HomeMy WebLinkAboutFinal Agenda Packet CITY OF RENTON
FIREMEN'S PENSION BOARD
Regular Meeting
7th Floor-Mayor's Conference Room
Thursday, October 16, 2008
2:00 P.M.
1. CALL TO ORDER
2. APPROVAL OF MINUTES OF SEPTEMBER 18, 2008
3. CORRESPONDENCE
4. MONTHLY STATEMENT TO SEPTEMBER 30, 2008
5. MONTHLY BILLS AND PENSION PAYMENTS
6. UNFINISHED BUSINESS
7. NEW BUSINESS
8. ADJOURNMENT
N•0r w
MINUTES
FIREMEN'S PENSION BOARD
CITY OF RENTON
September 18, 2008
Denis Law, Mayor
Don Persson, 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 Acting Chairman Don
Persson at 2:02 p.m. in the Mayor's Conference room, 7th floor of Renton City Hall. In attendance
were Board members Don Persson, Ray Barilleaux, Bruce Phillips, and Bonnie Walton. Also
present: Jill Masunaga, Finance Representative.
MINUTES APPROVAL
MOVED BY BARILLEAUX, SECONDED BY PHILLIPS, THE PENSION BOARD APPROVE
THE MINUTES OF THE AUGUST 21, 2008, MEETING. CARRIED.
MONTHLY STATEMENT
The financial report as of August 31, 2008, was reviewed. Total cash/investment balance was
$4,525,895.10.
MONTHLY BILLS AND PENSION PAYMENTS
MOVED BY PHILLIPS, SECONDED BY BARILLEAUX, THE BOARD APPROVE THE
PENSION/MEDICAL PAYMENTS FOR SEPTEMBER 2008, IN THE TOTAL AMOUNT OF
$43,116.08 TO BE PAID FROM THE FIREMEN'S PENSION FUND. CARRIED. It was noted
that the total includes two recipients of a$500 funeral expense reimbursement(Newton and Walls),
per RCW 41.18.140.
ADJOURNMENT
MOVED BY PHILLIPS, SECONDED BY BARILLEAUX, THE MEETING OF THE FIREMEN'S
PENSION BOARD BE ADJOURNED. CARRIED. Time: 2:07 p.m.
6671444,-;J• tdal.ter
Bonnie I. Walton, City Clerk
Member and Secretary, Firemen's Pension Board
MOW
CITY OF RENTON - FIREMEN'S PENSION FUND
CASH & INVESTMENT ACTIVITY REPORT
AS OF SEPTEMBER 30, 2008
Fireman's Pension Fund Comparison of Cash and Investment Activity
6
0 2008 ❑2007
5
—
,a —
0 4
0
75
o
0 c 3
i
2
1 - –
i
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
CURRENT 2008 2008 LAST YEAR 2007 2007
ACTIVITY: MONTH YTD ADJ BUDGET CURR MO ACTUAL ADJ BUDGET
BEGINNING CASH/INV BALANCE $4,525,895.10 $4,694,232.48 $4,203,347 $4,471,182.68 $4,672,241.19 $4,459,523
RECEIPTS:
Fire Insurance Premium Tax 0.00 85,949.42 75,000 0.00 85,061.56 73,000
Investment Interest 607.11 105,098.07 200,000 3,130.81 389,226.86 175,000
DISBURSEMENTS:
Fire Pension 43,102.86 388,748.31 552,400 34,695.56 427,011.96 463,500
Fire Pension Medical 0.00 6,127.53 20,000 1,019.11 9,059.17 20,000
Office/Operating Supplies 0.00 372.78 459 450.00 450.00 450
Actuarial/Firemen's Pens 0.00 0.00 0 0.00 7,550.00 12,000
Reimb General/Clerical&Acct 829.00 7,461.00 9,948 686.00 8,226.00 8,226
ENDING CASH/INV BALANCE $4,482,570.35 $4,482,570.35 $3,895,540 $4,437,462.82 $4,694,232.48 $4,203,347
CURRENT PREVIOUS LAST YEAR LAST YEAR
ACTIVITY: MONTH MONTH CURR MO PREV MO
CASH $632,126.97 $675,451.72 $231,750.55 $265,470.41
INVESTMENTS:
CD's&State Investment Pool 454,767.46 454,767.46 454,767.46 454,767.46
Federal National Mortgage Assn 99,555.84 99,555.84 99,555.84 99,555.84
Treasury Strips&Zero Coupon Bonds 3,206,796.27 3,206,796.27 3,651,388.97 3,651,388.97
