reglab/statecodes huggingface dataset:
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 4 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Public Employee's Retirement System › 2 AAC 39.530 - Appeal to the public employee's retirement board

Current through May 31, 2024
(a) Except as
				provided in (b) of this section, if an enrollee is not satisfied with the
				decision of the plan administrator under
				2 AAC 39.520(c), the enrollee may
				appeal to the board within 30 days after receiving the plan administrator's
				decision. Unless the recipient requests a hearing directly before the board at
				the time of the appeal, the secretary of the board shall appoint a qualified
				hearing officer to hear the appeal.
(b) Determinations of the plan administrator
				respecting issues relating to coordination of benefits and the calculation of
				usual, customary and reasonable charges are not appealable to the
				board.
(c) Appeals to the board are
				subject to the procedures set out in
				2 AAC 35.160, except that a party to the appeal may be
				represented by counsel only if the party gives written notice to the board
				secretary (for appeals before the full board) or the hearing officer (for
				appeals before a hearing officer), with service upon the other party, at least
				30 days before the scheduled hearing date.
(d) If a hearing is held before a hearing
				officer, that officer shall issue a recommended decision within 21 days of the
				completion of the hearing or, if the record is held open following completion
				of the hearing for submission of argument or additional evidence, within 21
				days of the date that the record is closed. The recommended decision shall be
				presented to the board at its next scheduled meeting. The board will, if
				requested, allow either party to speak to the proposed decision. The board may
				adopt the recommended decision in whole, may adopt the recommended decision
				with modifications, or may reject the recommended decision. The board will, in
				its discretion, decide the appeal upon the record including the transcript or
				tape recording of the earlier hearing, with or without taking additional
				evidence, or may refer the appeal to the same or another hearing officer to
				take additional evidence.
(e) If
				the appeal is referred to a hearing officer for the taking of additional
				evidence under (d) of this section, the hearing officer shall prepare a
				proposed decision based upon the additional evidence and the record of the
				earlier hearing.
(f) The board
				will, in its discretion, give the parties the opportunity to present argument,
				either oral or written, before the board.
(g) The time limits established in this
				section may be extended if it is determined that the limits impose undue
				restrictions on either party.
Authority:
AS 39.35.040
AS
					 39.35.535
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 4 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Public Employee's Retirement System › 2 AAC 39.540 - Emergency procedures

Current through May 31, 2024
(a) The plan administrator and the board may
				review claims of an emergency nature on an expedited basis, including use of
				shortened schedules, telephonic proceedings, and other procedures necessary to
				facilitate prompt determinations. "Emergency" as used in this section is
				limited to determinations where a patient's life or health would be threatened
				by delay, and substantial deference shall be afforded to a certificate by an
				enrollee's treating physician that such an emergency exists.
(b) Appeals granted under emergency
				procedures do not have any precedential value in future appeals due to the
				abbreviated nature of emergency procedures, and any medical treatment approved
				in an emergency procedure is not thereby approved for any claimant not
				specifically a party to the emergency procedure.
Authority:
AS 39.35.040
AS
					 39.35.535
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 4 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Public Employee's Retirement System › 2 AAC 39.590 - Definitions

Current through May 31, 2024
In this chapter,
(1)
				"board" means the Public Employees' Retirement Board;
(2) "claim" means a claim for benefits under
				the major medical insurance coverage provided under
				AS
				39.35.535;
(3) "claims payer" means the third-party
				administrator of benefit claims and payments under a contract entered into by
				the plan administrator under
				AS
				39.30.090-39.30.095;
(4) "day" means a calendar day;
(5) "enrollee" means a person receiving
				medical coverage under any provision of AS 39.35, or the legal guardian of such
				a person;
(6) "independent review
				organization" means an impartial health organization selected by the plan
				administrator to provide medical reviews of cases at the request of the plan
				administrator;
(7) "plan
				administrator" means the administrator appointed by the commissioner of
				administration under
				AS
				39.35.050;
(8) "qualified hearing officer" means a
				person experienced in rendering decisions as a neutral decision-maker, and may
				include an employee of the state or a state agency other than the division of
				retirement and benefits in the Department of Administration.
Authority:
AS 39.35.040
AS
					 39.35.535
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 5 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Teachers' Retirement System › 2 AAC 39.600 - Applicability

Current through May 31, 2024
The provisions of
				  2 AAC 39.600 -
				  2 AAC 39.690 apply only so long as the plan
				  administrator determines that a self-insured program of medical coverage is
				  provided to enrollees. If a self-insured program ceases to exist, the plan
				  administrator and the board will not hear appeals from denials of medical
				  claims under
				  AS
				  14.25.168 and
				  AS
				  39.30.090.
Authority:
AS 14.25.035
AS
					 14.25.168
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 5 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Teachers' Retirement System › 2 AAC 39.610 - Exhaustion of remedies provided by claims payer required

