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Get Line Of Duty Form 2020-2024

For more information visit the LODA website at www. valoda.org. Or for questions about the LODA Health Benefits Plans contact DHRM at loda dhrm.virginia. gov or visit the DHRM website at www. Dhrm. virginia.gov/healthcoverage/loda-health-benefits. Part A Preparer Information responsible for completing this form LODA-01. Org www. varetire. org myvrs. varetire. org VRS P. O. Box 2500 Richmond VA 23218-2500 Virginia Retirement System VRS Federal Benefits Request LODA support Bureau of Justice Assistance Public Safety Officers Benefits PSOB Programs loda varetire. Claimant s Position Unknown 23. Claimant s Employment Status Full-time Part-time Retired Other specify LODA-01 Rev. 07/17 VRS-LODA01 25. VRS reviews form and determines if retroactive reimbursement is due to claimant. If due VRS pays the premium employers or notifies the non-participating to the claimant. Eligible spouse and If the claimant is approved for LODA benefits VRS will send an approval letter to the claimant and if also approved for health benefits will attach a DHRM Health Benefits Plans enrollment form for the claimant to send to DHRM. More information can be found on the VRS website www. varetire. org/members/ disability/vrs/work-related.asp. The LODA-05 can be found on the Note VRS-covered members who already have filed an Application for Disability Retirement VRS-6 do not need to submit the LODA Information LODA-05 forms. Explore this guide for information on eligibility benefits claims and other resources. The information presented here is governed by Title 9. In addition there are benefits for those eligible employees and volunteers who are disabled in the line of duty and their eligible family members. For Disabled Individuals and Families coverage for disabled individuals and their eligible family members. Correctional officer as defined in 53. 1-1. Jail officer. Regional jail or jail farm superintendent. Sheriff deputy sheriff or city sergeant or deputy city sergeant of the City of Richmond. Police chaplain* All claims should be submitted as soon as possible. A claim that is submitted more than five years after the death or onset of disability will not be eligible for coverage. 2-900. Employee of the Department of Emergency Management who is performing official duties of the agency when those duties are related to a major disaster or emergency as defined in 44-146. 16 that has been or is later declared to exist under the authority of the Governor in accordance with 44-146. 28. Employee of any county city or town performing official emergency management or emergency services duties in cooperation with the Department of duties are related to a major disaster or emergency as defined in 44-146. 28 or a local declared by a local governing body. Nonfirefighter regional hazardous materials emergency response team member. Conservation officer of the Department of Conservation and Recreation commissioned pursuant to 10. 1-115. Full-time sworn member of the enforcement division of the Department of Motor Vehicles appointed pursuant to 46.

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