The Annual Employer Claim Form and the submission instructions are available at the links to the right.
Public Safety Officer Death Benefit Claim form current with 2023 legislation will be available soon.
The commissioner's office administers two programs related to public safety officer's benefits. They are described below.
Public Safety Officers Continued Healthcare Benefits
The Department of Public Safety (DPS) provides reimbursement (full reimbursement effective July 1, 2023) for continued health care coverage to the public employer for each eligible officer, firefighter, and qualifying dependents. These funds come from the State of Minnesota's Public Safety Officer's Benefit Account and are based on the availability of funds.
DPS does not manage or determine the officer's continued health care coverage.
(Minnesota Statute §299A.465, subd. 4)
If you are an employee and have received the line-of-duty disability benefit from your retirement association and you have questions regarding the continuation of your health insurance, please contact your former employer for questions regarding your continued health care. Your former employer provides your continued health insurance.
Employers with questions regarding the reimbursement can send an email to
firstname.lastname@example.org or call 651-230-1545.
Employers with other questions regarding the continued health insurance statute should speak to their city or county attorney for clarification since DPS is not able to offer legal advice.
Public Safety Officers Death Benefits
Following completion of the Death Benefit Application and certification by the commissioner of public safety, Minnesota Statute §299A.44 provides a one-time monetary death benefit to dependents or the estate of public safety officers killed in the line of duty on or after January 1, 1973 (see Minnesota Statute §299A.41 to determine eligibility).
Educational benefits through the Minnesota Office of Higher Education are available for dependent children less than 23 years of age (age extended to 30 years of age for those who served on active military duty for at least 181 consecutive days and were honorably discharged or released) and the surviving spouse following certification by the commissioner of public safety for the one-time monetary death benefit (per Minnesota Statute §299A.45).
The Minnesota Office of Higher Education administers the education benefit portion of the Public Safety Officer's Survivor Benefits.
The Educational Certificate is only issued to qualified dependents who have received certification under Minnesota Statute §299A.44 from the commissioner of public safety following the death of a public safety officer. Dependents must be in compliance with Minnesota Statute §299A.44 and the rules of the commissioner of public safety and the Minnesota Office of Higher Education.
Please note that the Educational Certificate is not provided to dependents of public safety officers while a public safety officer is living.
Please see Minnesota Statute §299A.465, subd. 2 for continued health insurance coverage which states the employer shall continue to cover the deceased officer's or firefighter's dependents, including the spouse of the officer or firefighter.
(Please note that The U.S. Department of Justice, Office of Justice Programs, also offers a Federal Public Safety Officer Benefit Program. Find out more about the federal program by calling the USDOJ at 1-888-744-6513 or by visiting their website at www.PSOB.gov.)
Related Minnesota Statutes
Minnesota Statute §299A.465
Contact 651-230-1545 with questions.