reglab/housing_qa huggingface dataset:
AK Stat § 21.55.100 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 2. State Health Insurance Plans.|Sec. 21.55.100. Types of insurance plans.

(a) The association shall make available to a person who is eligible for coverage under this chapter at least one individual state plan of health insurance. The association shall offer a plan with the deductible, copayment, and calendar year maximum limits as described in AS 21.55.120 and may offer additional deductible, copayment, and calendar year maximum limits as approved by the director. (b) The association may make available to residents who are high risks, eligible for and covered by Medicare, 65 years of age or older, and eligible under this chapter one or more Medicare supplement plans that meet the minimum policy standards and minimum benefit standards established by regulations adopted by the director under AS 21.96.060. (c) The association may not refuse to offer coverage under a state plan to a person who is eligible under this chapter. The association may not refuse coverage under a state plan to a person who is eligible under this chapter, applies for coverage, and pays the required premium. (d) The association may make available to a person eligible under this chapter coverage through a health maintenance organization or other managed care arrangement if approved by the director. Deductible, copayment, and calendar year maximum limits provided through an organization or arrangement are not subject to the limits described in AS 21.55.120, but the limits must be approved by the director.
AK Stat § 21.55.120 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 2. State Health Insurance Plans.|Sec. 21.55.120. Deductibles and copayments.

(a) A state plan other than a Medicare supplement plan may require a deductible of not less than $500 a person as determined by the board and approved by the director. The amount of the deductible may not be greater when a service is rendered on an outpatient basis than when that service is offered on an inpatient basis. Expenses incurred during the last three months of a calendar year and actually applied to an individual's deductible for that year shall also be applied to that individual's deductible in the following calendar year. (b) A state plan other than a Medicare supplement plan shall require a maximum copayment of 20 percent for charges for all types of health care in excess of the deductible and 50 percent for services described in AS 21.55.110(3) in excess of the deductible. (c) The sum of the deductible and copayments required in any calendar year under a plan may not exceed a maximum limit of $1,500 plus the deductible. Covered expenses incurred after the applicable maximum limit has been reached shall be paid at the rate of 100 percent of usual, customary, reasonable, or prevailing charges, except that expenses incurred for treatment of mental and nervous conditions shall be paid at the rate of 50 percent. (d) [Repealed, § 24 ch 31 SLA 1999.]  (e) [Repealed, § 24 ch 31 SLA 1999.]
AK Stat § 21.55.130 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 2. State Health Insurance Plans.|Sec. 21.55.130. Preexisting conditions.

(a) A preexisting condition exclusion in a state plan may not exclude coverage of a preexisting condition unless (1) the condition first manifested itself within the period of three months immediately before the effective date of coverage in a manner that would cause a reasonably prudent person to seek diagnosis, care, or treatment; or (2) medical advice or treatment was recommended or received within the period of three months immediately before the effective date of coverage. (b) A policy may not exclude coverage for a loss due to preexisting conditions for a period greater than six months following the effective date of coverage. (c) A state plan issued to a person whose previous subscriber contract, health policy, or Medicare supplement policy was involuntarily terminated shall credit the time covered under the previous contract or policy toward an exclusion for preexisting conditions under the state plan if the previous contract or policy had a similar preexisting condition exclusion and the person applies for a state plan within 31 days after termination of the previous contract or policy. If a person covered by this subsection is accepted by the plan administrator and pays a specified premium for retroactive coverage, the state plan is effective retroactively to the date that the person's previous contract or policy terminated. (d) A state plan issued to a federally defined eligible individual may not impose a preexisting condition exclusion. (e) A state plan issued to a qualified TAA eligible individual may not impose a preexisting condition exclusion.
AK Stat § 21.55.140 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 2. State Health Insurance Plans.|Sec. 21.55.140. Care and services not covered.

