AK Insurance Bulletin B04-01
Alaska Small Employer Insurance Activity Report
“Promoting a healthy economy and strong communities”
BULLETIN B 04-01
TO: ALL ALASKA HEALTH CARE INSURERS AND OTHER INTERESTED
PARTIES
RE: ALASKA SMALL EMPLOYER HEALTH INSURANCE ACTIVITY REPORT
Our records indicate that you are licensed to transact the business of health insurance in Alaska.
Under AS 21.56.075 each health care insurer is required to report its total premiums earned in
the preceding calendar year and other information required by the director regarding health care
insurance plans delivered or issued for delivery to small employers in Alaska. The information
for calendar year 2003 must be submitted to the division on the attached Alaska Small Employer
Health Insurance Activity Report no later than March 15, 2004. Section I of this report must be
completed and returned to the division even if you do not write health insurance in the small
employer market in Alaska.
This report will be used to determine each company’s share of the assessment base for Alaska’s
Small Employer Health Reinsurance Association. It also will be used by the association to report
to the Alaska Legislature and to the director on the effectiveness of Alaska’s small employer
health insurance reforms and to compare the effectiveness of Alaska’s small employer reforms
with other states and regions of the country.
Please complete the attached activity report and return it by mail, fax, or e-mail in Word 97 or
PDF to:
Lewis Brooks
Insurance Analyst
Alaska Division of Insurance
P.O. Box 110805
Juneau, AK 99811-0805
E-mail: Lewis_Brooks@dced.state.ak.us
Phone: (907) 465-4608 Š Fax: (907) 465-3422
If you have any questions relating to the report, please contact Lewis Brooks.
Dated this 9th day of January, 2004 at Anchorage, Alaska.
Linda S. Hall
Director