reglab/statecodes huggingface dataset:
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 3 - Viatical Settlements › 3 AAC 31.395 - Prohibited practices

Current through May 31, 2024
(a) A viatical settlement provider may not
				  also act as a viatical settlement broker, whether entitled to collect a fee
				  directly or indirectly, in the same viatical settlement transaction.
(b) A person may not knowingly engage in a
				  viatical settlement transaction in which the person has participated in the
				  sale or solicitation of the associated life insurance policy.
(c) A viatical settlement broker may not seek
				  or receive compensation from the viator, without obtaining the written
				  agreement of the viator for the compensation before performing services in
				  connection with a viatical settlement transaction.
(d) A person may not use a longer life
				  expectancy than is realistic in order to reduce the payout to which the viator
				  is entitled or use more than one life expectancy in a single viatical
				  settlement transaction.
(e) A
				  person may not knowingly enter into or effectuate a viatical settlement
				  contract in which the associated life insurance policy was obtained by means of
				  a false, deceptive, or misleading application.
(f) A person may not communicate, in any way,
				  an advertisement, announcement, or statement containing an assertion,
				  representation, or statement with respect to the viatical settlement business
				  or with respect to a person in the conduct of the person's viatical settlement
				  business that
(1) misrepresents the benefits,
				  advantages, conditions, sponsorship, source, or terms of a viatical settlement
				  contract;
(2) is a
				  misrepresentation for the purpose of effecting or tending to effect a viatical
				  settlement contract;
(3) uses a
				  name or title of a viatical settlement contract that misrepresents its true
				  nature;
(4) appears to be an actual
				  viatical settlement contract for the named viator when it is merely an
				  advertisement;
(5) does not clearly
				  designate the name of the viatical settlement provider; or
(6) is in any way misleading, false, or
				  deceptive.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 3 - Viatical Settlements › 3 AAC 31.400 - Insurance company practices

Current through May 31, 2024
(a) A life
				  insurance company authorized to do business in this state shall respond to a
				  request for verification of coverage from a viatical settlement provider or a
				  viatical settlement broker within 30 days after the date the request is
				  received, if the following are submitted with the request:
(1) in the case of an individual policy, a
				  form substantially similar to Appendix A of this section, completed by the
				  viatical settlement provider or the viatical settlement broker in accordance
				  with the instructions on the form;
(2) in the case of group insurance coverage,
				  a form substantially similar to Appendix B of this section, first completed by
				  the group certificate holder to the extent the information is available to the
				  group certificate holder, and then completed by the viatical settlement
				  provider or viatical settlement broker in accordance with the instructions on
				  the form.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 3 - Viatical Settlements › 3 AAC 31.405 - Unfair trade practices

Current through May 31, 2024
(a) A person may not commit or participate
				  directly or indirectly in an unfair trade practice involving a viatical
				  settlement transaction.
(b) The
				  director may investigate a suspected unfair trade practice involving a viatical
				  settlement transaction or a person engaged in a viatical settlement transaction
				  and assess a penalty, consistent with AS 21.36.32, for an unfair trade practice
				  involving a viatical settlement transaction.
(c) A person may not knowingly or
				  intentionally interfere with the enforcement of or an investigation of a
				  suspected or actual violation of
				  AS
				  21.96.110 or
				  3 AAC 31.300 -
				  3 AAC 31.449.
(d) A person may not knowingly or
				  intentionally engage directly or indirectly in a viatical settlement
				  transaction with a person convicted of a felony involving dishonesty or breach
				  of trust.
(e) An unfair trade
				  practice is committed by a person
(1) engaged
				  in a viatical settlement transaction in the state relative to a subject
				  resident, located or to be performed in this state who
(A) places or causes to be placed a viatical
				  settlement contract from or through a person not licensed under
				  AS
				  21.96.110;
(B) pays a commission or other form of
				  remuneration to a person, firm, or organization for placing a viatical
				  settlement contract when the person, firm, or organization is not licensed
				  under AS
				  21.96.110; or
(C) acts as a viatical settlement provider,
				  viatical settlement broker, or viatical settlement representative without being
				  licensed under
				  AS
				  21.96.110; or
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 3 - Viatical Settlements › 3 AAC 31.410 - Examination of viatical settlement providers, viatical settlement brokers, and viatical settlement representatives

