HomeMy WebLinkAbout252932 12/29/15 CITY OF CARMEL, INDIANA VENDOR: 357451
•;; ® I• ONE CIVIC SQUARE SALLY LAFOLLETTE CHECK AMOUNT: $*******203.00*
CARMEL, INDIANA 46032 438 EMERSON ROAD CHECK NUMBER: 252932
9,,�roN CARMEL IN 46032 CHECK DATE: 12/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 203.00 OTHER EXPENSES
Spelbring, James P - HR
From: Wolfgang, Sue E
Sent: Monday, December 21, 2015 11:59 AM
To: Spelbring,James P - HR
Subject: FW: Sally La Follette
Jim,
Can you please prepare and submit a claim to reimburse Sally Lafollette (from the health plan account)? She was
charged premiums that Barb asked Jean to cancel (see below). The exact amount, per Sally, is$203.00.
Any questions, let me know.
Thanks,
Sue
From: Lamb, Barbara A
Sent: Monday, December 21, 2015 11:47 AM
To: Wolfgang, Sue E
Subject: Re: Sally LaFollette
I asked Jean to cancel it but apparently she didn't. The easiest way to take care of it is to submit a claim in her name
from the health account. Please also make sure she is cancelled at Anthem
She can rest assured she had NO COVERAGE from the City.We won't screw up her Medicare
Sent from my iPhone
On Dec 21, 2015,at 9:42 AM,Wolfgang,Sue E<swolfganF@carmel.in.Fov>wrote:
Sorry to bother you, but Sally was in my office first thing today wondering why her bank account was
debited this morning for her health insurance ($203.19,she thinks). She said she thought her coverage
was to end on November 30th,with Medicare to start December ft. She has all of the Medicare
information and cards, and was surprised to see the City insurance premium debit today. I couldn't find
anything in her medical file.
She's concerned because she has surgery scheduled for January 5th under Medicare, and she doesn't
want anything to mess it up. Also, she was not planning on that debit and was going to use the money
for Christmas shopping.
What can I tell her or how can I get this fixed if the deduction was in error?
Thanks,
Sue
SUE WOLFGANG ❑ Employee Benefits Administrator
City of Carmel ■ Department of Human Resources
One Civic Square ■Carmel IN 46032
OFFICE:(317) 571-5850 ■ CELL: (317)800-0697
swolfga ng@ca rmel.i n.gov
1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHERCity Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Sally Lafollette
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 .00—
. 00
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER N4 a646 WARRANT NO.
ALLOWED 20
Sally Lafallette IN SUM OF $.
(retiree)
$ ZU0. D
ON ACCOUNT OF APPROPRIATION FOR
I
I
301 Medical Fund
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
or bill(s) is (are) true and correct and that
12.21.15301 203100) the materials or services itemized thereon
for which charge is made were ordered and
received except
t
I
20
Signature
Cost distribution ledger classification if
i Title
claim paid motor vehicle highway fund