reglab/statecodes huggingface dataset:
Alaska Administrative Code › Title 2 - Administration › Chapter 37 - Judicial, Elected Public Officers, and National Guard/Naval Militia Retirement Systems and Employee Benefit Systems › Article 5 - National Guard/Naval Militia Retirement System › 2 AAC 37.280 - Compliance with the Internal Revenue Code

Current through May 31, 2024
(a) For purposes of
				compliance with the Internal Revenue Code of 1986, as amended, and applicable
				Treasury Regulations, the National Guard and Naval Militia Retirement System
				under AS
				26.05.222 -
				AS
				26.05.229 hereby adopts by reference, as part
				of the Plan, the
Retirement System IRS Compliance Policy
dated
				August 2015 as amended from time to time.
(b) When an amended version of the
Retirement System IRS Compliance Policy
is made available, the
				Division will, not later than 30 days after the effective date of the amended
				version, post on the Alaska Online Public Notice System and publish in a
				newspaper of general circulation or trade or industry publication a notice that
				describes the amended material and how a copy of the amended version may be
				obtained or reviewed. The division will also furnish notice described in this
				subsection to each person or group that has filed a request for notice of
				proposed action with the commissioner and furnish a copy to each incumbent
				Alaska state legislator, the Legislative Affairs Agency, and to the regulations
				attorney in the Department of Law.
The Retirement System IRS Compliance Policy is posted on
					 the Division of Retirement and Benefits website at
http://doa.alaska.gov/drb
.
Authority:
AS
					 26.05.222
Alaska Administrative Code › Title 2 - Administration › Chapter 38 - Employment-Related Benefits for Same-Sex Partners of State Retirees Under the State's Retirement Systems › 2 AAC 38.005 - Applicability of eligibility criteria (Expired)

Current through May 31, 2024
Neither the original language of
				  2 AAC 38.005, adopted by emergency action on November
				  10, 2006, nor the language of that section as amended by emergency action on
				  November 21, 2006 appeared in print in the Alaska Administrative
				  Code.
Alaska Administrative Code › Title 2 - Administration › Chapter 38 - Employment-Related Benefits for Same-Sex Partners of State Retirees Under the State's Retirement Systems › 2 AAC 38.010

Current through May 31, 2024
The two November 2006 effective dates for the provisions of
				  former 2 AAC 38.010 were established by
				  the Alaska Supreme Court in its order of December 19, 2006 in State of Alaska
				  v. Alaska Civil Liberties Union, et al (Supreme Court No. S-12480) 159 P.3d
				  513. 2 AAC 38.010 first appeared in
				  print in the Alaska Administrative Code in Register 181, April
				  2007.
Alaska Administrative Code › Title 2 - Administration › Chapter 38 - Employment-Related Benefits for Same-Sex Partners of State Retirees Under the State's Retirement Systems › 2 AAC 38.030

Current through May 31, 2024
The two November 2006 effective dates for the provisions of
				  former 2 AAC 38.030 were established by
				  the Alaska Supreme Court in its order of December 19, 2006 in State of Alaska
				  v. Alaska Civil Liberties Union, et al (Supreme Court No. S-12480) 159 P.3d
				  513. 2 AAC 38.030 first appeared in
				  print in the Alaska Administrative Code in Register 181, April
				  2007.
Alaska Administrative Code › Title 2 - Administration › Chapter 38 - Employment-Related Benefits for Same-Sex Partners of State Retirees Under the State's Retirement Systems › 2 AAC 38.050 - Imputation of income and effect on pre-tax premiums

Current through May 31, 2024
(a)
			 Income will be imputed for federal tax purposes to
(1) a member of a state retirement system who
			 enrolled a same-sex partner or child of a same-sex partner before January 1,
			 2016 who is not an eligible dependent under
			 26 U.S.C.
			 152, without regard to
			 26 U.S.C.
			 152 (b)(1) and (2) and (d)(1)(B), in group
			 insurance coverage under
			 2 AAC 38.010, as that section read on December 31,
			 2015;
(2) a same-sex partner of a
			 member of a state retirement system enrolled before January 1, 2016 if the
			 same-sex partner was not an eligible dependent of the member under
			 26 U.S.C.
			 152, without regard to
			 26 U.S.C.
			 152 (b)(1) and (2) and (d)(1)(B), at the time
			 of the member's death and if the same-sex partner was enrolled in group
			 insurance coverage as a survivor of the member under
			 2 AAC 38.010, as that section read on December 31,
			 2015.
Alaska Administrative Code › Title 2 - Administration › Chapter 38 - Employment-Related Benefits for Same-Sex Partners of State Retirees Under the State's Retirement Systems › 2 AAC 38.100 - Responsibilities and rights of a member of a state retirement system and same-sex partner