Current through May 31, 2024
(a) The director
				  may examine the affairs, transactions, accounts, records, and assets of a
				  licensed or formerly licensed viatical settlement provider, viatical settlement
				  broker, or viatical settlement representative.
(b) In the place of an examination by the
				  director, the director may accept a full examination report of the last recent
				  examination of a licensed viatical settlement provider, viatical settlement
				  broker, or viatical settlement representative certified to by the insurance
				  supervisory official of another state, territory, commonwealth, or district of
				  the United States.
In 2010 the revisor of statutes, acting under
						AS
						01.05.031, renumbered former AS 21.89.110 as
						AS
						21.96.110. As of Register 196 (January 2011),
						the regulations attorney made a conforming technical revision under
						AS
						44.62.125(b)(6), to the
						authority citation that follows
						3 AAC 31.410, so that the citation to former AS
						21.89.110 now refers to the renumbered statute,
						AS
						21.96.110.
Authority:
AS
						21.06.090
AS
						21.96.110
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 3 - Viatical Settlements › 3 AAC 31.415 - Conduct of examination

Current through May 31, 2024
(a) The director may conduct an examination
				  under 3 AAC 31.410 at the business office
				  of the viatical settlement provider, viatical settlement broker, or viatical
				  settlement representative.
(b) Each
				  person being examined or from whom information is sought, and that person's
				  officers, employees, and agents shall provide to the director timely,
				  convenient, and free access, at all reasonable hours at its office, to the
				  books, records, accounts, papers, documents, assets, and computer files or
				  other recordings relating to the property, assets, business, and affairs of the
				  person being examined, and shall facilitate and aid the examination as far as
				  it is in their power to do so, including providing to the director, at the
				  expense of the person being examined, a copy of any document requested during
				  the examination. The director may suspend, revoke, or refuse to issue or renew
				  a license or authority of a person engaging in a viatical settlement
				  transaction or other business under the jurisdiction of the director if the
				  person or an officer, director, employee, or agent of the person refuses to
				  submit to examination or to comply with a reasonable written request of the
				  director.
(c) When conducting an
				  examination under this section, the director may retain attorneys, appraisers,
				  independent actuaries, independent certified public accounts, or other
				  professionals and specialists as examiners, the reasonable costs of which shall
				  be paid by the person being examined.
(d) The director may terminate or suspend an
				  examination in order to pursue other legal or regulatory action under AS
				  21.
(e) The director will not
				  appoint an examiner who has a conflict of interest with, is affiliated with the
				  management of, or owns a pecuniary interest in a person subject to an
				  examination. This section does not preclude an examiner from being a viator, an
				  insured in a viaticated policy, or a beneficiary in a life insurance policy
				  that is proposed to be viaticated.
In 2010 the revisor of statutes, acting under
						AS
						01.05.031, renumbered former AS 21.89.110 as
						AS
						21.96.110. As of Register 196 (January 2011),
						the regulations attorney made a conforming technical revision under
						AS
						44.62.125(b)(6), to the
						authority citation that follows
						3 AAC 31.415, so that the citation to former AS
						21.89.110 now refers to the renumbered statute,
						AS
						21.96.110.
Authority:
AS
						21.06.090
AS
						21.96.110
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 3 - Viatical Settlements › 3 AAC 31.420 - Examination reports and expenses

Current through May 31, 2024
(a) A report of an
				  examination by the director under
				  3 AAC 31.410 and
				  3 AAC 31.415 will be issued in conformance with the
				  requirements of
				  AS
				  21.06.150.
(b) Expenses incurred in an examination by
				  the director under
				  3 AAC 31.410 and
				  3 AAC 31.415 will be administered in conformance with
				  AS
				  21.06.160.
In 2010 the revisor of statutes, acting under
						AS
						01.05.031, renumbered former AS 21.89.110 as
						AS
						21.96.110. As of Register 196 (January 2011),
						the regulations attorney made a conforming technical revision under
						AS
						44.62.125(b)(6), to the
						authority citation that follows
						3 AAC 31.420, so that the citation to former AS
						21.89.110 now refers to the renumbered statute,
						AS
						21.96.110.
Authority:
AS
						21.06.090
AS 21.06.150
AS 21.06.160
AS
						21.96.110
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 3 - Viatical Settlements › 3 AAC 31.425 - Records

