13 Alaska Admin. Code § 75.080

Current through September 25, 2024
Section 13 AAC 75.080 - Verification and documentation
(a) An applicant shall, upon request, provide the department with verification of dependent status and any other information contained in the application. An applicant shall provide verification acceptable to the department through official marriage or birth certificates, adoption records, or other official documentary evidence. An applicant shall verify ineligibility for other medical insurance coverage through an attestation or other documents or correspondence from the surviving dependent's employer, staff members of social service agencies, or other third parties.
(b) An applicant shall verify the deceased peace officer's or firefighter's employment and medical insurance participation status by providing documentary evidence verifying, for example, the type of position held, that the employment was full-time and twelve months per year, and the type and level of medical insurance that the employee and surviving dependent was enrolled in at the time of death.
(c) In addition to an official death certificate, an applicant shall, upon request, provide the department with any reports, summaries, memoranda, or other documents explaining the circumstances surrounding the death of the peace officer or firefighter to verify eligibility in accordance with 13 AAC 75 .040(a)(2).

13 AAC 75.080

Eff. 1/26/2018,Register 225, April 2018

Authority:AS 44.17.030

AS 39.60.020

AS 39.60.040