Resolution 483-2021 RESOLUTION NO.483-2021
A RESOLUTION OF THE
BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1
OF MONROE COUNTY, FLORIDA
AUTHORIZING THE WRITE-OFF OF FIRE RESCUE
GROUND AMBULANCE WORKERS COMPENSATION ACCOUNTS
RECEIVABLE
FOR DATE OF SERVICE FROM APRIL 1, 2014 THROUGH AUGUST
31, 2020
WHEREAS, Monroe County Fire Rescue Services provides ground ambulance service;
and,
WHEREAS, Monroe County Fire Rescue Billing Department bills the appropriate
workers compensation insurance provider for ground ambulance service where the payor is
specified as workers compensation;
and,
WHEREAS, payment is made by the workers compensation insurer to Monroe County
Fire Rescue Billing Department and outstanding balances are not able to be billed to the patient;
and,
WHEREAS, Monroe County Fire Rescue Billing Department desires to write off the
uncollectible balances of these ground ambulance workers compensation accounts receivables at
this time;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF
FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA:
Receivables for ground ambulance workers compensation accounts listed on
attached Exhibit A in the amount of$6,531.61 shall be deleted from the Fire and
Ambulance District 1 L&M Fund (141).
PASSED AND ADOPTED by the Board of Governors,Fire and Ambulance District 1 of
Monroe County,Florida,at a regular meeting of said Board held on the 8t day of December,2021.
Mayor of Layton,Bruce Halle Yes
Vice Mayor of Layton, Greg Lewis Absent.
Commissioner Craig Cates Yes
ommissioner District 3
r o ^ Vacant
eff40-Ynissioner David Rice Yes
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( ., .: BOARD OF GOVERNORS,FIRE AND
{ ES VIN MADOK,CLERK AMBULANCE DISTRICT I OF MONROE
COUNTY,FLORIDA
As Deputy Clerk By:, If"4" /Ilee—
Mayor/Chairman
MONROE COUNTY ATTORNEY
PPROVED AS TO FORM
� C;_ cD JAMES NAAR
ASSISTANT CO ATTORNEY
c c Date: . 12/2/21 _
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EXHIBIT A
Monroe County Fire Recue
EMS Ground Accounts with Workers Comp Balances
Account Receivable Write Offs
EMS GROUND WORKERS COMP WRITE OFFS
(DOS: 04/01/2014-08/31/2020)
TRIP DATE RUN # BALANCE DUE
7/25/2015 2002 $159.48
8/17/2015 2204 $409.96
9/14/2015 2461 $179.29
9/27/2015 2565 $404.68
1/24/2016 245 $258.33
4/21/2016 1178 $406.20
4/21/2016 1179 $6.40
5/13/2016 1340 $30.24
6/9/2016 1557 $31.20
6/21/2016 1672 $428.17
6/27/2016 1722 $151.20
7/4/2016 1791 $32.40
10/7/2016 2644 $150.96
10/20/2016 2737 $415.05
2/11/2017 430 $150.96
3/30/2017 948 $172.08
5/4/2017 1276 $441.17
5/17/2017 1394 $150.00
6/5/2017 1613 $373.83
6/20/2017 1769 $2.02
6/21/2017 1777 $201.02
10/8/2017 2897 $166.04
10/20/2017 3039 $343.60
1/15/2018 127 $215.31
1/30/2018 300 $293.60
5/24/2018 1505 $168.36
9/10/2018 2520 $2.26
10/21/2018 2926 $194.64
12/11/2018 3449 $163.44
2/23/2019 563 $204.36
3/10/2019 728 $30.96
3/13/2019 760 $194.40
Total 32 $6,531.61