Current through September 25, 2024
Section 2 AAC 39.260 - Changes in coverage(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 for the recipient's eligible dependents when a change has occurred in the recipient's family structure or in a dependent's eligibility as defined in AS 39.35.680(12) or AS 14.25.220(13). A change in family structure occurs at the marriage of a recipient or at the birthi [OR] adoption, or assumption of legal custody or legal guardianship of a dependent child. Application for the additional coverage must be made within 120 days after the change in the recipient's family structure or the dependent's eligibility status occurs.(c) An application for a change in coverage must be submitted in writing and is subject to verification by the administrator. A change in coverage based on an application that is postmarked or received on or before the 15th of a month, will be effective on the first day of the next calendar month. A change in coverage based on an application that is postmarked or received after the 15th of a month, will be effective no later than the first day of the second month after the date of postmark or receipt of the application. The division will make retroactive adjustments to premiums if necessary . (d) A new law benefit recipient who elects major medical insurance coverage under AS 14.25.168(d) or AS 39.35.535(c) may add dependent children or spouse coverage during an open enrollment period under 2 AAC 39.265.(e) A benefit recipient may increase or change dental-vision-audio insurance coverage during an annual open enrollment period under 2 AAC 39.265.(f) A benefit recipient already enrolled in dental-vision-audio insurance coverage may change his or her coverage if the recipient subsequently becomes eligible under 2 AAC 39.220.(g) If the division becomes aware that a benefit recipient's dependent is not eligible for coverage, the division will automatically decrease the recipient's coverage tier and corresponding premiums to appropriately reflect the recipient's family structure.Eff. 7/1/82; am 5/31/87, Register 102; am 8/5/88, Register 107; am 1/29/89, Register 109; am 5/11/90, Register 114; am 2/1/93, Register 125; am 10/24/2020, Register 236, January 2021Authority:AS 39.30.090(a)