Current through May 31, 2024
Before appealing to the plan administrator or to the board
				  under 2 AAC 39.600 -
				  2 AAC 39.690, an enrollee must fully utilize any appeal
				  procedures provided by a claims payer under a contract entered into under
				  AS
				  39.30.090-39.30.095.
Authority:
AS 14.25.035
AS
					 14.25.168
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 5 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Teachers' Retirement System › 2 AAC 39.620 - Appeal to plan administrator

Current through May 31, 2024
(a) An enrollee may
				appeal to the plan administrator from a final decision by the claims payer
				denying the enrollee's claim in whole or in part. A "final decision by the
				claims payer" is a decision that is not subject to any further review by the
				claims payer.
(b) The enrollee's
				appeal must be in writing, must explain the grounds for the appeal, and must be
				postmarked or received by the plan administrator within 45 days of the date
				that the enrollee received written notice of the final decision by the claims
				payer. The appellant may submit documentation in support of the appeal. The
				filing requirement of this subsection may be waived by the plan administrator
				if the enrollee can show that there are extraordinary circumstances resulting
				in the enrollee's inability to meet the filing requirement.
(c) The plan administrator shall send a final
				written decision on the appeal within 30 days of the date that the appeal is
				received, unless the administrator determines that additional information is
				necessary for resolution of the appeal. If the administrator determines that
				additional information is necessary from the appellant, the administrator shall
				allow the appellant an additional 30 days to submit the additional information.
				If the additional information is not furnished within 30 days, the
				administrator may deny the appeal. If the additional information is furnished
				in a timely manner, the administrator shall send a final written decision on
				the appeal within 30 days of the date that the additional information is
				received. If the plan administrator determines that a medical review by an
				independent review organization is necessary, the administrator shall make such
				request and notify the appellant within 15 days of the date that the appeal is
				received. After the plan administrator receives the report of the independent
				review, the administrator shall send a final written decision on the appeal
				within 30 days of the date that the independent review is received.
(d) In the final written decision, the plan
				administrator shall indicate which aspects of the decision are appealable to
				the board under
				2 AAC 39.630, and which aspects are not so
				appealable.
Authority:
AS 14.25.035
AS
					 14.25.168
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 5 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Teachers' Retirement System › 2 AAC 39.630 - Appeal to the teachers' retirement board

Current through May 31, 2024
(a) Except as
				provided in (b) of this section, if an enrollee is not satisfied with the
				decision of the plan administrator under
				2 AAC 39.620(c), the enrollee may
				appeal to the board within 30 days after receiving the plan administrator's
				decision. Unless the enrollee requests a hearing directly before the board at
				the time of the appeal, the secretary of the board shall appoint a qualified
				hearing officer to hear the appeal.
(b) Determinations of the plan administrator
				respecting issues relating to coordination of benefits and the calculation of
				usual, customary, and reasonable charges are not appealable to the
				board.
(c) Appeals to the board are
				subject to the procedures set out in
				2 AAC 36.120, except that a party to the appeal may be
				represented by counsel only if the party gives written notice to the board
				secretary (for appeals before the full board) or the hearing officer (for
				appeals before a hearing officer), with service upon the other party, at least
				30 days before the scheduled hearing date.
(d) If a hearing is held before a hearing
				officer, that officer shall issue a recommended decision within 21 days of the
				completion of the hearing or, if the record is held open following completion
				of the hearing for submission of argument or additional evidence, within 21
				days of the date that the record is closed. The recommended decision shall be
				presented to the board at its next scheduled meeting. The board will, if
				requested, allow either party to speak to the proposed decision. The board may
				adopt the recommended decision in whole, may adopt the recommended decision
				with modifications, or may reject the recommended decision. The board will, in
				its discretion, decide the appeal upon the record including the transcript or
				tape recording of the earlier hearing, with or without taking additional
				evidence, or may refer the appeal to the same or another hearing officer to
				take additional evidence.
(e) If
				the appeal is referred to a hearing officer for the taking of additional
				evidence under (d) of this section, the hearing officer shall prepare a
				proposed decision based upon the additional evidence and the record of the
				earlier hearing.
(f) The board
				will, in its discretion, give the parties the opportunity to present argument,
				either oral or written, before the board.
(g) The time limits established in this
				section may be extended if it is determined that the limits impose undue
				restrictions on either party.
Authority:
AS 14.25.035
AS
					 14.25.168
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 5 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Teachers' Retirement System › 2 AAC 39.640 - Emergency procedures

