reglab/housing_qa huggingface dataset:
AK Stat § 21.54.070 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 1. Group and Blanket Health Insurance.|Sec. 21.54.070. Blanket health insurance defined.

Blanket health insurance is declared to be that form of health insurance covering groups of persons as enumerated in one of the following subdivisions: (1) under a policy or contract issued to a common carrier or to an operator, owner, or lessee of a means of transportation, who or which shall be considered the policyholder, covering a group of persons who may become passengers defined by reference to their travel status on the common carrier or the means of transportation; (2) under a policy or contract issued to an employer, who shall be considered the policyholder, covering a group of employees, dependents, or guests, defined by reference to specified hazards incident to an activity or activities or operations of the policyholder; (3) under a policy or contract issued to a college, school, or other institution of learning, a school district or districts, or school jurisdictional unit, or to the head, principal, or governing board of an educational unit, who or which shall be considered the policyholder covering students, teachers, or employees; (4) under a policy or contract issued to a religious, charitable, recreational, educational, or civic organization, or branch of them, which shall be considered the policyholder, covering a group of members or participants defined by reference to specified hazards incident to an activity or activities or operations sponsored or supervised by the policyholder; (5) under a policy or contract issued to a sports team, camp, or sponsor of them, which shall be considered the policyholder, covering members, campers, employees, officials, or supervisors; (6) under a policy or contract issued to a volunteer fire department, first aid, civil defense, or other volunteer organization, which shall be considered the policyholder, covering a group of members or participants defined by reference to specified hazards incident to an activity or activities or operations sponsored or supervised by the policyholder; (7) under a policy or contract issued to a newspaper or other publisher, which shall be considered the policyholder, covering its carriers; (8) under a policy or contract issued to an association, including a labor union, that has a constitution and bylaws and that has been organized and is maintained in good faith for purposes other than that of obtaining insurance, which shall be considered the policyholder, covering a group of members or participants defined by reference to specified hazards incident to an activity or activities or operations sponsored or supervised by the policyholder; (9) under a policy or contract issued to cover any other risk or class of risks that, in the discretion of the director, may be properly eligible for blanket accident and sickness insurance; the discretion of the director may be exercised on an individual risk basis or class of risks, or both.
AK Stat § 21.54.100 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 2. Health Care Insurance Provisions, Requirements, and Restrictions.|Sec. 21.54.100. Unfair discrimination.

(a) A health care insurer that offers, issues for delivery, delivers, or renews a health care insurance plan in the group market may not establish rules for eligibility, including continued eligibility and waiting periods under the plan, for an individual or dependent of an individual based on (1) health status; (2) medical condition, including physical and mental illnesses; (3) claims experience; (4) receipt of health care; (5) medical history; (6) genetic information; (7) evidence of insurability, including conditions arising from acts of domestic violence; or (8) disability. (b) A health care insurer may not require an individual, as a condition of enrollment or continued enrollment under a health care insurance plan offered in the group market, to pay a premium, contribution, or policy fee greater than a premium, contribution, or policy fee for a similarly situated individual already enrolled in the plan on the basis of a health status factor for the individual or a dependent of the individual.
AK Stat § 21.54.105 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 2. Health Care Insurance Provisions, Requirements, and Restrictions.|Sec. 21.54.105. Special enrollment requirements related to Medicaid and state child health plan coverage.

A health care insurer that offers, issues, delivers, or renews a health care insurance plan in the group market shall allow an eligible employee or dependent of an employee to enroll for coverage under the terms of the plan if the employee or dependent (1) is covered by Medicaid under 42 U.S.C. 1396 - 1396u (Title XIX of the Social Security Act) or under a state child health plan under 42 U.S.C. 1397aa - 1397mm (Title XXI of the Social Security Act), coverage is terminated because of loss of eligibility, and the employee requests coverage under the health care insurance plan not later than 60 days after the date of termination; or (2) becomes eligible for assistance under Medicaid under 42 U.S.C. 1396 - 1396u (Title XIX of the Social Security Act) or under a state child health plan under 42 U.S.C. 1397aa - 1397mm (Title XXI of the Social Security Act), with respect to coverage under a health care insurance plan, including under any waiver or demonstration project conducted under or in relation to the Medicaid or state child health plan, and the employee requests coverage under the health care insurance plan not later than 60 days after the date the employee or dependent is determined to be eligible for assistance.
AK Stat § 21.54.110 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 2. Health Care Insurance Provisions, Requirements, and Restrictions.|Sec. 21.54.110. Preexisting condition exclusion.

