reglab/housing_qa huggingface dataset:
AK Stat § 21.80.140 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 80. Alaska Insurance Guaranty Association Act|Sec. 21.80.140. Recognition of assessments in surcharge rates.

The rates and premiums charged for insurance policies to which this chapter applies may include surcharge rates sufficient to offset the adjusted assessments made under this chapter and paid to the association by member insurers, and these surcharge rates may not be considered excessive because they contain an amount reasonably calculated to offset the full amounted of adjusted assessments paid by member insurers. The association shall notify the director of each surcharge percentage determined by the association, and this surcharge percentage shall be the maximum surcharge rate that may be applied by member insurers related to the assessment, except that a member insurer may make application to the director to apply a higher surcharge rate. The amount charged on a policy shall be shown separate from the premium for coverage on the policy. The surcharge rate is not considered a premium and is not subject to the premium tax imposed under AS 21.09.210.
AK Stat § 21.80.150 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 80. Alaska Insurance Guaranty Association Act|Sec. 21.80.150. Immunity.

There is no liability on the part of and a cause of action of any nature may not arise against a member insurer, the association or its agents or employees, the board of governors or a person serving as an alternate or substitute representative of a governor, or the director or representatives of the director for action taken or a failure to act by them in the performance of their powers and duties under this chapter. However, immunity from liability under this section does not apply to wilful or wanton misconduct.
AK Stat § 21.80.160 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 80. Alaska Insurance Guaranty Association Act|Sec. 21.80.160. Stay of proceedings and reopening of default judgments.

All proceedings in which the insolvent insurer is a party or is obligated to defend a party in a court in this state shall, subject to waiver by the board of governors of the association in specific cases involving covered claims, be stayed for 90 days or additional time as ordered by a court from the date the insolvency is determined or an ancillary proceeding is instituted in this state, whichever is later, to permit proper defense by the association for all pending causes of action as to any covered claims arising from a judgment under a decision, verdict, or finding based on the default of the insolvent insurer or its failure to defend an insured. The association, either on its own behalf or on behalf of the insured, may apply to have this judgment, order, decision, verdict, or finding set aside by the same court or administrator that made the judgment, order, decision, verdict, or finding and shall be permitted to defend against the claim on the merits.
AK Stat § 21.80.190 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 80. Alaska Insurance Guaranty Association Act|Sec. 21.80.190. Short title.

This chapter may be known and cited as the Alaska Insurance Guaranty Association Act.
AK Stat § 21.85.010 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.010. Certificate of authority required.

(a) A person may not establish or maintain a self-funded multiple employer welfare arrangement except as authorized by a subsisting certificate of authority issued to the arrangement by the director. (b) A self-funded multiple employer welfare arrangement is established or maintained in this state if (1) one or more of the employer members participating in the arrangement is domiciled or maintains its principal place of business in the state; or (2) the multiple employer welfare arrangement solicits an employer that is domiciled in this state or has its principal headquarters or principal administrative offices in this state.
AK Stat § 21.85.020 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.020. Name.

A self-funded multiple employer welfare arrangement may not use a name that includes the words “insurance,” “casualty,” “surety,” “health and accident,” “mutual,” or other terms descriptive of an insurer or insurance business. A self-funded multiple employer welfare arrangement may not have or use a name that is the same as or so similar to that of another self-funded multiple employer welfare arrangement or insurer that the name is likely to mislead the public.
AK Stat § 21.85.050 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.050. Minimum reserves.

A self-funded multiple employer welfare arrangement shall establish and maintain reserves equal to the greater of (1) 30 percent of the unpaid claim liability of the arrangement; or (2) the amount recommended and certified by a qualified actuary.
AK Stat § 21.85.060 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.060. Investments.

A multiple employer welfare arrangement shall maintain an amount at least equal to 85 percent of net unpaid claim liability in (1) cash and cash equivalents; (2) the fully insured portion of a bank deposit when the insurance is provided by a solvent agency of the United States government or by collateral; (3) a bank certificate of deposit, subject to review by the director; if the director determines that the amount of the certificate of deposit purchased by an insurer in any one bank is not a sound investment, the director may require the insurer to liquidate that portion found to be an unsound investment; (4) a share or savings account of a savings and loan or building and loan association, to the extent that an account is insured by the Federal Deposit Insurance Corporation; or (5) a rated credit instrument that is issued, assumed, guaranteed, or insured by the United States or Canada or by a government-sponsored enterprise of the United States or Canada if the instrument is assumed, guaranteed, or insured by the United States or Canada or is otherwise backed or supported by the full faith and credit of the United States or Canada.
AK Stat § 21.85.070 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.070. Contribution rates.