Current through May 31, 2024
(a) The plan administrator and the board may
				review claims of an emergency nature on an expedited basis, including use of
				shortened schedules, telephonic proceedings, and other procedures necessary to
				facilitate prompt determinations. "Emergency" as used in this section is
				limited to determinations where a patient's life or health would be threatened
				by delay, and substantial deference shall be afforded to a certificate by an
				enrollee's treating physician that such an emergency exists.
(b) Appeals granted under emergency
				procedures do not have any precedential value in future appeals due to the
				abbreviated nature of emergency procedures, and any medical treatment approved
				in an emergency procedure is not thereby approved for any claimant not
				specifically a party to emergency procedure.
Authority:
AS 14.25.035
AS
					 14.25.168
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 5 - Appeals From Denials of Medical Claims Under the Medical Coverage Provided by the Teachers' Retirement System › 2 AAC 39.690 - Definitions

Current through May 31, 2024
In this chapter,
(1)
				"board" means the Alaska Teachers' Retirement;
(2) "claim" means a claim for benefits under
				the major medical insurance coverage provided under
				AS
				14.25.168;
(3) "claims payer" means the third-party
				administrator of benefit claims and payments under a contract entered into by
				the plan administrator under
				AS
				39.30.090-39.30.095;
(4) "day" means a calendar day;
(5) "enrollee" means a person receiving
				medical coverage under any provision of AS 14.25, or the legal guardian of such
				a person;
(6) "independent review
				organization" means an impartial health organization selected by the plan
				administrator to provide medical reviews of cases at the request of the plan
				administrator;
(7) "plan
				administrator" means the administrator appointed by the commissioner of
				administration under AS 14.25.015;
(8) "qualified hearing officer" means a
				person experienced in rendering decisions as a neutral decision-maker, and may
				include an employee of the state or a state agency other than the division of
				retirement and benefits in the Department of Administration.
Authority:
AS 14.25.035
AS
					 14.25.168
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 6 - Miscellaneous Provisions › 2 AAC 39.900 - Exemption from group health and life insurance coverage for state bargaining units

Current through May 31, 2024
(a)
				A bargaining unit of the executive branch of the state may be exempted from the
				coverage of the group insurance policy or policies covering state employees,
				their spouses, and eligible dependents by entering into a collective bargaining
				agreement that meets the requirements of (b) and (c) of this section, and if
				the commissioner of administration approves the exemption.
(b) A collective bargaining agreement
				exempting a bargaining unit from the coverage of a group policy or policies as
				provided in (a) of this section must provide for the indemnification of the
				state for liability for any consequence, loss, injury, or claim arising from
				the exemption.
(c) An alternative
				insurance program implemented as a result of an exemption permitted under this
				section must comply with all applicable federal and state law and regulations,
				and, beginning July 1, 2004, meet the requirements of mandatory coverage set
				out in AS
				39.30.090(a)(2), and the
				requirements of
				2 AAC 39.910 and
				2 AAC 39.915.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 6 - Miscellaneous Provisions › 2 AAC 39.905 - Eligible children

Current through May 31, 2024
The term "dependent children," referring to children who are
				  covered by a group insurance policy or policies covering eligible state
				  employees, is defined by the terms of
(1) a collective bargaining agreement, with
				respect to employees covered by that agreement; the agreement may limit
				coverage for "dependent children" as to
(A)
				age; and
(B) living arrangements;
				and
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 6 - Miscellaneous Provisions › 2 AAC 39.910 - Plan requirements

Current through May 31, 2024
(a) Beginning July 1, 2004, the commissioner
				of administration will approve an exemption under
				2 AAC 39.900 only if the requirements of this section
				are met.
(b) All plans covering
				state employees to which the state contributes must follow the requirements of
				2 AAC 39.915 regarding coordination of
				benefits.
(c) If an eligible state
				employee either is married to another eligible state employee or, together with
				another eligible state employee, has eligible dependent children, and if
(1) neither employee has an eligible
				dependent child, each employee may select employee-only coverage;
(2) either employee has an eligible dependent
				child and both employees are in the same state employee health plan, one
				employee must select family coverage; and
(3) either employee has an eligible dependent
				child and the employees are in different state employee health plans, the
				employee who has primary responsibility for the eligible dependent child under
				2 AAC 39.915 must select family coverage.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 6 - Miscellaneous Provisions › 2 AAC 39.915 - Coordination of benefits

