Police - Agendas - 1/15/2025 (2)

Everett Police and Fire Joint Pension Board Meeting Agenda Wednesday, January 15, 2025, 9:15 a.m. via Microsoft Teams 1.) Special action item for joint board review: Proposed long term care move-in expense language “While the LEOFF statute mandates coverage for medical expenses, there is no explicit legal requirement for the Board to pay fees associated with moving into a long-term care facility unless it can be demonstrated that such fees are directly related to the members medical care and are deemed medically necessary by the Board. These fees are separate from monthly rent and medical care, typically covering initial services and administrative expenses. In recognition of the increasing cost and occurrence of move-in fees, the board finds it reasonable to allow payment towards the cost of such fees when the members monthly long-term care costs fall short of the Genworth Cost of Care Survey (Genworth) cap in the members first month of care. In this situation, reimbursement for move-in fees will be automatically approved up to the Genworth cap. Any excess, medically necessary move-in costs above the Genworth cap in the members first month of care may be submitted to the board as an exception for reimbursement. Examples where a move-in fee may be deemed medically necessary may include: - The member requires a specific level of care in which specialized facilities are limited - The members required level of care has outgrown the capacity of their existing facility - The skilled nursing facility will no longer allow the member to remain under care due to behavioral issues It is expected that members conduct thorough research to identify a facility with a reasonable move-in fee, considering skilled care level requirements and location of the facility to existing family, prior to submitting a request to the board.”