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 February 27, 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:
(e) A peace officer or firefighter may apply to the administrator for a determination of eligibility for medical benefits under AS 39.35.535(c)(2)(B) before employment is terminated. A determination by the administrator finding eligibility for medical benefits under AS 39.35.535(c)(2)(B) is void if the employee fails to terminate employment within 30 days of the date of the determination. Additionally, the following standards apply:
(f) The administrator shall determine eligibility for medical benefits under AS 39.35.535(c)(2)(B) for a peace officer or firefighter who is eligible for but has not elected occupational disability benefits, and appoint the eligible peace officer or firefighter to normal retirement. The administrator requires medical documentation substantiating both the disability and causation. The administrator may require the peace officer or firefighter to provide additional information and to submit to an examination by one or more physicians of the administrator's choosing at the division's expense. Additionally, the following standards apply:
Authority:AS 14.25.168
AS 22.25.027
AS 22.25.090
AS 39.30.090
AS 39.35.005
AS 39.35.370
AS 39.35.410
AS 39.35.535