INTEREST ACCRUED 89,323.81 89,323.81
TOTAL CASH AND INVESTMENTS $4,482,570.35 $4,525,895.10 $4,437,462.82 $4,471,182.68
The State Investment Pool interest 2.3892% 2.3328% 5.1232% 5.2265%
H:\FINANCE\FINPLAN\FIRE PEN\1_Fire_Pension_2008.xls\Sep08 Page 1 10/10/2008
'tool
FIREMEN'S PENSION BOARD
PENSION/MEDICAL PAYMENTS FOR OCTOBER, 2008
Recipient . pension AM'nt Medicals Total .;'
ANKENY, Charlie(Captain) $90.81 90.81
ASHURST, James(Assistant Chief) $4,569.00 - 4,569.00
BANASKY, George(Captain) $1,502.59 1,502.59
BARILLEAUX, Ray(Battalion Chief) - -
BEATTEAY, Karlen (Widow) $192.17 192.17
BERGMAN, Claudette(Widow) $118.24 118.24
CHRISTENSON, Chuck(Firefighter) $523.58 523.58
CONNELL, Robert(Captain) $678.13 678.13
GEISSLER, Dick(Fire Chief) $641.73 641.73
GOODWIN, Charles (Captain) $4,010.50 - 4,010.50
GOODWIN, Donald (Firefighter) $1,277.48 1,277.48
HAWORTH, Constance(Widow) $2,792.83 2,792.83
HAWORTH, Jack(Firefighter) $3,025.00 - 3,025.00
HENRY, William, Jr. (Captain) $1,805.36 1,805.36
HURST, Gerald (Firefighter) $488.91 488.91
JONES, Evelyn M. (Widow) $208.91 208.91
LARSON, William (Firefighter) $222.80 222.80
LAVALLEY, Theodele(Captain) $306.38 306.38
MATTHEW, James (Deputy Chief) $193.70 193.70
MC LAUGHLIN, JACK(Battalion Chief) $1,601.18 1,601.18
NEWTON, Gary(Lieutenant) $226.76 226.76
NICHOLS, Gerald (Battalion Chief) $467.89 467.89
PARKS-ANDREASON,Arlene(Widow) $284.16 284.16
PARKS, John (Firefighter) $3,139.50 73.57 3,213.07
PHILLIPS, Bruce H. (Deputy Chief) $909.45 909.45
PRINGLE, Arthur(Captain) $421.16 421.16
PRINGLE, S. Joan (Widow) $2,399.37 2,399.37
RIGGLE, David E. (Firefighter D Step) $49.58 49.58
RUPPRECHT, Jim (Firefighter D Step) $83.02 83.02
SMITH, Leroy(Firefighter) $363.04 363.04
STROM, Karl (Firefighter) $3,025.00 71.48 3,096.48
TODD, Franklin (Firefighter) $420.32 420.32
TONDA, Lila Jean (Widow) $531.29 531.29
VACCA, Nick(Lieutenant) $265.10 265.10
WALLS, Camille(Widow) $108.43 108.43
WALLS, Mercedes(Widow) $729.93 729.93
WALSH, David (Firefighter) $1,322.07 1,322.07
WALSH, Patrick(Captain) $902.97 902.97
WEISS, Larry(Battalion Chief) $1,354.42 1,354.42
WILLIAMS, Alta(Widow) - -
WOOTEN, Marilyn E. (Widow) $200.10 200.10
. '0ital l 0efteag;P n4leii/Magical = ., ,c$41,452.86 .4145.05. "'.:.:4411A91;91,-,
Prior Year Pension/Medical Payments:
Total Pension Payments for October, 2007 34,695.56
Total Medical Bills Reimbursed in October, 2007 561.55
Total Expenses: Medical/Pension 35,257.11
4_SUMMARY 2008.XLS 10/10/2008
FIREMEN'S PENSION BOARD
` ��
W1ED|CALun��TOBERE|K8BUR8ED |NOCTOBER, ��� PAYMENT .
�Arilojititat$0r`
James Ashurst 0.00
Charles Goodwin 0.00
Jack Haworth 0.00
2 John Parks Olympic Drug 44.48
2 John Parks Olympic Drug 6.28
2 John Parks Olympic Drug 2.31
2 John Parks Olympic Drug 14.01
2 John Parks Olympic Drug 6.49
73.57
4 Karl Strom Sam's Club 8.00
4 Karl Strom Sam's Club 3.00
4 Karl Strom Sam's Club 12.48
5 Karl Strom Department of Veterans Affairs 24.00
5 Karl Strom Department of Veterans Affairs 24.00
71.48
. vow SEND CLAIM TO: .,,d City of Renton
Finance Dept.-Fire Pension
1055 South Grady Way
Renton, WA 98057
O4-c
+ 4, 4.