Current through May 31, 2024
(a) For at least five years after the death
				  of the insured, a viatical settlement provider, a viatical settlement broker,
				  or a viatical settlement representative shall maintain all records of a
				  viatical settlement transaction, including
(1) accounting and financial
				  records;
(2) proposed, offered, or
				  executed viatical settlement contracts, underwriting documents, policy forms,
				  and applications;
(3) all checks,
				  drafts, or other evidence and documentation related to the payment, transfer,
				  deposit, or release of money on or after the date of the transaction;
				  and
(4) documents or records
				  related to requirements under
				  AS
				  21.96.110 and
				  3 AAC 31.300 -
				  3 AAC 31.449.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 3 - Viatical Settlements › 3 AAC 31.449 - Definitions

Current through May 31, 2024
In
					 3 AAC 31.300 -
					 3 AAC 31.449, unless the context requires
					 otherwise,
(1) "chronically ill" means
(A) being unable to perform at least two
				  activities of daily living; in this subparagraph, "activities of daily living"
				  means
(i) eating;
(ii) toileting;
(iii) transferring;
(iv) bathing;
(v) dressing; and
(vi) continence; or
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.500 - Purpose and applicability

Current through May 31, 2024
(a) The purpose of
				  3 AAC 31.500 -
				  3 AAC 31.549 is to
(1)
				  implement a reinsurance program for high risk residents in the individual
				  health care insurance market in order to stabilize health care insurance
				  premiums;
(2) encourage
				  participation in this state's individual health care insurance market;
				  and
(3) allow the director to apply
				  to the United States Secretary of Health and Human Services under
				  42 U.S.C.
				  18052 for a waiver of applicable provisions
				  of P.L.
				  111-148 (Patient Protection and Affordable Care
				  Act).
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.505 - Establishment of high risk reinsurance program

Current through May 31, 2024
(a) There is
				  established within the Comprehensive Health Insurance Association a program to
				  reinsure high risk residents of this state diagnosed with one or more of the
				  covered conditions under 3 AAC 31.540. The program will be referred to as the
				  Alaska Reinsurance Program.
(b) The
				  Alaska Reinsurance Program will have a segregated fund established within the
				  association. The segregated fund will hold all receipts and make all
				  disbursements related to the program. All obligations of the Alaska Reinsurance
				  Program, including payment or reimbursements of claims and expenses, will be
				  limited to the monies available within the program fund.
(c) The association shall administer the
				  reinsurance program under a contract with the director. The program will have
				  its own plan of operation to establish administrative and accounting procedures
				  necessary or proper to implement and administer the program.
(d) The Alaska Reinsurance Program becomes
				  effective January 1, 2017.
Authority:
AS
						21.06.090
AS 21.55.220
AS
						21.55.400
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.510 - Association duties

Current through May 31, 2024
(a) The association shall establish a plan of
				  operation for the administration and operation of the Alaska Reinsurance
				  Program under which a health care insurer shall cede the risk of a high risk
				  resident to the program. The plan of operation must include
(1) a description of the data a health care
				  insurer submitting a reinsurance payment request must provide to the
				  association for the association to implement and administer the reinsurance
				  program, including data necessary far the association to determine a health
				  care insurer's eligibility for reinsurance payments;
(2) guidance to insurers relating to
				  diagnosis codes for identifying residents with covered conditions under the
				  program;
(3) the manner and time
				  period in which a health care insurer must
(A) provide the data described under (1) of
				  this subsection;
(B) pay the
				  quarterly
(i) premium amounts required to be
				  paid under 3 AAC 31.515(b);
				  and
(ii) pharmacy rebates required
				  to be paid under
				  3 AAC 31.515(c): and
(C) cede risk under this
				  section;
(4)
				  requirements for reporting and processing reports submitted by health care
				  insurers as required by the association;
(5) requirements for conducting audits under
				  3 AAC 31.530; and
(6) details of an annual actuariaI study of
				  this state's individual market that
(A)
				  measures the impact of the program;
(B) recommends funding levels; and
(C) reveals emerging conditions within the
				  market.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.515 - Health care insurer eligibility for reinsurance payments