Current through May 31, 2024
(a) It is the responsibility of a member of a
			 state retirement system to comply with all requirements of an insurance,
			 retirement, or benefit plan or program, including all application, designation,
			 affidavit, and documentation requirements, in order to provide or allow
			 provision of benefits to the retirement system member's same-sex partner.
			 Except when specifically provided by this chapter or the terms of an insurance,
			 retirement, or benefit plan or program, a retirement system member's compliance
			 with the application, affidavit, and documentation requirements of a plan or
			 program does not entitle the retirement system member's same-sex partner to
			 rights or benefits under a different plan or program.
(b) Nothing in this chapter supersedes the
			 requirements of a court order regarding rights or benefits of a former spouse
			 or dependents of a retirement system member.
(c) Nothing in this chapter provides, or
			 allows the provision of, any right or benefit to the same-sex partner of a
			 retirement system member that would not be available to the spouse of the
			 retirement system member.
The two November 2006 effective dates for the provisions of
				  2 AAC 38.100 were established by the Alaska Supreme
				  Court in its order of December 19, 2006 in State of Alaska v. Alaska Civil
				  Liberties Union, et al (Supreme Court No. S-12480) 159 P.3d 513.
				  2 AAC 38.100 first appeared in print in the Alaska
				  Administrative Code in Register 181, April
				  2007.
Authority:
AS
				  14.25.005
AS 22.25.027
AS 39.30.090
AS 39.35.005
Former AS 39.37.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.010 - Eligibility and coverage

Current through May 31, 2024
(a) Except as
				provided in (b) and (c) of this section, a benefit recipient may apply for
				long-term care insurance on an individual or joint basis by applying in
				accordance with
				2 AAC 39.020.
(b) A spouse who is receiving a survivor
				benefit may elect to obtain long-term care insurance on an individual basis
				only.
(c) A dependent child who is
				receiving a survivor benefit may not elect long-term care insurance.
(d) Individual long-term care insurance
				covers only the benefit recipient. Joint long-term care insurance covers the
				benefit recipient and the benefit recipient's spouse. Coverage will be limited
				for long-term care necessitated by a pre-existing condition.
(e) A spouse who is not receiving a survivor
				benefit, and whose long-term care insurance coverage under a benefit
				recipient's joint coverage is discontinued as a result of divorce from or death
				of the benefit recipient, may elect to continue that coverage on an individual
				basis by paying the premium established by the administrator as provided in
				2 AAC 39.050(b).
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.020 - Application for long-term care insurance

Current through May 31, 2024
(a) A benefit
				recipient who elects long-term care insurance shall apply for that insurance on
				a form provided by the administrator. Except as provided in (b) and (c) of this
				section, application for that insurance must be made before the effective date
				of retirement.
(b) A person
				applying for a survivor benefit and electing long-term care insurance shall
				submit an application for that insurance when the person applies for the
				survivor benefit.
(c) A person
				applying for a disability benefit and electing long-term care insurance shall
				submit an application for that insurance within 60 days of the person's
				approval for the disability benefit.
(d) A spouse who elects to continue coverage
				under 2 AAC 39.010(e)
				shall make the election on a form provided by the administrator. The election
				must be made no later than 60 days after the spouse's coverage under a benefit
				recipient's joint coverage is discontinued. Retroactive premiums are required
				to prevent a lapse in coverage.
(e)
				Failure to make timely application as provided in (a) through (d) of this
				section will result in the loss of all rights to apply for or obtain long-term
				care insurance under this chapter. The administrator may waive this requirement
				if extraordinary circumstances are demonstrated to the satisfaction of the
				administrator. Need, or the awareness of need, for long-term care insurance
				arising after the application period has ended is not an extraordinary
				circumstance.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.040 - Date of application

Current through May 31, 2024
The date of postmark of the application or the date of
				  receipt of the application by the administrator, whichever is earlier, is the
				  date of application for long-term care insurance coverage.
Authority:
AS
					 39.30.090(a)
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.050 - Premium payments for long-term care coverage