,�NT°, CITY OF RENTON
FIREMEN'S PENSION BOARD
Pharmacy/Medical Claim Reimbursement Request
1) DATE ,t• L) 2-00 8
2) DISABILITY RETIREE'S NAME (print) OA n 1. , Pa 1-fr.5
3) ADDRESS /3 45-- 3 4Ve 4- 9n
o5to H/ /d. 786.:.
4) DISABILITY AT TIME OF RETIREMENT S7rn1t/ kP-1t/X d,Jc-ec
VLce-rr.51 Yr<-21-4k1 /ri-i-r1 aarre 41-ixferx P-fm
eb) es
5) DESCRIPTION OF CLAIM: (Supporting documentation 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 expense is not covered by another
plan,source or insurance coverage. Supporting documentation for all must be attached.)
.e7
6) TOTAL AMOUNT OF CLAIM: $ 7.3 . i
Amount of total claim (above) that is related to the Retirement Disability: $ , / , D 9
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 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.
Signature:C04P/it f _, ---"D,,e( .Q/
Note: Supp ing documentation must be attached.
Plte 1
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Vekte at the smiling'0'
11YPIPIC DRUG RECEIPT
1244 15th Ave.,Longview,WA 98632 Ph.(360)423-3360 SAVE FOR INSURANCE
Rx,7 816310OR TAX RECORDS
8-25.08 Far1335. JOHN DDARE#109
CRN:A4086386409351
LONGVIEW,WA 98632 (360) 577-6684
SYMBICORT AER 160-4.5
#10.20 NDC: 00186-0370-20
DR. RICHARDS,JOHN E ZHA COPAY: $44.48
1101111111111111101111111011111111 III 111111IIIIillIll! Price
Value at the smiling'0'
12w WING DRUG RECEIPT
- FORE
1244 15th Ave.,Longview,WA 98632 Ph.(360)423-3360 SAVE OR TAX R CORDSCE
Ra C816311 For. JOHN PARKS
8.25.08 CRN:A1286380255541 1335 3RD AVE#109
LONGVIEW,WA 98632 (360) 577-6684
ALPRAZOLAM 0.5MG TAB ***
s0 NDC: 3720.03
RICHARDS,JOHN7E2
DR. ZHA COPAY: $6.28
111111111 11111111 1111111 II 1111 1111111 10111 Prloe
420,YYMsPDRVC RECEIPT
1244 15th Ave.,Longview,WA 98632 Ph.(360)423-3360 SAVE FOR INSURANCE
OR TAX RECORDS
Rx# C816317 For: JOHN PARKS
8-25-08 CRN:A9286381983251 1335 3RD AVE#109
LONGVIEW,WA 98632 (360) 577-6684
ZOLPIDEM TAB 10MG ***
#30 NDC: 60505-2605-08
DR. RICHARDS,JOHN E ZHA COPAY: $2.31
11011 III 1111 11111 I 1 II 11110111111011111 III I I II Price
Value at the smiling'0'
law'YMPIC DRUG RECEIPT
1244 15th Ave.,Longview,WA 98632 Ph.(360)423-3360 SAVE FOR INSURANCE
OR TAX RECORDS
130 816312 For JOHN PARKS
8-25-08 CAN:A6086386410921 1335 3RD AVE#109
LONGVIEW,WA 98632 (360) 577-6684
MIRTAZAPINE SOLTAB 45MG
#30 NDC: 65862-0023-06
DR. RICHARDS,JOHN E ZHA COPAY: $14.01
II II III I I III III I 11111 II Ii ill 110111 I I I I II II 1 I I Price
J
Vale.at0'
PM DRUG RECEIPT
FOR 1244 15th Ave.,Longview,WA 98632 Ph.(360)423-3360 SAVE OR TAX RECORDS INSURANCE
R. 818482 Fan JOHN PARKS
9-03-08 CRN:A5286470445991 1335 3RD AVE#109
LONGVIEW,WA 98632 13601 577-6684
LACTULOSE SOL 10GMI15
DR 1HARDS,JO NE
4RIC4NDC: 55036002 ZHA COPAY: $6.49
'HI I III 11 Mill III II II II 1111111 11110 Price
7d\-6E Z
%r, SENDCLAIMTO: City of Renton
Finance Dept.-Fire Pension
1055 South Grady Way
Renton, WA 98057
fs ,L
Nt
Arcs,� CITY OF RENTON
FIREMEN'S PENSION BOARD
Pharmacy/Medical Claim Reimbursement Request
1) DATE
2) DISABILITY RETIREE'S NAME (print) / 1 11'/2-1 �'�2�'"t
3) ADDRESS Mr.Karl Strop,
201 Union Ave.SE Unit 142
Renton,WA 98059
4) DISABILITY Al'
5) DESCRIPTION OF CLAIM: (Supporting documentation 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 expense is not covered by another
plan, source or insurance coverage. Supporting documentation for all must be attached.)