Current through May 31, 2024
(a) A health care
				  insurer is eligible for reinsurance payments to reimburse the insurer for the
				  claims of a high risk resident for a benefit year if the health care insurer
(1) provides evidence to the association that
				  the health care insurer has paid a claim of a high risk resident for the
				  applicable benefit year that is for a covered condition listed under 3 AAC 3
				  1.540;
(2) continues to pay the
				  claims of a high risk resident for the applicable benefit year;
(3) pays to the association, under (b) of
				  this section, the premium amount the health care insurer receives under the
				  insurance policy for the applicable benefit year covering the eligible high
				  risk resident;
(4) pays to the
				  association, under (c) of this section, pharmacy rebates the health care
				  insurer receives for the applicable benefit year for health care services
				  provided to the applicable high risk resident; and
(5) reports to the association payments,
				  applicable to the high risk resident, the health care insurer collects for
(A) third party liabilities;
(B) payments the health care insurer recovers
				  for overpayments;
(C) payments for
				  commercial reinsurance recoveries; and
(D) estimated federal cost-sharing reduction
				  payments made under
				  42
				  U.S.C. 18071.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.520 - Health care insurer duties and rules

Current through May 31, 2024
(a) A health care
				  insurer shall comply with the requirements established by the association in
				  order to cede a risk to the association.
(b) A health care insurer shall continue to
				  administer and manage the policy for risk ceded to the association in
				  accordance with the terms of the insurance policy and with the insurance law of
				  this state.
(c) A health care
				  insurer shall offer individuals that may be ceded to the association the same
				  plans offered to other individuals.
(d) A health care insurer may not vary
				  premium rates based on whether a risk is ceded to the association.
(e) A health care insurer shall cede a risk
				  to the association with respect to a high risk resident during the period
				  beginning on the date the high risk resident's coverage becomes effective with
				  the health care insurer and ending on March 31 of the year following the
				  calendar year in which the high risk resident's coverage becomes effective with
				  the health care insurer. A health care insurer required to cede risk with
				  respect to a high risk resident to the association in a subsequent calendar
				  year shall re-cede that risk for that calendar year. A health care insurer
				  shall use the dates set by the association and specified in the association's
				  plan of operation when ceding a risk required to be ceded to the association
				  under this subsection.
(f) A health
				  care insurer shall submit to the program claims incurred during a calendar year
				  for a ceded risk not later than April 30 after that calendar year for the claim
				  to be eligible for reimbursement from the program.
Authority:
AS
						21.06.090
AS
						21.55.220
AS
						21.55.400
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.525 - Premiums and other financial matters

Current through May 31, 2024
(a) A health care
				  insurer shall forward all premiums to the association for each risk ceded to
				  the program and may not retain any portion of the premium.
(b) A health care insurer shall report to the
				  association amounts collected by a health care insurer for
(1) third party liabilities;
(2) overpayment recoveries;
(3) estimated federal cost-sharing reduction
				  payments made under
				  42
				  U.S.C. 18071;
(4) commercial reinsurance recoveries;
(5) pharmacy rebates;
				  and
(6) any other similar amounts
				  with respect to risk ceded to the program.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.530 - Accounting, reporting, and auditing

Current through May 31, 2024
(a) A health care
				  insurer that cedes a risk to the program shall submit to the program all data
				  and information when required by the association and in the manner and format
				  required by the association. The data and information must include
(1) eligibility information;
(2) claims information; and
(3) premium information.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.535 - Annual true-up