Current through May 31, 2024
(a) A benefit
				recipient who elects long-term care insurance coverage must pay for that
				coverage by paying the premium established by the administrator. Premium
				payments are deducted from the monthly benefit warrant unless the benefit is
				insufficient to permit the deduction of the full monthly premium. If at any
				time the benefit amount is insufficient to cover the full long-term care
				insurance premium, the administrator will notify the benefit recipient, and
				premium payments due after the notice must be made by the recipient directly to
				the insurance carrier.
(b) A spouse
				who elects to continue coverage under
				2 AAC 39.010(e) shall pay the premium
				established by the administrator directly to the insurance carrier.
(c) A plan participant who pays a premium
				directly to the insurance carrier forfeits the right to participate in the plan
				if
(1) a premium payment is delinquent by more
				than 60 days; or
(2) premium
				payments are delinquent twice in any one calendar year by more than 31
				days.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.060 - Effective date of long-term care insurance coverage

Current through May 31, 2024
(a) Except as
				provided in (b) of this section, long-term care insurance coverage for a
				benefit recipient begins on the date that continuing monthly benefits
				begin.
(b) Long-term care insurance
				coverage for a benefit recipient receiving a disability benefit is effective on
				the first day of the calendar month after the month in which the premium is
				first deducted.
(c) Retroactive
				premiums will be deducted as necessary.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.070 - Changes in coverage

Current through May 31, 2024
(a) A benefit recipient may change long-term
				care insurance coverage from joint coverage to individual coverage at any time.
				Once joint coverage has been discontinued, it may only be reelected in
				accordance with (b) of this section.
(b) A benefit recipient may change from
				individual long-term care insurance coverage to joint coverage only when the
				benefit recipient marries. A spouse who wants coverage shall complete a health
				statement and will be subject to approval or denial by the long-term care
				insurance carrier.
(c) An
				application for a change in long-term care insurance coverage from individual
				to joint coverage or from joint to individual coverage must be submitted in
				writing and is subject to verification by the administrator. Application for a
				change from individual coverage to joint coverage must be made within 120 days
				after the marriage of the benefit recipient. A change in coverage based on an
				application that is postmarked or received on or before the 15th day of a month
				will be effective on the first day of the next calendar month. A change in
				coverage based on an application that is postmarked or received after the 15th
				day of a month will be effective no later than the first day of the second
				month after the date of postmark or receipt of the application. Retroactive
				adjustments of premiums will be made if necessary.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.080 - Discontinuation of long-term care insurance coverage

Current through May 31, 2024
(a) A benefit
				recipient may discontinue participation in the long-term care insurance plan at
				any time by submitting a signed, written request to the administrator. If the
				request is received or postmarked on or before the 15th day of a month, the
				administrator will stop premium payments in that month. If the request is
				received or postmarked after the 15th day of a month, premiums will be stopped
				no later than the month following the date of receipt or postmark. Coverage
				ends on the last day of the month after the month in which the last premium is
				deducted.
(b) A person who is
				paying premiums directly to the insurance carrier may discontinue participation
				in the long-term care insurance plan at any time by submitting a signed,
				written request to the insurance carrier. Coverage ends on the last day of the
				month for which the last premium was paid.
(c) A person who has elected continued
				coverage and who then discontinues coverage may not reapply for the
				coverage.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.090 - Change by the administrator in coverage and premiums

Current through May 31, 2024
If necessary to maintain the financial integrity of the plan,
				  the administrator may change the premiums for all plan participants and may
				  change the terms of coverage for plan participants who are not receiving
				  long-term care insurance benefits.
Authority:
AS
					 39.30.090(a)
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.095 - Postmark

Current through May 31, 2024
If a postmark is illegible or undated, the postmark day is
				  rebuttably presumed to be five working days before receipt by the
				  division.
Authority:
AS
					 39.30.090(a)
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 1 - Long-Term Care Insurance › 2 AAC 39.100 - Definitions for 2 AAC 39.010 - 2 AAC 39.100