6) TOTAL AMOUNT OF CLAIM: $ 7/ TO
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 complete and accurate to
the best of my knowledge, and that any charges other than prescription drug charges, are
related to my disability as det rmined at the time of my retirement from the Renton Fire
Department. ,�
'a42–u,L—
Signature: `�"'
Note: Supporting documentation must be attached.
PAkee 3
_-. Al Expire
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SAM'S CLUB (425)793-7937 $13.78 SAM'S CLUB (425)'' $13.78
901 SOUTH GRADY WAY 901 SOU,. ,f
Pharmacy RENTON,WA 98055-0000 Pharmacy RENTON,WA ,:vo0-0000
STROM,KARL B 09/08/2008 REFILL STROM,KARL B 09/08/2008 REFILL
15616 SE 143RD RENTON,WA 98055 15616 SE 143RD RENTON,WA 98055
RX:6683461 Ref#3 QTY: 60 DAW: 0 DS:30 RX:6683461 Ref#3 QTY:60 DAW:0 DS:30
NDC:54458-0976-07 ALLOPURINOL 100MG TAB INT NDC:54458-0976-07 ALLOPURINOL 100MG TAB INT
BROCKENBROUGH,ANDREW T NABP:4930613 BROCKENBROUGH,ANDREW T NABP:4930613
Patient Pay $8_,04 Patient Pay $8.00.
J
Y
STROM
KARL B a
0 15616 SE 143RD
m RENTON,WA 98055
C r (425)271-8373 4 79312 70442
1I—. < 09/08/2008 (425)793-7937 3 ?;
V/ Signature Required N RX:6683461 REF=3 OC#165 923 831 076 592 384 107 659 238
09/08/2008 12:16:28 PM"` 0
Page No : 1 TOTAL: $8.00 a
..4__ ,,.,,,o,u,aeon Expires 09/18/2008
SAM'S CLUB 9025)793-7937 1 SOUTH GRADY WAY $4.00 �A� y 9015 425)793-7937 $4.00
SOUTH GRADY WAY
Pharmacy RENTON,WA 98055-0000 Phan.,i y RENTON,WA 98055-0000
STROM,KARL B 09/20/2008 REFILL STROM,KARL B 09/20/2008 REFILL
15616 SE 143RD RENTON,WA 98055 15616 SE 143RD RENTON,WA 98055
RX:6682146 Ref#P QTY:30 DAW:0 DS: 30 RX:6682146 Ref#P QTY:30 DAW:0 DS:30
NDC: 00378-1809-01 LEVOTHYROXIN 100MCG TAB MYL NDC:00378-1809-01 LEVOTHYROXIN 100MCG TAB MYL
GRAVES,DANIEL NABP:4930613 GRAVES,DANIEL NABP:4930613
97591 97591
WHI AARP Patient Pay ,$3,00_ WHI AARP Patient Pay .$3.00
3
STROM
KARL B d
0 m 15616 SE 143RD
RENTON,WA 980551111II §j
I
425)271-8373
Q 09/20/2008 (425)793-7937 4 79312 73340 9 r.
