Title 21, Insurance

The association is exempt from AS 44.62 (Administrative Procedure Act).

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.

(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 21.5…

Except as provided in AS 21.55.120 — 21.55.140, the minimum standard benefits of a health insurance plan offered under AS 21.55.100(a) shall be benefits with a lifetime maximum of $1,000,000 for each individual for usual, customary, reasonable, or prevailing charges or, when appl…

(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…

(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…

(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 worke…

(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…

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 individ…

(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, c…

(a) Upon notification of eligibility under AS 21.55.320, a person may enroll in a state plan by payment of the appropriate state plan premium to the plan administrator. (b) [Repealed, § 29 ch 30 SLA 2009.] (c) Each member of the association shall share the losses due to claims ex…

(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 eligib…

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 rele…

(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) 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…

(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, …

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 t…

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.

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.

In this chapter, (1) “association” means the Comprehensive Health Insurance Association created in AS 21.55.010; (2) “copayment” means the portion of the eligible expenses, in excess of the deductible, for which the insured is responsible; (3) “creditable coverage” has the meanin…