{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/9.1-403.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/9.1-403.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/9.1-403.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/9.1-403.html"}],"law_id":58699,"edition_id":1,"section_id":58699,"structure_id":13443,"section_number":"9.1-403","catch_line":"Claim for payment; costs","history":"1995, c. 156, \u00a7 2.1-133.8; 1998, c. 712; 2001, cc. 427, 844; 2007, c. 90; 2009, cc. 393, 580; 2016, c. 677; 2025, cc. 204, 219.","full_text":"A\n\nEvery beneficiary, disabled person or his spouse, or dependent of a deceased or disabled person shall present his claim to the chief officer, or his designee, of the employer for which the disabled or deceased person last worked on forms to be provided by VRS. Upon receipt of a claim, the chief officer or his designee shall forward the claim to VRS within seven days. The Virginia Retirement System shall determine eligibility for benefits under this chapter. The Virginia Retirement System may request assistance in obtaining information necessary to make an eligibility determination from the Department of State Police. The Department of State Police shall take action to conduct the investigation as expeditiously as possible. The Department of State Police shall be reimbursed from the Fund or the nonparticipating employer, as applicable, for the cost of searching for and obtaining information requested by VRS. The Virginia Retirement System shall be reimbursed for the reasonable costs incurred for making eligibility determinations by nonparticipating employers or from the Fund on behalf of participating employers, contributing nonprofit private institutions of higher education, or contributing private police departments, as applicable. If any nonparticipating employer fails to reimburse VRS for reasonable costs incurred in making an eligibility determination, VRS shall inform the State Comptroller and the affected nonparticipating employer of the delinquent amount. In calculating the delinquent amount, VRS may impose an interest rate of one percent per month of delinquency. The State Comptroller shall forthwith transfer such delinquent amount, plus interest, from any moneys otherwise distributable to such nonparticipating employer.B\n\n1. Within 10 business days of being notified by an employee, or an employee&#8217;s representative, that such employee is permanently and totally disabled due to a work-related injury suffered in the line of duty, the agency or department employing the employee shall provide him with information about the continued health insurance coverage provided under this chapter and the process for initiating a claim. The employer shall assist in filing a claim, unless such assistance is waived by the employee or the employee&#8217;s representative.2\n\nWithin 10 business days of having knowledge that a deceased person&#8217;s surviving spouse, dependents, or beneficiaries may be entitled to benefits under this chapter, the employer for which the deceased person last worked shall provide the surviving spouse, dependents, or beneficiaries, as applicable, with information about the benefits provided under this chapter and the process for initiating a claim. The employer shall assist in filing a claim, unless such assistance is waived by the surviving spouse, dependents, or beneficiaries.C\n\nWithin 30 days of receiving a claim pursuant to subsection A, an employer may submit to VRS any evidence that could assist in determining the eligibility of a claim. However, when the claim involves a presumption under &#xA7; 65.2-402 or 65.2-402.1, VRS shall provide an employer additional time to submit evidence as is necessary not to exceed nine months from the date the employer received a claim pursuant to subsection A. Any such evidence submitted by the employer shall be included in the agency record for the claim.","order_by":null,"text":{"0":{"id":215108,"text":"Every beneficiary, disabled person or his spouse, or dependent of a deceased or disabled person shall present his claim to the chief officer, or his designee, of the employer for which the disabled or deceased person last worked on forms to be provided by VRS. Upon receipt of a claim, the chief officer or his designee shall forward the claim to VRS within seven days. The Virginia Retirement System shall determine eligibility for benefits under this chapter. The Virginia Retirement System may request assistance in obtaining information necessary to make an eligibility determination from the Department of State Police. The Department of State Police shall take action to conduct the investigation as expeditiously as possible. The Department of State Police shall be reimbursed from the Fund or the nonparticipating employer, as applicable, for the cost of searching for and obtaining information requested by VRS. The Virginia Retirement System shall be reimbursed for the reasonable costs incurred for making eligibility determinations by nonparticipating employers or from the Fund on behalf of participating employers, contributing nonprofit private institutions of higher education, or contributing private police departments, as applicable. If any nonparticipating employer fails to reimburse VRS for reasonable costs incurred in making an eligibility determination, VRS shall inform the State Comptroller and the affected nonparticipating employer of the delinquent amount. In calculating the delinquent amount, VRS may impose an interest rate of one percent per month of delinquency. The State Comptroller shall forthwith transfer such delinquent amount, plus interest, from any moneys otherwise distributable to such nonparticipating employer.