Current through May 31, 2024
(a) The association shall establish a true-up
				  process with respect to a calendar year to reflect adjustments made in
				  establishing the final accounting for that calendar year, including crediting
				  of premiums received with respect to risk ceded after the end of the calendar
				  year and retroactive reductions or other adjustments in reimbursements
				  necessary to prevent a deficit in the fund for that calendar year and to
				  prevent a windfall to an insurer as a result of third party recoveries,
				  recovery of overpayments, commercial reinsurance recoveries, or risk
				  adjustments made under
				  42 U.S.C. 18063
				  (Sec. 1343 of the Patient Protection and Affordable Care Act,
				  P.L.
				  111-148). The true-up must occur after April 30
				  following the calendar year to which it relates.
(b) With respect to the risk adjustment
				  transfers as determined by the United states Department of Health and Human
				  Services, Centers for Medicine and medicaid Services, Center for Consumer
				  Information and Insurance Oversight (CCIIO),
(1) the director or the director's designee
				  will review the risk adjustment transfers to determine the impact of the ceding
				  of risk to the program;
(2) the
				  review will occur not later than 60 days after publication of the notice of
				  final risk adjustment transfers by Center for Consumer Information and
				  Insurance Oversight;
(3) the
				  director or director's designee will notify a health care insurer of the amount
				  of any risk adjustment transfer it received that does not accurately reflect
				  benefits provided under the program and
(A)
				  the health care insurer shall pay that amount to the program not later than 30
				  days after receipt of the notice from the director or the director's designee;
				  and
(B) as appropriate, the
				  director or the director's designee will refund that amount to the health care
				  insurer or insurers that made the federal risk adjustment payment;
				  and
(4) to facilitate
				  the true-up process, a health care insurer shall submit to the director or the
				  director's designee, in a form and manner determined by the director or the
				  directors' designee, all data requested by the director in a data call in March
				  of the year following the year to which the risk adjustment applies.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.540 - Covered conditions

Current through May 31, 2024
A resident of this state diagnosed with one or more of the
					 following covered conditions under this section is a high risk resident under
					 3 AAC 31.500 -
					 3 AAC 31.549:
(1) human immunodeficiency virus or acquired
				  immune deficiency syndrome (HIV/AIDS);
(2) septicemia sepsis, systemic inflammatory
				  response syndrome/shock;
(3)
				  metastatic cancer;
(4) lung, brain,
				  and other severe cancers, including pediatric acute lymphoid
				  leukemia;
(5) non-hodgkin's
				  lymphomas and other cancers and tumors;
(6) mucopolysaccharidosis;
(7) lipidoses and glycogenosis;
(8) amyloidosis, porphyria, and other
				  metabolic disorders;
(9) end-stage
				  liver disease;
(10) chronic
				  hepatitis;
(11) acute liver failure
				  or disease, including neonatal hepatitis;
(12) intestinal obstruction;
(13) chronic pancreatitis;
(14) inflammatory bowel disease;
(15) rheumatoid arthritis and specified
				  autoimmune disorders;
(16)
				  hemophilia;
(17) acquired hemolytic
				  anemia, including hemolytic disease of newborn;
(18) sickle cell anemia (Hb-SS);
(19) thalassemia major;
(20) coagulation defects and other specified
				  hematological disorders;
(21)
				  anorexia/bulimia nervosa;
(22)
				  paraplegia;
(23) amyotrophic
				  lateral sclerosis and other anterior horn cell disease;
(24) quadriplegic cerebral palsy;
(25) cerebral palsy, except
				  quadriplegic;
(26) myasthenia
				  gravis/myoneural disorders and guillain-barre syndrome/inflammatory and toxic
				  neuropathy;
(27) multiple
				  sclerosis;
(28) parkinson's,
				  huntington's and spinocerebellar disease, and other neurodegenerative
				  disorders;
(29) cystic
				  fibrosis;
(30) end-stage renal
				  disease;
(31) premature newborns,
				  including birthweight 2,000 - 2,499 grams;
(32) stem cell, including bone marrow,
				  transplant status/complications;
(33) amputation status, lower limb/amputation
				  complications.
(34)
				  cardio-respiratory failure and shock, including respiratory distress
				  syndromes;
Authority:
AS
						21.06.090
AS
						21.55.220
AS
						21.55.400
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 4 - Comprehensive Health Insurance Association Reinsurance Program › 3 AAC 31.549 - Definitions