(a) A state plan may not provide benefits for charges for the following: (1) care for an injury or disease either (A) arising out of and in the course of an employment subject to a workers' compensation or similar law or where the benefit is available to be provided under a workers' compensation policy or equivalent self-insurance to a sole proprietor, business partner, or corporation officer; or (B) to the extent benefits are payable without regard to fault under a coverage statutorily required to be contained in a motor vehicle or other liability insurance policy or equivalent self-insurance; (2) treatment for cosmetic purposes other than surgery for the prompt repair of an accidental injury sustained while covered or for replacement of an anatomic structure removed during treatment of tumors; (3) travel, other than transportation covered under AS 21.55.110(17); (4) private room accommodations to the extent it is in excess of the institution's most common charge for a semiprivate room; (5) services or articles to the extent that the charge exceeds the reasonable charge in the locality for the service; (6) services or articles that are determined not to be medically necessary, except for the fabrication or placement of the prosthesis as specified in AS 21.55.110(12) and (2) of this subsection; (7) services or articles that are not within the scope of the license or certificate of the institution or individual rendering the services or articles; (8) services or articles furnished, paid for, or reimbursed directly by or under any law of a government, except as otherwise provided in this chapter; (9) services or articles for custodial care or designed primarily to assist an individual in the activities of daily living; (10) service charges that would not have been made if no insurance existed or that the covered individual is not legally obligated to pay; (11) eyeglasses, contact lenses, or hearing aids or the fitting of them; (12) dental care not specifically covered by this chapter; (13) services of a registered nurse who ordinarily resides in the covered individual's home, or who is a member of the covered individual's family or the family of the covered individual's spouse; (14) experimental procedures, except during an approved clinical trial; in this paragraph, “approved clinical trial” has the meaning given in AS 21.42.415; and (15) services and supplies for which the patient was not charged. (b) [Repealed, § 8 ch 102 SLA 2003.]
AK Stat § 21.55.150 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 2. State Health Insurance Plans.|Sec. 21.55.150. State plan premiums.

(a) The association may not charge a rate for coverage issued by or through the association that is unfairly discriminatory. The board shall submit premium rates to the director for approval before use. (b) The association may use separate scales of premium rates based on age and geographic location of the insured. The association may use separate scales of premium rates based on other factors, including use or nonuse of tobacco, if approved by the director. (c) The board shall determine standard risk premium rates by considering the premium rates charged by members of the association offering, to residents of the state, health insurance benefits substantially equivalent to benefits under the state plan. The premium for a state plan may not exceed 150 percent of the standard risk premium rates determined by the board.
AK Stat § 21.55.200 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 3. Administration of Plans.|Sec. 21.55.200. Selection of a plan administrator.

The board shall develop bid specifications and select a plan administrator through a competitive bidding process. The selection of the plan administrator shall be based upon criteria including the plan administrator's proven ability to handle health insurance coverage for individuals, efficient claim paying capacity, the estimate of total charges for administering the plan, the plan administrator's ability to apply effective cost containment programs and procedures and to administer the plan in a cost efficient manner, and the financial condition and stability of the plan administrator.
AK Stat § 21.55.210 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 3. Administration of Plans.|Sec. 21.55.210. Duties of plan administrator.

(a) The plan administrator shall perform the administrative and claims payment functions required by this section. The plan administrator shall provide these services for a period specified in the contract between the association and the plan administrator subject to the terms, conditions, and limitations of the contract between the association and the plan administrator. At least six months before the expiration of each contract period, the board shall invite eligible entities, including the plan administrator, to submit bids to serve as the plan administrator. The board shall follow the provisions of this subsection in selecting a plan administrator for the subsequent contract period. (b) The plan administrator shall provide to all eligible persons enrolled in a state plan an individual policy setting out a statement of the insurance protection to which the person is entitled, with whom claims are to be filed, and to whom benefits are payable. The policy must indicate that coverage was obtained through the association. (c) The plan administrator shall submit to the board and the director on a regular basis a report on the operation of the state plans. The board shall determine the specific information to be contained in the report and that information shall be specified in the contract between the association and the plan administrator. (d) The plan administrator shall pay claims and shall indicate when a claim is paid under a state plan. A claim payment must include a telephone number that can be used for inquiries regarding the claim. (e) The plan administrator shall (1) be reimbursed from the state plan receipts for services rendered in connection with administering the plan; and (2) at all times when carrying out its duties under this chapter be considered an agent of the association.
AK Stat § 21.55.300 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 4. Enrollment in the State Health Insurance Plan.|Sec. 21.55.300. Eligibility for state health insurance.