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":215109,"text":"1. Within 10 business days of being notified by an employee, or an employee&#8217;s representative, that such employee is permanently and totally disabled due to a work-related injury suffered in the line of duty, the agency or department employing the employee shall provide him with information about the continued health insurance coverage provided under this chapter and the process for initiating a claim. The employer shall assist in filing a claim, unless such assistance is waived by the employee or the employee&#8217;s representative.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"B2"},"2":{"id":215110,"text":"Within 10 business days of having knowledge that a deceased person&#8217;s surviving spouse, dependents, or beneficiaries may be entitled to benefits under this chapter, the employer for which the deceased person last worked shall provide the surviving spouse, dependents, or beneficiaries, as applicable, with information about the benefits provided under this chapter and the process for initiating a claim. The employer shall assist in filing a claim, unless such assistance is waived by the surviving spouse, dependents, or beneficiaries.","type":"section","prefixes":["B","2"],"prefix":"2","entire_prefix":"B2","prefix_anchor":"B2","level":2,"prior_prefix":"B","next_prefix":"C"},"3":{"id":215111,"text":"Within 30 days of receiving a claim pursuant to subsection A, an employer may submit to VRS any evidence that could assist in determining the eligibility of a claim. However, when the claim involves a presumption under &#xA7; 65.2-402 or 65.2-402.1, VRS shall provide an employer additional time to submit evidence as is necessary not to exceed nine months from the date the employer received a claim pursuant to subsection A. Any such evidence submitted by the employer shall be included in the agency record for the claim.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B2"}},"ancestry":[{"id":13443,"edition_id":1,"name":"Line of Duty Act","identifier":"4","label":"chapter","depth":2,"order_by":1,"parent_id":12896,"metadata":{},"date_created":"2026-06-26 03:44:54","date_modified":"2026-06-26 03:44:54","permalink":{"id":285331,"object_type":"structure","relational_id":13443,"identifier":"4","token":"9.1\/4","url":"\/9.1\/4\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12896,"edition_id":1,"name":"Commonwealth Public Safety","identifier":"9.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:59","date_modified":"2026-06-26 03:43:59","permalink":{"id":284487,"object_type":"structure","relational_id":12896,"identifier":"9.1","token":"9.1","url":"\/9.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":54405,"structure_id":13443,"section_number":"9.1-400","catch_line":"Title of chapter; definitions","url":"\/9.1-400\/","token":"9.1\/4\/9.1-400","metadata":false},{"id":66899,"structure_id":13443,"section_number":"9.1-400.1","catch_line":"Line of Duty Death and Health Benefits Trust Fund","url":"\/9.1-400.1\/","token":"9.1\/4\/9.1-400.1","metadata":false},{"id":82164,"structure_id":13443,"section_number":"9.1-401","catch_line":"Continued health insurance coverage for disabled persons, eligible spouses, and eligible dependents","url":"\/9.1-401\/","token":"9.1\/4\/9.1-401","metadata":false},{"id":80137,"structure_id":13443,"section_number":"9.1-401.1","catch_line":"Supplemental short-term disability benefit for state police officers","url":"\/9.1-401.1\/","token":"9.1\/4\/9.1-401.1","metadata":false},{"id":60273,"structure_id":13443,"section_number":"9.1-402","catch_line":"Payments to beneficiaries of certain deceased law-enforcement officers, firefighters, etc., and retirees","url":"\/9.1-402\/","token":"9.1\/4\/9.1-402","metadata":false},{"id":60475,"structure_id":13443,"section_number":"9.1-402.1","catch_line":"Payments for burial expenses","url":"\/9.1-402.1\/","token":"9.1\/4\/9.1-402.1","metadata":false},{"id":58699,"structure_id":13443,"section_number":"9.1-403","catch_line":"Claim for payment; costs","url":"\/9.1-403\/","token":"9.1\/4\/9.1-403","metadata":false},{"id":66804,"structure_id":13443,"section_number":"9.1-404","catch_line":"Order of the Virginia Retirement System","url":"\/9.1-404\/","token":"9.1\/4\/9.1-404","metadata":false},{"id":57587,"structure_id":13443,"section_number":"9.1-405","catch_line":"Appeal from decision of Virginia Retirement System","url":"\/9.1-405\/","token":"9.1\/4\/9.1-405","metadata":false},{"id":78642,"structure_id":13443,"section_number":"9.1-406","catch_line":"Repealed","url":"\/9.1-406\/","token":"9.1\/4\/9.1-406","metadata":false},{"id":56255,"structure_id":13443,"section_number":"9.1-407","catch_line":"Training","url":"\/9.1-407\/","token":"9.1\/4\/9.1-407","metadata":false},{"id":76468,"structure_id":13443,"section_number":"9.1-408","catch_line":"Records of investigation