Current through Register Vol. 63, No. 12, December 1, 2024
(1) The
Fund provides immediate, temporary financial assistance to public safety
officers, family members of public safety officers, and parents or designees of
public safety officers when the public safety officer suffers a qualifying
death or disability in the line of duty. The Board may provide these financial
assistance benefits to assist with health and dental insurance, mortgage
payments and education scholarships. Applicant eligibility for the award of
discretionary benefits is based upon the eligibility requirements pursuant to
ORS 243.956 and the rules adopted in OAR chapter 259 division 70.
(2) Health and Dental Insurance. The Board
may award benefits to afford health and dental insurance to a public safety
officer, eligible family members or designees if an applicant for benefits does
not have alternate health and dental coverage.
(a) "Alternate health and dental coverage"
means insurance coverage effective on the date of the public safety officer's
qualifying death or disability that is separate from, or in addition to, the
coverage that was provided through the public safety officer's employment on
the date the qualifying death or disability occurred. Alternate coverage does
not need to be comparable to the public safety officer's coverage to be
considered alternate coverage.
(A) "Alternate
health and dental coverage" includes health and dental insurance provided by:
(i) A current employer;
(ii) A government healthcare program such as
Medicare or the Oregon Health Plan;
(iii) An insurance policy obtained through
the Affordable Care Act (ACA) exchange that is currently in effect at the time
of the application, is subsidized by a federal or state program and that
provides coverage for the applicant at the time of the application;
(iv) An educational institution; or
(v) Any other source that insures the
applicant at the time of the application.
(B) "Alternate health and dental coverage"
does not include:
(i) Unsubsidized health and
dental coverage or health and dental coverage available through the ACA
exchange unless the applicant has applied for and received coverage from an
insurer through the exchange; or
(ii) Health and dental insurance coverage
obtained by, or for, an applicant after the public safety officer's qualifying
death or disability to replace the public safety officer's insurance coverage
that was in place prior to the qualifying death or disability.
(b) Upon a determination
that an applicant is eligible for the award of health and dental insurance
benefits, the Board will determine the amount of benefits to be awarded up to,
but not to exceed, an amount sufficient to allow recipients to purchase health
and dental insurance comparable to that provided by the public safety officer
at the time of their qualifying death or disability.
(c) The Board will review an application for
health and dental insurance benefits made by a public safety officer, an
eligible family member, or designee who has declined or lost alternate health
and dental coverage to determine eligibility for reimbursement from the Fund.
The Board will consider the totality of the circumstances surrounding the
applicant's request for benefits, including but not limited to, the reasons for
declining or for the loss of alternate health and dental coverage.
(d) For the purposes of ORS 243.956(5)(a) and
(c), a spouse or designee is eligible to apply for health and dental insurance
benefits for five years from the date the Board enters a final order of
eligibility or until remarriage, whichever occurs first. A spouse or designee
is required to notify the Department immediately upon remarriage.
(e) Children or dependents between 18 and 23
years old must be attending school full-time to be eligible for the health and
dental insurance benefits under ORS 243.956(5)(b). For the purposes of this
rule, "attending school full-time" means being enrolled as a student in school
full-time, in accordance with the school's definition for full-time enrollment,
during a minimum of any part of five calendar months during the calendar year.
A recipient is required to notify the Department immediately upon the change of
student enrollment status of an eligible child or
dependent.
(3) Mortgage
Payments. For the purposes of ORS 243.956(7), an applicant is eligible to apply
for mortgage payment benefits within the first 12 months following the date the
Board enters a final order of eligibility.
(4) Scholarships.
(a) The Board may award scholarship benefits
for the following:
(A) A graduate program of
higher education if the applicant has exhausted benefits received under the
Public Safety Officers' Educational Assistance Program administered by the
United States Department of Justice (PSOEA) and the applicant applies for
scholarship benefits within one year from the date of exhaustion of the
benefits received under the PSOEA. The date of exhaustion is the date on which
the applicant receives the last payment of PSOEA benefits.
(B) An undergraduate degree program if the
applicant is not eligible for benefits under PSOEA or the PSOEA no longer
exists.
(b) To be
eligible for scholarship benefits, an applicant must apply for other available
public education benefits, including:
(A) The
Free Application for Federal Student Aid (FAFSA) administered by the United
States Department of Education; and
(B) Scholarships available under ORS 348.270
as administered by the Oregon Higher Education Coordinating
Commission.
(c) In
determining the amount of scholarship benefits, the Board will consider the
following:
(A) The financial need of the
applicant based on the degree program sought by the applicant;
(B) The institution where the degree will be
obtained;
(C) The cost of the
degree; and
(D) The applicant's
sources of income anticipated over the period that the applicant estimates the
applicant can obtain the degree.
(d) If a beneficiary of an undergraduate
scholarship is the surviving spouse of a public safety officer, the beneficiary
must notify the Department immediately upon remarriage. If the beneficiary of
an undergraduate scholarship is the spouse of a public safety officer who
suffered a qualifying disability, the beneficiary must give notice immediately
in the event of a divorce from the public safety officer.
Statutory/Other Authority: ORS 243.950 & ORS
243.970
Statutes/Other Implemented: ORS 243.962, ORS 243.956 &
ORS 243.959