Current through May 31, 2024
In 3 AAC 31 .500 -
					 3 AAC 31.549,
(1) "association" means the Comprehensive
				  Health Insurance Association established under
				  AS
				  21.55.010-21.55.060;
(2) "Comprehensive Health Insurance
				  Association" means the nonprofit incorporated legal entity established under AS
				  21 55.010 - 21 55.060;
(3) "covered
				  condition" means a high risk resident's heath condition, injury, illness, or
				  disease that is listed under 3 AAC 31.540;
(4) "diagnosis code" mew a universal code
				  that a health care provider uses to identify a person's diagnosis;
(5) "director" means the director of the
				  division of insurance;
(6) "fund"
				  means the segregated fund established within the association to hold all
				  receipts and make all disbursements related to the program;
(7) "grandfathered health care coverage"
				  means coverage provided by an individual health care insurance policy purchased
				  before March 23, 2010;
(8) "health
				  care exchange" has the meaning given in
				  AS
				  21.51.500;
(9) "health care insurance plan" has the
				  meaning given in
				  AS
				  21.42.599;
(10) "health care insurer" has the meaning
				  given in AS 21.54.500;
(11) "health care provider" has the meaning
				  given in AS 21.07.250;
(12) "high risk resident" means a resident of
				  this state who has been diagnosed with one or more of the covered conditions
				  under 3 AAC 31.540;
(13)
				  "individual market" has the meaning given in
				  AS
				  21.51.500;
(14) "program" means the reinsurance program
				  authorized under AS 21 55.400 and established under
				  3 AAC 31.500 -
				  3 AAC 31.549;
(15) "transitional health care coverage"
				  means coverage provided by an individual health care insurance policy purchased
				  after March 22, 2010 and before January 1, 2014.
Authority:
AS
						21.06.090
AS 21.55.220
AS 21.55.400
AS 21.55.430
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 5 - Air Ambulance Services › 3 AAC 31.600 - Term of initial provider registration period; renewal

Current through May 31, 2024
(a) An initial
				  provider biennial registration period ends on June 30 of the renewal year
				  assigned by the division at the time the director approves the initial provider
				  registration. Except as provided in (b) of this section, the initial provider
				  biennial registration period consists of the remainder of the calendar year in
				  which the provider registration is approved and the first six months of the
				  following calendar year.
(b) If the
				  director approves a provider registration on or after April 1, but before
				  January 1, the initial provider biennial registration period consists of the
				  remainder of the calendar year in which the provider registration is approved
				  and all of the following 18 months.
(c) A provider's biennial registration period
				  ends on June 30 of the provider's biennial registration period. A provider is
				  responsible for knowing the date that a provider's biennial registration period
				  ends. To renew a registration, a provider must submit a renewal provider
				  registration application for the next provider biennial registration period by
				  June 1 of the year the provider's biennial registration period
				  ends.
Authority:
AS
						21.06.090
AS 21.61.105
AS
						21.61.109
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 5 - Air Ambulance Services › 3 AAC 31.620 - Provider bond requirements

Current through May 31, 2024
(a) A registration
				  will not be issued by the director unless the provider posts with the director
				  a bond in the amount of $100,000, issued by a corporate surety authorized under
				  AS 21 to act as surety and conditioned upon the provider's faithful fulfillment
				  of its membership agreements. The director will surrender the bond after the
				  provider has been registered in this state for two years.
(b) The bond requirements under (a) of this
				  section apply only to a provider who does not provide evidence satisfactory to
				  the director at the time the provider files its initial registration that the
				  provider has been in operation in this state for at least two
				  years.
Authority:
AS
						21.06.090
AS 21.61.105
AS
						21.61.109
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 5 - Air Ambulance Services › 3 AAC 31.630 - Reinstatement, suspension, or revocation of registration

Current through May 31, 2024
(a) If a producer
				  fails to file its provider renewal biennial registration application for the
				  next biennial renewal period by July 30 in the year the provider's biennial
				  registration period ends, the provider may not solicit or write a new
				  membership agreement in this state until the provider submits a provider
				  renewal biennial registration application under
				  3 AAC 31.610 and pays the fee under
				  3 AAC 31.060(a).
(b) The director, after a hearing, may
				  suspend or revoke a provider registration for any of the following causes:
(1) failure to meet the provider registration
				  application requirements under
				  3 AAC 31.610;
(2) failure to meet the provider bond
				  requirements under
				  3 AAC 31.620;
(3) failure to comply with membership
				  agreements issued to residents of this state;
(4) the provider is in unsound condition, or
				  in a condition, or using methods or practices in the conduct of its business,
				  that render its further transaction of insurance in this state injurious or
				  hazardous to its air ambulance service members or to the public;
(5) ceasing provider operations in this state
				  without first providing at least 60 days' notice by certified mail to the
				  director and obtaining the director's written
				  authorization.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 5 - Air Ambulance Services › 3 AAC 31.640 - Trade practices

