.85 a PRICE: $53.64 I 1111011111111111101111011101111111110111111 11 11,11 1111 1111 II II II 1111 11 11 1111 II RECEIPT RECEIPT n II °rrr SEND CLAIM TO: City of Renton Finance Dept.-Fire Pension 1055 South Grady Way Renton, WA 98055 O Cy`SYO DRAB` - 1\r-c0 CITY OF RENTON FIREMEN'S PENSION BOARD Pharmacy/Medical Claim Reimbursement Request 1) DATE 2) DISABILITY RETIREE'S NAME (preprint) 3) ADDRESS (preprint) 4) DISABILITY AT TIME OF RETIREMENT (preprint) 5) DESCRIPTION OF CLAIM: (Supporting documentation must be attached.) (Note: Medical coverage is limited to current treatment of the retiree's disability as determined at the time of retirement. (RCW 41.18) Submit only claims that relate to item#4.) 6) TOTAL AMOUNT OF CLAIM 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 complete and accurate to the best of my knowledge, and that all claims submitted are related to my disability as determined at the time of my retirement from the Renton Fire Department. Signature: (preprint name) Note: Supporting documentation must be attached. • NOOK Onft FIREMEN'S PENSION BOARD Confidentiality Agreement I, , hereby agree that I will not at any time-either during or after my term or association with the City of Renton Firemen's Pension Board-use, access or disclose health information concerning any disabled retiree to any person or entity, internally or externally, except as is required and permitted in the course of my duties and responsibilities with the Firemen's Pension Board. I understand that this obligation extends to any health information that I may acquire, whether in oral, written or electronic form and regardless of the manner in which access was obtained. I understand that this obligation will survive the termination of my term or association with the City of Renton Firemen's Pension Board Printed Name Title Signature Date