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HomeMy WebLinkAboutFinal Agenda Packet 7 lily *me CITY OF RENTON FIREMEN'S PENSION BOARD Regular Meeting 7th Floor-Mayor's Conference Room Thursday, April 15, 2004 3:30 P.M. 1. CALL TO ORDER 2. APPROVAL OF MINUTES OF MARCH 18, 2004 3. CORRESPONDENCE Letter Regarding Distribution of Fire Insurance Premiums 4. MONTHLY STATEMENT TO 3/31/04 5. MONTHLY BILLS AND PENSION PAYMENTS 6. UNFINISHED BUSINESS Draft Forms: Confidentiality Agreement and Claim Reimbursement Request 7. NEW BUSINESS 8. ADJOURNMENT MINUTES FIREMEN'S PENSION BOARD CITY OF RENTON March 18, 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 Chairman Kathy Keolker- Wheeler at 3:30 p.m. in the Mayor's conference room, 7th floor of Renton City Hall. In attendance were Board members Kathy Keolker-Wheeler, Bill Henry, Ray Barilleaux and Bonnie Walton; and Jill Masunaga, Finance Department Representative. Board member Randy Corman arrived at 3:35 p.m. MINUTES APPROVAL MOVED BY BARILLEAUX, SECONDED BY HENRY, THE PENSION BOARD APPROVE THE MINUTES OF THE FEBRUARY 23, 2004, MEETING. CARRIED. MONTHLY STATEMENT The financial report as of February 29, 2004, was reviewed. Total cash/investment balance was $5,068,679.74. MONTHLY BILLS AND PENSION PAYMENTS MOVED BY HENRY, SECONDED BY BARILLEAUX, THE BOARD APPROVE THE PENSION/MEDICAL PAYMENTS FOR MARCH 2004, IN THE TOTAL AMOUNT OF$33,499.17. CARRIED. UNFINISHED BUSINESS Signing of confidentiality statements was discussed. It was agreed that Bonnie Walton would draft such a form for review and consideration at the next meeting. NEW BUSINESS The Board discussed ways to ensure that only those pharmacy and medical expenses related to the retiree's disability are approved for payment. It was agreed that Bonnie Walton would draft a revised Claim for Reimbursement Form for review and consideration at the next meeting. ADJOURNMENT MOVED BY BARILLEAUX, SECONDED BY CORMAN, THE MEETING OF THE FIREMEN'S PENSION BOARD BE ADJOURNED. CARRIED. Time: 3:55 p.m. eem rut.e si GUGZe - Bonnie I. Walton, City Clerk Member and Secretary, Firemen's Pension Board CIT‘,..00F RENTON "Yy City Clerk Kathy Keolker-Wheeler, Mayor Bonnie I.Walton April 5, 2004 Office of the State Treasurer Attn: Linda Lund P.O. Box 40209 Olympia, WA 98504-0209 Re: May 2004 Fire Insurance Premium Distribution Dear Ms. Lund: The following information is provided in compliance with RCW 41.16.050 in order for the City of Renton to receive the annual fire insurance premium tax: There were 105 paid firemen employed in the City of Renton Fire Department as of December 31, 2003. Sincerely, 130,n,u. . tdatte-,&, Bonnie I. Walton City Clerk/Cable Manager CERTIFICATION I, Bonnie I. Walton, duly appointed and qualified City Clerk/Cable Manager of and for the City of Renton, Washington, do hereby certify that the above-cited information is true and correct as appearing on file in the records of the Finance Department. Signed and sealed this 5th day of April 2004. 