Current through May 31, 2024
(a) If the benefits under a membership
				  agreement are in whole or in part contingent upon a medical necessity
				  determination by the provider,
(1) medical
				  necessity must be determined by a qualified medical professional; and
(2) what constitutes medical
				  necessity must be clearly defined in the membership agreement.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 5 - Air Ambulance Services › 3 AAC 31.650 - Membership agreements

Current through May 31, 2024
(a) A membership agreement may not be issued
				  or renewed in this state unless
(1) filed
				  with and approved by the director under
				  AS
				  21.42.120; and
(2) in compliance with
				  3 AAC 31.205,
				  3 AAC 31.215(c)-3 AAC 31.215(h), and
				  3 AAC 31.250.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 5 - Air Ambulance Services › 3 AAC 31.660 - Provider records

Current through May 31, 2024
(a) A provider shall establish and maintain
				  on an annual basis complete and accurate records and accounts of the provider's
				  transactions and operations in this state.
(b) A provider shall reply in writing not
				  later than 10 working days to a records inquiry of the director. The director
				  may inspect or request summary or detailed copies of records and accounts for
				  examination by the division.
Authority:
AS
						21.06.090
AS 21.61.106
AS
						21.61.109
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 5 - Air Ambulance Services › 3 AAC 31.690 - Definitions

Current through May 31, 2024
(1) "membership agreement" means an air
				  ambulance membership agreement as defined under
				  AS
				  21.61.110(2);
(2) "provider" means an air ambulance service
				  provider as defined under
				  AS
				  21.61.110(3).
Authority:
AS
						21.06.090
AS
						21.61.109
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 6 - Motor Vehicle Service Contracts › 3 AAC 31.700 - Applicability

Current through May 31, 2024
Unless exempted under
					 AS
					 21.59.120, the provisions of 3 AAC 31.700-3 AAC 31.729 apply to a
(1) motor
				  vehicle service contract marketed, offered for sale, sold, administered, or
				  issued to, or made with, a consumer in this state;
(2) motor vehicle service contract provider
				  marketing, offering for sale, selling, issuing, or making a motor vehicle
				  service contract in this state; and
(3) motor vehicle service contract
				  administrator responsible for the administration of a motor vehicle service
				  contract or motor vehicle service contract plan in this state.
Authority:
AS
						21.06.090
AS 21.59.120
AS
						21.59.200
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 6 - Motor Vehicle Service Contracts › 3 AAC 31.705 - Term of initial provider license period; biennial renewal

Current through May 31, 2024
(a) Except as
				  provided in (b) of this section,
(1) the term
				  of an initial biennial motor vehicle service contract provider firm license
				  begins on the date the director issues the license and ends two years later;
				  and
(2) the date the term of an
				  initial biennial motor vehicle service contract provider firm license ends is
				  the biennial renewal date for the licensee's motor vehicle service contract
				  provider firm license.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 6 - Motor Vehicle Service Contracts › 3 AAC 31.710 - Provider application

Current through May 31, 2024
(a) An applicant for a motor vehicle service
				  contract provider license shall
(1) file an
				  application on a form prescribed by the director; and
(2) pay the fee required under
				  3 AAC 31.060(a).
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 6 - Motor Vehicle Service Contracts › 3 AAC 31.715 - Provider qualifications

Current through May 31, 2024
(a) A motor vehicle
				  service contract provider may not market, offer for sale, sell, issue, or make
				  a motor vehicle service contract in this state unless the provider meets the
				  qualifications under AS 21.59 .110 - 21.59 .290 and this section.
(b) A motor vehicle service contract provider
				  is qualified to market, offer for sale, sell, issue, or make a motor vehicle
				  service contract in this state if the provider
(1) has an approved motor vehicle service
				  contract provider application on file with the director;
(2) has paid the motor vehicle service
				  contract provider initial application or biennial renewal fee under
				  3 AAC 31.060(a); and
(3) is currently licensed in good standing in
				  this state.
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 6 - Motor Vehicle Service Contracts › 3 AAC 31.720 - Administrator registration

