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Alaska Statutes, Title 21

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Alaska/Statutes

← All Alaska coverage

Title 21, Insurance

53 chapters · 1,082 sections in this title.

All chapters in Title 211,082 Ch 27, Producers, Agents, Administrators, B…76 Ch 69, Organization and Corporate Procedures.73 Ch 36, Trade Practices and Frauds.70 Ch 42, The Insurance Contract.67 Ch 78, Rehabilitation and Liquidation.48 Ch 09, Authorization, Corporate Governance …42 Ch 84, Fraternal Benefit Societies.42 Ch 66, Title Insurance Companies.36 Ch 75, Reciprocal and Cooperative Insurers.36 Ch 51, Health Insurance Policies.35 Ch 87, Hospital and Medical Service Corpora…34 Ch 86, Health Maintenance Organizations.33 Ch 45, Life Insurance and Annuities.32 Ch 06, The Director of Insurance.29

1,082 sections·Filtered byTitle 21✕

AS 21.27.903 Qualifications.
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(a) An application for a pharmacy benefits manager license must be in a form prescribed by the director. (b) The director may only issue or renew a license if the director is satisfied that the applicant is a trustworthy person. The director may not issue a license to an applican…
AS 21.27.904 Required notifications.
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(a) A licensed pharmacy benefits manager shall notify the director in writing not later than 30 days after (1) a change in the information contained within the licensee's license, place of business, electronic mailing address, physical mailing address, or telephone number; (2) a …
AS 21.27.905 License fees and renewal.
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(a) A pharmacy benefits manager shall biennially renew a license with the director following the procedures for license renewal in AS 21.27.380. The fee for an initial license is $20,000, and the fee to renew a license is $20,000. (b) [Repealed, § 98 ch 17 SLA 2025.]
AS 21.27.907 Duty of care.
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(a) A pharmacy benefits manager owes a duty of care to a plan sponsor, benefits administrator, and covered person. A pharmacy benefits manager shall adhere to the practices set out in this section. (b) A pharmacy benefits manager shall (1) perform the manager's duties with care, …

Showing 251–300 of 1,082

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AS 21.27.910 Pharmacy audit procedural requirements.

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(a) When a pharmacy benefits manager conducts an audit of the records of a pharmacy, the period covered by the audit of a claim may not exceed two years from the date that the claim was submitted to or adjudicated by the pharmacy benefits manager, whichever is earlier. Except as …

AS 21.27.915 Overpayment or underpayment.

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(a) When a pharmacy benefits manager conducts an audit of a pharmacy, the pharmacy benefits manager shall base a finding of overpayment or underpayment by the pharmacy on the actual overpayment or underpayment and not on a projection based on the number of patients served having …

AS 21.27.920 Recoupment.

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(a) When a pharmacy benefits manager conducts an audit of a pharmacy, the pharmacy benefits manager shall base the recoupment of overpayments on the actual overpayment of the claim, except as provided in AS 21.27.915(b). (b) A pharmacy benefits manager conducting an audit of a ph…

AS 21.27.925 Pharmacy audit reports.

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(a) A pharmacy benefits manager shall deliver a preliminary audit report to the pharmacy audited within 60 days after the conclusion of the audit. (b) A pharmacy benefits manager shall allow the pharmacy at least 30 days following receipt of the preliminary audit report to provid…

AS 21.27.930 Pharmacy audit appeal; future repayment.

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(a) A pharmacy benefits manager conducting an audit shall establish a written appeals process. (b) Recoupment of disputed funds or repayment of funds to the pharmacy benefits manager by the pharmacy, if permitted by contract, shall occur, to the extent demonstrated or documented …

AS 21.27.935 Fraudulent activity.

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When a pharmacy benefits manager conducts an audit of a pharmacy, the pharmacy benefits manager may not consider unintentional clerical or record-keeping errors, including typographical errors, writer's errors, or computer errors regarding a required document or record, to be fra…

AS 21.27.940 Pharmacy audits; restrictions.

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The requirements of AS 21.27.901 — 21.27.975 do not apply to an audit (1) in which suspected fraudulent activity or other intentional or wilful misrepresentation is evidenced by a physical review, a review of claims data, a statement, or another investigative method; or (2) of cl…

AS 21.27.945 Drug pricing list.

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(a) A pharmacy benefits manager shall (1) provide to each network pharmacy at the beginning of the term of the network pharmacy's contract, and upon renewal of the contract, the methodology and sources used to determine the list; (2) provide the list to a network pharmacy without…

AS 21.27.950 Multi-source generic drug appeal.

AS 21.27.951 Patient access to clinician-administered drugs.

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(a) An insurer or its pharmacy benefits manager may not (1) refuse to authorize, approve, or pay a provider for providing covered clinician-administered drugs and related services to a covered person if the provider has agreed to participate in the insurer's health care insurance…

AS 21.27.952 Penalties.