Current through May 31, 2024
In
				  2 AAC 39.010 -
				  2 AAC 39.100, unless the context requires
				  otherwise,
(1) "administrator" means
				the director of the division of retirement and benefits in the department of
				administration;
(2) "benefit
				recipient" means a person who is receiving a continuing monthly benefit from
				the public employees', teachers', judicial, or elected public officers
				retirement systems;
(3)
				"pre-existing condition" means a medical condition that has been diagnosed or
				treated within the 90 days before the effective date of coverage;
(4) "postmark" means the official
				cancellation stamp, used by the United States Post Office, that records the
				date and place of mailing;
(5)
				"disability benefit" means a continuing monthly benefit paid under
				AS
				14.25.130,
				AS
				39.35.400,
				AS
				39.35.410, AS 22.25.101(b), or former AS
				39.37.030;
(6) "survivor benefit"
				means a continuing monthly benefit paid to a spouse or dependent child under
				AS
				14.25.155,
				14.25.157,
				14.25.162,
				14.25.164,
				14.25.167,
				AS
				39.35.420,
				39.35.430,
				39.35.440,
				39.35.450,
				AS
				22.25.030, or former AS 39.37.060.
Authority:
AS
					 39.30.090(a)
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.210 - Eligibility and coverage

Current through May 31, 2024
(a) A benefit
				recipient may elect to obtain dental-vision-audio insurance on (1) an
				individual, (2) an individual plus spouse, (3) an individual plus children, or
				(4) a family basis by applying in accordance with
				2 AAC 39.220. Individual dental-vision-audio insurance
				covers the benefit recipient only. Individual plus spouse dental-vision-audio
				insurance covers the benefit recipient and spouse. Individual plus children
				dental-vision-audio insurance covers the benefit recipient and all eligible
				dependent children. Family dental-vision-audio insurance covers the benefit
				recipient, the benefit recipient's spouse, and all eligible dependent
				children.
(b) A benefit recipient
				with multiple retirement accounts may elect dental-vision-audio insurance under
				each retirement account. If a benefit recipient elects coverage under multiple
				retirement accounts, different coverage tiers as outlined in (a) of this
				section may be elected for each separate account so long as the same plan
				option is elected for all accounts.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.220 - Application for dental-vision-audio insurance

Current through May 31, 2024
(a) A benefit
				recipient who elects dental-vision-audio insurance shall apply for that
				insurance on a form provided by the administrator. Except as otherwise provided
				in this section, application for that insurance must be made before the
				effective date of retirement.
(b) A
				person applying for a survivor benefit and electing dental-vision-audio
				insurance shall submit an application for that insurance when the person
				applies for the survivor benefit.
(c) A person applying for a disability
				benefit and electing dental-vision-audio insurance shall submit an application
				for that insurance within 60 days of the person's approval for the disability
				benefit.
(d) A new law benefit
				recipient who elects major medical insurance under
				AS
				14.25.168(d) or
				AS
				39.35.535(c) is eligible to
				apply for dental-vision-audio insurance under (a) - (c) of this section, or
				during an open enrollment period under
				2 AAC 39.265.
(e) Failure to make timely application as
				outlined in (a) - (d) of this section will result in the loss of all rights to
				apply for or obtain dental-vision-audio insurance under this chapter. The
				administrator may waive this requirement if extraordinary circumstances are
				demonstrated to the satisfaction of the administrator. Need, or the awareness
				of need, for dental-vision-audio insurance arising after the application period
				has ended is not an extraordinary circumstance.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.230 - Date of application

Current through May 31, 2024
The date of postmark of the application or, if the
				  application does not bear a dated postmark, the date of receipt of the
				  application by the administrator, is the date of application for
				  dental-vision-audio insurance coverage.
Authority:
AS
					 39.30.090(a)
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.240 - Premium payments

Current through May 31, 2024
(a) A benefit recipient who elects
				dental-vision-audio insurance coverage must pay for that coverage by paying the
				premium established by the administrator. Premium payments are deducted from
				the monthly benefit warrant unless the benefit is insufficient to permit the
				deduction of the full monthly premium. If at any time the benefit amount is
				insufficient to cover the full monthly premium, the administrator will notify
				the benefit recipient, and all premium payments due after the notice must be
				made by the recipient directly to the insurance carrier. Retroactive premiums,
				to the date coverage would have lapsed due to an insufficient benefit warrant,
				must be paid directly to the insurance carrier by the benefit
				recipient.
(b) A benefit recipient
				who pays a premium directly to the insurance carrier forfeits the right to
				participate in the plan if
(1) a premium
				payment is delinquent by more than 60 days; or
(2) premium payments are delinquent twice in
				any one calendar year by more than 31 days.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.250 - Effective date of dental-vision-audio insurance coverage