(a) A self-funded multiple employer welfare arrangement shall establish and maintain contribution rates that (1) fund the greater of (A) the amount recommended and certified by a qualified actuary in order for the self-funded multiple employer welfare arrangement to remain financially solvent; or (B) the sum of projected claims liability for the year, plus all projected costs of operation of the arrangement for the year, plus an amount equal to any deficiency in the reserves of the arrangement for the prior year, minus an amount equal to the reserves of the arrangement in excess of the minimum required level of reserves; and (2) are not excessive, inadequate, or unfairly discriminatory. (b) A self-funded multiple employer welfare arrangement shall, before use, file with the director (1) a rate or fee of any kind to be charged a participating employer or employee; (2) every rating manual, schedule, plan, rule, or formula; and (3) any modification to the rating manual, schedule, plan, rule or formula. (c) The director shall disapprove by order a contribution rate or fee submitted under (b) of this section that does not meet the requirements of (a) of this section or is in any respect not in compliance with or in violation of law. (d) A filing under (b) of this section must state the effective date and must provide a comprehensive description of the coverage. The director may withhold the information provided under (b)(2) and (3) of this section from public inspection for as long as the director determines that withholding the information is necessary to protect the arrangement against unwarranted injury or is in the public interest.
AK Stat § 21.85.080 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.080. Reporting requirements.

(a) A self-funded multiple employer welfare arrangement shall annually, before March 2, file with the director on forms prescribed by the director, a full and true statement of its financial condition, transactions, and affairs as of the preceding December 31, including (1) a statement of financial condition; (2) a statement of change in financial condition for the year accompanied by an actuarial opinion by a qualified actuary that includes (A) a certification that the unpaid claim liability of the arrangement meets the requirements of AS 21.18.080 - 21.18.086; (B) the recommended level of specific and aggregate stop-loss insurance the arrangement should maintain; (C) a description of the actuarial soundness of the arrangement, including any recommended actions the arrangement should take to improve its actuarial soundness; (3) a statement of the arrangement's contribution rates for the next year; (4) if the total payments to the arrangement for participation during the prior year of operations exceeded the sum of $2,000,000, certified financial statements for the prior two years, or for each year and partial year that the self-funded multiple employer welfare arrangement has been in business if less than two years; (5) a report showing the number of participating employers and number of covered lives at the end of the year and contributions received during the year in the state; (6) additional information the director determines is necessary in order to determine the financial integrity of the arrangement. (b) A self-funded multiple employer welfare arrangement shall, within 60 days after the end of each quarter, file with the director, on forms prescribed by the director, a full and true statement of its financial condition, transactions, and affairs as of the preceding quarter, including (1) a statement of financial condition; (2) a statement of change in financial condition for the period since the end of the prior year; (3) a report showing the number of participating employers and number of covered lives at the end of the quarter and contributions received during the quarter in the state; (4) additional information the director determines is necessary in order to determine the financial integrity of the arrangement. (c) A self-funded multiple employer welfare arrangement shall file with the director a copy of the arrangement's Internal Revenue Service form 5500, including all attachments to the form.
AK Stat § 21.85.090 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.090. Consumer information notice.

A self-funded multiple employer welfare arrangement must provide a written notice to each participating employee at the time that coverage becomes effective. The notice must (1) be clear and conspicuous; (2) be in at least 10-point type; (3) state that (A) the coverage is issued by a self-funded multiple employer welfare arrangement; (B) coverage and benefits provided under a self-funded multiple employer welfare arrangement are not protected by the Alaska Life and Health Insurance Guaranty Association; and (C) if the self-funded multiple employer welfare arrangement does not pay expenses that are eligible for payment under the plan for any reason, the employer or employee covered by the plan may be responsible for the payment of those expenses.
AK Stat § 21.85.100 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.100. Applicability of other provisions.

