R698-8-5. Reimbursement of Health Coverage Costs

  (1) In the event of a line-of-duty death of a member, a participating agency may receive reimbursement for payment of health coverage premiums and contributions made to a health savings account as described in Section 53-17-201.

  (2) To receive reimbursement for payments described in Subsection (1), the participating agency shall submit to the department:

  (a) a request for reimbursement on a form approved by the board upon initial request; and

  (b) a copy of the statement provided by the group health plan that includes the participating agency's costs for coverage upon initial request and each month thereafter.

  (3) The request for reimbursement form shall include:

  (a) the name of the spouse for whom coverage is provided; and

  (b) the name and date or birth for each child under the age of 26 for whom coverage is provided.

  (4) If the member did not have a living spouse at the time of death, the request for reimbursement form shall include the name and date of birth for each child under the age of 26 for whom coverage is provided.