Current through May 31, 2024
(a) Except as
				provided in (b) and (c) of this section, dental-vision-audio insurance coverage
				for a benefit recipient begins on the date that continuing monthly benefits
				begin.
(b) Dental-vision-audio
				coverage for a benefit recipient receiving a disability benefit is effective on
				the first day of the calendar month after the month in which the premium is
				first deducted.
(c)
				Dental-vision-audio coverage for a new law benefit recipient, who makes an
				election of major medical and dental-vision-audio insurance during an open
				enrollment period, is effective on January 1 of the year following the open
				enrollment period.
(d) Retroactive
				premiums will be deducted as necessary.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.260 - Changes in coverage

Current through May 31, 2024
(a) A benefit recipient may discontinue
				dental-vision-audio insurance coverage for a recipient's covered dependent at
				any time. Once coverage has been discontinued it may be reelected only in
				accordance with (b),(d),or (f) of this section.
(b) A benefit recipient may add coverage for
				the recipient's eligible dependents when a change has occurred in the
				recipient's family structure or in a dependent's eligibility as defined in
				AS
				39.35.680(12) or
				AS
				14.25.220(13). A change in
				family structure occurs at the marriage of a recipient or at the birthi [OR]
				adoption, or assumption of legal custody or legal guardianship of a dependent
				child. Application for the additional coverage must be made within 120 days
				after the change in the recipient's family structure or the dependent's
				eligibility status occurs.
(c) An
				application for a change in coverage must be submitted in writing and is
				subject to verification by the administrator. A change in coverage based on an
				application that is postmarked or received on or before the 15th of a month,
				will be effective on the first day of the next calendar month. A change in
				coverage based on an application that is postmarked or received after the 15th
				of a month, will be effective no later than the first day of the second month
				after the date of postmark or receipt of the application. The division will
				make retroactive adjustments to premiums if necessary .
(d) A new law benefit recipient who elects
				major medical insurance coverage under
				AS
				14.25.168(d) or
				AS
				39.35.535(c) may add
				dependent children or spouse coverage during an open enrollment period under
				2 AAC 39.265.
(e) A benefit recipient may increase or
				change dental-vision-audio insurance coverage during an annual open enrollment
				period under
				2 AAC 39.265.
(f) A benefit recipient already enrolled in
				dental-vision-audio insurance coverage may change his or her coverage if the
				recipient subsequently becomes eligible under
				2 AAC 39.220.
(g) If the division becomes aware that a
				benefit recipient's dependent is not eligible for coverage, the division will
				automatically decrease the recipient's coverage tier and corresponding premiums
				to appropriately reflect the recipient's family structure.
Authority:
AS
					 39.30.090(a)
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.265 - Open enrollment period

Current through May 31, 2024
(a) An open enrollment period will be held
				once a year for new law benefit recipients who elect major medical insurance
				coverage under
				AS
				14.25.168(d) or
				AS
				39.35.535(c). Only during
				this open enrollment period may a new law benefit recipient increase or change
				dental-vision-audio insurance coverage and only if the recipient selects the
				same or greater level of major medical insurance coverage under
				2 AAC 39.300.
(b) During the open enrollment period of each
				benefit year, benefit recipients already enrolled in a dental-vision-audio plan
				may elect an offered dental-vision-audio plan option and increase or decrease
				their coverage tier level. Coverage premiums for elected benefits are subject
				to change under 2 A AC 39.280.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.270 - Discontinuation of dental-vision-audio insurance coverage

Current through May 31, 2024
(a) A benefit
				recipient may discontinue participation in the dental-vision-audio insurance
				plan at any time by submitting a signed, written request to the administrator.
				If the request is received or postmarked on or before the 15th day of the
				month, the administrator will stop premium payments in that month. If the
				request is received or postmarked after the 15th day of a month, premiums will
				be stopped no later than the month following the date of receipt or postmark.
				Coverage ends on the last date of the month after the month in which the last
				premium is deducted.
(b) A
				participant who is paying premiums directly to the insurance carrier may
				discontinue participation in the dental-vision-audio insurance plan at any time
				by submitting a signed, written request to the insurance carrier. Coverage ends
				on the last day of the month for which the last premium was paid.
(c) Once dental-vision-audio insurance
				coverage ends under this section it may not be reinstated except as provided in
				2 AAC 39.265.
Authority:
AS
					 39.30.090
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.280 - Change by the administrator in coverage and premiums