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In addition to any other penalty provided by law, if a person violates AS 21.27.945 — 21.27.975, the director may, after notice and hearing, impose a penalty in accordance with AS 21.27.440.

AS 21.27.953 Regulations relating to pharmacy benefits manager claims, grievances, activities, and appeals.

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The director shall adopt regulations that provide standards and criteria for (1) the structure and operation of pharmacy benefits manager reimbursement of pharmacy claims under this chapter; (2) procedures maintained by a pharmacy benefits manager to ensure that a pharmacy has th…

AS 21.27.955 Definitions.

AS 21.27.975 Definitions.

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In AS 21.27.901 — 21.27.975, (1) “affiliate” means a business, pharmacy, pharmacist, or provider who, directly or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with a pharmacy benefits manager; (2) “audit” means an official …

AS 21.27.990 Definitions.

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In this chapter, (1) “accredited state” means a state in which the insurance department or regulatory agency of that state has qualified as meeting the minimum financial regulatory standards adopted and established by the National Association of Insurance Commissioners; (2) “affi…

AS 21.33.011 Purpose.

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The legislature declares that insurance transactions with nonadmitted insurers are so affected with a public interest as to require regulation, taxation, supervision, and control of the transactions and matters relating to nonadmitted insurance as provided in this chapter in orde…

AS 21.33.021 Service of process on director.

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(a) The transaction of insurance by an unauthorized person or nonadmitted insurer is equivalent to and constitutes an irrevocable appointment by that person or insurer, binding upon the person or insurer, the executor, administrator, or personal representative of the person or in…

AS 21.33.025 Service of process on lieutenant governor.

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(a) The transaction of insurance by an unauthorized person or nonadmitted insurer is equivalent to and constitutes an irrevocable appointment by that person or insurer, binding upon the person or insurer, the executor, administrator, or personal representative of the person or in…

AS 21.33.031 Defendant's duties and rights.

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(a) Before an unauthorized person or nonadmitted insurer files or causes to be filed a pleading, a court action, suit, or proceeding or a notice, order, pleading, or process in an administrative proceeding before the director instituted against the person or insurer, by service m…

AS 21.33.035 Attorney fees.

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In an action against an unauthorized person or nonadmitted insurer upon a contract of insurance issued or delivered in this state to a resident or to a corporation authorized to do business in this state, if the person or insurer has failed for 30 days after demand before the com…

AS 21.33.037 Acting for or aiding nonadmitted insurers prohibited.

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(a) A person may not directly or indirectly act as agent for, or otherwise represent, assist, or aid on behalf of another, a nonadmitted insurer in the transaction of insurance in this state. (b) This section does not apply to (1) matters authorized to be done by the director; (2…

AS 21.33.042 Suits by nonadmitted insurers.

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A nonadmitted insurer may not commence or maintain an action in law or equity in this state to enforce a right arising out of a transaction of insurance in this state except with respect to (1) claims under policies lawfully written in this state; (2) liquidation of assets and li…

AS 21.33.045 Investigation and disclosure of insurance contracts.

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(a) When the director has reason to believe that insurance has been effectuated by or for a person in this state with a nonadmitted insurer, the director shall in writing order the person to produce for examination all insurance contracts and other documents evidencing insurance …

AS 21.33.055 Unauthorized insurance premium tax.

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(a) Except as to premiums on lawfully procured surplus lines insurance exported under AS 21.34 and premiums on independently procured insurance on which a tax has been paid under AS 21.33.061, every nonadmitted insurer shall pay to the director, on or before March 1 following the…

AS 21.33.061 Independently procured insurance; premium tax.

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(a) Every insured who procures or causes to be procured or continues or renews insurance with a nonadmitted insurer, or an insured or self-insurer who so procures or continues excess loss, catastrophe or other insurance, upon a subject of insurance resident, located, or to be per…

AS 21.33.063 Agreements with other states.

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The director is authorized to participate in an agreement with another state for the purposes of collecting and disbursing to the other state any premium tax collected under this chapter and payable to the other state and for receiving from the other state premium tax it has coll…

AS 21.33.065 Penalties.

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(a) A person other than an insured, who in this state represents or aids a nonadmitted insurer in violation of AS 21.33.037, is subject to a civil penalty of not more than $50,000 in addition to applicable criminal penalties and other penalties prescribed in this title. (b) In ad…

AS 21.33.900 Records of insureds.

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In order that the director may effectively administer this chapter, a person who has placed insurance with an unauthorized insurer shall, upon the director's order, produce for the examination of the director all policies and other documents evidencing the insurance and shall dis…

AS 21.33.910 Definitions.