Current through May 31, 2024
(a) Beginning July
				1, 2004, all plans covering state employees to which the state contributes must
				coordinate benefits as provided in this section.
(b) A plan without coordination provisions is
				always the primary plan.
(c) If all
				plans have a coordination provision, the primary plan must be determined in the
				following order:
(1) first, any active plan,
				whether it covers the employee or a dependent, is the primary plan over
				Medicare;
(2) second, the plan
				covering the employee directly, rather than as a dependent, is the primary
				plan;
(3) third, the plan covering
				the employee as an active employee, rather than as a laid-off or retired
				employee, is the primary plan;
(4)
				fourth, the plan that has covered the employee longer is the primary
				plan.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 6 - Miscellaneous Provisions › 2 AAC 39.920 - Reduction of coverage for spouses and dependent children

Current through May 31, 2024
(a) Coverage of the
				spouse of an eligible state employee will be reduced to 30 percent under the
				commissioner's health plan obtained under
				AS
				39.30.090-39.30.095, if the spouse is a
				state employee participating in a plan exempted under
				2 AAC 39.900 and
(1)
				waives coverage; or
(2) selects a
				health plan option that
(A) reduces coverage
				for the spouse below 70 percent; or
(B) provides only catastrophic
				coverage.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 6 - Miscellaneous Provisions › 2 AAC 39.925 - Definitions

Current through May 31, 2024
In
				  2 AAC 39.900 -
				  2 AAC 39.925, unless the context requires
				  otherwise,
(1) "catastrophic coverage"
				means a health care insurance plan that
(A)
				provides benefits for hospital and medical care with a lifetime maximum benefit
				per insured of at least $250,000; and
(B) has a deductible of at least
				$5,000;
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 7 - Waiver of Coverage › 2 AAC 39.950 - Exemption from group health benefit plan coverage upon waiver of coverage

Current through May 31, 2024
An eligible state employee may be exempted from coverage
				  under a group health benefit plan for state employees, in whole or in part, if
				  the employee elects to voluntarily waive the medical, dental, or vision
				  coverage for the eligible state employee in the format provided by the plan
				  administrator. An eligible state employee's election to waive medical, dental
				  or vision coverage also waives that coverage for the eligible state employee's
				  spouse and dependents. An eligible state employee may elect to waive the
				  medical, dental or vision coverage for the employee's spouse and dependents
				  while maintaining the eligible state employee's individual
				  coverage.
Authority:
AS
					 39.30.090
AS
					 39.30.091
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 7 - Waiver of Coverage › 2 AAC 39.960 - Election to waive coverage

Current through May 31, 2024
(a) An eligible
				state employee who elects to waive coverage under the medical, dental, or
				vision benefit plan must signify election to waive each benefit in a format
				provided by the plan administrator. Except as provided in this section, an
				employee electing to waive coverage must elect waiver for each component of the
				group health benefit plan coverage being waived and do so each benefit year
				during the annual open enrollment period as set forth in
				2 AAC 39.990. A waiver of coverage made during an annual
				open enrollment period is effective on the first day of the benefit year
				immediately following the open enrollment.
(b) An eligible state employee may elect to
				waive coverage during the 30-day period after the eligible state employee
				initially becomes eligible for coverage and before the date on which coverage
				becomes effective under the group health benefit plan. Such waiver shall be
				effective as of the 31st consecutive day after the
				eligible state employee begins employment in a position eligible for
				coverage.
(c) An eligible state
				employee who changes positions from a position in a bargaining unit exempted
				from coverage under
				2 AAC 39.900 to a position covered by the group health
				benefit plan may elect to waive coverage within 30 days of the effective date
				of the change. Such waiver shall be effective on the first day of the month
				following the change of position. If the change of position occurs on the first
				day of a month, the waiver shall be effective on such first day of the
				month.
(d) During the term of a
				benefit year, an eligible state employee may elect to
(1) waive coverage previously elected for the
				benefit year; or
(2) enroll in
				coverage that was previously waived for the benefit year pursuant to (b) or (c)
				of this section. An election under this subsection must be based upon qualified
				changes in status or other applicable event allowed by
				26 C.F.R.
				1.125-4 and that are set forth by the plan
				administrator in the plan document governing the applicable coverage. Elections
				under this subsection may be made on behalf of the eligible state employee, a
				spouse and dependents consistent with the change in status or other applicable
				event; provided that the spouse and dependents may not be covered under any
				component of the group health benefit plan if the eligible state employee is
				not also covered. An election shall be made no later than 30 days after the
				date of the change in status or other applicable event, unless federal law
				requires a lengthier election period, and shall be effective as of the date of
				the change in status or other applicable event. Elections shall be subject to
				reasonable administrative procedures as determined by the plan
				administrator.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 7 - Waiver of Coverage › 2 AAC 39.970 - Employer contribution