44--Am_a tdatte- 0„p Bonnie I. Walton, City Clerk/Cable Manager z* SEAL * • , i� a. TED US Os 1055 South Grady Way-Renton,Washington 98055-(425)430-6510/FAX(425)430-6516 R E N T O N �� AHEAD OF THE CURVE L.: This paper contains 50%recycled material,30%post consumer vie From: Cindy Zinck To: Walton, Bonnie Date: 3/19/2004 8:41:36 AM Subject: Re: Annual Inquiry- Firemen Employed It is the same as last year 105. Cindy >>> Bonnie Walton 3/17/2004 11:06:01 AM >>> As required every year around this time, I need to verify the number of paid firemen employed in the City of Renton Fire Department as of the end of December 2003. (The number you gave me last year was 105, to include firefighters and commissioned officers.) Please provide the number as of December 31, 2003. Thank you. Bonnie Walton City Clerk and Firemen's Pension Board Member/Secretary CITY OF RE.E...00*.; ',`l�ER OF •, MICHAEL J. MURPHY X; '0 0' State Treasurer ‘s• >-:-J11111119WL1 _�•° :; C,.T . _1._ . ... ...��=;..._. gsHINGc , State of Washington Office of the Treasurer March 15, 2004 MEMORANDUM TO: Cities, Towns and Fire Districts Receiving Fire Insurance Premium Distribution FROM: Linda Lund, Distribution Assistant Office of the State Treasurer SUBJECT: May 2004 Distribution RCW 41.16.050 provides that twenty-five percent of moneys received from the tax on fire insurance premiums be distributed to cities, towns and fire districts for the credit of local pension funds. The statute also provides that the secretary of the firemen's pension board for each city, town or district shall certify to the state treasurer's office the number of paid firemen in their departments on or before the fifteenth day of January. The certification should show the number of paid firemen employed by your department as of December 31, 2003. As of this date, we have not received your certification. In order for your city to participate in the May 2004 fire insurance premium distribution, we must have your certification by 5:00 p.m. Friday, May 21st. If you have any questions, please call me at (360) 902-8960. My fax number is (360) 704-5160. My mailing address is: Office of the State Treasurer Attn: Linda Lund P. O. Box 40209 Olympia, WA 98504-0209 Parito-66 Legi,lative Building.P.O.Box 40200 • Olympia,Washington 9504-0200 • (360)902-9000 • TDD(360)902-8963 FAX(360)902-9044 • Home Page http://tre.wa.gov i 1W lir CITY OF RENTON - FIREMEN'S PENSION FUND CASH & INVESTMENT ACTIVITY REPORT AS OF MARCH 31, 2004 Fireman's Pension Fund Comparison of Cash and Investment Activity 6 ❑2004 ■2003 5 - -111 - 1 A 4 _ c 0 N 0 c 3 • 2 0 1 1 Jan Feb Mar 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 $5,068,679.74 $5,133,315.47 $5,133,315 $5,251,498.89 $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 0.00 $40,000 0.00 0.00 $32,000 Investment Interest 537.50 1,160.65 $110,000 748.13 1,595.27 $115,000 DISBURSEMENTS: Fire Pension 32,069.44 96,208.32 $375,000 30,216.33 90,648.99 $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 0.00 $4,000 Reimb General/Clerical&Acct 558.00 1,678.00 $6,700 542.00 1,622.00 $6,500 ENDING CASH/INV BALANCE $5,036,589.80 $5,036,589.80 $4,901,215 $5,221,488.69 $5,221,488.69 $5,093,264 CURRENT PREVIOUS LAST YEAR LAST YEAR ACTIVITY: MONTH MONTH CURR MO PREV MO CASH $79,242.56 $11,332.50 $146,950.63 $176,960.83 INVESTMENTS CD's&State Investment Pool 629,767.46 629,767.46 749,767.46 749,767.46 Snohomish County Housing Authority 98,272.00 98,272.00 98,272.00 98,272.00 Treasury Strips&Zero Coupon Bonds 4,229,307.78 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 $5,036,589.80 $5,068,679.74 $5,221,488.69 $5,251,498.89 The State Investment Pool interest 1.0334% 1.0595% 1.2865% 12829% H:\FINANCE\FINPLAN\FIREPEN\2003 Fire