confidential","url":"\/9.1-408\/","token":"9.1\/4\/9.1-408","metadata":false}],"previous_section":{"id":60475,"structure_id":13443,"section_number":"9.1-402.1","catch_line":"Payments for burial expenses","url":"\/9.1-402.1\/","token":"9.1\/4\/9.1-402.1","metadata":false},"next_section":{"id":66804,"structure_id":13443,"section_number":"9.1-404","catch_line":"Order of the Virginia Retirement System","url":"\/9.1-404\/","token":"9.1\/4\/9.1-404","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/9.1-403\/","history_text":"<p>This law was first created in 1995. The record of its establishment is cataloged in chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?951+ful+CHAP0156\">156<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. It has been modified 6 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 1998, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?981+ful+CHAP0712\">712<\/a>; in 2001, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?011+ful+CHAP0427\">427<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?011+ful+CHAP0844\">844<\/a>; in 2007, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?071+ful+CHAP0090\">90<\/a>; in 2009, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?091+ful+CHAP0393\">393<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?091+ful+CHAP0580\">580<\/a>; in 2016, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?161+ful+CHAP0677\">677<\/a>; in 2025, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?251+ful+CHAP0204\">204<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?251+ful+CHAP0219\">219<\/a>.<\/p>","references":[{"id":66804,"section_number":"9.1-404","catch_line":"Order of the Virginia Retirement System","order_by":null,"url":"\/9.1-404\/"}],"refers_to":[{"id":59437,"section_number":"65.2-402","catch_line":"Presumption as to death or disability from respiratory disease, hypertension or heart disease, cancer","order_by":null,"url":"\/65.2-402\/"},{"id":85102,"section_number":"65.2-402.1","catch_line":"Presumption as to death or disability from infectious disease","order_by":null,"url":"\/65.2-402.1\/"}],"permalink":{"id":285357,"object_type":"law","relational_id":58699,"identifier":"9.1-403","token":"9.1\/4\/9.1-403","url":"\/9.1-403\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/9.1-403\/","token":"9.1\/4\/9.1-403","dublin_core":{"Title":"Claim for payment; costs","Type":"Text","Format":"text\/html","Identifier":"\u00a7 9.1-403","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section id=\"A\"><p><span class=\"prefix-number\">A.<\/span> Every beneficiary, disabled person or his spouse, or dependent of a deceased or disabled person shall present his claim to the chief officer, or his designee, of the employer for which the disabled or deceased person last worked on forms to be provided by VRS. Upon receipt of a claim, the chief officer or his designee shall forward the claim to VRS within seven days. The Virginia Retirement System shall determine eligibility for benefits under this chapter. The Virginia Retirement System may request assistance in obtaining information necessary to make an eligibility determination from the Department of State Police. The Department of State Police shall take action to conduct the investigation as expeditiously as possible. The Department of State Police shall be reimbursed from the Fund or the nonparticipating employer, as applicable, for the cost of searching for and obtaining information requested by VRS. The Virginia Retirement System shall be reimbursed for the reasonable costs incurred for making eligibility determinations by nonparticipating employers or from the Fund on behalf of participating employers, contributing nonprofit private institutions of higher education, or contributing private police departments, as applicable. If any nonparticipating employer fails to reimburse VRS for reasonable costs incurred in making an eligibility determination, VRS shall inform the State Comptroller and the affected nonparticipating employer of the delinquent amount. In calculating the delinquent amount, VRS may impose an interest rate of one percent per month of delinquency. The State Comptroller shall forthwith transfer such delinquent amount, plus interest, from any moneys otherwise distributable to such nonparticipating employer. <a id=\"paragraph-215108\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/9.1-403\/#A\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"B\"><p><span class=\"prefix-number\">B.<\/span> 1. Within 10 business days of being notified by an employee, or an employee&#8217;s representative, that such employee is permanently and totally disabled due to a work-related injury suffered in the line of duty, the agency or department employing the employee shall provide him with information about the continued health insurance coverage provided under this chapter and the process for initiating a claim. The employer shall assist in filing a claim, unless such assistance is waived by the employee or the employee&#8217;s representative. <a id=\"paragraph-215109\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/9.1-403\/#B\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"B2\" class=\"indent-1\"><p><span class=\"prefix-number\">2.