Current through May 31, 2024
The rate of employer contribution for an eligible state
				  employee's position shall remain the same regardless of whether the employee
				  has made an election to waive coverage under
				  2 AAC 39.960.
Authority:
AS
					 39.30.090
AS 39.30.091
AS
					 39.30.095
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 7 - Waiver of Coverage › 2 AAC 39.980 - Date of election of waiver

Current through May 31, 2024
The date a state employee signifies election to waive
				  coverage is the date of postmark of the written notification of the election or
				  the date it is received by the plan administrator, whichever is earlier. If a
				  postmark is illegible or undated, the postmark day is presumed to be five
				  working days before receipt by the division.
Authority:
AS
					 39.30.090
AS
					 39.30.091
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 7 - Waiver of Coverage › 2 AAC 39.990 - Open enrollment period

Current through May 31, 2024
During the open enrollment period of each benefit year, an
				  eligible state employee wishing to waive coverage under the medical, dental, or
				  vision plan must signify election to waive each component of the group health
				  benefit plan coverage being waived. An eligible state employee's failure to
				  timely submit the written election to waive coverage during open enrollment
				  period will result in automatic enrollment in the default health plans selected
				  by the plan administrator. A waiver of coverage elected during open enrollment
				  is effective on the first day of the benefit year immediately following the
				  open enrollment.
Authority:
AS
					 39.30.090
AS
					 39.30.091
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 7 - Waiver of Coverage › 2 AAC 39.995 - Definitions

Current through May 31, 2024
In
				  2 AAC 39.950 - 2 AAC 39.995, unless the context
				  otherwise requires:
(1) "eligible state
				employee" means an employee of the State of Alaska who is eligible to be
				covered by the group health benefit plan and is not exempted from coverage
				pursuant to
				2 AAC 39.900 -
				2 AAC 39.925;
(2) "group health benefit plan" means the
				medical plan, dental plan, and vision plan offered to eligible state
				employees;
(3) "plan administrator"
				means the Commissioner of the Department of Administration or his or her
				designee; and
(4) "postmark" means
				the official cancellation stamp used by the United States Post Office that
				records the date and place of mailing.
Authority:
AS
					 39.30.090
AS 39.30.091
AS
					 39.30.095
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.010 - Program eligibility

Current through May 31, 2024
(a) A person is eligible for a bonus upon
			 establishing that he or she is at least 65 years old, fulfills the residency
			 requirements of
			 2 AAC 40.040 and submits an initial application or an
			 application for reinstatement on or before December 31, 1996.
(b) A person less than 65 years old is
			 eligible for a bonus payment equal to the payment for which the person's spouse
			 would otherwise qualify upon establishing that the person
(1) is the spouse of an applicant who
			 satisfies (a) of this section but who is unqualified for a bonus solely because
			 of confinement in a state or federal mental health institution or residence in
			 a nursing home; and
(2) lived with
			 an unqualified spouse who provided at least one-half of the couple's combined
			 income at the time of the event described in (1) of this subsection that
			 resulted in the spouse's disqualification.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.020 - Application procedure

Current through May 31, 2024
(a) An application must be submitted to the
			 Department of Administration on a form prescribed by the administrator. The
			 administrator will reject, without a determination of eligibility, an
			 application made before the applicant
(1) is
			 sixty-five years of age; or
(2)
			 meets the residency requirements of
			 2 AAC 40.040.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.030 - Proof of age

Current through May 31, 2024
(a) The administrator will consider a valid
			 birth certificate or delayed certificate of birth as conclusive proof of an
			 applicant's age.
(b) In the absence
			 of a birth certificate or delayed certificate of birth, the applicant may
			 submit other documents to establish the applicant's date of birth. Documents
			 preferred for this purpose are
(1) evidence of
			 verified age with the United States Social Security Administration;
(2) physicians' or midwives' records of
			 birth;
(3) school records or United
			 States census records; and
(4)
			 immigration records, naturalization records, military records, or
			 passports.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.040 - Proof of residence

Current through May 31, 2024
(a) For the purposes of this chapter, a
			 resident of the state is a person who
(1)
			 maintained his or her principal place of abode in the state during the entire
			 eligibility period;
(2) except for
			 absences allowed under
			 2 AAC 40.045, was physically present in the state during
			 the entire eligibility period;
(3)
			 demonstrated at all times during an absence an intent to return to Alaska and
			 remain a resident of Alaska;
(4)
			 did not claim residency outside the state or obtain benefits of residency of
			 another state or nation during the eligibility period; and
(5) is a United States citizen or an alien
			 with resident alien or refugee status.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.045 - Absences during the eligibility period