V' Signature Required N RX:6682146 REF#P OC#355 923 871 076 592 884 107 659 238 8
09/20/2008 10:44:03 AM WHI •O
Page No : 1 of 2 TOTAL: $3.00 a
SAM'S CLUB (425)793-7937 $25.46 SAM'S CLUB (425)793-7937 $25.46
901 SOUTH GRADY WAY 901 SOUTH GRADY WAY
Pharmacy RENTON,WA 98055-0000 Pharmacy RENTON,WA 98055-0000
STROM,KARL B 09/26/2008 REFILL STROM,KARL B 09/26/2008 REFILL
15616 SE 143RD RENTON,WA 98055 15616 SE 143RD RENTON,WA 98055
RX:4412944 Ref#2 QTY: 120 DAW:0 DS: 30 RX:4412944 Ref#2 QTY: 120 DAW:0 DS: 30
NDC:00406-0357-05 HYDROCO/APAP5-500MG TAB MAL NDC:00406-0357-05 HYDROCO/APAP5-500MG TAB MAL
BROCKENBROUGH,ANDREW T NABP:4930613 BROCKENBROUGH,ANDREW T NABP:4930613
91121 91121
WHI AARP Patient Pay $.12,48. WHI AARP Patient Pay $1248
2STROM
0 m KARL B 0
15616 SE 143RD :
CC J RENTON,WA 98055 III II I I 1 1111 5
Cl) cc (425)271.8373 4 79312 74831 1
09/26/2008 (425)793-7937 f..Signature Required N RX:4412944 REF=2 OC#155 923 405 476 592 384 107 659 23809/26/2008 12:36:37 PM'•• WHI
Page No : 1 of 2 TOTAL: $12.48 p
P 4
Department of Veterans Affairs
1660 S COLUMBIAN WAY
' SEATTLE WA 98108-1532 *'w STATEMENT OF MEDICAL CARM bOST RECOVERY ACCOUNT ACTIVITY
NAME OF FACILITY
AGENT CASHIER (136MCCR) VA PUGET SOUND HEALTH CARE SYSTEM (663) IMMIONIM
FOR QUESTIONS ABOUT YOUR ACCOUNT, PLEASE PHONE THE
BELOW NO. 1-866-290-4618 -=-
III IIII IIII II III II II I II III
r n u r rnr r r r m r mr m nr r n u r n , For written inquiries concerning your account please send them
056200 - 092408 to the MCCR or Revenue Office at the facility address above. =
KARL B STROM JR Payments received after 09/20/2008 will be on
201 UNION AVE SE UNIT 142 your next statement.
RENTON WA 98059-5177 =MEOW
CALL WITH YOUR HEALTH INSURANCE INFORMATION111110.111
ent Name: KARL B STROM JR Account No: 663-000000-7237347-STROM Stmt Date: 09/24/2008
OIV:
...... ..- wpn#( g '''mm'>>s'<s>=><sgga<:z' m..zwgki=cli E:1#!V>ioq...,;.::.: :>:
06/06/2008 PAYMENT (06/05/2008) 48.00- 663-K804PJD
09/10/2008 COPAY RX:4245408A FD:09/09/2008 24.00 663-K807K7E
DRUG:AMIODARONE HCL (PACERONE) 200MG TAB
DAYS:90 QTY:90 PHY:WICHER,JOHN B CHG:$24.00
09/18/2008 COPAY RX:5179485 FD:09/17/2008 24.00 663-K807K7E
DRUG:INSULIN NPH HUMAN 100 UNIT/ML NOVOLIN N
DAYS:90 QTY:6 PHY:WICHER,JOHN B CHG:$24.00
621)
SUMMARY OF t ( ...
L ACTIVITY
tonmity:BAbutce
48.00 48.00- 48.00 48.00
PLEASE DETACH THIS COUPON BELOW AND RETURN WITH PAYMENT. DO NOT INCLUDE ANY CORRESPONDENCE WITH PAYMENT.
*CREDIT CARD NUMBER *EXP. DATE ACCOUNT NUMBER STATEMENT DATE
663-000000-7237347-STROM 09/24/2008
AME OF CREDIT CARD
AMERICAN El MASTER II DISCOVER ElVISA
'-EXPRESS "CARD 663**6630000007237347STROM***00020000048001
EGNATURE
Remit To:
RUNT DUE DUE DATE *AMOUNT OF PAYMENT IrrILllrrrr�ILrlrlrrriLlLrrrrlrl�ILrLIrrrllrrlrLrrl�rll
DUE UPON , DEPARTMENT OF VETERANS AFFAIRS -
48.00 RECEIPT PO BOX 530269
ATLANTA GA 30353-0269
KARL B STROM JR
201 UNION AVE SE UNIT 142
RENTON WA 98059-5177 If paying by check or money order please make payable to the "VA" and send
payment to "Remit To:" address above. Please include account number on check or
)RM money order. *If paying by Credit Card complete fields marked with an asterisk(*).
005 0246
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