RELATES TO:
KRS
61.315,
311A.010(3)
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
61.315(6) requires the board
to promulgate administrative regulations to authorize the payment of survivor
benefits of $80,000 to the survivor of any paid or volunteer emergency medical
services personnel who is employed directly by, or volunteering directly for,
any county, city, fire protection district, or emergency ambulance service
district created under
KRS
108.080 to
108.180 to provide emergency
medical services and who is killed in the line of duty after November 1, 2015.
This administrative regulation establishes the procedures and criteria that
shall be utilized to determine the eligibility of the emergency medical service
personnel's survivor benefits.
Section
1. Definitions.
(1) "AEMT" means
an advanced emergency medical technician certified by the board.
(2) "Board" means the Kentucky Board of
Emergency Medical Services as defined by
KRS
311A.010(3).
(3) "Child or children" means a:
(a) Biological child or children, including a
child or children born after the EMS provider's death;
(b) Stepchild or stepchildren; and
(c) Legally adopted child or
children.
(4) "Death in
the line of duty" means death that occurs as a direct result of an act or acts
in the "performance of duty" as defined by subsection (11) of this section and
shall include death that results from a heart or circulatory malfunction that
is treated within forty-eight (48) hours after participation in the performance
of these duties, or as the result of illness, sickness, or injury caused by the
performance of these duties that result in death within twelve (12) months of
the activities if the death is not caused by suicide or self-inflicted
injury.
(5) "Emergency medical
services" means the services utilized in providing care for the perceived
individual need for immediate medical care to protect against loss of life, or
aggravation of physiological or psychological illness or injury.
(6) "EMR" means an emergency medical
responder certified by the board.
(7) "EMS provider" means an emergency medical
responder (EMR), emergency medical technician (EMT), advanced emergency medical
technician (AEMT), or paramedic.
(8) "EMT" means an emergency medical
technician certified by the board.
(9) "Heart or circulatory malfunction" means
myocardial infarction, angina pectoris, coronary thrombosis, cardiac arrest, or
a cerebral vascular accident, the symptoms of which are first medically treated
within forty-eight (48) hours after participation in the performance of the
duties of an EMS provider as described in subsection (11) of this
section.
(10) "Paramedic" mean a
paramedic licensed by the board.
(11) "Performance of duty":
(a) Means an EMS
provider engaging in the
following activities if the activities are performed at the direction or with
the knowledge of an officer of a licensed ambulance service, or when immediate
action is required at the scene of an
emergency not involving an ambulance
service or other
emergency organization:
1.
Provision of emergency medical care;
2. Participation in EMS-related education or
training;
3. Rescue or emergency
activities for which the ambulance service is licensed;
4. Reparation or other work about or in the
ambulance or building and grounds of the licensed ambulance service;
5. Answering an emergency call;
6. Riding in the ambulance that is owned or
used by the licensed ambulance service;
7. Performance of other duties of the
licensed ambulance service as authorized by the jurisdiction that the licensed
agency serves; and
8. Travel to or
from and attendance at meetings related to emergency medical services:
and
(b) Does not mean
participation in any sports or athletic event or contest for any purpose if the
EMS provider is representing an organization related to the field of emergency
medical services.
Section
2. Requirements for Eligibility.
(1) Survivors. Benefits shall be paid to the
surviving:
(a) Spouse;
(b) Child or children; or
(c) Spouse and child or children; or parents,
as set forth in KRS
61.315(2).
(2) Heart or circulatory malfunction
limitations. If an EMS
provider becomes an active employee of a licensed
ambulance service and has not been medically diagnosed or received any
medication for a heart or circulatory malfunction within five (5) years prior
to the date of employment, the EMS
provider's eligible survivors shall receive
the death benefits detailed in this administrative regulation if the EMS
provider is killed in the line of duty.
(a) If
an EMS provider has been medically diagnosed with or received medication for a
heart or circulatory malfunction within five (5) years prior to becoming an
active employee of a licensed ambulance service and presents a medical
statement to the board from a licensed physician establishing that the
individual has recovered or has been sufficiently medically rehabilitated to
meet the physical demands of providing emergency medical services, the EMS
provider's survivors shall be eligible to receive death benefits as outlined in
this administrative regulation if the EMS provider dies in the line of
duty.
(b) If an EMS provider
employed by a licensed ambulance service is medically diagnosed with or is
prescribed medication for a heart or circulatory malfunction and returns to
active employment with a licensed ambulance service, the EMS provider's
survivors shall not be eligible to receive death benefits as outlined in this
administrative regulation if the EMS provider's death was caused by a heart or
circulatory malfunction.
(3) If death occurs twelve (12) months or
more after the performance of duty and is believed to be related to the
provision of emergency medical services, the board may review the personnel's
medical records to determine if the death qualifies as a death in the line of
duty.
(4) Autopsy.
(a) The board shall reserve the right to
request an autopsy of an EMS provider if sufficient cause is shown for this
request.
(b) If an autopsy is
performed for any reason, a copy of the report signed by the individual who
performs the autopsy and a notary public shall be submitted to the
board.
Section
3. Application.
(1)
(a) Upon the death in the line of duty of an
EMS provider, the licensed ambulance service by which the EMS provider was
employed at the time of death shall immediately notify the executive director
of the board.
(b) Upon receipt of
the notification, the executive director shall send Form KBEMS-01LDD to the
notifying licensed ambulance service in care of the administrator and Form
KBEMS-02LDD to the known survivors of the deceased EMS provider.
(2) Upon receipt of Forms
KBEMS-01LDD and KBEMS-02LDD, the administrator of the licensed ambulance
service and the EMS provider's survivors or their representative shall complete
the forms and return them to the board in care of the executive
director.
(3)
(a) Upon receipt by the executive director of
the completed forms, a committee of the board appointed by its chairman shall
review the forms for compliance with
KRS
61.315 and this administrative regulation and
make recommendations to the board for determination of eligibility for death
benefits under this administrative regulation.
(b) The committee and the executive director
may seek clarification of the forms' content with the EMS provider's survivors
and licensed ambulance service. The board shall make the final determination of
eligibility for death benefits pursuant to
KRS
61.315 and this administrative
regulation.
Section
4. Certification of Payment of Benefits. Upon certification of
survivorship rights to the EMS provider's death benefit, the sum of $80,000
shall be paid by check by the state treasurer from the general expenditure fund
of the state treasury, as required by
KRS
61.315(2), and the treasurer
shall transmit the check to the board for payment to the eligible survivor or
survivors.
Section 5. Appeals.
(1) A decision of the board affecting the
eligibility of a survivor to be a recipient of the fund shall not be final
until the survivor shall have been afforded an opportunity to be heard on the
matter.
(2) An appeal may be taken
from a final decision of the board to withhold payment from the fund to any
survivor.
Section 6.
Incorporation by Reference.
(1) The following
material is incorporated by reference:
(a)
"Form KBEMS-01LDD, Report of the Death of Emergency Medical Personnel",
November 2016; and
(b) "Form
KBEMS-02LDD, Claim for Survivor Benefits", November 2016.
(2) This material may be inspected, copied,
or obtained, subject to applicable copyright law, at the Kentucky Board of
Emergency Medical Services, 118 James Court, Suite 50, Lexington, Kentucky
40505, Monday through Friday, 8 a.m. to 4:30 p.m.