Current through May 31, 2024
(a) When
				necessary to maintain the financial integrity of the plan, the administrator may
				change the premiums and the terms of coverage.
(b) To change the benefits provided under
				dental-vision-audio insurance coverage, the administrator shall
(1) propose changes to the coverage; in
				drafting the proposal, the administrator shall consider the
(A) background and rationale for the proposed
				change;
(B) details and objectives of
				the proposed change;
(C) potential
				impact on benefit recipients;
(D)
				actuarial, financial, and operational impacts on the dental-vision-audio
				insurance plan; and
(E) input from
				stakeholders;
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.285 - Postmark

Current through May 31, 2024
If a postmark is illegible or undated, the postmark day is
				  rebuttably presumed to be five working days before receipt by the
				  division.
Authority:
AS
					 39.30.090(a)
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 2 - Dental-Vision-Audio Insurance › 2 AAC 39.290 - Definitions for 2 AAC 39.210 - 2 AAC 39.290

Current through May 31, 2024
In
				  2 AAC 39.210 - 2 AAC 39.290, unless the context otherwise
				  requires
(1) "administrator" means the
				commissioner of the Department of Administration or their designee;
(2) "benefit recipient" means a person who is
				receiving a continuing monthly benefit from the public employees', teachers',
				judicial, or elected public officers retirement systems;
(3) "postmark" means the official cancellation
				stamp used by the United States Post Office, that records the date and place of
				mailing;
(4) "disability benefit"
				means a continuing monthly benefit paid under
				AS
				14.25.130,
				AS
				39.35.400, 39.35.410,
				AS
				22.25.010(b), or former AS
				39.37.030;
(5) "new law benefit
				recipient" means a person under the age of 65 who is receiving or is qualified to
				receive a
(A) continuing monthly benefit under
				the Public Employees' Retirement System and who was first hired after June 30,
				1986;
(B) continuing monthly benefit
				under the Teachers' Retirement System and who was first hired after June 30,
				1990; or
(C) survivor benefit as the
				survivor of a person described in (A) or (B) of this paragraph;
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.300 - Eligibility and coverage

Current through May 31, 2024
(a) A new law
				benefit recipient who elects to purchase major medical insurance under
				AS
				14.25.168(d) or
				AS
				39.35.535(c) may purchase
				that insurance on (1) an individual, (2) an individual plus spouse, (3) an
				individual plus children, or (4) a family basis, by applying for coverage in
				accordance with
				2 AAC 39.310.
(b) An alternate payee who elects major
				medical insurance under
				AS
				14.25.168(c),
				AS
				22.25.090(d), or
				AS
				39.35.535(d) may purchase
				that insurance on an individual or an individual plus children basis.
(c) Individual major medical insurance covers
				the benefit recipient or alternate payee only. Individual plus spouse major
				medical insurance covers the benefit recipient and spouse. Individual plus
				children major medical insurance covers the benefit recipient or alternate
				payee, and all eligible dependent children. Family major medical insurance
				covers the benefit recipient, the benefit recipient's spouse, and all eligible
				dependent children.
(d) A peace
				officer or firefighter may elect major medical insurance coverage as a disabled
				member under
				AS
				39.35.535(c)(2)(B), if all
				of the following apply:
(1) the peace officer
				or firefighter is eligible for normal retirement benefit under
				AS
				39.35.370(a)(2), but has not
				yet elected normal retirement;
(2)
				the peace officer or firefighter has less than 25 years of credited service as
				a peace officer or firefighter;
(3)
				the peace officer or firefighter becomes eligible for but has not elected an
				occupational disability benefit under
				AS
				39.35.410(h);
(4) the administrator has determined that the
				police officer or firefighter is eligible for medical benefits under
				AS
				39.35.535(c)(2)(B).
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.310 - Application for major medical insurance

