Alaska Administrative Code

(a) Survivor benefits for a member of a state retirement system who retired before January 1, 2016 and made an irrevocable designation of a same-sex partner to receive survivor benefits are payable to a same-sex partner designated to the extent the benefits are not payable to a f…

(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…

(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 insur…

(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…

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. Notes 2 AAC 39.040 Eff. 11/12/86, Register 100 Authority:AS 39.30.090(a)

(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…

(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 fir…

(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 individ…

(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 …

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. Notes 2 AAC 39.090 Eff. 11/12/86, …

If a postmark is illegible or undated, the postmark day is rebuttably presumed to be five working days before receipt by the division. Notes 2 AAC 39.095 Eff. 5/11/90, Register 114 Authority:AS 39.30.090(a)

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 …

(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 b…

(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…

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. Notes 2 AAC 39.230 Eff. 7/1/82; am 5/31/87, Register …

(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 o…

(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…

(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…

(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-audi…

(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 p…

(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; …

If a postmark is illegible or undated, the postmark day is rebuttably presumed to be five working days before receipt by the division. Notes 2 AAC 39.285 Eff. 5/11/90, Register 114 Authority:AS 39.30.090(a)

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',…

(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 coverag…

(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 applicatio…

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 ad…

(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 insuffici…

(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…

(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 altern…

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. Notes 2 AAC 39.360 Eff.…

(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) 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…

(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 ad…

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 re…

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 fr…

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. Notes 2 AAC 39.510 Eff. 5/28/99, Register 151 …

(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 …

(a) Except as provided in (b) of this section, if an enrollee is not satisfied with the decision of the plan administrator under 2 AAC 39.520(c), the enrollee may appeal to the board within 30 days after receiving the plan administrator's decision. Unless the recipient requests a…

(a) The plan administrator and the board may review claims of an emergency nature on an expedited basis, including use of shortened schedules, telephonic proceedings, and other procedures necessary to facilitate prompt determinations. "Emergency" as used in this section is limite…

In this chapter, (1) "board" means the Public Employees' Retirement Board; (2) "claim" means a claim for benefits under the major medical insurance coverage provided under AS 39.35.535; (3) "claims payer" means the third-party administrator of benefit claims and payments under a …

The provisions of 2 AAC 39.600 - 2 AAC 39.690 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 fr…

Before appealing to the plan administrator or to the board under 2 AAC 39.600 - 2 AAC 39.690, 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. Notes 2 AAC 39.610 Eff. 5/27/99, Register 151 …

(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 …

(a) Except as provided in (b) of this section, if an enrollee is not satisfied with the decision of the plan administrator under 2 AAC 39.620(c), the enrollee may appeal to the board within 30 days after receiving the plan administrator's decision. Unless the enrollee requests a …

(a) The plan administrator and the board may review claims of an emergency nature on an expedited basis, including use of shortened schedules, telephonic proceedings, and other procedures necessary to facilitate prompt determinations. "Emergency" as used in this section is limite…

In this chapter, (1) "board" means the Alaska Teachers' Retirement; (2) "claim" means a claim for benefits under the major medical insurance coverage provided under AS 14.25.168; (3) "claims payer" means the third-party administrator of benefit claims and payments under a contrac…

(a) A bargaining unit of the executive branch of the state may be exempted from the coverage of the group insurance policy or policies covering state employees, their spouses, and eligible dependents by entering into a collective bargaining agreement that meets the requirements o…