<\/span> Within 10 business days of having knowledge that a deceased person&#8217;s surviving spouse, dependents, or beneficiaries may be entitled to benefits under this chapter, the employer for which the deceased person last worked shall provide the surviving spouse, dependents, or beneficiaries, as applicable, with information about the benefits provided under this chapter and the process for initiating a claim. The employer shall assist in filing a claim, unless such assistance is waived by the surviving spouse, dependents, or beneficiaries. <a id=\"paragraph-215110\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/9.1-403\/#B2\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"C\"><p><span class=\"prefix-number\">C.<\/span> Within 30 days of receiving a claim pursuant to subsection A, an employer may submit to VRS any <span class=\"dictionary\">evidence<\/span> that could assist in determining the eligibility of a claim. However, when the claim involves a <span class=\"dictionary\">presumption<\/span> under &#xA7; <a class=\"law\" title=\"Presumption as to death or disability from respiratory disease, hypertension or heart disease, cancer\" href=\"\/65.2-402\/\">65.2-402<\/a> or <a class=\"law\" title=\"Presumption as to death or disability from infectious disease\" href=\"\/65.2-402.1\/\">65.2-402.1<\/a>, VRS shall provide an employer additional time to submit <span class=\"dictionary\">evidence<\/span> as is necessary not to exceed nine months from the date the employer received a claim pursuant to subsection A. Any such <span class=\"dictionary\">evidence<\/span> submitted by the employer shall be included in the agency record for the claim. <a id=\"paragraph-215111\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/9.1-403\/#C\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nCLAIM FOR PAYMENT; COSTS (\u00a7 9.1-403)\n\nA. Every beneficiary, disabled person or his spouse, or dependent of a deceased\nor disabled person shall present his claim to the chief officer, or his\ndesignee, of the employer for which the disabled or deceased person last worked\non forms to be provided by VRS. Upon receipt of a claim, the chief officer or\nhis designee shall forward the claim to VRS within seven days. The Virginia\nRetirement System shall determine eligibility for benefits under this chapter.\nThe Virginia Retirement System may request assistance in obtaining information\nnecessary to make an eligibility determination from the Department of State\nPolice. The Department of State Police shall take action to conduct the\ninvestigation as expeditiously as possible. The Department of State Police shall\nbe reimbursed from the Fund or the nonparticipating employer, as applicable, for\nthe cost of searching for and obtaining information requested by VRS. The\nVirginia Retirement System shall be reimbursed for the reasonable costs incurred\nfor making eligibility determinations by nonparticipating employers or from the\nFund on behalf of participating employers, contributing nonprofit private\ninstitutions of higher education, or contributing private police departments, as\napplicable. If any nonparticipating employer fails to reimburse VRS for\nreasonable costs incurred in making an eligibility determination, VRS shall\ninform the State Comptroller and the affected nonparticipating employer of the\ndelinquent amount. In calculating the delinquent amount, VRS may impose an\ninterest rate of one percent per month of delinquency. The State Comptroller\nshall forthwith transfer such delinquent amount, plus interest, from any moneys\notherwise distributable to such nonparticipating employer.\n\nB. 1. Within 10 business days of being notified by an employee, or an\nemployee&#8217;s representative, that such employee is permanently and totally\ndisabled due to a work-related injury suffered in the line of duty, the agency\nor department employing the employee shall provide him with information about\nthe continued health insurance coverage provided under this chapter and the\nprocess for initiating a claim. The employer shall assist in filing a claim,\nunless such assistance is waived by the employee or the employee&#8217;s\nrepresentative.\n\n   2. Within 10 business days of having knowledge that a deceased person&#8217;s\n   surviving spouse, dependents, or beneficiaries may be entitled to benefits\n   under this chapter, the employer for which the deceased person last worked\n   shall provide the surviving spouse, dependents, or beneficiaries, as\n   applicable, with information about the benefits provided under this chapter\n   and the process for initiating a claim. The employer shall assist in filing a\n   claim, unless such assistance is waived by the surviving spouse, dependents,\n   or beneficiaries.\n\nC. Within 30 days of receiving a claim pursuant to subsection A, an employer may\nsubmit to VRS any evidence that could assist in determining the eligibility of a\nclaim. However, when the claim involves a presumption under &#xA7; 65.2-402 or\n65.2-402.1, VRS shall provide an employer additional time to submit evidence as\nis necessary not to exceed nine months from the date the employer received a\nclaim pursuant to subsection A. Any such evidence submitted by the employer\nshall be included in the agency record for the claim.\n\nHISTORY: 1995, c. 156, \u00a7 2.1-133.8; 1998, c. 712; 2001, cc. 427, 844; 2007, c.\n90; 2009, cc. 393, 580; 2016, c. 677; 2025, cc. 204, 219.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}