Current through May 31, 2024
(a) A new law
				benefit recipient who elects major medical insurance must apply on a form
				provided by the administrator before the recipient's retirement date. A new law
				benefit recipient applying for a survivor benefit and electing major medical
				insurance must submit an application for that insurance when applying for the
				survivor benefit. Failure of a new law benefit recipient to make timely
				application under this subsection will result in the loss of all rights to
				apply for or obtain major medical insurance under this chapter.
(b) An alternate payee who elects major
				medical insurance must apply on a form provided by the administrator within 60
				days after the first monthly benefit paid under a qualified domestic relations
				order is mailed or otherwise delivered to the alternate payee. Failure of an
				alternate payee to make timely application under this section will result in
				the loss of all rights to apply for or obtain major medical insurance under
				this chapter.
(c) The administrator
				may waive the application requirements of this section if extraordinary
				circumstances are demonstrated to the satisfaction of the administrator. Need,
				or the awareness of need, for major medical insurance arising after the
				application period has ended is not an extraordinary circumstance.
Authority:
AS
					 14.25.168
AS 14.25.170
AS 22.25.027
AS 22.25.090
AS 39.30.090
AS
					 39.35.535
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.320 - Date of application

Current through May 31, 2024
The date of application for major medical insurance is the
				  date of receipt by the administrator or, if the application was mailed, the
				  date of postmark. If a postmark is illegible or undated, the postmark day is
				  rebuttably presumed to be five working days before receipt by the administrator
				  or, if the application is for coverage for an alternate payee, by the health
				  carrier.
Authority:
AS
					 14.25.168
AS 14.25.170
AS 22.25.027
AS 22.25.090
AS 39.30.090
AS
					 39.35.535
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.330 - Premium payments

Current through May 31, 2024
(a) Premium payments for major medical
				insurance under
				AS
				14.25.168(d) or
				AS
				39.35.535(c) will be
				deducted from the monthly benefit warrant unless the benefit amount is
				insufficient to cover the new law benefit recipient's full required premium. If
				the benefit amount is insufficient to cover the full required premium, the
				administrator will notify the recipient that premium payments due after that
				notice must be made directly to the insurance carrier by the
				recipient.
(b) Premium payments
				made by an alternate payee must be made directly to the insurance
				carrier.
(c) A person who pays
				premiums directly to the insurance carrier loses the right to participate in
				the major medical insurance coverage if
(1) a
				premium payment is delinquent by more than 60 days; or
(2) premium payments are delinquent by more
				than 31 days twice in any one calendar year.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.340 - Effective date of major medical insurance coverage

Current through May 31, 2024
(a) For a new law
				benefit recipient electing major medical insurance under
				AS
				14.25.168(d) or
				AS
				39.35.535(c), the effective
				date of that coverage is
(1) the date of
				appointment to a continuing monthly benefit if the election is made in
				accordance with
				2 AAC 39.310(a);
(2) January 1 for a recipient electing
				coverage during an open enrollment period; or
(3) the first day of the month in which a
				recipient runs age 65, if coverage is not in effect before that time.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.350 - Changes in major medical insurance coverage

Current through May 31, 2024
(a) A new law
				benefit recipient may discontinue major medical insurance coverage at any time
				for a recipient's covered dependent. Once coverage has been discontinued it may
				be reelected only in accordance with (c) of this section or during an open
				enrollment period.
(b) An alternate
				payee may discontinue dependent children coverage at any time. Once coverage
				has been discontinued, it cannot be reelected.
(c) A new law benefit recipient may add
				coverage for the recipient's eligible dependents only when a change has
				occurred in the recipient's family structure. A change in family structure
				occurs at the marriage of a recipient or at the birth or adoption of a first
				child. Application for the additional coverage must be made within 120 days
				after the change in the recipient's family structure occurs.
(d) An application for a change in coverage
				under this section must be submitted in writing and is subject to verification
				by the administrator. A change in coverage based on an application that is
				postmarked or received on or before the 15th day of a month will be effective
				on the first day of the next calendar month. A change in coverage based on an
				application that is postmarked or received after the 15th day of a month will
				be effective no later than the first day of the second month after the date of
				postmark or receipt of the application. Retroactive premiums will be deducted
				as necessary.
Authority:
AS
					 14.25.168
AS 14.25.170
AS 22.25.027
AS 22.25.090
AS 39.30.090
AS
					 39.35.535
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.360 - Open enrollment period

Current through May 31, 2024
An open enrollment period will be held once a year during the
				  months of October and November, during which only a new law benefit recipient
				  may add or change coverage for the following year. This open enrollment period
				  does not apply to an alternate payee.
Authority:
AS
					 14.25.168
AS 14.25.170
AS 22.25.027
AS 22.25.090
AS 39.30.090
AS
					 39.35.535
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.370 - Pre-existing condition limitation