(a) A health care insurance plan offered, issued for delivery, delivered, or renewed in the group market may not contain a preexisting condition exclusion that (1) relates to a condition, regardless of cause, for which medical advice, diagnosis, care, or treatment was recommended or received more than six months before the enrollment date; (2) considers genetic information as a condition for which a preexisting condition exclusion may be imposed in absence of a diagnosis of the condition related to the information; (3) extends for more than 12 months after the enrollment date of a covered individual; or (4) excludes a condition relating to pregnancy. (b) A period of a preexisting condition exclusion permissible under (a) of this section must be reduced by the aggregate of periods of creditable coverage, if any, as determined in AS 21.54.120, applicable to the participant or beneficiary as of the enrollment date. The aggregate of periods of creditable coverage is determined by adding together all periods of creditable coverage before the enrollment date, excluding periods of creditable coverage before a continuous break in coverage of more than 90 days. A waiting period or affiliation period may not be considered in determining the 90-day period. This subsection does not apply if an individual's most recent period of creditable coverage ended on a date more than 90 days before the enrollment date. This subsection does not preclude application of a waiting period to all new enrollees under a health care insurance plan. (c) A health care insurance plan offered, issued for delivery, delivered, or renewed in this state in the group market may not apply a preexisting condition exclusion to an individual who is (1) a newborn covered under creditable coverage as of the last day of the 30-day period beginning with the date of birth; or (2) adopted or placed for adoption before attaining 18 years of age and who is covered under creditable coverage as of the last day of the 30-day period beginning with the date of adoption or placement for adoption. This subsection does not apply to an individual after the end of the first continuous 90-day period during all of which the individual was not covered under creditable coverage. (d) A health care insurance plan offered, issued for delivery, delivered, or renewed in this state in the group market may exclude coverage for late enrollees for the greater of 18 months or an 18-month preexisting condition exclusion. If both a waiting period and a preexisting condition exclusion under (a) of this section are applicable to a late enrollee, the combined period may not exceed 18 months from the date the individual enrolls for coverage under a health care insurance plan.
AK Stat § 21.54.120 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 2. Health Care Insurance Provisions, Requirements, and Restrictions.|Sec. 21.54.120. Creditable coverage.

(a) A health care insurer that offers, issues for delivery, delivers, or renews in this state a health care insurance plan in the group market shall count a period of creditable coverage based on (1) the standard method authorized by 42 U.S.C. 300gg (Health Insurance Portability and Accountability Act of 1996) for determining creditable coverage without regard to the specific benefits covered during the period; or (2) an alternative method based on coverage of benefits within each of several classes or categories of benefits specified in federal regulation if (A) made on a uniform basis for all participants and beneficiaries; and (B) the insurer counts a period of creditable coverage with respect to any class or category of benefits if any level of benefits is covered within the class or category. (b) A health care insurer that offers, issues for delivery, delivers, or renews in this state a health care insurance plan in the group market shall provide a certification of coverage (1) at the time an individual ceases to be covered under a health care insurance plan or becomes covered under a federal continuation provision; (2) at the time an individual ceases to be covered under a federal continuation provision; and (3) upon request by an individual or on behalf of an individual within 24 months after the date coverage under the health care insurance plan or a federal continuation provision ceases. (c) A health care insurer that offers, issues for delivery, delivers, or renews in this state a health care insurance plan in the group market shall establish periods of creditable coverage with respect to an individual through certification under (b) of this section or as specified in federal regulation. (d) A health care insurer that offers, issues for delivery, delivers, or renews in this state a health care insurance plan in the group market shall prominently state and describe the effect of the health care insurer's election to count a period of creditable coverage using a permissible alternative method (1) in any disclosure statement concerning the health care insurance plan or coverage; (2) to each enrollee at the time of enrollment; and (3) to each employer at the time of offer or sale of coverage. (e) A health care insurer issuing a certification under (b) of this section shall disclose information regarding coverage of classes and categories of health benefits available under the health care insurer's plan at the request of an entity that (1) enrolls an individual who has provided the certification of coverage; (2) elects to count a period of creditable coverage according to a permissible alternative method under (a)(2) of this section; and (3) pays the health care insurer for the reasonable cost, if any, of disclosing the information described in this subsection.
AK Stat § 21.54.140 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 2. Health Care Insurance Provisions, Requirements, and Restrictions.|Sec. 21.54.140. Renewability of coverage for a multiple employer welfare arrangement.