(a) Except as provided in this section, a state resident who is a high risk, a TAA eligible individual, or a federally defined eligible individual is eligible to enroll in a state plan described in AS 21.55.100. (b) Except for a federally defined eligible individual or TAA eligible individual, a person may not be covered by the state plan (1) while covered by another health insurance policy or subscriber contract; or (2) if the person is eligible to be covered (A) by a plan subject to the requirements of AS 21.56.110 - 21.56.250; (B) under another state or federal law, including veterans' benefits, Native health care, or Medicaid, but not including Medicare; or (C) under another health benefit program, including self-insurance plan, health care trust, or welfare trust. (c) Upon ceasing to be a resident, a person is not eligible to purchase or renew coverage under a state plan, but previously purchased coverage remains in effect for the period covered by payments made while a resident. (d) Additional eligibility requirements for enrollment in a state plan may be imposed if approved by the director.
AK Stat § 21.55.310 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 4. Enrollment in the State Health Insurance Plan.|Sec. 21.55.310. Enrollment by an eligible person.

A person may enroll in a state plan by applying to the plan administrator. The application must include the following: (1) name, address, age, and length of residency of the applicant; (2) a designation of the plan desired, including deductible option chosen; (3) information relevant to whether the person is a high risk or a federally defined eligible individual; and (4) payment of the first premium.
AK Stat § 21.55.320 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 4. Enrollment in the State Health Insurance Plan.|Sec. 21.55.320. Plan administrator's response.

(a) Within 30 days after receiving the application described in AS 21.55.310, the plan administrator shall (1) provide the applicant with either a notice of rejection for failing to comply with the requirements of AS 21.55.300 and 21.55.310 or a notice of acceptance; and (2) for a TAA eligible individual, send a notice to the director specifying the name, address, social security number, and effective date of coverage. (b) When a person with a disability that is covered under 42 U.S.C. 1395 - 1395b-10 (Title XVIII of the Social Security Act) is referred by an insurer to a state plan under AS 21.55.310, the plan administrator shall request that the Department of Health and Social Services provide information to the person about applying for the federal benefits.
AK Stat § 21.55.330 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 4. Enrollment in the State Health Insurance Plan.|Sec. 21.55.330. Effective date of policies.

(a) Except as provided in (b) of this section and AS 21.55.130(c), insurance under a state plan is effective immediately upon receipt of the first premium, and is retroactive to the date of the application, if the applicant otherwise complies with the requirements of this chapter. (b) Insurance under a state plan is effective retroactively to the date that the person's previous contract or policy terminated if the person (1) applies for a state plan within 60 days after the previous contract or policy terminated; (2) is accepted by the plan administrator; and (3) pays a specified premium for the period of retroactive coverage.
AK Stat § 21.55.340 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 4. Enrollment in the State Health Insurance Plan.|Sec. 21.55.340. Solicitation of eligible persons.

(a) The association, under a plan approved by the director, shall disseminate appropriate information to the residents of the state regarding the existence of the state plans and the means of enrollment. Means of communication may include use of the press, radio, and television, as well as publication in appropriate state offices and publications. (b) The association shall devise and implement means of maintaining public awareness of the provisions of this chapter regarding the state plans and shall administer this chapter in a manner that facilitates public participation in the state plans. (c) A person may not sell or market a qualified state plan unless the person is acting within the scope of a license issued in this state. (d) An insurer or hospital or medical service corporation that rejects or applies underwriting restrictions to an applicant for a subscriber contract, a health insurance policy, or a Medicare supplement plan in the state shall notify the applicant of the existence of the state plans, the requirements for being accepted, and the procedure for applying.
AK Stat § 21.55.400 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 5. General Provisions.|Sec. 21.55.400. Duties of director.

The director may (1) approve the selection of the plan administrator by the association and approve the association's contract with the plan administrator, including the coverages and premiums to be charged; (2) contract with the federal government or another unit of government to ensure coordination of the state plans with other governmental assistance programs; (3) undertake, directly or through contracts with other persons, studies or demonstration programs to develop awareness of the benefits of this chapter; and (4) formulate general policy and adopt regulations that are reasonably necessary to administer this chapter, including regulations establishing a reinsurance program reinsuring residents who are high risks and specifying covered conditions eligible for payment through the reinsurance program.
AK Stat § 21.55.410 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 5. General Provisions.|Sec. 21.55.410. State not liable.

The state is not liable for acts or omissions of the association or a plan administrator under this chapter, nor is the state liable for payment of a claim under a state plan issued by a plan administrator.
AK Stat § 21.55.420 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 55. State Health Insurance|Article 5. General Provisions.|Sec. 21.55.420. Board member civil and criminal immunity.