Current through May 31, 2024
(a) If major
				medical insurance coverage is elected during an open enrollment period, the new
				law benefit recipient and any eligible dependents are subject to a pre-existing
				condition limitation. Under this limitation, only the first $1,000 of covered
				medical expenses relating to a pre-existing condition will be paid by the
				insurer. After a person has been covered for 12 consecutive months, the
				limitation no longer applies.
(b)
				The pre-existing condition limitation does not apply to
(1) a new law benefit recipient who makes an
				election of major medical insurance under
				2 AAC 39.310(a);
(2) a benefit recipient appointed to a
				disability benefit;
(3) a new law
				benefit recipient eligible due to reaching the age of 65; or
(4) an alternate payee.
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.380 - Discontinuation of major medical insurance coverage

Current through May 31, 2024
(a) A new law
				benefit recipient who elects major medical insurance coverage under
				AS
				14.25.168(d) or
				AS
				39.35.535(c) may discontinue
				participation in that plan at any time by submitting a signed, written request
				to the administrator. If the request is received or postmarked on or before the
				15th day of a month, the administrator will stop premium payments in that
				month. If the request is received or postmarked after the 15th day of a month,
				premium payments will be stopped no later than the month following the date of
				receipt or postmark. Coverage ends on the last day of the month after the month
				in which the last premium is deducted. A new law benefit recipient who
				discontinues coverage may not reapply for the coverage except as provided in
				2 AAC 39.360.
(b) A person who is paying premiums for major
				medical insurance directly to the insurance carrier may discontinue
				participation in the major medical insurance plan at any time by submitting a
				signed, written request to the insurance carrier. Coverage ends on the last day
				of the month for which the last premium was paid.
(c) An alternate payee who discontinues major
				medical insurance coverage may not reapply for coverage.
Authority:
AS
					 14.25.168
AS 14.25.170
AS 22.25.027
AS 22.25.090
AS 39.30.090
AS
					 39.35.535
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.390 - Change by the administrator in major medical insurance coverage and premiums

Current through May 31, 2024
(a) If necessary, the administrator may change
				the premiums and the terms of major medical insurance coverage.
(b) To change the benefits provided under major
				medical insurance coverage, the administrator shall
(1) propose changes to the coverage; in
				drafting the proposal, the administrator shall consider the
(A) background and rationale for the proposed
				change;
(B) details and objectives of
				the proposed change;
(C) potential
				impact on benefit recipients;
(D)
				actuarial, financial, and operational impacts on the major medical insurance
				plan; and
(E) input from
				stakeholders;
Alaska Administrative Code › Title 2 - Administration › Chapter 39 - Group Health and Life Insurance › Article 3 - Major Medical Insurance › 2 AAC 39.399 - Definitions for 2 AAC 39.300 - 2 AAC 39.399

Current through May 31, 2024
In
				  2 AAC 39.300 -
				  2 AAC 39.399, unless the context otherwise requires
(1) "administrator" means the commissioner of
				the Department of Administration or their designee;
(2) "alternate payee" means a person who is
				receiving a continuing monthly benefit under a qualified domestic relations order
				and who is eligible to elect major medical insurance coverage under
				AS
				14.25.168(c),
				AS
				22.25.090(d), or
				AS
				39.35.535(d);
(3) "benefit recipient" means a person who is
				receiving a continuing monthly benefit from the Public Employees' Retirement
				System, Teachers' Retirement System, or Judicial Retirement System;
(4) "disability benefit" means a continuing
				monthly benefit paid under
				AS
				14.25.130,
				AS
				39.35.400, or 39.35.410;
(5) "new law benefit recipient" means a person
				under the age of 65 who is receiving or is qualified to receive a
(A) continuing monthly benefit under the Public
				Employees' Retirement System and who was first hired after June 30,
				1986;
(B) continuing monthly benefit
				under the Teachers' Retirement System and who was first hired after June 30,
				1990; or
(C) survivor benefit as the
				survivor of a person described in (A) or (B) of this paragraph;
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 39.500 - Applicability

Current through May 31, 2024
The provisions of
				  2 AAC 39.500 -
				  2 AAC 39.590 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 denial of medical claims
				  under AS
				  39.35.535 and
				  AS
				  39.30.090.
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 39.510 - 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 39.500 -
				  2 AAC 39.590, 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 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 39.520 - 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 was
				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 39.530, and which aspects are not so
				appealable.
Authority:
AS 39.35.040
AS
					 39.35.535