In addition to the provisions contained or referred to in this chapter, the following chapters and provisions of this title also apply with respect to self-funded multiple employer welfare arrangements to the extent applicable and not in conflict with the express provisions of this chapter and the reasonable implications of the express provisions, and, for the purposes of the application, the arrangements shall be considered to be a mutual insurer: (1) AS 21.03; (2) AS 21.06; (3) AS 21.07; (4) AS 21.09.100, 21.09.120, 21.09.130, 21.09.140 - 21.09.200, 21.09.210, 21.09.245 - 21.09.270, 21.09.300, and 21.09.320; (5) AS 21.18.010 - 21.18.050, 21.18.080 - 21.18.086, and 21.18.100; (6) AS 21.24; (7) AS 21.33; (8) AS 21.36; (9) AS 21.42.120, 21.42.130, and 21.42.345 - 21.42.599; (10) AS 21.48; (11) AS 21.54; (12) AS 21.55; (13) AS 21.56; (14) AS 21.78; (15) AS 21.96.060; (16) AS 21.97.
AK Stat § 21.85.500 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 85. Regulation of Multiple Employer Welfare Arrangements|Sec. 21.85.500. Definitions.

In this chapter, (1) “allowable benefit” means a benefit for medical care; (2) “bona fide association” has the meaning given in AS 21.54.500; (3) “claims liability” means the total of all incurred and unpaid claims for allowable benefits under a self-funded multiple employer welfare arrangement that are not reimbursed or reimbursable by stop-loss insurance, subrogation, or other sources; (4) “health benefit plan” has the meaning given in AS 21.54.500; (5) “multiple employer welfare arrangement” has the meaning given in 29 U.S.C. 1002; (6) “qualified actuary” means an individual who (A) is a member in good standing of the American Academy of Actuaries; (B) meets the qualification standards of the American Academy of Actuaries to sign statements of actuarial opinion; (C) is familiar with the valuation requirements under AS 21.18; and (D) has not been disqualified by the director, after notice and hearing under AS 21.06.180, for (i) a violation of this title or other law pertinent to the duties or responsibilities of a qualified actuary; (ii) conviction of a fraudulent act; (iii) conduct considered by the director to reflect incompetence or untrustworthiness; (iv) resignation or removal as an actuary with a company or a consulting firm within the past five years due to acts or omissions indicated in a report of examination or due to failure to adhere to generally accepted actuarial standards; or (v) failure to notify the director of an action taken against the actuary by an insurance regulator of another state for grounds that are substantially the same as a provision under this paragraph; (7) “reserves” means the excess of assets of a self-funded multiple employer welfare arrangement minus the liabilities of the arrangement; (8) “self-funded multiple employer welfare arrangement” or “arrangement” means a multiple employer welfare arrangement that does not provide for payment of benefits under the arrangement solely through a policy of insurance issued by one or more authorized insurance companies.
AK Stat § 21.86.020 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 86. Health Maintenance Organizations|Sec. 21.86.020. Issuance of certificate of authority; approval of changes.

(a) Within 10 days after receipt of an application for a certificate of authority, the director shall forward a copy of the application to the commissioner of health and social services. Within 60 days after the commissioner of health and social services receives the copy of the application, the commissioner shall make a recommendation regarding the granting of the certificate of authority. (b) The director shall either issue or deny a certificate of authority within 30 days after receipt of the commissioner of health and social services' recommendation. However, the director may extend the time for issuance or denial of a certificate of authority if additional information is needed in order to make a decision, and notice of the extension is provided to the applicant by the 90th day after the director received the application. A certificate of authority shall be issued if the director determines that the following conditions are met: (1) the persons responsible for the conduct of the affairs of the applicant are competent and trustworthy; (2) the applicant will effectively provide or arrange for the provision of basic health care services on a prepaid basis, through insurance or otherwise, except to the extent of reasonable requirements for copayments; (3) the applicant is financially responsible and may reasonably be expected to meet its obligations to enrollees and prospective enrollees; in determining if this condition is met, the director may consider (A) the financial soundness of the arrangements for health care services and the schedule of charges used in connection with those services; (B) the adequacy of working capital; (C) an agreement with an insurer, a hospital or medical service corporation, a government, or other organization for ensuring the payment of the cost of health care services or providing for automatic applicability of an alternative coverage if the health maintenance organization is discontinued; (D) an agreement with providers for the provision of health care services; and (E) a deposit of cash or securities submitted under AS 21.86.140; (4) the enrollees will be afforded an opportunity to participate in matters of policy and operation as provided in AS 21.86.040; (5) nothing in the proposed method of operation, as shown by the information submitted under AS 21.86.010 or by independent investigation, is contrary to the public interest; (6) the information submitted under AS 21.86.010(b)(12) indicates that the applicant will be able to comply with state and federal statutes and regulations regarding the quality of health care. (c) If a certificate of authority is denied under this section, the applicant may request a hearing under AS 21.86.200.
AK Stat § 21.86.030 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 86. Health Maintenance Organizations|Sec. 21.86.030. Powers of a health maintenance organization.