A member of the board of directors of the association may not be held civilly or criminally liable for an act or omission if the act or omission was in good faith and within the scope of the director's duties under this chapter. (a) The Alaska comprehensive health insurance fund is established in the general fund. The Department of Administration shall deposit interest earned on the Alaska comprehensive health insurance fund in the general fund.  (b) The legislature may use the annual estimated balance in the Alaska comprehensive health insurance fund to make appropriations to the Department of Commerce, Community, and Economic Development to fund the reinsurance program under this chapter. (c) Payment for claims under the reinsurance program under this chapter is subject to appropriation. (d) Money in the fund does not lapse. (e) Nothing in this section creates a dedicated fund. (f) [Repealed, § 3ch 46 SLA 2018.]
AK Stat § 21.59.010 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 59. Motor Vehicle Service Corporations and Contracts|Article 1. Automobile Service Corporations.|Sec. 21.59.010. Applicability.

(a) AS 21.59.010 - 21.59.090 applies to a person, firm, corporation, or organization providing or intending to provide automobile service corporation services for subscribers in exchange for periodic prepayments by a subscriber.  (b) AS 21.59.010 - 21.59.090 does not apply to a person issued a certificate of authority under AS 21.09 or to a person issued a provider license under AS 21.59.110 - 21.59.290, but only to the extent the person is offering a motor vehicle service contract in this state.  (c) Other provisions of this title do not apply to an automobile service corporation except as expressly provided in AS 21.59.010 - 21.59.090.
AK Stat § 21.59.020 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 59. Motor Vehicle Service Corporations and Contracts|Article 1. Automobile Service Corporations.|Sec. 21.59.020. Incorporation and certificate of authority required.

(a) A person providing or intending to provide automobile service corporation services shall be a corporation currently authorized as an automobile service corporation under a certificate of authority issued by the director under AS 21.59.010 - 21.59.090. (b) If the corporation is to be formed under the laws of this state, the articles of incorporation of the proposed corporation or amendments to existing articles of incorporation shall be submitted to the director before they are filed with the commissioner of commerce, community, and economic development. The commissioner of commerce, community, and economic development may not file the articles or amendments unless the director's approval is endorsed. The director shall approve the articles or amendments unless the director finds that the articles or amendments do not comply with law. If not approved, the director shall return the proposed articles of incorporation to the incorporators or amendments to the corporation, together with a written, detailed statement of the reasons for nonapproval.
AK Stat § 21.59.030 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 59. Motor Vehicle Service Corporations and Contracts|Article 1. Automobile Service Corporations.|Sec. 21.59.030. Qualifications for certificate of authority.

The director may not issue a certificate of authority to be or act as an automobile service corporation and shall revoke an existing certificate of authority unless the corporation (1) if a newly formed corporation, possesses sufficient available working funds to pay all reasonably anticipated costs of acquisition of new business and operating expenses, other than losses, for a period of not less than six months following the date of issuance of the certificate of authority; (2) posts with the director a bond in the amount of $50,000, issued by a corporate surety authorized under this title to act as surety and conditioned upon the organization's faithful fulfillment of its contracts; and (3) fulfills all other applicable requirements of AS 21.59.010 - 21.59.090.
AK Stat § 21.59.040 (2021)
2021 Alaska Statutes|Title 21. Insurance|Chapter 59. Motor Vehicle Service Corporations and Contracts|Article 1. Automobile Service Corporations.|Sec. 21.59.040. Certificate of authority.

(a) Application for a certificate of authority to transact business as an automobile service corporation shall be made to the director, on forms furnished by the director and requiring the information about the applicant, its directors, officers, and affairs as the director may reasonably require consistent with AS 21.59.010 - 21.59.090. (b) The applicant shall file the following documents with the application: (1) a copy of the applicant's articles of incorporation and all amendments, certified by the appropriate official of the state of incorporation; (2) a copy of the applicant's bylaws, certified by its corporate secretary; (3) a copy of each subscriber's contract proposed to be offered; (4) either (A) audited financial statements for the three fiscal years immediately preceding the application; or (B) a financial statement of the applicant prepared by a certified public accountant and dated not more than 30 days before the filing of the application, showing the amount of working funds available to the applicant, a reconciliation of the net worth or capital account, the source and application of the funds, and any data pertinent to the financial statement; (5) the bond required under AS 21.59.030(2) or 21.59.050(c); and (6) a copy of any other relevant document reasonably requested by the director.