Current through May 31, 2024
(a) An applicant
				  for a motor vehicle service contract administrator registration shall
(1) file an application on a form prescribed
				  by the director; and
(2) pay the
				  fee required under
				  3 AAC 31.060(a).
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 6 - Motor Vehicle Service Contracts › 3 AAC 31.729 - Definitions

Current through May 31, 2024
In 3 AAC 31.700-3 AAC 31.729, unless the context requires
					 otherwise,
(1) "consumer" means a
				  natural person who
(A) buys a motor vehicle
				  other than for purposes of resale; and
(B) primarily uses the motor vehicle for
				  personal, family, or household purposes;
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 2 - Division of Insurance › Chapter 31 - Miscellaneous › Article 7 - General Provisions › 3 AAC 31.900 - Definitions

Current through May 31, 2024
In this chapter,
(1) "all lines" means both life lines and
				  property and casualty lines;
(2)
				  "director" means the director of the division of insurance;
(3) "division" means the division of
				  insurance, Department of Commerce, Community, and Economic
				  Development;
(4) "life lines" means
				  life, health, annuities, credit life and disability, and, if qualified,
				  variable life and variable annuities;
(5) repealed 12/20/2020.
(6) "property and casualty lines" means
				  property, casualty, surety, marine, mortgage guaranty, and, if qualified,
				  health insurance as defined in
				  AS
				  21.12.050.
(7) "department" means the Department of
				  Commerce, Community, and Economic Development.
(8) "type of insurance" means, for property
				  and casualty insurers, the Type of Insurance as defined and identified within
				  the appUcable
Uniform Property & Casualty Product Coding
				  Matrix
adopted by the National Association of Insurance Commissioners,
				  revised as of January 1, 2020, and adopted by reference.
The National Association of Insurance Commissioners'
						Uniform Property & Casualty Product Cod'ins Matrix, 2020 edition, adopted
						by reference in 3 AAC 31.900, may be obtained from the National Association of
						Insurance Commissioners; 1100 Walnut Street. Suite 1500; Kansas City. Missouri
						64106. The document may also be yiewed electronically on the National
						Associatioa of Insurance Commissioners' website at
https://www.naic.org/documents/industry_pcm_p_c_2020.pdf
.
Authority:
AS
						21.06.090
AS
						21.09.200
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 6 - Specifications: Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.160 - Primary indicating and recording elements (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 6 - Specifications: Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.170 - Graduations (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 6 - Specifications: Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.180 - Design of pressure measuring elements; positive displacement devices (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 6 - Specifications: Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.190 - Automatic temperature compensation (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 6 - Specifications: Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.200 - Design of discharge lines and shutoff valves (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 7 - Testing of Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.210 - Test medium (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 7 - Testing of Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.220 - Temperature and volume change (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 7 - Testing of Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.230 - Test drafts (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 7 - Testing of Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.240 - Test procedures (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 7 - Testing of Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.250 - Tolerances (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 7 - Testing of Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.260 - Base temperature (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 7 - Testing of Positive Displacement and Turbine Gas Measuring Devices › 3 AAC 32.270 - Approved test procedures and tables (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 8 - Specifications and Requirements - Orifice Meters › 3 AAC 32.280 - Specifications and requirements for orifice meters (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 9 - User Requirements, Gas Measuring Devices - General › 3 AAC 32.340 - Removal of a device for inspection (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 9 - User Requirements, Gas Measuring Devices - General › 3 AAC 32.350 - Inspection at a central location (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 10 - Corrections for Altitude: Applicable to All Gas Meters › 3 AAC 32.380 - Corrections for altitude (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 10 - Corrections for Altitude: Applicable to All Gas Meters › 3 AAC 32.390 - Specific gravity (Repealed)

Current through May 31, 2024
Alaska Administrative Code › Title 3 - Commerce, Community, and Economic Development › Part 3 - Division of Measurement Standards › Chapter 32 - Specifications, Tolerances, and Regulations for Weighing and Measuring Devices › Article 13 - Weighing and Measuring Device Registration and Fees › 3 AAC 32.710 - Forms, certificates and application (Repealed)

Current through May 31, 2024