Current through May 31, 2024
(a) An applicant
			 who was absent from Alaska during the eligibility period is eligible for a
			 bonus if
(1) under
			 AS
			 15.05.010 and
			 15.05.020, the applicant was
			 eligible to register to vote in Alaska immediately before an absence in the
			 eligibility period;
(2) the
			 administrator determines that the nature and duration of the applicant's
			 absences are temporary and consistent with an intent to return to Alaska and
			 remain a resident of the state; and
(3) during the eligibility period, the total
			 duration of the applicant's absences does not exceed 180 days.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.060 - Denial of eligibility

Current through May 31, 2024
(a) Within 15 days after determining that an
			 applicant is ineligible for the bonus program, the administrator will send the
			 applicant a notice of denial by certified mail explaining the reasons for that
			 determination and stating the applicant's right to an administrative hearing
			 and to seek legal remedy.
(b) An
			 applicant is entitled to an administrative hearing only if he or she states
			 reasons for challenging the administrator's decision and requests a hearing
			 within 30 days after the date of the notice of denial or extensions of that
			 period allowed by
			 2 AAC 40.145(a). The statement of
			 reasons and the request for a hearing must be in writing and must be delivered
			 to the administrator.
(c) An
			 applicant may appeal the administrator's decision to the superior court if the
			 appeal is made within 30 days after the mailing of the final notice of
			 denial.
Authority:
AS
				  47.45.010
AS 47.45.050
AS 47.45.060
AS 47.45.070
AS
				  47.45.100(1)
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.065 - Commencement of bonuses

Current through May 31, 2024
(a) The
			 administrator will send a validation form to each eligible applicant no later
			 than the fifth day of the month following the first month for which an
			 applicant qualifies for benefits under this chapter. An applicant meets the age
			 requirement of this chapter the month following the applicant's sixty-fifth
			 birthday and meets the residency requirement of this chapter the month
			 following successful completion of the eligibility period. Bonus payments will
			 commence with the first scheduled mailing of bonuses after the initial
			 validation form is returned to the administrator.
(b) An initial bonus payment will include all
			 bonuses to which an applicant is entitled. No bonus will be paid for a month
			 before
(1) the applicant satisfied the
			 eligibility requirements of this chapter; and
(2) the administrator received an applicant's
			 initial application.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.075 - Monthly payment of bonuses

Current through May 31, 2024
(a) Bonuses will be
			 issued only to individuals who satisfy the validation procedures of
			 2 AAC 40.080.
(b) A bonus will be mailed to each qualified
			 individual. Mailing of bonuses will be scheduled so that payments are received
			 near the first of each month. No payment will be mailed to an address outside
			 Alaska unless
(1) the United States Postal
			 Service requires the use of an FPO/APO address in order to deliver mail to
			 certain locations in Alaska; or
(2)
			 the recipient has notified the administrator that he or she has discontinued
			 residency in Alaska and the payment is for a month for which a recipient is
			 qualified to receive a bonus payment.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.080 - Validation procedure

Current through May 31, 2024
(a) Each regular monthly bonus will be
			 accompanied by a validation form. To receive a bonus for the month specified on
			 the validation form, a recipient shall
(1)
			 comply with the information requirements specified on the form and with the
			 signature requirements of
			 2 AAC 40.160 and return the validation form to the
			 administrator no later than the date specified on the form;
(2) comply with an alternative certification
			 process approved by the administrator;
(3) comply with the reinstatement provisions
			 of 2 AAC 40.130; or
(4) be approved by the administrator for
			 remote status in accordance with (b) of this section.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.090 - Absences after the eligibility period

Current through May 31, 2024
(a) An isolated
			 absence from Alaska of 60 days or less is not sufficient cause for loss of a
			 bonus payment.
(b) A recipient who
			 is absent from Alaska for 61 - 75 continuous days forfeits two bonus payments.
			 A recipient who is absent from Alaska for more than 75 continuous days forfeits
			 an additional bonus payment for each additional 30-day period, or fraction
			 thereof, that the recipient is continuously absent from Alaska, except that a
			 recipient will not forfeit more than 36 bonus payments in total for a
			 continuous absence from Alaska that does not exceed three years.
(c) Repealed 12/1/2002.
(d) Repealed 12/1/2002.
(e) For the purposes of this chapter, the day
			 of departure and day of return are excluded from an absence.
(f) Under penalty of permanent
			 disqualification, a recipient shall report absences from Alaska as requested by
			 the administrator. Upon conclusion of a recipient's absence from Alaska, the
			 administrator will determine the recipient's entitlement to bonuses.
(g) Preferred documentation to verify dates
			 of travel includes tickets, boarding passes, travel club mileage statements, or
			 evidence of border crossing. Failure to document dates of travel may result in
			 forfeiture of bonuses for the period in dispute.
Authority:
AS
				  47.45.030
AS 47.45.040
AS
				  47.45.100
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.100 - Suspension of bonuses

