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(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 full monthly premium. If at any time the benefit amount is insufficient to cover the full long-term care insurance premium, the administrator will notify the benefit recipient, and premium payments due after the notice must be made by the recipient directly to the insurance carrier.
(b) A spouse who elects to continue coverage under 2 AAC 39.010(e) shall pay the premium established by the administrator directly to the insurance carrier.
(c) A plan participant who pays a premium directly to the insurance carrier forfeits the right to participate in the plan if
(1) a premium payment is delinquent by more than 60 days; or
(2) premium payments are delinquent twice in any one calendar year by more than 31 days.
(d) A plan participant who must pay premiums directly to the insurance carrier must pay any retroactive premiums necessary to avoid a lapse in coverage.
History: Eff. 11/12/86, Register 100; am 1/29/89, Register 109
Authority: AS 39.30.090 (a)
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Last modified 7/05/2006