Section 13 AAC 75.020 - Application for medical insurance premium payments(a) To continue to receive medical insurance premium payments after the 60-day presumptive eligibility period under AS 39.60.040, a surviving dependent must establish eligibility under 13 AAC 75.040 by filing an application with the department not later than 30 days after the death of the peace officer or firefighter. At the applicant's request, the department will assist the applicant with the application process. Notwithstanding 13 AAC 75.060 failure to timely apply may result in termination of medical insurance premium payments beginning the month following the period of presumed eligibility in 13 AAC 75.015. Failure to establish eligibility will result in termination of medical insurance premium payments until eligibility is established.(b) An application for medical insurance premium payments shall be submitted to the department in a form designated by the department. An application may be submitted by a surviving dependent or an authorized representative of a surviving dependent.(c) An application may be submitted to the department electronically, in person, by mail, or by facsimile transmission to the website address, physical address, or facsimile number designated by the department on the application.(d) The department may deny an incomplete application or an application that fails to provide information required to determine eligibility as required under this chapter.Eff. 1/26/2018,Register 225, April 2018An applicant may submit an application electronically, in person, by mail, or by facsimile to the Peace Officer and Firefighter Survivors' Fund Program, Department of Public Safety, Division of Administrative Services, 5700 East Tudor Road, Anchorage, Alaska 99507-1225, facsimile (907) 333-7008, or dps, survivorfund@alaska.gov.Authority:AS 44.17.030
AS 39.60.020
AS 39.60.040