Current through May 31, 2024
(a) The administrator will suspend bonus
			 payments
(1) for absences as provided in
			 2 AAC 40.090;
(2) pending completion of disqualification
			 proceedings under
			 2 AAC 40.110; or
(3) for any month in which the recipient
(A) resides in a nursing home for one or more
			 days, unless all the costs of care for the recipient are paid entirely from
			 private sources;
(B) is confined
			 for 10 or more days in a state or federal mental health facility or institution
			 and is certified by the state as unable to manage the recipient's personal
			 affairs; or
(C) is confined for 10
			 or more days in a penal or correctional facility or institution.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.110 - Disqualification

Current through May 31, 2024
(a) A recipient is not qualified for a bonus
			 for any month in which the recipient
(1)
			 resides in a nursing home for one or more days, unless all the costs of care
			 for the recipient are paid entirely from private sources;
(2) is confined for 10 or more days in a
			 state or federal mental health facility or institution and is certified by the
			 state as unable to manage personal affairs;
(3) is confined for 10 or more days in a
			 penal or correctional facility or institution;
(4) fails to meet the eligibility
			 requirements of this chapter; or
(5) fails to meet the physical presence
			 requirements of this chapter.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.120 - Procedures for disqualification

Current through May 31, 2024
(a) If the
			 administrator determines that a recipient should be disqualified, the
			 administrator will notify the recipient by certified mail of the reason for and
			 effective date and duration of the proposed disqualification. The notice will
			 set out the following procedure:
(1) a
			 recipient has 30 days after the date of the notice to submit written evidence
			 challenging the disqualification;
(2) a proposed disqualification is effective
			 on the date stated in the notice if evidence is not received within 30 days
			 after the date of the notice; and
(3) a recipient is entitled to a hearing on
			 the disqualification only if evidence is submitted under (1) of this
			 subsection.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.130 - Reinstatement

Current through May 31, 2024
(a) A recipient whose bonus payments are
			 interrupted under
			 2 AAC 40.100,
			 2 AAC 40.110, or
			 2 AAC 40.140 is not entitled to bonus payments until
			 establishing that he or she is entitled to bonuses.
(b) Bonus payments following reinstatement
			 will commence with the first scheduled mailing of bonuses after the
			 administrator's determination that a recipient is qualified for bonus payments.
			 The initial payment after reinstatement will include accrued bonuses and back
			 payments to which a recipient is entitled. Accrued bonuses are monthly payments
			 for which a recipient applies after the scheduled mailing of bonuses for that
			 month. Accrued bonus entitlement is limited to two payments. Back payments are
			 payments that a recipient missed as a result of error by the administrator or
			 of administrative proceedings that are resolved in favor of the
			 recipient.
(c) The burden is on the
			 recipient to provide information required by the administrator. Failure to
			 provide information may delay reinstatement and result in forfeiture of bonus
			 payments.
(d) A recipient whose
			 bonus payments are discontinued under
			 2 AAC 40.140 is subject to the same terms and conditions
			 as a recipient disqualified under
			 2 AAC 40.110(b).
Authority:
AS
				  47.45.030
AS 47.45.040
AS 47.45.080
AS
				  47.45.100(1)
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.140 - Termination

Current through May 31, 2024
(a) The administrator will discontinue bonus
			 payments to a recipient upon indication that the recipient is
			 deceased.
(b) The administrator
			 will discontinue bonus payments to a recipient
(1) who fails to receive a bonus for six
			 consecutive months after establishing eligibility for the program, unless the
			 recipient is suspended under
			 2 AAC 40.100 or disqualified under
			 2 AAC 40.110; or
(2) upon indication that a recipient has
			 discontinued residency in the state.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.150 - Access to files

