AK Insurance Bulletin B02-18
Consumer Credit Insurance Reporting Form
BULLETIN B 02-18
TO: ALL INSURANCE COMPANIES TRANSACTING CONSUMER CREDIT
INSURANCE IN THE STATE OF ALASKA AND OTHER INTERESTED PARTIES
RE: CONSUMER CREDIT INSURANCE REPORTING FORM
3 AAC 28.370(b) states in part: "Every three years beginning in 2003, an insurer writing
consumer credit insurance in this state shall file with the director on or before May 1 a report of
consumer credit insurance in this state for the three previous years, on a form prescribed by the
director."
Included with this bulletin are the prescribed reporting forms that insurers must use to report the
information required by 3 AAC 28.370. In order to comply with the reporting requirements, all
insurers writing consumer credit insurance in Alaska must complete and file the forms with the
division by May 1, 2003. The completed forms and a cover letter that complies with the cover
letter requirements for a form filing prescribed in 3 AAC 31.220 should be mailed to:
Director of Insurance
Alaska Division of Insurance
P.O. Box 110805
Juneau, AK 99811-0805
Please verify before sending the completed forms to the division that the premium and claim data
reported in the forms is consistent with the premium and claim data reported in the National
Association of Insurance Commissioners Annual Statement Consumer Credit Insurance Exhibit
for Alaska, as required by 3 AAC 28.370.
The bulletin and prescribed reporting form are available on the Internet. In order to access the
bulletin and the forms on the Internet, go to the Alaska Division of Insurance web page at
www.commerce.state.ak.us/insurance/bulletins/bulletins.htm, Select Bulletin B02-18 or
"Consumer Credit Reporting Form."
The forms may be completed in Microsoft Excel as follows:
1. Click on "2003 Credit Form.xls" and save to your hard drive.
2. Open Microsoft Excel and the document you just saved.
3. Fill in the data requested on the form, save, and mail with the cover letter to the
address above.
If you have questions regarding the prescribed form or this bulletin, please contact Katie
Campbell by phone at (907) 465-4607, by fax at (907) 465-3422, or by e-mail at
katie_campbell@commerce.state.ak.us
Dated this 5th day of November 2002, at Anchorage, Alaska.
Robert A. Lohr
Director