(a) A health maintenance organization may (1) purchase, lease, construct, renovate, operate, or maintain hospitals, other health care facilities, their ancillary equipment, and property reasonably required for its principal office or for purposes necessary in the transaction of the business of the organization; (2) make loans to a medical group under contract with it in furtherance of its program, or make loans to a corporation or corporations under its control for the purpose of acquiring or constructing medical facilities and hospitals or in furtherance of a program providing health care services to enrollees; (3) furnish health care services through providers that are under contract with or employed by the health maintenance organization; (4) contract with a person for the performance, on the organization's behalf, of certain functions such as marketing, enrollment, and administration; (5) contract with an insurance company licensed in this state, or with a hospital or medical service corporation authorized to do business in this state, for the provision of insurance, indemnity, or reimbursement against the cost of health care services provided by the health maintenance organization; (6) offer other health care services, in addition to basic health care services. (b) A health maintenance organization shall file a notice and adequate supporting information with the director before the exercise of a power granted in (a)(1), (2), or (4) of this section. The director may disapprove the exercise of a power only if, in the director's opinion, it would substantially and adversely affect the financial soundness of the health maintenance organization and endanger its ability to meet its obligations. If the director does not disapprove the exercise of power within 30 days after the filing of the notice, it is considered approved. The director may adopt regulations exempting from the filing requirement of this section those activities having a minimal effect on the health maintenance organization. (c) Nothing in this section relieves a health maintenance organization that wishes to exercise the power described in (a)(1) of this section from the requirements of (1) AS 18.07, regarding obtaining a certificate of need; (2) AS 47.32, regarding regulation of hospitals; and (3) other statutes applicable to hospitals or other health care facilities.
AK Stat § 21.86.040 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 86. Health Maintenance Organizations|Sec. 21.86.040. Governing body; enrollee participation.

(a) The governing body of a health maintenance organization may include providers, or other individuals, or both. At least one-third of the governing body must consist of consumers who are substantially representative of enrollees. (b) The governing body of a health maintenance organization shall establish a mechanism to afford its enrollees an opportunity to participate in matters of policy and operation through the establishment of advisory panels, by the use of advisory referenda on major policy decisions, or through the use of other mechanisms.
AK Stat § 21.86.045 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 86. Health Maintenance Organizations|Sec. 21.86.045. Biographical affidavits.

A domestic health maintenance organization shall file with the director a complete affidavit of biographical information not later than 30 days after the appointment of an officer or member of the governing body of the organization. If requested by the director, a foreign health maintenance organization shall file with the director an affidavit of biographical information for the appointment of an officer or member of the governing body of that organization. A filing under this section must be on a form approved by the director. A filing is not required if a biographical affidavit of the officer or member of the governing body of the organization has been submitted to the director within one year before the date of appointment. A biographical affidavit filed under this section is confidential and not subject to public inspection.
AK Stat § 21.86.050 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 86. Health Maintenance Organizations|Sec. 21.86.050. Fiduciary responsibility.

(a) A director, officer, employee, or partner of a health maintenance organization who receives, collects, disburses, or invests money in connection with the activities of that organization is responsible for that money in a fiduciary relationship to the organization. (b) A health maintenance organization shall maintain in force a fidelity bond on employees and officers in an amount not less than $100,000 or another amount prescribed by the director. The bond must be written with at least a one-year discovery period and, if written with less than a three-year discovery period, must contain a provision that cancellation or termination of the bond, whether by or at the request of the insured or by the underwriter, does not take effect sooner than 90 days after written notice of cancellation or termination has been filed with the director, unless an earlier cancellation or termination date is approved by the director.
AK Stat § 21.86.060 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 86. Health Maintenance Organizations|Sec. 21.86.060. Provision of services.

(a) A health maintenance organization may provide provider services directly, through provider employees, or may provide the services under arrangements with individual providers or one or more groups of providers. (b) In addition to basic health care services, a health maintenance organization may provide, or arrange for, other health care services on a prepayment or other financial basis. (c) Health care services may be provided only by appropriately licensed health care providers.