Current through May 31, 2024
(a) The administrator will, upon the request
			 of an applicant or recipient or his or her legal representative, and within
			 time limits prescribed in
			 6 AAC 95.070, send the applicant, recipient, or legal
			 representative a copy of information contained in the applicant's or
			 recipient's file. The identity of a person reporting information to the
			 administrator on a confidential basis will not be released to an applicant,
			 recipient, or agent.
(b) Personal
			 information contained in files held by the administrator will not be made
			 available to the public without written authorization of the affected applicant
			 or recipient.
(c) The administrator
			 will, in his or her discretion, release information contained in files held by
			 the administrator to
(1) a publicly elected
			 representative of the recipient;
(2) a candidate whose intent to represent the
			 recipient in public office is registered with the Alaska Public Offices
			 Commission;
(3) state
			 agencies;
(4) political
			 subdivisions of the state;
(5)
			 agents, contractors, or grantees of the state; and
(6) others whose request is, in the opinion
			 of the administrator, in the public interest.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.160 - Signatures

Current through May 31, 2024
(a) An applicant or agent shall personally
			 sign an application. The signature or mark on an application must be verified
			 by a notary public, postal official, or other official authorized to take oaths
			 in Alaska. The signature of an individual other than the applicant is
			 acceptable only if
(1) the signature is that
			 of an agent designated by a properly executed statutory power of attorney and a
			 copy of the power of attorney and, if necessary, an affidavit establishing the
			 condition of the applicant are furnished to the administrator; or
(2) the signature is that of an applicant's
			 court appointed guardian or conservator and a copy of the court order is
			 furnished to the administrator.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.165 - Restitution

Current through May 31, 2024
(a) A recipient or his or her authorized
			 agent shall make restitution to the program for bonus payments that a recipient
			 received but to which he or she was not entitled.
(b) Upon determining that a recipient
			 received a bonus to which he or she was entitled, the administrator will notify
			 the recipient of the amount of the liability and will allow the recipient at
			 least 30 days to make repayment. If repayment is not made within 30 days, the
			 administrator will, in his or her discretion, invoke any appropriate collection
			 remedy including judicial action.
(c) Reimbursement collected under this
			 section is in addition to any criminal penalty imposed.
Authority:
AS
				  47.45.100(1)
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.170 - Delegation of authority

Current through May 31, 2024
The commissioner of administration will, in his or her
				discretion, delegate his or her authority and duties under AS 47.45 to the
				administrator.
Authority:
AS
				  47.45.100(1)
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.175 - Transition rules

Current through May 31, 2024
(a) In determining program eligibility, the
			 administrator
(1) will, until February 28,
			 1991, accept applications signed no more than 30 days before an applicant meets
			 the eligibility requirements of
			 2 AAC 40.010; and
(2) will, except as provided in (1) of this
			 subsection, apply regulations in effect on the later of
(A) the date an applicant's initial
			 application is received by the administrator; or
(B) the date an applicant satisfies the age
			 and residency requirements of this chapter.
Alaska Administrative Code › Title 2 - Administration › Chapter 40 - Longevity Bonus Program › 2 AAC 40.300 - Definitions

Current through May 31, 2024
Unless the context indicates otherwise, in this chapter
(1) "administrator" means a person authorized
			 by the commissioner of administration to administer this chapter;
(2) "applicant" means an individual who has
			 applied for a bonus, as defined in
			 AS
			 47.45.150(1);
(3) "disability" means a condition as defined
			 in AS
			 13.26.353(a);
(4) "eligibility period" means the durational
			 residency requirement imposed by
			 AS
			 47.45.010(d);
(5) "immediate family" means the parents,
			 siblings, and children of an individual or his or her spouse;
(6) "nursing home" means a facility as
			 defined in
			 AS
			 08.70.180(5);
(7) "principal place of abode" means the
			 dwelling in which a person resides for more than one-half of the relevant
			 period; and
(8) "recipient" means
			 an individual who is receiving monthly payments under this chapter or who is
			 temporarily disqualified from receiving those payments.
Authority:
AS
				  47.45.100(1)
Alaska Administrative Code › Title 2 - Administration › Chapter 45 - Grant Administration › 2 AAC 45.010 - Audit requirements

Current through May 31, 2024
(a) A state agency
			 that enters into a financial assistance agreement to provide financial
			 assistance to an entity shall, in coordination with any other state agencies
			 providing financial assistance to that entity, require that entity to submit to
			 the department an audit of the recipient entity if that entity is subject to an
			 audit under this section. The audit must be conducted and submitted as
			 described in this section. In order to ensure compliance with this subsection,
			 a state agency must include the audit requirements of this section in any
			 financial assistance agreement subject to this subsection.
(b) An entity that expends financial
			 assistance with a cumulative total of $750,000 or more during the entity's
			 fiscal year shall submit an audit report for the audit period to the
			 department, by
(1) the earlier of
(A) 30 days after the entity receives its
			 audit report for the audit period; or
(B) nine months after the end of the audit
			 period; or