A health benefit plan that is a multiple employer welfare arrangement subject to this title may not deny an employer whose employees are covered under the plan continued access to the same or a different plan according to the terms of the plan, except (1) for nonpayment of contributions; (2) for fraud or other intentional misrepresentation of material fact by the employer; (3) for noncompliance with material plan provisions; (4) where the plan is ceasing to offer any coverage in a geographic area; (5) for a health benefit plan that offers benefits through a network plan if (A) there is no longer an individual enrolled through the employer who lives, resides, or works in the service area of the network plan; and (B) the multiple employer welfare arrangement applies this paragraph without regard to the claims experience of the employer or a health status factor in relation to an individual or an individual's dependent; and (6) for failure to meet the terms of an applicable collective bargaining agreement to renew a collective bargaining or other agreement requiring or authorizing contributions to the plan or to employ employees covered by a collective bargaining agreement.
AK Stat § 21.54.151 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 2. Health Care Insurance Provisions, Requirements, and Restrictions.|Sec. 21.54.151. Mental health or substance use disorder benefits.

A health care insurer that offers a health care insurance plan in the group market shall comply with the mental health or substance use disorder benefit requirements established under 42 U.S.C. 300gg-26.
AK Stat § 21.54.160 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 2. Health Care Insurance Provisions, Requirements, and Restrictions.|Sec. 21.54.160. “Excepted benefits” defined.

“Excepted benefits” means benefits under one or more or any combination of the following: (1) benefits under (A) coverage only for accident, disability income insurance, or both; (B) coverage issued as a supplement to liability insurance; (C) liability insurance, including general liability insurance and automobile liability insurance; (D) workers' compensation or substantially similar insurance; (E) automobile medical payment insurance; (F) credit-only insurance; (G) coverage for on-site medical clinics; or (H) other similar insurance coverage, as specified in federal law, under which benefits for medical care are secondary or incidental to other insurance benefits; (2) if offered as a separate insurance policy and otherwise not an integral part of a health care insurance plan, benefits under (A) limited scope dental or vision coverage; (B) coverage for long-term care, nursing home care, home health care, community-based care, or any combination; or (C) other similar limited benefits as specified in federal law; (3) if offered as independent noncoordinated benefits, benefits under coverage only for a specified disease or illness, or hospital indemnity or other fixed indemnity insurance; as used in this paragraph, “independent, noncoordinated benefits” means benefits that are provided under a separate policy if (A) there is no coordination between the provision of the benefits and an exclusion of benefits under a health care insurance plan maintained by the same plan sponsor; and (B) the benefits are paid with respect to an event without regard to whether benefits are provided for the event under a health care insurance plan maintained by the same plan sponsor; (4) if offered as a separate insurance policy, benefits under (A) Medicare supplemental policy as defined in 42 U.S.C. 1395ss(g)(1) (Social Security Act); (B) coverage supplemental to the coverage provided under 10 U.S.C. 1071 - 1090; or (C) similar supplemental coverage provided to coverage under a health benefit plan.
AK Stat § 21.54.170 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 54. Health Insurance|Article 2. Health Care Insurance Provisions, Requirements, and Restrictions.|Sec. 21.54.170. Determination of size of employer.

The determination of whether an employer is a large or small employer is subject to the following: (1) the size of an employer that was not in existence throughout the preceding calendar year must be based on the average number of employees that the employer is reasonably expected to employ on the business days in the current calendar year; (2) all persons treated as a single employer under 26 U.S.C. 414(b), (c), (m), or (o) must be treated as one employer; and (3) a reference to a large or small employer includes by reference any predecessor of that employer.
AK Stat § 21.55.010 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 1. Comprehensive Health Insurance Association.|Sec. 21.55.010. Creation; membership; information from members.