Pension\1_Fire_Pension-2003.xls Page 1 4/9/2004 NNW '41010 FIREMEN'S PENSION BOARD PENSION/MEDICAL PAYMENTS FOR APRIL, 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) $2,435.52 2,435.52 -' HAWORTH, Jack (Firefighter) $2,688.00 - 2,688.00 * HENRY, Teresa A. (Widow) $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) $255.17 255.17 PARKS, John (Firefighter) $2,789.50 281.60 3,071.10 * PHILLIPS, Bruce H. (Deputy Chief) $15.71 15.71 * PRINGLE, Arthur(Captain) $376.80 376.80 « ® PRINGLE, S. Joan (Widow) $2,092.38 2,092.38 * 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) $179.86 179.86 Total Expenses: Pension/Medical 30,864.32 281.60 31,145.92 Prior Year Pension/Medical Payments: Total Pension Payments for April, 2003 28,790.61 Total Medical Bills Reimbursed in April, 2003 336.35 Total Expenses: Medical/Pension 29,126.96 * Adjusted to reflect a 1.41% LEOFF cost of living increase effective April 1. 4_SUMMARY 2004 4/9/2004 9:28 AM rr+ err' FIREMEN'S PENSION BOARD MEDICAL BILLS TO BE REIMBURSED IN APRIL, 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 Toledo Pharmacy 21.95 2 John Parks Toledo Pharmacy 96.50 2 John Parks Toledo Pharmacy 120.40 2 John Parks Toledo Pharmacy 42.75 281.60 Karl Strom 0.00 TOTAL 281.60 3_2004 FP Medical 4/9/2004 8:45 AM 4 CITY OF RENTON FIREMEN'S PENSION CLAIM FOR REIMBURSEMENT FORM NAME 0 O Y7 ?1 L: Prk -S• DATE "' d` ''~ O AMOUNT OF CLAIM $ g3 1 , Reason for medication/hospitalization/physician's exam: ?'Ya.. d€ i r-� 0S-.S-.* - ae h � )1 el `y' e J tey 0 i rield/ vn. 5- 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. Signature d4cf. yet.rhAt, d. 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 Tv 61d -re' John L. Parks 1335 3rd Ave #109 Longview WA 98632 Revised 12/24/02 /vie Ph011e (366) .577 ~ 6688" vive i Iwo `rte' TOLEDO PHARMACY Box 249 Toledo, Wash. 98591 ANIMAL HEALTH SUPPLIES GIFTS PRESCRIPTIONS ' Phone 864-4100 TES T t� NAti E(LZ y_.,./ADORE S , / '. , 12.0 TOLEDO 241 COWLITZ ST. CASH Cr:0E6 O CCT. ,frEN�D..I yv1U CALL illPHARMACY TOLEDO,WA 98591 864-4100 �" `J LP l�c� JOHN PARKS 3/03/84 ‘-- / / BOX 626 TOLEDO WA 98591 Rx#C2b4599r Dr.J RICHARDS ALPRAZOLAM 0.5M8 TAB "K e2S y!5'9 N_ NDC# 59762-3720-01 #120 BC /BCA S'� `7 CASH te� / a GPrice: 24.39 - -18% $ 21.95 m •. _ .t �4 , •NTOpLEDOy 241 COWLITZ ST. q1� �� ' + CM,,A PJ�PI fAMRKT LEDO,WA 98591 8634/83/840 1( 1 , lX 1 BOX 626 TOLEDO WA 98591 �� �� Rx#25718 Dr.J RICHARDS I , 7, ' REMERON 45M0 TAB a$ 'C J CASH 00052-0109-30 #30 BC /BC r+ c6111-1 Price: 187.22 - -10% $ 96.50 0 •NTm TOLL�EE•DO�{y 241 COWLITZ ST. PIdil1V l RKS LEDO,WA 98591 863 e/lO BOX 626 TOLEDO WA 98591 Rx0C253126 Dr.J RICHARDS AMBIEN 10M8 TAB NDC# 00024-5421-31 #45 CASH BC /BG Price: 133.78 - -10% $ 120.40 m ?'& 2- � fir►° DR„ AF c)‘(°' ,A ru 'f> NTo� 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 unauthorized use or disclosure of health information concerning any disabled retiree will result in termination of term or association with the City of Renton Firemen's Pension Board, and the imposition of penalties applicable under federal and state law. 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 Nor SENDCLAIMTO: City of Renton Finance Dept. - Fire Pension 1055 South Grady Way Renton, WA 98055 Gti�Y 0 ��NTo� OMR 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 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.