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In this chapter, (1) “export” means to place surplus lines insurance with a nonadmitted insurer; (2) “transaction of insurance” means the solicitation, negotiation, procurement, effectuation, or renewal of insurance; forwarding of applications; delivery of policies or contracts; …

AS 21.34.010 Purpose.

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The legislature declares that insurance transactions with nonadmitted insurers are so affected with a public interest as to require regulation, taxation, supervision, and control of the transactions and matters relating to nonadmitted insurance. The purpose of this chapter includ…

AS 21.34.020 Placement of surplus lines insurance.

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(a) Insurance other than reinsurance, wet marine and transportation insurance, insurance independently procured, life insurance, health insurance except as provided in AS 21.34.035, and annuity contracts may be procured through a surplus lines broker licensed under AS 21.27 from …

AS 21.34.025 Subscription policies or joint underwriting in combination with admitted insurers.

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Subscription policies or joint underwriting of insurance other than reinsurance, wet marine and transportation insurance, insurance independently procured, life insurance, health insurance, and annuity contracts by a combination of authorized insurers and nonadmitted insurers is …

AS 21.34.030 Workers' compensation insurance.

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(a) Workers' compensation insurance may be placed in and written by a nonadmitted insurer if (1) the director considers it in the best interest of the public and issues an order to that effect; (2) the insurance is written in accordance with this chapter; and (3) all conditions e…

AS 21.34.035 Health care insurance and disability insurance.

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(a) Except for a multiple employer welfare arrangement, health care insurance and disability insurance may be placed in and written by a nonadmitted insurer if (1) the director finds it is in the best interest of the public and issues an order to that effect; and (2) the insuranc…

AS 21.34.040 Eligible surplus lines insurers required.

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(a) Coverage may be placed in a nonadmitted insurer by a surplus lines broker only if (1) at the time of placement, the nonadmitted insurer meets all the requirements of this section; and (2) the surplus lines broker is licensed under AS 21.27. (b) The nonadmitted insurer must es…

AS 21.34.050 Listing eligible surplus lines insurers.

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(a) In addition to meeting the requirements of AS 21.34.040, a nonadmitted insurer shall be considered an eligible surplus lines insurer if it appears on the most recent list of eligible surplus lines insurers published by the director. The list is to be published at least semian…

AS 21.34.060 Other nonadmitted insurers.

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Only that portion of a risk eligible for export for which the full amount of coverage is not procurable from eligible surplus lines insurers may be placed with another nonadmitted insurer that does not appear on the list of eligible surplus lines insurers published under AS 21.34…

AS 21.34.070 Declaration of ineligibility.

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(a) If after a review of a nonadmitted insurer and consideration of factors including quality of management, capital and surplus of a parent company, underwriting profit, investment income trends, trade practices, reserving practices, company record, and reputation within the ind…

AS 21.34.080 Transaction report; evidence of insurance.

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(a) A surplus lines broker shall execute and file with the report required by AS 21.34.170 a written report, which shall be kept confidential, regarding each surplus lines insurance transaction occurring in the preceding period. The report must include (1) the name and address of…

AS 21.34.090 Surplus lines association.

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(a) A surplus lines association of surplus lines brokers may be formed to (1) facilitate and encourage compliance by its members with the laws of this state and the regulations relative to surplus lines insurance; (2) attend National Association of Insurance Commissioners meeting…

AS 21.34.100 Evidence of insurance.

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(a) When surplus lines insurance is placed, the surplus lines broker shall promptly deliver to the named insured or the producing broker the policy or, if the policy is not then available, a cover note, binder, or other evidence of insurance. The cover note, binder, or other evid…

AS 21.34.110 Surplus lines broker's duty to notify insured.

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(a) A contract of insurance placed by a surplus lines broker under this chapter is not binding upon the insured and a premium charged is not due and payable until (1) the surplus lines broker has notified the insured in writing, a copy of which shall be maintained by the surplus …

AS 21.34.120 Validity of surplus lines contracts.

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Insurance contracts procured under this chapter shall be valid and enforceable as to all parties.

AS 21.34.130 Effect of payment to surplus lines broker.

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A payment of premium to a surplus lines broker acting for a person other than itself in negotiating, continuing, or reviewing a policy of insurance under this chapter, is considered to be payment to the insurer, notwithstanding conditions or stipulations in the policy or contract…

AS 21.34.150 Surplus lines brokers may accept business from other brokers.

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A surplus lines broker licensed by this state may originate surplus lines insurance or accept surplus lines insurance from another surplus lines broker licensed by this state or a producing broker licensed by this state as to the kind and class of insurance involved. The surplus …

AS 21.34.170 Quarterly reports, summary of exported business.

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(a) A surplus lines broker shall file with the director, on forms prescribed by the director, a report of all surplus lines insurance, by type of insurance as required to be reported in the annual statement that must be filed with the director by admitted insurers. The report mus…