Section 13 AAC 75.090 - Report of changes(a) It is the responsibility of the recipient or the recipient's authorized representative to report to the department all changes which might affect continuing eligibility for payment of medical insurance premiums under the fund. Any changes must be reported orally or in writing not later than 10 days after their occurrence. Changes which must be reported include: (1) a change in marital status resulting in eligibility for alternative major medical insurance coverage;(2) a change in employment status resulting in eligibility for alternative major medical insurance coverage;(3) eligibility for Medicare under 42 U.S.C. 1395j -395w-6 ;(4) eligibility for major medical insurance coverage through other means regardless of the source or cost;(5) a surviving dependent child reaching 26 years of age; and(6) the tenth anniversary since a surviving spouse first began receiving premium payments for medical insurance.(b) Under this chapter, coverage through Medicaid under 42 U.S.C. 1396 or coverage available through a health insurance marketplace under the Patient Protection and Affordable Care Act under 42 U.S.C. 18001 or similar federal law shall not constitute eligibility for medical insurance coverage through other means.(c) Medical insurance premium payments will cease the month following the month in which a surviving dependent becomes ineligible. If ineligibility is due to eligibility for other major medical insurance and the surviving dependent later loses eligibility for the other major medical insurance, the surviving dependent may reapply for medical insurance premium payments under the fund.(d) In the event that a change in status or error in a surviving dependent's records results in the payment of medical premiums that the surviving dependent is not entitled to, the department shall correct the error in the department's records and, as far as practicable, recover medical premium payments made in error, regardless of the source of the error. The department may recover medical premium payments made in error through a lump sum payment or a structured repayment plan that ensures the minimal amount of financial impact to the Peace Officer and Firefighter Survivors' Fund. In authorizing a structured repayment, the department shall include such interest as necessary to minimize the impact to the fund. The department, in its discretion, may waive the repayment of an overpayment of medical premium payments, or any portion thereof, if, in the opinion of the department: (1) the repayment will cause undue hardship to a surviving dependent;(2) the surviving dependent did not supply any erroneous information to the department in relation to the medical premium overpayment;(3) the surviving dependent reported all changes to eligibility in a timely manner; and(4) the surviving dependent had no reasonable grounds to believe the medical premium payment occurred in error.Eff. 1/26/2018,Register 225, April 2018Authority:AS 44.17.030
AS 39.60.020
AS 39.60.040