(a) There is established a nonprofit incorporated legal entity to be known as the Comprehensive Health Insurance Association. Membership consists of all licensed hospital or medical service corporations in the state that offer subscriber contracts for major medical coverage, all health maintenance organizations or other managed care arrangements approved by the director, all licensed self-funded multiple employer welfare arrangements in the state, and all insurers licensed to transact health insurance in the state that offer policies for major medical coverage on an expense incurred basis. All members shall maintain membership in the association as a condition of doing health insurance business, or being able to offer subscriber contracts or enrollment in a health maintenance organization, self-funded multiple employer welfare arrangement, or managed care arrangement in the state. (b) A member shall submit reports and provide information required by the board or the director to implement this chapter as a condition of transacting business in the state.
AK Stat § 21.55.020 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 1. Comprehensive Health Insurance Association.|Sec. 21.55.020. Board of directors; organization.

(a) The board of directors of the association consists of seven individuals. Five board members shall be selected by association members, subject to approval by the director of the division of insurance, and two board members shall be consumers selected by the director of the division of insurance. The director or the director's designee is a nonvoting ex officio member of the board. A member of the board serves for a term of three years and may be reappointed to an unlimited number of terms. The term of a board member shall continue until a successor is appointed. (b) In approving members of the board, the director shall consider, among other things, whether all types of association members are fairly represented. (c) In determining voting rights at association meetings, an association member is entitled to vote in person or by proxy. The vote shall be a weighted vote based on the association member's share of assessments as determined under AS 21.55.220. (d) At board meetings, a board member is entitled to one vote in person or by proxy. (e) A member of the board may be reimbursed from the association for expenses incurred as a result of board activities, but may not otherwise be compensated for services by the association. The costs of conducting meetings of the association and its board of directors shall be the responsibility of the members of the association. (f) The board shall study and prepare a report at least once every three years on the effectiveness of this chapter. The report must include an analysis of the effectiveness of this chapter in promoting rate stability, product availability, and affordability of coverage. The report may contain recommendations for legislative or other regulatory action. The board shall notify the legislature that the report is available. (g) In this section, “board” means the board of directors of the association.
AK Stat § 21.55.030 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 1. Comprehensive Health Insurance Association.|Sec. 21.55.030. General powers.

The association may (1) exercise the powers granted to insurers under the laws of the state; (2) sue or be sued; (3) enter into contracts with insurers, similar associations in other states, or with other persons for the performance of administrative functions; (4) establish administrative and accounting procedures for the operation of the association; and (5) receive funds from sources other than members of the association.
AK Stat § 21.55.040 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 1. Comprehensive Health Insurance Association.|Sec. 21.55.040. Plan of operation.

(a) The association shall submit to the director a plan of operation and amendments necessary or suitable to assure the fair, reasonable, and equitable administration of the association. The plan of operation and amendments become effective upon approval in writing by the director. If the association fails to submit a suitable plan of operation by December 22, 1992, or if at subsequent time the association fails to submit suitable amendments to the plan, the director may, after notice and hearing, adopt reasonable regulations necessary or advisable to effectuate the provisions of this chapter. These regulations shall continue in force until modified by the director or superseded by a plan submitted by the association and approved by the director. (b) All members of the association shall comply with the plan of operation. (c) The plan of operation shall (1) establish procedures whereby all the powers and duties of the association under this chapter will be performed; (2) establish procedures for handling assets of the association; (3) establish the amount and method of reimbursing members of the board of directors under AS 21.55.020; (4) establish regular places and times for meetings of the board of directors; (5) establish procedures for records to be kept of all financial transactions of the association, its agents, and the board of directors; (6) provide that a member insurer aggrieved by a final action or decision of the association may appeal to the director within 30 days after the action or decision; (7) establish procedures whereby selections for the board of directors will be submitted to the director; (8) contain additional provisions necessary or proper for the execution of the powers and duties of the association.
AK Stat § 21.55.050 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 1. Comprehensive Health Insurance Association.|Sec. 21.55.050. Administrative Procedure Act.

The association is exempt from AS 44.62 (Administrative Procedure Act).
AK Stat § 21.55.060 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 1. Comprehensive Health Insurance Association.|Sec. 21.55.060. Tax exemption.

The association is exempt from the payment of fees and taxes levied by the state or any of its political subdivisions except taxes levied on real or personal property.